What a day! What. A. Day.
It's all gone off today. We've had ward rounds, collapsing, homework and the climax of curtain-gate. Hold on tight- it's a bumpy ride! Here we go.
Dr 7 came this morning on the big Monday ward round. He had a new registrar with him as Dr 20 has gone to work at Addenbrooks hospital in Cambridge in the bowel transplant team. (Dr 20 came to see me on Friday before he left and his parting words were "if Dr 7 doesn't sort you out then I guess I will be seeing you soon!" A bowel transplant- now that would be something to write about!)
Anyway, I digress. Dr 7 listened to me explaining that the pain is getting worse, not better. That I'm still not really able to tolerate much food. That I'm feeling dizzy, faint and exhausted all the time. That I'm fed up with all of this.
I have two different pains. One in my tummy, made worse by eating, and another in my rectum which seems to come and go of its own accord with seemingly no link to food or medication or anything.
He suggested that to remove the pain in my tummy I stop eating, or eat only minimal food and resort to full TPN feeding. This is far from ideal but the only other option he could see was to have me eating and dosed up on painkillers to take the pain away that the eating causes. The problem with this is that I would have to take such high doses of medication that I would turn into a zombie. Or a window licker.
Unfortunately he has no idea what could be causing the pain
in my rear end. He suggested doing another barium follow through to have
another look at what's going on inside and maybe another pouch-a-gram where
they put a camera up your bum to see what the pouch looks like.
He asked me if I'd ever heard of phantom limb pain, which is
where patients still experience pain in the limbs that they've had amputated
and are no longer there. He suggested that I could be experiencing phantom
bowel pain- that my nerves have retained the pain information from when I had
colitis. Therefore the pain I'm experiencing is very real but the cause of the
pain no longer exists.
In case this theory is true, they've started me on some
medication that blocks the nerves so I should stop receiving the phantom pain
signals from them. Again the concern is that I'm going to need huge doses and
then will barely be able to function, let alone drive.
Dr 7 asked me to describe the pain in my rectum and the only
way I could really describe it was to compare it childbirth. Gents I know this
will mean nothing to you but basically it feels like when the baby is bearing
down towards the end of labour and you feel that horrible pressure and you
think your insides are going to split open. It's like that, but in my arse.
Maybe I'm going to have a poo baby. LOL
I emailed hubby to update him on the ward round and he
called straight away. He is so angry and upset- not at me but at the situation.
Before my op in January he had been telling the kids that 'this was hopefully
the last operation that Mummy would have' and that 'Mummy would be fixed and
all better'. I now wonder if he was trying to convince the kids, or himself.
On the other hand I retained a healthy amount of scepticism
and pessimism because nothing ever goes right or smoothly for me so I expected
that this op would be no different. I think I had prepared myself to some
degree that there would be problems so now that there are I'm mentally able to
cope with them. Just about anyway.
The signal on the ward was rubbish so I went outside to
speak with him. I think he feeks that we are being cheated from having a normal
family life and that because I will continue to need the line for feeding there
will continue to be the risk of line infections. It seems that I am prone to
line infections. Apparently some people are but I read about a lady that had
her Hickman line in place for 30 years without an infection or any problems.
See? I'm just unlucky when it comes to stuff like this.
We spoke at great length and I told him that he had to let
go of his anger. We had nobody to be angry at; the team at St Marks are doing
all they can to 'fix' me and if he stays angry it will just eat him up inside.
Walking back to the ward the pain in my rectum started. And
boy did it start. Within minutes I was struggling to walk and stopping every
minute or two to catch my breath. The pain was so intense; worse than I had
ever felt before.
I made it back up to the ward and was nearly at my bed when
I collapsed. The nurses came running and got me into bed, scurrying around like
ants. I had my obs done, pain relief was given and the doctor called.
Dr 7 came in to see me writhing on the bed, in agony,
screaming out in pain. I think he was shocked because although I told him about
the pain he has never witnessed it. I'm glad he saw it because maybe now he
will take me a little bit more seriously and appreciate the severity of the
pain. He promised to look back over all my past scans to see if there was
anything on the images that may have been missed and to try to get to the
bottom of what's causing the pain (no pun intended!)
I spent the next few hours drugged up in bed but after a
while I needed the toilet so got up to go. If it weren't for the patient in the
bed opposite being so quick then I would have hit the decks. The nurses came
running for a second time and got me back into bed.
The pain nurse happened to be on the ward and came to see
me. She is the identical twin sister of my Stoma nurse so at first I was
confused as to which one it was. Every time I stand up the room spins, my eyes
go funny and I start to wobble. She said that it was the classic signs and
symptoms of vertigo and I am now not to leave my bed unaccompanied. Great.
Tonight I rang home to speak to Hubby and the kids and it
was obvious he was still stressed. He was trying to get Big Girl to do her
homework and she was refusing point blank. The thing with Big Girl is that if
she thinks something is going to be difficult then she won't even attempt to do
it.
Tonight's homework was English, her least favourite subject.
She had to write a Haiku poem. I didn't even know what it was and had to google
it! (It's a style of japenese poetry characterised by verses of 3 lines. The
first line has 5 syllables, the second has 7 and the third has 5. See, this
blog is educational too!)
In order to get Big Girl to do something like this you would
have sit next to her, talk her through the homework step by step and have
bucket loads of patience. And tonight Hubby didn't have the time, the patience
or the energy to do this.
She wanted to write her poem about a sloth so I told her to
go and write down 10 adjectives relating to the animal and its habitat while I
had 10 minutes talking to Big Fella.
After having the rules of Stuck in the Mud which he had
played at break time described in great detail we chatted about his lessons
today. He informed me that he had done maths, when I asked what he'd done, he
replied number work and when I asked the same question about English he told me
writing in a tone of voice that told me that he thought I had just asked the
dumbest question ever!
I then spoke to Big Girl and listened to her 10 words. She
then had to work out how many syllables there were in each word and make
sentences using the words. She was whinging and whining about being too tired
to write and that her hand was going all funny and she couldn't write properly
so I told her to tell me the sentences and I would write then down. I would
then text them to Hubby, he would write them out tonight and in the morning she
would copy it into her homework book in her best writing or else she would lose
Cubs this week.
Here is her poem- I think it's not a bad effort for a little
girl and a drugged up mum!
WHO AM I?
Lives in the jungle
Is really lazy on trees
Where it is raining
The trees are massive
With very big, long branches
The leaves are dark green
Moves very slowly
It's movement is slow as ever
It is calm and quiet
It is browny black
Its fur is soft abd cuddly
Like a teddy bear
But with big, sharp claws.
Can you guess who I am yet?
I am a big sloth.
Right after the highbrow poetry I'm going to take you down
to Jeremy Kyles level now and tell you how curtain-gate came to a conclusion
today. I know you can't wait for the final instalment in this thrilling saga!
Crazy lady, or K lady as I will now refer to her was seen by
Dr 7 today too. Now I don't know what he said to her but I'm told it resulted
in her discharging him as her doctor (not sure that's something you can even do
but she is a bit crazy) and going into a mega strop. She was in such a foul
mood that she didn't want to talk to anybody in D bay so she drew the curtains
round her bed. Yes, that's right. She drew the curtains that she had spent
the past few days refusing to have closed because of her claustrophobia. Maybe
she's cured now?!
K lady then went into a hissy fit and was shouting at the
nurses and threatening to discharge herself. Personally I would have let her
go! I'm sure the ladies in D bay would have even helped her to pack.
At this point the St Marks psychiatrist was called up to the
ward to go and speak to her. They went into the clinic room and when she came
out she stormed into the bay and started having a go at each of the 3 ladies,
screaming and shouting, effing and jeffing.
The sisters, the doctors and the ward manager went in to try
and calm things down but K lady had gone too far this time and the other 3
ladies were refusing to stay in the same bay as her as they thought she was
crazy and they felt vulnerable going to sleep etc with her there.
The solution was pretty simple. The IFU ward has 24 beds but
can actually only take 20 patients due to the numbers of nurses it has. This
means that there is always a bay empty which often gets used if a patient needs
to be screened or has a contagious illness/disease.
It was decided then that the 3 sane residents of D bay would
move into E bay leaving K lady to have D bay all to herself. That way she could
have the curtains just as she liked them, have the windows open day and night
and go about her crazy ways without winding up or intimidating the other 3
ladies.
Interestingly when she realised that it was actually going
to happen she started sobbing saying that she didn't want to be in a bay all by
herself; that she would be lonely. She asked one of the ladies to stay with her
but she said no. Not surprising really as 10 minutes earlier she K lady had
told her to go fuck herself. So there you have it. All that drama over a bloody
curtain.
I do have a little bit of good news too. I had a few carrots
with my rice yesterday and today and think that I might be able to add carrots
onto the good list.
It's been quite a long one tonight and my finger is sore
from tapping away on my phone screen. I will add that to my list of ailments!
NB x
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