Skip to main content

My first Gastro outpatients appointment at St Marks

Well today has been a monumental day in my journey to recovery. I actually attended an outpatient appointment at St Marks. 'So what?' you might say. Well, it's significant because I've never been well enough to attend one for months. I'm usually ill and already an inpatient when I'm due to see Dr7 in clinic, so to be able to go today (and not get admitted!) is quite something. 

It has been a long old day though. The appointment was at 3pm so I had to leave just after 1.30pm as it takes around an hour to get there and I wanted to allow for bad traffic, parking etc. the journey was fine but it took me over 20 minutes to get a parking space. I drove round and round I don't know how many times until I finally got one. 

So going into the clinic I am sent for blood tests and asked to give a urine sample. After this I see the dietician and then finally Dr7. By the time I had finished with everyone it was nearly 5.30!

Everything was fine. They are going to increase my prescription of fluids as I'm not getting enough at the moment. Dr7 tried to persuade me that I would be better off having a litre of fluids every night, instead of 2 litres every other night. Reading this you probably think that it doesn't make any difference. We'll, it does. 

The 1 litre bags wouldn't have to be regurgitated so there is the bonus that if I go abywhere I don't have to worry about keeping them chilled in transit or at my destination. However, it would mean being 'hooked up' every night and I prefer doing it every other so I get a night off. Plus every time you hook up you are potentially creating an infection risk so only doing it every 2 days halves that risk. I did wonder if there was a cost benefit to the hospital too. I did ask Dr7 if that was why he was trying to persuade me to go daily but he said that it wasn't important which suggests to me that there was. 

Anyway, I'm going to be doing it every other day for now and then we will review it when I next see him. 

The dietician reviewed all my eating/drinking habits and I've had my wrist smacked for drinking fizzy drinks and trying to eat vegetables. My bowels aren't able to cope with the fibre and they come out undigested, looking exactly the same as when they went in! I miss being able to have a big stirfry, or a lovely salad or loads of veg with Sunday lunch. A diet of pizza, pasta and biscuits might sound ideal to lots of people but after a while it gets very boring and repetitive. 

They have also suggested that I have a litre a day of the dreaded emix. This is a sugar/salt electrolyte solution that is designed to be easily absorbed. It's very good for you, but tastes absolutely disgusting. I'm told that if it's refrigerated it tastes better so I will make some up and stick it on the fridge tomorrow. 

I was thinking aswell that I would like to try doing some gentle exercise. I can't swim (because of the Hickman line), find the exercise bike difficult because my bottom can quite often be sore and can't walk far or jog because of my numb leg. Any ideas?? Was thinking that maybe yoga or Pilates might be worth trying as they're low impact and mainly done sitting or lying. I have a copy of the Insanity workout sitting on top of my DVD player but I think it will be quite some time until I will be ready to tackle that! 

Anyway, back to Dr7 and the clinic appointment today. He wants me to have a pouchoscopy (a camera put up my bum to look at my pouch and my small bowel) as he thinks I might have pouchitits. This is an inflammation if the pouch and not a made up word as one if my friends suggested! ;) Easily treated with antibiotics so nothing serious. 

He is also referring me to the BioFeedback team. This is basically physiotherapy for your anus so watch out- I will have muscles like Arnold swarzenager soon. Only they will be in my bum, not my arms! This should help with the continence issue as the test I had a few weeks ago shows that one set of my muscles is weak which is why I'm experiencing the urgency and occasional accident. 

So all in all a positive visit. I got to see Dr8 today too and we had a chat, aswell as one of the pouch nurses. She actually walked past me and then came back saying that she hadn't recognised me now that I'm blonde. 

Talking of blonde, I will share with you one of my classic blonde moments from today. When I was talking with Dr7 he asked me when I was seeing the surgical team in clinic. I checked the diary on my phone but hadn't put it in there do said to him "I'm not sure when it is. I haven't put it in my phone. I wrote it on the diary on the wall." He couldn't stop laughing as he asked me if I meant the calendar! So you see, I have to dye my hair blonde otherwise I wouldn't have dumb blonde moments, they would just be dumb moments! 

NB x

Comments

Popular posts from this blog

Light at the end of tunnel

I’m sat writing this blog post in St Marks, the specialist bowel hospital in London. So much has happened in the last few weeks; it’s all been a bit of a whirlwind. But I finally feel like there is some hope at the end of the tunnel. Let me tell you why.  At the beginning of June I was admitted yet again to QMC in Nottingham with huge amounts of pain, my bowels not working properly and just feeling generally unwell. I had only been home a couple of weeks since the admission in May but I had been feeling so rubbish most of my time had been spent in bed. I had tried everything I could to stay at home but the pain had become so bad I was barely able to stand or take a few steps on my own.  I had expected to maybe be in for a week or two to get stronger pain meds and get back on my feet but I ended up being in for almost a month. They put me on morphine injections and ketamine but then stopped them when my heart rate dropped to 30 beats per minute and my breathing to 7 breaths a minute. Th

The light at the end of the tunnel is a train

Last week was a busy and pretty crappy week for me health wise. I had to go and have blood tests done with the nutrition nurses and I had two hospital appointments; one with the gallbladder surgeon in Nottingham and the other with colorectal surgeon at St Marks. I was hoping to have at least one surgery date to write in the diary following these appointments but I came home empty handed on both occasions. Here’s what happened.  I began noticing over the last few weeks that I’ve started feeling really crappy. I’m feel lucky to have been at home for the last 6 months and I have been the most well I have been for years but it felt like things had shifted slightly recently but I couldn’t quite put my finger on it. But years of being sick means I know my body and I can tell when something isn’t right. I have been feeling permanently exhausted and having way more bad days than good. I’ve gone back to spending 2, 3 or more consecutive days in bed, unable to do anything but watch tv and sleep.

The wrong size line

I’m on the M1 heading back to Nottingham after a road trip to St Marks to get my line repaired. But this is me, and as usual it wasn’t a smooth ride. More like a bloody shit show. So what happened? Let me tell you… After being admitted to QMC in Nottingham on Sunday with a broken Hickman line I was taken down to Interventional Radiology on Monday afternoon to get my line repaired. Firstly, I couldn’t believe it was happening so quickly and secondly I didn’t want to get too excited because, well it’s me, and usually things don’t go according to plan. And sadly I right to rein in the excitement.  When the doctor came to consent me for the procedure it was for a replacement, not a repair. I assumed he had made a mistake so I told him I was there to get my line repaired and was definitely not there for a new one. He looked at me and said “I hate to be the bearer of bad news…” and that’s a sentence that never bodes well. He then went on to say that they didn’t have any repair kits and that