Hi everyone,
Just giving you a small update on my 5th surgery which took place last Saturday at Kings College Hospital. Because my slated operation needed 2 surgeons, one for my femur and the other to harvest bone from my hips, the only way possible was to make them come in on a weekend and that they did with no hesitation (respekt!).
I've been so anxious about this surgery that for once in my life, I had nothing to add or say. How could things go so wrong that my right guichet nail had to break too? Not to mention the continuous hopeless non-union of my right leg.
At least things happened quickly, I didn't get to enjoy any benzodiazapine cktail before the big countdown to sleep. I just woke up and was told, it's over, your doc will tell you more tomorrow.
Wheeled back to my room, I was attended by many because they couldn't get my blood pressure above 65 but I tried to tell them that's kinda my range. I remember in Milan during my 3rd surgery, when my blood pressure plummetted, they called a priest.
I was observed every 15 minutes 24/7 for fever, infections, blood tests, IV antibiotics, IV painkillers, IV saline, my long scars/wound sites checked twice a day - in addition to sheet changes everytime I pee/bleed, shower and shampoo, movies 'n meals in bed... I'm starting to think twice about leaving this Club Med.
My doctor finally appeared on Monday morning and while she always has her serious face on, she was almost skipping like a child telling me that she was able to remove the broken guichet nail through the original insertion hole. They were fearful that the nail had disintergrated into so many pieces, they had to slice me open like a frog, and fish around for 'shrapnel'.
Instead, my doc was able to yank everything out intact and lost only 1 bob inside me where she had to do some digging. She replaced the guichet nail with a 12mm trauma nail using the same pin sites and chiselled out a chunk of my iliac crest (hip) to fill my non-union gap like a kebab. She mentioned that there was significant metal contamination and had to scrub my insides out (whatever that means, rust?). She felt sorry for my freak-show number of scars and asked if I would let her remove my keloids while she had me on the operating table. I told her I also needed a face lift, boob job and tummy tuck if ever she got bored.
So that's that. No shortening needed as the 2018 bone graft held up so much so that when they removed the Guichet nail, my entire right leg didn't collapse. Once the new trauma nail was stabilized in place, all they had to do was supplement my empty right gaps with fresh hip bones.
The one thought that kept coming back to me is this. The NHS has me hospitalized for 3.5 weeks because they deemed this surgery high risk and invasive. Hence, I'm being fussed about day and night with pressure/temperature checks every 15 minutes, antibiotic drips, painkillers, physio, wound checks, scans/xrays/tests and even blood transfusions, to prevent sepsis, gangrene, embolism, blood clots, necrotising bacteria not to mention COVID.
Now, when I compare this NHS aftercare to my Guichet Milan experience in 2017 - where I had my left leg nail removed, accidentally broken by Guichet, replaced with a new nail, osteotomy to rebreak my left leg, marrow harvested from 2 hip bones and grafted onto my right non-union gap. Both surgeries are essentially quite similar with 1 giant difference: Guichet discharged me from the hospital after 1 night while NHS looks after me for 3.5 weeks.
I had suffered after that surgery just as much as I have after this recent one, none more than any other surgery patient. I couldn't move at all, couldn't pee, couldn't eat, couldn't sit up, was in agonizing pain etc. However, how can a doctor or any decent human being, risk the life of his patient by limiting their hospital stay to save costs?
I don't think NHS is exaggerating when they constantly check for fevers, biopsies, give heparin shots, monitor wound site, change sheets, dvt socks, endless imaging, blood tests and scans... when in comparison, I was given a pharmacy prescription to fill by myself, when checking out of the Milan hospital after 1 night.
I remember being so angry with myself then because I was all alone at the Radisson Blu Milan and was in so much pain, I couldn't move from the bed, had to pee into trash cans and was marinating in the same bedsheet of urine and blood for days. It wasn't down to Radisson Blu's staff to care for me, it should have been the job of a hospital. And the irony is I was a paying patient of Guichet's in Milan 2017 and am now, a free patient at the NHS in 2020.
These 2 stark experiences upset me still, because the sheer day and night difference in aftercare btw Guichet and NHS simply shows how unnecessarily I had suffered and risked, in the hands of a doctor who prioritizes profit margins over life.