I'm sort of happy with my edits now, kinda resembles the above picture. Will have to make them into a child theme so updates to Twentyten don't break it
I couldn't get the thick underlines to work in the text colour, or stay active on the active page but it's good enough, not default and my head is just bobbing above the footer, to combat uber scrolling I just set the wordpress display limit to 1 post per page
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