137 – Circling the Drain,
Part 4: 4 January 2025
Margaret often talked about her beautiful patient Sara. Sara’s life was cut far too short by cancer. I found this newspaper cutting amongst a handful of Margaret’s things just before I wrote this Blog. Margaret has written “80s” on the right hand side at the top of the cutting.
Sara and Margaret both look so beautiful.
****
This is another photo of me (far right) taken at First Falls Morialta on Sunday 17 July 2022. The rain in the Park that day was very heavy and I got soaked. By then, although I felt it was unlikely I would die in the near future, Margaret’s life was once again about to be threatened by her cancer.
****
In May 2021, my life hung by a slender thread. I was admitted to hospital on Friday 30 April
2-21. I felt ghastly in the morning that day and I rang Dr Aiyapan’s rooms seeking urgent help. I knew I was going down and it was
unlikely I would ever be able to get back up.
Dr Aiyappan arranged for me to be urgently admitted to
hospital.
That first period of hospitalisation lasted from
Friday 30 April to the morning of Friday 7 May 2021.
****
I
updated my diary of symptoms very shortly after I got home on 7 May. This is my diary of symptoms for Saturday 1
May to Tuesday 4 May 2021
Symptom |
Saturday 1 May 2021 |
Sunday 2
May 2021 |
Monday 3
May 2021 |
Tuesday 4
May 2021 |
Asthma |
Asthma controlled by medication while in hospital |
Asthma
controlled by medication while in hospital |
Increasingly
severe asthma attack from 7:30 pm onwards; required additional medication to
control the asthma; attack continued until about 9:00 am Tuesday 4 May 2021 |
Continuation of asthma attack from previous night until
about 9:00 am; eventually controlled by medication; Further
asthma attack at 8:25 pm – not quite as severe as previous evening and
controlled by medication before midnight; put on oxygen all night to help
with breathing |
Persistent Cough |
Coughing controlled by medication while in hospital |
Coughing
controlled by medication while in hospital |
Severe
coughing attack from 7:30 pm onwards; required additional medication to
control the coughing; attack continued until about 9:00 am Tuesday 4 May 2021 |
Continuation of coughing attack from previous night until
about 9:00 am; eventually controlled by medication;
|
Reflux |
No change |
No change |
No change |
No change |
Sinus/ Hay Fever |
Sneeze attacks and nasal discharge controlled by
medication while in hospital |
Sneeze
attacks and nasal discharge controlled by medication while in hospital |
Severe
sneezing attack with severe nasal discharge from 7:30 pm onwards; required
additional medication to control the sneezing and discharge attack continued
until about 9:00 am Tuesday 4 May 2021 |
Sneezing
and nasal discharge from about 8:25 pm – not as severe as previous evening |
Sleep Disorders |
Slept in hospital after given sleeping pill |
Slept in
hospital after given sleeping pill |
Terrible
night’s sleep even though administered sleeping medication |
Sleep
possible only because of sleeping medication, extra cough medication and
supply of oxygen to help breathing |
Gluten Intolerance |
Avoided food with gluten |
Avoided
food with gluten |
Ate 2
biscuits with wheat – bad results as detailed |
Avoided
food with gluten |
Lots of Bloating and Flatulence |
Bloating controlled by medication while in hospital |
Bloating
controlled by medication while in hospital |
Severe
bloating from 7:30 pm onwards; not controlled by medication; bloating
continued until about 9:00 am Tuesday 4 May 2021 |
Continuation of bloating from previous night until about
9:00 am; eventually went away. Bloating returned at about 8:25 pm but not as severe as
previous evening; gone by 7:30 am on Wednesday 5 May 2021 |
Hiccups |
Hiccups controlled by medication while in hospital |
Hiccups
controlled by medication while in hospital |
Severe hiccupping all night
|
Hiccups
controlled by medication while in hospital |
Optical Migraines |
Nil |
Nil |
Nil |
Optical
migraine at 8:30 am |
Loss of Sense of Smell |
Unable to smell since mid December 2020 |
Unable to
smell since mid December 2020 |
Unable to
smell since mid December 2020 |
Unable to
smell since mid December 2020 |
Miscellaneous |
(1) Able to eat while in hospital (2) Airways closing down whenever I speak to anyone |
(1) Able to eat while in hospital (2) Airways closing down whenever I speak to anyone (3) Very hard night |
(1) Able to eat while in hospital (2) Airways closing down whenever I speak to anyone (3) Very hard night
|
(1) Unable to eat breakfast while in hospital (2) Airways closing down whenever I speak to anyone (3) Hard night but not as bad as Monday night
|
****
My circling of the Death Drain nearly became terminal nearly unstoppable on Tuesday 4 May. I remember I was in my room when my airways began to completely close down at about 11.30 pm. I began Perimeter Prowling around the inside of my tiny hospital room. I did not press the nurse call bell. My actions were automatic. My breathing was about to stop so I immediately started the strategies I used when this happened at home.
I was in a hospital and I did not have the sense
to press the nurse call bell.
I was walking circuit number three when the night duty nurse knocked and entered the
room. She felt something was wrong, so she
entered to check on me.
I cannot
even remember the name of this wonderful nurse who saved my life that night.
She
immediately placed me on oxygen to help me with the breathing and tried to get
approval from the doctor on duty to give me stronger pain relief than Panadol. Without
examining me or coming to see me at all, the doctor refused to allow anything
other than Panadol. My hero nurse then gave me up intravenous Panadol.
I was in extreme agony, but eventually the intravenous Panadol dulled
the pain.
I survived
that night because of the compassion and skill of someone I had never met
before, someone I have never met since.
Thank
you to every one of the multitude of carers who remain unknown but without whom
our community would collapse.
This is a copy of the online information about Dr Aiyappan that I downloaded shortly before I saw him for the first time in 2020. I would not be alive except for the care, compassion and skill of Dr Aiyappan.
ReplyDeleteDr Vinod Aiyappan
Speciality: Respiratory & Sleep Medicine
Dr. Vinod Aiyappan MBBS, MD, FRCP Edin., FRACP
Respiratory and Sleep Medicine Specialist
Dr. Vinod Aiyappan is a specialist in Respiratory and Sleep medicine with extensive experience in general medicine and believes in providing ‘holistic’ care to his patients. He has trained and worked in various hospitals in the U.K (National Health Service) and Australia, after completing similar training in India. He is a fellow of the Royal College of Physicians (Edinburgh) and also a fellow of the Royal Australasian College of Physicians.
Dr Vinod Aiyappan is experienced in all aspects of thoracic medicine and sleep medicine, including bronchoscopy, complex sleep disorders and non-invasive ventilation. Apart from his clinical work, he is also actively involved in research and teaching and is a lecturer at Flinders University.
Dr Vinod Aiyappan has got a pleasant manner which endears him to his patients and colleagues alike and he understands the importance of good communication (with patients and GPs) in patient care.
His special interests include:
- Difficult airway diseases (Severe asthma and COPD)
- Complex sleep disorders and non-invasive ventilation (CPAP and BiPAP)
- Chronic cough