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Audrey's Story
Audrey?s story. We are very grateful to Audrey Brown for her courage in writing her extraordinary testimonial, which she has done to offer hope and help to others. It highlights powerfully, how a Sickle Cell sufferer?s life is devastated by their disease and yet is full of hope as she explains how the Full Circle techniques have helped her cope with her disease:

My name is Audrey Brown. I have Sickle Cell Disease (HbSS). In 2003 my consultant, Dr Bevan suggested I try the meditation and relaxation techniques being offered on the haematology unit as he thought they might be able to help me. I was desperate to find a way to control my pain and anxieties and also I'm very aware of the side-effects of my medications, especially, morphine, I don?t want to take morphine unless I absolutely have to. I was in a lot of constant pain, I had asthma, recurring chest infections and because of all of this I had a lot of admissions for chest crisis. I had learnt, because of the pain, to shallow breathe but it caused my recurring chest infections and made my asthma worse. Because of all of this I had difficulty sleeping due to the constant pain, fear and my stresses in life.

The positive effect from even the first Full Circle session I had was immediate. I learnt to relax for the first time in my life. I learnt to focus on where the pain was, to go into myself and help myself relax. It helped me to sleep so I didn?t even need sleeping pills after that! I used to be tense all the time, crying a lot and resorting to painkillers and a lot of tablets. It helped me now as I realised that I finally had a skill that I can do to help 'me' rather than depending on more and more medication and feeling so hopelessly out of control. It is the only reason I have been able to cut down dramatically on my morphine and other painkillers.

Now I?ve learnt to pinpoint every part of my body and keep it relaxed. I have been able to completely change what happens when I feel a sickle cell crisis starting. Before, I had no option. As soon as I felt the sickle cell pain starting I would get more and more angry, very tense, I became so miserable and so upset; the awful soul destroying anticipation of the pain that was coming. I would take a small amount of morphine (which takes 1 ? 2 hours to start to work) all the while the pain would increase and I?d be literally writhing about in pain, curled up on the floor, panicking because I know how much more pain is still in store. I would get to an hour like this and think "oh no, the morphine?s not working" and take more and every hour until I could stand no more pain and have to call the ambulance and go to A&E. I would be so stressed by this time and in such agony that I would just want whatever and however much painkiller I could have just to stop the pain. People, just can?t understand why you can?t wait anymore, they can?t feel how much agony you?re in.

Now, when I feel a sickle crisis starting I use the time differently. I make myself lie down immediately on the bed (I?ve even asked my son to remind me if I?m in a panic and he knows to also help me to remind me to do my breathing exercises). I lie down and with all my effort I do my abdominal breathing and focus on the pain and breathe it out. I don?t stop focusing. I stay doing this and for 1 ? 2 hours the pain gets no worse and slowly reduces. I can last for 4 ? 6 hours before needing any other painkiller! I've done this now for 4 years ? so I can say it works.

Nobody?s ever showed us an alternative and I worry a lot about what morphine is doing to my system, the damage it's doing and I'm desperate to reduce what I take if I can. Our mind?s are such a strong organism and I do believe our minds can make sickle cell worse or better depending on what choice you make at the time of the start of the crisis or even as a prevention at times of stress. If you can control, can learn to control you then have a choice. You have to want to do it, you have to put you mind to it but if you do - it?s worth it. If you can control your levels of stress ? stress is the key in sickle cell you can help yourself.

Since I learnt the relaxation and meditation techniques in 2003, I've not had another chest infection, nor asthma and only one admission a year for sickle crisis rather than every other month as it had been for 17 years! Considering how often I was being admitted before and, since 2003 I?ve been managing very well myself. I can say that in learning the techniques I've learnt how I can help myself and manage the onset of a crisis with much less morphine and painkillers (which is very important to me). I keep it under control so I don?t end up in hospital.

Learning these relaxation and meditation techniques has helped me in my own life too, when I feel a crisis coming on, I deal with it, I control it and recover like I never knew how to before.

I wish this could be taught early on in life to us sickle cell patients and certainly regularly too, it could help us learn to control stress.

Because of what I have experienced I am happy for my name and letter to be used if it will help others with sickle cell disease or actually I think any other disease or serious stress.

A special thank you goes to Dr Bevan for making this referral for me, it has given me a skill that helps me have a life which I?ve never been able to have before with my disease. Thank you.
Audrey Brown
May 2007.

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Full Circle Fund is an independent charity within St George's Hospital Charity. Registered Charity No. 241527