Sunday, February 04, 2024

A Stroke of Luck (1)

 It was 17 days ago, Friday 18 Jan, that I woke up with a sleepy left hand that wouldn't work properly. My thumb and index finger were quite immobile. Wouldn't meet at the tips. Weird. I made a cup of coffee for me and a tea for Lib and took it to her, then went to my computer to check email. I ignored the left hand, thinking I'd slept with my arm strangely positioned and the nerves had gone to sleep, and movement would return soon. 


As I sat at the computer, I noticed difficulty hitting the shift key with my left forefinger. Then I had a bit of squiggly vision, so I shut my eyes for a few seconds. When I opened them, fully expecting the squiggles to have passed, I was alarmed that I had no vision at all in my right eye. Completely grey sheet was all I could see from it. Having seen many warnings about signs of a stroke and how time lapse is important, I went to Lib and said I think maybe I'd better get to the hospital. The vision thing only lasted a couple of minutes, I didn't time it. She agreed straight away saying it seemed I was having a TIA(transient ischaemic attack). We dressed; I had difficulty doing up the buttons of my shirt. Lib drove me to the hospital.


We were there quite early, and the emergency department had few people waiting. Lib told me later that as she left an ambulance arrived with a patient, and it was not long before it was a busy morning for the staff. I heard a lot of activity from my cubicle, it seemed there were other patients with more serious problems. A lot of noise and hustle and bustle. I was hooked up to an ECG, blood taken for tests, and my blood pressure was monitored regularly, and nurses repeatedly asked me my name and where I was, and what month and year it was. I was in no pain; all my faculties were in order except the movement in my left hand was still restricted. After a few hours of this monitoring, I was wheeled down somewhere to have a CT scan, before being returned to my ED cubicle. After a while a doctor came in and said the scan showed a blockage in my neck and they were conferring with Flinders Hospital in Adelaide as to what the next step was. I was told the doctors at Flinders were flat out busy which was cause for delay. I was moved to another ward in the general hospital and given a most welcome sandwich. I had not eaten at all and it was afternoon. Soon after the same doctor who had attended me in Emergency came in and told me I could go home. I was to make an appointment with my doctor and get a referral to a specialist. I would probably be required to get another scan. I dressed, rang Lib, she picked me up. I rang the doctor; he couldn't fit me in till a Sunday appt.

Next morning, Saturday I drove into town to the market to buy my eggs and dip and produce at RAW wholefoods adjacent the market site. Driving was a little less comfortable than usual. The indicator lever on our car (European build) is on the left of the steering column and my touch of it wasn't precise. I knocked it rather than touch moved it. Movement in my hand had improved but the arm was a bit wobbly at the wrist and elbow. I was clumsy putting things away when I got back and did a lot of knocking of plates and cups on the sink sides when washing dishes. I wasn't happy waiting till the next day to see our local doctor, so after discussing with Lib she took me back to outpatients at the hospital. It was afternoon by this time. More ECG, more blood taken and monitoring and waiting. I was told I may need to go to Flinders for an MRI, they were waiting for blood test results and decision by doctors after their conferring at both hospitals. I was unhooked from the ECG. A few hours passed. I got dressed and went out to find nurses in casual conversation that I'd been listening to for an hour or so and told them I'd had enough and was going home, could they please take the canula out of my arm. They said I couldn't go without signing a discharge form absolving the hospital if my condition worsened. Bring me the form I said. Please wait five minutes they responded. 


Within minutes a team of them were at my bedside with the form. They explained they were concerned I may have a further stroke and may be permanently incapacitated. I said, "Well that's why I came in here, two days in a row, and you sent me home yesterday. My blood tests must have been alright yesterday. I have a doctor's appointment tomorrow. If we are waiting on my blood tests, if they're not alright you can call me back in." They asked me to wait while they consulted with Flinders and came back to say I was being sent to Flinders by ambulance where I would have an MRI to determine the extent of any brain damage I may have suffered. So, I waited and waited. At least I had a destination ahead. It was the lying there not knowing that I couldn't handle. A sailor without a destination port finds no favourable wind. 





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