26 October 2008

angioplasty/emergency

On 5 September 2008, Greg was due to have the angiogram and angioplasty. We were told to report to the hospital at 7.30 am, so that they could prepare him and wean him off the alcohol for a few hours before the actual procedure was done in the afternoon. I had briefed Greg the night before that he should make an attempt to wash himself, perhaps have a shower and do his hair and body all in one go. Very drunk, as usual, he had shouted at me to leave him alone, so I was not hopeful that he would do anything at all. I also asked him to be awake by 6am so that we could eat, dress and be ready to leave the house at 6.50 am for the drive to the hospital. He had nodded his assent to that.

6 am When I came down for breakfast that morning, he was lying asleep on the kitchen floor with the dining chair lying on top of him, as if he and the chair had fallen over in one combined piece. I removed the chair, shook him gently to wake him and told him it was time to get up. He mumbled at me to leave him alone as he wanted to carry on sleeping. His feet were black, the toes still bleeding through the bandages, his clothes were stained and he smelled. It was evident he had not had a wash the night before and we were far too short of time to do anything major now. Still talking to him to make him wake up, I hastily filled a bowl with water and grabbed a cloth and tried to wash his top half down, as I knew that would be where the angioplasty entry-point would be.... I was keen to sanitise that area at the very least. He was still in a drowsy state and kept fighting me off. I tried to take off one set of clothes to replace them with clean ones, but again he fought me off saying he was cold.

6.40am. The clock was ticking away and I could see we were only about 10 minutes off our scheduled departure time, but he was still not dressed, nor had he had anything to eat. (The procedure notes had strictly advised a light breakfast beforehand. Not that Greg ever eats breakfast. He hardly has anything for lunch or supper either.) I managed to persuade him to consider a boiled egg and toasted soldiers before we left and to my surprise he agreed, but when I set it on the table, he still lay on the floor dozing in his old clothes. By now my blood pressure was rising.

6.50 am The time we should be leaving the house. The egg lay uneaten on the table and he still lay unclothed and asleep on the floor. By some superhuman effort, I managed to pull him up, dress him like some lanky overgrown baby and with the help of Kay, who had now appeared in the kitchen, we managed to get him up onto a dining chair. I was still rushing back and forth making sure we had the hospital appointment letter and all the other things he would need for the procedure to go ahead. I felt like a character in a zany cartoon film.


7.10 am. The minute-hand of the clock edged towards 7.10am and we were late. I knew the drive to the hospital and the almost manic hunt for one of the £2-per-hour hospital parking places would make it impossible for us to make the 7.30am deadline. There are only about 30 parking spaces for the entire hospital in a tiny courtyard and they are always full. After that there is meter-parking around the busy side streets, but they would be too far away for Greg to stagger to the hospital. I was getting frantic. Kay helped me to stand Greg up from the dining chair and slowly walk him to the stairs for the climb to the front door (our kitchen is in the basement). His balance was not good and he seemed unable to support himself. He was confused and had to be reminded where we were going. He seemed to have completely forgotten that he was even having the angioplasty. At the foot of the stairs he went to raise his foot onto the first step and could not find the strength to pull his weight up. I tried to push, Kay tried to pull, but he could not put his weight on his foot. He collapsed on the step and could move no further.

7.15 am. I tried to phone the hospital to say we might be a bit late (understatement of the year), but the appointment letter only had a general number for the office which of course would not be open till 9am. Hurriedly opening the telephone directory, I could not see the small print for the hospital switchboard number without my glasses, which of course were nowhere to be seen.

At this point I was tearing my hair out. I decided to ring the Emergency Services and ask for an ambulance as there was no way we could move Greg in any direction now....like a rag doll, there was no strength in his legs and we could still not manoeuvre him up or down the stairs.
I checked with the 999 service to see whether I was wasting their time, but they seemed genuine about the fact that we deserved an emergency call-out. Kay meanwhile headed for school on the bus, as I knew she would be better off at school. She looked relieved that she did not have to stay with me.The ambulance crew arrived pretty quickly soon after that and agreed to take Greg to A & E at the hospital we needed to be at. They wrapped him up in a blanket, carried him up the stairs in a chair-trolley and out into the ambulance. They did all the necessary emergency checks in the ambulance and then we set off for the hospital, with me leaving about 5 minutes ahead of them to get a parking space.

7.55am. Greg arrived at the hospital in the ambulance, just after I had parked the car and had found the entrance to A&E. The casualty staff looked generally perplexed, when they examined him. The sight of his toenails seemed to put even the strongest of them off. It amused me how these people can deal with all the blood and guts of A&E, yet still get their stomach wrenched at the sight of a torn toenail. As for his legs and general state, they did all sorts of tests. He did not seem to respond to any of the usual reflex tests and could often not feel anything at all as they asked him whether he could feel them twiddling his toes up and down. He did not jerk when they banged his knees. In short, he seemed dead from the waist down. Shortly after arrival, I had sprinted up to the ward where he was going to have his procedure done to tell them why we were delayed and that he was in A&E. The lady doctor who was about to perform the angiogram/angioplasty visited him shortly thereafter in A&E to say she would in the circumstances delay the procedure for another week to give him time to recuperate from whatever was wrong with him. Blood tests were done. More waiting for the results. A&E were on the verge of sending him home, but I pointed out that our house has lots of stairs and that, if he could not walk, there might be a slight problem with that. Fortunately a team of physiotherapists and social workers called by and eventually decided to admit him to a ward and keep him there while they did tests on his legs to see if he had something called peripheral neuropathy - nerve damage to the extremities caused by diabetes and alcohol consumption.

12.30pm. I saw him settled into a ward. He was insisting that he wanted to go home, but I was firm and told him there was no way I could cope with him at home if he was unable to stand or walk. His reply was that "we would manage".
"Yes", I thought, "and by we you mean me!"

1.00 pm
Having spent 5 hours altogether at the hospital, I left in a frazzled state for home. In all that time I had not even had a chance to have a coffee. My head felt as if it had been whizzing around in a spin-drier. I was also concerned about Snoopy, who hates being left for even an hour let alone five, so I imagined I would be going to home to chewed matchwood instead of furniture. Fortunately Snoopy decided to support me by being good that day.

6.00pm. I then visited again with Kay. I felt as if I had been at the hospital all day. The parking ticket meter once again greedily devoured more money - that day I spent over £15 in all on hospital parking. Greg was even more desperate to get home, as, you may remember, he hates hospitals with a passion. He was agitated but at the same time, barely acknowledged we were there.
Kay and I didn't hang around that evening. We were so thankful to get rid of him for a while and get a bit of peace and quiet. We walked out into the fresh air and sighed a deep sigh. What a day, that had been !!

19 comments:

Kit Courteney said...

Reading your blog is often like having your breath taken away.

I'm speechless.

But full of admiration.

Millennium Housewife said...

Still hanging in there with you Rosiero. Isn't it strange how many people call 999 for rubbish reasons and yet you, with a genuine reason, thought to ask if it was ok? MH

laurie said...

this was just last month? oh good lord. you are taking your marriage vows beyond what God Himself would expect of you, i do believe. i cannot believe what you are living through.

and yes, you have that right, when he said, "we'll manage," what he meant was that HE could keep drinking, and YOU would manage.

holy mother of god.

DogLover said...

What an amazing wife you are!

Keep strong and keep telling us what happens.

You are constantly in my thoughts.

doglover

Stinking Billy said...

Mama mia! Vot a Voman you are! x

blogthatmama said...

You are a saint Rosiero, I really, really don't know how you manage physically and emotionally..Blogthatmamax

Robert said...

I've been to the Emergency dept of several hospitals over the years, and 2 things always stick in my memory - the interminable waiting and the lack and/or cost of hospital parking. Seems like you have had the same problems (and a few more!).

Do you think your husband will ever know how lucky he is to have you???

mrsnesbitt said...

This is the first time I have visited your blog......it did indeed take my breath away, sending you hugs right now.

Denise
xxxxxxxxxxxxxxxx

Ellen said...

Rosiero you must be exhausted and still you find the energy to write this amazing blog. Wishing you rest and peace.

Flowerpot said...

I'm exhausted just reading that R, so god konws what you felt like.

Crystal Jigsaw said...

I'm actually speechless too. You have the patience of a saint. No. make that two.

CJ xx

Gill - That British Woman said...

you are taking your marriage vows to heart aren't you "in sickness and in health."

Gill in Canada

Anne said...

You are living a horror story, I seriously don't know how you have coped so far. I'm been reading (lurking) and really hope that Greg has a huge wake up call. Doesn't seem much like it is going to happen any time soon.

cologneblog said...

Oh dear, I have written a long comment, but now it's gone because of that strange commentary function. I'll try again ... I said:

Oh Rosier! Waht you have to suffer seems too much. I wonder where you take the energy from and I wish you much more of it. But - on the other hand: take care of yourself. Your daughter needs you, too.

aims said...

If I could reach out and give you my hand - I would. Then I would wrap my arms around you and hug you very hard. You could cry all you want and I would cry with you.

Your strength is far more than mine has ever been.

I believe your name has been written down in the book of saints.

Retiredandcrazy said...

I know that when I was living with alcoholism I thought it would never end, but it did. Nothing stays the same forever Rosario. Hold on to that thought.

rosiero said...

Thank you all for your comments. I don't feel a saint. Just coping with the situation as it presents itself to me. I am sure you would all do the same. You just keep on keeping on... to try to preserve family routine and deal with what you hope will get better.

pammi said...

HOW IS ANGIOPLASTY CARRIED OUT


In today’s modern world, changing lifestyles are leading to increase in the number of diseases related to the heart. With that, many techniques of surgery for the heart have come up. Of all the available options for surgery, Angioplasty has proved to be one of the safest ways.

Angioplasty was first used in the late 70’s. It involves the widening of an obstructed blood artery, which has happened because of atherosclerosis, by mechanical means. A balloon catheter, which is an empty one and is collapsed, is taken and it is passed through the location where the surgery is to be done. Then the catheter is inflated by pressure which is around 200 times compared to that of the blood pressure.

The inflated balloon has sufficient pressure in it to crush most of the fatty deposits on the sides of the artery walls. Thus, the artery opens up properly and the flow becomes proper and the obstruction is now minimal. After this is done, the catheter is collapsed and made empty and is finally withdrawn.

Angioplasty is of several types based on the location of the arteries which have been blocked. Some of these are Renal, Cerebral, Coronary, etc.

Once Angioplasty is done, the patient is kept under observation for a day or two. The blood pressure is monitored continuously along with the heart beat rate. Proper medications are given if necessary.

Since the time from which it has been put to use, Angioplasty has helped lot of patients and has saved their life. The best outcome of it is the prevention of heart attacks and bypass surgeries.

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