Showing posts with label consultant. Show all posts
Showing posts with label consultant. Show all posts

Tuesday, 26 June 2018

Schist just got real...

Before we go any further, you know how occasionally I do a serious post about real things and they're usually all deep and meaningful and you get as far as the middle and you're about ready to slit your wrists and then there's an uphill slog to the denouement where it's all puppies and gamboling schoolkids and suchlike as a big volte-face making sure we all go home with a song in our hearts and a lovely firm hug for our nearest and dearest.

Well... This is one of those - And it's all about me. And I wasn't really sure about how to give it an uplifting ending.

If you read my last blog (or if you know me in real life)  You'll know a couple of things about me:

  • I write, it's my thing - It's the second funnest thing you can do when it's just you and an Internet connected laptop and the curtains are closed. You should all give it a go, you might enjoy it (But don't be better at it than me, I shall pout and possibly kick you in the danglies... Multiple times)
  • I am old, and fat, and unfit, and bald. It's a good job that I'm happily married because there is literally no other way that I would ever get to have sex otherwise without it costing me the GNP of  a reasonable sized European country. I'll be 50 in six weeks for God's sake.
  • I had a TIA a couple of months ago. A 'mini' stroke and I didn't take it anywhere near as seriously as it seems that I should have done.

A couple of weeks ago, a letter landed on the mat, asking be to drop by my friendly neighbourhood outpatients department and have a quick chat with a Consultant Neurologist; which I did, last Thursday. There was nowhere in the letter to say what it was all about so I assumed that it was the stroke clinic 'signing me off' and letting me live out the rest of my life quite happily, if a little over-medicated in a 'rattle when I walk' kinda way.

It turns out that it wasn't that at all.

The nurse working with the consultant did my measurements, height, (185cms) weight (about 19st) and blood pressure (190/140 - Which I believe in the trade, they like to call a 'Hypertensive Crisis' and causes them to start shouting words like 'Stat!' and 'Crash' and similar into the light fittings) - She whistled at that one, and quickly said "That's not the worst I've seen." when I raised my eyebrows at her. I asked if she'd seen worse in anyone who was currently still alive, she went very quiet. Then I asked her if any of those people had died by actually exploding, to which her only reply was, "You're taking it very well..." When I asked if running around the room crying and yelling would help, she replied that it was probably best not to if I could manage it, all things considered.

Then she led me gently by the hand in to see the consultant, who proceeded to set about me with a hammer, allegedly to make sure I still had reflexes, but I wasn't convinced. He did all the standard 'follow my finger' stuff and asked me to put my clothes back on, whilst also reminding me that he had never actually asked me to take them off in the first place.

We did a bit of small talk about it being unseasonably hot, and he introduced me to a junior doctor who was sitting in with him - Seemingly they all want to get experience of when a sturdy looking fat bloke goes postal when he finds out his diagnosis and how best to call security without copping for a dead-arm. Then he showed me a picture the inside of my own head... It looked a tiny bit like this:

Although the actual brain sort of filled the skull as you might expect, because: clever

Consultant: See that? [pointing a my brain]
Me: Yes?
C: Not this, [circling the whole brain] But THIS, [pointing at a white cloud the size of a 2p piece]
Me: Yes...
C: That's a damaged area of your brain, the white cloudy bit is brain damage.
Me: Your actual brain damage? [Sticking my tongue firmly in my cheek and crossing my eyes]
C: Yes
Me: But just that bit right? Is that from the stroke?

He shook his head and flicked through about ten other picture 'slices' through my brain, pointing out the damage on pretty much every single picture, including one that he got quite excited about that was in my 'deep brain area' and one near the connection between the left and right hemispheres that looked like a hand-print.

I must admit to not listening very hard over the next bit of his explanation, but I heard words like 'extensive' and 'incurable' which to be honest, are not good words to hear on a Thursday afternoon, the day before you're due to go on a relaxing weekend away, if at all.  It seems that most of the damage has been caused by years of undiagnosed high blood pressure and that the only way to slow (but not stop) further damage is to lower my blood pressure both chemically and by making changes to my lifestyle.


  • I asked if this is what would kill me - He shrugged
  • I asked how long I have got - He said somewhere between ten minutes and 50 years, much like anyone else.
  • I asked if there will be any odd effects - He shrugged, but said that there may well be, and I should come straight back if I felt anything 'suspicious' or started having headaches etc. 
I will freely admit to feeling quite frightened about this, but then I suppose you would, even if you knew there was nothing you can do about it.

And I have started to experience what I assume to be the first effect... I have started to forget words that I use quite regularly, and I feel that is immensely cruel - And you should totally let me off if you find anything nonsensical or misspelled in this post.

Anywho, talk more next month probably... It's my 20th Wedding Anniversary and I'll be expecting a fairly decent present especially if you want to roll it together with my 50th birthday the month after, if I'm not around you could just give it to the wife.





Thursday, 22 August 2013

Priorities

OK, so I'm guessing that most of you know of my Dad, be it through his shenanigans where sub-zero avian vermin are concerned, or his stories of life as a Sergeant in the RAF.

He's incredibly self-sufficient, not just for an 84 year old, but in general.  He does all of his own shopping and cleaning, goes everywhere on the bus and seldom asks anyone (especially his family) for help.  In fact, he even 'does' for an old friend of his, a bit of light housework, sorting out paperwork, making sure that his kids don't steal all of his money, that sort of thing

Anyway, he checked himself into hospital last week with stomach pains, all sorts of unpleasant things going on with his digestive system and so forth, but his GP had told him that he just had an infection that was being a bit resistant to anti-biotics or something, probably.

He spent a week in there, being poked and prodded, pumped full of hardcore antibiotics, shoved into giant magnetic doughnuts and having cameras put in places where you normally wouldn't want a camera.

when we went to pick him up, he told us that his consultant had said that was an issue with one of his 'tubes' and they'd be having him back in when everything had calmed down a bit to do something about it.

It wasn't until the next day when he pulled an 'Agent Tee' (Go and watch Men in Black 2) on us, and waited until we were in a busy shopping centre before he told us the rest of the diagnosis... He was in the late, inoperable, stages of Cancer and his Consultant had given him 3-12 months to live.

Then he just carried on walking to the Post Office as if he hadn't just dropped the 'C-Bomb'.

Anyone who knows me in real life will attest to the fact that it's not very often that I'm rendered speechless, but on this occasion, I did not know what to say... So I told him that I didn't know what to say.  He replied that there wasn't really anything that I could say that would make any difference, so why bother?  Mrs Dandy took this opportunity to disappear off to the Vets, initially to pick some stuff up for the dog, but mainly so my Dad didn't see her burst into tears - He's a man of that generation where overt displays of emotion embarrass him greatly.

We walked for a while, in silence, until I broke the tension by asking if there was anything they could do, he shook his head.  I asked about Chemo, he reminded that Chemo was still technically 'something' and he'd already told me that there was 'nothing' that could be done.

After we'd driven him back home, we sat with him for a couple of hours, whilst he stared at the TV.   I can honestly say that this was the first time I'd ever noticed how fragile he was.  He'd never been a big guy, never topped 5'9" or been particularly muscular - But he's my Dad, so by that virtue a dyed in the wool Superhero, his power was never to leap buildings in a single bound, he was always clever enough to find a way round.  He couldn't fly, but he did tell some stories about when he used to.  His one superpower was to be unerringly right about almost everything.

He would say things that started with 'If I were you...' and 'You know, if you do that...' and invariably ended with me ignoring him, making a hash of everything and asking to borrow more money.  He warned me about women who were destined to tear my heart out, credit cards that would put me into debt and houses that would drain my very soul - I ignored them all. I'll bet you can count how many World's Greatest Son mugs I have in the cupboard on the fingers of one foot.

(Although, I don't think my Brother has any of those either, and he's taken early retirement and is living in his hollow volcano lair in the middle of the Mediterranean - He gets up every morning and can see the sea, and an honest to goodness shipwreck out of his lounge window - I think my Dad might have impossibly high standards for what classes as a good, successful, Son.)

I told him that I'd come and visit him every other day or so, to make sure he was OK and check if he needed anything.  I mean, we only live around the corner when all's said and done, so it's not much of a stretch... And Mrs Dandy's going to do his housework and shopping.   and that makes me feel... Well, guilty if I'm honest.  He's 84, shouldn't I have been doing these things for him for a long time?

I mean, I've been thinking that he's not been long for this world for years, his memory's not what it was, his trips to the Doctor are getting more frequent and more serious, and every time I go to his house when he's not answered his phone a couple of times in a row during the day, I expect to find him cold and stiff in a heap at the bottom of his stairs, or dead in his bed.  But he never has been.

Not so far at least.

So, on reflection, I'm a terrible son, a financial and emotional burden, thoughtless, non-empathic and generally a bad sort.  Except, I'm kind of not... I have offered to help innumerable times in the past, he just looks at me askance and says 'Why? I'm perfectly capable of doing it myself.' - So many times that I stopped asking in fact. I let him ask me if he needs anything - It's usually something like 'I need a big bag of compost' or 'I want to go to PC World, but there isn't a bus that goes that way.' - Nothing too taxing, it's usually the donkey-work that he trusts me with, things that I would have to try really hard to mess up.

But he's my Dad, and doing stuff for my Dad makes me feel good - Feels like I'm paying him back for me being a bit of a disappointment.

I regularly fix his computer, buy him tinned peaches (he loves tinned peaches, they remind him of when rationing first finished I think) and provide him with Grandchildren.  But I still feel guilty, not about not doing more, but for waiting until it was confirmed that he had a terminal condition before thinking about doing it.

I've told some people (I suppose technically, I've now told quite a lot of people, what with Blogging it) and most of their reactions have been similar, you get the 'Oh, I'm really sorry!' and the 'Is there anything I can do?' - And these people are great friends and good people and they mean well and there's nothing else you can really say... But it still take all my strength not to sound all glib and answer 'Why? it wasn't your fault.' and 'Yeah, just nip back in time about a year and give me a poke so I can tell him to go to an Oncologist so he doesn't die.' - I'm practicing my 'Thank you, but no.' - But it's going to take a while I'm afraid.

(If I do see you in real life and I do say any of these things, feel free to just shake your head and walk off, whilst muttering 'Wank*r' under your breath.)

Whilst we're on the subject of reactions, my Brother initially felt guilt too, must be a family thing - He was guilty about not immediately spending however many hundreds of pounds jumping on a plane and turfing up at our Father's house only to be told by a little frail old man what a bloody idiotic waste of money it's all been, he should have waited until there was a machine that went 'Beep' involved. (He is, nonetheless, paying hundreds of pounds on a plane ticket and coming over anyway - He's just sensibly waiting until the prices go down next month... Dad will actually appreciate that, he'll be proud - We're an odd family when you get down to it.)

Mrs Dandy was pretty devastated, but has now clicked into super-efficient carer mode, doing everything possible to make life easy for him.  Especially if that means shouting at him for his own good when he fails to take sufficient care of himself in the few times a day that she's not there. Technically known as 'trying to keep busy so she doesn't think about it.' I think.

The Mini-Dandy cried, a lot - but now she does a fine job of masking her emotions so that she doesn't make anyone else feel sad... Which reminds me, I must have the 'Bottling up your emotions can make your mind snap.' Conversation with her this weekend - I guess that she's learned it from me, I'm not an obviously emotional person ('cos I'm dead hard Me...) and things usually don't hit me until everything's all over, you know, when I consider that I've got time to grieve without effecting anyone else - Yeah, because that situation happens all the time.  I guess that being your Father's Daughter isn't just trifle and pony-rides all the time.

The Micro-Dandy... I didn't get to see his reaction, because the wife told him whilst I was at work, because I didn't seem to be able to bring myself to do it.  The words that he said that were the important thing though I suppose.

'Oh... Is Dad alright, because Granddad is Dad's Dad isn't he?'

Stunned me a bit when I found out about that one, with him only being eight years old and everything.

My Dad himself... Well, I think he's doing the whole 'Stiff upper lip' thing, trying to convince us that he's jumped to the 'Acceptance' phase of the Kubler-Ross model (Yeah, you're right, there should be an umlaut over the 'u' there, but I really can't be bothered) Though I don't believe it for a second.

Every time I leave him I imagine that he goes and sits back down in his armchair and bursts into tears - I know that I probably would, but I'm not my Dad... He probably just wanders into the bathroom and shaves himself with a Bowie knife which he licks the foam off and then spits it at the dog, because that's the sort of thing that Dads do.  That's the sort of thing that my Dad does at least.

At least, he does in my head, because he's a Superhero.

My Superhero

So,  that's why I said that the Blog might get a bit sporadic from now on... Not because I can't think of anything funny, although I'll admit that it is a bit more difficult at the moment.  But because I really need to finish the book and get it published before...

Well, you know what I want to do it before...

I want him to be proud of me one last time.

Friday, 22 March 2013

Take two and call me in the morning...

I mentioned, during my essay on why health and safety can sometimes be a bit of a lifesaver, about an incident I once attended in a hospital.

As I can't really think of anything spectacular to wow you with today, I should probably go into a bit more detail about this, and some other minor incidents that happened whilst I was working for the NHS.

Not to worry you or anything, but just to let you know, the vast majority of people who work in hospitals are normal human beings, not SuperHeroes, not Angels, they don't have magic powers and they often get tired and grumpy, just like everyone else - This is important, try not to forget it. Be nice to them, it's in your interests in the long run.

I used to work at a couple of large Hospitals in Worcestershire and I would do a lot of the 'Rapid response' stuff, you know, the sort of thing where people would have yelled 'Stat' at the end of every sentence if we'd been in America.

Once, there was a problem with an MRI scanner and of course, because it had cables connected to it, IT got called, and because it was medical equipment, I got the honour of trying to fix it. Once I'd found my way to the Medical Imaging department, I found a very red Sister and a flustered looking Nurse in the control room.

'Hey, I'm Dandy from IT, you've got a problem with the MRI?'

'Yes,' Growled the Sister, 'It seemed that the PC got disconnected.'

'Disconnected?' I asked, not really liking where this was going, 'How did it get disconnected?'

'Do you really need to know?' Replied the Sister shooting a look at the cowering Nurse that would have boiled a stoat, 'Or can you just (and she did the whole air-quotes thing here) Make It Work?'

'Well, I'm no expert, but I'll have a look at it for you... Can we not get the MRI people in?'

'They're expensive, but we can if we really have to.'

'Right...' It felt good to know that I was a valued member of the team, and not just the cheaper option.

The PC that displayed the MRI results was part of the desk, and to this day I've no idea of exactly what the nurse had done. but it looked like she'd maybe tried to move the whole desk and had panicked when everything went dark. I removed the panelling and went underneath... Have you ever seen the original Raiders of the Lost Ark? The bit where Indy lands in the pit and says 'Snakes! Why did it have to be snakes?' Well, that's pretty much what the space under the desk looked like, cables everywhere, big ones, small ones (but strangely, none as big as my head) - All sharing one commonality... They were disconnected.

'Are all these cables for this MRI?' I asked,

'Don't know, does it matter?'

So I spent a while, figuring out stuff, identifying other stuff, getting shocks from things until I figured out that maybe only three or four cables were actually for this bit of kit, and everything else had just been left there from previous equipment.

I crawled out, hit the main power, and everything sprang into life... No-one was more suprised than I was. The nurse, still looking quite embarrased, did a few checks and confirmed that it was working.

'Can you hang around whilst we do the first patient? Just in case anything...'

'Sets on fire?' I suggested

The look she shot me let me know that perhaps I should keep my comedy to myself.

The patient was a little old lady, complete with 1940's tweed coat and a four-wheeled shopping buggy (which they convinced her that she'd have to leave outside the MRI chamber itself, as it had a metal frame, and they didn't want it flying around poltegeist style when the switched the multi-Tesla field on) and I went and got a coffee whilst they prepped the old lady.

I guess that might need some explaining, which will also make the rest of the story a little bit more understandable. MRI stands for Magnetic Resonance Imaging, Your body (not just yours, mine, the dog's, that girl whose backside you were staring at at the bus stop this morning) contains a lot of water, water contains Hydrogen molecules, the Hydrogen molecules contain little things called protons. Inside the donut of the MRI scanner is a bloody great electromagnet (about 750 times stronger than a fridge magnet) that they turn off and on really quickly and it makes these protons vibrate (or more correctly, resonate), then they take a picture. So you now understand why metal things behave oddly in a strong magnetic field. (Copyright - Explaining complicated things to people who really don't care - Chimping Dandy Books 2013)

By the time I'd got back, they were asking the spinster if she had any fillings or a false leg or anything to which she replied a resounding no.. Then they asked her if she was sure, which she was, and if she thought she might be pregnant. A question she treated with the contempt it deserved.

Finally they helped her onto the table and rolled her into the emitter. The nurse pressed some buttons, sighed, and rolled her back out again.

'Are you sure you aren't wearing any jewellery?'

'No dear.'

'Any piercings?'

'No.'

'Not... erm... anywhere?'

'NO!'

The nurse went into the storecupboard and got out one of those 'wand' metal detectors that they use in court (or so I've been told *cough*) which she slowly moved around the old lady's body. When it got to her head, it beeped.

'You don't have a plate do you?'

'Pardon dear?'

'A plate, in your head, have you ever had surgery on your head?'

'Oh no, never,'

The nurse moved the wand again and it beeped by the lady's ear.

'What the?'

She looked closer and noticed a small bump on her ear, which she rubbed, and then gently scratched at, then she went to get some tweezers and some alchohol, and removed a small sleeper ear-ring... Which had been in her ear so long that the skin had grown over it, and the old lady had completely forgotten about it.

Ewwww... (The MRI scanner worked fine by the way, you don't need to worry)

-oOo-

The incident mentioned at the top of this post was at 'the other' hospital. We'd had a call about one of the PCs in one of the operating theatres being broken and needing to be fixed 'stat'. So I trudged halfway around the building, found the correct theatre, realised that it was 'in use', sighed, and pressed the buzzer.

An exasperated looking Nurse came to the door and said 'Yes?'

'I'm Dandy, from IT, come to look at the theatre PC, didn't realise that you were busy, shall I come back?'

'Don't know, wait there.' She turned around, closed the door, presumably scrubbed up again and rejoined her group. About five minutes later, the door opened again, this time it was a Consultant, a not particularly happy looking one from what I remember, with a PC on a trolley. He pushed the trolley towards me and said'

'Fix it, we need it!' Then he turned around, closed the door, presumably scrubbed up again, and rejoined his group.

I looked at the PC, turned it on, did a few checks, connected to the network, made sure they could get onto the Internet, saw the homepage was set to Google (This single fact alone sent a chill down my spine) and stood there looking at it... I couldn't see a single thing wrong with it, so I pressed the buzzer.

A different exasperated nurse came to the door and said 'Yes?'

'Hi, erm... I'm supposed to be fixing this PC?'

'And...?'

'Well, I can't see what's wrong with it,'

She rolled her eyes and said, 'Wait here, I'll check.' Then she turned around, closed the door, presumably scrubbed up again, and rejoined her group. After a few minutes, the first nurse appeared again.

'There's no sound!'

'Pardon?'

'There's no sound... The sound, it does not work.'

'The sound?'

'Yes, sound,' You know that look you reserve for when you tread, with bare feet, in dog poop that has worms in it? Well, that was how she was looking at me, 'Mr (insert Consultant's name here) doesn't work without music, no sound, no music, no surgery.'

I looked at her, she looked at me, I looked at the back of the PC, I looked at her, I held up the jack-plug coming from the back of the speakers, and plugged it into the back of the PC. There was a huge crackling noise, as it seemed the entire extent of their diagnostic process had been to turn the volume all the way up.

'Ta-dah!' I said, spreading my arms wide, 'That should work now.'

'Thank you,' whispered the nurse, begrudgingly, Then she turned around, closed the door, presumably scrubbed up again, and rejoined her group.

Remember where I said above that people who work in hospitals are normal human beings, not SuperHeroes, not Angels, they don't have magic powers and they often get tired and grumpy, just like everyone else?

Well, a few of them are right arseholes too... just like everyone else.