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

Tuesday 10 July 2018

Blood and gusts, urine and rescue

Northern Ireland reminds me so much of my roots. Sitting in the waiting room in the haematology Department I get chatting to an 85-year-old fellow patient. Our conversation was triggered by a much older man nearby getting his blood taken in a treatment room. Being wheelchair bound and extremely deaf, every exchange with the staff is audible to all in the waiting room outside. His medical records indicate he was born on the 10th of February and the nurse treating him comments that her father was also born on that day. He asks loudly, “but what year was he born?” The nurse answers with, “1933” and his response to that is, “Sure, he’s only a young one isn’t he?” Or to be more accurate what he actually said was “Ach sure e’s only a yungon ainy?”  But I shall spare all of you any more of the deadly Northern Ireland dialect.

The people in the waiting room smile in response, feeling much better about their own age. The man beside me is also a young one born in 1933 and informs me he is the youngest of a family of eight. His elder sister never married and lived until her 97th year, a lovely kind woman he tells me.  One of his brothers was in the military and died in his 50s, this was accompanied by a sad sigh of loss despite the decades that have since passed. We talk of places and family. His name is Anderson and I also have family members called Anderson but he comes from a different area entirely in Northern Ireland called Cookstown. I told him I have a relative who ran the pharmacy in Cookstown for years and suddenly I realise the unknown person beside me in Northern Ireland is invariably either related/lives beside a relative/or went to school with a relative.

The communication goes deeper and we share our relief at the rescue of the Thai youngsters from the dark deep water-logged cave. In such moments humans show their compassion and unity in longing for their safe rescue. All of us have become invested in these young footballers. Their release is a joyous relief. Of course, we are picky about our investment of emotional attachment. Thousands drowning in the Mediterranean pluck few heartstrings but a tiny toddler face down in the surf of a beach breaks through our intellectual defences. Likewise, millions facing desperate conditions in Yemen don’t make it onto our newspapers. Instead, the infantile posturing of the self-important gets three-inch high headlines. The worst humanitarian disaster facing humanity at present is considered of little or no impact importance in this perverse world of ours.

My 85-year-old fellow patient is struggling to maintain his garden these days just like my mum. They are both suffering from the present hosepipe ban. The younger gardeners manage by using watering cans but for the over 80s they just have to watch their flowers wilt and fade while their lawns grow brown and die. He tells me he was the last child born in his family and was 18 pounds at birth*.  He’s a nice good-natured 85-year-old, well dressed and well spoken. I tell him he’s lucky to have been brought up in a big family surrounded by loved ones.

Then, he says all his brothers and sisters have since died. The last he lost was a sister 12 years ago.  He’s all alone now. No brothers or sisters, his wife gone and his only son lives abroad. I had idly thought that the lonely were usually drug addicts or alcoholics who had systematically broken or abused every family relationship until they were homeless with no one left to care. I had not factored in that death in old age is equally effective in breaking all the loving bonds that unite families.  Gradually death casts aside all the mooring lines that attach you to others. Drifting off, these individuals are unexpected alone after a lifetime of being loved and surrounded by kindness. They don’t expect it and have no time to acclimatise to this new brutal reality. They have all the social skills that life in a loving family cultivates. They’re good-natured, long-suffering, grateful for all the special souls that have shared this journey with them. But suddenly they bereft and alone facing hospital visits and treatment alone. There is no one to share the bad news with. It fills my heart with sudden sympathy. They cultivate a new kinship with those in here to get blood tests regularly and most seem to know each other. Suddenly, as the conversations develop the noise levels rise and it makes me feel Northern Irish. That characteristic chattiness and love of a good gossip binds and quickly unites us.  They’re talking about football now anticipating the big game tomorrow as one man in a wheelchair is wheeled out of a treatment room and placed beside us.  As the consultant passes back into the treatment room he points out to the nurse that “We seem to have a leak here!”  Horrified everyone notices that the man’s wheelchair is parked in a puddle of urine that has dripped from his chair.  The consultant closes this door, the nurse rushes to get cleaning material and we are all left in awkward silence.

Into the humiliating silence, people unexpectedly begin to share tales of their own humiliation. Some are really cracking tales told in commiseration for the chap in the wheelchair.  One character, Jesse, a middle-aged man in a red tracksuit says his bowels stopped working a year ago. He was given fibre gel, lactose, senna etc and growing arsenal of stuff designed to give him a good ‘pull through’ as my grandfather would call it. All to no avail in Jesse's case,” I was blocked up as if by cement!” He explained.  “They give me everything short of dynamite to get me going but all failed. After three weeks I felt my innards would explode if no relief came. I was swollen like a pregnant pup and the pain was awful. I could barely sit and standing was not much better!  Anyway, unknown to me my doc arranged for me to be hospitalised. They took me on board this ambulance for a 10-minute drive to the local hospital. I didn’t make it. Eight minutes into the trip, my bowels finally decided to get going after being on strike for three weeks. There was I, in the back of an ambulance, having the bowel movement of the century. I apologised to the wee lass with me in the back of the ambulance and the driver and the nurse who helped clean me up on the ward later. I thought I’d be mortified beyond belief! But you know what, I was rightly relieved and grateful too! It’s not until you can’t do something that you begin to appreciate the miracle of anything.” 

It was a cracking tale that had us all laughing in stitches. Even the poor guy sitting in the wheelchair in a puddle started giggling.  The nurse came back into the waiting room mop and bucket in hand. First, she sprayed some disinfectant on the floor and then carefully mopped up the urine, moving the wheelchair to get underneath.  Then she left and the humiliation was back in the room.  Everyone knew he was sitting in soaking clothes wet and uncomfortable.

We were rescued by a white-haired lady sitting opposite who shared her story of humiliation. Once she’d been a deputy head of school and had gone in to talk to the headmaster in his office. While there she felt an unexpected urge to fart. While not been able to avoid passing wind she did manage to do so silently, “silent but deadly” she informed the riveted room. After the conversation was over she left the office happy that she had got away with the unexpected gust without being noticed.  A few minutes later she realised she had left her handbag in the office and returned to the office knocking briefly before entering to retrieve her bag. There, she found the headmaster with the office window open using a large newspaper to waft out the offending smell.  She said, “I didn’t know where to look, I actually put my hands over my eyes, I was that ashamed.  I left the office without saying a word and thought suicide was my only option!”  In the silence that followed we all howled in mirth.  The room was full of riotous laughter and good humour.  There are true comedians skilled in tales to bring you back from the edge of despair.  Sharing their own humiliation turned an unmitigated disaster into something else for all of us. 
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* I found this almost unbelievable but then found out afterwards that the record for "heaviest birth" is currently held by Anna Bates, who gave birth to a boy weighing 22 pounds in Seville, Ohio, on January 19, 1879.


Saturday 4 June 2016

Breaks, Drunks and a distinct lack of tea


No one warns you about falling. Yet so many do exactly that. In fact for the elderly a fall is the most common entry into the hospital/residence home system. It is a sad fact of life that almost any of us who have a severely broken leg will struggle to cope. When you cannot reach things, make your own food and suddenly become dependent on others, it feels like being a helpless child again. All your plans including work of any sort is shelved. Usual routines like housework, coffee breaks, visits to friends become challenging. But however difficult for those who are middle-aged and younger, it is as nothing compare to that facing the elderly in the same situation.



Their responsibilities may well include being a caregiver for an elderly partner. Suddenly, what was a 24-hour job becomes untenable. Often a fracture in an elderly person will not just lead to their hospitalisation but also institutionalisation of the remaining partner. Added to the anguish of pain and medical procedure is is the realisation that the closest person to you has been left vulnerable and taken from your home by the social services. Confusion reigns as the elderly quickly lose a sense of where/who they are when moved out of familiar surroundings and company. Recovery from major injury can take months not weeks and always there is a very real possibility that there may be no recovery. 


In many places hospital care has been centralised. This means people are often taken far from their family, friends and neighbours.  When they most need support and care, that lifeline is severed by the long distances travelled to receive medical procedures.  Waiting time in casualties the world over are now in excess of three/four hours.  Even after you see a doctor no one tells you what has happened.  For fear of litigation or lack of staff, communication is minimised.  So the elderly are left in beds confused as to what injury they have sustained.  Not sure what will happen next and completely disorientated by this new and frightening environment.  Trained not to complain they endure in silence while others shout for attention.  I have visited relatives who have been in hospital for days and they still have not been told what their injury is. Even basic things like fluid intake are neglected.  There used to be a lovely little lady in Coleraine hospital who would come around casualty and hand out tea and toast.  In the chaos and confusion her smiling face offering hot tea and warm toast was like an angel in a war zone.  



Nowadays, she has been replaced by on duty police officers to restrain the many drunks who attack staff and other patients.  These officers are really needed. I had a young student friend, John who was in casualty for a broken arm.  While awaiting treatment for this injury a violent drunk broke his nose as well.  I must confess to losing my sympathy for such violent individuals.  It feels as if they have decided to get drunk and in that state injured themselves.  Then, when brought to casualties up and down the country they wreck havoc on staff trying to treat them and even other patients sharing the waiting room.  It tests compassion indeed when the elderly have to share such spaces with these drunks.  The injured elderly are particularly vulnerable to abuse and know it.


Regained mobility is not taken for granted by the elderly. They know like health, mobility can be gone in the crack of a bone. Who you are and how you think about yourself all can change in a single second.  The only aspiration becomes regaining what you once had and that seems an epic battle fraught with setbacks and unexpected complications. When they have wrestled and fought to regain normality they cannot easily forget this torment.

So understand when the elderly want to tell you the details of their illness even after they recover. It is a form of post-traumatic stress and having fought on a battlefield filled with pain, sleepless nights and vulnerability they need to retell their suffering. Talk through the trauma and understand their life’s journey has changed. All can play an important role in helping them, take ownership of themselves and their path in this world by just listening. With each retelling the experience becomes more of their past and less of the present. They gain perspective on what has happened to them. Your listening ear provides a recognition of what they have been through. But don't be afraid after listening, to move the conversation on. Your insights and interests are exactly the world of outside hospitals they need to rediscover. It's just for many the hospital corridors have been long and agony filled.  It takes time for them to mentally navigate and find their exit. 


Parallel universes exist in this earth. There is the life inside hospital and life outside. Two completely different worlds.

Saturday 18 August 2012

Nightmare quality of some experiences


A piece from an old e mail, found on my hard drive.

Hope all goes well with you guys.  I am recovering from yesterday and it all seems quite dream like.  Things in Greece have a disorganized feel to them that adds to the nightmare quality of some experiences.  

I had heard Harry had gone into hospital but I had celebrated his 69th birthday in his home only a few days earlier and he had looked fine with a good appetite and a was a good colour and back on his feet able to get down the stairs.  He still had the urine drainage bag attached and I could tell he hated it but otherwise he seemed his normal cheerful self.  The bag had been empty in the morning and that had caused them to go to hospital the day before last.  The hospital did not seem to do much – how chaotic and appalling their disorder appears when some one is in real need.   

He was ordering in a Greek sweet that morning and then by the afternoon he was dead.  In typical fashion they don’t have cold storage here on the island and so burial is within 24 hours!  So yesterday afternoon we had the service in the German graveyard and several of his friends and family were there.  It was Daniel’s first funeral and not an easy one.   

The coffin was open and they had shoved two huge pieces of cotton wool up his nose.  The bearers were four really rough characters in tee shirts and underpants hanging out with ropes and surly countenances.  They work for the graveyard.  They lowered the coffin in opened as the Greeks have an unusual practice of throwing earth into the open coffin (just a few handfuls)!  Then the lid is put on.  It all seemed so horrific and rough and when the lid is on they immediately start shovelling earth in while everyone looks on.   

At one point, as the four shady characters raced off with the coffin to the graveside my friend Shirley urged me to run with her after them, saying we could not let him be alone with strangers.  I could see the four were very perplexed that no one was throwing themselves into the hole and fainting – a norm for Greek funerals.  But the ceremony, was dignified with the Lord’s prayer, Harry’s favourite prayer in German, beautiful music and lots of flowers.  At one point the someone started singing a song and everyone joined in and the atmosphere melted.  I could not wish a speedier end for Harry and despite the horrors of the funeral both Daniel and I were happy that he was in a better place.  As we drove home Daniel and I kept holding hands and reassuring each other.  Life seemed very tenuous all of a sudden.  Harry’s smiling face will be missed and his good nature.  It was the first time I felt my son’s strength, his stoic nature and his robustness.  How quickly they grow up and become bigger than us in every way.


      An American Indian elder described his own inner struggles this way:
      "Inside of me there two dogs. One of the dogs is mean and evil. The other dog is good. The mean dog fights the good dog all the time." When asked which dog wins, he reflected for a moment and replied, "The one I feed the most." 


Thursday 26 July 2012

Arthur and Iris



Hospital Visit

He hated the smell.  That antiseptic assault with bleach mixed in.  Even the corridors annoyed him.  The shiny tiles that make shoes creak and slap down their long corridors of doom.  As he made his way to medical ward 2 where Iris, his wife lay, he tried to shut it all out and think about their home, the farmhouse, the green fields and wild hill beyond.  Fresh, free from this toxic frightening world he found himself.  There were a group of visitors waiting outside the ward.  Like cattle not allowed into the parlours until the buzzer sounded.  Arthur stood cap in hand conscious of his huge size dwarfing everyone.  He was not designed for indoors, his father had always joked, “as big and thick as a barn”.  His only brother George had been his father’s favourite.  George has been the exact opposite to Arthur.  Small, slight with quick movements and sudden gusts of temper.  His father described George in glowing terms to anyone who’d listen.  “He’s bigger than he looks George, sure there’s four feet of him underground!” That boy has massive roots, don’t judge him on what you see above ground.  For Arthur, he accepted his position on the farm as the one who did most of the chores but got none of the praise.  His size seemed to annoy people, especially his father. 


The buzzer sounded and the doors opened and George went in carefully trying to avoid bumping things or people.  Two turns of a corridor and there was his Iris looking pale and thin on a bed surrounded by tubes and equipment.  Arthur went to her bedside clutching the brown paper bag in his massive rough hands.  His voice was concerned as he kissed her wrinkled cheek,

“Hello love, how are you doing?”

Iris looked at him with a weak smile and responded

“All the better from seeing you, Artie.”

Arthur’s heart gave a jolt.  The love he felt for her stung his eyes and made him ache inside.  

“Good, good sure the house is empty without you. And mind you the dishes are piling up and it’s an awful mess”, 

complained Arthur trying to talk away emotions.  Iris laughed and reached for his hand with two of hers.  Her hands disappeared in his shovel like hand and he held them tenderly like fragile chicks feeling like the enormous useless monster his father made him feel. As they looked eye to eye, Iris whispered, 

“They say I can get home at the weekend.” 

Arthur realised that this hospital room felt suddenly more like home than anywhere else because she was here.  She’d filled his life with love and wonderful memories, this tiny woman.  And the wonder of her filled his heart.  His face creased in delight to be with her again.