Tuesday, 23 February 2016

22nd Feb - John Radcliffe Hospital


Sorry about lack of updates, so this will cover since the last one. Things aren't getting any better, but more diagnoses etc.



Had a lovely visit from mum and dad on Saturday who were driven up by their neighbour Bryan. Weather horrendous - all spray and torrential rain on the journey. They brought me presents, including home made ham sandwiches in case the food was grotty. I assure him that the food was good and that everything I ate was recorded ( presumably because that's what happens on a gastro ward.



The elderly Indian lady that had been in the next d lot bed was moved ( I think back t.o her residential home) and was replaced by a younger woman who had been taken ill with breathing problems on a flight. She was visited later by her husband and twin daughters (around 3 years old) so that brightened things up! They were bilingual so we had sentences of mixed English and Swedish. The alcoholic woman in the bed opposite said that she thought it was very clever that they were bilingual so young. duh!!! I didn't' think it was worth the effort of explaining language development.

Lady in diagonal bed continues to amuse/annoy. We had the usual light display ( she keeps pressing the light button rather than the call one). "Susan SUSAN - I can't see - it's too dark. Put the light on" " we can't pit the light on, it's the middle of the night". "What time is it?"  "Half past three". " why am I awake at half past three?". " I don't know, why are you awake?" " I don't know either. I'll go to sleep now!.

When Sian and Julio were visiting, they came and said that they had a bed at Oxford, so Sian packed my bags and I sat and waited. This was about 6pm. Waited, with my bag packed and at the foot of bed. Time passed. Discussion as to whether Sian and Julio would come with me to Oxford to see me settled in but neuro ward is very strict re visiting hours and they thought they wouldn't be allowed in. The transport ambulance finally arrived at 10.15 - they had  come from Gloucester. I shared the ambulance with  a lady who knew it all and was quite chatty at first ( which I could have done without, to be honest). But quietened  down as she felt worse during the journey. I was in a wheelchair, having been hoisted in on the ward, which I think was better than a bed/ trolley. It was very odd as the other lady was in her clothes, including coat, whilst I was in my hospital gown, socks and a blanket wrapped round me.

We arrived jus t before midnight ( the ambulance people didn't know which ward we were going to but t he other lady said it was on the third floor). Up we went, through a deserted reception ground floor area up to third floor where they rang the intercom but no one came. We decided that the 2nd floor ( neuroscience) was the best option (I'd already said that I thought that was where I was going but other lady more confident). More waiting at the locked ward door until someone came and let us in. I was wheeled to my room and the nursing team (sister/ ward manager Ruth got me sorted and settled at about 1. No tv or radio and I hadn't unpacked fully so no charger for iPad. Slept ok.

Sunday

Woke up . Blood sugars much better, but still having insulin. Professor Turner, honorary consultant ( it's a teaching hospital) with 4 5th year students came to see me. Took a long time as students asked questions and he explained things. Interesting. He ordered another Mir scan.

Julio and Sian came to visit and sorted out my TV and wifi, so now have entertainment. Blood sugars still high but much better, so still having insulin injections on top of everything else.

To much information warning - ignore next bit if you are squeamish.

I have discovered that  being doubly incontinent is no big deal - it is dealt with matter-of-factly by nurses and auxiliaries with care, sensitivity and with as much of my dignity as possible. Very big nappies!!!

Ok - you can start reading again now!

We have to order the next day's meals on a sheet. More choice than at GWH in that you can have stuff rather than sandwiches. I had roast beef, mash, mixed veg and gravy and cheese and yoghurt for lunch and a turkey salad and cheese and biscuits got supper. It is interesting that all components are classified (vegetarian, gluten free etc). Relieved to see that the orange juice starter is "balanced choice" ( as opposed to "energy dense - ie lots of calories), vegetarian, gluten free and - most importantly, easier to chew!

Visitors have to leave during meal times, so J&S took themselves off to explore the atrium, shops and cafes some more. We were told that the Drs would be happy to talk to them, but it didn't happy because it was a Sunday - fewer doctors so they were very busy.

Started getting some painful spasms - because of numbness not sure where it was other than lower back/bum area. Called the nurse, who called the doctor and I was given some pain relief. As well as paracetamol.

Not much more happening - no physio and in bed all day.

Not a bad night's sleep considering. Sleeping on your back is not right- I'm usually curled up or on my tummy.

Monday

What a busy day! Usual obs started at 6am and unusually I was still half asleep.

Went for another MRI  this took 40 minutes as they wanted a full brain and spine. I wasn't looking forward to it as the first one wasn't particularly good and I was worried about being claustrophobic. However I shut my eyes and tried to keep calm. They are very noisy, even with ear plugs in.

The spinal cord consultant (Dr Lane but I think her name tag said de la something) came with 7 students. They are in their 5th year and have exams on Friday, so were very attentive and questioning. I am now losing count of the examinations I've had, but it takes up the time.

She hadn't seen the scan, but has explained that there is an inflammation from my chest down, which is bigger than inflammations usually are. They need to find the cause because the treatment will depend on the cause. It could be an infection, or vascular ( not sure vascular what). Steroids are the first treatment for any inflammation, but after that they may do other things, including a flush which is like a cross between a blood transfusion and dialysis. They flush out the antibodies that are over enthusiastic and attacking the body and put new ones in. This could be just once, or several times.

Then I had lunch - orange juice ( easy to chew!) followed by mince lamb pie ( sadly energy dense) with boiled potatoes and mixed veg followed by a yoghurt.

This was followed by the physios ( chartered and occupational) who got me into the chair without the hoist. It was incredibly hard work - they put a banana board under me and I had to pull myself over bit by bit with my hands. I made it, but was exhausted. Physios decided that I'd need a hoist to get me back into bed as the bed was higher than the chair. I must admit I was relieved even if it was undignified.

More students - two this time. Also 5th year with exam on Friday. Apparently they had been told I was good to talk to! Another series of history taking, questions and examinations. As they finished, I wished them well for Friday and was told that I may be the object of more questions in the exam, but if so, we hadn't met before (which is what the first lot had said). As I am compos mentis, and if I am still here on Friday, I may have more students!

Visit from another neuro doctor ( they have 10on duty on weekdays) who said they had seen some anomalies in the scan. There are some areas of the brain affected as well. They'd seen this in the Swindon and had thought it wasn't anything to do with it.

They need to do more tests and reading ( not sure if that's a good thing or not!).  There are several possible causes of the swelling including genetic stuff, so they may do some DNA tests tomorrow. Dad - what sort of arthritis do you have? The steroids continue as that is the first call treatment for all causes.

Then told  I was going to be moved ( they had said that before as when I came the only room was the video telemetry room that they use for teaching and for consultants/ professors keeping eye on patients. Hoist on to bed, nappy change and then gathering possessions together. Easier this time as my table came with me. I am now in a ward of 4, not near the window (but that's no problem as it's only looking over the building). I miss the cemetery view when I was in the last room on my own.

That's all so far - I am here with Julio, awaiting my supper of corned beef salad and cheese and biscuits. My blood sugars are settling down, so I may risk the ginger nuts that came with my cup of tea. Debbie - keep the cake on hold, but I'm looking forward to it!

Another update tomorrow.

Love from Mum/ Boo / Bev

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