Heart attack

Showing posts with label nurse. Show all posts
Showing posts with label nurse. Show all posts

Monday, July 30, 2018

Windy and Wet

Saturday. Most of the day it's been sunny, but it's actually a good deal cooler. We've had wind and as I write this blog post, it's raining. Certainly it's a good deal more bearable than it has been for the past couple of weeks. We've gone from scorching hot to wind and rain in a mere few hours. It just goes to show how weather changes so rapidly in such a short space of time in England. Mind you, it must be frustrating for some people, who've just started their summer holidays. You've waited months and months, booked your holiday, it's been hot and sunny for weeks on end, you haven't been able to enjoy it because your either at work, school or college, then, no sooner have you broken up for the summer, than the weather changes completely, rain, wind, cold and miserable. Annoying, to say the least.

Around 10.15 the telephone rings. I think, O.K., that will be our landlord. I rush to the telephone. We don't get that many telephone calls, not on the landline telephone. It's a woman's voice, not the landlord, or this wife. I don't recognise the voice. It's the nurse who's coming to give Carol the antibiotics. She's outside the house, in her car. She asks, have we got a dog? I say, yes, she says, can the dog be put in another room? I say yes. I manage to get Alfie into the kitchen and shut the door so he can't get into the sitting room.  I open the front door and look out and see a car drawn up across the entrance to our drive. I see there is someone inside, sitting in the driver's seat. She waves at me. It's the nurse. She gets out of the car and comes towards the house and comes inside. She introduces herself and then says hello to Carol and me. She sits on my armchair and I sit on the footstool near the bookcase. Carol is on the sofa. She has to do an assessment. She has to ask no end of questions before she can proceed with the antibiotics. I have to find a coat hanger. I have no idea what it's for, so I go upstairs to our bedroom and find a wire one in the wardrobe and come back downstairs to the sitting room. The nurse goes through the bags of medication and the boxes of things that we were given when we left Ward 22.

Alfie doesn't much like being shut in the kitchen. He scratches on the door between the sitting room and the kitchen. The nurse says she is scared of dogs, that's why she had to make sure our dog, poor little Alfie, was out of the way, in another room, with the door shut. I can understand not everyone likes dogs. They don't have to like them. I think she must have had a nasty experience with a dog or dogs, sometime in her past. Perhaps she was bitten. I don't know and I don't ask. I can imagine you might encounter plenty of dogs when you are doing her sort of job, going to people's homes. Rather like I used to do when I worked for Guardian as a home carer. Infact, the manager of the operation used to do similar assessments of the 'end-users' or 'clients' as we called them, to make sure they were getting the best care packages that the agency could give, no doubt more likely, for the budget they were given.

The nurse used the coat hanger for a drip, putting a plastic bottle of saline solution on it and then hung from the light shade which is conveniently above where Carol was sitting, connected to a clear plastic tube that is then connected to the P.I.C.C. line in Carol's arm. It takes about 15 minutes to run. This has to be done before the antibiotics can be injected using a hypodermic. Once this is done, everything is packed up. We were given a yellow 'sharps' bucket which all sharp objects, such a s used hypodermic needles are placed after use. The whole visit lasted around 45-50 minutes. All very efficient and organised. I have to go upstairs and bring down one of the drawers from the unit Carol bought for all her stoma equipment which is in the bathroom, between the toilet and the sink. Downstairs the nurse puts much of the stuff she will be using when she visits in it and then it's put on the red IKEA table we have between the sofa and my armchair. The nurse fills in all the paperwork which goes with the visit, much like I had to do when I'd finished a 'call' when I worked for Guardian Homecare. The visit is then over and the nurse leaves.

Sunday. It's raining. Thank goodness it's not so hot. Considerably cooler. The rain will revive the grass around here. It was the first thing Carol commented on when we left the hospital on Friday evening. All along the sides of the grid roads around Milton Keynes the grass has become just brown and shrivelled, dried up by the sun. How quickly will it return to green? Probably not long. Alfie is expecting to be taken for a walk, but at 7 o'clock in the morning Carol is fast asleep upstairs and I don't want him making a noise as he's likely to if I even hint at getting ready to go out for a walk. It will just wake her up. We can go out later, when I get back from church.

When I get back from Shenley Christian Fellowship at around 11.15, Carol is still waiting for the nurse to come for the daily visit and give her the antibiotics. Alfie is already shut in the kitchen. He obviously doesn't like it. He scratches on the door. The nurse (I'm not sure she isn't a  District Nurse. She obviously does the job of one, or perhaps she's called a Community Nurse. It's not the same one who came yesterday morning. They are scheduled to come between 11.30 and 1.00 p.m., or thereabouts. She's here not as long as yesterday, basically because she hasn't got to do the assessment. It's over within about 30 minutes.

Thursday, April 16, 2015

Doctor's Appointment

I went to Ashfield Medical Centre yesterday morning, arriving outside at around 7.45, having taken Carol to Tesco's in Oldbrook to buy sandwiches and other items for lunch as she can't seem to be able to get a decent snack for her lunch at The Academy. Another story for another day. It's been really pleasant and sunny for the past few days. There are a few other people ahead of me in the queue and soon quite a few draw up in their cars and join behind me. People seem to make a point of not giving any sort of eye-contact with anyone else and seem content to be plugged in with ear-phones to either their mobile phones or iPods or peering at their micro-screens rather than make any sort of conversation. It seems sad that that is the way society is going, no sort of human contact with a real person rather than with a gadget of some sort. The queue shuffles forward and eventually the doors to the surgery opens and we move inside. I manage to reach the reception desk and make an appointment to see Doctor Haye at 5 this afternoon. I return home and spent some time cutting the grass with the Flymo. It takes a good deal longer than it needs to complete the job. The length of the grass doesn't help, neither does the fact that the grass is slightly wet. Last year we didn't cut the grass for quite a while and it got so long it began to seed and it was a real jungle. When we let the dogs out they were barely visible. It is no good allowing the grass to get to that length so it's best to keep it short. Also, the uneven nature of the ground doesn't exactly make life easy, but doing the job in stages means I can complete the entire job over the course of the week. It's a very strenuous work and after a while I get some pain in my chest and arrms so I leave off and wind up the cable and put the machine back in the shed for next time.

I eventually make my way to the surgery for my appointment for 5, arriving at around 4.45. I find it's best to get there a good ten minutes before the allotted appointment as you can sometimes be seen before your set time if the surgery is running to schedule or another patient doesn't turn up on time. There aren't too many people waiting when I arrive so it seemed a good idea as well as being able to get through the traffic. You have to drive through the roundabout on Standing way which can become quite difficult if there is a really heavy amount of traffic. Fortunately this evening it wasn't too bad as it was before the usual going-home sort of time. Also, the weather was sunny and bright, no rain or other weather conditions bad enough to make driving hazardous.

My appointment eventually comes up on the digital display at around 5.10. Never mind the wait and my sitting and observing other people coming and going is useful for character-development for my creative writing. I go into the surgery. I have managed to make a list of things I need to discuss with the doctor. I have also managed to make a longer appointment as you are kindly told to make longer appointment with the doctors if you have more than one thing you need to discuss. Fair point when you consider that the appointments are supposed to be only ten minutes or so. One thing I needed to bring up was last week, when I was coughing on a regular basis, was when I was getting a pain in my chest, something like an angina attack. I can become difficult as you can imagine, having experienced a heart attack. Sometimes it can be very difficult to differentiate between 1- the symptoms of a heart attack 2- an angina attack and 3- a indigestion attack or 'heart-burn.' These there are very similar. having spent a few days coughing, and it has been a v very dry cough with nothing to actually cough our, there was no phlem to cough out, this coughing seemed to be responsible for the chest-pain. I cannot take certain cough remedies and have to be careful as some can interact with my medication. I have been taking one linctus which we bough over the counter in Sainsbury's pharmacy a few days previously. Also, merely sucking some sort of sweet or medicated confection which helps relieve the annoying tickling cough which usually develops when I lie down at night. Anyway, this chest-pain got really bad last weekend and into Monday when we went out for the day to visit Basildon Park. It concerns me to some extent that this is going to be a heart attack, and at one point I had to lie down until the discomfort in my chest subsides. I mention this to Carol, who had been coughing herself and had to spent time in bed because she wasn't feeling well herself. The discomfort I was experiencing gradually went off but as I had to visit the doctor anyway I decided to mention it to him. He listened to my chest and did a blood-pressure test and assured me that there was no problem with my heart. Certainly no chance of a heart attack coming on but I was glad that it wasn't serious. Not a good idea to ignore anything like I'd experienced. I had taken one or two of my isoborbide mononitrate tablets when the pain hadn't gone off last week. I had been prescribed this medication some while ago when I'd had fairly severe angina attacks and had to go into hospital. Up until then I had always used  a glycerol trinittrate spray which I had been given on prescription from the time of my original heart attack back in 2006, but I'd stopped having one for such times as I had an angina attack a couple of years ago.  When ever a bad angina attack happens you merely spray a short amount from the little bottle under your tongue and the pain is reduced. It does work, but I will keep this new bottle or spray in my medications box in case of emergencies. But now I was given a prescription to have a new one which I can use when and if another such angina attack comes on again. The doctor prints out my prescriptions and I leave the surgery and then go into Cox and Robinson's pharmacy which is conveniently located a short walk from the surgery. Within around 10 minutes they have made up my prescription and I leave and drive home.

I have been watching a really brilliant series on BBC2. Well, I have been downloading the episodes on iPlayer, so not actually 'on-air' as it's transmitted or recorded on our Sky+ box. The series is called 'Nurse' and stars Paul Whitehouse and Esther Coles who plays a community psychiatric nurse called Liz and we see her visiting her N.H.S, patients or to be politically correct 'service users.' Puts me very much in mind of my own work as a home carer as well as doing work with those with learning disabilities. We had to refer to our people we worked with as either 'clients' or 'service users,' both of which, to me are really clunky and sound peculiar. 'End-user' is another term I have come across which is even worse. I suppose it come from the Thatcher era when everyone and everything had a cost, had a monetary value when things were being privatised. Anyway, she visits a wide selection of different people in their homes who have mental health problems and is not what you'd describe as a 'bundle of laughs.' I don't think it's supposed to be a comedy in the loose meaning of the term 'comedy' but it has a much deeper meaning and purpose than a lot of what is put out on television but it's all the better that it gives a glimpse of this sort of work and makes the viewer think about mental health in a new way. What I am coming to is that when I arrived in the pharmacy having got my prescription from the doctor a few minutes previously, there was a young man in there at the counter who could have stepped out of one of those 'Nurse' episodes. He seemed to be dressed exactly like one of Nurse Liz's service users and even spoke like one of them. I think it made it seem more relevant this television series has been and how very well developed the characters have been. If you haven't seen this I can recommend it but don't expect a whole load of laughs although it does have a certain amount of humour in it, but in my opinion it isn't always the 'laugh-out-loud' comedy which works best but the work that makes you think that is often the best.

Friday, November 07, 2014

Doctor's Surgery Appointments and Weird People

I have had a nurse's appointment booked for today a week or two ago at Ashfield Medical Centre. I went with Carol on the Monday of Half Term and was seen by the doctor who wanted me to have a blood test so I had made this appointment then. Carol needed her own appointment today so we got to the surgery at around 7.45 and queued up. The weather was building up. It had been raining earlier but as we stood and waited it was fortunately dry but the clouds were threatening rain. She was able to get her own appointment fairly quickly. As I've mentioned in earlier posts, there is the option to ring in after 8 a.m. for an appointment but you will never have any sort of guarantee that you will actually get through and then get seen that day.  My nurse's appointment was supposed to be at 8.20, but I didn't actually go into the nurse's room until around 8.35. It gave me plenty of time to observe the people waiting in the surgery and queuing up. A lady with some young children with her was just before us outside in the queue before 8. The little girl with her had a scruffy dolly with her and was running around full of energy. The two older boys seemed to do their best to try and ignore her or to at least appear that they weren't anything to do with them. A bit difficult. I think the little girl must have been quite a handful. Most certainly a very demanding little thing. Once we'd sat down in the waiting area the little girl was causing her mother further grief, running around and demanding attention, but not in an unpleasant way. They went off to the doctor when their name came up on he digital screen. When they came back several minutes later the little girl was wearing her mother's wooly hat and proceeded to slide up and down the shiny floor. The mum told her to get up in a commanding voice which lead to the child screaming loudly. They then sat in the waiting area, supposedly to see a nurse or get the results of a test or something.

A somewhat belligerent man came in. Short, stocky, Scottish accent. Went up to the lady on the reception desk and demanded to get an appointment. All at the top of his voice so everyone could hear. If he'd got to the surgery before 8 as we had done he might have been able to get the appointment he wanted (from what I heard, it was for his son who was at work.) I was very impressed by how the lady on reception handled it. The gentleman left, but I'm not sure whether he got his appointment or not, but he was in a far calmer mood than when he came in.

Another odd person wandered into the surgery while we sat and waited. A woman who looked drugged up to the eyeballs. She was dressed in a fleecy dressing gown, tied tightly around the waste and wearing slippers. It looked as if she had just got out of bed and had wandered outside, got lost and turned up in the doctor's reception area. I don't know whether she went in to see a doctor, whether she signed in (incidentally, the automated signing-in computer which is on the wall beside the reception area, was out of order. You had to sign in with either of the two ladies who were on reception.) but she hung around for a while.  Perhaps she wandered back out when I went in for my appointment with the nurse. Anyway, whatever she was there for, if indeed she was there for anything, perhaps to get out of the rain, she wasn't dressed appropriately. Certainly not for a rainy day. And where do all these odd people come from? At one point she went over to the window near the door and leant against the glass, putting her head on her hands. I couldn't tell whether she was tired, just resting there and waiting, thinking whether to stay where she was, or walk out. Just seemed a very odd sort of pose, but considering her odd attire, it might not have appeared quite so odd. 

Carol went in to the doctor's surgery when her name came up and I remained sitting in the waiting area for mine to come up to see the nurse. Then this weird gentleman came in. He was tall, around sixty five, bald, about 5ft 8in tall,  and slim. He had darting eyes. You really didn't want to give him any sort of eye contact. I didn't hear him talk or make any sort of noise. Just had a strange sort of body language. He had a carrier bag with him and came towards me, and moved the chair next to mine several feet away from me.  Why? What had I done wrong? Did he just not like sitting near other people? More likely other people didn't want to sit near him. He gave me a strange look. He had on a sort of wet-weather jacket, sort of zipped up and with a high neck. Also what looked like a bicycle lock on a chain and worn round his neck, so I assumed he had arrived on a bicycle. He then proceeded to sort out the items in his supermarket carrier bag which included a bunch of pink flowers and one of those folding umbrellas, black and glistening with raindrops. I didn't give him eye contact, but from what I could see from the corner of my eye he kept rearranging the items in the carrier bag. He then went up to the girl on the reception desk and was given another carrier bag or something like one and then went back to his chair and started sorting the items from the supermarket carrier into this new bag. 

My name then came up on the digital display and went into the nurse's room. I'm never sure exactly which room to go to as there is a long corridor with doors with 'Nurse's Room' with numbers on, but the one I wanted was the last one along the corridor. I had my blood taken, laying on the couch as I'm prone to passing out, or have done in the past as I have explained in earlier posts on here. Then I had an E.C.G. which I haven't had for quite a while. All present and correct and then left to wait in the waiting room. By now Carol was back, having seen the doctor and having been given two prescriptions for medication. She had been to the pharmacy next door to have the prescriptions made up but it wasn't open so we will have to go back later.

She told me, when we got into the car, that the 'weird gentleman' was behaving very strangely when I had been with the nurse. Apparently he had sat next to her and had sat on the small table in the corner where I had sat earlier and had tried to sit on her lap. Sounds very odd to me. Where was he from? Some mental unit, such as the Campbell Centre, which is within the grounds of the hospital and not far from where we live. I expect the staff in the medical centre are used to him and are aware of his odd behaviour, or at least I hope so. Could put you off if you were to encounter him. Carol told me he went off on his bicycle and had the bunch of flowers sticking out of his saddle bag, and with his umbrella up. Not sure whether he held it over himself as he rode along, but it would seem a bit difficult to ride a bicyle and hold up an umbrella. Weird. We were just glad to get away from the medical centre and to not be in the centre of some outing from some mental institution.

Later on, around 5.30 or so, I had a telephone call from the surgery to say that the doctor had requested me to come for a routing appointment, which has been made for 25th November. Nothing serious, just to get feedback no doubt from the tests that will supposedly be done by then.