03 March 2014

Hospital Reprise – Serious Setback

What a difference 30 hours makes.  Mid Saturday (February 22) I comfortably walked home from Royal Prince Alfred Hospital (RPAH).  5.30 pm Sunday I was taken by ambulance from home to RPAH Emergency.  This blog entry is about this deterioration due to a short sharp sneeze and its aftermath plus seeing my oncologist on Monday March 3 to look at beginning chemotherapy.  The last week has been hard going – a big contrast to my previous blog entry.

I felt really good as I walked home with Barbara on Saturday (February 22).  A friend rang soon after I arrived home and I felt very up while talking with her.  However, by late afternoon I was feeling “OK”.  Had a good sleep and 7.30 Sunday morning walked down to the harbour.  Had breakfast at the Black Wattle Bay Café.  I then walked home by the easiest route.  At 2 pm friends arrived for afternoon tea.  Barbara and I had arranged for more friends to come around at 4.30 pm, such was our optimism.

Barbara and I with our 2pm round of friends

But at 3.30 pm I had a short sharp sneeze.  The pain flashed across my abdomen.  I took a milk drink to the front room, sat down in the rocker recliner seat.  Next thing I know is Barbara and our son are talking to me.  I was looking at them, not responding.  I had fainted.  We reclined the chair horizontal but that was too uncomfortable.  I crawled from the chair and lay on my right side on the floor.  It was comfortable but I could not get my mind to get me up from the floor – I was a ‘beached whale’!

Will called Dr Sean Griffin (gastroenterologist), as I could not remember where I had Dr Chris Young’s (colorectal surgeon) mobile (cell) number.  Sean advised we call for an ambulance.  Due to my non-urgent situation, it was an hour before the ambulance man arrived on a motorbike.  He talked with me and established I needed an ambulance, which soon arrived.

Our front steps are steep.  So it was decided I would walk to the ambulance.  The three ambulance people helped me sit up and then stand.  I was able to walk unassisted to the ambulance.  I was feeling faint as I climbed into the ambulance and was very glad to lie down again.  All my vitals were checked as we drove the short distance to the hospital.

At RPAH I was quickly admitted and allocated a bed and received immediate attention.  They admitted me, which was relatively easy as my records were right up to date.  They had to ask me if I was coming in as a public or private patient.  It is to the public hospital’s advantage if I use my private health fund membership, which I did.  Once this was done, they then got me the pain relief I had requested.  I think the system needs improving if you cannot be given pain relief until they know how you are admitted.  Surely, they can tag the medicine usage so that it can be entered as public or privately provided later.

In the early evening I fainted again while lying in a reclining position in my bed.  Barbara and Will got me some immediate attention.  They put me on a drip.  They had already decided that I would not be fed or given drinks as they thought I would need an operation.  The drip gave me much needed liquid.

After a few hours our son let his siblings and my brother know what happened.  Barbara and I were so glad to have our son as a calm and steady help.  Barbara stayed and came with me when I was transferred to 9 West 1 colorectal ward, bed 10 at midnight – seven hours in emergency and back to my previous ward but in a different bed.

In emergency they monitored my vitals, did an ECG and CT scan.  They did put in a fluid drip after a while.  Barbara and I were very glad we had been trained in use of the colostomy bag.  Doctors and staff did not seem to know much about it.  My bowels were active and it needed emptying, twice.  We could manage this ourselves from our supplies we had brought with us.

There are less than 100,000 Australians using colostomy bags and only about 3 million in the world.  So, we are a small minority in 7 billion people.  Our family has an unusual statistic in that one of my cousins also has a colostomy bag – 2 of 7 cousins!

The quality of the emergency care was mixed.  I would have sacked two of the day shift nurses on the spot: one wore only one glove when taking blood and the other was arrogant.  Doctors were generally good.  The person who did the CT scan was fantastic, replacing the sheets I had unwittingly wet.  The night nursing crew seemed much more professional than the evening crew.

I was glad to arrive in the colorectal ward.  I was in a part of the hospital that knew the drill for my condition.  I was given two more Panadol and Endone (equivalent of morphine) and slept comfortably.  Monday morning the doctors, including Dr Chris Young advised I had torn some of my stomach lining, the stoma was OK and that I would not need an operation.  I was allowed to eat and drink.  I would be kept for observation and allowed home when my blood and other signs were more normal.  I was discharged Tuesday 25 February, feeling worse than when I left the previous Saturday.  I am still feeling uncomfortable.  I cannot walk as easily.  I need to walk to help the heeling. 

As you know, it is not just me who is under strain but Barbara too.  We both need good night sleeps.  Thus, I have moved to the back bedroom, which is on the same level as the bathroom.  This has helped both of us.

Since coming home I have had a mixture of OK to bad times.  Friday 28 I hardly did a thing due to severe discomfort.  Wednesday I caught up on emails and Facebook and arranged some appointments.  Thursday, Barbara and I walked to the Colostomy Association to collect my supplies.  It is next door to Stanmore McDonalds where we had coffee and a toasted ham, cheese and tomato sandwich before walking home.

We worked out that I need pain relief during the day as well as at night.  Saturday, I went to my GP for an Endone script, then the pharmacy and had a coffee with a toasted ham, cheese and tomato croissant.  Barbara looked after Laura while Pete had lunch with a friend who is getting married soon.  Sunday started well with Barbara and I walking out to coffee with some sourdough toast but by the time the family was here for an early dinner I was feeling low.  One of our children was concerned that my liver was not functioning well and that I might be jaundiced and advised me on things to ask Dr Lisa.

Monday March 3, Barbara and I went to a 9.45 am appointment with Dr Lisa Horvath.  Lisa was thorough with her questions about how I am.  I asked her my list of questions.  Lisa said I am doing very well for what has happened to me in the last month or so.  Lisa is scheduling me to start chemotherapy next week.  I will provide a blog update after my first round of chemotherapy.  It is 1 year, 10 months since I last had chemo.

Meanwhile, Barbara and I are going to Port Stephens for a few days holiday.  One of our plans is to go to WorlMark (our holiday accommodation timeshare) in between some of the chemotherapy treatments.

How do I feel with this setback?  My reality check has been much greater than I anticipated.  I am wondering if all that is happening and ahead in treatment terms is worth it.  We are making significant decisions that we will let you know over the next few weeks.  I was comforted by Dr Lisa saying that my three days chemotherapy each fortnight treatment will be less demanding and less likely to cause nausea than the previous treatment.  This is good news considering how vulnerable I feel at the moment.


Finally, I would like to thank you all for your love and support you have provided in dozens of emails.  With how I have been feeling, this has been an excellent way of being in touch.  So, feel free to keep the email or Facebook messages coming.

No comments:

Post a Comment