Mini Pain Relief Accessory Haul

Mini Pain Relief Accessory Haul

Got some new goodies this week!

It’s sad when you get excited about a new pill holder, but there you are!  I really like the colours, and the amount of boxes there are to split things up.  Sometimes I find I don’t take things as often as I could, which then increases pain levels.  So having it set out like this will show me if I still have more to take in a day.  At the moment I’ve just got paracetamol in there, but got plenty to add.  You can take each day out, so you only need to carry one section around with you at a time.

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Next are two items to help my neck.  The base of my neck burns hot pretty much all the time, probably from inflammation.  I picked up this cool pillow pad at a mobility shop, as sometimes it’s so hot I struggle to sleep.  I thought this might help, particularly in summer.

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Similarly this is designed for the head, but is the right width to wrap around my neck when it’s burning to try and soothe it.

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I’ve had a bit of a saga to try and get some orthotics sorted.  My first referral was rejected by my GP, with a note it had to come from a consultant.  It took me five months to see one, then another three months to get an appointment.  So, nine months in total and I’m sitting in the orthotics office, only to say I should have been sent to the hand clinic to see a specialist!  Argh!  Lucky it didn’t take as long this time, just two months, and I saw them last week.  Luckily they had much better ideas than the huge white plastic splint the orthotics departments had suggested – which immobilised my thumb completely.

What I needed was something that allowed my thumb to bend forward, but not backwards so I could still make jewellery.  And I also needed something to provide gentle support when it was painful and inflamed.  The Occupational Therapist gave me two things – a thumb splint, and some Cobon tape.

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The splints are pretty subtle when they’re on, and don’t look so awful as some of them.  They allow the forward movement I need, but stops the joint from hyper-extending backwards.  When using my jewellery pliers it will still allow me to put the pressure on the wire I need.

thumb splint
So they’re my new gadgets!  What do you think?  Anything you think I need to buy?

 

Facet Joint Injections in the Lumbar Spine

Facet Joint Injections in the Lumbar Spine

I have pain all over the place, but ranking at the top of the list is my lower back.  I’d previously had facet joint injections in my neck and shoulders some years ago, but they didn’t help.  However, it was before I’d had an MRI (as it took around 8 years of arguing to get one) and so the consultant was ‘guessing’ at what the issues were.  Later on the MRI did clearly show an area in my lower back that had degenerative lumbar disease in the facet joints, arthritis, and others issues.  It made a much better target for injections than anywhere else, so I thought it was worth a try.

It took another few years of me arguing for them (nothing ever just seems to just happen on the NHS!) After getting nowhere locally, my Ehlers-Danlos specialist at the Royal National Orthopaedic Hospital at Stanmore sent me to see her Pain Management college, who gave me the go-ahead for bilateral lumbar facet joints at L4/L5 and L5/S1 (so four in total).

A few days passed after being told I could have them and suddenly I thought – what the hell am I doing fighting to have needles put into my spine?!  I was sedated during my previous injections, but I did have some memories of the procedure.  I remember my consciousness kind of returning and thinking ‘please stop now.’  I was later told the sedation didn’t actually knock you out, but simply wiped your memory – and that you would be aware of what was happening as they did it.  This memory built up in my mind until I was convinced I’d be strapped down with horrible painful injections into the middle of my spine, then I’d just forget afterwards so I didn’t realise how awful it would be.  So I was about 500 times more nervous for these injections than previously.

The whole topic became a ‘do not discuss’ subject.  As soon as I thought about it I went into a state of panic, so there was no research done as I normally would, and I didn’t even allow my mum (who accompanied me) to talk about our arrangements of getting there until the day before.  I just wanted to block it totally from my mind.

We travelled to Stanmore the day before for two reasons.  The first that I can’t make the journey there and back in one day, and the second was that my admission time was 7am.  Ugh!

Although I wasn’t having general anaesthetic, I was told not eat after midnight, and no drinking after 6am.  It was the latter I’d struggle with as I’m constantly thirsty.

I arrived at the hospital a couple of minutes before 7am and had a choice of parking for the first time ever!  When we reached admissions there were a few people waiting outside, but when the queue got the doorway I realised the room was packed with both people queuing, and waiting in the chairs.  It wasn’t the easiest getting my wheelchair in and out with no room for manoeuvring.  There was only one member of staff dealing with everyone.  The older lady in front of me didn’t speak any English, and was soon joined by an interpreter.  The staff member made a phone call and I heard him say, “Are the wards still closed, there are a lot of patients here?”  He then informed the interpreter they had a bit of a wait ahead. I was next, and was told the same thing.

I was a little cross, only because getting somewhere for 7am isn’t very easy for me and more importantly 7am = grumpiness!  I did later found out the wards were opening for the first time after being closed for two weeks over Christmas – so I assume the delay isn’t normal.

I reached the ward and was met with a number of friendly nurses and health care assistants who welcomed me, and showed me my bed.  The lady with the interpreter was in the bed opposite me.  A nurse admitted me with a huge pile of paperwork, most of which seemed irrelevant in my case!  I was asked a couple of times if I had any allergies.  She then took swabs for MRSA and then took my blood pressure (which I hate, as it’s very painful.  The muscles in my upper arm are very tight and particularly sensitive).  I was told I was third in the queue – and the doctor would be seeing me beforehand.

A couple of other patients got in the bed and went to sleep, which seemed like a good idea – and would also make the time pass.  However every time I was about to drift off I was woken by someone.  The first to measure me for pressure stockings, then again to tell me I didn’t need them.  Then a doctor who was working with my consultant arrived to explain the procedure.  I was glad it was her and not my consultant as she was much warmer than my consultant is, which helped.  She spent a lot of time explaining how much time they took to sterilise everything to reduce any chance of infection.  I wanted to rudely interrupt and say that at that point, I didn’t care – I just wanted her to promise she’d knock me out!  She then went through the possible risks – infection, numbness in the legs, pain flaring up afterwards and in a very tiny amount of cases nerve damage.  She asked if I had any allergies.

Finally I could ask the one thing I wanted to know.

“You will be sedating me, right?”

“Did you ask for it before?”

“Yes,” I emphasised.

“Then we will.”

“Will I know what’s happening?”

“Well, some people do sleep.”

“Please make that happen with me.  Please.”

Then the pharmacist came to take note of my list of medications, and asked whether I had any allergies, then a number of nurses came to tell me, “It won’t be much longer.”  Then that they were on their way for me, only to still be there sometime later!

Eventually the porters did arrive and wheeled me into theatre.  A nurse went through the final questions – checking I knew what procedure I was having, if I’d had any before, if I had any allergies and if it was definitely my signature on the consent form.  The nice doctor then fitted the cannula into my hand, before I lay down front-first on the table.  They put an oxygen mask on me, a clip onto my finger to measure oxygen (I’m sure that has a proper name) then to my annoyance – a blood pressure cuff which I was told would be taking my blood pressure every few minutes.  It took it twice, before I told the nurse how painful it was.  “No problem,” she told me cheerfully, and moved it onto my leg instead which was much better.  She then began chatting to me about my hobbies and jewellery making, before my consultant began putting the sanitising fluids on my back.  The nice doctor then began to input two injections of sedation into the cannula. I closed my eyes – trying to relax.  She then asked if I could still hear her, and I said yes.  She thought I’d gone to sleep, and I said I hadn’t felt any sedation yet.  She said she’d keep going, and added two more tubes.

The next thing I remember is feeling a bit of pain in my back, and a nurse telling me it was all over.  I definitely hadn’t been aware of it.  I was taken into recovery for awhile, still very sleepy and groggy.  A nurse chatted to me for awhile, and I remember telling her to say thank you to the nurses, as they’d calmed me down a lot beforehand.  She promised she would.  She then asked if I knew which ward I’d been in.

“It began with J…” I answered.

“Jackson Burrows is the only ward beginning with J.”

“No, it wasn’t that.  Was it Diane something?”

“I guess now wasn’t the best time to test your memory?” she laughed.  She then came back and said that unfortunately they’d moved me to Margaret Harte Ward.  I began to worry if anyone had told my mum as I knew she was planning on getting a cup of tea while I was in the theatre (as she’d very kindly not eaten/drunk anything in front of me while I couldn’t).

As the porters wheeled me out of recovery, the nurse suddenly called for them to stop.  She dug through a cupboard, and pulled out another blanket to put around me.  “Sorry,” she said to the porters. “I just didn’t want her to get cold on the way back.”

When we got back to the ward I spotted my mum very quickly and realised it was the ward I’d been in all along!  The nurse handed over to the ward nurse, and said that my blood pressure had risen quite a bit during the procedure, so they needed to keep an eye on it.  Argh, more blood pressure checks!

I was left to sleep for a bit as I slowly came round.  A nurse then came round to do the blood pressure test.  I admit I groaned, and said the test was hurting quite a bit, then of course after gritting my teeth the machine malfunctioned.  Just one more time, I was told.  Luckily it was back to normal, and as she took the cuff off she realised lots of red marks had come up all the way round (which are still there today!).  She gave me an apologetic pat.  I asked if she could take my cannula out as it was pulling quite a bit.  She took a look and said it was quite red, and that someone would do it before I left.  (Well, one would hope so!)

I was told to stay until lunch time, and then I would be discharged.  The nice nurse who admitted me then walked past and so I asked her about the cannula, and she said no problem and took it out.  She also checked my ‘wounds’ (just slightly larger than needle marks) and said she was happy with how they looked.

Still waiting opposite me was the older lady with the interpreter.  I heard a nurse say to her that her operation wasn’t going to be until mid-afternoon – yet she’d been admitted at 7am!  It seemed mean to make her wait so long, and I assume the NHS had paid extra for the interpreter when they could had admitted her at the 11am or 2pm admission times.  I noticed the little old lady chatted non-stop to her interpreter, which made me smile as I could just imagine in the 7+ hours the interpreter sat with her she got to hear her entire life story.

I left at 1:40pm, slept all the way home, slept all afternoon and very unusually for me – all night!

So all in all – it wasn’t nearly as bad as I dreaded.  The staff – particularly the nurses, were lovely.  There were lots of touches of kindness, like the nurse in the theatre distracting me from my nerves, the recovery nurse chatting to me as I came round and making sure I was warm, and the staff back on the ward who took care of me and offered me toast and regular drinks when I came round.  They all made it a much easier experience.  Also – the NHS really, really want to know if you have any allergies.

I’m in a lot of pain now which feels different to my usual pain.  I was warned I may flare up, particularly where the needle touches the bone – so I’ve no idea if it worked yet.  I think I need to wait for all of that to calm down over the next couple of days before I can tell if it helped.

A helpful image of a facet joint injection

An image of a facet joint injection

Parking at hospital raises blood pressure!

Parking at hospital raises blood pressure!

Blue Badge parking is a fantastic invention, and makes life so much easier for people, but there are often places where there simply aren’t enough spaces for everyone.

In my town – it’s at the local hospital.  Parking has been an issue there for years, with the hospital regularly moving external departments to the same main site – but never increasing the parking.  The worst place for this is at the wing that contains physiotherapy, the various gyms, hydrotherapy, prosthetics, etc.  I always arrive early to my appointments – and it’s luck of the draw that you either catch someone leaving, or have a long wait.  The way the car park is laid out there isn’t an easy way to queue up, so people dot about and just have to keep an eye on who is next in line.

So today I had hydrotherapy and arrived about 20 minutes early.  I waited, and waited.  After about 15 minutes, a lady crossed the car park heading to her car.  I pulled out, signalling to make it clear I was waiting – when a new car arrived, and rushed in, passing me.  I couldn’t have pulled out further as it would have blocked the lady from leaving.   I head towards the space, as he starts to back in.  I beep, and wave to get his attention.  He ignores me, and parks.

When he gets out – I ask him why he did that.  He shrugs, and said he didn’t see me.  If someone doesn’t see a car in the middle of a carpark, signalling and beeping – they shouldn’t be driving.

So I wait, and wait – my appointment time passes.  There’s nothing I can do, no where else to park.  Eventually another lady moves her car, and once again a massive four-by-four suddenly drives in and takes the spot.  I’m furious.

Again, I ask her why?  I’d been waiting half an hour, missed my appointment time – and there is a queue.  She says her daughter has an appointment.  Right, well no one goes to the hospital for fun?  I explain I do too, and I’ve been waiting like everyone else.  She then looks at me and says “It’s your problem.”

I can’t repeat what I said next.

When did common decency vanish?  Everyone knows parking is difficult at this hospital, and most of the time everyone does their best to keep the system fair.  It sounds like such a minor thing, but in the end I had to park on a verge, then struggle desperately to get my wheelchair out and down the kerb.  My stress levels were high by the time I got to my appointment, fifteen minutes late – which then increases my pain.  It just makes me not want to go the hospital anymore, as the parking situation is so ridiculous!

Credit to ralaenin

Credit to ralaenin

 

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