Archive for the 'Illness and injury' Category

Are you s#itting comfortably?

Posted by on November 23rd 2012 in Illness and injury

Good.

It's time for another butt update.

 

 

I should have seen my NHS consultant in July but, due to NHS cutbacks and issues with funding it turned out to be in October. Obviously there was no point in discussing the results of the Mebeverine trial, as I'd finished taking that stuff several months before. The long and the short of it was that my consultant had done all he could for me, and I was being referred to a different specialist, and I was given a choice of two - either the consultant who actually butchered my arse (and, the weekend after, discharged me from an emergency ward without examining me) way back in January, or a consultant that I'd not met before. I chose the latter.

While in that hospital yesterday getting my Dad repaired I took the opportunity to chase an appointment with that new consultant. I came home armed with his name and number, and today I was on the phone to his secretary trying to get something sorted out.

She confirmed that although no appointment had been made, the new consultant had agreed to take on my case and "a letter had been registered". In other words, he's sent a letter to his appointments manager asking her to arrange an appointment for me. That's as far as it went. I explained that my condition was getting worse rather than better, and I was passed over to said appointments manager.

That turned out to be an interesting conversation. Apparently they need to see me in the Functional Bowel Clinic. I can't have an appointment until the clinic managers find time to fit me in, and they can't fit me in because they have a...

 

wait for it...

 

are you ready?

 

A...

 

 

I must admit, that did make me chuckle. It was a great choice of terminology.

And then the chuckling stopped. It's no minor backlog. They're still making appointments for folk that should have been seen in APRIL!

Which, of course, means that I have at least eight more months to wait until it's my turn.

Eight more months of unpredictable sessions of thrush, pain and/or bleeding, eight more months of alternating between incontinence and constipation, eight more months of unnecessary hassle.

Fellwalking and so on will have to be risked rather than enjoyed. Wildcamping is a no-no.

Whoopie-fecking-doo.

Let me be the first to wish you all a Happy New Year.

Shiner

Posted by on November 22nd 2012 in Illness and injury

Top tip

Be careful on the stairs when getting ready to leave home for a routine ten-minute hearing-aid repair at the hospital.

 

 One blunt trauma, one 10mm laceration, one fine black eye and one working hearing-aid.
Followed soon after by two layers of suturing, at least five visible stitches and three unplanned hours in A&E.

 

I've pixellated parts of the image to protect my Dad's identity.

:roll:

 

I should add that both service and patient-care were excellent - only a short wait for assessment and then a fast-track through X-ray, vision-testing, proposed treatment second-opinion, final treatment and discharge. The doctor and her trainee were in almost constant attendance throughout, and they did a fine job.

Quack

Posted by on November 12th 2012 in Illness and injury, Just for fun

I'm thinking of giving this stuff a try:

 

 

I bet it'll taste awful. Bitter, I'd imagine.

Shouldn't "Nit Picking" be hyphenated?

My legs are grey, my ears are gnarled, my eyes are old and bent.

Apologies for the lack of regular posts. I fear that I'm becoming a virtual hiker...

 

Outdoorsy stuff

For me it's all on hold after the latest consultation. The expert reckons that I might have to wait another six months for my insides to heal fully, only then will they consider a further procedure to remove the tags and piles that were caused by the original op. Any exertion aggravates said tags, leading to inflammation, infection and blockage, this means that I only get limited exercise which in turn has led to significant muscle-loss and a reduction of core body strength. I'm now so unfit that wielding the vacuum-cleaner for only 10 minutes on Wednesday resulted in me straining my back and now I'm confined to quarters and popping the Ibuprofens. Looks like our week in Skye later this month will be a sightseeing tour rather than an opportunity to assault some classic ridges and peaks.

 

Olympics

Well, I have plenty of time to watch the events on the box as I'm pretty much a captive audience. Anna's down The Smoke right now on a school-trip, she was in the basketball arena this evening watching Team GB v France and Team USA v The Czech Republic, where the Beeb's camera caught her and her friends doing their bit of a magnificent Mexican Wave. After overnighting at Eton College she'll be spending the morning in Greenwich Park watching the equestrian events.

 

Astronomy

I have plenty of time for this too, but the weather's been naff at night. On the odd occasions when it's been cloudless the jetstream has been playing havoc with the seeing - the last time I imaged the Moon it looked like someone was pouring water over it:

 

 

 

Hailstorm damage

The Loss Adjuster's been around and we have agreed terms. We've already been paid out for damage to the outbuildings, primarily because I'd done the pricing-up myself, but we're still waiting for builders to provide quotes for the repairs to the house roof and the windows. There's so much property damage around here that we're on a long waiting-list for repair-work, we're looking at mid- to late-September at the earliest.

 

Ah well, never mind, things could be worse.

Face/Off

Posted by on July 15th 2012 in Illness and injury, Just for fun, Pics
Tags:

Compare the Meerkats:

 

 A sad victim of last month's hailstorm

Striking out on a new bearing

Posted by on July 5th 2012 in Illness and injury

It was way back on May 18th that the consultant's secretary at that Leicester hospital told me that she'd contact me within a week concerning the follow-up appointment needed three months after my April 23rd consultation. Needless to say, since that conversation in May I've heard nothing from her, her boss, the Admin Managers or the appointments personnel. No letter, no email, no phone-call. It's an appalling, deceitful and shameful way to run a public service.

Here in the real world we've not been so idle. On June 16th I saw my GP again and at my request he was happy to refer me cross-border to a Coventry hospital for a second opinion. A mere four days later I received a letter detailing the consultation arranged for me and advising me that if surgery is required then it would be "within the NHS 18 week pathway".

I attended that consultation today and after examining me the new consultant decided that he would need to perform another flexible sigmoidoscopy, looking specifically at the areas that are painful and/or dysfunctional. Fearing that I'd be on the waiting-list for a long time due to the 18 week pathway, I asked for some estimate of when the procedure could be done. I was gobsmacked when the consultant checked his diary and offered to do the procedure on July 19th! He didn't involve an Admin Manager, a secretary or an appointments clerk, it was all agreed and arranged between us then and there, even before I'd risen from my seat!

I might email that Leicester hospital to let them know just how simple and easy such things can be, but I suspect that they couldn't care less.

Tonight I'm genuinely happy for the first time in many months. I'm beginning to believe that the light at the end of the tunnel is more than just the illuminating tip of a butt-probe...

Helen A. Handcart

Posted by on May 18th 2012 in Illness and injury

So, where were we? Ah yes, the three-month Mebeverine/Colofac trial (for which I was told to acquire drugs for only two months). As previously stated my flexible sigmoidoscopy took place on 23rd April and I am supposed to attend a follow-up clinic three months after that, so we're looking at sometime during the "backend" of July by my crude reckoning. Basic maths and all that. You'll recall my parting shot: "Now, dear readers, it's time to place your bets... the three-month follow-up appointment should be for sometime around Monday 23rd July... how close do you think they can get?"

Well, this morning I'd still not received a letter about the follow-up appointment so I phoned the hospital appointments people. The woman I spoke to was somewhat edgy and told me that there were no clinics arranged for the summer, she wouldn't tell me why although she said that she did know. I asked her if the place was closing down, she went quiet, then she got flustered, then she advised me to speak with one of the General Surgery Admin Managers.

I phoned an Admin Manager and she was a bit more forthcoming with information. She said that they have four consultants and in theory they work a six-week rotation. Of those four one is in long-term recovery after an op, one is awaiting an op and will be in recovery over the summer and one appears to be available for duty. And what about my consultant? They're letting him go on holiday again, regardless of them being short-staffed. And when he's not on holiday he will be dividing his time/loyalty between slaving for the NHS and making a fortune at the BUPA hospital. I think we can guess where his priorities will lie. They're trying to draft in more consultants but there are "funding issues" and "staffing issues".

She then advised me to contact my consultant's secretary so I made yet another call. Said secretary Helen told me a similar tale of woe - my consultant would hold no clinics before the end of August as he wouldn't have time for them.

Now I'm no expert but I'd have thought that if patients were treated effectively from the start, so as to reduce the chances of complications and the need for follow-ups, then the demands on consultants wouldn't be so high and funding/staffing issues would be less of a burden. Back when I was in Quality Assurance we called it getting it "Right First Time", and when it wasn't right first time we worked hard and fast to make it right ASAP. Mind you, industry was customer-driven - no customer-satisfaction meant no cash. The NHS isn't customer-driven, indeed it's difficult to tell if there's anybody driving at all. Maybe it's on Otto Pilot?

 

 

Anyway, the long and the short of it is that there are no clinics scheduled until September at the earliest, by which time I'll have been off my drugs for longer than I was taking them. What sort of three-month trial is that?

My consultant's secretary says that she''ll "get back to me" sometime next week.

Yeah, like that'll happen. I'll not be holding my breath.

The one good thing about this postponement is that we can now finalise our holiday plans. Skye in August. And when my arse falls off while I'm high in the Cuillin and they complain about having to treat me again because they reckon that I've overdone it, I'll take great delight in reminding them that my consultant has declared me to be OK for that sort of thing.

Oh, and the Mebeverine isn't making any positive difference anyway, but it does make the call of nature harder to answer and gives me so much wind that I could drive all of Wee Eck's windmills 24/7.

Irritable Bastard Syndrome

Posted by on May 2nd 2012 in Illness and injury

Well, I went for that follow-up consultation on Friday 2nd March. After the obligatory greasy-finger insertion I was told that must have a "flexible sigmoidoscopy" within two weeks and the consultant marked the ensuing paperwork to reflect that requirement. Needless to say, it didn't happen - after two weeks without said appointment I phoned the hospital's Endoscopy Department and they had no idea what I was on about. Eventually someone found the paperwork sitting in the in-tray, nobody had dealt with it. By then, the next available slot with my consultant was... April 23rd. There was much conflab twixt me (supported by my GP) and the hospital but they weren't prepared to bring forward the date for the sigmoidoscopy.

So on Monday April 23rd (eight weeks later, six weeks late) I went in for the procedure. The consultant couldn't see anything wrong with my innards but did note that I have skin tags... and haemorrhoids! His diagnosis was that the original haemorrhoidectomy and the difficulties encountered during the recovery period have left me with unexplainable symptoms of urgency and pain. He put me on Mebeverine/Colofac (135mg thrice daily for two months) and said that I should attend a follow-up appointment after three months. He said that Mebeverine/Colofac (a drug used to treat Irritable Bowel Syndrome) would be cheap to buy "over-the-counter" and so a prescription would not be necessary. Amazingly, he also declared me "fit for duty", saying that I was OK to do all sorts of stuff including fellwalking, DIY and garden groundwork.

Well, later that day we went to the pharmacy to get the Mebeverine/Colofac and were told that the bill would be huge (over £50), they couldn't understand why I'd not been given a prescription.

A day later and I was back on the phone having words with the consultant's secretary. She said that she'd contact the consultant, get things sorted and phone me back later in that week. She said that she thought that >£50 was a lot and that in her opinion a prescription would have been preferable.

As usual there was no forthcoming communication so this morning I called her again. She'd sent a letter that I was yet to receive (it was delivered a few minutes ago) which stated that "Mebeverine is an over the counter drug, which unfortunately cannot be prescribed".

Hmm... "cannot". That's not the same as "would not be necessary". Something awry there. Time for some more sabre-rattling!

Back at the pharmacy I asked the nice people there to do me a costing for my needs so that I could take it to my GP. The bill turned out to be a whopping £65.88! If my consultant really thinks that's cheap then he needs his head looking at!

Then it was back to the nice people at my GP surgery, armed with the costing, the sigmoidoscopy report and the consultant's handwritten note about what treatment I needed. About an hour ago I got an over-the-phone appointment with my GP, I explained all and after his incredulity had subsided he told me that he would write a suitable prescription for me and that I could collect it later today.

Result!

 

I have it in mind to visit my consultant, wave a copy of said prescription in his face and then rattle my sabre up his arse to see how he likes it!

 

Anyway, here are a few tips for any budding colo-rectal consultants out there:

  • Two weeks does not equal eight weeks. If you can't deliver (or can't depend on others to deliver) on your promises, don't make them;
  • Mebeverine/Colofac can be prescribed - my GP has proved this;
  • "Phoning someone back the same week" is not the same as ignoring him/her until he/she phones you the week after;
  • £65.88 is not less than £7.65, the current UK prescription charge. This is simple maths but needs a basic grasp of reality;
  • If you say that a course of drugs is required then YOU should prescribe it rather than leave the patient to acquire such a prescription from his/her GP.

 

Now, dear readers, it's time to place your bets... the three-month follow-up appointment should be for sometime around Monday 23rd July... how close do you think they can get? Last time they were out by a factor of 4, if they do that again then we'd be looking at April 2013!

Seconds in… Round Two!

Posted by on February 27th 2012 in Illness and injury, LMAO!

At long last I've got me a follow-up consultation:

 

 

Maybe I should send a reply?

I was thinking of something along the lines of:

"The patient will not always see the consultant (or his proxy) personally, the patient may send one of his mates from down the pub."

R & R @ Ambleside

Posted by on February 20th 2012 in Great Escapes, Illness and injury, Shiny new kit, Testing for review, YHA

After Thursday's drag up the M6 there was an unpleasant surprise waiting for us at Ings - the Little Chef was boarded-up! It's a sad loss - they used to serve fine food there and the service was always excellent. Fortunately we already had our evening meal planned at the hostel. We pushed on to Ambleside, nipped into Gaynor's to buy Anna a new pair of boots and then eventually booked in and settled at Ambleside YHA.

We'd taken up the YHA's "Winter Family Magic" offer - a family-room for four including an evening "family feast" for just £29.95 per night... it sounded good but the YHA website was a bit vague about the terms of the offer so I had enquired as to how they would cope with one of our party being a veggie, they said it was no problem. Since I made the booking the website details have been changed - turns out that they expected all four of us to have the same meal from the "family feast" menu... no good when we all eat different foods. Chris was sent in to negotiate the terms of their surrender and eventually we all got a meal of sorts. Chris ended up with a full 12" pizza, the kids and I got mashed spuds and non-Cumberland sausage covered with onion gravy. None of us got any vegetables despite the website saying that there would be peas or seasonal veg. It was disappointing, only the attitudes of the staff saved the day. The upside was that the dorm was fine with a view out over the upper reaches of Windermere.

Sometime during the evening the clouds cleared and the skies were ablaze with stars and meteors. I went out to grab some pics but for some reason the camera's focus started playing up and all the images were rubbish. Never mind, just seeing such a glorious night sky was enough.

We slept well that night.

Us adults were up bright and early on Friday. Predictably, the kids weren't so bright or so early. Outside it was a calm daybreak so I nipped out with the camera for a while:

 

Towards Coniston.

 

Reflections in Windermere.

 

 

Towards Langdale.

 

Back inside the kids were still in bed but they soon got a shift on when I told them that breakfast was being served. Breakfast was good, it made up for the disappointment of the previous meal. After that, we hit the road and headed for Longsleddale. I figured that a couple of easy Wainwrights would be a reasonable test for my new arse.

We parked up at Sadgill and made ready for the steep pull up the side of Grey Crag:

 

The steep approach to Grey Crag. Mouseover for an indication of the route.

 

Towards the head of Longsleddale.

 

Much steepness.

 

We had a short break at the top of the gully - Ella needed some heel-blister treatment:

 

Ella and Chris get to the top of the gully.

 

Another view up Longsleddale.

 

From there we traversed to the right around the crags in search of the survey pillar. The temperature was dropping and it started to drizzle so we found a sheltered spot for a snack-break. I'd imagine that on a fine day the views from there would be quite good:

 

Taking a break.

 

A few minutes of walking brought us to the survey pillar. A quick look through the slot confirmed that the next pillar, on Tarn Crag, was in plain sight:

 

The survey pillar, with Grey Crag in the background.

 

Lined up on the distant Tarn Crag survey pillar.

 

From there it was a gentle stroll across easy ground to the intake fence. The weather closed in and this was our last view of the valley:

 

Looking back towards the survey pillar and Longsleddale.

 

After crossing the intake fence we had a short breather - Anna was feeling a tad sick, possibly due to the sight of the multi-coloured Ella wearing my Montane Lite-Speed H2O jacket:

 

Rainbow Girl.

 

A few minutes later we made the top of Grey Crag. All was clag and rain so I didn't take any pics. We left the top ASAP and made off on a bearing for Tarn Crag - this was the first time the girls had walked in clag, I think that it may have taught them the value of being competent with the old-fashioned compass/map combo when there are no visible references.

Crossing the marshy depression to Tarn Crag was fun - much bog, some huge peat-hags and a fair old tarn had to be negotiated before we reached the relative dryness of the snowy up-slope. The final slopes were confusing and finding the summit cairn took a while as visibility was quite poor:

 

Anna and Ella atop Tarn Crag

 

The survey pillar on Tarn Crag.

 

Anna was still feeling poorly so we hastened northwards to find the fence and followed it down the peat-hagged slope to the col and turned left at the gate, heading for Brownhowe Bottom. There was a fair bit of waterlogged ground to be crossed and it proved to be the undoing of the kids... over the years I've developed a "trying to run over the water like a Basilisk" technique which generally keeps my feet dry, the kids think it's hilarious and call it "Geckoing"... they try to emulate it but always fail - Anna managed to get her boots and socks fully-dunked and waterlogged in a mad dash across a deeper-than-expected puddle, and Ella managed to kick the back of her own leg while trying to run across water. There was much moaning. And a little sympathy.

Eventually we reached the firm ground of the Gatescarth Pass track. The clag meant that it wasn't very scenic but we did manage to get a fine view of the falls below Wrengill Quarry:

 

The falls below Wrengill Quarry.

 

From there it was a simple if long trudge past Buckbarrow Crag before heading off into the clag once again:

 

Buckbarrow Crag - the notice says that it's off-limits due to nesting ravens.

 

The car's down there... somewhere.

 

Needless to say, it rained constantly for the rest of the day. After reaching the car we dumped the soggy stuff in the boot and drove to Ambleside via Kendal, not wishing to risk the back-roads as we had on the way in.

Back at the hostel we jumped through the fiery hoop of the evening meal arrangement again... this time Chris had a veggie-option pre-arranged, we had the chicken and bacon hot-pot (which wasn't a hot-pot at all, it was a bowl of roast-spuds with three roasted chicken drumsticks and some bits of micro-bacon, all covered with the same onion-gravy that had bedecked the previous-night's sausages) and still we didn't get any vegetables!

Eventually we summoned enough courage to decant the car's contents into the drying-room. The rest of the evening was spent playing cards and comparing our physical conditions... in addition to the injuries and ailments of the kids, Chris was feeling a tad asthmatic. Surprisingly, I'd had a good day - no bad pain or other difficulties, just a bit of soreness and thrush in the antipodes.

Friday night was stormy but Saturday morning didn't live up to the forecast - it was supposed to start down at zero and drop to minus 6C throughout the day, with a heavy hit of snow. In reality the morning was quite warm and bright - here's the view from our window:

 

Room with a view.

 

A bit closer.

 

Daughters on the stage.

 

Over breakfast we'd decided that we'd have a bit of retail therapy in Ambleside before spending a few hours at The Lakes Aquarium at Lakeside near Newby Bridge. As the day went on the weather got better, not worse:

 

Windermere at Lakeside.

 

There's plenty of interest thereabouts...

 

The end of the line.

 

Carp.

 

More carp.

 

Otters.

 

Otters again.

 

Aventacludea fuctifino (a relative of the Piranha).

 

Big Cat.

 

Crocagator.

 

It was as if I was looking in a mirror.

 

Yet another otter pic.

 

The most dangerous creature in the building...
holding a snake
.

  :twisted:

 

Friday Summary:

Distance: 5.4 miles
Total ascent/descent: 1722 ft
Wainwright tops reached: Grey Crag (2093 ft), Tarn Crag (2176 ft). These were first-ascents for all of us.
Number of Wainwrights still to do: 7

Regarding gear taken for test-and-review... I took one item supplied by Adam Smith representing Go Outdoors - the Montane Lite-Speed H2O jacket. It was worn by Ella and, after her initial reluctance to don it because of the colour, she quite liked it. It kept her warm and dry without any condensation problems. She says that she'll prepare a review as soon as she's cleared her school-work.

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