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User
Posted 10 Dec 2015 at 22:29

Oh Allison, I can't tell you how relieved I am for you both. Here's to the next 5 years, indeed xxxx

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 10 Dec 2015 at 22:29

Hi Allison,

Neil had to have stents for each kidney due to the disease affecting the ureters. The main reason for this was, in his case, to prevent kidney failiure. At one of the meetings I had with hospital managers, one of the urologists said they had recently evaluated some research in the South west which concluded that if stents were needed, having one inserted was as effective as two, and saved the trauma of both ureters being fitted with the stents. It is usually a fairly minor procedure, but they do need to be fitted properly and checked as they can come out through the penis as happened to Neil. Also, depending on what type of stent, some are only temporary, I think up to six months before they need replacing so  the situation needs monitoring and a plan for the longer term discussed. I think there are also permanent stents which can stay in indefinately, so all considerations to find out from your urologist. Hopefully they will do the procedure sooner rather than later for John,

Best wishes, Fiona x

User
Posted 11 Dec 2015 at 06:45

Dear Allison,

Just to say how relieved I was to read your latest post.
Fingers crossed that the stent(s) work for your John.

I can barely imagine what it must be like living as you both have for the last 5 years.

I hope this latest news gives you and the love of your life a bit of a boost for Christmas.

Best wishes
Sandra

We can't control the winds - but we can adjust our sails
User
Posted 11 Dec 2015 at 18:06
Hi Allison,

So happy to read your positive post. Relieved to see that you can continue stilbestrol and only a minor operation of having a sent fitted can help alleviate some of jons pains- hope you haven't got to wait too long for that to happen.

Have a wonderful xmas with your trully beloved walking miracle.

We've just had next lot of scans today, to be reviewed beginning of Jan. Fingers crossed I'm married to a walking miracle also!

Love Lesley xx

User
Posted 31 Dec 2015 at 15:04

Hi Devonmaid,
I see from FB that there is a problem and J is in hospital - I just wanted to let you know I am thinking of you and all the family xxx

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 01 Jan 2016 at 17:23
Hello all

Finally I have time to update on the events of the last couple of days. Back in early December John's kidney was scanned and it was noted that there were some issues and that the bladder was retaining 370mls of water, that's a fair bit as most people need to empty at 400ml. We received a letter (well a copy of the letter to the GP) saying that he needed to stop anticolergenic medicines at once. No one actually told us of course, so we checked and that knocked out, Bettmiga, Solefenicin and Tamsulsin. John would be called for a cytoscopy but no date given and a routine priority given. After a few days I got a bit mad about this and rang the specialist nurse (by this time John is getting up every 15-20 minutes, day and night). Nurse spoke to the consultant and he said, well let's not bother with the cytoscopy and then possibly do a TURP later, let's just get him in and prepare him for both bit in one procedure. So xmas came and went and John looked awful, lack of sleep being a major issue, but his colour was worrying too. Nothing from the hospital, so I rang again, well the appointment would be end of Jan, early Feb I was told. I was by now frantic and decided that a private consultation would be required. Of course, John didn't want a fuss but I decided he had to see his GP and lo and behold a scan revealed retention of by now at least 1 litre. 3 attempts at inserting a catheter failed at a local clinic, so we were sent to the hospital for them to do it. 6 hours later, 3 more attempts (blood everywhere by now) and umpteen bloody doctors later, they decide to admit him so nil by mouth, had nothing to eat since a tiny lunch and virtually nothing to drink. Gets admitted and nothing gets done, he has a sleepless night (you can imagine). We have been told about ten times that they need to do a surgical intervention and this would require a general anaesthetic. The following afternoon a registrar comes along and says he's taking John down for a local procedure to insert a catheter. I finally flipped. Being furious at the lack of attention and treatment and communication, held in momentarily but I let him go down and had a melt down in the ward. I was so furious at the now 7 attempts to stick a tube up the urethra, where there was so clearly a blockage and they had done a significant amount of damage with their arrogant attempts to avoid surgery. Never mind the agony of a still full bladder.

On return they had tried to put a camera up there but without success, really? There's a surprise. So did a supra pubic catheter. They released 3 litres of urine. I had a major rant at the consultant for the fact that this should have been dealt with weeks ago and the horrendous suffering they had inflicted on John over the last two days. His bag filled up another three times in the next couple of hours, I seriously dread to think of the pain he had been in.

Anyway, he's home now (after waiting 5 hours for meds that never came) and we are now living with the consequences. Last night the bag folded and did not fill, so backed up and it ended up with John on the floor as it emptied and it was full of blood.

I could say more, but I think this has got this partly off my chest. Let's just say I have always been a huge supporter of the NHS but right now I can assure you, the inefficiencies and downright cruelty I have seen over the last few days have made me despair.

Sorry for the massive post and undoubted typos.

Lots of love

Devonmaid

Edited by member 01 Jan 2016 at 17:25  | Reason: Not specified

User
Posted 01 Jan 2016 at 18:08
Allison

you are perfectly entitled to let off steam here, I know how worried you were when we met last week. I just wish I had realsied how bad things were, I would have stayed to give you some moral support.

To make John wait for such a long time when there was a known retention problem, moreover one that was worseining and causing so many unacceptbale issues. The discomfort, pain, sleepless nights for John and the worry and anxiety for you is just terrible.

What followed is simply not acceptable, I know you will take this forward but there is no rush, it can wait while you gather your thoughts together and whilst you get John more settled and stable. That has to be the first priority. In the quieter moments, jot down all the things that happened and what was said and done by whom. If you can recall names include them in your jottings. Try and create a timeline but Don't worry if it is all out of order, just commit it to paper whilst you can. If John is up to it ask for his input too.

If you want to pursue a complaint then write a short note to PALS to tell them you will be lodging an official complaint in the coming weeks.

Once you feel able to, then you can put a formal complaint together. Is there anyone in your medical team that can help you and provide you with some support in doing this?

I know you are probably in an emotional turmoil, fear, anxiety, anger and to some extent a feeling of being helpless. However you are one amazingly capable and resilient Lady. You have had so many things to deal with, including your situation with work, it is hardly surprising you need to get some of it off your chest.

So in the coming days, try and get John as comfortable as you can, if anything looks to be going wrong then call the specialist team, if they do not respond quickly call your Consultant. Your company have indicated that John should be covered on your private medical cover, so if necessary use that to speed reactions up.

I really feel for you Allison, seeing your Man so unwell and getting so little help is unbearable. If there is anything at all I can do to help please message me.

You are very much in my thoughts. Jackie has been asking after you every day and sends her and Alan's best wishes as well

xxxxx

Mo

User
Posted 01 Jan 2016 at 19:01

I'm so sorry that you've had to go all through this Allison.

I hope your John can get a bit more comfortable and get some rest. You too.

What a joke the NHS in all this, and not a funny one at that.

Best wishes

Sandra

We can't control the winds - but we can adjust our sails
User
Posted 01 Jan 2016 at 19:50
Devonmaid

That is quite a horror story and of course totally unacceptable on the part of the NHS.

I had a SPC fitted within minutes of going into retention during an operation. The medical staff were in what I would describe as a controlled panic.

Bit confused about the folded bag. I had a normal leg bag and at night attached a night bag to the leg bag. I then attached the night bag pipe to a catheter strap around my ankle to save anything getting pulled. I also wore pyjama bottoms to keep it all in place.

Hope things start to improve soon.

Thanks Chris

User
Posted 01 Jan 2016 at 20:01

I'm so sorry you have both been through all this over christmas. Chris's story ( above ) made me wince , but this takes the biscuit. Your man is made of steel and he couldn't hope for better than you by his side. I so hope things improve quickly.
Chris

If life gives you lemons , then make lemonade

User
Posted 01 Jan 2016 at 20:48

Allison,

 

I am so angry to read this. Neil and I went through numerous similar scenarios with our local urology service, I had absolutely no trust in them at all, you get to dread the prospect of a loved one needing admission, it simply shouldnt be like that. Do message me if there is anything at all I can do but in the meantime, as ever, I send my love,

 

Fiona. xx

User
Posted 01 Jan 2016 at 21:30
Dear Alison and John,

My heart goes out to you both Mo has given some brilliant advice but it should not happen in this day and and age but we hear it so often when the system fails and patients are treated so badly. I have witnessed it my self on many occasions.

I hope that John is more comfortable and you can rest . Do what you need to do but get your strength back first.

Lots of love

BFN

Julie X

NEVER LAUGH AT A LIVE DRAGON
User
Posted 01 Jan 2016 at 21:45
The night bag was on the floor in a bucket but it folded in on itself. We will leave it in a washing up type bowl tonight and hope that it stays put. John does have leg bags but is using the flip and tap method in the day, the idea is to keep his options open if the consultant thinks there's any chance of a reversal in the future. John doesn't want to keep the bag in the bed at the moment, it's probably a matter of confidence. The future will depend on a review of what's going on down there. Does anyone know how long the bleeding goes on? We have so little information given that it's the bank holiday. I have to ring the supply company tomorrow to get new supplies and it says they can give you a thing to hang the night bag up to save it collapsing or getting twisted.

Im hoping the district nurse comes and checks it all.

Feeling much calmer tonight as John is so much more comfortable, he's been through weeks and weeks of pain and suffering and hardly any sleep, so having the luxury of just lying in bed and resting is a wonderful thing.

Lots of love

Allison

User
Posted 01 Jan 2016 at 21:54

Dear God! All that and they didn't even give you a night stand!!!!

I was so angry for you this evening, I emailed David Cameron to express my disgust - didn't actually name you, obviously :-0

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 01 Jan 2016 at 22:10

Allison what a terrible time you and John have had. I do hope he is now, belatedly, getting some relief. One query I wondered whether they suggested self catherisation at all which would have helped to relieve the pressure. Thinking of you both!

User
Posted 01 Jan 2016 at 22:34

If he has a supra pubic catheter and the bladder, ureters, urethra, etc., have been traumatised by procedures, various degrees of bleeding can be ongoing. Neil's urine was always dark, it just became the norm. He coped well with managing the leg bags and the night bag which rested in a bucket at the side of the bed so any leakage would be contained. Found this much better than a night stand which we  eventually got. I used to empty the bags into a urine bottle then into the toilet then disinfect the whole lot with wipes. The other thing was hygiene round the wound, keeping it clean and preventing infection. Definately get the district nurse involved, ours were very good and we needed to be on their radar in case of emergencies. They and the GP were best for getting catheter supplies except the hospital sent a huge parcel of supplies, most totally useless, what a waste of NHS money. The other thing is to watch the whole thing doesnt block and retain urine which can happen. Most definately needs time to settle down, moving around can also cause bleeding at this stage. You are right, no one tells you anything. Hope you both get some well needed rest right now,

 

Fiona. xx

User
Posted 01 Jan 2016 at 22:56
I'm laughing right now, thank you Lyn, that made me feel much better. The whole thing is unbelievable and I feel my poor man has suffered abuse just to save them doing a small but very necessary operation. Lord knows how much it all cost in the end.

Fiona, thank you so much for your information, there is blood coming down the penis, which must have a small outlet which John has been using for the last number of weeks to pee through. I have the bleach and the disinfectant on hand for every visit. I thought it might be good to have a small bath tomorrow so that he can get clean in the under carriage area, it might help. He says he keeps feeling like he needs to go but the system is working fine. There's a lot of debris coming out too.

Paul, he wouldn't be able to self catheterise as it's impossible to get anything up the urethra, despite the numerous and cruel attempts made by what felt like a legion of doctors. We need to understand what the blockage is (it's the tumour without a doubt) and if it can be dealt with by a TURP. But that's a number of weeks away,at the moment we are simply happy to have a break from all the horrors of the last few weeks.

Lots of love

Allison xxx

User
Posted 01 Jan 2016 at 23:14

Devonmaid

Hard to say how long the bleeding will go on for as me and your OH have had different things done. Mine did stop bleeding within a couple of days. I was initially using the tap on the catheter for about 4 days I was then told to urinate normally through the penis. I did manage to start again but had to revert back to the catheter and bag due to the damage in the urethra. 

If you have got an old wire coat hanger and a pair of pliers you can improvise and make a bag holder. I used to put the stand in a washing up bowl.

As Fiona says keep the wound clean, I got a lecture about not using medicated wipes, after a few days I was quite happy to clean round the area in the shower with unscented soap.

Even some of the RP guys at our hospital were not being given bag stands.

Pleased to hear your are feeling better.

 Thanks Chris

Edited by member 01 Jan 2016 at 23:15  | Reason: Not specified

User
Posted 02 Jan 2016 at 01:11

Hi Allison,

I'm so sorry to hear of the terrible time John has been through in recent weeks and how horrible things have been for you too. 

It's so hard to be with someone you love, when they are suffering so much, and not being able to take their pain away.  When the ones who should be helping (the NHS) are not doing their job you have a perfect right to get angry. 

I think the suggestion that you should make an official complaint is a good idea. 

I hope things improve in the coming weeks, I'll thinking of you both. 

Steve xx

 

User
Posted 02 Jan 2016 at 02:53

Hi Allison,

You sometimes find patients writing to newspapers extolling the treatment they have received on the NHS. Well good luck to them, this is how it should be. However, there are far too many cases (and one is one too many) where as John found, the treatment, attitude and care is deplorable. I think many of us would be prepared to pay a tax that was ring fenced for the NHS to substantially improve the service. It would take time to train all the additional medical staff, update systems and equipment and where necessary change attitudes but needs the will to implement. Instead of this, the threatened strike by junior doctors is still on for 13th Jan as I understand it, - could lead to more cancellations and delays - wrong direction.

Hope John is properly sorted soon.

Barry
 
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