Showing posts with label hospital. Show all posts
Showing posts with label hospital. Show all posts

Wednesday, November 11, 2015

The Vicious Cycle

MapGuy has been riding his bike the 26km round trip to and from work lately. He usually starts doing it in Spring when the weather is fining up and lasts until the scorching Perth summer mornings where we bake at 35 degrees before 8am, and the lure of an airconditioned train becomes too much.

When he leaves work he activates an app called Glypmse, a GPS tracker, that allows me to see where he is. On the bus, on the train, on a cycle path, crossing the park down the road, or about to walk in the front door. It's great because I can do the little dance that is "shit, the house looks horrible let's hide some crap before Dad gets home". Or start dinner. Or count down the metres until there is an adult to talk to or handball children to. Whatever works on the day.

A few weeks ago mid way through his ride it stopped working and I was quietly freaking out that he'd had a crash. As is the way, as soon as I shared my worry with a friend, he rode up the driveway making me look like I was a bit of a dick. But I do worry when he's riding because have you seen Perth drivers? Shocking stuff. No one knows how to merge, use roundabouts or watch for cyclists (or motorcyclists). It's one of my biggest fears and the morbid movie reel that is my mind has played me a few scenarios that would easily slot in to the plot line of Grey's Anatomy.

Yesterday MG sent me the Glympse as usual as I was figuring out what to cook for dinner. Tricky was playing cars in his room and Bobbin was on the couch "reading" Room on the Broom (for the millionth time). Then my phone rang and MG's smiling face flashed up on the screen.

"Yellooooo" I said.

No one replied and I could hear traffic noises so I thought he'd somehow butt dialed me.

"Hello?" I asked again to be sure.

"Hi, my name's Richard, I'm here with your husband, he's come off his bike. He's OK, he's awake now, but he's bleeding a lot and an ambulance is coming. We're at the corner of [gigantic road] and [major road], do you know where that is?". Of course I did, I had the app, showing me he was not moving at the intersection. My stomach lurched.

Richard, who neither of us had met before, was a good man to have around in an emergency. He and his wife/partner/female person in the car whose name I've forgotten, had seen MG come off (the front wheel fell off as he came down a kerb) and pulled over to help, then used his phone to contact me.

I took the kids straight to my neighbours house, much to their delight, and as they got out of the car (yeah, I drove two doors down - I thought it was quicker than walking them down and running back) she asked if they'd eaten. No. She took them by the hand, told me she'd make them dinner, bath them and put them in her kids PJs. What a legend. I pulled out and headed to the scene, absolutely petrified about what I'd see when I got there.

I arrived at the same time as the ambulance and couldn't see MG, but I could see his bike in two pieces. Richard and the woman (I can't believe I forgot her name!) came straight up to me and took me to the sign he was sitting next to. There was blood pouring out of his mouth and he had bloodied knees and a few scrapes on his arms. Next to him was his helmet with big crack in it, the plastic pushed in to the underlying foam. That could have been his skull. Dear lord, that could have been his skull!

The ambos were looking him over and I got the first look at his mouth. Teeth going in every direction, some half missing. Another man who had stopped, Jeff, started looking for MG's teeth on the road, but we were told not to bother because they'd been broken off, not come out whole. At this point I found out that MG had hit the back of Jeff's car as he went over the handlebars.

While I was sitting with MG, Richard and the woman (her name started with a vowel, dammit!) loaded up the broken bike in to the back of the car, which took quite a bit of manoeuvring because I had a leaf blower and a pram in there. They came back and stayed with me until they were sure I was OK, letting me know that they thought he'd briefly lost consciousness - so important to know! Such lovely people.

At some point as MG sat on the grass, he was bitten on the leg by a bug. Because smashing your face in to the ground isn't enough for this family. You have to hit a car and get bitten, too. Go hard or go home.

MG went off in the ambulance and Jeff made sure I was OK and told me not to worry about the damage to his car - but we swapped business cards anyway (and a lovely email checking up on MG was in my inbox the next morning). I dropped the bike home, grabbed Tricky's ventolin and some spare clothes and dropped them at the neighbour's house, then drove to the hospital. On the way I called my parents to pick up the kids for a sleep over, and MG's sister, Kitty. She works with people with brain injuries so it was a double whammy of letting his family know and getting some advice with what to ask the hospital.

At the hospital, they wouldn't let me see him. He'd been placed in 'fast track' which is for people who aren't badly hurt and will be shoved out the door soon, and they don't like visitors back there. That seemed like a good sign, but I was concerned they didn't know he'd been knocked out.

Kitty arrived to keep me company and we were finally allowed through, about an hour after he'd arrived. He was holding a spew bag to catch all the blood that was still coming from his mouth. When the doctor came in he said he'd stitch him up and he could go because the xray showed no fracture of the jaw.

I told the doctor that MG had been knocked out and sure enough, they weren't aware. Because of course MG can't remember it. I was really concerned though that they would have just sent him away after an hour when he's had a bike crash and hit his head. A bruise was forming over his entire forehead as we stood by, so it was obvious he'd hit hard, plus his helmet really showed the force of the hit. I looked back at Kitty and she gave me the universal "you said the right thing" micro nod.

He was transferred to the main emergency department and had neurological obs taken every hour which made me feel so much better. He remained alert, so with each set of obs they became less and less concerned about a possible bleed in his brain and the need for a CT.

The game plan changed a few times as the night progressed. For a while the maxillofacial surgeons were going take a look at him under general anaesthetic, but then they decided that a dentist would be the better option.

But he had to be stitched up before anything else happened. He had a chunk of skin hanging from his chin, part of his top lip hanging off, and the inside of his bottom lip was deeply lacerated from the top all the way to the gum.

The main doctor numbed him up and started suturing his chin. I'm so in to gory stuff - I watch real life medical shows, autopsy shows, and always watch any procedure I have done. I'm fascinated by it and have never felt squeamish... until then.


I was holding MG's hand, trying to be the loving, supportive wife and the room started to go black. I couldn't hear and vomit was rising up in my throat. I turned to Kitty... "I'm going to faint" and I stepped to the bottom of the bed and sat down. On the filthy floor. I was helped in to a chair and told to put my head between my legs, then proceeded to throw my guts up in to a bag. Niiiice.

The other doctor, Dr Anthony - awesome guy - sutured up the rest of MG's face while I sat just outside his cubicle drinking sugar water and being told I looked green. I was listening in to some of it, hearing the doc say how it was an impressive injury and that MG was doing well.

I rejoined the bedside party after all the gory stuff was over and was so disappointed I had to miss it. The mouth wound was epic and I only got to see it once. Boo. It's all about me, obviously.

Kitty and I had been cracking awful jokes the whole time, because joking about inappropriate things at inappropriate times is a talent we both possess. It reached a new low when, almost crying with laughter, we high fived after a particularly hilarious tooth fairy gag over him as he lay, still bleeding, in the bed. Ahhh, stress does great things. Nothing was safe - grills, Harrison Ford scars, Indiana Jones whips, Smashmouth, and even "All I want for Christmas is my two front teeth". We are terrible, terrible people, and will no doubt go to hell.

Some morphine, a failed albeit valiant attempt at a splint made from a scalpel packet, and some paperwork later, MG was discharged with instructions to see the dentist the next day.

He got an emergency appointment in the city and the dentist was a bit excited he got to do something cool instead of just a boring old filling. The xrays showed that four teeth were smashed - two could be built up, one was exposing the nerve and needed a root canal started, and the other was too damaged will have to be extracted once the area heals a little.

For now he has had two teeth capped, one temporarily capped, and one of his front teeth just smoothed off at half height, and they're braced together for support. He never had braces as a teen because he had perfectly straight teeth - but now he has them to stop the bastards falling out.

He says it wasn't too painful, that his mouth is still quite numb, but when the dentist had to lean on the stitches and use a bit of oomph, you could see it was agony.

Because I'm horrible, I went and bought MG a really inappropriate present while the main drilling bits were being done. I presented it to him saying it was the only bike he was allowed to ride from now on.



His teeth won't be fully fixed until next year, likely February, because of all the time needed for the bone to re grow around the roots where they have shifted, and for some stability to hopefully return. If it doesn't, he'll have two implants instead of one.

He's swollen. He can't eat anything but puree for a while, and looks exactly how you'd expect someone to look when they stop a fall with their face. But we don't care. He doesn't have a brain injury, he doesn't have two broken arms, he doesn't have a broken neck. He's alive. A smashed up mouth is nothing compared to the what ifs that have been running through our heads.

Now to prepare for the pain of the dental bills.

Thursday, June 25, 2015

Gratefulness Vs Discharge guilt

I've been having a rough time of late.

There. I said it.

Um, there was supposed to be a massive weight lifted off my shoulders when I admitted it, wasn't there? Yet here I am, struggling to stand upright under the pressure. The pressure of what, I'm not entirely sure. Motherhood? Life? My white, middle class privilege?

I can pinpoint exactly where it all started. It was in Princess Margaret Hospital with Bobbin and Tricky.

Hospital is never a nice place to be, particularly a childrens' hospital. While it makes the kids better, it seems to simultaneously suck the life out of the parents and school them in how to count your blessings.

We were there for two weeks, which in the scheme of things is such a short time. For an otherwise healthy kid, though, two weeks is forever to be requiring oxygen. Every day they'd come and check her and say "maybe tomorrow", and every day we moved further past our 'estimated date of discharge' written on Bobbin's name board.

It was only on the eleventh day that they decided to refer us to the respiratory team after I'd begged for days to let us go home with an oxygen tank, just so we could get out there. The respiratory doctor came in and took charge, she made a plan of action to start antibiotics for atypical pneumonia, a blood test to confirm, and had a back up plan of a chest CT and bronchioscope if the meds didn't start working (there was a thought that Bobbin had perhaps aspirated some food in to her lungs).

 

The improvement was noticeable that afternoon and within 24 hours she was able to come off oxygen for the first time in twelve days and we could go home after two weeks. The original medical team came in and APOLOGIZED for not referring us sooner. I couldn't believe it. But it's my child, so of course she was atypical. She even had an atypical presentation of atypical (mycoplasma) pneumonia. No wonder the med team missed it.

So off we went home, and that should have been that. Apart from a residual cough, everything was fine for Bobbin.

But it didn't stop there for me. I can't stop thinking of the other families; the other kids.


Like the gorgeous boy who made Bobbin light up every time he whizzed in to the room on his bright red wheelchair (which was a lot!), who had been in for six months. He was so fun. They played monster trucks together and when Tricky visited, the boys would go off to the play room together for a while. It was a bit confusing for him when Tricky was admitted, but he just saw it as an opportunity to spend more time with fellow car aficionados. Ejected from a car that was crashed by his drunken dad, he has years of rehab in front of him.

Or the sweet girl who was having hundreds of seizures a day thanks to a degenerative disorder. She had lovely get well soon cards from her class at school, flowers, balloons, you name it, to brighten her corner of the ward and make relearning to walk, talk and eat more bearable.

Or the eleven week old boy who was in the cot next to Bobbin with blunt force trauma to the head; two skull fractures; a massive bleed to the brain. The Child Protection Unit coming and going; the wee babe going for all sorts of tests; the parents contacting their lawyer; turning over furniture looking for listening devices.

You can hear absolutely everything going on in the next cot a metre away, those curtains aren't known for their sound deadening properties, after all. The parents talked loudly on the phone to make sure we all heard them, but at one point they whispered to each other. I could still hear them. He was telling her what to say when questioned, that the bleed was caused by his most recent vaccination, that the (new) skull fractures occurred during his birth.

We stayed in a room with them for three days before we were moved for our safety. Part of me wanted to stay in there, writing down everything they said so someone could stand up for this little guy, and another part of me wanted to run as far away as I could, hands over ears, la la la I'm not listening, this doesn't really happen to innocent babes.

But it does. It did. And though this whole experience has made me hold my munchkins tighter, love on them even more, and be eternally grateful for them and their health, it has also crushed a little part of my soul, too. And I'm having a lot of trouble moving past it. I'm hoping that by writing it down; getting it out of my head, that I'll be able to.

Thursday, May 7, 2015

Bed goes up, bed goes down: Adventures in hospital

I’m in the hospital. I’ve decided to use this time productively, which is code for: I’m going to put a hospital selfie on Facebook and soak up some attention for a few days. Thanks for the well wishes, guys, it made me feel so loved. So the story behind it? Well here goes.

I’d been feeling a bit short of breath since the start of the weekend and by Sunday afternoon I was exhausted to the point where I had to send MapGuy in my place to a five year old’s birthday party that I wanted to go to. No, really, it was one of our mother’s group kids, and now that they’re all at school, birthday parties are almost solely about our catch ups with the added bonus of cake.

Instead of going, I slept all afternoon. Then I coughed all night. I was sucking down Ventolin but it just wasn’t really doing anything. On Monday I headed out to do my Volvo Hot Laps (AMAZING!!! More on that later) and when I came home I fell asleep until school pick up while my parents looked after Bobbin. Then they and my sister, Aunty Penny, let me sleep and took care of the kids. They were fed and bathed and ready to go to bed when I woke up.

At night I consulted Dr Google, which is never the smartest thing to do. Dr Google said I had blot clot in my lung. Way to freak me out, Internet.

By Tuesday morning I was really short of breath and needed a day to rest. I cancelled a blog meeting and my parents took Bobbin again, then picked up Tricks. I stayed in bed and subscribed to Netflix. Because if I was being forced to sit on my butt all day, may as well be entertained, yes?

I complained to my dad that this didn’t feel like normal asthma, that my lungs felt pretty clear but the centre felt strange and I just couldn’t get in enough air, so in the afternoon I headed to my GP to see what he said. He listened to my lungs and said there was no wheeze, no limited air entry or whatever it is. He asked if I had calf pain.

Yes. Oh shit, he’s going the same way Dr Google went.

He made some calls, made some appointments and sent me around the road for an ultrasound with strict instructions to go straight to hospital if my breathing was getting worse. Way to freak me out, doc.

I went to the local ultrasound place as an urgent case and got the death stare from half the packed waiting room as I got called ahead in front of them. Sorry, guys! There was no sign of a clot in my leg that had been sore so I relaxed a little, but alas, relaxing did not improve my breathing.

I settled in to bed again when I got home and commenced binge watching old House episodes because they always make me feel better about hospitals and I was starting to think that that is exactly where I was heading. I was starting to worry that I had an embolism, would fall asleep, it would shift, and I'd never wake up. Because that’s how my brain works sometimes.

By mid evening Tuesday I was struggling so hard to breathe that Aunty Penny took me to the emergency department, meaning MG could stay at home with the kids. We waited for hours on hard, plastic chairs with my fellow patients. Master Dog Bite, Mrs Drunken Fall, Mr Hernia Repair, and the man who vomited everywhere over and over again, Mr Gastro. Bored as anything and desperate to get some help to breath, and yet I was still “take Mr Gastro first, please”.

Fast forward a few hours and I’ve got a bed in the ED and had a chest xray that shows ‘something’ but nothing special (which I refute, because, well, it is showing me) and the lovely doctor with the British accent (let’s call her Dr Brit) is saying that despite my symptoms, it’s still really unlikely I’d have a clot because of my age so instead of doing a CT, they’ll do a blood test that has “clot markers” and when that’s negative we can all relax. Maybe even go home and just keep sucking on Ventolin, hoping it gets better. She sticks a needle in my left arm, draws some blood, and off she goes, letting us know the results take two hours.

Aunty Penny has been making me giggle the whole time. Which is HORRIBLE because it makes me cough, yet I still keep responding and we fire off each other. When she notices the security guy’s shirt has “SECURTIY” on it, we crack up laughing while trying to take a photo. Because such spelling fails need to be Instagrammed.

Dr Brit walks back in my little fabric cubicle and says the blood results have come back positive for signs of a clot. Well, fuck. Way to freak me out, other doc.

It’s now four in the morning so I send Aunty Penny home to get some sleep, but not before saying fuck a lot. I’m hooked up to an ECG machine because my heart has been playing silly buggers since I got here. My little pattern lights up the screen and I can see just how erratic it’s being. Nothing too bad, though.

Dr Brit sticks a needle in my right arm with a cannula for the contrast dye for the CT and I head off to the big machines. It was daunting, and I had to give myself a little pep talk, especially when I heard that the dye makes your body flush hot and feel like you’ve peed your pants. “You’ve peed your pants before, Glow, you’ve got this.” Day-um, I give the best pep talks.

I spend the next few hours hooked up to oxygen because my saturation levels are going down rapidly. Without the oxygen my levels are as low as 79 and respirations at 45 but with it, I’m up around 95 with respirations near 25. It hurts to inhale deeply, so I’m just breathing shallow as I listen to the woman in the next bed tell her doctor how Satan puts bad thoughts in her head. The ED is a horrible place, really. So sad.

Fast forward again and the results are back. No clot is visible. YAY. But that might mean it’s small and “hiding” BOO, so Dr Brit gives a tentative diagnosis of pneumatises. Which is not fun to say at 5:30am when you haven’t slept and can’t breathe. It is recommended that I am admitted and she will have to do a blood gas to complete the chart before sending it. That’s a blood test from your wrist. They hurt. A LOT. Know what hurts more? When they dig around in one wrist and fail, then have to do the digging in the second wrist. Faaaaark.

I’m passed over to the specialist who is trying to find me a bed in the assessment unit before I can go up to the ward. After hours of waiting, they get frustrated enough to come down and do the assessment in the ED.

It’s like being in House. The awesome specialist (let’s call her Dr Lung) and two students, doctors already, so whatever that word is. They take my history and at the end of it, maybe three minutes of talking, I am completely breathless and my stats have bottomed out again. It looks like I’d come to the ED at the right time, because I’ve been steadily getting worse the whole night.

She quizzes the students about tests and risk and lots of stuff, and I’ve watched so much House in the last day that I follow almost the whole conversation. I tell them this is like TV and they all laugh – I secretly think the students think it too, though. I’m told I’m an interesting case and can more students come in the morning please? Sure, bring ‘em all. Because then OMG IT WILL BE EVEN MORE LIKE TV.

I’m given a final diagnosis of pneumonia by Dr Lung. She hears things through the stethoscope that others couldn’t and points out the noises to her students. It’s quite fascinating and I’m so impressed by her, and not just because she reminds me of Edna from The Incredibles. Plus she thinks my jokes are funny (I make jokes whenever I’m nervous so I’ve been saying a shedload of inappropriate shit since I got here). She is not entirely convinced that there are no blood clots, so on top of the hard core antibiotics and anti-inflammatories, I’m to be given a prophylactic DVT treatment.

Now I’m up in the ward, in an isolation suite with a negative pressure door. Anyone coming in has to wear a mask, though the staff don’t seem too strict on that, half of them happy to just sneak in and grab something quickly. It’s a precaution because though you can’t actually catch pneumonia, you can catch the bug that caused it… but we don’t know if it was a nasty bug or just a run of the mill bug that everyone carries. Hopefully because there was no runny nose or fever, chills and the like, that it isn’t a nasty bugger. But for now, my visitors have masks that make them look like ducks. Quack.


Yeah... so the mask didn't really float with Bobbin. But we figured she'd been sharing a bed with me the whole weekend, so she'd have got anything off me by now.

I’ve been so overwhelmed with the love and support we’ve gotten from everyone, but especially our families who have all pitched in because it’s really hard for MG to take time off work right now. It is times like these that you see just how many have your back.

I'm allowed home pretty much when I can have a conversation without becoming breathless - fingers crossed it is tomorrow because I'll be so bummed to miss Tricky's mother's day concert at school! Whatever happens, I'll laze around here, in my Wonder Woman jimjams, binge watching Orange Is The New Black until I get out.

LinkWithin

Related Posts Plugin for WordPress, Blogger...