Let me track back just for myself.
Thursday 13th October - arrive on ward 7.15, down to theatre 8.30, on ICU 3.30pm
Friday 14th October - am - off monitors and up out on bed, pm - transferred to ward
Saturday 15th October - catheter and epidural out, Surgeon came to see him
Sunday 16th October - what I am writing about now.
Once the epidural wore off, I could see him become more tense and anxious. He still has the PCA - Patient Controlled Analgesia - or morphine button I call it. He's in agony with trapped wind.
A little bit of info I learned about trapped wind today. Trapped wind is where the air got into the spaces around the outside of the bowel. Eventually it gets reabsorbed into the bowel and intestines where it will make its way out either top or bottom. Walking about helps this process. There's the issue. Walking about when you've a giant row of stitches holding you together is trixy.
One, you need nurses to help you at first.
Two, you need to tell your brain that your stitches will hold and they will rupture, spilling your innards all over the ward floor and
Three it hurts so you are hesitant about getting started.
Four - eating hurts but will get the bowel moving along but you e no appetite and your mouth tastes funny so you don't feel like eating.
Five moving about with the drain still in and a cannula in also is limiting.
Hopefully the tramadol last night will have knocked him out so he could get his first full night of sleep. He's on a ward full of elderly patients, some of whom are loud and difficult. NHS cutbacks closed down the hospital they need years ago. The poor nurses are stretched beyond belief. So far all the staff have been great except for three of them.
One - a cleaner, hideously notorious for being the street gossip, knows him and stood for hours grilling him.
Two - an over enthusiastic male student nurse who swang his legs up on the bed too fast causing him great pain
Three - a useless unprofessional young student female nurse ( not sure of the grade - prolly olden days would call them auxiliary nurses? ) who borrowed his pee bottle for the bloke next door. Forgot then to replace it. Then when asked 'urgently' by him to please get another bottle, it was flung at him with a 'there' and a glance that suggested he should have got it himself. She neglected to close the curtains too so he then had to ask the extremely stretched but lovely ward nurse who rolled her eyes about the young student nurse when he told her. She'd also been discussing pay and conditions loudly and complains about everything. I think she needs to piss off and get a different career.
So today is Monday. I've already emailed Richard, one of our cancer key worker Macmillan nurses in full on panic mode about him coming home. When his Mum came out after open heart surgery, you get a really detailed week by week recovery guide and what you could/should be doing. I think there should be the same for patients after a radical nephrectomy. I suppose the panic of him coming home is the fact it's totally unchartered waters for us both and in hospital there's the security blanket of nurses at your fingertips. But I do think they ship em out a little too fast these days. He's still wearing theatre gowns. I'd like a full 24 hours of him in PJs being independently in and out of bed and to the loo etc on the ward before he gets home.
Till the next time...