Monday, 9 August 2021

Memories of Hospital

 The day of surgery I left home before dark, if I remember correctly I was to be there at 7. Liam drove me and dropped me at the door while he went to park. I found my way to the locked admissions department and joined the group of nervous patients.

An elderly man came along after asking a cleaner for directions. The cleaner was generous and kind to this obviously nervous old man and I thought it was wonderful that this man who had a floor to mop somewhere in the vast hospital had taken the time to walk the man to the door. The old man continued to pace, make phone calls and demand to speak to the clerical staff. He was verging on rudeness until it became apparent that his pushy anxiety was for a very good reason: he had a letter asking him to be here on this day but he wasn't on the admissions list.

I was soon called to have my pre-surgical checks done. I was given a gown and non-slip socks to put on and the clothes I had put on only an hour or two before were tossed into a plastic "patients clothing" bag. Clothes, shoes and walking stick were all handed over to Liam. I gave my bag including phone, money and other personal effects to a nurse. Only a few minutes passed before a porter came with a bed. I looked up at a clock. It was 7:50am. 

"What time will I be in theatre?" I asked

"The first one usually starts by 8:30am"

In the anaesthetic bay, a young doctor tapped away on my hands, trying to get veins to be visible.

She tapped, tapped, tapped, hands, wrist, elbow. It was too cold and I hadn't eaten. I could see people in theatre, getting ready. Someone asked if I knew how I respond to anaesthetic. My team was in a meeting and there would be a delay......

A man came and said he would give me a sedative because I was tense. And I thought I was doing so well!

It was 8:50am.

.

.

.

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When I woke up the first thing I did was ask for a bed pan. The second first thing I did was ask if my family had been phoned. It was 12:20pm. 

My possessions hadn't arrived yet but they would soon. I dozed a little, sat up, looked at my bandages, looked around. I was getting hungry but I was going to the ward soon, I'd get food up there.

A new patient arrived with uniformed escorts, his leg and wrist cuffed to the bed. It didn't take long for him to wake up and ask for pain killers. He named the drug he wanted. He raised his gown to show off the stab wound on his thigh. I'm not sure who he was showing but he wanted it to be seen.


Snowbrush recently posted about hospitals and in the resulting conversation commented that he hoped I would talk more about the hospital. I don't have much else to say so here we are.

 

19 comments:

  1. You've given me a flashback to when I had my appendix out - being in the anaesthetic bay, the tapping, and then being asked to count to 10 - I think I made it to 3 before being out like a light.
    Such trust we put in doctors and nurses.
    Sx

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    1. We really do trust them. I don't think I have ever passed 3 in a count, it's quick acting stuff!

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  2. Takes me back to my six visits to hospitals for replacement and revisions to my hip joints. I can relate.

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  3. Compelling. Surprising. Witty.

    The tension is palpable as you have your veins tapped, and await your sedative.
    Yet part of you seems calm, in the eye of the storm.
    Then, the blank space marking your operation.

    It is like the space in an e.e. cummings poem: *theys sO alive (who is?)*.

    Feeling hungry after the op ... something I would not have expected.
    The new patient arriving with the police, took me by surprise.
    Displaying his thigh wound is a detail one would find in Helen Garner's droll diaries.

    I hope you are on the road to recovery.
    I am watching Joan Chamorro's Jazz School on YouTube. (From Barcelona.)
    Moody's Mood For Love (beloved of Amy Winehouse) is a good laugh.
    Joan (who plays double base) has a nest of songbirds in his school, talented young women who sing as well as Anita O'Day, and all of them play two or three instruments.

    Avalon Jazz Band (French) are terrific: Sunshine and Si Tu Vois Ma Mere.
    The latter is a homage to Sidney Bechet, a genius who couldn't make a living playing jazz in America.
    Jack Haggerty

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    1. Thanks for the compliments, Jack. My recovery is going well, slowly but surely and we are in lockdown so the things recovery took from me would have been missing anyway (work, socialising, church)

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    2. by the way, the guy with the stab wound was a prisoner from the gaol not far away.

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  4. I don't even remember getting the anaesthetic for my operation. They must have done it so quickly and unobtrusively that I didn't realise what was happening! And I came round from it very easily, no after-effects.

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    1. As it turned out, the first doctor never did get a canula in and the sedation stopped me from remembering the actual anaesthetic

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  5. Last time I went with himself when he was scheduled for surgery we sat in the waiting room for over five hours. We were told to be there at six and it was nearly 12 when they wheeled him away. Your wait sounds shorter, more human, and more humane.

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    1. Last time I had surgery I waited by myself, it was a long wait and I was the last person to go. It doesn't do anything for the nerves!

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    2. It's probably worse whn you are the support person because there's all the tension of the wait for the surgery to start and then when the patient gets to sleep, you wait some more!

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  6. It's always a little tense just before major surgery. I haven't had major surgery but it takes a long time for me to come out of an anesthetic.

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    1. For dental work I need buckets of anaesthetic and then it takes ages to feel normal. We are all different

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  7. Pre-surgery is not fun and the wait make it even less fun.

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    1. I was nervous but at least it didn't last long!

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  8. Most of this is familiar. Heat is now applied here to a patient's arms prior to starting an IV (in order to raise the venins). I'm sure that, in a teaching hospital a doctor might start an IV, I've only had registered nurses do it. And while an anesthetist would come by prior to surgery and ask screening questions pertaining to reactions to anesthetics, these questions would have also been asked a few times before then, including during an appointment with an anesthesiologists days in advance. American hospitals very much believe in asking the same questions again, and again, and again, in order to avoid errors.

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    1. yes, I am familiar with the repetitive questioning! In my understanding we usually would have a pre-op appointment with an anaesthetist. I'm not sure if the routine has permanently changed or if it's a covid precaution.
      I'm pretty sure cannula placement is restricted to doctors here, though I once had one done by a nurse practitioner

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  9. "I'm pretty sure cannula placement is restricted to doctors here..."

    Given the context, I'm going to assume that you meant endotracheal tube. As near as I can gather, an American nurse practitioner can legally intubate people (although not all hospitals allow it), and RNs who work on air ambulances ambulances can also intubate. Given the hell that would have come into a NP's life from intubating you illegally--not to mention the possibility of killing you deader than a door-nail--I can't imagine anyone needlessly jeopardizing their career in such a way, although it is true that I once had a dumb-ass friend who, during his training to be a doctor, had the arrogance to perform a surgery that he hadn't been trained to perform. He might as well had the words SUE ME tattooed on his forehead.

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