Sausage Hands

My neutrophils are none existent as an unexpected result of the methotrexate.  I’ll keep this short, what do you mean thank goodness – as it’s really hard to type with these sore sausages that have temporarily taken the place of my fingers.  I still have my own skin but someone about five times bigger is borrowing it.  They’re not as sore as yesterday and some movement is easier but I can’t knit, if I felt compelled and B is having to help me in the shower.

I’m still in infectious diseases with a fridge which is good but would be a whole lot better if I could actually drink a whole bunch of COLLLLLLLLLLLLLLLD stuff.   After discussion of a morphine syringe driver yesterday one was prescribed – well a syringe driver that is but it was for anti-sickness only and I’ve never complained of it.  I can only think one/more of the nurses had said this but I’m not sick it’s just that if I attempt to drink something and my throat doesn’t like it I start to choke but just that bit comes back along my maybe some thick gloopy drool – just like at night.  A doc had prescribed the morphine driver on Monday (when I mostly slept) and then yesterday another one said that I’d not really made use of the meds on offer (may be because I’d slept) and I should give them a go and see how it went.  So I did and by the end of the day I managed a yoghurt, my tablets in mostly soluble form and even a little fizzy drink – very little and not without reaction.  I tried again today but the thing is that despite asking yesterday I had five mouthfuls of good stuff out of a possible seven and today seven out of a possible eleven and although I started off well, with an ice lolly for breakfast I found my nice slimy tinned peaches for supper were too rough – so next to nothing is getting down.  Needless to say I think I may be better off with the syringe driver for a bit.

One of the kidney docs called round this morning took one look at me and offered help with dialysis.  It took place within the hour and then he came back later and said due to the risk of infection I could have a couple of days off anyway.

And I’m so  parched I’m sure I could watch a Titanic documentary and think as they hit the sea ‘the jammy so and sos all that cold cold water and ice!’

Back in The Royal

Temp went up yesterday. Came in today at two, very quickly through A&E after B phoned the blood ward and they found me an isolation room on another ward.

Feel decidedly ropy but better than last night however throat and upper digestive tract really painful.   Discussed pain relief with both blood docs including the registrar when she called in again on her way home.

One of the ward nurses called in about 9.15 to say the were just short of on antibiotic and I asked about pain relief and she said paracetamol tablets to which I replied there was no way I could swallow them.  She then offered me soluble which makes me barf at the best of times.  After I said no again she said she’d look into it!  Fortunately a much more agreeable lovely nurse just did the medicines round and she’s hooked me up to one, given me a liquid other (that I can have every few hours to get on top of it) and gone to get me very small tablets of a third.  You never know I may even stop drooling on the pillow when I sleep.  I have been prescribed others as well but they are big tablets so might be a bit adventurous.

I also have a skin reaction that the registrar likened to psoriasis.  It’s quite sore on my hands/wrists but also visible on my face, shoulders and round my armpits – it started there last Thursday and my deodorant had done this one before after chemotherapy but not as much as this – especially when I stopped using it.  When it was being discussed with the two docs B started prodding his finger up my short jim jam top sleeve in a completely inept, clumsy and totally unprovocative manner!

The room I’m in on the Infectious Diseases ward is very nice and has its own ensuite shower room however the lovely nurse is moving me later as its a negative pressure room and is not the best room they have since my blood tests have shown I’m neutropenic.

And B got carried away with the phone before we left home, after ringing the blood ward he phoned Auntie Ann to let her know what was happening and she turned up at the ward just minutes after us.  She didn’t tell him she was coming and to be truthful I wouldn’t have phoned her until later as she was supposed to be going to the Magic Rugby League Weekend at Old Trafford, Manchester to watch her team  the Saints play their local rivals, wigan warriors (I daren’t use initial caps just in case she ever saw) and the phoned the friends she was going with and came to see me instead!

Trip Tips & Treatment

When holidaying you always need certain things to ensure a good trip -

Food – Let’s say it’s a good job there’s a Chinese takeaway opposite along with a pie shop and visitors willing to bring sandwiches and other stuff in.

Accommodation – It’s a bit dated but functional.  A replacement has been approved but has been on and off more times than a er, [insert own suitable phrase here as the only one I can think of is slightly rude and thinking about it is actually the finishing line to ‘up and down more times than a’]

Location – Very good.  If I could get out its within walking distance of the city centre with its wide range of shops, eating places and if the urge grabs you museums and other tourist attractions – like the yarn/fabric/craft shop nearby.

View – Well, whatcha think?

I think it’s pretty good and includes two cathedrals and on a clear day, like now but you also need a good camera, the Welsh Hills.  If there’s a really, really big boat on the River Mersey that can be seen too.  I have to admit without that point of reference I’m be hard pressed to correctly identify the river itself – I mean I can get close but certainly wouldn’t bet my life on it or even money for that matter.

Now that picture is quite deceptive because the glass is coated with a film which reduces glare and at this moment through the little gap of one of the open windows the sun is dazzling off Paddy’s Wigwam ie, the Catholic Cathedral – I think you should be able to pick that one out yourself – and to the left of the clock tower is the Anglican one.

Internet – Let’s not dwell on this.  I was so desperate the other day I even tried the one provided free and remembered why I don’t use it but my own has been so intermittent anyone close enough to hear me mutter would have been forgiven for thinking my mobile broadband provider was ‘For &*^£’s sake’.  However I may be discharged today so although our home one isn’t super fast, or super reliable come to that, it is somewhat better.

And then there are decisions to be made every day, some important, some not so important, some difficult, some not so difficult ie,

What to eat – Well in light of my comments on food above the hardest one in respect of eating anything off the menu is whether I want porridge or cereal for my breakfast.

What to wear – Obviously jim jams in some way, shape or form.  Although the tripper in the next bed who went home yesterday, on a similar basis to me today, we’re less likely to catch a bug at home, got dressed after her morning shower!!!!!!  It’s the first time I’ve encountered this personally and found it quite odd – basically because I don’t even need a weak reason to stay in my PJs and being on holiday is a really, really GOOD one.

However jim jams are not without their own complications.  Somehow by the time I’ve been in more than a week (sometimes sooner) I seem to have acquired a collection of items that aren’t necessarily the ones I wear most often at home (even though I’m pretty sure they’ve been washed) and items that don’t go together.  As we found out yesterday that I could probably go home today B just brought me one pair for today but last night (because I do change them before going to bed as well as after a shower) I ended up wearing a pair of red polka dot pants and pale denimy blue top!  I know not ideal but not too bad I mean I have stopped receiving actual T-shirts.  Ah yes I remember (not fondly) the purple check pants and pale green T-shirt ensemble.  Speaking of pants they are a whole other matter themselves.  We all, well I’m pretty sure all, have our own favourite (or worn more often) knickers or underpants and these quite often are not necessarily items you would want to be found wearing should you get knocked down by a bus.   On Tuesday I was due to have, and did, an intrathecal (into the spinal fluid) chemo injection and was selecting my garments to take into the shower in the morning when I realised that the knickers I’d picked although being peachy and complementing the jim jams nicely weren’t of a ‘hit by a bus calibre’.  This left me with a bit of a quandary – I did have other knickers to choose from and in the end plumbed for a pair that  though they practically guarantee an invisible panty line aren’t a pair I usually voluntarily wear for lounging but it was either those, which are extremely respectable both in style and condition, or a pair with smiling or surprised looking pineapples and lemons on them along with ‘Fruit Salad’ print – just in case you were unsure about the fruit.  And then I had the same dilemma yesterday when I had a bone marrow biopsy.  … sorry I just had to double check today’s as there’s another intrathecal injection later – it’s okay they are fine – I had indeed chosen appropriately.

Treatments – Now there isn’t a huge globbit of information available on treatment regimes for myeloma cerebrospinal fluid (CSF).  The figures say it happens in about 1% of cases but our consultant thinks that figure is on the high side or they would see more here.  Denise, very kindly, provided details of the chemotherapy drugs used there – currently thiotepa and previously depocyte and after that my injections are methotrexate!  It’s basically because we’ve gone for chemotherapy and radiotherapy but let me explain – last Friday our consultant was thinking depocyte and then we said thiotepa which is a drug he has heard of but never used personally.  Then on Monday when I saw the oncologist over radiotherapy, just on my arm I thought, she discussed radiotherapy on my skull and spinal cord too if I wanted a more effective treatment.  Our doctor had looked at this option over the weekend and found studies on 100 patients which showed it in a quite positive light.  However he said that with this complication he would never come across the ideal clinical data whereby 50% of patients were given one treatment, say radiotherapy, and 50% another, say chemotherapy as the numbers of patients just didn’t exist – or I thought ‘not at the same time’!  He was going to review the information the oncologist would provide later on Monday and let us know his thoughts – which were that the radiotherapy looked at good option but along with chemotherapy.  However I couldn’t have both at the same time – the oncologist had said to me that would be too toxic.  The need to get some injections in before starting the radiotherapy influenced the choice of medication.  The oncologist advised against depocyte as it remained in the system too long – one of the things the consultant liked as it would mean less injections, thiotepa although still being looked at and certainly not ruled out, was not readily available and indeed, if I remember rightly, not in the hospital, plus with not being familiar territory was a bit of an unknown with regard to side effects – particularly with having it before another type of treatment too,  and so methotrexate was picked.  It was here, I could have the first one on Tuesday, and it was reasonably familiar – not to me like I’d never heard of it, mind I’d never heard of depocyte or thiotepa Denise told me about them last week.

Speaking of Denise, if you’ve not seen it you need to go look at her comment on ‘B didn’t waste time’ from earlier this week – 22 May.  B was left unsupervised, by me that is, in Day Care on Wednesday as he waited for me to get back from Clatterbridge and collared the passing pharmacist to ask about thiotepa, a supplement very kindly given to me by Janice (as the doc wanted to ensure it wouldn’t cause an issue with either any meds or my kidneys) and pigeons.  I said to the doctor yesterday that if B happened upon him in the corridor he shouldn’t be surprised to find he was being asked about pigeons too.  I explained why and he laughed and replied ‘I think we can safely say I’m not going to find a research paper on that’.

The beauty of it

The whole aim of attempting to post on Monday was to basically confirm that I was still ‘here’.  However it didn’t exactly pan out – I mean I am still here but the posting bit wasn’t as easy.  So I when I managed to get it to post yesterday I thought that I would make sure I posted every day even if what I posted had no relevance whatsoever to my current medical status.  I fully intended to start today, mind you I fully intended to be the first of the three of us on the six bed bay  to have a shower today and I ended up being third and possibly missing the docs’ ward round as a consequence.

So I’d fully intended to tell you today about why my visitors yesterday looked like this…

(I was swabbed on Monday and tested positive for para flu yesterday – caught from another patient last week I’ll have you know and not from one of my visitors), who thought that the visiting myeloma consultant was a vicar who was in with us so long he must have been trying to flog me something and possibly a little something on suggested treatment.  I was going to do this before I went to Clatterbridge (a hospital just under 14 miles away) for a planning appointment relating to radiotherapy.  Needless to say I didn’t get it done before I was collected at about 1.20 pm.  I’d just, so just I had just emptied my bag of ‘out’ fluid down the sluice) finished my peritoneal dialysis (PD) fluid exchange and hadn’t even packed for my little trip out.  I went for a wee and threw some knitting, sweets and a puzzle book into a bag and set off wearing a mask – to protect other people from me.

We arrived at ten to two for my appointment at half two.  I was shown to a little office, to keep me away from the other patients and staff and well, everybody, and shut in.  As it turned out I ended up speaking to the oncologist from there that I’d seen on Monday at the Royal as she called in for a quick chat when she saw me as she was passing.  The door wasn’t initially shut.

After that I waited, knit, waited, threw up – in the sick bowl I’d brought, on my knitting, carrier bag, the chair, the floor, my cardy and my right trouser leg, waited, waited and waited with this to look at on the back of the door…

There were other more graphic drawings of the male doings but I thought everyone should know where the prostate is and how to poke it.  I had finally got planned – which involved a warm plastic piece of flat plastic being formed into a mask over my tilted back face, flashing my bare bosoms to the three radiographers and being asked questions I couldn’t really answer as with the warm flannel like plastic over my face I daren’t shake/nod my head and couldn’t speak.

I made it back to ‘the room’ in my mask at five oh four pm just as B was ringing me and was offered a drink and biscuits.  This is what I got…

Now I fully admit it could be my smutty mind but that is exactly how those buscuits were on the paper towel.  Either its my smutty mind or I wasn’t the only one who’d spent long hours looking at the back of the office door.

Because of the para flu I ended up coming back in an ambulance which was order for ‘within the hour’.  I got back to The Royal at eight by which time B had gone back home, got changed and called back in, ready for work and my Auntie Ann had waited over an hour as I think she’d thought I’d forgotten to let her know I was back but was way too polite to say so.

And now I have to go to sleep because I’ve just completed my fourth PD exchange of the day – the schedule of which was thrown well out of whack by the afternoon outing – ‘Did you have a good time out girl?’ the elderly lady opposite asked me when I got back – I can barely keep my eyes open but needed to do exactly that while I did the bed time one.  Just as well because I’d been made some toast and cheese spread, the lady in the next bed had accepted the offer but the elderly lady had said no and then asked where her’s was when the health care assistant came back with it – so she got some too – and during the exchange mine made an encore appearance.  I’d blamed the half a bowl of mushroom-y, in a very loose sense, soup at lunch time but maybe it was the intrathecal injection I had yesterday after all.

So tomorrow I may tell you about where we are up to with suggested treatment or I may just show you my knitting.  Don’t panic I threw away the first lot of knitting that got sick on it and fortunately declined the offer of a pasta carbonara from the freezer and settled for toast so it wasn’t too unpalatable coming back.  And now off to get some beauty sleep because, as my husband informed me today, I need it.  This being the reason why I sleep more than him even at the best of times.

Oh, oh and I nearly forgot, that’s how asleep I am, but we had some good news on Monday.  I can reduce the amount of PD I do.  Either my reducing the number of exchanges in a day or the number of days I do exchanges in the week.  I went for Monday, Wednesday and Friday dialysing and Tuesday, Thursday, Saturday and Sunday off.  I knew this would need verifying by B and indeed after initially saying ‘Whatever you think’ went on to say ‘Tuesday, Thursday, Saturday would be better to do exchanges’ because of appointments on Monday, Wednesday and Friday.

B didn’t waste any time!

After a meeting with one of our consultants, the myeloma nurse, the second ward sister present, refeering I think, me, B, and as circumstances turned out, Auntie Ann and friend Chris T not G, I got home leave until Sunday night.  Let me tell you I was glad to get back for a rest – I have no idea where the weekend went.  I didn’t even have time to get dressed Sunday.  I mean yes, some days I just choose (cba*) not to get dressed, but Sunday I fully intended on putting outside clothes on but it just didn’t pan out and yet I didn’t seem to get that much done.

Anyhoo back to Friday and my return to my usual place of residence.  After him appearing all upset about the current situation I arrived home to find that B had already allowed another bird to move in!  AND if that wasn’t enough Bud was obviously fond of her too.  Okay Bud didn’t actually say so but the fact that he hadn’t tried to eat her speaks volumes.  Here’s the floozy showing off her ass…

I mean I am just basing Bud’s fondness on the fact that he hasn’t invited her to dine with him with her being the main course at least.  I for my part at welcoming her to the family provided access to the greenhouse in case she wanted a dry sheltered spot.

Before

After

B bought some bird seed when he shopped on Saturday and I liberally applied it round the garden included into the green house. Now although I never saw Pigina venture in there herself, the friend that brought me back in to The Royal last night saw her wander in there for some seed. She actually spent Saturday night perched on an upright paving slab near the shed – Pigina that is not Chris G.

Chris thinks Pigina might be at risk of getting eaten by a bird and indeed that’s how she comes to be staying with us in the first place. I however an of the opinion that she flew into the window. I am basing this on the greasy looking pigeon size splatt on the back bedroom window…

It’s about central – you might have to tilt your head at an angle.

Now I have really no idea where the time went at weekend. I had BIG plans and yet didn’t seem to get much done. What I did manage was to finish a Myeloma Buddy I started on Friday.

Gingerbread Buddy

One of the other things I did was a bit of tidying up, now bearing in mind that B tends to let stuff pile up on the dining table while I’m away – heck he attempts to let it build up when I’m at home.

The flowers were kindly given by a neighbour over a week ago – they appear to have kept well!

And look at this item of unsolicited unaddressed post we received…

So where are we with regard to the myeloma well, as a nurse said when she was asking me what the consultant said this afternoon, ‘so really everything is still up in the air’ and basically it is.  I saw an oncologist this morning regarding radiotherapy on my arm, as I thought, but she also mentioned it for treating the myeloma in the spinal fluid.  Chemotherapy injections into the spinal fluid would have to be put on hold whilst the radiotherapy was taking place as the combination would be too toxic.  The doc suggested radiotherapy to either my skull or my skull and spinal cord, I opted for the latter however do not have to make a final decision until later in the week.  There could possibly be one injection before and then they could be recommenced after.  I’ve opted to get a bone marrow biopsy done tomorrow, well I guess that would be today now, Tuesday anyway.

Anyhoo let’s just cut to some good news. Yes we do have some!  I asked about starting overnight peritoneal dialysis today and the PD nurse came for a chat.  Following on from a conversation he’d had earlier with the renal consultant when she came to see me it turned out that they thought the frequency of the PD could be reduced, either by doing it times a day for seven days a week or four times a day but for less days.  I’ve opted for four times a day Monday, Wednesday and Friday with nothing on the others other than draining the overnight fluid off.  I asked B for his opinion when he came in and he, after initially stating that it was up to me, said that Tuesday, Thursday and Saturday would be more practical – and he is of right of course.

I got swabbed today as I’ve been a bit snotty, yesterday and this morning, and may not have thought anything of it but for another couple of patients coughing last week.  I was told it was nothing that should concern me but we’ll see.

The internet is a wonder thing when it works right – I won’t say how many times I tried to post this last night but it wouldn’t play ball.  Hence me sitting here now having my breakfast in my usual half asleep daze thinking ‘Oh yeah I couldn’t keep my eyes open so I left it!’

I really didn’t mean to go on this much and really just wanted to let you know I was still here and actually feeling pretty good.  I did mean to share this last thing however.  I learned something today.  I learned it as I went for a wee just as B arrived back with my singapore chow mein from across the way.  I whizzed (get it whizzed) to the toilet and in my haste to get to the grub was in ‘wee position’ before I took full account of my surroundings.  In fact I was mid wee.  What I learnt was that if you are mid wee and notice something unpalatable on the floor at the side of the toilet then the natural reaction to flinch away from ‘the something’ kicks in before the reaction to ‘stop weeing’!!!!!!!  Fortunately I had plenty of jim jam bottoms.

*  cba – can’t be a&sed

I have no idea what to title this one

I had been planning on my newest post being titled ‘You’ve got to be codding’ – codding being a word interchangeable with kidding and in this instance relating to a cod liver oil capsule that was taped to the back of my head during the recent MRI.  I don’t know who was more surprised – me on removing the tape and finding the capsule or the radiologist on me handing her the tape and her finding the large quantity of very short hair attached the tape.  However in light of the way today’s gone this isn’t the post I anticipated.

Today, and from yesterday afternoon really after getting a bag of blood in the early hours of the morning, I’ve felt so much better in myself.  I haven’t felt bad, bad but tired and certainly fuzzy round the edges.  In fact I think it was Tuesday I had the blood because thinking about it that was the morning I had the MRI scans, heart ultrasound and lung function test then a bag of platelets and lumbar puncture in the afternoon – I guess I shouldn’t have been as surprised as I was when B looked at me incredulously when I said I couldn’t remember exactly how I’d got the big bruise on my right thigh – when he said Bud had done it it all came back to me but initially I could only recall I’d had some sort of mishap and absolutely none of the details.

Now let’s not get too excited about the apparent wellness I feel.  Although obviously while feeling well is a good thing it may be slightly trumped by actually being well.

I’ve had various medications stopped or changed to reduce the risk of seizures and indeed haven’t had any more.  I’ve had new potassium and magnesium meds as these levels were a tad low.  As of yesterday the results of the MRI on my head looked fine, the one on my shoulder showed myeloma lesions but needed comparing to a previous skeletal survey to see if any were new.  Initial results of the lumbar puncture didn’t show anything immediately obvious.  There was a slight increase in lymphocytes (one of the defensive cells) – normal levels are 5, mine were 14.  If they had been in the 100s some sort of blind treatment would have been required and if they’d been 4 or 6 they could have been left but 14 probably needed something doing but were of a level that could be investigated further to establish the correct something.

This morning the Ward Sister/Manager stopped by (well actually she was seeing to our room today so she’d already been by a good few times) to say that one of the docs had come out of the morning meeting to say that Prof or the other myeloma doc would be speaking to me and I may want a family member with me.  Sister had no idea of the exact topic of the discussion as she wasn’t in the meeting as she was tending to the ward today.  I said there was no point me even ringing B as he’d be in bed and the phone wouldn’t wake him so she said if I wanted she’d be there – I said yes.  I wasn’t ringing Auntie Ann as she isn’t even actually visiting today as it’s her last day in work – she’s retiring.  There’s a lunch out and maybe something after work so although I know she would have wanted me to I wasn’t messing that up.

I had time to google things like ‘myeloma lumbar puncture’ and ‘myeloma spinal fluid’ before Prof took a seat in my comfy chair while Sister, a Registrar and another doc, who I have to admit I’m not sure is yet a Registrar or not but who I like very much, took positions at the bottom of the bed.

Basically the lumbar puncture showed plasma (myeloma) cells and some of the damage to the shoulder would appear fresh.  In view of this despite the DT-PACE, and the seemingly shorter and shorter remissions between treatments,  Prof felt that he couldn’t justify the resultant loss in quality of life against possible benefit a donor transplant would provide – I think I have that correct.  I’m not going to kark it immediately but, baring a miracle, we’re not talking years and years but for the first time EVER the ‘how long?’ question was on the tip of my tongue.  No treatment specifics have been tabled but I said what I’ve now said three times I think, last November, on the decision to go ahead with a donor transplant and today, I’m not afraid of dying but I am of… ‘not trying’ Prof finished off.  I’ve never said this to him directly so it looks like they talk to each other.

The only immediate question I thought of was in view of the fuzziness I’d experienced and so I asked about ‘mental deterioration’ – I don’t know how come I was so formal – but was relieved to hear that wouldn’t be an issue.  Thinking about it and especially considering he said they were always very upfront with me that wasn’t necessarily a compliment!

Sister sat with me after the docs had gone, rubbed my leg and said if I wanted anything she was on a long day.  I asked later if one of the docs could go through it with B when he got here because there was no way I wanted to be the one to tell him.  That of course didn’t pan out because I couldn’t say everything was fine when he phoned after he got up but one of the docs is going to come chat to us when B gets here and answer the questions I have by now.

B’s just got here (well nearly an hour ago now) and is not thrilled that he won’t be getting to see Prof or the other myeloma consultant this afternoon but I’d just asked Sister if we could see the other consultant tomorrow anyway and B chipped in that he’d like to see the Myeloma Nurse too.  Sister’s just come back to say they’ll both call round two thirty tomorrow.

There’s not exactly a set treatment plan in this instance as it is a rare complication of myeloma, which I’d managed to work out for myself before I knew what it definitely was.  When I asked Prof about this, and he’s not exactly a spring chicken (I am in no way saying he’s old just experienced), he said that with me the total number of patients he’d dealt with personally with this complication was now 2 – I resisted the urge to ask what had happened to number 1.

It wasn’t the geriatrics that needed the ambulance

Guess where I am.  Thinking about it that’s not difficult enough, heck its not difficult at all – chances are if I’m on a short break I’ll be in The Royal – so have an attempt at what brought me here, other than an ambulance.  It didn’t even have sirens on and indeed had blacked out windows on the sides rather than no windows.  I’m pretty confident that you won’t guess – as I never would myself.

Yesterday I went to Willowbrook Hospice to the crafting with geriatrics day, I mean Day Therapy.  There were a couple of really old dears there one was 94 this July but they were a hoot and really nice respectively.  Willowbrook is aimed at people with cancer and other life limiting illnesses and I think one of the other ladies had had a stroke.

I’d felt tired but not majoraly different from the usual lethargy associated with being anemic – it turned out I was just 0.3 from target at which a transfusion is given – but otherwise okay.  I crafted when I got there and then sat in on the discussion ‘Anxiety Management’.  I didn’t know whether I would learn anything but thought I’d give it a go so I’d know whether I wanted to sit in on any others.  We then had lunch – a gorgeous tomato soup, cottage pie (which I managed to keep down despite throwing up the last two I’d made at home) and eve’s pudding – there was even red, white or rose wine on offer – I had orange juice I’ll have you know! The last activity, or should that be planned activity, was a relaxation.  None of the activities are compulsory and some attendees went back to the craft room.

I made myself comfy in a recliner with a bean bag type neck pillow and a triangular cushion under my arns – because this is how they support them.  After some muscle tensing and releasing we started a meditation, I guess.  The lady holding the relaxation told us to imagine a luxury resort with a fantastic room, a pool and… well that’s all I remember the next thing I knew I was sitting in the chair minus the cushions and a lady, who turned out to be a doctor, was testing my reflexes and asking me stuff accompanied by a nurse.  She then said I’d had a turn and I noticed the portable dividing screen behind them.

As I was capable of walking I got to go and sit at the dining table and people asked me if I was feeling okay.  ‘Yes’ I answered thinking ‘Of course, I’m fine’.  It was home time now and B was collecting me.  I rang him and asked him to come in – fortunately he had his phone on which isn’t usual.  I can’t know remember if I’d been told to get him inside or just did it.

One of the nurses took me into a side room and I asked what had happened.  She said I’d had a seizure!  I have absolutely no recollection at all.  Now if I remember rightly they’d phoned the haematology team and subsequently an ambulance to take me to The Royal.  As I wasn’t an emergency and they had these to deal with first they’d get to us as soon as they could.  Bearing in mind my ‘turn’ was done by 2.30 pm -ish we were still ambulance-less by about seven.  One of the volunteers, who’d stayed behind, chased it up again.  Meanwhile both my Auntie Ann and friend Chris were heading to The Royal.  Chris after tea but Auntie Ann straight from work.  I left a message and sent a text and she decided to come to Willowbrook instead or rather as well since she was at The Royal car park when she got it.  I’d been given some sandwiches and mini cakes…

and B had been home and then called back ready for work and had half my tuna sandwich and a piece of cake before going back home and taking Bud out for a walk – it seemed the better option

The ambulance turned up eventually and it wasn’t even one of the regular emergency vehicles, it was a converted (properly) minibus with blacked out windows.  I realised about the windows as I waved to Auntie Ann as we went past and then the penny dropped that she couldn’t see me.

We arrived at The Royal and Chris was waiting outside.  We got shown into a four bed room in the Acute Medical Assessment Unit and I got to keep the blanket I’d been given in the ambulance which although proclaiming to belong to ‘Dewsbury & District Hospitals’ was, I mean is – as I still have it, lovely and soft.  One of the paramedics said it reminded her of a baby blanket.

B had been panicking about my peritoneal dialysis fluid exchange as I should have done it by three and when I got to the assessment unit and asked the nurse said she wanted to speak to the renal docs before I did it – if that was okay.  I’d spoke to one of the PD nurses and he’d left a gift package for me that needed collecting from their unit.

I slept really well, or so I thought.  I woke up about five for a wee and found I had a bandaged cannula in the back of my right hand with an IV attached to it.  The nurse disconnected and I said that I didn’t even remember having the cannula put in.  She said I wouldn’t they’d given me something to ‘calm me down’.  Now it was early and I was more than half asleep so I basically went back to sleep.  When I woke up properly I thought ‘calm me down?’  Well I figured if I’d been with it enough to make a decision I must have said okay so there was no point fretting and if it wasn’t possible to consult me then…! Well there was no point fretting over that either really.

Just after nine a face I recognised appeared round the edge of the curtain next door – it was one of the blood doctors.  He asked me what I’d been told to which I responded nothing.  Apparently I’d had another seizure (sounds a bit more medical than fit) in the night.  As it turned out I had the neighbouring young lady who was staying with her grandmother to thank for alerting the staff.

I had a CT scan on my head yesterday which showed no evidence of a bleed or an infection – and am booked in for an MRI anyway which will now be brought forward.  Some of the medications I take can cause seizures but I’ve been taking them for long enough that this side effect should have happened by now.

I feel generally alright – if tired but then again I am anemic so that could be the result of some of the tiredness.  Last night I could feel myself nodding off at half nine and was going to do my PD exchange at ten.  So I put the alarm on my phone just in case.  I woke up at 4.15am and possibly only then because I needed a big wee.

Tonight I’ll be telling the night staff to wake me at ten as well since last night not only did I sleep through the alarm but also through B ringing me at 11.30.  I wouldn’t have minded if I’d been in a proper sleeping position but I was still sitting up in bed with the bedside table across the bed and yet had managed to get nearly seven hours.

The IV I had in the early hours of Friday morning was an anti-epilepsy medication which I’m not on in liquid form.  You know we had a little Pomeranian that developed epilepsy as he got older but if everybody’s fits are the same at least I now know Whisky wouldn’t have had any recollection of them at all.  I once fainted and remember the world ‘closing in’ but there was none of that with these (well one at least I was asleep for the other) and if I hadn’t been told I would be none the wiser.  B suggested it was going Crafting with Geriatrics that had caused it while I said it was just as well I had as I was certainly in the right place.  I mean what would have happened if I’d been at home.

Needless to say I get to stay in (in my own little room at the moment with an ensuite toilet) while a source  for the seizures is found.  B’s been to the wool shop today and got me some exciting new yarn to bring in – it’s alright don’t panic I do have some crocheting with me – I took it to the Therapy Day!