Sunday, 24 February 2013

A bowel transplant to the BBC & SKY NEWS channels – Believe the Unbelievable



I have tried hard this week to get my head out of bowel transplant mode and in to the space reserved for “rest of my life.” I just figured that with my head still spinning with so many things it was time for a mental clear out, a kind of spring clean of the mind. As I write this I have visions of a mini me with duster and polish sitting inside my head polishing lots of bits until they are all shiny. Just hope mini me doesn’t drop anything, that is if there is anything to actually drop.

Growing up with Crohn’s Disease there was always a degree of tinkering with my ongoing treatment however when it came to my bowel transplant my biggest concerns have been the major issues that need continual monitoring. Now though I am back in that tinkering phase which looking at the big picture is great but it is the daily issues that make the difference between really getting on with life and constantly remembering you have issues that need to be addressed. Right now aside from the nausea my bacterial overgrowth issues have come back so it is a case of back on the antibiotics and then an increased dosage of my probiotics that I bolus in through the mic key button in my stomach.

My biggest frustration though has been a reoccurrence of joint pains. To be honest I initially put it down to old age, hey I am 43 and going grey so it was a logical conclusion I mean even people with very similar physiques to me such as Tom Cruise, George Clooney et al must have grey flecks in their hair and the odd aching limb. My problem has been that the pain has spread to my lower back, finger joints and bizarrely the sole of my right foot. Prior to transplant I had a bone density scan which showed that I was more susceptible to joint problems so I have had bloods re done and a vitamin D injection before deciding what to do next. Boy did the injection hurt though, so thick and gloopy my arm is still sore – stop moaning I hear you shout! I think the answer is very simple, go live in a warmer climate. I wish I did but I don’t so again I hear one part of the brain shouting “stop moaning.” Actually from the age of 14 my surgeons have said you would benefit from being in a warm climate but did I listen – not, do I wish I did? Of course…

Exploring the reserved area marked rest of my life has seen this week being huge fun. I have actually got lots to tell you. You know that my biggest passion is ensuring that the patient voice is truly heard and that we are not simply a tick box on a marketing slide called “patient centeredness.” Well this week saw our Campaign For Better Hospital Food really take off. A report came out stating that over £55 million had been spent in voluntary initiatives all of which have failed to improve the standard of hospital food served to patients. In fact it is at an all time low. As the news hit the media so I received a call from the BBC to do an interview for the breakfast news slot and I had the pleasure of the film crew at my home on Wednesday. I assumed that was the end of it until on Thursday early evening I received a call from Sky news to go to their studios and be live on air on Friday morning. If I am honest I was as nervous as anything but it was good fun and I think it went well. After doing a couple more live radio interviews I sat back on Friday night really proud that I had been able to make a positive contribution to change. How can omelettes made from powdered egg that are cooked, frozen and then reheated be acceptable to serve patients? Or soup fortified with powdered milk and no fresh vegetables. Oh I could rant for ever but you get my drift.  I will be putting up links to this media soon for you all to laugh at!!

That was a great ending to the week but on Wednesday night I did encounter my first “in your face” case of ignorance from a healthcare professional to a patient. I am incredibly privileged to be the patient lead on #nhssm which hosts a weekly tweetchat on various topical issues within NHS. On talking about how social media can be a great learning tool I made reference to the fact that patient blogs are a great way for health professionals to learn things. I was then told that I should go back to using social media to “to follow celebrities.” Oh such ignorance. Once I calmed down and then realised that none of my tweets were then being responded to by pretty much all the health care professionals on that specific chat it just made me realise how far patients still have to go to truly be treated on an equal footing. By hey it has just made me even more determined to have our voice heard. 

I mentioned this to one of the most highly qualified e-patients in the world Regina Holliday. If you ever get to hear her speak you are in for a real treat. Her response to my frustration was to say “suffering is a great teacher and many others are unschooled….”

The day after this chat I was back at Oxford going through with my surgeon all the things I mentioned at the start of this post. In his room he has a poster on the wall that I have seen many times but never taken any real notice of until this time. This is that poster.




To me this sums everything about my journey so far and everything about the rest of my journey.
Till next time
x

Saturday, 9 February 2013

What have Space Mountain & a Bowel Transplant got in common?



This last week seems to have typified my journey through bowel transplant. When I was told that having a bowel transplant was swapping one set of problems for another I knew what I was being told but never really appreciated what that actually meant. I went in to the surgery knowing the risks and complications but at that time I hadn’t eaten for 3 years and had intestinal failure so for me there was no choice.

Then I started to recover, get over infections and a few blips and things settle in to a more positive pattern but the stark reality is that there is something that happens every single day that means your mind is on a continual rollercoaster. I guess that is why so many IBD patients call it an invisible illness. My last blood markers were good and my surgeon is happy with me. That should be enough shouldn’t it? You have your bowel transplant and your transplant surgeon gives you a thumbs up but that “high” doesn’t last that long. Nausea has been a big problem that I haven’t been able to rectify. To me only being sick 3 or 4 times a week is good but actually when it happens at 2am/3am/4am then your brain gets scrambled and your mood changes from the “high” to a “low.” If you then thrown in occasional accidents then the “low” can emotionally be very “low” and that can be hard to explain.

I went back to see a great gastro doctor, who I call Dr Botox this week, to see what the next thinks the next steps should be. Another botox injection is on the cards for March and in the meantime I am going to have another gastric emptying study. Dr Botox believes that there is an underlying dysmotility problem and that actually may not ever be solved and therefore it may be about managing the symptoms better. And boom the rollercoaster in my brain starts up again. It would be cool if it was Disney’s Space Mountain sadly it’s more like Michael’s Mumbo Jumbo.

Away from my bowel transplant life is definitely been gathering pace at a good rate. I have been incredibly lucky to have struck up friendships with the founders of the Centre For Patient Leadership and I am now a co facilitator. I will be involved with 5 programmes over the coming few weeks so all of a sudden my brain has had to go out of 1st gear and straight in to 5th gear but that’s a fun ride to go on. I’m going to be doing an interview with David and Mark, the founders’ soon so watch this space.

Next week I have the privilege of being the opening speaker at the Scottish Health Council on its E-participation in the NHS conference. I have re written my presentation 3 times so far. I’m not sure why as usually I can write a presentation relatively easily. This one though has definitely challenged the old grey matter as it is purely to NHS managers and I want to get the tone write. Then there is the debate on what to wear. I’m going for the smart casual look or as my daughter would say “at least you made an effort” look. I figured suited and booted just isn’t me – unless of course anyone from Hugo Boss is reading this and is looking for a middle aged bloke with no six pack and hair going grey then I’m definitely your man.

I appreciate that this bowel transplant post has been a little disjointed and a bit all over the place. My friend and writer & Crohnie Wendy Lee – you should read her blog will definitely laugh at some of my English but I write as I feel and my head feels a little all over the place.  This think that has helped me snap back in to place a little is this video. Please have a watch. The video has been done by my son Nathan without me knowing that he was doing it. What it made me realise yet again, that coping with a bowel transplant and everything that goes with it doesn’t just affect me but it affects those closest to you as well. All they crave is a bit of normality and I owe them that. Oh and if you fancy seeing more of his videos then check out his YouTube channel or follow him @nathansgotfish

Till next time.
xx