I was not just a relative I was her Mummy

I was not just a relative I was her Mummy

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Tuesday morning 14th January’14 found me sitting in my lovely room in the Cancer Centre at Belfast City Hospital.

Leah was going for a CT scan of her lungs.

The policies of the ICU did not permit relatives to accompany patients for these procedures.

My TYA (teenage & young adult) oncology nurse specialist came to see me in my room.

She said that she & my TYA Social Worker were concerned about some of the issues I was experiencing in ICU and the impact of these on my stress levels.

She said that she would speak to the nurse in charge on my behalf and wanted to know which issues I wanted addressed.

I explained that most of the nurses were brilliant and some of the doctors, especially the younger ones, were good at communicating with me – the problem was that how I fared on any given day depended on who was on duty.

I said that there was really only two issues that I wanted addressed.

One was the fact that when certain consultants were in charge I had to beg for information.

Whenever I was asked to leave ICU during Doctors rounds I would say to the nurse looking after Leah “Please ask the consultant to give me an update when he has finished his rounds.”

On more than one occasion this request elicited the following reply from a nurse “It is not the norm in this unit for doctors to speak to relatives on a daily basis.”

I told my TYA nurse that I NEVER wanted to hear that phrase again – the patient in the bed was 16 years old, she was just a child, I was not just a relative I was her mummy, she was dying and I didn’t care what the norm was in that unit – I wanted the opportunity to discuss my daughter’s medical condition with the doctor looking after her, on a daily basis.

The other issue I wanted raised was the amount of time I spent sitting outside ICU in the corridor, separated from my child.

I accepted that the policies of the unit meant that I was asked to leave for all sorts of reasons.

Most of the nurses kept this time as short as possible, but sometimes it seemed that the amount of time I was left sitting out in the corridor varied according to who was on duty.

My time with my critically ill child was so precious to me and I felt actual physical pain in my heart when forcibly separated from her.

I asked my TYA nurse to ask the staff to please keep separations as short as possible.

My TYA nurse was very understanding and went and spoke to the nurse in charge in ICU.

The particular nurse in charge that day was one of the kindest, gentlest people you could ever wish to meet and she was maybe a little taken aback to hear that a small minority of staff treated me very differently to how she treated me.

However, she took on board what was said.

Leah’s CT scan that day showed serious deterioration and we very quickly found ourselves discussing end of life plans, so the goal posts moved quite dramatically.

However, it was so important for me to know that I had professionals like my TYA Oncology Nurse Specialist & Clic Sargent SW who would listen to me, support me and advocate on my behalf.

Hiya Honey

Hiya Honey

Leah appears much the same today as yesterday and the numbers on the various monitors appear unchanged.
Dr Uncommunicative is on duty so I’m not holding my breath waiting for an update.
The ICU generally has about 8 patients between ICU and HDU (High Dependency Unit) so it’s a relatively small nursing team.
The ICU patients are nursed one to one.
We are here two weeks now so we’ve got to know many of the nurses well and they are just lovely.
Two of the younger nurses have had cancer treatment themselves in recent years & one of them showed Leah photos of herself with her chemo hair loss which Leah really appreciated.
She’s a very cheery friendly girl & Leah always seems to respond to her no matter how sedated she is.
Yesterday when this girl came in the room & greeted Leah with “Hiya Honey” in her strong Belfast accent, Leah lifted her arms & joined her fingers to make a heart shape in reply.
This was no mean feat as Leah was very sedated and her limbs are heavy with retained fluid from prolonged immobility and the reduction in her kidney function.
It is lovely that despite everything relationships develop & communication continues.

 

Leah takes a selfie

Leah takes a selfie

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Visitors are not allowed to take photos in ICU but Leah took this “selfie” this morning.

She is very awake but comfortable & making very determined efforts to communicate via her iPad but it’s complicated by the fact that the muscle relaxants have made her vision a bit blurry.

She says that being on the ventilator is easier than when she was struggling to breathe. Leah’s oxygen levels have continued to improve & I am hugely relieved as they certainly weren’t looking so good yesterday, either before or after she went on the ventilator.

I try to choose my words carefully when writing on this Journey page, I’m too tired and befuddled to remember all the ICU consultants names so I have secretly given them nicknames – today we have Mr Happy – they haven’t all been allocated complimentary titles!

Thank you to those who asked – I slept reasonably well last night & feel fairly well rested. I have use of the lovely room in the Cancer Centre over the weekend if I want it.

Leah used her iPad to put this photo on her Facebook page and underneath she wrote the words “Didn’t exactly plan my sweet 16 birthday or the New Year to be like this but thanks to everyone whose been praying. I love you mummy “