Scanxiety

I’m sorry to say it’s whinge time…. we wonder why the NHS has no money when we know there are inefficiencies taking place every day.  It’s just terrifically frustrating when you’re on the receiving end of them!

On Saturday I received two letters from my hospital about my six monthly checkup scans.  Why two?  Hmm that’s a very fine question to ask.  Why two indeed?  And why are they identical?  Both invite me to the same appointment, same date, same time and both with the time and date handwritten in the same writing!  But of course in two different envelopes with two postage marks saying that our beloved NHS has paid double to advise me about my one appointment!

Is that my only whinge?  Errr no!!

The appointment(s) that they’ve given me is a week AFTER my appointment with my consultant where he will give me the results of the scans I’m having a week later… Doh!

So on Monday I called the number advised on the letter(s).  Of course it went through to an answerphone where I left a message asking for my appointment to be bought forward to prior to my consultant appointment.  Late on Monday, I had a call from someone to advise that they’d picked up the message but weren’t in charge of booking, couldn’t change my appointment and really didn’t understand why I wanted it sooner anyway?  After much explaining (gesticulating and pulling faces at my end – thank heavens for non-video calls!) and pointedly repeating the dates and order that scans and results should be in, she advised that she’d have to call me back tomorrow.

Tomorrow is now today… she understands the problem.  They’ve squeezed me in to an appointment slot a week BEFORE my consultant appointment.   Hurrah!  Well done.  2 letters and 3 phone calls later… oh and the new letter(s) that will be on their way to confirm the phone call.

What really frustrates me about all this though is a couple of things.  I was already having scanxiety about the upcoming appointment (which I knew was in July even if they didn’t!).  Do they not think that we have sleepless nights and worry that they might just find a return of the cancer?   Do they know get that the reason these scans are done is to prove that it’s not come back?  Do they not think that actually this is important?  Do they not think that it’s a little bit more stressful than a visit to the hairdressers?  So to have to take time out and to explain why the scan and result should be in that order etc is just adding to the anxiety levels.

And if they F’ing tell me at this appointment that I should be bloody “grateful that it’s not breast cancer” or “well at least it’s not breast cancer” or similar, I promise you I am going to hit them!

No it was a rare cancer, Phyllodes, something that no bugga out there appears to know anything about or able to provide consistent cohesive advice and information about surgery, treatment, prognosis or care!

And breathe…

Right, whinge over.  Thanks for listening.

Soz… am just a little stressed and worried about these scans – no other reason than the “what if…

Flow Rate Clinic

I returned today to visit the Flow Rate clinic at St Helier Hospital.  Oh what joy this has all become and I hope you can each understand how these endless appointments seem to be weighing me down.  The good thing though is that I’m no longer embarrassed in anyway about talking about symptoms or tests… is that a good thing?  I’m not sure actually.  I think the English reserve is still there but I’m just so tired of it all, it seems the ‘normal’ thing now.

Anyway I digress.  The point of this appointment was so that I could pee and from the rate at which I pee, they determine whether the damage caused by the nurse in 2009 is still causing me problems and presumably, what they can do to fix them.  I dutifully drank glasses and glasses of water before my appointment and turned up with a full bladder (imagine a big night out drinking and not being able to find a toilet or getting to the loos to discover a long long queue and only one cubicle working!).  Fortunately and very kindly, the nurses had let me bring my appointment forward and be seen at the end of their lunch break so that I had plenty of time to get into town and onto my train to Birmingham for the Cancer Outcomes Conference, so I didn’t need to wait that long!

I then (in the privacy of a special toilet facility) pee’d into a pot!  Left the toilet area and the nurses scanned my bladder.  The nurse then looked at a computer printout which apparently is a record of my pee’ing!  I then left with an envelope to take to my next appointment at the hospital in July.

The oddest thing though… for once I really felt like I’d had a good pee!  And no blood, so perhaps the last round of antibiotics have worked… I truly hope so and, for once, am looking forward to seeing the urology team with, hopefully good news and no surgery or interventions required.  We’ll see.

Thank heavens for the Director of Fun

I can’t tell you how close I was to tears following my assignation with the consultant at St Helier Hospital.  Fortunately I had no time to come home and hide under the duvet, I had an appointment with the Director of Fun!

Those of you who know me, will know that I can’t resist a little mischief and fun when it’s on offer.  Some of you refer to me as the ‘yes girl’ because given an invitation to do something, I’m there with a big YES.  True form tonight was due to my ‘yes girl’ behaviour.  I was chatting to a friend about what she was doing to celebrate her birthday and also take some time on holiday.  She had planned to go to Italy for a couple of weeks – one studying art history in Florence and the second R&R elsewhere in Italy.  She suggested that I could join her and we started plotting where and how it would happen.  Sadly the crazy cost of flights and accommodation over the weeks that we wanted put paid to overseas mischief (and as it turned out, enabled us to avoid the earthquakes on those particular weeks).

However, a call to her at the end of last week established that she was going to enjoy the UK, more particularly the Oxford area.  She suggested I join her at a fabulous little hotel for one night, prosecco and beautiful dining…. hmmm ‘YES’ was my very quick answer.  Thank heavens as I needed some mischief after the hospital appointment… so quick change and in the car.

Sadly the car was playing up and I was starting inclines at 70mph and ending them at 20mph with my foot on the floor.  Anyway I finally limped my way into the hotel just in time for a bath before dinner.

Shame I only had 30 minutes to enjoy the fabulously deep bubbly bath!

Oooh and then on to my favourite sort of bubbles… and the sun was shining!   I almost forgot the afternoon that I’d had and that my car was somewhat ‘dumped’ in the car park.

We had a fabulous dinner and caught up on all sorts of gossip (the car and hospital long forgotten).  After a nightcap we both headed off for a good night’s sleep.

The next day, I managed to get my car checked into a VW garage for the ‘damaged’ valve to be replaced.  They however weren’t going to be able to get it fixed until Friday which would mean my scooting back to London by train and coming back down to Oxford on Friday to collect – but hey they could fix it!

There was another added surprise bonus to my car problems.  The garage was at the end of the street of friends who had just come home with their first baby boy, Gorgeous George, a few days earlier.  Any excuse for an Auntie Anna cuddle!

Car booked in; baby cuddled; it must surely be time for lunch?  

I thought I’d introduce MC to a favourite place of mine, The Crazy Bear at Stadhampton.  The sun was shining and we were able to dine alfresco before a wander round the farm shop.  I then introduced MC to another fabulous place, Waterperry Gardens.  Worth an amble and particularly fun during Art in Action.  We then headed off in search for all the ‘Bartons’ (have a look at Oxfordshire on your map and see how many there are!), we realised that it was already late and the ‘Yes girl’ was going to stay another night!  Oooh bubbles, dinner and bed (sound familiar).

Our final day we decided that we should really go for a walk along the Thames and found a fabulous spot starting from The Trout, Wolvercote, which you may recognise from the series, Inspector Morse.  A spot of lunch and then I picked up my fixed car.  Bless them they’d finished it a day early.  Quick dash back to London to take up my Auntie Anna duties for Alex and Naomi.  Fortunately bathtime and bedtime went fabulously – only 5 bedtime books read and then they were out for the count.

Oooh I’d best explain the Director of Fun.  MC is the Director of Fun and leads me astray.  I however am now the Director of Mischief and ___________ _________ __________* (I shall leave you to complete!)

Physio and medical

I’m often told that people are exhausted just listening to all the things that I manage to squeeze in to a day.  The truth is, sometimes so am I!  But if the past few years have taught me something, it’s to make the most of life’s time, to not let an opportunity pass you by and to embrace all that life throws at you – good and bad!

Today was a perfect example.  My day started with a physio appointment.  Not that unusual you may think but it was actually a silent customer assignment and I was there to assess their services, constructively criticise where I, as a customer, felt that there could be improvement and also to praise staff, settings that deserve a mention.  In the bargain, I receive physio for free.  As you know from previous postings, physio is something that I have done recently anyway to release the problems in my calves, shins and ankles.  I have to say I was impressed by the very thorough service I received and will be going back (and paying for it!).

A quick dash home and change so that I can then get to St Helier hospital.  First to meet up for coffee with the mother of a young girl diagnosed with phyllodes and then for my consultant follow up appointment with the gastro team.

It struck me once again that as a mother of a child/young person diagnosed with a cancer, this lady has an enormous burden.  On the one hand you want to assure your child that they’ve received the best possible treatment and surgery and that there is very little, err no chance of recurrence.  On the other, you’re asking questions, reading articles and trying to learn ‘what next?’, ‘what if?’, ‘have I done all that I can to protect my child?’, ‘is there anyone who can help me understand?’.  There’s also the issue of talking to your child.  What sort of a conversation do you have?  How do you begin?  Are they also seeking answers and having concerns and not showing you to protect you?

I don’t have the answers however I do know that to talk about it is probably the only way forward.  Both parties need to understand each other’s concerns.  Both parties need to understand that the other one is hurting or to share information that you’ve found.  That said, the ‘conversation’ mustn’t fuel worry but simply to share concerns.

This morning I felt the hurt of a mother unsure of the direction to take and unsure that she had done enough.  She has and she continues to do so.  Having met both her and her husband, I was in awe of the closeness of their family and overwhelming love.

Sadly, just a quick coffee and catchup…. but I promise you we had a laugh too!

Then off to see the delightful consultant.  Some of you may have heard me refer to this hospital as ‘The Mortuary’ and I wanted to show you a little bit of why… so here’s two pictures.

This is a ‘good’ photo of the hospital now.  Go on, tell me what you think it looks like?  Errr inviting, huh?

1960s aerial shot of St Helier Hospital.  Not sure it’s changed since then but this shot reminds me of a prison H block!

Anyway, I digress.  My appointment.

No surprise when I tell you that the waiting room was full.  It was hot, stuffy and had no air conditioning working and ‘apparently’ we weren’t allowed to open the doors.  It was after all 30* outside and you never know what bugs we may bring in! (or cultivate in the packed waiting room).  I loitered and lent against a wall waiting for one of the hot plastic covered chairs to become free for me to sit and wait.  It was quite a while and I did wonder if the only way we’d get a seat would be when one of the patients passed away!

I thought I may wander round the ‘Cancer Information Centre’ to see what charities and organisations had to offer.  Perhaps I could promote an event or a charity via Living Beyond Diagnosis’ social networking.  However… dah dah dah… the Information Centre had a notice on the door saying that it’s not until next week.  Hmmm in all the appointments I’ve had at St Helier, it’s never been open… what do they think we’re going to do?  Steal a leaflet?  I might sound flippant about this but actually it really upsets me.  A resource that is so vital to people diagnosed or their friends or family supporting them to find information isn’t ‘open’???

Eventually the mischief took over and I had to tweet saying that the hot waiting room was full and way behind time as usual.  (St Helier Hospital follow me on twitter!).  Sure enough I was called within the next 5 minutes to see the consultant.  Hmmm the power of social networking or my turn?  I’ll leave you to decide.

Right… I shall describe my encounter and leave you to make your own mind up about if this is how any patient should be treated.

I opened the door to see a young consultant slumped back in his chair, arms resting on each respective arm rest and a big grin on his face.  I said my name and hello.  He remained slumped in his chair and eventually, after a long intake of breath (whilst I sat down), he sat up, reached for my file and congratulated me on ‘selecting all available scans and tests from ‘our’ menu’.  He then grinned some more and relaxed back into his chair to await my reply.

I was just a little aghast at his attitude and managed to bite my tongue and not remind him that it took them 7 months for an urgent referral for an endoscopy to be carried out.  For the symptoms to only have stopped with antibiotics from my GP.  For his sanctimonious attitude.

I then informed him (I wasn’t going to bother waiting for questions that probably wouldn’t come) that the antibiotics received from my GP had held the symptoms (reflux, blood, nausea) at bay whilst I was taking them, but 2 days after I finished the course, the symptoms (not the blood) were back.  His suggestion (genius) to discharge me and should the symptoms come back to see my GP for further courses of antibiotics.

I did something that I would never advise anyone else to do… leave and not look back.  I’ve lost the will to fight.  I know I can get more antibiotics from the GP (which I’m in the course of doing) and will rely on these to ‘fix’ the symptoms.  I don’t however intend to return to The Mortuary ever again.

Gastroscopy with sedation!

Here we go again.  I feel sick at the thought of what is going to happen today.  I soooo wish I’d had sedation the first time and then apart from not having to do this again, I’d also not know what it feels like to have a tube with a camera shoved down my throat!

Very nervous for my pre-procedure discussion.  Nearly passed out when they attempted to find a vein and give me the sedation…  Today’s consultant is way less empathic than the last and took only a minute to tell me that I was being weak having sedation as it doesn’t hurt!  So pleased when I was asleep and didn’t have to know anything else.  I was however a little surprised to wake up with a black eye – what happened whilst I was under?

I left with the report which advised that there was minor reflux oesophagitis, further down in the stomach there was gastritis.  A biopsy was taken from my stomach and sent for testing.

They have recommended antibiotics to manage the gastritis and infection.

Although this may explain the rectal bleeding this doesn’t explain how it started or where it came from.

Gastroscopy

I’ve been dreading today’s procedure.  But as I’ve said for many many months, I’ll do anything to stop the symptoms and work out what the hell is going on with my body.

I was asked if I wanted the procedure under sedation but to do so would mean that I’d  need someone to pick me up after the appointment.  This is a huge problem for those of us who live on our own and are of working age… our friends are working and we don’t have any partners to take a day off work!  So as not to delay the procedure I figured I’d be find without the anaesthetic.  When I called to query it, they suggested that if I needed to reschedule, I could be waiting for several months… so I did it!  Or I thought I would be able to.

Reality check though.  To have a huge tube put down your throat with a camera on the end of it, isn’t easy to do without gagging.  As I have a really bad gag reflex anyway, I found it extremely difficult.  Of course they spray lignocaine on the back of your throat to help but for me, this just panicked me as I thought my mouth was filling with spit and I couldn’t swallow.  The consultant and nurse were lovely but after only a few minutes (which felt like hours), I couldn’t cope anymore.  I thought I couldn’t breathe, couldn’t stop gagging and tears were pouring from my eyes.  I hated it and had to ask them to stop.  I can’t explain the relief when finally the long tube was withdrawn from my throat.

Annoyingly I only had a few minutes left to put up with and they would have finished the procedure.  They were able to see the oesophagus and stomach but didn’t manage to get as far as my duodenum.

The consultant did however advise that he could see an infection in my oesophagus and gastritis in my stomach.  He suggested though that I return to have the procedure completed, under sedation!

I felt so stupid and sorry to have wasted their time.  Now to find a friend who can pick me up after the procedure when I get a new date.

Flexible Cystoscopy

Aaaagh fingers crossed today’s examination and procedure will find answers.  I’ve been poked and prodded way more than I’d ever want and still they don’t know why I’ve got these unexplained symptoms.  I’m fed up with feeling ill but I’m also fed up with the many many returns to different hospitals, different consultants, explaining every time why I’m there (they never seem to read any notes or have the full picture) and of course being poked and prodded.

What a pleasant surprise today then when the consultant – female and a similar age to me – had read the notes, asked questions, listened to the answers etc etc.  Already I was feeling confident that she would be able to find out something.  And she did!

OK so the procedure is a bit gross and, if I’d not had as many embarrassing procedures by this point, I’d be slightly mortified having yet another tube with a camera on the end inserted into my girl bits!  Also a little odd holding a conversation with the consultant whilst she looked at a screen and moved the camera around.  But a pleasant change to be asked sensible questions about my health… including ‘had I ever had a catheter inserted?’  When I said ‘yes’, she asked if the nurse had had difficulty inserting it.  Err yes she had!

She found a tear in my urethra that she believes would have been when the catheter was inserted the night of my second surgery.  She then thought that as the infection hadn’t been treated (and still remained) that it would have spread through other organs.

Well that would explain the blood, the nausea, the tiredness etc etc.

Her suggestion was surgery.  I don’t want any more surgery… in fact I don’t want to be in hospital again for a very long time.

Her next suggestion was antibiotics and managing the infection.  She gave me advise about which ones to take and said she’d send a letter to my GP about it.

This was however with a warning that ‘managing the infection’ would be a temporary thing and probably wouldn’t clear it up permanently – it certainly wouldn’t fix the tear.  That’ll be by surgery when I’m ready…

Whoohooo I feel so much better knowing what’s caused this past months and months of problems.

Results appointment

Ok so the appointment was rescheduled.  Once again I park in the most expensive car park and wait an inordinate amount of time to see the consultant.

Once in the room, I face the usual questions where it appears they’ve not read my notes or know anything of why I’m there.  After fully explaining the situation, the consultant looks at the scan results and announces everything is fine.  He then gestures to the door as if to ask me to leave.

At what point do you think he asks me if the symptoms have continued?  If I’m still have bleeding, nausea, pain, swelling etc.  Err he doesn’t.  I’m getting tearful.  Just before I leave the room, I tell him it’s NOT fine.  Despite the tests showing nothing, there’s still no result or resolution to discovering why I’m experiencing these symptoms and have been experiencing these symptoms now for well over a year!!!  Aaaaaagh… I’m so fed up.  But I do know I’ve had enough of this hospital and it’s inefficiencies.

Ultrasound results

I think probably more by luck than planning or judgement I’m back at the hospital so soon for the results.

However it’ll probably come as no surprise that when I turn up for my appointment, having parked the car in the most expensive hospital car park ever, I discover that the notes from my recent scan haven’t yet been sent through.

My appointment therefore consisted of a lot of humphing and haaaing, shuffling of papers and then eventually saying that I’d have to make another appointment to come back when the results were in.

Ultrasound Pelvis Scan

I’m thinking of getting an annual pass to the hospital car park… it’s costing me a fortune to visit this often and they don’t seem to be getting any closer to working out why I’ve been experiencing these symptoms!

Fingers crossed today will be a breakthrough.  Afternoon appointment for a pelvic ultrasound.  Once again no food, empty bladder and drink 2 pints before the appointment.  I always hope that these appointments aren’t delayed at all… I’m not allowed to go for a wee!

Fortunately a quick appointment.  A little uncomfortable the scan but all done and now to wait for the results again.