The many tests of a patient waiting in patience

A Week to Fathom

What a weekend that was, or rather, let us consider the full week, because the thought of all that transpired is hard enough to fathom.

Fresh from the good news of my PSA having fallen to its lowest level, buoying my confidence in the radiotherapy for prostate cancer, I was having chest pains that led to my attending A&E first thing on Monday.

That was one unplanned visit to the hospital. The result was reassuring; it was nothing serious, just musculoskeletal pain that some bed rest could help.

Good News, Then Distress

Friday was the main day scheduled for my biannual monitoring at the Christie Hospital. Going there never ceases to be as impactful as it is critical to saving lives. It is a visit to a renowned cancer hospital to review my PSA result and discuss the attendant issues from radiotherapy.

That went well, so I stopped by Nando's for a meal and used the opportunity to call Brian. Halfway through my meal, after our call had ended, I had a choking episode. I won’t suggest this is a longer-term side effect of radiotherapy, as dysphagia, and I have not considered if it could have exacerbated it; I’ve had choking episodes going back decades.

Thankfully, I had enough napkins to contain the relief in bringing it all back up. Not a beautiful sight, and no one noticed I was in distress either. I cleaned up in the conveniences and returned home to lie down.

Saturday Takes a Turn

Whilst that should have resolved things, as I do usually have episodes of choking on food, this one was different. Some cereal before midnight did not go down, likely due to food impaction, an obstruction, or inflammation in my throat. I threw up in the toilet and decided to postpone my pills for a few hours.

The pills did eventually go down, and I had a lie-in for most of Saturday into the afternoon.

Getting up, I made a cup of tea. I thought I had drunk the full mug, but there was pressure in my throat and quite a bit of discomfort. I had to throw up again.

The tea came up with some mucous-like substance that fell to the bottom of the toilet bowl. That was concerning. I was about to return to A&E for another ailment.

A Night in A&E

Calling an Uber, I made it to the hospital soon enough, though as I alighted, I was sick in the bushes before being triaged. From then on, I was vomiting a thickened, mucous-like substance every thirty minutes or so into a sick bowl.

Just about two hours after arrival, I saw a doctor. She gave me a drink of water, which seemed to stay down. I have not vomited after that. I was then referred for a possible endoscopy and left in the Emergency Room for two hours.

Then another doctor called me in for review. We agreed on an experiment: I would have a sandwich and a drink, and if that stayed down, I was to be discharged for further outpatient review. If I could not keep the food down, it would mean hospital admission, nil by mouth, and a possible endoscopy on Monday to identify the obstruction.

The food stayed down, but it was left waiting for a few hours before I received an email notification; an after-visit message; it was sent 30 minutes earlier. Apparently, I had been discharged, and no one had bothered to inform me. I left the hospital over eight hours after arriving. It was almost 2:00 AM.

The Weight of Being Alone

I appreciate that these matters take time. Anyone attending A&E is busy juggling the precarity of their situation that brought them to the hospital with the need to keep others informed, especially if they are alone in that predicament, and that is just the way it is.

I have every reason to want a better situation, to be in a hospital with someone. Everyone else seemed to have someone with them, but as one person, you are a container of the reflexes of concern, anxiety, or even panic of others about you. You must wonder whether it is necessary to inform anyone during the crisis or only after it has passed.

There is an emotional toll involved in the desire for information and details. I have had calls whilst a doctor's stethoscope was feeling around my body, calls I have had to ignore.

My going to the hospital should be part of accepting that the right decision has been made and that I am in good hands. Not much can be helped beyond everyone holding their nerve, thinking good thoughts, and praying for the best outcomes.

Everything takes time, and the patient patiently waiting for answers and assurances, first for themselves before finding the form of words for dissemination to others who duly need to be informed, is probably the most impacted by it all.

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