Going private - Shall I? Shan't I?

6 minute read time.

It’s been a long time since my last blog post, for lots of reasons, mostly because I’ve been feeling pretty ill and just not up to doing anything much at all.  I realised a few days ago that my days mostly consist of sleeping, and when I am awake I’m taking care of the consequences of my illness.  And that’s about it.  But I must make an effort on the days when I feel a bit better to keep up with all the kind people who make enquiries about me.  So here goes.

I did, in fact, get an MRI very quickly after complaining about having to wait some more.  That was on a Friday.  On the following Monday evening I had a call from the colorectal nurse to say that they will go ahead with a colostomy on 12th May.  Now, there are two things wrong with this statement as far as I’m concerned.  a) why a colostomy when all along they’ve been talking about an ileostomy? b) 12th May is a heck of a way off if you’re in pain and discomfort all the time.  The nurse did try to reassure me on both points.  A colostomy involves a dry stoma which is much better, and they didn’t plan an ileostomy as there was no small bowel involvement.  I don’t understand this:  my discharge is liquid, and all along I’ve been told that this is because the fistula is invading the vagina from the small bowel.  It’s all rather confusing.  I was told that this would all be discussed at the pre-op, and also that dates change all the time and it was quite likely that I would get an earlier date than that quoted.  I should hope so!

So back to waiting.  I have arranged things so that I have a visit from at least one friend per day.  My Wednesday friend gave me a good talking to!  ‘For heaven’s sake, Jane’, she said, ‘why don’t you go private?  You can afford it, after all’.  I was shocked.  I have never even thought about going private.  I suppose that, being a strong supporter of the NHS, I just feel it’s somehow wrong to jump the queue.  After all, I would be under the same surgeon as if I stuck with the NHS, but would save three weeks waiting time.  And I would get an outpatient appointment with him first, which would give me the opportunity to ask all the questions I have.  Before my friend left that afternoon she made me promise to call the local private hospital and at least get a quote for a stoma.  Well, I did so, and there and then was offered a date for the outpatient appointment and a date a week later (in mid-April) for the colostomy.  I don’t actually have a quotation for the colostomy yet, as apparently this takes some time, but I have a rough idea.

Well, I’m afraid it’s no contest. I shall go private unless the NHS can offer me an earlier date than the private hospital can, which I doubt, what with Easter getting in the way.  Last Tuesday I went to the day hospice as usual and spoke to the sister there.  She said that she and her colleagues ‘had some concerns’ about me.  I thought this was a brilliant phrase, and asked her to call the surgeon’s secretary to see if I could get bumped up the queue, using this phrase.  It didn’t quite work, because the person she needed to convince was not there, but we shall see.  So I now have two avenues of approach:  private and NHS.  I will probably opt for the first.

 I mentioned above that I’ve been feeling too unwell to post.  In fact I’ve been too unwell to do anything at all.  And last Sunday we had a very special mindfulness day (in addition to our monthly mindfulness mornings), led by a real Buddhist monk who lives in the community of Plum Village established by Thich Nhat Hanh (hope I’ve spelt that right).  I was very concerned that I would not be able to go, or if I went I wouldn’t be able to last the day.  In fact I managed everything except the mindful movement and walking meditation, when I just sat on a pile of logs while the others did their thing.  It was a larger gathering than usual, and therefore took place in a village hall and an adjacent field.  But village halls around here have magnificent settings, and this one was no exception, with fabulous views over the countryside to the west.  The day followed the usual pattern, but the best bit was the talk given by the monk, Brother Ben.  I just wish someone had recorded it, as my memory is so poor.  The advice I remembered to take away with me was that every night when we go to bed we should think of three things to be grateful for.  I have tried to do this since, and there is always something to be grateful for.  He also talked about the three hundred year hug reserved for one’s special partner or loved one.  Now, I can’t remember anything else about this, and I haven’t found it on google, so it may have been Brother Ben’s own idea.  But I love the idea of tapping into a 300 year old hug at any time.  I came home afterwards and gave John a huge hug without explaining why! 

It struck me also that Brother Ben had the most wonderful ‘presence’.  He appeared to exude joy and happiness even though what we were doing was nothing very much.  He smiled all the time, incidentally showing off a fantastic set of teeth!  It made one feel ‘I want some of what he’s got’ (not the teeth, but rather his apparent joy in being alive.  It was contagious).

And I definitely need some of that joy.  I have hit rock-bottom on the energy graph.  It’s not an easy path that I have chosen (or rather, as John has just pointed out, that was chosen for me).  I thought it would be easier than chemotherapy.  Perhaps it is, but it’s certainly no walk in the park.  As well as everything else, my voice seems to be going.  It’s already very feeble, which makes it hard for me to make myself heard and understood.  Why would this happen, I wonder?  I have no appetite which doesn’t help the lack of energy.  I just have no interest in food, no interest in anything, really.  I can’t imagine that having a colostomy is going to ‘cure’ all that.  It can only help relieve some of the unpleasant side-effects, but I guess that the rest of it – the tiredness etc – will remain.  More on this next time, but it might be a while.

Anonymous
  • FormerMember
    FormerMember

    Hi Jane hope things re settling down for you, and you feel more Jane!! Summer is coming slowly, warmer days soon,

    Take each step as it comes

    Glyn x

  • FormerMember
    FormerMember

    Hello all followers of Dyad. VIW here once more. I visited Dyad earlier today and have her request / permission to update her news here. Firstly I'll report detail taken from her husbands recent round robin. Jane remains in the local community hospital though plans are afoot for her to return home once the hospital bed is delivered and set up at home for her. .A substantial care package is planned, of four lots of carers a day. In the meantime her condition has deteriorated significantly. She is not eating, and cannot be tempted by lovely titbits visitors have taken in for her. Consequently her weight is falling, She was already a tiny lady before this started, and she is now very frail. Her general pain from the metastasised cancer is reasonably controlled with morphine in various forms, and the pain in her arm from the cancer in her shoulder and arm pressing on nerves is more difficult to control. She has no use in her arm now and unable to write, text, email etc. She has had a number of falls when trying to walk so is now in a wheel chair when necessary. It is thought she has had either another DVT, this time in her leg or has an infection in her foot which is badly swollen . She is on anti-biotics for that.

    And from my own observations - Jane is depressed and weepy, we had a little cry together this morning. She is sad that it has all happened so quickly ( as she sees it ) when she had so many plans for the summer. She has no voice and whispers though even that is an effort for her. She is under the influence of morphine and therefore sleepy. Visits of 20-30 mins are more than enough. The doctors agree that her stoma operation was timely as it makes dealing with the consequences of the abdominal cancers more manageable. Had it been left for the NHS I personally doubt that they would have considered her strong enough to cope with the op - it was to have been just a few days ago. She knows that her blog followers are sending good wishes and she greatly appreciates that, but sends her regret that she is unable to write a properly detailed blog herself and hopes you will all understand that there will be no more from her. I shall, as appropriate, write further comments to keep you all up to date. I think that is all I can tell you this time around. Please waft all your very best vibes across to Jane - she needs them. VIW

  • FormerMember
    FormerMember

    VIW, thank you. x

  • FormerMember
    FormerMember

    Hi VIW, Thank you for keeping us in touch with Dyad, and if you don't mind i had a quiet weep for Dyad. Dyad I have never met, only over this blog and by a few emails! one brave lady! I am glad that her stoma operation has made some of her problem more manageable and when you speak to her, please say there will always be love and thoughts for her from this little bit of Cornwall, from this little bit of a welsh girl!

    Please keep in touch and thank you

    RustyK, (Glynis)x

  • VIW, thank you for the update, I was concerned that the long silences now meant that Jane was becoming more fragile. I'm sad that it has happened more quickly than hoped for, I know she had hopes  and  plans for the summer.  I have always appreciated Jane's great store of knowledge and advice, and her positive approach. She loves life and all it has to offer. Please give Jane my love, she is much in my thoughts and prayers this last couple of months. XX