… CONTINUED FROM DIARY No 16 …
At this point in the saga below, I am in hospital with kidney function/calcium level problems.
(Nothing to do with COVID-19.)
SATURDAY 23rd May
The hospital staff have to wear several layers of clothing. About 50% wear face masks and sometimes, when dealing with patients, gloves. Almost no-one wears a plastic face visor. As far as I can see, this is not anything to do with lack of personal protective equipment. As far as I can see, it is choice. None of the staff seems to be nervous inside the ward.
At one point, one nurse was sitting spoon-feeding the old man in the bed opposite me. Another was doing the same to the patient in the bed next to me. Neither nurse had gloves on.
When I had a scan two days ago, I had to wear a face mask when I was taken to the scanning room (quite a way away), had the scan and came back to the ward.
It was hot, stifling and horrendous to wear – and I only had to wear it for maybe 25 minutes. The nursing staff are on 12-hour shifts – mostly, it seems, 0800-2000 and 2000-0800, with a few breaks. They are wildly over-hot most of the day. (Admittedly temperatures are high in the UK at the moment.) Occasionally I hear them talk to each other about the discomfort.
Apparently the earlier face masks they had to wear were worse – more tight-fitting and suffocating.
There are two effects of having to wear masks for long periods.
1) The nurses are physically uncomfortable wearing them and very hot most of the time, especially over the last few days.
2) They want ventilation and open windows most of the time while the patients, just wearing pyjamas, feel a totally different temperature.
At the start of the evening last night, I got the two slit windows above my bed closed. Been open since Wednesday night. Draughty.
One of the Filipino nurses is actually a trainee nurse in the first year of a two-year course. The deal is the hospital pays the fees for his course and he works for them. So yesterday, for two hours in the afternoon, he went off to another area of the hospital and, with others who work in the hospital, did academic stuff.
My friend Lynn texts me: “Saturday night in our local hospital here was a revelation. We had a Lord and a knifing one weekend. A real Lord whose wife sat by him knitting throughout and they said not one word to each other. The knifing victim had his extended family in to have a good laugh over the happy event.”
Because I did not expect to be taken into hospital, I have been wearing the same pair of socks since last Wednesday. So potentially smelly. I discover the hospital has free red socks. The joys of the NHS!
A new guy was brought into bed space opposite me. I shall call him George (not his real name).
The nurse spoke to him gently and caringly; he muttered his replies, barely audibly.
Nurse – “You want your phone?”
George – “This is the reason.”
Nurse – (Gently) “What?”
George – “I don’t even know how to work the bloody thing. The phone.”
Nurse – “You told me before to put it here, so that you can reach it.”
George – “Oh, that’s rubbish. Absolute rubbish.”
Nurse – “This (the table) moves about… See? Now you can reach it.”
George – “I can’t reach them all. I can’t lean forward, as you know.”
Nurse – “I can put you forward, but you said your back was…”
George – “I can’t reach forward.”
Nurse – “Here, you can sit up. You are not in pain now?”
George – I am in pain in my knees.”
After given his meds and some routine tests, as the nurse left the room, he asked weakly: “OK? Was it OK?” Then, a few minutes later, “Was there a problem? What was the problem?”
The nurse didn’t hear him because she had gone. He is registered blind, though I think he has some slight sight.
Occasionally, throughout the day, George – with no nurse in the ward to hear him – mutters: “What was the problem?”
Later, sitting in a chair by his bed, George was talking with another Filipino nurse. (I had my iPhone so this dialogue is correct):
George – “Why do you still want me here?”
Nurse – “I think they are still sorting out something for you at home.”
George – “I’m an old man. The government are doing all this. I don’t believe it.”
Nurse – “I think the home care is not ready yet. That is why you are still here.”
George – “I am old. I wanna go home.”
Nurse – “They are still sorting out the care before you go home.”
George – “Just let me go home. We’ll sort it out on the way. But it ain’t gonna be like that, because it doesn’t suit you, does it?… I’m an 86-year-old man. Why on earth do you want to keep me here? Why?”
Nurse – “It’s not me. I don’t do about all these things.”
George – “So you don’t agree with it. Why are you letting it happen?”
Nurse – “It’s the doctors deciding what’s best for you.”
George – “From what country?”
Nurse – “The discharge team is sorting something for you at home.”
George – “Why? Why? I don’t believe that. Why? Can I move? My arse aches.”
Nurse – “I’ll get you back into bed.”
George – “We’re getting nowhere. You’ve said so many things and you’ve contradicted yourself. Why I don’t know.”
Nursing is a nightmare. The nurses in the ward are calm, caring and have to understand the psychology of difficult and sometimes doolally patients.
As for me – it’s Saturday now – I have had the saline drip permanently in my left arm since Wednesday around teatime.
Daily, I get injected in my right hand (a blood sugar test, I think); blood samples (two small tubes, I think) are taken from my right arm; an injection in my stomach; and sundry other injections. Blood pressure taken two, maybe three times a day. And a daily chat with a doctor. Still no sign of the doctors discovering what caused my kidney function falling or my calcium level rising. So tests, tests, tests.
SUNDAY 24th May
Around 0200 in the morning, it was pretty chilly, I managed to find two new bedsheets and pillowcases half-hidden away on the other arm of my bedside chair.
I vaguely remember out the side of my eye seeing a nurse put them there yesterday, I presumed they were for the next bed. I now realise they were for me. I added them to my single sheet.
0348 – Drip had run out. Pretty chilly. Bad headache along the base of my skull at the back.
0402 – Light headache on right temple
0414 – Light headache at front, between eyes.
0419 – Light headache in middle of forehead
It went away.
I have a ‘call button’ for the nurses but they would just have given me paracetamol or similar and I wouldn’t have known how it developed. Not serious pain.
Around the same time (unconnected) and not near me, two nurses came into the ward with jackets on and closed a window at the end of the ward which had been open all day.
Around 0514, I was shaken awake for blood pressure to be taken.
The guy tried wrapping the band around my arm about three times and tried taking the blood pressure four times. Didn’t work.
At pretty much the same point, we both saw a blue lead and an electric plug hanging at the back of his portable unit.
He plugged the machine into a wall socket.
Neither of us reacted as if anything unusual had happened.
I suspect, like the very efficient Filipino nurse, he is probably a student.
He went on to take blood pressure from the guy opposite.
The old guy asked: “Is it OK now? Was it OK? There was something wrong last night…”
“No, no problem,” the nurse said.
0715 – I woke with heavy headache at base of skull at the back, but it went away quickly.
The food here is AMAZINGLY good. Breakfast, lunch, dinner. Big selection. VERY tasty. Great food! I expected British Railways buffet here, standard circa 1955. In fact, it is like Dorchester Hotel standard 2020.
I saw myself in a full-length mirror in the loo last night, after showering myself. I looked like a bloated stomachy creature.
I mentioned it to a friendly nurse (they are all friendly) who told me: “It will be the water from the drip bags.”
Another day today of little pricks and wetness – needles and drip bags.
All the nurses now have little individual tattoos on their arms – a gift from one nurse’s 5-year-old who has a book of ‘em. They last about 3 days. The tattoos, not the nurses.
Heaven preserve us! A nurse has turned on a radio for the ward and left the room.
Even worse, it is playing Danny Boy in a particularly saccharine version. The next step will be community singing. If they start playing Country music, I am going to demand a transfer to the Euthanasia Ward.
My friend Lynn texted me: “My nightmare would be hip-hop. They are giving you saline so you will be bloated and you will not be able to move around until the line dancing starts.”
Oh good grief! Now it’s some ghastly 1950s girl group going full blast with trombones backing them!
Now The Shirelles! I have no objection to The Shirelles in their place. This is not it.
The three other blokes in the ward are (for them) mercifully fairly deaf. Well, to be honest, one of them is permanently curtained-off and I rarely see him.
Talk about rest and recovery! I think the North Koreans have invaded and are torturing us. I have realised it’s not the radio but a tape on a 5-10min loop. The North Koreans are demonstrating why Western Civilisation has to be destroyed via its own worst 1950s US musical culture. Give me earplugs, a bread knife and a bucket for the blood.
The music is no more.
One nurse is saying to another that, outside the hospital, some nurses have been approached asking if they want to get a clap – meaning that, if they pay, they would be given a clap in appreciation for their work.
The nurse was saying: “What planet are they on? Do they not know what’s going on around them?”
I talked to a doctor. I misunderstood the numbers for my kidney function and its drop.
In fact, 90 is normal kidney function for a young man. My kidney function in October was 62, which is OK for my age.
My kidney function was 19 on Wednesday 20th and now, thanks to all their dripping, has gone up to 27.
My calcium level on Wednesday was (I think) 3.3 and is now down to 2.7.
They’re going to keep me in until I get back up to a reasonable kidney rate (how long is a piece of string?) with the drips… then they can send me home and do other care from there. Or it might be a proper calcium level they need to get me to. I really was rubbish at chemistry in school.
They still don’t know the source of my kidney/calcium problems.
It feels nastily like I may be here another week Although it is almost worth it for the food.
I am in a 4-bed section of the ward and, since I arrived, one of the four, as I mentioned, has been curtained-off. Rarely seen.
They just curtained-off – it is now the middle of the night – the other three sections – this has never happened before – and there was a coming-and-going of I think two men and a trolley bed or beds was/were being pushed around. One was taken out.
Then our three beds were un-curtained and the fourth bit was now uncurtained with a newly-made bed.
But no patient in it.
People have been wheeled in and out before but without the curtaining.
I presume the man in that bed is a goner.
Brown bread. Dead.
… CONTINUED HERE …