Where do I start? Rheumatology referred me for a colonoscopy, but wanted me to stay the day before and after rather than making it a day case. On the one hand, that turned out to be a good idea, but on the other hand, the care was dreadful.
The prep had arrived in the post, but without instructions on making it up or information on the low residue diet to follow in the days before. I googled the low residue diet myself. Telephone advice at pre assessment was to hand over the prep on arrival in the ward. The procedure was to be at 1pm the next day. As the evening turned in to night I enquired about the prep, which I hadn’t been given. Much panic from staff but I reassured them the procedure was not first thing in the morning.
I started the prep late and experienced the results during the night. It was hard to keep up water intake. My usual low BP dropped to dangerous levels so I was put on a drip. At 7am I started the second stage of the prep, and water was taken away, in spite of the seven hours to go until the procedure (usually it’s no fluids four hours before). I was extremely dehydrated and the drip kept buzzing to alert something was wrong, much to my annoyance and the disturbance of other patients. Nurses came along to say “That needs fixing “ but none of them actually did anything. I suspect I may not have got the benefit of IV fluids. BP remained extremely low.
While having the procedure they noticed I was tachycardic and were somewhat concerned, but decided to continue. After I had several ECGs to check if my heart was in trouble. Fortunately not.
On return to the ward I begged for water. It was 9 hrs since I had any. A very kind patient did the best she could with a plastic cupful until somebody actually gave me a jug full. I was also very hungry: by that time I had had no food for 30 hrs and am underweight so I don’t have many stores to go on. Apparently nothing was available. The same kind patient went and bought me a bar of chocolate. When the next meal arrived there was nothing for me because orders are made the day before. I finally got some toast and marmalade. My BP remained very low through the night. The IV continued to go off to alert there was a problem without anything done.
Next morning I scrounged a pot of instant porridge. At lunch they had three chicken nuggets with two slices of bread available. Kind patient demanded we both have some of the hidden biscuits on the tea trolley. Needless to say I was desperate to be discharged and it wasn’t for the large cannula I would have packed and snuck off. I made gentle enquiries about discharge but was treated with unnecessary rudeness. You’d think with bed shortages and in a surgical ward, they would have been keener to release me.
Each change of nursing staff treated the usual routine in a different way: sometimes I was just asked if I had taken the meds I brought in and sometimes they insisted on giving me their own. On the last day I was given an anticoagulant injection and told I would continue them at home because I had had surgery. No sign of embarrassment when I pointed out I hadn’t had surgery.
Really grim all round. It was as well I was an inpatient given my reactions to dehydration but it was unnecessarily traumatic . I was asked to rate my experience and state the reasons for my rating. I took great satisfaction in writing a full and frank reply.
Edited to add that I returned home on Friday and feel very tired. I also feel desiccated!