Drain 2

Mum and Col pick me up early and we drive to Kingsfold Unit to get drain 2 done. Déjà vû. We are in the waiting room for about an hour and then taken through to Tilgate Ward for a while and then drain 2 gets underway. Though this time on the actual ward, not in a side room like last time. I feel far more vulnerable and exposed 😟 The only barrier between me and everyone else on the ward is a curtain, before I had a whole separate room. The procedure begins and I am prepped for the op, covered in a sheet as before. I am being done by a trainee who is being observed. I am not happy. It feels manic. The "drain digger" begins, screwing that 15cm needle deeper and deeper, more and more anaesthetic being used. I scream out, it bloody hurts. I grab Mum's hand tightly and Colin rubs the top of my head. The observing senior doc talks to me about my job, in Spanish, I see he is trying to distract me. Then there is a hideous “popping” feeling somewhere deep inside that wasn’t there when I had this done before. It’s weird. I beg for the more senior doc to take over, the trainee is really hurting me and thankfully the senior doc takes charge. Suddenly there's a pressure release. A lot of fluid rushes out and he quickly stops the drain and puts it onto super slow release. I ask for oramorph because I remember the pain from last time. The lung reinflating is mercifully far less painful this time but I cannot get the weird pop sound out of my head... We wait. And we wait. We take it slow.  The fluid drips out. I am told the trainee nicked a blood vessel... One of my friends from the Bristol weekend who lives in Horsham - Ruth - pops up to see me as she happens to be in East Surrey. It’s nice to see her through the oramorph fog, we chat for a while but she can see I’m getting dopey so leaves me to rest.

We’re eventually told that as much is going to drain has drained (600ml), so Mum and Col drive me home but my god I ache. I thank Mum and Col, go inside, clamber on the sofa, Rob comes in to kiss me and shit there is immediate drama. Rob looks up at Poppy who is standing on the windowsill and her stomach is hanging down and sagging. We had Poppy spayed last week and fuck she has burst her stitches. Oh god. I am incapable of helping. Rob calls the vet and whisks Poppy away. Bloody hell.

I fall asleep for a few hours. Poor Poppy has to undergo emergency surgery 😥 She gets home later that night. I am totally foggy and can hardly remember the evening.

Liquid from Drain 2

Pretty feel better flowers 

from Sarah & Dave

The Greek Dyno-Rod

⚠️ Epic post alert ⚠️

We had been in the Isle of Wight for a few days and I noticed I was getting more and more breathless.

Rob, the doggies and I went for a lovely coastal walk along the cliffs, but it involved scrambling, stairs, stepping stones, pebbles along the beach and steep climbs. The end of this walk was a steep hill, and at the top I was so breathless I thought I was about to vomit and/or pass out.

In the end, just walking from the bedroom to the toilet in our holiday flat was leaving me out of breath. Rob made me go to a local GP on the island and thank goodness he did.

I got to the GP and she examined me and then requested I do a blood test called a D Dimer as she was worried I might have a pulmonary embolism! They were able to do it then and there in the doctor's surgery. So they did the test. The result came back in 20 minutes. Normal results are less than 500µg/L and mine was 1,200! My heart rate was also about 135. That meant a trip to A & E.... 

We rushed back to the flat and let the doggies out to pee and then headed off to the island’s only A&E in Newport. We waited for a small amount of time and then after triage I was taken straight to the ER beds where I had to have a blood test and a cannula.

Then I had an x-ray of my lungs. Basically the result was that I didn’t have a pulmonary embolism but I did have something called a pleural effusion:

Pleural effusion, sometimes referred to as “water on the lungs,” is the build-up of excess fluid between the layers of the pleura outside the lungs. The pleura are thin membranes that line the lungs and the inside of the chest cavity and act to lubricate and facilitate breathing.

Image from pedilung.com 

So that explained my shortness of breath. Basically as the effusion grew larger, it meant there was more fluid in the lining. It meant it was getting harder for my left lung to expand and therefore more difficult for me to breathe. There was chest pain because the pleural lung was irritated. 

The xray results showed that I had 2.2l of fluid on my left lung! That’s over a big bottle of cola in my lung. Think how heavy that is. And I’m only 5ft1! No wonder I was breathless and sore....

The procedure to get rid of the liquid is called a thoracocentesis, basically they insert a ruddy great needle into the pleural space around my lung and then drain off the fluid. Sounds simple enough but pretty ruddy painful. Now you should understand why the post is named Greek Dyno-Rod!

The only drain option on the IoW was a slow drain and I would have had to have been in that hospital until Sunday. Our accommodation was due to run out on Friday, this was all happening on a Wednesday. We had the dogs so obviously would have had to have found dog friendly accommodation. Therefore we put our foot down. We wanted to travel home. The doc was unsure as if there was an issue on the ferry I would have had to have had a helicopter called out! He asked his consultant who gave us the okay to travel. As soon as we got the okay and they had contacted East Surrey to arrange the op there we were out of there!

We rushed back to the flat, Rob heroically packed it all up and we drove to the ferry terminal, crossing fingers all the way that they would let us on. Thank goodness they did.

We turned up bright and early at East Surrey on Thursday only to be told there was no-one there that could do the op!! As I was breathing without oxygen they told me to go away and come back the next day! So as we were on holiday still, we made the most of it and went and saw the new Avengers movie 🙂

Try again! Friday we turn up at East Surrey and this time they say we’re on the list and can come in! Rob and I wait for a while and then I’m sent for another x-ray. Normally when you have a scan of any kind the people taking the images are pokerfaced and say nothing. This time, the man takes the image and then says "how long have you felt this poorly?" I say "oh a few days, I know about the fluid as I have had a scan already". He then says "Ah okay, I was wondering! Most people complain about fluid at 300ml, you have 2,200ml; you're hardcore!"

I then go back to Kingsfold Unit, wait for about an hour and then go through to a side room. The doctor and a trainee explain the procedure, ask me to sign a consent form, give me an ultrasound over my ribs so they know where to shove the ruddy great needle and it begins!

The doctor gives me an anaesthetic and some oramorph and then puts the 15cm screwdriver type needle into the pleural space and attaches a drain. Loads of liquid begins to drain out and I'm taken to the recovery ward.

Just a small needle.... 

The liquid continues to drain out and then the pain begins. As the liquid dissipates, my left lung begins to reinflate. The pain is fecking hideous and I roar and shout a lot. I also cough continually as the air begins to fill back in. It hurts so much.

The doctor comes over and gives me some more oramorph. The morphine makes me feel groggy and I have a sleep. About an hour later I wake up and we're told we can go home.

Here's a photo of me smiling (wtaf!) with the drain in, the 15cm needle and the liquid, which I promise you is not pee!

Thank you Mish xx