If, having read and taken in the title of this postcard, you are wondering where the clothes you normally wear to funerals are, and should they be dry cleaned to get rid of the rather ‘unused’ whiff, relax! Hopefully, as far as I am concerned, you won’t need them for a while yet.
But my experiences on a rather quite Sunday evening at the end of last month are worth a few reflective comments!
On several occasions back in 2012, I experienced a tightness across my chest and was eventually sensible enough to go to my GP. By August 2013, after two ECGs and one angiogram, I am in the Royal Sussex County Hospital here in Brighton having a triple heart bypass. “Good for thirty years” said Jonathan Hyde my surgeon …… and I believed him, although now, when I get the odd twinge, I have my doubts about the ‘30’! Anyway, I have a sublingual Glyceryl Trinitrate spray which normally relieves the ache pretty much instantly.
That Sunday evening I had just sat down to watch the early evening news when I felt a twinge. Rather reluctantly I got up, found my spray and gave myself a dose. I sat back down but the ache persisted, so much so that Celina asked whether I was OK! I explained ….. then she said I looked very pale (I felt quite sweaty!) and she was on the phone to the emergency services. The enormous pressures on our NHS are well documented, with response times for ambulances way beyond guidelines and apocalyptic scenes in A&E the norm; somehow I hoped I would not see first hand their state on that Sunday evening.
While we waited for the ambulance, I was told to take four 75mg Asprin tablets. Paramedics Ben and his teammate arrived – within 14 minutes – and after various checks and tests, declared that the only sure way of eliminating any heart issue was to have two blood tests, four hours apart, to check levels of Troponine. Grabbing my kindle and iPhone, off we went, although I was reassured that the paramedics didn’t feel the need to advertise our presence with blue lights and sirens!
Ben and I chatted in the back of the ambulance, as I am always intrigued by everyone’s back-story! He had started as a Royal Military Policemen then ten years ago joined the Ambulance Service. Arriving at A&E Ben asked me to sit in a wheelchair so he could take me in. “Oh! I feel OK! I can walk.” “More than my job’s worth, Richard. Get in the chair.” Once inside I was confronted by the organised chaos of A&E. Not quite sure whether to look at the beds, the trolleys, the occupants some half-dressed, some moaning, some in severe pain, most with a family member or friend (Celina had offered but I reckoned I could cope!) and a multitude of different-coloured uniformed staff, moving confidently and expertly, to deliver whatever was needed. I sense everyone is looking at me and that’s probably always the case, observing the new arrivals, while you wait … and wait.
There is a high level of noise and I assume, if you work here, you have to shut it out, somehow! Somewhere in the background a woman is sounding off, ‘f**k you’, ‘f**k off’, etc, not appreciating the staff trying to assist her. It’s reckoned around 45% of those attending A&E have a drug or alcohol problem.
Wheeled into a curtained-off bay, I am transferred to a bed and given the obligatory backless gown. Omar comes in to administer an ECG and take blood. He has just qualified and is off to a residential doctor’s role in Chichester. Many years ago I was advised by member of a hospital blood team never to let a doctor take blood, but Omar was quite competent. Then Kojak aka Terry Savalas arrived to tell me what to expect; actually Savalas died in 1994 but this doctor was a dead-ringer for him! “Providing both blood tests are OK then you can go home, but the second one can only be in four hours’ time!” By now it was 1930 so home by midnight – fingers crossed.
“While you’re here let’s have an X-Ray of your chest.”– and on the journey to and from the X-Ray department it was very apparent how stretched our A&E departments have become; trolleys along corridors, constant noise and movement, orderlies called hither and thither. The difficulty of getting a face-to-face appointment with one’s local GP encourages people to simply turn up to A&E, knowing they will not be turned away …. even if they have to wait four hours.
I was ‘parked’ in a room with a selection of large chairs, told my next test would be in three hours and asked whether I wanted something to eat. Grateful for something to while away the time, my chicken sandwich was followed by some yoghurt and some biscuits – but I wasn’t sure how to cope with a small orange with very thin skin and only a spoon.
Trying to concentrate on the book on my Kindle, invariably I eaves-dropped to understand why others were here, in this darkened room, on these large blue chairs. There wasn’t much chat going on, but I did managed to ascertain that the twenty-something chap next to me had had a bad trip on some drug at a party, so much so that his girlfriend had brought him in and was talking in a quiet concerned way to a nurse, whilst the chap moaned and shivered and groaned.
Somehow the time passed, eventually I had a second set of bloods taken, a doctor said they were fine and I could go. I called a taxi and when it arrived another chap in the carpark thought it was his; as he also lived in Hove I suggested we went together. His backstory? He had taken some laxative and had a severe allergic reaction!
A&E on a Sunday night!
Richard 17th May 2024
Hove
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PS A&E in Brazil is known as Urgências and in Portugual ‘Serviço de Acidentados e de Urgências’.