Monday, October 26, 2009

Don't it always seem to go, you don't know what you've got till it's gone

I've just been out on my own, for the first time in nearly a fortnight. Only to the Co-op, and only because I'd run out of wine. M would have gone if I'd asked him to*, but he's not drinking at the moment, and it didn't seem right. 
So I took off my slippers and put my trainers on, and limped slowly down the road in the clocks-gone-back drizzle, sniffing the air like a dog and obstructing the hordes clattering down behind me on their way out to tick another box on their student experience checklist. 
It still hurts to walk. In a 'you probably shouldn't be doing this' sort of way. I have a stitched up wound with various non stitched up bits opening up off it. If it was on my head or my arm or pretty much anywhere except the side of my foot, I think it would be better now, but despite doing *almost nothing* for what feels like forever, keeping it clean, keeping it dry, adding Sterastrips to give the stitches a helping hand, every day it still bleeds a little. 
I have evolved two modes of moving around. The first involves just putting weight on the ball of my foot. You can move quicker that way, but your leg soon cramps up. The second involves putting weight on ball, heel and instep. This can only be done very slowly... any attempt at speed makes you feel like the whole thing might bust open at any moment. Which it might. 
You do of course, at least if you're me, spend much of this time thinking about people who have to walk a long way with wounded feet, and what fucking agony that must be. Or people who can't walk at all. 
My whole life is geared around having functioning feet, I just never realised. And while I usually find the termtime walk to the Co-op fairly oppressive, what with the non-compliant rubbish that the council will never collect, the badly parked Minis that I want to run a key down, the shitty dance music emanating from every window, and the clouds of posh girl perfume that just don't mask the stale smoke and the ghd-singed hairspray... tonight it felt kind of liberating. Look at me! I can walk to the shop! Buy a bottle of Soave and some houmous! Walk home again and put my foot up! I don't care that it's raining! I don't care that I'm in your way, but I will of course let you past if you ask! No, I don't need a bag! Yes, I have a Co-op membership card! I am part of society!  
The odds are that my foot will be completely fine at some point soon. I hope I will remember to celebrate full foot functionality, and also to get a little less annoyed by shit that doesn't actually matter. 
joella
*In fact, M has been a gold-standard boyfriend throughout this whole experience. Except for coming home with No Added Sugar Ribena, but that was an honest mistake.

Tuesday, October 20, 2009

The wide awake club

God knows, I'm bad at most things, but I'm good at sleeping. It can be hard to get me into bed, but it's nigh on impossible to get me out of it. I can sleep for England. I love to sleep. My Significant Ex and I once slept through the burglar alarm going off at his mum's and the police coming round with his elderly key-holding great aunt to check the place out. We woke up five hours later and wondered if we'd forgotten to set it. 
So why am I awake? I've been awake since four. I'd like to blame the students, who generally get home around that time on a Tuesday morning, but I can't - we discovered the joy of term time ear plugs last year, and haven't looked back. No, I just woke up. I put the light on and finished my novel, then I turned the light off and lay in the darkness for an hour, and then I thought fuck it, I'll get up. This almost never happens. I am not one of those people who creeps round the house in the small hours making cocoa and listening to the World Service. 
I was out last night, had a few drinks. I did have a lychee martini (which, incidentally, tasted like heaven on earth), and gin can mess with your head, but that doesn't account for it. It wasn't one of those panicky fast forward did-I-say-anything-unforgivable depth of the night hangover awakenings. Not even close. 
I'm worried about work things. A sort of mild, bottled panic that might pop its cork anytime but hasn't quite yet. I am over-committed and under-resourced. That's just how it is, probably, I need coping strategies that I haven't managed to develop, but probably will. But normally, when I'm not there, I'm pretty good at not thinking about it. I don't get paid to wake up at four in the morning, you feel me?
Specifically, I'm furious with several of the powers that be at NGO X, who have turned our IT helpdesk into an ITIL-compliant Service Desk. There is a poster on the wall which says 'are you being served?'. Well, possibly, technically, if telling me that the thing I am asking for is not on the list of things that are now permissible counts. You can close that call and hit your target. I've been served, but I've not been *helped*. I'm just looking for another workaround, and feeling sad for the guys who used to be able to help people. While I was lying in the dark, I hit upon the workaround I can use, and wondered if it contravened any policies, and wondered if I cared if it did, but I'm not so sad that this would have actually woken me up. 
My foot hurts. I'm bored of not being able to walk properly. I haven't been able to get to the allotment and water my cabbages. I'm slightly allergic to the dressings I'm using so my foot is itchy as well as sore. I just want it all to heal up and go away. In the back of my mind is the thought that it might not. All reasonable enough, but you know, sleep helps, and I'm tired. So WTF?
I used to go for a weep in Wantage at 7am every Tuesday. It was the hardest thing in the world getting up for that. There's something about the early morning mind that's easier to access, apparently. No wonder, given the chance, I normally sleep till 11. 
joella

Friday, October 16, 2009

Hurty foot update

This isn't a very good 'after' photo: there are still strips covering the stitches and there was a bit of bleeding which I haven't been able to wash off yet. 
But let's just say it hurts. Not so much when I'm not doing anything, but a lot if I try and walk on it. They did warn me. I did say 'yes of course I'll take it easy'. I didn't quite realise I wouldn't have any choice. 
Which made it all the weirder when, nine hours after I can back from hospital, when I was lying on the sofa full of wine, painkillers and macaroni cheese, the doorbell rang in an urgent kind of way. It was the students from next door -- the side we like -- asking if we knew how to turn their water off as their toilet had exploded and the bathroom was flooding. So I grabbed a walking pole and hobbled round. We got the water off but the toilet didn't have an isolator. 
So M followed with my tools, and I ended up breaking all the rules of plumbing: don't do it when you're a bit pissed, don't do it in your favourite trousers, don't do it when you can't walk. Nothing too drastic - just cut the pipe to the toilet and stuck a cap end on it so they could put their water back on, but they couldn't believe their luck, and I woke up the next morning in a codeine haze thinking 'did that really happen?' 
Guess it did. And, as the nurse said, Moley's in a pot now. I wanted to ask how she knew I'd called her Moley, but I guess it's a pretty common name. 
joella

Tuesday, October 13, 2009

Feet and millimetres and clay and spirits.

I've called her Moley Cyrus. She's 8mm long, and she's coming off tomorrow. 
I won't be digging for a bit, so I made the most of the glorious weather today, and went down to the allotment to plough the fields and scatter (aka pull up a lot of bolted lettuce and weeds, and plant out some spring cabbages that likely won't survive our current plague of whitefly). 
The sun was going down, and it was just me and J from over the way left on the site. "Don't overdo it," he said, as he loaded up his bicycle. 
One of the many, many reasons I love my allotment is because I get to hang out with people like J, men who are either retired or very partially employed, who practically live on their plot (they have sheds, and quite likely *have* spent the night there on occasion), whose wives probably despair of them in a well-at-least-I-know-where-he-is-and-I've-not-had-to-buy-an-onion-since-1983 sort of way, and who are generous with both their advice and their surplus apples. 
I'm fine, I said. Beautiful day, isnt' it? 
It is, he said. I just spent the last half hour drinking whisky in the sun and doing nothing. 
I'd guessed whisky was one of the many things J keeps in his capacious bike basket. He has that look, and occasionally that smell, about him. But he has asparagus beds, and has just single-handedly built his own polytunnel. I aspire. 
He checked I had a key on me, in a delightful slightly pissed courteous way, and took his leave. I stayed there a while longer, pulling out the bad stuff and leaving in the good. 
joella

Saturday, October 03, 2009

Free at the point of use

I have this brown mark on my foot. It just kind of arrived a couple of years ago. My mother said I was getting old. I *am* getting old.

Over the summer, my friend N came to stay. A few years ago she went into hospital Up North (where she lives) to have a mole removed from one of her eyebrows. You can see the scar if you know where to look, but they did a lovely job. More importantly, while it turned out to be a Bad Mole, she has since been given the all clear.

She spotted the mark on my foot when we were both curled up on the sofa watching TV and said 'has anyone looked at that?'. No, I said. 'Go to see your GP', she said.

So I booked an appointment via the EMIS system. I've been going to the same GP practice for over 10 years, and I think it's great. I got to see the doctor I always try to see - one of the partners, who is also a trained homeopath and the closest thing to a British bluestocking I can imagine. She had a student in with her, and they both looked at my foot. 'Need to refer that, I'm afraid,' she said, and filled in a form. It was ticked 'urgent', which alarmed me slightly. I took it downstairs and gave it to the receptionists.

A couple of days later I got a phonecall at work from the Dermatology department at the Churchill, who'd called me at home and got the number from M. She offered me a 9.30 appointment the following Tuesday. I said I *could* make that, but I was supposed to be in an all day meeting that day, but I wasn't working on the Friday? She said I could come at 9am on Friday instead. I said thanks. She said she'd send me a letter to confim but it might not arrive on time, but there was a map on the website. I said thanks. I took advantage of this. 

[NB The letter did arrive on time, but I didn't open it, which I'm quite glad about, as it told me I had an appointment at a Tumour Clinic and I should try not to worry.]

I turned up at the appointed hour, and was directed to Waiting Area 2, where five minutes later a doctor called me in and asked me some questions. Do you want to see my foot? I said. I want to see all your skin, she said. We went into an examining room, I went down to my bra and pants and she looked at all my various moles. Right, she said, we do need to get the consultant to look at that foot. There will be a short wait.

She handed me one of those hospital gowns with no back, and went back into the outer office. I put it on, then lay down on the examining couch to read my book. After a couple of minutes, I put my socks back on, as it was a little chilly. Five minutes later, she came back in. Are you ok? she said. The consultant is coming soon.

Five minutes after that, he burst through the door with a student in tow and bearing a special mole magnifier. I took my socks off and he had a good look. Then he talked about the ABCD of moles to the student and got her to have a look too. Colour was his main concern. Can I see? I said. It was a bit tricky because of the angle, but I could see that it might look basically brown, but is actually very splotchy.

How did you get here? he said. I got dropped off, I said. How are you getting home? he said. I'm going to walk, I said. Ah, he said. Not if we take this off now. Oh, I said.

Well, we don't have to do it today, he said. But I want that off in the next two weeks. Because of where it is, you won't be able to walk for a few days, and you'll have to take it very easy for a couple of weeks to make sure it heals properly.

Oh, I said. I'm supposed to be going to Brussels next week for work. Not if we take it off today, he said. Oh, I said. Is the week after next ok? I mean, is it dumb to wait?

It's fine, he said. Chances are it's not melanoma but not worth the risk of leaving it there. There's something not right about it.

OK, I said. Thanks.

So I got dressed, the first doctor took an MRSA swab from my nostril (I have no idea why), and gave me a green form and a white form, which I took back to reception.

The receptionist took the white one, and directed me down the hall to the surgery appointments office. The woman in there looked through her bookings. It looks full, she said, but I keep a few slots hidden for two-weekers like you. How about 1.30 on the 14th?

Great, I said. She gave me an appointment card and a leaflet about minor surgery, and I walked home via the public right of way across the golf course.

When I got home I opened the original letter they'd sent me, where it did say that they also treat private patients. One wonders what extra you'd get for the money.

And while the ultra-specialist part of my care so far has been delivered via a male consultant, who was brusque but not bossy, every other contact I've had has been with a woman. And they've all thought about how I might be feeling and what else might be going on in my life. 

So I have to say to Ms Death Panel Palin and her freakish ilk: if this is socialised medicine, you guys should Bring It On. 

joella