It all started Sunday when I woke with a cold which my gut told me was going to hit my chest. But it’s 10am and I’m just snotty and sinusy and a mild asthma issue. Treat it and reassure my mum (who’d I’d been visiting) I’m not bad enough for hosp. Make my 12 o’clock train and feel dodgy enough I need to neb. ‘It’s fine. I’ll call ANs tomorrow’ I think. It’s not that bad. Make the 3hr journey home (including a bus replacement 😒), arrive and feel crap, but it’s now or nothing really on the food front so do a quick shop. Walk the 1/2 mile home and know things are not good. By the time I’ve got home and sorted things it’s 5pm and I’m rough. Feel congested so blame that for the low PF. Have my 2nd (and last ‘legal’) neb and a steam bath (cue finally coughing up the gunk) hoping it’ll pick me up so I can go to sleep. However my brains sending me warning signals so I ‘prep’ my flat for jic I need hosp. Initially get bullied into upping my pred (I promise I would have done it eventually Js706 and Lysistrata 😅) then Bins go out. Washing up done and washing sorted and put away. By this point I know hospital is going to happen and soon. Sort out my bag so it’s ready to go and and grab my go bag. Finally give in and call for an ambo at 8.30 (by which time PF had dropped to about 30%). Then I neb and neb til someone arrives.
I truely cannot fault the paras I got. My rapid response para apparently is the para trainer for my area and was spot on with his severe/brittle asthma knowledge (including recognising that one tupe reversed by didn’t maintain... think the first emergency medic I’ve had who knew this 😱😱). Yet more nebs, plus atrovent and hydrocortisone and he keeps saying ‘not sure if you need adrenaline yet... hmmm let’s keep it in reserve’ (tell him I don’t need as never had and I’m not that bad... it’s just a chest infection 😅). He passes over to the team with a van and we merrily for on our way. I get lots of compliments for knowing my condition, my template, my PFM colouring and as they said ‘were guided by you... you obviously know your condition’ we nebbed when I needed (and predicted when the next one would be... amused them when I was correct 😅)
Unfortunately we arrived at the hosp to a queue of ambulances, so we chat and neb and chat and neb and laugh that they may run out of nebs before I got to RATs (we didn’t). Gone midnight I get into RATs and the paras are on their way. See a doc almost immediately (again with the compliments) and we start basically hourly nebs (cause that was when I was dropping to red again) and chest X-ray, bloods and the normal obs/PF monitoring. High lactate and a high WBC leads to a fluid bag and doxycycline/ondansetron (joy). I’m there til 2.40am, then finally there’s a space in majors, but quickly kicked out to the corridor as at that time I didn’t *need* the bay. 15 mins later I did 🙄😅. It took over an hour of a bed to become available again, so I coped until I got get my next neb. Docs realised she needs to step up treatment so she organises a mag bag which definitely helps (can now maintain between 66% and 50% for 2/3 hrs). Get my NEWS back down to 1 so back to the corridor I go 🎉. 8am and I need a neb... my nurse is asthmatic and not going to make me wait, fetches my new doc for review. After all that I was STILL wheezy (something I rarely do so am 100% blaming on the infection), so get my requested neb and another 100 of hydro.
Now I’m doing better. PF still no higher than 66% but I know it’s not asthma causing the issue. Sat here waiting to see what will happen, but going to assume I’ll be admitted 😅
I’m happy. I know the people who have treated me have done the best they can in a system that is broken. I know I’m safe and (relatively) stable so can wait a while (even if I know I’m dropping). Im shattered, I’m snotty and sneezy and wheezy and gunky, but I know this is what chest infections do to me...
... on the plus my brain did a ‘You’re off to hosp’ shop without me realising... soup and rustlers and pot noodles... nothing that will go smelly no matter how long I’m in for (hoping it’s just a day to 2... 🤞🏻🤞🏻😅)
I also had the paras tell me I needed to run asthma education courses for medics cause I knew my stuff and communicated well apparently (feather in my cap and very proud that they think this!!)
Hope everyone else is coping well in this cold and flu season. And if not hope you get a ED team as epic as mine have been this trip!