Being Part Of the 'In' Crowd

As mentioned previously, I have never been in hospital before.  Little did I know that they are such a hive of activity. They take monitoring and evaluation to a whole new level. Urine, blood pressure, taking bloods, pills, anti clotting injections (that bloody hurt and often drew blood I'll have ya know), pills, catheter and monitoring of it. Then it's onto the cast that make up 'the hospital'.

Consultants are obviously the leaders of the pack and they only grace you with their presence once every few days.  Mine thought he was cool and basically had a humour bypass but hey he's a decent surgeon so won't hold that against him.

Otherwise you're in the hands of the gaggle of junior docs. I have to admit that the main junior doc assigned to  me was a bit of a cow and managed to freak me out no end at times when I just didn't need that. It was her first week at the hospital and so she was eager to follow the consultants words to the latter.  But freaking me out when it came time to remove my catheter for the 1st and then 2nd time was no help at all.  By saying that if  bladder didn't wake up soon I'd have problems for the rest of the life for some reason was not inspiring. It made me bloody scared and only seeing a bad bleak future for myself.  I do think that in terms of people these junior docs have a lot to learn- empathy is one of those things that goes cap in hand with experience and  maturity.  It was painfully clear that many of these junior docs were fresh out of school and had no idea about people or how to understand and communicate with them.

As for nurses there were good and bad ones.  And some that were a combination of the two much like Jekyll and Hyde. There was one who was my main nurse when I arrived - she tried to take out a line from my hand when it couldn't actually be done so she was tugging hard at my hand just to make sure and yes I did almost cry.  She was a bit of what I'd call a brown noser - licking doctors arses and smiling at the sister but at times she was an outright bitch.

I was moved to another part of the ward for my last few days and the nurse there was loads nicer.  She treated all of her patients differently and took time to get to know us. She had been an inpatient herself at the hospital for a similar op so had empathy and maturity.

Then there was the I work way too hard nurse.  She did something crazy like 3 or 4 nts back to back so stress, ridiculous workload and sleep deprivation  meant that she was horrible to patients.  There was no empathy, pure bossiness and general rattiness.  At one point my anti clotting injection that she had tended to give me a in my arm (tho it made my arm bleed) - well the next night she was going to give it into my belly. I told her to take her hike as one of the symptoms from my op was constipation and I hadn't been for days and had a really swollen, tender belly.  I told her no categorically. I won - it was in my arm. Yay.

And as for the patients, where do I begin ..........

Back To Reality

For obvious reasons, coming round from my op was a tad hazy.  I remember waking up and people talking to me, there was a nurse there and I remember my consultant talking too. I wasn't in pain but very very out of it - morphine was my friend that's for sure.

Here goes for what I can remember.  The surgeon saying that they had expected to take out 4 fibroids but they took out 6 (4 large and 2 small hidden ones that were hidden in the ultrasound). Everything went well although he did say the funniest thing.  As mentioned before I had my period during the op - due to the size of the fibroids my periods were bad - real bad as I hadn't taken trans. acid due to nil by mouth - my flow was left to it's own devices so basically went into overdrive. 

The next thing the surgeon said which struck me as being mighty dumb was "oh my your period was really heavy during the operation."  If I actually had the ability to be my usual sarcastic self I would have gone: "Duuhhh, why else would I have pushed myself forward for major surgery." Alas, my comment only took place in my head. 

The Big Day - The Wait Begins

6 months after my consultation, check in time has arrived for my abdominal myomectomy.  Had to stop eating and drinking the night before and check in was at 7am on the morning of Dec 1.  I had to finish packing and and then hoped into a cab to get me to the hospital at that ungodly hour. 

First stop was to report into admissions reception - everyone having ops in the hospital was there so it was certainly a random bunch.  I am fiercely independent so was alone - looking around everyone else it suddenly dawned on me that I was the only lone soldier. Maybe I should have had someone with me. 


Anyway lots of waiting around was the name of the day.  About an hour or so later my name was called and I was taken to another waiting area for my to the pre op assessment area.  Lots of waiting around then I met my consultant for the first time (my consultation 6 months before was with a lesser mortal).   

The funniest thing has to be the fan club of junior docs who surround consultants. It's like have he had his own harem of giggling young chicks around him (the docs were mainly female and rather young). The consultant looked at my abdomen and felt around a bit - he said that my fibroids had grown loads in the 6 months since my ultrasound and initial consultation.  They were no portruding above my belly button - I knew it was getting worse as none of my clothes fitted and that was both top and bottom plus even my bras were starting to feel uncomfortable as the fibroids were growing upwards.


He said that they were going to take out 4 large fibroids.  He explained the risks of haemorrhaging and I made a wise crack which he didn't seem to like to much - I can't help that I use humour to mask my nervousness and fear. 


Anyway, he left and the gaggle of junior docs took some blood (actually more acurately poked around my hand for ages to try and find a vein - an act I would become very accustomed to in the coming week). 


Then it was off to the kind of waiting ward where I was questioned by a nurse.  It was quite funny as she too was Nigerian and as well as the normal questions she was giving me advice to travel to Nigeria and hurry up and find a nice Nigerian husband as I wasn;t getting any younger. Not sure if those wise words are part of the overall nurses conduct but I took it in the spirit it was meant.  

Anyway,I was then left in a cubicle.  Fully clothed for a few hours just waiting then I was asked to take off my clothes and put on one of those fetching hospital gown with the open backs.  As it was 10 or 11 now I had a nap as it had been a long old morning.  


I was still hanging around until about 3pm by which time I was bored, tired, hungry and thirsty.  That was one long old wait.  A nurse came to collect walk me down to operating theatre where the 'fun' really begins.

Preparing for the Big Day

As a hospital inpatient virgin, I was a bit flummoxed about what I needed to do before heading into hospital for an abdominal myomectomy. Work, life, what happens if things go wrong - so much to think about and such little time. 

Home - well this was me setting up home entertainment (tv, dvd, hifi) in my room for those days post op when I'm not too mobile. Obviously this was a bit of a challenge and I've still not quite managed to get my Freeview to work but hey. Also, had to get in some frozen food and other bits so that I wouldn't starve whilst recupuratting.

Work, saying to my boss for the umpteenth time I'm having a major op and will be off for around a month or so.  It sinked in on my last week when all my plans had a big gap in December. So then it turned into handover notes time and getting things into a nice state where I could hand them over to freelancers etc. It was funny talking to colleagues about heading into hospital - had comments such as " I'd trade places with you anytime to have a month off work - could do with that at the 'mo".  Did point out that major surgery wasn't a walk in the park and a high level of pain and discomfort would also be part of the package so quite the picnic they'd assumed.



The main thing for me was worrying I guess - would I be ok?  Would all the fibroids be removed?  Would I still be able to have kids? Would I still be ok to be operated on as my period was due when I was being operated on?  So many questions and my appt with the consultant happened 6 mths prior to my my op so there wasn't really anywhere to turn.  I have to admit that I did a lot of online fact finding and people's blogs about their myomectomy experiences were a god send.  Some stuff I had to take with a pinch of salt and one thing that stood out was the fact that everyone was different in terms of how they reacted to the op. 


In the end to settle the what happens as I'll be on  my period question was settled when I rang the ward where I'd be and spoke to the sister.  She also helped reassure some of my general neurotic fears so that was good.  And thank god I could take tranexamic acid tablets before my op (outside the nil by mouth time) so at least I'd be able to leave the house 2 days prior to my op.  Without them another 2 days of my life would have been ruled out as my periods were just crazy.