Tuesday, 6 November 2018

How nearly dying in ICU changed my life for the better

So I know recently I have became the poetry guy and I like that because I enjoy doing it and some people like to read them but I have departed from my primary purpose, To use my story to shed light on what it’s like to be an icu survivor, a sepsis survivor, a stomite, living with load of autoimmune issues and battling mental health issues. I have felt that in doing things that where funny and less serious that it has taken away from the serious cause.

But less about my hang ups and back to why you clicked here, how can nearly dying be a good thing I hear you and every rational thinking person saying. It’s simple from a young age I wanted to be a medical doctor because I wanted to help people and there is nothing more important than helping sick people get better. However as I grew old certain things became apparent, my dyslexia coupled with a school system that refused to accept it as a problem made it difficult for me to achieve what I would need to get into a medical degree coupled with my diagnosis of autoimmune hepatitis and ulcerative colitis which put me in hospital every 3-4 months made it a steep uphill slope. But as anyone who knows me in real life or reads my tweets or my work here you know I am a fighter, this was no different I left school with 3A’s, 2B’s, a C in highers and a B advanced higher. I was acccepted into a highly respected chemistry degree, I pivoted to chemistry because it was something I loved and I thought it would give me access to working in the pharmaceutical industry as it could be my way of helping people.

The degree was hard and I scraped by and before my final year my colon gave out leaving me bleeding and pleading to die, I had my colectomy and completed my degree but it took its toll on me. I had two good years where I worked for a large pharmaceutical company before I started having twists and peristomal hernia repairs. This was the start of my healths downward spiral which you can read about in my first and second posts. But it lead to my ICU admission which had me in an induced coma for 2 and a half weeks and a total stay of 17 weeks in hospital. I suffered from delirium, depression, anxiety, ptsd, muscle weakness, fatigue and cognitive and memory issues. My family where told multiple times that it was highly likely I was not going to survive because they had no idea what was wrong with me; spoiler I didn’t die incase you where wondering but my brother put it best when he told the doctor, “You don’t know my brother as long as his heart is beating he will be fighting.” And I won the fight but I can hear you thinking, ‘Mark I don’t see how this made your life better’ ok ok I am getting to the point but the prelude was needed to explain why the next bit is so important.

So being an ICU survivor has opened opportunities that where not available or even possible to think about before hand. I was asked to be a peer volunteer for InS:PIRE a post icu rehabilitation clinic/service, I got to help people by sharing my story. I’ll say that again I got to help people and not in a small or casual way my input was welcomed by the staff of the clinic and helped some of the patients to realise that what they went through/are going through is normal. This role is the single most fulfilling job I’ve ever done, I have worked for charities and other non profit groups but no feeling can match a icu survivor coming up to you and shaking your hand and thanking you. No money can match it and no feeling can get near it.

As a somewhat active advocate for improving icu and post icu care on Twitter I have networked (a term I hate) with other icu survivors like 
Mitochondrial Eve and post icu researchers like ex ICU nurse Dr Pam Ramsay as well as having world leading experts in ICU care thank me for sharing my experiences or giving my insights. It is amazing me, who is just a guy in Scotland with no special medical training or education is being treated as an equal/peer by Dr, Nurses, Occupational Therpaist, Physioterrorists (our affectionate term for Physiotherapist, since they terrorise patients to get up day one after surgery :)) etc from all over the world people from Spain, USA, New Zealand, Chile and Canada are listening to me? I am not special, I am no different from any other survivor but one of the stoma care nurses explained to me that I was willing and able to speak about my experiences and did it in an eloquent way. I thought well I am glad I fooled someone because I got a C in higher English and get anxiety about talking in public because as a dyslexic person I was often force to read aloud from books in English class. I have improved greatly since my school days but I don’t think I am a great public speaker, passionate but not great.

This brings me on to my next point through my poetry on here, my activity on Twitter, Pam who never met me and didn’t recognise me when we first met (sorry Pam) invited me to speak at a post icu event, creativity in post icu recovery. Now I don’t see myself as a really creative person, I wrote poems because as you might tell from this post I can go on a bit but poems concentrate my points down, they help me to convey the serious issues I want to address in bite size chunks for busy people like Drs and nurse to read. I was asked to speak because twitter let people outside my hospital know who I am and my work was powerful. I spoke at the event with other survivors, PhD’s, artists, international rugby player, Nurses and others I can’t remember all as equals no one was more or less important. At the event other survivors came up to me and said they where moved by my poems which was a great feeling. I have been asked about speaking at a conference and potentially working as a ‘patient expert’ in research and I have volunteered to be a patient reviewer for the BMJ.

None of these wonderful life changing experiences would have been open to me if I had not nearly died in ICU, I can’t go back and change my life so I was never in ICU and if I could I don’t think I would because I am who I am today because I survived. I like who I am today. The person I am today makes a difference, it might not be in the way my six year old self expected to but it doesn’t lessen it. I get to help people there is no greater thing in life than to help your fellow humans.

I have a motto for my medical life: survive, adapt and thrive. You can’t change what happened to you but you can make the most of it and be the best you can be.

Saturday, 3 November 2018

Going home: fear of leaving.



Going home


Going home is a mixture of excitement and fear,
I don’t know what will happen when I leave,
Could it happen again, could I be back in days?
Going from watched every hour of the day to alone I go,
Fear is reasonable but unsettling.

Going home is a sign of improvement,
Reaching the final stage of recovery,
Returning to family and friends,
Normality scary but still progress,
Time to rest in my own bed.

Discharge coming but support needs to be in place,
Daily nursing visits must be arranged,
Special dressings ordered to come home with me,
Vac pump prepared and arranged for the journey,
Nearly got everything ready to go.

This is not the end of recovery but a new chapter,
Long hard weeks lie ahead,
Wounds that open waiting to heal,
Weakness I must battle an opponent unseen,
But victory I will achieve is what I believe.





Going home after hospital is a scary thing, especially after emergency surgery like I had because it’s possible it could happen again. Patients might be glad to go home and I am too but there is a bit of fear too. Reassuring patients that support is thereafter hospital is key to reducing the terror of going home. So this post got lost in the ether somehow since my surgery both of my wounds became infected, my old stoma site became septic. When I wrote this I didn’t know what was coming but I was prepared for a fight because after surgery I always expect the worst. Leaving hospital is usually a relief for me because I am usually healthy enough but this time it was simply the hospital was a dangerous place for me with my immunodeficiency. I returned home very weak with the need of assistance to get out of bed in the morning as my abdominal muscle was weak, I required dressings to be changed, food made for me and help to change my stoma bag. I have sacrificed a lot of things in my life: my dignity in needed to be bed bathed in my ICU stay; my freedom as my immune system means large crowded areas are dangerous; my self-image the scars, procedures my body has endured has shattered any love I had for how I look; my ability to work ‘hard’ my conditions sap my energy they bring me to my knees sometimes I used to be a great worker now I have to manage my time and how much I do so I’m not fatigued for the rest of the week.

This has been a struggle it has been nearly as hard as my ICU journey because I bounced back quicker from ICU even if I started from a worst position but the wounds and my weakness have set me back a lot but I am glad to say I can see the finish line in sight, my old stoma site is nearly completely healed and the mid wound is very shallow hoping to get it ‘scabbing’ soon.

Saturday, 20 October 2018

Ode to a Bacon milkshake

Ode to a Bacon Milkshake

Oh your sweet and savoury goodness,
You fill my soul with rejuvenating energy,
People question your worth but your greatness is for all to see,
You flakes of bacony pieces breaking up the blandness.

Everyone I speak to about you rebut me as if I’m crazy,
But when they taste you their mind is changed,
It’s wonderful, amazing, incredible the words that leave their lips,
Once you have hit their taste buds they can not resist.

You are soothing in the bad times and comforting in the good,
You gave me drive in the darkness,
You gave me an icebreaker for meeting new people,
But most of all you built me up when I was weak.

Sunday, 9 September 2018

The Battle: Surgery and recovery

Before I start I just want to say I am on strong painkillers and as such this might not be the most coherent writing I do.


The Battle 

Vomiting and pain is what brought me in,
Fluids and painkillers first action to be done,
Wait and see the plan to begin,
But worst I got, the pain advancing as the hours passed,
A scan ordered to see the matter.

A blockage in a dangerous place,
A battle with surgery I must face,
Sped off down to theatre to fix what needed fixed,
12 inches of bowl removed, two massive hernia repaired,
Resighted my stoma onto the left, 
an infected wound another field of battle.

ICU was where I was sent,
Opened my eyes the pain was gone,
Painkillers so wonderful, jumping for joy,
Tube removed from my throat in matter of minutes,
ICU is not a scary place, it is filled with friends I have made.

My speedy recovery in the initial meant my time in ICU was but hours,
Transferred up to high dependency to be watched every hour,
The pain intrusive but not overwhelming,
Progress made each day with tubes, devices and lines removed,
A week passes now moved to a general ward.

Progress stalls as little measurable progress can be seen,
Internal strength the only progress I can feel,
Motivation is hard to maintain,
In a room by yourself sanity is a strain.

But what I am built for is to battle and survive,
If you give me a chance I will stay alive,
I fight not because I want to but because it’s all I know.

Sunday, 26 August 2018

My friend

You are my friend, you cared when others didn’t,
I see you when you hurt,
I love you because you stand with me,
I love you because you’re great,
I love you because you are you.

Friends are precious never taken for granted,
True friends hold you up when the world is against you,
True friends support you when you are down,
But never try to steal your shine,
Friends love you for who you are, not what you have.

Friends might not be there when you want them,
But they will always be there when you need them,
They will say the right thing when it needs to be said,
They will respect you enough to tell you your wrong,
They will make you smile when the darkness comes over.

Friends are never afraid to give you a hug,
Never ashamed to show you love,
Friends are precious valued higher than gold,
Never take for granted the friendship you formed.

Saturday, 25 August 2018

A good Dr vs a Bad Dr

This story comes from my visit to the hospital in June 18 with a very enlarged submandibular lymph node and very high temperature (39 ish). That's the setting if you want to know about my underlying health issues please read about me in my about me post.

On Friday I went to see my dentist as I had the swollen gland and it was becoming uncomfortable and as I was due to get the wisdom tooth removed the next week I was worried it could be an infection and didn't want to leave it over the weekend. The dentist didn't see any issues inside my mouth but as I have a weak immune system and the enlarged lymph she prescribed me antibiotics.

By Sunday, I went to the ED because the gland was very large and causing discomfort in swallowing but when the Emergency Registrar examined me he determined it was my lymph gland and the tooth which was due to come out in didn't look infected, there was no pain and no redness or inflammation in my mouth. So I was sent home being told the antibiotics I was on would kill whatever was there and since I was seeing Oral Maxofacial on Wednesday who would be better placed to review it.

So Wednesday came round and the gland was reduced but as my pre-op plan had not been coordinated I was not getting my tooth removed but they examined my mouth and it was ok. As I left the hospital I started to spike a temperature so I had some ice cream putting it down to the heat in the hospital. However, I had a night sweat so on Thursday I went to the ED because this was a more involved fever, I was taken into my local hospitals Combined Assessment Unit (CAU)

So now we have the background out of the way, what happened next is the strangest contrast I have had inside a few hours of each other.

Let's start with the good doctor, I was reviewed by an OM registrar: What did she do that was good?
She came in she asked me what was wrong, She listened to me as I told her and why I came in, she did a thorough examination of my mouth telling me what she was looking for and why and finally when she decided there was nothing OM related issues and that she would tell the doctor looking after me but they would be happy to come back if something developed. The Key is she treated me like a human.

The bad doctor came in like two hours later maybe an Infectious Diseases registrar, what was the Bad? She came into the room giddy, in my head, she had decided on her diagnosis before even meeting me, when she wants to examine my genitals (can be affected by mumps) didn't close the  blinds on the room and when asked only closed half of them I had to ask twice, when I was telling her what had gone on I told her that the ED doc had eliminated mumps because of the gland that was swollen she didn't seem to care, I was taken to the ID ward and placed behind barrier for five days a mumps test was done and I was discharged before the results got back. Heres the biggest problem when the test came back it was negative I didn't have mumps but I was forced to stay in a side room by myself with little contact outside of my visiting, getting medication and meals. I had my MMR vaccine as a child but it was not taken notice of. Her bad actions meant I went through what is always an unpleasant experience for me and my family as everyone has to mask, glove and gown up and I have to stay in my room.

I am used to being in a barrier situation as a person who is constantly neutropenic it is often the outcome on me being admitted, however, I object to it when I didn't need it. Mistakes have effects, this affected me mentally and if I had been in a couple days longer I believe i would have need to be treated for depression. I am a person, I am not a puzzle or a unique case for you to write up, would you like to be treated as such in my shoes I very much doubt it. So remember when you make a chose that will restrict a patient so much perhaps ask yourselves am I sure or mostly sure, because if there is strong evidence I can hang in with the best of them, I had 4 weeks isolated with swine flu in my ICU stay you prove to me its for the best and I will grit it but make sure it is the likely outcome before you imprison me please.


So the purpose of this is to highlight the good things that doctors can do, they are not difficult and if you are a good person you probably do it anyway but also to highlight the bad and the effect it can have on the person you are treating. The bad doctor didn't do anything horrendously wrong but the compound of a lot of little mistakes made for a big issue for me. I would also like to note it was the surgeon who had the best bedside manner, the best people skills and was the most humble so the idea that all surgeons are x,y,z is wrong. Patients are people treat them with respect.

Thursday, 16 August 2018

Acceptance: The greatest Gift

Acceptance


I am a patient, medically an expert in just a few things,
Surviving Striving and Thriving while under stress,
An ICU stay that nearly ended me,
But turned out to be the rebirth of me.

I was never the most social of people,
Talking to others, terror-inducing,
The thought of parties a tiring thought,
Meeting strangers a crazy idea,

After rehabilitation complete, 
Invited to help those after,
Brought into a team as a peer,
Never looked down on but looked to for views,
Acceptance a feel new to me.

Hard work, volunteering and writing,
Drew attention from across the land,
An Invitation extended to speak,
A wary acceptance, fearing the stress.

Arrival greeted welcomed by all,
unconditional acceptance from strangers,
A strange new place I find myself,
Accepted by those who know me least,
Made to feel part of the team.




So I would like to thank the InS:PIRE team at Crosshouse who not only saved my life, helped me to rebuild myself but invited me to volunteer as a peer volunteer this has opened so many doors for me to talk about my experience and hopefully pass on any wisdom I have gleaned. 

I would also like to thank ICUSteps Edinburgh Who invited me to speak at their event but made me feel welcome and as if I was one of there team. It is very rare for me to be welcomed so warmly and unconditionally. 

This has only been possible because I nearly died and I am thankful that i did because these events changed my life for the better. It has given me purpose and meaning to my life and this was hard to find before my coma.

WDAD 2025

  Wondering every year what will change, Delirium talked about only on this day, All I see in papers is the damage it does, Don’t know what ...