2nd Class Stamp

Before the commencement of work-based employment activities this morning I nipped across the road to the post office to collect a parcel that hadn’t been delivered yesterday (how I love receiving those big red “You Were Out” cards with the big offended tick placed in the “returned to post office” tick-box... how dare I not be at home when the postman calls).

A usual there was a small queue ahead of me and the guy at the front was plainly banging his head against a brick wall in his endeavours to get his parcel located.

“Can you not trace it from the barcode?” He asked. He had this nugget of information on a scrappy piece of paper that he kept waving at the white whiskered postal worker behind the counter.

Mr Postal Worker – who, if I’m honest looked like he’d been rejected from Last Of The Summer Wine for being too wintry and vinegary – scanned a glazed eyeball over the paper, grimaced like he was beholding a snot encrusted handkerchief and grumbled, ”No. It’s an international barcode.” He then harrumphed and sighed like he was explaining the concept of cause and effect to a brain damaged monkey.

Monkey fall from tree. Monkey hurt head.

“Yes but...” said the customer (doing a sterling job to keep his temper), “It’s been sent recorded delivery. You must be able to trace it surely?”

“I know it’s recorded.” Said Mr Evil Postal Worker and shifted on his feet like a bull about to charge down an injured matador. “But it’s an international bar code, isn’t it?” Cue another sigh and the stomping of hooves.

Meanwhile my queue colleagues and I were now beginning to shift uncomfortably on our feet. As I waited (silently praying that the man’s parcel could be located without bloodshed) my eyes couldn’t help noticing all the “abusive customers” warning posters that were plastered all over the small parcel collection office. You know the kind: the post office reserves the right to refuse to serve customers who are abusive and threatening...

A copy of this poster was glued to the wall, to the serving hatch window and to the counter top upon which the customer had thrown his piece of scrappy paper.

It made me wonder if perhaps the parcel collection office had a lot of trouble with disgruntled customers. Hmm.

In the end the customer had to ask outright that someone be telephoned to see if the barcode could be traced somehow so the location of his lost parcel could be identified.

At this point the postal worker flung down his mug of tea, flung up the telephone and proceeded to have a grumpy telephone conversation with the postal worker on the other end of the line. This involved the barcode number being repeated out loud, a little louder each time, in a tone of voice that suggested that the person on the other end of the telephone was... yes, you guessed it, a brain damaged monkey with a defective hearing aid.

MONKEY FALL FROM TREE! MONKEY HURT HEAD!

The telephone was then flung down so hard it bounced out of the cradle and onto the floor. The bull was not happy and stomped off to find customer no.2’s parcel.

The telephone rang. He belligerently ignored it until his business with customer no.2 was complete and then once again wrenched the telephone up to his white whiskered ear. He listened silently. Flung the telephone back down and told the exasperated customer with the scrappy piece of paper that his parcel was at “Jubilee Station” and “hasn’t yet moved from there”.

Where was Jubilee Station? A shrug of the shoulders answered that query followed by a gleeful “we can’t do anything about it until it reaches here (here being Leamington Post Office). Your best bet is to speak to someone at Jubilee Station.”

And that was it. Customer interaction complete. Scrappy paper man left shaking his head and muttering sundry imprecations to the deaf, brain damaged gods of the Great British postal service.

It was then my turn. I looked at the “abusive customers” poster on the counter and honestly thought about it for a moment but, in the end, decided it just wasn’t worth the hassle. Besides which, although Mr Grumpy Postal Worker had taken my red card my parcel was brought to me a by a nice female postal worker with an incredibly long, thin ponytail, a big smile on her face and a disposition to talk pleasantly about the weather.

Despite the wind, rain and grey clouds outside she was like a breath of fresh air.

Dominoes

Saturday saw my mother, me and my two sisters descend upon my grandfather’s bedside like priests come to hear the final confession. We had been summoned, all of us, by the ward sister the day before, whose urgings had persuaded my mother that her original planned visit on Monday was simply (and I quote) “too far away”. We had to come now. ASAP.

This coupled with the news that my grandfather had been prescribed morphine on Friday had us fearing the worst. I mean, what else are you to think? Morphine is a pretty hefty painkiller. They don’t administer it without good reason. Or rather, bad.

So we were all there. Awaiting the arrival of the nursing sister of the day to speak to us. Apparently (according to another communiqué from the hospital) she wanted to speak to my mother in person to explain the situation more fully.

My grandfather lay before us. White, thin, skeletal. His skin now so transparent as to be almost non-existent – it looked as if a mad calligrapher had drawn veins and arteries in bold ink on parchment. His outline was a folded clothes’ horse of stick bones and rounded corners under the bed sheets. Piteous really when I think of how he used to be: always slim and wiry but always, always so vital.

The nursing sister eventually graced us with her presence, mystified by our request to see her. It seems she had no further information to give us. My grandfather was certainly very poorly but he was comfortable and stable. No real change from how he’d been over the last 2 weeks. It seems our urgent attendance was not really required. The priest need not be called away from his lunch. The morphine too was something of a red herring. Yes, he’s been prescribed it but he has not so far been given it – because he is in no pain whatsoever and does not need it. It is there merely “in case”.

Cue wry looks from us all. It is of course nice to know that although my grandfather is still at death’s door he is not yet, as we feared, ringing the doorbell. But it is irritating in the extreme to have lived with such a black picture of his condition for the last few days when the paint, barely dry, was only as grey as it has always been.

What havoc a little misinformation can cause! If the hospital can’t get their story straight between themselves my family and I stand little chance of ever staying well informed.

The only information that we received that could be deemed in any way useful was the sister’s expert opinion that it is highly unlikely that my grandfather will ever return home again. He needs 24 hour care. If he leaves the hospital it’ll be to go to a nursing home. The thing he most wanted not to happen. Alas, he is now so far gone that I doubt he’ll even notice let alone care where he is.

So, for the first time in my life, the house of my grandparents – the home of so many happy memories for me – will be completely empty and lifeless.

This seems another small death in a long line of small deaths that are inevitably leading to a bigger.

The dominoes are toppling but at least the game is not yet over.

The D Word

Nurses, doctors, medical staff. They do a tough, backbreaking, heartbreaking job. I couldn’t do it. Not at all. And I want to make that clear because there is a part of me that is just instinctively opposed to slating anyone in the medical profession.

But I can’t deny I am becoming more and more frustrated, disappointed and just let-down with the service my family is getting from the local hospital.

My grandfather is still in hospital. All week we’ve been getting reports from the staff on his ward that he is fine, that he is stable, that he is doing well. Yesterday morning we even got a fantastic report that he was doing very well indeed and was up and chirpy.

Then yesterday afternoon, out of the blue, a consultant advised us that actually he is doing very badly and is very poorly indeed. So much so my mother is rushing down from Sheffield tomorrow to see him. Things don’t look good.

I realize people can go downhill fast – especially when they’re old – but this really sounds like there has been a case of crosswires and misinformation. I sometimes wonder if the hospital staff are even talking about the right patient when they give us information about my grandfather.

There is also a massive and often very worrying omission of facts.

My grandfather has developed Clostridium difficile (C. diff) – not for the first time I hasten to add. It seems to be as a direct result of being admitted to hospital and pumped with antibiotics. He is very poorly with it and given his frailty the hospital has few options of how to treat it. Higher dose antibiotics could have an adverse effect and surgery to fix the resultant lump in his stomach / abdomen is off the cards because it is doubtful he’d survive an operation.

As C diff is very contagious it makes visiting him difficult – I have two young children and my parents both work with food and children; we need to be careful about not carrying any infection away from the hospital. Luckily my mother had tipped me off about his C diff diagnosis before my last visit and a good job too. The staff nurse, when told who I had come to see, merely waved me to his room and didn’t check to see if I knew of his condition or make any attempt to ensure that I took adequate precautions to prevent the spread of the disease. For all she knew I was just someone off the street who had no prior knowledge of his condition whatsoever.

This lackadaisical approach appals me. Again it comes down to poor communication and a reluctance to pass on necessary information. Surely this should all be part and parcel of the care package – keeping the next of kin fully and accurately informed?

Or, with the supremacy of the internet, should I be doing my own online Google research and Wikipedia-based prognoses? Or maybe checking the hospital’s Twitter account for updates on the state of my grandfather’s health?

My grandfather is dying. I shouldn’t have to bang my head against a brick wall to maintain a link that is already fading fast of its own accord.

General Hospital & Major Cock-up

I have bored memories as a young child of having to sit through General Hospital because my mother used to enjoy watching it. That and Crown Court were the bane of the afternoons in my early years. I hated them but I do recall being faintly impressed with the dynamic efficiency of the hospital as represented on television. And that impression stayed with me for a long time. I long thought that hospitals were models of precision timing and perfectly coordinated activity.

It’s so disappointing as an adult to realize that like most things in the UK they actually run like two badly oiled bricks.

My granddad has been in the local hospital for most of the summer. He had a fall. Got a chest infection and a water infection. One thing after another and it seemed unlikely he’d ever come out again.

But coming out he is. This Tuesday after lunch apparently despite being unable to walk and therefore unable to care for himself.

He does however have all his marbles and has exercised his right to be sent home. Although some of the family are against this and would rather see him shoehorned into the nearest nursing home I’m of the opinion that as an adult he has a right to make his own decisions and die where he likes. And let’s be honest; that is what this is really about. Thankfully the law is with me on this. As he is fully compos mentis it is his decision and nobody else’s.

Getting him home however is proving to be a nightmare and this is where the badly oiled bricks come into it. I was plagued by phone calls all day Friday (which marred Tom’s 2nd birthday a little). First he was being sent home Wednesday. Then Monday. Then finally Tuesday after lunch. A care package was going to be put into place. Phew – very glad to hear that. 2 care workers 4 times a day will visit him. But before all this can occur he needs to have a hospital bed installed downstairs and a key safe put into the front porch so the care workers can gain access to him as and when.

Could I let them into the house to do all this?

Yes. No problem in theory.

Except that Saturday – the day when all this was supposed to occur – came and went with no sign of the bed arriving and Age Concern who handle the key safe side of things being shut all day.

It’s now Monday and I’m at work and cannot now just drop everything at an hour’s notice (the best the hospital can give me regarding the bed installation) to disappear for God knows how long while they shove a bed into my granddad’s dining room. And then possibly have to make a second journey to the house to meet with the Age Concern handyman (who also hasn’t got back to me yet) to get the key safe installed... because to coordinate the two together into one trip is, well, like trying to drive two badly oiled bricks up a hill.

It really feels like the hospital’s left arm doesn’t know what its right arm is doing... which isn’t what you want from a place whose primary function is to coordinate care...

*Sigh*

Thank God my granddad hasn’t been booked in for a tonsillectomy and an endoscopy... or there might be some very unusual organs in a pickle jar by now.