“Just because I’m a hypochondriac, it doesn’t mean I’m not ill”. Sick, clichéd, but true.

There are very few good reasons to want to be sick

In my stronger moments I can be rational about my health, and even laugh at my anxiety around it; but when my head and heart start racing, I desperately hope that those feelings of impending doom are just feelings…

I can’t remember when I first started worrying about my health, but I was always the sort of kid who missed things because of ‘tummy aches’. I didn’t fake them; I just seemed to worry enough until I genuinely felt ill.

I’ve always been anxious, and so it stands to reason that health would be way up there on the list of things I stress about.

Death, money, the kids, my job, embarrassment in general, Portsmouth Football Club, my marriage, keeping the house obsessively tidy, global warming, our developing ant problem; there is no shortage of things that keep my head busy.

(Actually I lied about global warming, it never really crosses my mind, and I just wanted to seem politically aware, as this is The Punch. I figure we’ll move back to England if it eventually gets too hot).

I do remember the moment it actually crystallised that I was worrying about my health though. I was 29 and in bed with my girlfriend (now my long-suffering wife) and I asked her to look at a lump in my groin – not the best line I’ve ever used.

“I can’t see anything”, she said. “I’ll put the big light on” I replied. After a bit of poking and prodding, and me repeatedly saying “No, put your finger there, can’t you feel THAT”, she eventually said I should see my doctor.

I told her that I didn’t have one, and that my doctor lived back in Portsmouth, despite the fact I’d been living in Bath for five years.

“So you always think there’s something wrong with you, but you haven’t actually got a doctor?” she asked, a little incredulously for my liking. “Maybe you should go and see one”, she added, and then turned back to her book.

The next day I turned up to my newly acquired doctor with a list. First up was a hernia. Apparently, according to the doctor, they were muscles rather than lumps – quite a bonus. We also managed to rule out cancer of my lymph nodes, a malignant melanoma, carpal tunnel syndrome (turns out it’s to do with your wrists, while I thought it was a tunnel vision that I had), and finally an irregular heartbeat.

I did however have to get some wax to put in my ears that he would syringe out a week later, not the onset of deafness I’d suspected. It was still an illness of sorts.

As I was leaving I checked a few times on what sort of wax it should be, and eventually having lost his patience the doctor said “Shove some olive oil in your ears if you want, it’s more or less the same thing”.

Slightly embarrassed I asked if he thought I was a hypochondriac, but he said that I wasn’t and that it was very common for young men to store up potential ailments before visiting the doctor and splurging. I left with a spring in my step and a scrap of paper saying ‘eardrops’ in my hand.

Since then it has been one thing after another. Or rather, it hasn’t been: testicular cancer, lung cancer, stomach cancer, bowel cancer. In fact, cancer, mostly. I might be a committed hypochondriac, but I’m not a hugely diverse one.

I’ve had a George Costanza moment, where I almost went out of my mind when the doctor said he couldn’t really say what the spot on my hand was, and that I might have to see a specialist about it.

“But you’d be sure it’s not cancer wouldn’t you?” I implored. “I really couldn’t say”, he said distractedly. I almost felt myself screaming “Lupus, it’s not Lupus is it?”

I saw another doctor that week who was willing to go out on a limb and confirm that it was indeed nothing.

Another time I’d just got in the front door and an advert was on TV in which a woman was listing a number of symptoms. I hadn’t even put my bag down and I started to feel anxious that I might have what she was describing. Turned out that it was ovarian cancer, so I breathed a sigh of relief and took my coat off.

In the UK they have something called NHS Direct – it’s a phone line you can call to discuss symptoms with a medic. It’s essentially to ensure that the emergency units of hospitals aren’t full of malingering lunatics like me. Of course I became addicted.

On one occasion I’d been clearing out the garage all day and was exhausted; I’d probably pulled a few muscles too. My wife was out in the evening and as I sat on the sofa with a glass of red wine watching TV, I became obsessed with the shooting pains in my left arm. Clearly a heart attack.

After an hour of spiralling into self-obsession I got on the phone. I explained about my arm, and the lady medic questioned about a series of other possible symptoms. Of course I had none of them. I paused to have a sip of red wine as I listened to her, because of course you would if you were in the middle of cardiac arrest.

And herein lies the real lunacy of all this: part of my brain genuinely couldn’t let this thing go until someone external had reassured me; the other half was thinking “my, what a nice shiraz”.

The call wound down and I asked the lady if there were any other warning signs I should look out for. She said that some people about to experience a heart attack have a sense of dread and impending doom.

“But I have that all the time”, I said. She suggested I see my GP in the morning.

Despite the doctor of my twenties saying I wasn’t a hypochondriac, the therapist I saw in my mid-thirties thought I probably was. Seven or eight years ago at the zenith of my mental fragility we came up with an impressive list of anxiety disorders that I have gradually dealt with.

These days - despite what these 1000 words would suggest – I’m a lot better. I still have my neurotic moments, but in general I deal with them far better. I’m currently monitoring a crook shoulder, tennis elbow (and I don’t even play), and irritable bowel syndrome. Hopefully they’ll come to nothing.

Last week I went for my annual skin cancer check. I explained to the doctor that I was someone who worried about my health a little.

“Well, hypochondriac’s live longer,” said the doctor with a smile. Of course I don’t believe that for a second. I think it just feels longer.

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15 comments

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    • T.Chong says:

      07:08am | 22/12/09

      Hypochondriacs are a funny lot, taking pride in claims like ” the Drs had never seen anything like it / me/ that “
      Who would want an illnes that is so outside the usual that people are amazed you survived or lived with such an illness or impediment?
      The same with the tabloid claim tht “Drs said it was a miracle”
      Which Drs? junior interns who are still learning?
      Most comments like this are usually wishful thinking on the parts of the patient and/or family.
      Ties in with current story of Saint Mary Mack - good luck to the cured lady, but I’m curious about the accreditation of a “miracle”
      Presumably a very experienced MO Oncologist would be called to study the claim, yet we don’t know who. Could it be that any expert in the field might be a little wary of attaching their name to a “miracle” ?
      And why only 1 or 2 cures ?  Why doesn’t God and Mary Mack cure all those who pray, or why does God allow the disease at all?
      Do any religious believers know?  IS god into playing lotto with peoples health ? only curing the occasional, letting others suffer, why?

    • Patient No. 976 says:

      07:15am | 22/12/09

      So it isn’t just me then.  This is a humourously written article, but does underplay the genuine fear and pain of this kind of anxiety, which really does play havock with your life.  The number of events I have missed because i detoured to the hospital with the ‘brain tumour’, or the ‘bowel cancer’ is kind of, well, insane.  And I understand completely that you need someone else to tell you it isn’t anything - just a mole, or a muscle cramp, or for goodness’ sake just get a new mattress, your old one is giving you a bad back.
      Somehow it is a little comforting to know that it really isn’t just me….........thanks

    • Albie says:

      07:31am | 22/12/09

      Wow this VERY accurately describes my boyfriend!! Down to the “my, what a nice shiraz” moment!!

    • shabangabang says:

      07:42am | 22/12/09

      3 years ago when I was undergoing tests to determine if I has MS or not, my mum called me a hypochondriac, told me not to worry about it and not go ahead with the referrals and tests. Last month my mum was diagnosed with MS, apologised to me, then insisted I get checked. Moral of the story; Not all of us who think we are ill are hypochondriacs. Some of us have good intuition when things are wrong.
      NB: My new round of testing begins in the new year. :(

    • Toddzilla says:

      07:53am | 22/12/09

      I, too, am a devoted hypochondriac. It all started with the birth of my first child. Suddenly I had something to live for beyond myself. My one goal in life became to live long enough that she might remember me. Then the “symptoms” kicked in and I feared for my life. It started with a numb sensation in the left side of my face. I narrowed it down to either a stroke or a brain tumour. The docs sent me for a barrage of tests before coming to the conclusion that it was all in my head (so to speak). Ever since then I have been fighting an eternal battle for my life, without ever once having a sick day.

      While most people might assume a cough is a cough, I leap spectacularly past the more logical conclusions of strep throat, tonsilitis, glandular fever, laryngitis, etc, and conclude that I must have throat cancer. When my gums bleed as I brush them, the logical conclusion would be to go to the dentist. Not me, I go to the doctor and get them to confirm my fears that I have gum cancer. The doctor shakes his head sadly and tells me to go to the dentist.

      Since becoming a hypochondriac I have also noticed parts of my body that I never did before. “Look at the size of that tonsil,” I thought as I booked into the docs to confirm that I have tonsil cancer. “Nope,” he says, “that’s what a tonsil looks like.” You’d think that’d be a relief, but I wanted a second opinion. Yep, that’s still a tonsil, though I have my doubts.

      In the past year I have had stomach cancer, liver cancer, eyeball cancer (seriously, I heard about it once), pancreatic cancer, kidney cancer, lymphoma, bowel cancer, several impending heart attacks, rib cancer, brain tumours, tumours in my eardrum and neck cancer. Yet I have managed to not take one day off work sick.

      To demonstrate the depths of my hypochondria, I once watched a doco on the bubonic plague. As they listed the symptoms, my stomach went into knots as I realised that I had that, too (and I hadn’t even got over my Ebola outbreak). All that was left was to wait for the bubo to appear and pray that modern medicine had the answer.

    • T.Chong says:

      07:55am | 22/12/09

      shabangabang: the unofficial demograph of MS is / was “fair, female and thirty”
      Majority MS sufferers are european decsent-“fair”, female (80% aprox), with most presenting wiith symptoms in late 20s early thirtys - hence “thirty”
      Bad luck with the news, but if managed well and early, the condition is livable with appropriate planning. Most of all dont let it mentally, emotionally wear you down.

    • Tory Maguire

      Tory Maguire says:

      07:58am | 22/12/09

      I once made an emergency appointment with the dentist when I found a weird lump on my lower gum I was convinced was something dangerous.
      He looked in my mouth and said: “how long has this lump been there?”
      Me: “I noticed it a couple of days ago.”
      Him: “That’s interesting, because it’s your jaw bone…”
      For this info he charged me $150.

    • See no Evil says:

      08:11am | 22/12/09

      T. Chong - if that is the demographic for MS, then it must’ve been a major shock when Richard Prior - a black, 50-year-old man - found out he had MS.

    • James says:

      09:58am | 22/12/09

      I am the total opposite to Rob, Todzilla and Patient No. 976.  I never go to the doctor’s unless I am really really sick (by which I mean unable to get out of bed and go to the doctor’s sick).  As a result, I have been hospitalised for pneumonia twice because I refused to “waste the doctor’s time - its nothing darling I’m sure, just a little ‘flu”.  I dismiss things that others might be concerned about as nothing, and generally feel fit and healthy.  I would not be surprised at all if the likes of Rob, Todzilla and Patient do indeed live longer than I, given that were they to notice symptoms of something serious they would have it dealt with immediately.  I once found a lump in a rather personal place, and put off having it checked for almost five years - when it was checked it turned out to be nothing, confirming my attitude towards doctors.
      Stories like Tory’s is why I stay away from dentists, unless something is hurting.

    • Anonymous says:

      10:04am | 22/12/09

      Great article Rob. It’s fantastic that this problem is out in the light. Although for the people in the world (and there are many of us!) like you, it would also be great to know how you have come through to the other side, and now deal with it better. Because we all know the dreaded feeling of impending doom that falls on you like a big thick blanket, and makes you unable to think rationally or even see past your own nose. But what we don’t know, is how to throw the blanket off.

      Toddzilla, you explain the feelings and emotions so well, and you clearly live with this day in, day out. It’s nice to know that other people experience the same thing, and we’re not alone in the ‘battle’ so to speak.

      I had achy legs for 3 hours once. I made an emergency appointment with my doc, who did multitudes of tests, to tell me it must be a virus. I wasn’t happy, so I sought a second opinion. He also came up with the same conclusion. In the 6 weeks that it took for the virus to subside, I had ovarian cancer, diabetes, DVT, blood clots, fibromyalgia, glandular fever, ross river fever, you name it, I came up with it.

      The stress of this caused me to get severe heartburn, which then saw me visiting the doctor again. He gave me some tablets for a week, which did nothing. So I saw another doctor. She also gave me tablets (for a month), which did nothing. So I saw a third doctor. She gave me tablets too (for three months), which did nothing. After almost 1 year of severe heartburn every day, tablets and tests, I was sent for an endoscopy. The specialist took one look at me, told me I wasn’t sick, and that it’s all in my head. He confirmed his assumption with the endoscopy. It took me about 2 months to believe him, and the day I did, the heartburn magically disappeared.

      This is just two examples of many, many, many fearful moments based on nothing but ordinary bodily functions.

      The sad part is that it doesn’t just affect the hypochondriac, but also the loved ones closest to them. So Rob, feel free to share your story in more detail. I’d love to know how you made it through.

    • T.Chong says:

      10:16am | 22/12/09

      see no evil : the “FFT” demograph for MS is based on majority of MS pts. Not exclusively , of course.

    • GotALife says:

      10:58am | 22/12/09

      Sounds like a really expert Counsellor is needed here.

    • H of SA says:

      11:08am | 22/12/09

      Well Rob brave of you to put this up here. I guess the message for the hypochondriac is that as the illness is mental they need to be seeking mental health treatment rather than visiting their GP. Treat the cause rather than simply the symptoms.

    • John says:

      12:34pm | 22/12/09

      grin love the George Castanza moments! I think my wife would describe me as that sometimes…

    • H of SA says:

      01:00pm | 22/12/09

      Hey T Chong, regarding your questions in the first post I believe the C.S. Lewis book entitled “The problem of pain” is considered to be one of the best texts from the Christian perspective regarding your questions.

 

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