Wow - long time no blog! I did intend to keep my blog up to date while I was away, but unfortunately I couldn't log in from my laptop. When I came back to this blog, I had to create a new email address, because I hadn't used that email in so long, it seems it had expired! My current email address already has a google account, so I couldn't use that which left creating a new address as my only option. That's great and works just fine if you can remember it! Which I couldn't. I did try for ages to get back in, but I couldn't so I decided to leave it in the end, and just do a mammoth update when I got back. Only the last few months have been mad and I just never got chance to do that mammoth update.
As the last few months has been absolutely mad, I'm going to try and cut it down - making a mountain into a mole hill ;)
I ended up going down to Manchester on 20th October. They found me a bed on a lovely ward and I stayed there for a month, just as planned :) The ward was amazing, so much nicer than Blackpool and I felt really settled and at home there. All the nurses were lovely and amazing, one or two in particular became very special friends to me.
I met a couple of friends (or "inmates" ;)) in there too which was nice, both in the bed next to mine (obviously not at the same time!) and it was good to have someone to chat to, and someone to cause trouble with.
For the first couple of weeks a shared a small ward with four beds, and then I got my own room :) Mahoosive room, door into the garden and my own bathroom - not bad! You just cannot compare it with the hell hole of Blackpool Victoria.
My new consultant is great :) He was really good and supportive the whole way through. He did however, change the plan a little - though I'm glad of it, as TPN really is not the best case senario. Saying that, the Prof did come and speak to me while I was in there and he say personally he would still prefer TPN.
Anyway, my new consultant decided to try an
NG tube (nasogastric) feed. It helped me gain a little weight - albeit very slowly (I've put 2 or 3kg on since admission in October, so it's not a massive weight gain) and it took a long time to bump the feed up to the amount I needed to be on.
Initially I was started on a high energy, fibre free feed. I stayed on that throughout my hospital stay. My energy levels increased once I started the feed, so that was a plus, however I was still feeling very ill. My reflux was awful and I was bringing up the feed. I could only have the feed during the day, because having it led down at night just made me feel too ill and I wasn't able to sleep through it. After two or three weeks, I was put on a waiting list to have a
NJ tube (nasojejunal) placed.
This was put in about 5 days before I came home. This was very painful in my nose and throat as it had a double lumin - one left the tube in the stomach and the other in the jejunum. This made the tube really massive - like having a hose pipe up my nose ;). Up until the night before, when the feed was running at 70mls per/hour, the NJ was going ok. I was getting much less reflux, the feed could be run through the night.
However, when I sped it up on the last night I only managed half my feed. I'm still unsure if I had a bug at this stage, as to why I was feeling so poorly, but even so after the bug passed I couldn't ramp it up. I did get to one point where I could run it at 80-90mls per/hour for around an hour or so if I ran it in the evening. But apart from that it had to be run slowly over 16-20 hours. I had a back pack to put it in and I just carried it around with me. It wasn't really too much trouble as long as I wasn't trying clothes on in a shop ;) Also it was a bit of a pain at college - it has to be carried on my back so its kept straight and stable and doesn't swing the feed around and collect air bubbles - but my college bag weighs an absolute ton so carrying that around in my hand rather than on my back was bloody awful. Not only that, after being home no longer than 3 days did it decide to block. This became a bit of a problem over the coming weeks. In my personal opinion its the supplier of the feed around here. Often my tube would go unflushed all night if I was feeling poorly and couldn't handle a flush whilst I was in hospital. They used a different supplier in Manchester to my local area and if I didn't flush it within 5 minutes of disconnecting (it was a push if it even lasted that long!) it would block.
The first night it blocked, we spent hours in A&E (at Blackpool Vic. :|) they looked at my tube like it was some sort of spacegear from the future. They tried to flush it with cold water - just as I had done at home and even doing that - I had to show them how to do it. So we gave up and came home - I rang the ward on the way back. They said the only thing they could suggest was warm water (which we had already been doing) and coke. But it still wouldn't budge. So they handed over in the morning, and the news was that it was passed on to radiology. I went into college the next day (this was tuesday) and it was so good to be back :D Seemed that I hadn't fallen behind really at all. I'd been doing work while I was in Manchester and it had given me something to do really, which was good. The problem has been since I've been back, I've just felt like I've been falling behind and the work just keeps mounting. I seem to get one piece done, and then find myself with 3 more.
Anyway, we still hadn't heard from the hospital to let me know what was going on with my tube. The pain was getting unbareable. It seemed to get better in my nose but worse in my throat, to the extent that I was struggling to swallow - so I took matters into my own hands the next day. I rang the hospital and asked them to put my through to radiology. To cut along story short it ended in "Ok - just come down and we'll do it now" - Cool!
So this time I told them I wanted a smaller, single lumin one. So they found one and put that one in and the pain much improved.
After that it was pretty much just lots of college, I can't think of anything else I did that was of any excitement. I finished my christmas shopping, wrapped presents, prepared for christmas and all that sorts of stuff.
I've struggled a little with college. My energy has been so low. I usually finish any work that I don't manage at college, in the evening but I just wasn't managing that. College was so tiring that finishing my work was such a slow process and it just kept mounting. I needed to do my Maths coursework urgently so spent pretty much two days solidly at college doing this - it was such a relief to get it finished, let me tell you! Exam wise in Maths, I was doing terrible. I got a U on my mock - I've never had a U in anything before. So that knocked my confidence massively and I've began panicking. Like I said, the problems seem to have arisen since going back - I was keeping up just fine while I was in Manchester. I need to be getting my Health and Social Care coursework from last year redone and I've just done pretty much none of it. Plus the fact I'm facing the prospect of typing it all up again because my memory stick has smashed and theres not much to be salvaged on the computer. I just cant wait to get these January exams out the way.
My new tube lasted a couple of weeks before the pain in my throat started again - this time it was worse and in the end I couldn't swallow at all. I couldn't eat the little bits of food that I was managing and I couldn't tolerate much feed either cause I was feeling so sick so I began losing weight. In the end, I pulled it out in the middle of the night and went up to Manchester for them to sort the pain out. I missed the last few days of college (which I'm not that concerned about, because not much went on) and I missed a University interview/selection process at UCLan. However, they were really good about rearranging this at the University, so I'm going back for it on 25th. They diagnosed it as being an ulcer in my gullet and left it out for a few days while it healed. My tube stayed out for about 5 days before they put it back in again. I was put back on F14 again and got to see all my lovely friends on there which was so nice :D
I decided to take the opportunity to talk with my consultant and dietician about the feed. It wasn't making me feel any better and I was struggling with the speed of it going into my JEJ so we changed tactics. I went back on the NG tube again, but this time tried a semi-elemental feed. That went much better and I even managed it in the night. It by no means cured, but it was a million miles better than the old feed into the Jej. The pain was fine at first, but then the next day it came back. I also had an
ACTH test that my consultant has wanted me to get done - it tests your adrenal gland, as it was something my consultant wanted to look into due to how responsive I am to steriods. I was waiting to have it done anyway on a day admission I have coming up but they got it done while I was in hospital but they managed to fit me in for it the morning before I went home.
I was discharged a couple of days before christmas which was just in time to get last bits of shopping and wrapping done and relax.
Christmas was lovely, I spent it with my family and Drew came over on Christmas Eve and stayed until 27th. We opened presents at home in the morning, then me and Drew went round to my Dad's to see my other family and do a bit more present opening and then back to my Grandma's for lunch.
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| Me and Drew at my Grans |
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| The family :) |
Mum always drags us out of bed way too early on Christmas, and so in the afternoon, me and Drew both fell asleep to Sherlock Holmes (the old series) which I bought him for Christmas. I did very well for presents, Drew got me a new outfit and a coat, my Mum and Nige got me clothes and lots of other goodies, my Grandma and Grandad got me shoes and clothes. Also, my Mum and Nigel, and my Grandma and Grandad - both went halves on paying for my sky dive! Wow! My dad got me lots of nice goodies as well as money and... a Torchwood box set!
I'm massively into Torchwood at the moment - I've watched it on TV but I've never watched a series all the way through, only catching bits of it. I got series 1 for my birthday (18th not 19th!) but I've only just got round to watching it lately. So now I can't get enough of it. John Barrowman is pretty good ;) I've now watched all of Series 2 and I've ordered the next two series with my christmas money. Looking forward to those coming :) Drew's also got me into Doctor Who lately as well - I'd actually never seen it before. I'm quite liking that, but it's nowhere near as good as Torchwood ;)
The day after boxing day, Drew went back to Preston. I went back with him for the day and we mooched around town and went to our favourite cafe in town, where I managed to have a bit of soup :D
Between Christmas and New Year I crammed in loads of revision. My Uncle Howard was staying down at my Grandma and Grandads from 27th so for the next two days I worked pretty solidly on Maths with him. I feel like I'm picking things up a little bit, but I'm still nowhere near getting enough and theres plently of papers I feel like giving up on - so I'm just going to keep practising. I've also got myself a session with a tutor tomorrow, and maybe I'll have another one as well before my exam. So I'm hoping with all this help I'll pull it off.
The day after I got back from Drew's, the pain in my throat was really bad again. I couldn't swallow and I kept choking so I pulled it out again. The plan now is to leave the tube out, and then they will see me next week as I'm going for a
capsule endoscopy. Hopefully then we will have a new plan with regards to nutrition. At the moment I'm feeling really low on energy due to my lack of nutrition and I've already lost a 1kg.
I had a lovely new year down at Drew's. We went out to a pub near Drew's, and although we did plan on mooching around some other bars, we ended up staying at the same one because we were having a nice time in there and there was a good atmosphere :) There was a little text-in screen, where you could text in some messages to, so Drew did me a couple of lovely ones, I did him one and then we both did one and took a picture of it for Becca.
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| Me and Drew at the pub on New Years Eve |
We had a really lovely night and I just had a nice time being with Drew over those three days. We chilled most of the time, watched Doctor Who (Drew bought the box set on New Years eve when we went out) and I did lots of revision.
I came home from Drew's yesterday - he went back to work today and has college tonight, and since I've just chilled again.
I say chilled, but I've spent all day doing revision and then all evening writing this update.
I also found out this afternoon that one of my lovely friends from hospital has passed away. It was a big shock, but she was very poorly though she was such a trouper! We had endless fun causing mischief on the ward - marching around with our matching pumpstands, sorting everybody else out and keeping "the wicked witch" in her place. One of my favourite moments with Catharine has to be when Fran (one of our nurses) was setting up our feeds and showing us how they worked. Fran has a beautiful African accent, and I cannot tell you how much it amused us to hear her say "Get all dat air oot, or yo' wil be fatin' al nayt!" (farting all night). What I will remember her for though is her attitude! We had one seriously awful woman share a bay with us at one point. She was playing up during the day, Catharine had been eager to give her what for, but she was too poorly during the day. When she perked up in the evening she told me how gutted she was, when the witch was playing up that she couldn't get stuck in. So when said witch fired up in the middle of the night Catherine gave her a piece of her mind. It gave both Catherine, and the rest of the ward great satisfaction and it was hilarious!
Thanks for keeping me sane, making me laugh and being a lovely friend to me, Catherine. I'll be thinking of you always and I could never forget you!
I'm back at college tomorrow so I'm going to go and put my pyjamas on and try and get an early night. Hopefully get all my revision done for my unit 1 exam on Wednesday next week - I feel like I'm getting nowhere with it at the moment. I still have so much to cover :( So I'm going to set myself a target of getting at least 2 topics covered a day and also doing a past paper. I'm also trying to spend an hour or two on my Maths each day so that hopefully I'll be prepared for those exams, especially my Core 3.
This was more of a "Mountain into a ...smaller mountain" but I have been away a pretty long time.