Friday, 21 August 2009

This patient...

Well. I was for a bit anyway. Not any more, alas. I'm out on weekend leave again. I should be allowed out soon properly. The state of play is thus:

Medically: A recent ultrasound scan found a clot is still prominent in my left leg, with a small amount of surrounding swelling. An X-ray showed no bone issues. My blood inflammation levels are reducing (normally 6-ish, expected to be 20-30 with effects of clots, mine started around 140, peaked at 350 earlier this week, and are now down to 200-ish. Only the Biggest Numbers for me). My temperature has stabilised. The crucial PET scan didn't show anything seriously or dangerously wrong to explain either the clots or the blood inflammation. This means the cause is still unknown, but at least it's not something really bad that the PET scan could have discovered. A consultant hæmatologist has suggested the cause might be a constriction in the main vein through my abdomen, slowing blood flow from my legs and allowing clots time to form. I am due for another scan next week to determine this. Other than this the doctors are happy with my progress and want me out soon. I concur!

Personally: This last week has been distinctly down and then up. Coinciding with my inflammation levels being up, my well-being was very down earlier in the week. The blood clot in my left leg - down into the inner thigh - was constantly painful, and lying on my hospital bed, terrified of needing a piss because of the exhaustion and pain that walking 30 yards to the toilet would entail was not really a high point of anything. Eventually I broke down and got given morphine and sleeping tablets. Having a proper night's sleep at last was a huge relief. Since then things have gone gradually up, I am no longer scared of the toilet for a start :). The pain has reduced a lot and I'm a lot less tired. Apart from the left leg, the rest of me is pretty fine, if bored. I don't know if things will be smooth from here, but any progress is good.

And now?? Not entirely sure. Hopefully more recovery, as simple as that.

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