Posted in Archive, June 2023

Hospitals & Consent

Over the last few years I’ve not had the best experiences at my local hospital. I’ve gone in incredibly sick and been discharged in a worst state multiple times. It’s got to the point now where I have to know in myself that I can no longer cope at home before I will agree to go.

The other night after spending several hours vomiting uncontrollably, passing blood, and doubled up in pain so severe I was unable to talk through it or focus my partner rang an ambulance. I dislocate multiple times a day and live with organ prolapse, I’m good at handling pain but this was another level of hell.

The ambulance we would end up cancelling as it was several hours away and family could drop me there quicker. I was sat in my chair, throwing up, crying in pain and quite frankly not coping. A few hours into the wait I seized. I don’t remember this. The doctor the next day told me I’d managed to seize out my wheelchair onto the floor, they’d had to scoop me up and get me round to resus.

I can remember throughout the night they attempted multiple times to place a cannula but failed. I desperately needed meds and fluids, and asked for them to use an ultrasound machine and ideally a consultant as my veins are extremely hard to find but also blow very easily due to my Ehlers-Danlos syndrome. This request was ignored and they decided not to administer the fluids or meds I needed. I was there for over 12 hours. Eventually they decided to take blood from an artery by my groin. Again I requested an ultrasound and experienced Dr such as the anaesthetist on call (they are used to my veins and are patient) instead they pressed ahead blindly and painfully.

I’ll delve into this topic another time in more detail but please understand that a disabled person’s medical aids are an extension of themselves. You should never touch them without first gaining consent. While I was in the hospital I had the valve removed from my Cathater. They did not have my consent to do this. They had asked to attach a bag which was fine, I attach bags to the valve all the time. But I would never consent to the removal of the valve as then I would be on free flow which would cause horrific spasms as I have a neurogenic bladder. The valve is the only thing that helps manage these spasms. Yet it was taken off and binned without consent.

I was discharged that morning and handed a few days worth of the same antibiotics I had just finished and sent home. When my partner arrived in resus to collect me the first thing he asked was if I was well enough to go home. I shook my head but said nothing. Within an hour of being home my district nurses were calling another ambulance for me. My temp was 39.5, I couldn’t stop shaking and I was still in agony. There was a four hour wait and with how concerned my team were Damon loaded me back into the car.

This time they listened a bit better. We established that actually my bloods had shown a kidney infection and I needed a completely different set of antibiotics. But was once again sent home. Today I’ve hardly stayed awake. My other half stayed home to look after me and has had to wake me up for my nurses and meds. I’m exhausted, still with the raging temperature and just frustrated.

Posted in Archive, November 2022

Return to the Hospital

Well I’m back. In the hospital that is. After a short escape and my catheter spectacularly failing I was instructed back to return to the hospital. I was ushered back to the ward and greeted by baymates from the previous day. The nursing staff quickly whipped out the original catheter and placed a larger one in.

Whilst the original one was by no means pleasant, I’d got through the insertion with barely a grimace having been used to catheterising myself daily anyway. This second one was something else. It took several painful attempts to insert, immediately I found myself experiencing a burning sensation that left me in tears and trying not to move so as not to aggravate the sensation. The staff reassured me it should pass.

This morning, after no sleep thanks to pain, the consultant ordered medicine to ease the bladder spasms, assured me it would help and then I’d be discharged. It took 12 hours for the medicine to come to the ward, I’ve only just been given it. I have spent the day begging for relief. The bladder spasms I could deal with, the bypass round the catheter I could deal with, the burning sensation in the urethera? That I couldn’t cope with. The searing relentless sensation frankly overwhelming. After a day being inconsolable the nurses removed it. The relief was immediate. I’ve no idea why it happened when the first one was ok. They are now monitoring to make sure I don’t go back into retention and can cope with intermittent catheterising in the meantime.

The indwelling catheter was meant to be a solution until they could do the op to fit the suprapubic catheter. Hopefully I’ll be able to manage without it until then.

Diagram of Suprapubic catheter
Posted in Archive, August 2021

Adapt, Rethink, Go

We recently had to return the power wheelchair we had on hire. It had been with us for the best part of a year and had quickly become a very integral part of daily life. It reduced my pain, dislocation frequency and enabled me to get out and about everyday. It was freeing. We’d hoped by the time it had to be returned that I’d have been seen by the local wheelchair service for an assessment as currently I dislocate my fingers while trying to push my manuel chair. However it’s a long waiting list and an appointment date is still a while a way.

In the meantime I’m reassessing how much activity I can do and what I do each day. My head deffinently believes I’m more capable than what my body thinks I am able to do. A lot of this week has been spent resting and trying to find a happy medium. However I’m also currently on week three of my period and I know that when I have extended bleeds I generally feel rubbish and my joints and muscles seem to be worse in general.

I’ve started introducing sleep hygiene into my night routine to help improve the quality of my sleep and to see if it improves how rested I feel. I’m trying to have no screens for an hour or two before bed. Instead I’m reading and crocheting. This has also given my mental health a little boost as well which is positive.

I’ve had a gyny appointment come through for the end of September, so not long to go now. Hopefully this one won’t get cancelled.

Posted in Archive, July 2021

Injection Day and referral thoughts

Picture of Rebecca wearing a facemask and holding a takeaway coffee cup sitting in a hospital waiting room waiting for an appointment. Wearing a brown cardigan, black white spotty top, blue disposal facemask,
Waiting to see my neurologist

Today was botox day up in London with my lovely neurologist. He’s happy that the medication we started on a few months back is keeping me far more stable, which is amazing, so we are keeping that in my treatment plan. I’m currently on a medium dose so we have room to play with should we need to come winter when I typically go down hill due to the cold.

I’ve finally gotten the date for my video fleursoscopy which is the middle of next week. I’m a little nervous but it will be good to shed some light on what’s been going on internally and if there is anything specific that we can do/change to tackle it. This is to tackle the chronic aspiration.

Then it’s on to blood tests. Whilst I don’t mind these particularly, my veins are world class players at hide and seek. No matter how much I drink before hand they like to hide or better yet collapse. I often leave blood tests looking somewhat like a pin cushion. These are being done just to double check there’s nothing being missed and causing any issues whilst we wait for Gyny to see me. They were meant to see me almost a year ago. However they keep rearranging and cancelling my appointments, which my lovely GP is chasing. In the meantime I’m left with regular pain flares that leave me doubled up in pain.

I’m hoping now that more people are vaccinated that appointments/refferals may start going back to normal. Specially orthotics is one appointment I’m looking forward to, my knees and wrists need new splints. It’s not an urgent appointment in anyway but it would make day to day life a bit easier and reduce pain a little more.

In the meantime I’m ticking along. I’m looking forward to the schools breaking up and making the most of the summer holidays before my eldest starts primary school full time.

This made me laugh a lot. Credit to Theraspecs
Posted in may 2021

Ambulant Wheelchair Users

For those who don’t know me personally when they see me coming along me in power chair they naturally presume that I’m wheelchair bound. It’s always an interesting situation when they see me move my legs so I’m more comfortable, or stand up to get in to the house. Sometimes I need the chair full time due to injury or severity of spasms, other times I need it due to length of time we’re out for and my body cannot handle it.

Whilst I’m confident in using it and appreciate how much freedom it provides. I’m not quiet used to the interactions yet with people with nothing nice to say. There’s been a few occasions of people telling me if I lost weight I wouldn’t need the chair, or to stop being lazy and walk. Presumptuous really considering they have no clue why I’m in it but also hurtful. I’ve always been a sensitive soul and I need to learn to toughen up.

I’m currently using my chair full time due to yet another injury thanks to my EDS. I find it odd how many people still are surprised by ambulant chair users. It’s an area that deffinently needs more discussion and awareness. I’ve used wheelchairs on and off for years due to my many conditions, as my EDS has deteriorated the use has increased. It enables me to still function and go about my day to day life independently, something that is very important to me. I couldn’t be more greatful for my chair.

Using my power chair to get home from church.