News of my departure was a little premature

Posted October 23rd, 2008 by Rachel

Well, I should be in the hospital by now getting drained of blood and having allsorts of tests and stuff (I was supposed to be there for 10am this morning), but I’m still here. :-(

Phoned this morning at 8.30 to check they’d got a bed for me, as per the usual instructions, and was told that as the docs hadn’t done their ward round they didn’t know and to ring back later. I explained about the warfarin and that they’d said they wanted me in early as they’d need to check my INR and stuff (tested it myself this morning though, and it was 1.3, so that should be fine), and the lady was really nice but said they couldn’t say yet, but someone would ring me back as soon as possible. When the nurse from the pre-op assessment clinic phoned on Monday to confirm it would be today I’d be going in and they weren’t planning on putting me on a heparin infusion, she said to remind them that I’m on warfarin, and usually even if they’re short of beds, if they know you’re on warfarin (or rather off it for an op) they find you a bed somewhere. That’s the danger with neurosurgery wards where they’re admitting emergency cases all the time. It only takes a pile-up on the motorway (which is quite close to the hospital, and the hospital’s the regional neurosurgery specialist centre) or something like that to make a serious dent in their beds situation and throw admissions for non-emergency/elective surgery into chaos, and as with neurosurgery you can never tell how a patient’s going to recover after surgery and need medical care, therefore potentially be kept in longer than they’d anticipated, that just compounds the problem. Being a hospital bed manager certainly isn’t a job I’d like to have to do, trying to keep all sides of the equation happy – docs, surgeons, ward staff, and patients – and things running smoothly!

As we’ve not heard anything and it’s now well past 11am I’ve just rung again (my dad was getting concerned about finding parking if we go this afternoon when it’s visiting time), and spoke to the ward clerk, and she said that they’re still trying to arrange something and that she’ll have a word with the bed manager and get someone to ring me asap (I explained about the warfarin again). It sounds like they’re pretty full and they’re desperately trying to find me a bed. As I’ve been off the warfarin now since Monday and my INR’s so low now, I’m at risk of developing clots, so they need to sort me out so I can get back on the warfarin afterwards. I guess there’s not much they can do though if they’ve got no beds, and it sounds like they’re doing their best to get me in. I suppose if I was just a “normal” patient they’d just say they have no beds, but with me being on (or rather currently off) anticoagulants, it complicates things rather and they’ll do what they can to get me in because of the risk of leaving me un-anticoagulated for too long.

Back to the waiting game then. *sigh* :-( If I don’t reappear later you’ll know I’ve gone and they’ve managed to find me a bed…otherwise it looks like you, and Bliss, will have to put up with me a bit longer. :-D

Edit: Just had a call from the hospital, and they’ve found me a bed so I’m off now! See you next week all being well! :-)


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