A Surprise Discharge

There’s not much more to tell you about my time in hospital, or rather there’s very little left that I can wring a bit of humour and/or a tune or two out of. So I’m going to rattle through the rest of the incidents of note and wrap things up.

Firstly, there’s something I omitted to tell you; in between the nurse’s call to my folks and them walking in on me mid-grease, there is some news as to what exactly I’m still doing there.

The nursing staff remain concerned about my vomiting episode. It is thought that I may have a tear ‘somewhere’ which has led to any liquid I’ve consumed to fall into places not intended to store liquid (you’ll let me know if I get too technical, won’t you?). I am to remain on a water only diet for the time being.

Added to that, and more definitively, on a couple of occasions, it has been observed that I get short of breath rather easily. Test results are now back in and I am told I have a pulmonary embolism, which is a blood-clot on my (left) lung to you and me. As a result, I am placed on a oxygen mask, which makes talking to my parents when they visit rather difficult.

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Radiohead – My Iron Lung

For the record, I am not placed on an iron lung, but this post needs breaking up a little bit and I can’t think of any other songs which are even vaguely appropriate.

Although, maybe this:

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The Sweet – Love is Like Oxygen

or perhaps..

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JJ72 – Oxygen

In other news, in a conversation with one of the consultants, I am told that my “sepsis is now under control”. This is a condition which has never been mentioned before and doesn’t crop up again; I assume at the time it is to do with the alarm over my blood tests which first led me to hospital, but it is also omitted from my discharge report.

However, a little research tells me that sepsis is not necessarily, as I thought, a blood problem, it’s a serious complication of an infection, which, if untreated, can lead to multiple organ failure and death. Not so funny anymore, right?

Symptoms of sepsis include:

  • a high temperture
  • chills and shivering
  • fast heartbeat
  • fast breathing

…all of which I have presented with or complained about at some point during my admission and stay in hospital.

Although it’s not specifically mentioned in my discharge papers, it seems pretty clear to me that the alarm the hospital showed when they got my blood tests back just before I was admitted was because I probably had sepsis due to the pulmonary embolism.

(After I’m discharged, I go to stay with my parents for a week or so, to convalesce. During that time, various family members visit me, including an aunt who for many years was a nurse, and whose opinion is often unwanted, but on this occasion is gratefully received. She reads my discharge papers, and mentions that it was a pumonary embolism that killed my grandmother. Later, she sends me a message where she mentions me having had a “near-death experience.” I show it to my mother, and flippantly comment that she’s exaggerating things a tad. “No,” says my mother, “I don’t think you realise how serious things were.” Having done the research, I get it now.)

No clever song for this bit, so you can let it sink in just as I did.

Oh ok, maybe one:

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The Housemartins – Think For A Minute

For the rest of the week,  friends visit: Hel, Kay and Ian on Monday; Richie on Tuesday, Jo on Wednesday. It’s absolutely love to see them, to know friends are true friends concerned for my well-being (that’s not to sound like I’m dissing those who didn’t visit; I got texts from everyone who knew I was in hospital asking how I’m doing and wishing me well). I am snowed under with fruit, magazines, books and an ipod charger.

This last thing is essential as by Monday evening I’ve decided that the in-house entertainment leaves a lot to be desired. There is a television in my room, attached to one of those moveable crane-arms. But here’s the thing: you can only watch the terrestial channels (which is fair enough, I suppose a Sky subscription is a little too much to ask of a cash-strapped NHS), and you can only watch those between 7am and midday.

My morning routine now includes catching the end of the BBC’s Breakfast show (I’m ill, but not so ill that I’d choose to watch Piers Morgan on ITV), followed by a progam about celebrities tracing family members who fought in the First World War, followed by Homes Under The Hammer (seriously: what is former Manchester United striker Dion Dublin doing on that show?), followed by the first fifteen minutes of some sort of ‘criminals caught on CCTV’ show, hosted by short-arse slaphead do-gooder Dom Littlewood, and then the screen is filled with a message asking me to purchase credits if I wish to keep watching.

I pay my TV licence, and I pay my National Insurance contributions, so I feel a little put out by this demand. I decide I’m not sufficiently obsessed with Bargain Hunt or Flog It! to pay for (what I consider to be) a third time for the privilege of watching them. Thankfully, the radio is free, but none of the digital channels are provided as options. No 6Music then. I end up listening to Radio 2 from mid-day onwards, to idiots calling in to Jeremy Vine, and then Steve Wright, who I find hasn’t changed since the last time I listened to his show, around thirty years ago on the bus home from sixth form (this is not a recommendation).

Alarmingly, repeated exposure means I find myself quite liking the new Michael Buble single. Ipod it is then.

Over the course of the week, I have some physiotherapy, designed to help me walk better again. This is more because I have been laid up and have not actually used my legs for days, rather than addressing the pain, loss of strength and grip in both my hands. But still, on the second session, I progress from standing and walking from my bed to the door, to completing a circuit of the hosiptal floor.

Rem Murmur demos

R.E.M. – We Walk

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Helen Shapiro – Walkin’ Back to Happiness

On the Wednesday morning, I go to have a scan on my left arm, to see whether or not I have a blood clot there too. As I am wheeled out of my room, my physiotherapist happens to stroll by. He tells me that he probably won’t come to see me again today (as we had arranged) but he would definitely be back before I am discharged. He gives me the impression this is not going to be soon, that there’s no real rush, and that I’ll be here until the weekend at least.

Back in my room, I’m visited by a consultant who rather sheepishly tells me that they may have lost the results of the biopsies they did the week before. I think she is expecting me to kick off, but it’s not in my nature.

“Ah well, these things happen,” I say. “So you’ll need to do them again, I suppose?”

She looks at me, somewhat surprised.

“If we can’t find them, yes. We have got somebody going through all of the results trying to find them, though. I must say,” she adds,”you’re taking this very well.”

“Well, what’s the point in getting angry about it?” I reason. “It’s not going to make the results magic themselves back into existence. It’s an admin error, as far as I’m concerned, and I’m always blaming admin for things going missing at work, so I can’t really complain when I’m on the receiving end, can I?”

But the following day, before I can have any more physiotherapy, or find out whether my biopsy results have been located, I am told I am to be discharged. Given everything that has been said or alluded to previously, this comes as a bit of a surprise. But several hours later, after a lot of paperwork is completed (the discharge report lists not just the pulmonary embolism and the vomiting event, but also tells me I had pneumonia. As far as I can recall, this is the first time this has been mentioned during my stay) and I have been given a load of medication and creams and strict instructions about how to use at least one of them, I am waiting outside for a taxi.

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Simon & Garfunkel – Homeward Bound

And that’s it.

But.

I can’t leave it hanging there, so let’s rewind a few days.

It’s just after my first session that my physiotherapist suggests the catheter should be removed so that I can build my strength up by actually having to get out of bed to go to the toilet. The day before, I had summoned the nurse and advised her that having not had a bowel movement of the solid variety for several days, the urge was now not quite overhwelming or urgent, but certainly imminent. She provides me with a bedpan, offers to help me position myself upon it (“No thanks!”) and then leaves me to my own devices.

I climb on board.

Have you ever tried to use a bed-pan? It’s really difficult. For although you know that everything is in place to catch whatever emerges, your mind remains resolute.

“You learned a long time ago”, it says, “that having a shit in your bed really isn’t the done thing.” I’m not Spud from Trainspotting, for God’s sake. I have control.

And so my body resists, and I have to ease myself back off the bed-pan and admit defeat, mission unaccomplished, .

The next day the catheter is removed. Just so you know, it hurt more coming out that it did going in. Ouchies.

And the combination of these two events (the failure to crap, and the begrudging knowledge that I now have to get up to pee) leaves me with a song in my head, the title of which explains my thought process now I have to actually get up to perfom my daily ablutions in a normal way:

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Slim Whitman – I’ll Never Pass This Way Again

More soon.