Tag Archives: jugular vein

And Back to Hospital . . .

Breakfast – a meal to set you up for a difficult day, or even a heart attack. This one lacks bubble and squeak and black pudding because I’m trying to become more health conscious.

Julia has been struggling. She is much better now but it took more upheaval to accomplish anything., and I ahd to enlist the help of my sister.

Basically, since she had to return to A&E last week, she has shown little improvement, has bled several times in the night and from Monday onwards, has been starting to look old and tired. I haven’t known whether to worry or not, and have stuck to my approach of changing dressings when necessary and being generally upbeat. It was, to be honest, getting more difficult. Finally, by Wednesday, she was ahving trouble talking and staying awake.

However, this is a woman who had to leave school at 16 to support her family but eventually ended up with two degrees, a postgraduate diploma, worked in fields, kept us going in the Quercus days by working a Sunday shift that started at 5am, brought £miliions in grants in to Nottingham and had a couple of babies. She hates being seen as weak and would rather die than admit she needs help.

By 6pm on Wednesday it looked like she was going to achieve her ambition. Fortunately, my sister had popped round with cake and a water pistol (that squirrel is in trouble now)  and joined me in bullying Julia into going back to A&E. I will spare you the boring details, particularly as they left me at home (I tried a token protest, but didn’t try too hard). It included included a lot of time waiting for results, having a camera inserted into her throat via her nose, blood tests, drugs, more blood tests, a scan and some other messing about.

Haddock Special at the Fishpan, Scarborough

The conclusion is that she needs to go to an ENT clinic. The doctor said that the wait is about three weeks but he will ensure she is called within a week. She was told this two weeks ago. They will probably have to open up the wound again to clear it out, as there is a large haematoma in there which is causing problems (again, we were told that two weeks ago). The wound also needs restitching as it is untidy and has not healed. Two weeks ago she was given antibiotics to prevent infection. Last week, she was given different antibiotics because she was feeling rough. This week she was taken off antibiotics because the gasping for breath (after checking heart and lungs) seems to be a side effect of the antibiotics.

Correct, it would be hard to make this stuff up.

And, when she goes in for work on the wound, they will probably glue the tear in the vein. The ENT specialist on week one said it should have been done. They said so today too. It’s a typical sign of a service under pressure – they never have time to do it properly, but they do have time to do it again. She’s been in A&E three times when once should have been plenty.

And finally – the thing they stick down your nose to photograph your throat (her vocal chords are looking good she says, though I’m not sure what she’s comparing them to) costs £350 and is single use only. They throw them away. I said she could have brought it home so I could attach it to the computer for examining coins. Yes, of course I’d stick it up my nose too, wouldn’t you? I can’t see why they couldn’t just wipe it down with an anti-bacterial wipe. It’s not like you need to be very sterile with something you’re shoving up a nose, is it? Obviously you’d have to make sure they were a distinctive colour so they didn’t get mixed up with the colonoscopy kit, but apart from that, it would be quite simple and save a fortune.

My sister, incidentally, was surprised to be asked to press some buttons during the process. While the doctor was guiding the camera my sister had to press buttons to set the photography up. I’m sorry I missed that.

Just one last thing and I will let you go. Julia has a fan club. She was explaining her problem to a junior doctor when they interrupted her, saying  “I know who you are, I’ve heard all about you.” Apparently in medical circles she is  spoken of in awed tones as the only person known to have cut their throat with a plant pot.

We had salad tonight – pear, blue cheese, leaves, walnuts,  spring onion, cucumber, chive flowers, tomatoes. We could have had more, but Julia didn’t feel hungry and I hate salad.

 

 

The Perils of Plant Pots Part 2

Entrance to Cromer Pier

I had a phone call just after nine this morning. It was Julia, using a borrowed phone. The good news is that she has been allowed to eat and it was a success. The bad news was that it was only porridge, which is not much of a test of swallowing ability. In my experience you put porridge in your mouth and gravity does the rest.

The even worse news is that she is not being allowed out. She escaped the camera up the nose exam but had a CT scan which revealed a small hole in her jugular vein. It hasn’t closed and is still seeping. They are monitoring progress but if it doesn’t close soon they may have to operate.

Julia as Lifeguard – Britannia Pier, Great Yarmouth

In the end, she slept part of the night in a chair in A&E before being found a bed at 5am. It is in a corner of a crowded ward which features a lot of deaf old people, all with TVs up at full blast. They also all seem to have telephones with annoying ringtones and have to shout their conversations down the phone as the TVs are so loud. I spent about seven hours there today and at times thought my head was going to burst.

At least she now has a phone, a change of clothes and a puzzle book – the necessities of modern hospital life.

The medical staff have all been lovely. Can you sense a “but” coming on? The systems are badly designed and  would benefit from somebody posing as a mystery patient and checking the experience from that point of view.

Felixstowe Pier

Today, for instance, I looked on the map at reception and tried to find Ward A15. There is no Ward A15, they stop at A10. The next ward is B11. The Bs end at B14. I don’t know how much they spent on those maps, but it seems not to have been spent wisely. There is, I was told on asking, a Ward A15. I was given directions to it and found it. This was fortunate, because at one point the A15 sign on the wall is covered by a discarded cage trolley. When I left, the sign was still covered, and the same abandoned trolley was still parked in front of it.

Then there is the matter of the visitor toilets . . .

I needed the toilet. I’m not allowed to use the one on the ward so I had to ask the way to the nearest toilets for the public. I had to ask twice because they were not well signed, and they were 150 paces away from the ward round several corners and through several sets of doors. That’s a long way for a man with two sticks and bad knees.

The good news is that although it isn’t perfect, we can still get good quality care without having to run up huge debts. If only it was quieter . . .

Bangor Pier – that woman seems to be following me