More Tales from the Ward…

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New challenges, old problems, familiar faces

Chapter 35: The return

Three and a half months after being kicked out of rehab I’ve arrived back in the clink.

This one though is a specialist Neuro centre, where positive reinforcement helps even the most afflicted.

Stroke victims, people with brain injury and others with yet to be diagnosed odd things.
I’m reunited with quadriplegia who’s been taking her first tentative steps.

As we meet I eye the can of Pepsi she’s drinking and able to hold by hand.
My first words: You can cut that shit out.

Good to see you too sweetheart, comes the reply.

It’s good to see her up right and able to move rather than flat on her back feeling nothing.

The rehab centre not only makes sure she gets out of bed, she’s been allowed out the building to a rock concert and even a few bars. Not that they’re encouraging her to drink, she doesn’t.

It’s cold now and dark early. Sun’s up gone seven and down just after four. Winter is upon us, and up north there is snow and frost. Actually everything’s been cold since ambient average temperatures dropped below 25 degrees as far as I’m concerned.

It genuinely is freezing and I’m wearing leg warmers for the first time in 30-odd years.

Facebook is trending the best Xmas ad and it’s not even December.

The food looks similar to the other hospital, though there’s a supermarket across the road just in case.

There are four branches of wards all leading off from the central reception. It’s not quite Prisoner Cell Block H. But I can’t help thinking Open Prison and doors to the outside are in fact locked. Actually I can’t even get out of my wing. My unit is secure.

I’m in the complex care section and my room is on the quiet side.
I can still hear Mitchell shouting from the other.

 Chapter 36: The United Nations of nursing

Good job I’m not a racist or Brexiteer. Don’t think I’d be able to cope.
One week here and so far I’ve met:
From Africa: 1 Nigerian 2 Ghanians 1 South African 1 Cameroonian 1 Moroccan 1 Mauritian
From Europe: 2 Poles 2 Romanians 2 Lithuanians 1 Latvian 2 Greek 2 Spaniards
From Asia: numerous Filipina
The Brits are most definitely in the minority here.

I am of course aiming to be fluent in several other languages by the time I leave 😊
Mastering the basics of course is just the start.
So in no particular order and spelling definitely incorrect:
Thank you
Achòo (Lithuania)
Mee dasi(Ghana)
Salamat P.o (Philippines)
Nkosi (Xhosa)
Ashima (Nigerian)

Polish I have no idea but I’m sure there will be a combination of consonants including a Z.

My daily ritual up at 7 breakfast at 8.30 the first of two physio sessions.
In the morning it begins with stretching and then improving muscle strength. There is no CAN’T only TRY. The attitude of the staff is only to give positive reinforcement not chastise when a patient says something negative.

It’s polar opposite to how I’m perceived in the state health system.

Yesterday I watched as a stroke patient refused to work any more because his leg hurt. Was it really hurt or just tired? Even the patient wasnt sure. They listened and distracted him sufficiently to then suggest he work again which he did without complaint.
The attention is constant and detailed.

Therapy is not just physical but also psychological.

I find threatening the physio with violence motivational, but generally just met with laughter.

Later in the day I have occupational therapy to strengthen my arm and work on the fingers of my left hand. My index finger is mostly curled making pen holding almost impossible.

We spend about 20 minutes on this finger alone aiming to stretch it to its full length and extent my entire palm. It’s tough and I wonder if it’s worth it but the following morning my hand and fingers are straighter.
Now to repeat several times a day every day.

Chapter 37: New characters old problems

Noelle had tried to commit suicide by gassing herself.

The build up of carbon monoxide in her blood failed to kill her thankfully but left her partially paraplegic. She can stand, lucky her, with encouragement, but is full of anxieties.

A perceived sleight when things don’t go quite to plan often results in a childlike meltdown and tears.

Reassurance is needed. Often.

Her husband has taken her credit card. Liberal spending on Amazon was becoming expensive.
But she gets it.

Steph’ s ok she declares. (Phew) She’s one of the few non crazies here.

Top of the driving every one else crazy is Mitchell. Constantly pleading: let me out of here!
But to look at him it’s hard to know if this is a request to escape the ward or escape the body he’s now trapped in.

His speech is slurred I guess from a stroke and it’s quite hard to understand him. He seems acutely frustrated. Why is he now in a wheelchair and not able to communicate well?

Perhaps, in true British style when addressing foreigners, he’s thinking: If I say it loud enough long enough people will understand me.
Why do they just tell me to shut up?

At lunch he takes a few mouthfuls, claims he’s no longer hungry and wants to return to his room. In the next moment demands he wants to eat again.

Cliff is not allowed seconds. He’s very over weight with a 9-month belly and has been told he must lose the excess kilos. He is another of Carol’s husbands who responds to ‘how are you?’ With ‘same shit different day’.

I know that feeling. He’s also in a chair, the result of a stroke brought on after watching a football match. He can’t remember who was playing or who won.

Chapter 38: Physio

I’m sure Djokic is happy the bean bags I’m throwing at him are soft and not made of brick.
He seems amused by the fact I’m aiming for his head.

Is he really just a sadist masquerading as an Occupational Therapist or just someone who enjoys the challenge of trying to piss me off.
Oh wait, isn’t that the same thing?

He grows quiet when I mockingly suggest he has a darker past. Is that because he does, or that maybe he doesn’t share my sense of humour? Maybe it really isn’t funny? Jokes don’t translate well, I find.

Anyway, I’m throwing the damn things as far as I can – and that’s with my good arm.
I’ve never had the speed of a baseball pitcher and the bags are barely aerodynamic so there’s a cat in hell’s chance of me making contact.

Plus he artfully steps out the way and out of range of the soft touch slow-moving missile.
The smirk on his face as I screw mine up in frustration just makes things worse.

After this there’s the bending forward in my chair to see how far I go before I face plant exercise.
I swallow my desire to call him an utter bastard because I know that will only make him laugh.

Then we do the same thing going backwards. I’m meant to pull myself forward using my stomach muscles. His response to my protests of: ‘I’m not a frickin limbo dancer’ as my spine bends back almost at 90 degrees are simple: Go on you can do it.

Not. Effing. Helping.

You can help me by donating and sharing my story. Please go to: #youcaring.com/savestephaniescawen

 

Tales from the Ward Chapter 34:

Confessions

Forgive me Father, for I have sinned.

I’m no Catholic, but when you’re lying on your bed, with a guy trying to place your knee to your chest, and you’re unable to think of a single swear word, let alone say one, you know you’re in trouble.

And as anyone who knows me can confirm: I can make a sailor blush, so it must be bad 🙂

Yesterday I spent a stupid amount of money for what can only be described as an hour of cruel and unusual punishment.  Sixty minutes of virtually unrelenting pain as my otherwise wonderful physio contorted my limbs into positions they really did not want to go.

Torture, in case you’re wondering, is defined as an act of inflicting excruciating pain. I think come visit me on a Saturday afternoon and see it inflicted on someone who’s actually paying for it.

And trust me, when I tell you I ain’t got no BDSM fetish.

When I was a gym bunny the only point of exercise, I used to say, was to do the stretching after. Teasing out the muscle fibres and detaching them from themselves and all of the connective tissue in between.

Stretching’s more important now as my muscles get quite tense and inflexible. And I need their ability to expand and release if I’m to regain my ability to stand.

At this moment poking my eyes out with sharp sticks would be a more preferable form of pain management than forcing my bent legs straight.

A good analogy would be thinking of an envelope that’s been sealed with a super-glue that’s gone cold and become inflexible, and then trying to open it without tearing or ripping.

The fibres of my muscles are the envelope’s edges tightly sealed. And they sting when touched, even lightly.

Each stretch results in a minuscule tear separating the fibres from the glue. It’s been over six months since any physio-terrorist did this.

I’m trying not to scream, but tears are streaming down my face and I’m struggling for breath. If this was real torture I would have passed out some minutes ago.

The conversation goes a bit like this:

Ok, bit further, bit further, argh *&@##!!

A sailor blushes.

Sound of deep breaths

Again

And repeat.

Several times.

Until finally: No stop, I can’t take it anymore. I’ll sign anything. Give me a pen, I did it, It’s my fault. I confess.

Very well. Your signature here please and that will be £80.

Same time next week? 🙂

youcaring.com/savestephaniescawen

 

 

 

Tall stories and goodbyes…more from the ward

Chapter 24: Canterbury Tales

There’s a new kid on the block. From the town not too far away. Married at 18 for 72 years to Dorothy who died earlier this year. Three children and countless grandchildren and god knows how many great grand kids.

You can’t keep up in the end, says Joan. Every Christmas it seems there’s another one. Of course you love them but you think surely not more.

My new lunch partner has had a stroke but he seems sprightly enough.

He tells us stories of being stationed in Inverness when he was in the army.

After the war he worked in a local print works in the typesetting department.

He says he can’t see very well anymore but he can see the lettering on the ketchup sachet without too much problem.

I used to set 5pt print.

Wow, I say, that’s tiny, thinking back to my very first job in newspapers 30 odd years ago when typewriters, blacks and setters were king.

And then Murdoch’s fight with the printers a few years later.

All single lettering, he says.
No block set words? I ask.

Oh no.

I can only use a computer now, I say.

I’m not sure of his name and feel too embarrassed to ask. I can’t see his wrist band so finally I ask.

What’s your name?

Jeffrey like Chaucer

Oh, can you write like him? I joke

No, but I can tell a damn good tale.

 Chapter 25:Departure hall

Into God’s waiting room at the nursing home went Marjorie 91.

She’d become increasingly confused after being told she was going to a new home.

Trying to get up in the middle of the night. She’d wake me calling for help but I chose to ignore her. She wasn’t really my problem, and besides I wouldn’t be going with her.

I tried explaining that she was changing homes, but to try tell her she wasn’t going home to her daughter Gillian’s was too complicated.

She was exhausting and I tried to steer clear in the last few days.

How she didn’t fall I don’t know.

She keeps crying fearing she has hurt someone.

Gillian tells me she and her husband can’t cope any more.

He won’t come to see her. My daughters will only come every now and again.
We want to go away for few days. I feel terrible but a nursing home is best for all of us.

The care assistants ask her if she needs the toilet after finally answering her calls for help.

I don’t know. I’ll do what you want.

No Marjorie we’ll help you do what you want. So what do you want?

I don’t know. I might need the toilet.

Shall we go then?

Ok if you say so.

Then later I’d hear the rapid clank of her walking frame as she climbs out of bed and is half way to the loo before anyone notices.

I could have called out, but again when and why should I take on the responsibility of looking after someone I happen to share the same bed space with?

Betty had gone the day before. Now her daughters were back from vacation there was no reason to keep her in.

At night she’d be in a snore-fest with Joan, the pair snorting a duet loud enough to wake the dead.

Then competing in a choke-cough off also with Joan. I tried to guess which of the pair might expire first. Betty choking on her lungs or Joan coughing them up.

There was no point waking them to tell them to be quiet.

It would be dawn soon.

 

Tales from the Ward: Kittens and the SheWee

 Chapter 21: Kittens in the bed clothes

I could tell I wasn’t going to get much sleep when I saw Joan talking to someone.
What’s that Joan i ask.
Oh just talking to my son.
I don’t know whether to tell her she’s hallucinating.
But I don’t. Is that unkind of me?
She’s swapped beds with Sheila because she’s been getting out of bed and falling and the nurses want to keep a closer eye on her.
I ask one of the nurses why have you dumped a ranting jumper on me?
Well that’s better than a jumping ranter comes the reply.
I paused thinking.
Well yes maybe.
Joan is rummaging around with the sheets on her bed.
What’s up now?
There’s an animal in my bed. I think it’s a kitten.
Well a kitten won’t hurt you I say trying to reassure her. It’s probably trying to find somewhere warm and safe to sleep.
Oh I don’t mind cats. It’s snakes I wouldn’t want in my bed.
Neither would I but there aren’t any big snakes in England.
I thought of the 1 metre cobra that lived around my condo in Malaysia.
Last seen after consuming a full litter of six Persian greys over the course of a week. One kitten a day.
I decided not to tell her that bit.

Chapter 22: Conversations in the night time

I now know the names of Joan’s children.

Darren is the naughty one – the frequent subject of admonition for bad behaviour.
Then there’s a Michael and a John.

Sometimes you can hear the anger on her voice. Others It’s pleading: please don’t do that.

She’s apparently recalling moments from a long forgotten past.
But why?

Is it because she’s sad at how life has turned out or because it was a serious or dangerous incident?

Or because she feels like she’s failed her kids or her kids have failed her?

Impossible to know. She certainly won’t know if I ask her now.
Then shouting: sorry for waking you all up.
I think you haven’t given me the chance to get to sleep yet.
Finally at about 4am she passes out.

After the day shift starts Joan is still unconscious. Her mouth is wide open.
I joke with the nurses asking if they can apply a gag tonight.
No, they say.

Good job I can’t get out of bed independently then to do it myself.
Yes just as well.

How how about me practicing my hand eye coordination with the Velcro balls I use in the gym ‘dart board’? I’m eyeing Joan’s mouth as the goal.

We all laugh and we are being horribly cruel to joke at Joan’s expense. Her condition is not her fault.
If she is diagnosed with dementia she’s not alone.

Our gallows humour is our way of coping faced with the prospect of a similar fate in future.
That intangible thing life has designed we can’t pre-determine to preserve our reason for being and our sanity.

Rates of dementia in the UK are skyrocketing as elsewhere in the world. The projected figures of dementia sufferers in the next decade are horrifying.

And it’s more than obvious more money needs to be pumped into the creaking health system now to cope with the care needs of today.

Let alone tomorrow.

 Chapter 23: Defying gravity

You may know the Space Shuttle burned almost two million litres of liquid hydrogen and oxygen to escape the gravitational pull of the earth.

Creating over five million Newtons’ of force.

I don’t actually understand this, and I was rubbish at physics in school but the numbers alone suggest a bucket load of pushing power that anyone might need to pee uphill.

Essentially though one big controlled explosion.

This afternoon I was lying on my back with a She Wee shoved between my legs in a serious discussion with my physio practitioners Veronica and Jessie as to whether this was even a possibility.

As I looked down towards my groin all I could see was the plastic extension tube from my She Wee pointing skyward. Much like an erect thin pink penis.

You can have a purple one if you prefer, or Nato Green and even Desert Sand, though for some reason I’m reminded of Norman Schwarzkopf and Gulf War One, not exactly conducive for taking a leak.

We’re trying to find ways I can safely pee at night at home without getting out of bed while I’m still recovering from the MS attack which has stopped me weight bearing on my legs and transferring from bed to chair and onto toilet.

(Two weeks of enforced bed rest hasn’t helped me either, thank you NHS)

I’m laughing so much at even the prospect of trying I might even piss myself. Which of course would prove the point either way I suppose.

Music festival goers, campers and general outdoorsy ladies will already be familiar with this bit of kit.
I’ve used it on safari in Kenya too.

Obviously meant to be used standing up, the idea is that in my current reality I’d roll onto my side and place the She Wee between my legs and point the extension tube aka the pink penis into a bag containing little moisture absorbing capsules that turn liquid into solid jelly.

No leaks, no liquid, no wet sheets. No risk of infection or bed sores.

The aim: to stay dry till morning when the carers come again.

The care system dictates carers can only come up to 4x a day morning, lunchtime, afternoon, evening and not overnight.

So what to do when you pee at night and not much during the day like I do? Necessity being the mother of all invention…

I tried on my side. I tried on my back. I just tried.

But on earth pee can only go one way.

Real world testing shows Newton’s laws can be broken if you are piloting the Space Shuttle into outer space.

And I personally am not about to stick a rocket up my ass to prove him wrong.

She Wee test experiment 0 Newton’s laws of gravity 1
😂

Tales from the ward: Ch..ch..ch..ch..changes,

 Chapter Sixteen: Changing Rooms.

I’ve been moved to a shared room. Maybe to keep the geriatrics entertained but it’s a tough crowd when the three ladies are either asleep or semi comatose.

Next to me is Betty, who I met at lunch. She’s unconscious, but her shirt has changed since then. Victim to the fruit crumble and custard she’d had for dessert.

Opposite me is Sheila, born in 1932, reading a magazine but keeping a close eye on the activity or lack of it on the bay.

To her right is Marjorie, who is 91, and won’t have anyone else tell her otherwise.

But she’s afraid, in fear for her life because there are men on this ward. She wants reassurance from me not that I can give it.

Nò men can come on this ward. You’re perfectly safe. Nò harm will come to you.
All I can think of was Carol’s husband and Stick Man.

I’m deaf she tells me. I can barely hear her so I shuffle closer.
I’m deaf, she repeats. Don’t worry I can’t hear.

There are some men on this ward but they’re in a separate area, I enthuse, just as a male porter comes in to change the bins.

People aren’t nice to me she continues. They say I talk in my sleep all night. But I can’t do that.
Oh yes you can , I thought. Nò more peaceful night’s sleep for me.

And there’d be no late night tv to lull me to sleep anyway. I was at the wrong end of the ward and Betty had drawn the curtains across and muted the sound.

Then Carol’s husband called out.

Chapter 17: Salt and Pepper.

Today I meet the Grandee of rehab. Marjorie who’s 99 with her hundredth coming up on Feb 6 next year.
Never met anyone twice the age of me before.

Shes got an untidy mop of white hair and felt slippers on her feet. Her beige cardigan jacket is neatly buttoned.

Marjorie’s only here because she cracked a few ribs but she still speeds her way into the dining room like a woman possessed.

I’m not sure I’d want to be a passenger in her car judging by the way she steers her walking frame.

People tell me at my age I should try to slow down but why should I? She questions.
I like to be independent.
You and me both, I think.

We’re sitting in the dining room with Sheila and Betty for lunch. There are wet wipes to clean your hands but I’ve long since given up trying to open the foil sachets they come wrapped in.

Marjorie grabs it and with one easy swipe it’s open.

She beams looking for approval. I’m seriously impressed. Her omelette and beans is the first to arrive.

While one of the nurses is squeezing open the ketchup Marjorie has grabbed the salt and pepper sachets. They too are ripped open and spread liberally over her food.

I’ve been age shamed. A woman twice my age acting like she was half mine and more.

As Betty fights with her mash Marjorie leans over to help her. It’s touching to see a woman of almost 100 mother another of 80.

How many grandchildren do you have, I ask her.

Oh, I can’t quite remember that, there are too many, but I’ve got 4 great grandchildren, a couple of great great grandchildren, and one great great great child who’s just one month old.

Five generations in less than 100 years.

I pour glasses of water and we all pretend they contain whisky or gin. Cheers , she says raising a glass in toast.

What are you doing for your 100th birthday Marjorie, I ask.

Having a party of course. Will you come?

Chapter 18: I must go down to the sea again. The lonely sea and the sky.

Two more ladies to talk to.

Emily has just had the toes of her left foot amputated after they went black. I tell her about the mother of a friend who also lost her toes but got walking again after some physio.

She wants to go home but social services need to find her carers, which they can’t right now. So she’s stuck here with me and Marjorie 99.

Opposite is Audrey who fell trying to catch a spider in the bath room that her husband’s carer was too afraid to catch.

The beast was on the ceiling and as she reached up to stick it in a pot she lost her balance and fell breaking her hip.

Her husband has dementia, so he can’t look after her. So she too is stuck here waiting for help.

Marjorie spots the dolphin pendant hanging round my neck. What’s that, she asks.
Any opportunity to talk about the sea.

Dolphins. Sharks.

Weren’t you scared? No.

I couldn’t do that.
Where have you been?

Oh the Philippines, Maldives, Tahiti. All over.
Oh, amazing.

I worked on a dive boat in Tahiti. As a guide.
Incredible.

Have you travelled a lot ? asks Emily, who’s never left the UK.
Yes.

And I want to again.

Well you must. You must get better, so when we leave we can imagine where you’ll be.
Where should I go then?

Oh anywhere. How about South America?
Better start planning

Chapter 19: Exit plans.

Today marks exactly four weeks since I’ve been in rehab and I’m starting to feel I’m making progress.
I can get out of bed so my feet are on the floor ok.

I can use the slidy board to slide over to my chair.

And I’m mastering the machine bizarrely called the Sara Steady which I just think is the silly stand because it seems so silly that it’s so bloody hard to use (And I’m pissed that Marjorie 91 uses it without issue.)

And now here’s when I get mad.

Today I’m told the rehab centre wants to get rid of me by next Thursday.

But I’m not ready I say. I need to be able to transfer safely from bed to chair and vice versa.
I need carers if you need me to leave.

But we need to give you a discharge date before we can start the search for carers. And you can only have them four times a day.
Is that it?
I’m thinking of the times I might need help. It all seems overwhelming.

I’d rather stay until I was happy.

Going home before then and risk falling at home, breaking a bone and ending back in hospital and the whole vicious cycle starting again.

As for improving after I get home? Here I’m getting physio every day and seeing small steps every day.

At home I’ll get physio ‘in the community’ once a week IF I’m lucky.
So that will be 2x a week IF I rehire the private physio I had been using before this.

I can only hope that I’ll retain whatever fitness and strength I have when I do eventually leave.
And the government wants to get disabled people back in the overall community and stop being so reliant on social services?

We can’t if the system is so crippled itself the patients it discharges are unfit for purpose.

Chapter Twenty. Death becomes us.

Marjorie 99 left us yesterday.

She slipped away while I was meeting the social worker.

Never even had the chance to say goodbye.

Her departure kept me awake last night.

Born right before the end of WW1, a munitions worker in London in WW2.

Different times.

I woke today at about four as usual, just as the light started to filter through the skylight above me.

It was hard to see what kind of day it might be without direct reference to a window.

Betty, next to me, had been coughing like she’d smoked 100 a day her entire life and was dying from emphysema.

You could hear her struggling to cough up whatever phlegm it was stuck in her throat and wonder if she was choking.

Sheila and I would check.

She’d so far responded that she wasn’t. One day of course she would be or it would be too late to help.
I glanced across to Marjorie 91.

She lay stock-still on her back. Her mouth wide open with lips drawn back, almost as if she was in rigor.

No sign of any dentures. No sign of any breathing either. Was death was amongst us?
Silence.

I waited.

She’d not been well the last few days.

Often, I’d catch her staring vacantly into space. Hearing too bad to listen to music. Eye sight too poor to read or watch tv.

Is this what death was like? The closing down of each sense one at a time until there’s nothing left? Brain might be there. Body is not.

Suddenly she flinched.

I breathed in relief. Not dead after all.

I determined to find out Marjorie 99’s details so I could make her 100th party.

 

Germs, bugs and getting older

More Tales from the ward

Chapter Thirteen: Outbreak.

How often have you taken a long-haul flight feeling perfectly healthy when you got on the plane but by the time you got off 12 or 13 hours later have a streaming nose and blocked sinuses?

Your cold caught from the virus circulating at 38,000 feet along with the air inside your A380 or B747.

It’s impossible to keep an aircraft sterile and germ free with the movement of so many people.

But hospitals, which by their very nature are full of sick people, constantly strive to avoid such situations.
 Obviously the majority of patients are not in hospital with infectious diseases but many do have life threatening illnesses or open wounds.

Think back to the Ebola outbreak in West Africa if you want an idea of how devastating and how fast a lethal virus can spread.

So, with the rise of drug resistant bacteria and the increasing redundancy of so many first line treatments it is more important than ever to keep the wards germ free.

Every hospital visit I’ve made in the past year (including the 10 hours in St Thomas’ 😑) began with a swab of my wet orifices.

That’s my mouth nostrils and butt hole if you’re not clear.
 The nurses were testing for the presence of MRSA – methicillin resistant staphylococcus aureus to give this bacteria its full name.

It is, as its name suggests, resistant to many drugs and can be fatal.
 Nurses must wear surgical gloves every time they come into contact with one of their patients.

It’s rather impersonal but avoids potentially infecting others with any bacteria or viruses they may be carrying. 
So I had to smile when I got to the physio gym yesterday.

The bed I was about to lie on was certified clean with a Declaration of decontamination status.

Glad to know how we mere patients are considered

Chapter 14: Pooh stories.

Oh what a wonderful morning. Oh, what a wonderful day. I’ve got a wonderful feeling I’ll hit the bedpan ok.

Ever had that horrendous Oh shit moment, both literally and metaphorically, that you need the loo urgently to avoid the obvious.

That was exactly how I felt at 4.45am this morning when my eyes flew open.

Now while you can jump out of bed in a moment I need the use of my now favourite instrument of benevolent torture the Stand Aid.

This machine involves being first strapped in at the waist so tight around your middle you can barely breathe, then being roped and tied in close before being hauled into a standing position and transferred to a commode.

Again whilst this might take you seconds to stand up it takes me approximately 4 to 5 minutes.

And I’m doing this with my butt cheeks tightly clenched to avoid a monumental… well you get the idea.

So it continues up down up down repeated times and it is now only some 9 hours later that am I starting to feel normal.

I’m tired dehydrated any in pain and you can see how easy it is in the developing world to die from diarrhoea.

After my last use of the commode I saw the nurse writing something down.

What’s that you’re doing I asked. Noting down what you’ve pooped and its consistency.

She showed me the chart with pictures.

One being constipated (hard lumps, like nuts) to seven (watery, no solids)

Turns out there’s an online Chocolate stool chart too. One  being (Maltesers) Seven (Melted chocolate)

And a festive one too. One (Roasted chestnuts) Seven (trifle overly indulgent)

I have just two words.

Who knew.

Chapter 15: The generation game.

Today I’m lunching with the others here.

All 17 of them are easily 30 years my senior.

I may be in a rehab centre but I am definitively in an OAP home. They just about as interested in me as I am with them.

We’re fed strictly on an OAP schedule.

Tea in bed early, about 6.30am.

Lunch is late if the clock is past 12.30.

Followed by tea or coffee.

Then once the wrinklies are wheeled, pushed, or trollied back to their respective rooms there’s more hot drinks offered with cake or biscuits, before dinner served promptly at 5.30pm.

I can barely digest a meal before another is shoved in front of me.

And while I may have been enthusiastic about the menu when I came in two weeks ago, I am now seriously over the constant bland nature of what’s on offer.

A chicken biryani rarely gets any interest, I’m told. The name perhaps putting off the less adventurous diners. And having tried it I can see why.

Maybe they should have billed it on the menu as Bland Tasteless Chicken with bland unseasoned rice (better not say Basmati, for alienating the potential diners)

Sweet chilli sauce is my new BFF

The idea is to let the residents socialise but there’s no real conversation going on, more snippets of comments along the lines of: I can’t remember what I wanted for pudding, or can I have that?

And interactions are generally on the prompting of staff rather than from another resident.

What conversation did take place related to somewhere nearby. These folk had likely never had a passport nor even got to London.

How wild eyed might they be if they knew the places I’d been or things I’ve seen. Now they’ve been fed the group comes alive.

The talk of when they can get out and if they need a carer.

One lady got up and left shuffling with her walking frame.

You need someone with you said another, her voice tailing off as the woman disappeared.

A man said here was a better place than the hospital he’d been at before.

There was a man in the bay next to me threatening to blow up the hospital and kill as many as he could, the man said.

No talk of terrorism. Just another OAP.

Bed, bath & stars. More from the ward

Chapter Ten: Then they came for me.

Sara was our latest departure.

The doctors deemed her fit enough to go home, though they warned she may never recover her lost three days.

Her mother and father had gone too from her memory of who had picked her up from the roadside.

It was a man. He helped me take off my jacket, she said.

We exchanged numbers and Facebook profiles.

In her place came Joyce.

I was here two weeks ago in Christine’s bed, she said. I have bleeding in my brain from a fall and some seizures.

She was in the 2-day-stay bed  (Sara, preceded by Lily, who I’ve not mentioned before, and Hashimoto, and Pam with pins and needles) but I got the feeling she might be there a bit longer.

Night stalker, who was really called Tracey but would only answer to Jane, also had plans to leave – waking up in the night to pack her plastic bags of possessions and move them into the day room.

The nurses moved them all back this morning.

When they told me I was finally going to rehab I burst into tears.

I wasn’t ready to say goodbye to my dysfunctional ward family.

It’s amazing how quickly we become institutionalised getting used to the routine of eating washing physio resting.

Lights out about 10 listening to nightly chaos.

The madness of ward 11 in 13 days. I’d had only one night of full sleep since I’d been here.

Vertigo was still dizzy in the head to my right.
Christine was still very dizzy in the head to my left. Calling out for husband John children Sarah and George, grandchildren Sophie and Julia in the night.

Still insisting she did not have dementia, despite agreeing with me she did get confused.

This morning believing she had a lunch appointment in the Isle of Wight and she needed a car to get there.

And despite being on bed rest deciding to get up change out of her hospital gown into her clothes and make for the exit.

How would quadriplegia fare?

A family full of drama and friends who seemed not to understand that sometimes the best help they could offer was to stand back and let her decide for herself what was best for her not them.

I hate goodbyes.

The ambulance was coming at two.

Tales from the ward Chapter Eleven: The bed bath.

Keeping clean is one of the animal world’s essential needs.

Just this morning I watched a blackbird perform his own daily ablutions in the stone birdbath through the window of my new hospital room.

First he would lower his chest onto the water then dunk his tail into the liquid and with his wings artfully fling it over his back. It didn’t look particularly effective at first but a few splashes later he was wet all over.

Obviously, he did not have the benefit of a weather forecast, as it is now bucketing down.

But how about when you are stuck in bed and unable to get to the bathroom yourself?

Let me introduce the ‘bed bath’ performed by nurses in every hospital everywhere.

This is no time for prudishness. You are going to get naked in front of strangers and they will be prodding poking and rubbing parts of you that you might prefer they didn’t.

But what choice do you have?

Scuba diving to cleaner stations has allowed me to witness close up manta rays, thresher sharks and even my own fingernails being manicured as cleaner fish and shrimp nibble parasites and dead skin from their far larger counterparts.

So the human version: face arms and torso first.

Would you like soap on your face, you are always asked. Then it’s your pits and under your boobs.

Next your legs the delicate parts followed by a roll to your side for your back and bum. A good wash and dry between the legs and you’re done. No more than five minutes to complete.

A roll of deodorant, a slather of moisturiser and body lotion finishes your look. A hair wash can wait until tomorrow.

Tales from the ward Chapter Twelve: Twinkle twinkle little star.

Maybe I am going mad, but I woke at 4am this morning asking Christine where she was going and then turning over to ask quadriplegia how many times Christine had tried to get up in the night.

Dawn had broken and it was already light outside.

I realised in another second where I was but the act of rolling had induced my need to pee.

And here is one of the more difficult issues facing the bed and wheelchair bound – what to do when you need to relieve yourself.

You can’t simply get up and go to the loo and the length of time it would take to get you onto a commode would also likely mean just peeing on the floor.

So what do you do?

Quadriplegia preferred a bedpan but I can’t pee horizontally and I generally end up peeing down my legs. Yeuch.

She’d also used a catheter until it gave her a UTI.

A doctor had previously tried one on me but it felt like being raped and we’d had to abandon the idea before I’d even used it.

So I pee-ed in my pad like most women. These are like an industrial sized sanitary towel with an amazing ability to capture liquid. Humiliating? Yes. But also a necessity.

In the boredom of ward life quadriplegia then coined a code word for peeing behind the curtain. Twinkle meant success.

We began comparing the amount of each pee.

Epic was for obvious reasons just epic.

We kept a tally of who was winning our pissing match.

I think I won on a technicality only because Danielle our nursing assistant would teasingly count the number of pads I’d used during her shift threatening to limit me to three.

Our crap shoot was a different matter altogether.

Lying bed bound means getting peristalsis going is difficult if not impossible.

Often days went by without a poop. Feeling bloated was a constant.

A daily dose of laxatives was required. For quadriplegia, multiple doses. Her paralysis affecting the movement perhaps more than me.

I needed the benefit of altitude to get me going, using a hoist to get me vertically off the bed. A contraption that can only be described as an instrument of benevolent torture. My opponent still preferred the pan.

I don’t know how she did it.

There were a few epics, sometimes smelly, but finally success when the unicorn had landed.