Mother (Almost Never) Knows Best: NHS
Showing posts with label NHS. Show all posts
Showing posts with label NHS. Show all posts

Tuesday 5 January 2021

Lockdown 2.0: Another Day in Paradise

So, a pandemic. 

I'll admit that it is a parenting hurdle I never saw coming. It's not so much the sanitising (I mean, they eat dirt so what's a few more infective agents between friends?), the lack of play dates (I don't miss the self-imposed pressure to be "fun" for other people's children) or even the home schooling (which is akin to piercing one's eyeballs with rusty screws while being subjected to the impassioned overtures of Kenny G) but it's the need to be persistently optimistic in the face of impending doom in order to buoy the spirits of one's offspring that I struggle to contend with.

Our children need our support and our leadership in these uncertain times; they look to us for reassurance as they are subjected to life altering decisions that are ultimately thrust upon them in a bid to protect the preceding generations against an enemy that does not wage its battle against the school child at all. At an age when we have previously been told to be mindful and accommodate their craving for consistency in order to enable them to process and adjust to life's uncertainties, children are being plagued by inconsistency. They are given ever changing goal posts at which to aim in a bid to progress to the next level; a level at which they might be able to see their friends, have a birthday party or merely hug their grandparents. They are told that they are good, that they are brave and that they are living through history. They are told to treasure the enforced changes that this time brings as it is "once in a lifetime" and only acts to reinforce the importance of the simplistic needs of childhood; love, time as a family and the great outdoors.

Bollocks.

It is awful and let us not pretend otherwise. 

The sentiment may be true were we all safe in the knowledge that the end is in sight and a reprieve is on the horizon but we, as parents, are struggling too. We want our own parents to wrap us in their arms and tell us that it is all going to be okay but we can't for fear of bringing harm where we receive solace.

We want to be assured that the vaccine will be both effective and available in the imminent future but our ability to hope is constantly being thwarted by a consistent stream of false promises and cruel disappointments. When the battle started nine months ago it was hard but we had reserve. It was a novel situation and promises of improvement were we to commit ourselves to an initial lockdown were clung to like a raft in the vast uncertainty surrounding us. There was an element of faith that those who were dictating the necessary restrictions had a level of knowledge or answers that we, mere mortals, were not privy to. We now realise that this is not the case.

The fact is, we are all winging it: parents, politicians, teachers, care workers, scientists, hell, even the virus is having to adapt. We all need to be able to not cope for a little while; to not be able to face dressing up as a superhero and doing a burpee with Joe Wicks or slapping a smile on our face and pretending that Sophie Ellis Bextor's upbeat tunes are enough. They are not. 

Rest assured that the feeling will eventually pass and we'll pick ourselves up again and wait for the next thing that will see us through the next little while until one day we can actually say that it's over. 



Saturday 16 February 2019

I Want To Break Free: The Story of A Special Foot

This week we had to say goodbye to an old friend; a constant in our lives. The farewell was hugely anticipated and yet seemed to take us by surprise when it finally arrived. This week has witnessed the end of my daughter's nocturnal partnership with her "boots and bars".

Magic Shoes
For those who don't know, my daughter's rather difficult pregnancy resulted in her having been born with a "unilateral talipes" (to give it its medical title) or a "club foot" (to give it its rather archaic, colloquial term). It meant that, having been deprived of the the luxury of growing room in the womb, when she emerged all pink and shrivelled like a baby mole the sole of her foot was turned up towards her face like a flower seeking out the warmth of the sun. A pretty analogy but not much use to walk on.

We were forearmed on this one as when our 20 week "anomaly scan" had discovered just that the local health service had a plan and within a week of diagnosis they had packaged us off to meet the specialist physiotherapist at the children's hospital. Still grieving the loss of our "normal" child, we were ushered into the treatment room to discuss the next steps (so to speak) only to be abruptly woken from our self pity by the multitude of cupboards entitled "airway equipment", "cystic fibrosis essentials" and "mobility aids". This was by no means a worst case scenario; this issue was both rectifiable and non life threatening. Whilst we were warned that our child was unlikely to compete at an Olympic level or a perform as a professional ballerina she would walk, she would skip, she would run but more than that; she would live.

Totes profesh

So after she came along we trotted off to meet with our foot guru and have our new arrival assessed in person. The foot was no better nor worse than the physio had expected based on the scan and, as discussed antenatally, she would require a series of full length leg casts to slowly manipulate the foot from its turned in position towards a more natural sole- to- the- floor appearance. Now, keeping a full length cast on a wriggly baby is no mean feat (pardon the pun) and there were multiple occasions over the next 12 weeks when we would have to run to the hospital brandishing a cast in one hand and a startled baby under the other; desperately proclaiming that all the efforts would be undone were it not put back on in an instant. When we did eventually make it through the first 3 months and it was finally time for the big reveal we were delighted with the results. She had a matching pair!

However, we were then informed that she would need an operation to remedy her excruciatingly tight achilles tendon before the next stage of treatment could commence. So at the tender age of 12 weeks we presented her for her pre-op assessment having kept her nil by mouth for what felt like an inhumane amount of time for one so small. They too seemed to recognise this and she was put first on the operating list. We were relieved and terrified in equal measure. When invited to accompany her down to the anaesthetic room I could not face it and selflessly let the husband fulfil the role. He eventually reappeared looking haunted. He recanted the tale of how she had been all fighting spirit and then was gone; a limp doll only vaguely recognisable as our precious little girl.

Needless to say, several hours later we were informed that the operation had been a success and her last full length cast had been applied. Two weeks later, our relief at finishing the series of casts was short lived, as she was then strapped into her first set of "boots and bars". This apparatus was initially to be worn 23 hours of the day for a 12 week period before being reduced to 12 hours of the day until she was 5 years of age. 

She did not care for this.

Following her first fitting we decided to go for a family day out taking in the fresh sea air and a pub lunch. Being like any other 4 month old she opted to perform her necessary ablutions in her car seat resulting in every nook and crevice being infiltrated and a full strip and hose down essential and yet nigh on impossible in our current surroundings. My husband gamely took her into the nearest accessible toilets and attempted to liberate her from her new apparatus and rectify the situation. From my seat in the bar I issued apologetic looks to the other customers who were hostage to the ensuing cacophony erupting from the nearby facilities as my daughter let her feelings be known. Husband staggered out, battle weary and downed his (now tepid) coffee. It was home time.

Broken. Just broken. 


Having said that I honestly cannot recall another time when the boots and bars were truly an issue. Our little girl has always been open to reason and whilst she has questioned whether she had to don them yet again, she has always been amenable and understood the long term goal. Our long standing night time routine of bath, teeth, toilet, boots and bars, book and bed has become second nature and even the youngest has taken on the role of clicking the bar into place for his big sister before storytime. For us, it was normal but as the date of completion emerged on the horizon I saw, perhaps for the first time, how desperate she was to rid herself of her nocturnal companions.

The countdown was on.

5 years worth of "boots and bars"

Realistically there was no obvious reason why further time or manipulation would be recommended. She had passed every quarterly check with flying colours. She could run, hop and skip with the best of them. So, against my nature, I was cautiously optimistic where she was terrified. As ever, terrified of failure and of letting others down. She needn't have been. She received a big fat stamp of approval and was released on parole.

A happier child you never did see.

That smile. 

So now we are acclimatising to our new normal. It is taking some time and there are still occasions when we have taken our positions on the couch before realising that there is no apparatus required. In some ways I miss the feeling of having a defined, tangible role in helping her with the physical burdens she has to bear but these feelings are quickly dispelled by the sound of the pitter patter of her (unusually) tiny feet in the morning as she gets herself out of bed for the first time in 5 years. 

Sunday 13 January 2019

My Girl: Now You are Five


I saw you the other day but you didn't see me watching. I saw you as you ran to the side of that little girl after she slipped on the wet tiles by the pool. I watched as you knelt beside her and asked if she was OK before helping her to her feet. I looked on as you bestowed upon her one of your most empathetic embraces whilst she waited for her mummy to return and take away her pain.



It reminded me that you are one of the best human beings that I have had the pleasure of meeting. As a parent I know that it should be me who is showing the way but you make me want to be a better person. Your inate awareness and understanding of other people's feelings is the most special thing about you.

With your birthday (and full class soft play party) looming in the distance, the stress of ensuring that everything was going to run smoothly meant that I was completely taken a back when someone close to me pointed out that they couldn't believe you were going to be five when there was a time when we thought we were never going to get to meet you and then, having achieved that goal, a brief period when we feared you would not make your 1st never mind 5th birthday.



It is neither a time I would choose to relive nor would I ever wish such an ordeal upon another living soul. The cryptic uneasy glances shared across my lubricated swollen stomach by knowing health professionals; the calm ushering into a non descript room bare but for a box of tissues placed within easy reach; the measured even tones of the Consultant as she uttered the phrases "appears non viable", "likely chromosomal defects" and "need to wait for nature to take its course"; the endless waiting and aching need to dispel any seeds of hope which might take root and break me entirely.

Then there was the glimmer; the optimistic "let's give it one more week". You fought and you won. You made it out, albeit not entirely unscathed and with multiple minor battles still to be fought but you were here in all your 5lbs 3oz glory. The most beautiful shrivelled vole that I had ever seen.

My beautiful shrivelled vole

Then the questions started again. It would appear that your missing digit could have been a sign of a more pervasive problem, one which could include a "limited life span". There were blood tests, x rays taken of every minute bone in your tiny body and a series of grim looking professionals discussing your case. More waiting.

Then it was over. You were you. Different for sure, but amazing in every way.



So on this, your 5th, birthday I hope that the inability to demonstrate your new age using your right hand serves not as a reminder as to where you fall short but as a reminder of your inner strength. For before you had the capacity to make decisions you chose to live and when life isn't going your way (because sometimes it won't) I want you to look at your hand and remember that you are stronger than you realise with a courageous nature that runs deeper than you know. 



Happy Birthday Bear. 

To us you are perfect. 

Xx

Sunday 7 October 2018

Get Back Up Again: When Parenthood Doesn't Go To Plan


Now I know I said I was going away for a while and you may be thinking that that initial declaration was somewhat insincere being that I am now here again a mere two weeks later but, much like an aged rocker answering the call to play his greatest hits, I am back but this time on request from one of my favourite people on the planet. You see, as a family we have been dealt a rather cruel hand of late and whilst the details of this particular person's predicament are not mine to tell they have occupied my thoughts and tainted my daily experiences to such a degree that my tales of merely surviving parenthood seemed to fade into a banal triviality. There seemed little point and an overriding sense of self indulgence in sitting down to write about my toddler's unwillingness to reunite his poo with its long lost family who reside in the sewars of Edinburgh (we'll get to that) when I could have been spending my time worrying (with its proven innate protective powers), consoling, falsely reassuring or researching the many methods in which to restore this person to her previous salubrity.

Superhero he may be... 

However, this weekend I took an enforced leave (by my husband) from parenting my own children and went to see her hoping to assuage my own concerns and dole out some intense, medicinal hugs. We talked, we laughed (probably harder than our pelvic floors were prepared for), we ate (a lot of superfood based meals) and we identified at least sixty two examples of her three month old's intellectual prowess. Parental leave well spent.

Time spent squeezing babies is always time well spent

Now whilst I cannot begin to compare any experience that we may have had as parents to what she is currently going through there are elements of her current situation which bring rather unsettling memories to the fore.

Feeling Short Changed by Life
When we learned of the complications of our first pregnancy and the ensuing differences that my daughter was going to have to live with for the rest of her life, I distinctly remember feeling like we were incredibly hard done by. We had done everything right. We had waited for (almost) the right time financially, we had been living a healthy lifestyle at the time of conception (although maybe not by Gwyneth Paltrow's standards) and we had a strong track record of robust health on our side. 

Complications in pregnancy were minimal in the family tree and there was certainly nothing beyond the point of getting those two pesky precursors to unite so with that first blue line in the all important window there was part of me that felt we were home free.

So when it all began to unravel I felt cheated. I felt angry. I felt like we were undeserving of such a cruel turn of events. Why us? What had we ever done to deserve this?

The harsh truth of the matter is nothing. We had done nothing wrong. It wasn't right, it wasn't fair and we definitely didn't deserve it but life doesn't dole out your allotment based on what is right or what is fair. As it turned out, we were merely asking the wrong question of the universe. Rather than asking why it was us we should have been asking why not us?

Everything Will Be Alright

The Lost Maternity Leave
After my daughter hurled herself from the womb two weeks early, undersized and brandishing her nine fingers and ten toes in our general direction we were immediately treated differently. We were whisked into a side room and striked from the list of routine post delivery checks to be performed by the junior doctor and etched onto the much shorter list for the consultant paediatrician to perform where the assessment would be carried out in the most painstaking and methodical manner.

All the plans for baby classes and mummy groups were instantly discarded and replaced with doctors appointments and dates with scanners. Development milestones loomed in the distance with an aching desperation, not for her to excel but for her to merely attain within an acceptable window of time. Baby clothes were not purchased based on their aesthetics (except by my mother) but for their ability to provide easy access to her various bandages and equipment. Sleep was lost, not solely based on her partiality for nocturnal activities but due to the terrorising worries that would pervade my mind in the small hours of the morning.

It was only when the date for my return to work appeared on the calendar that I realised my maternity leave had ended before it had even begun.

Back to Work 


The Cruelty of Genetic Testing
When the first mutterings were made that there may be a possible genetic cause for my daughter's differences, we were struck dumb. To learn that the essence of your being, the part of you that made you who you are before you were even a person, may have been predestined to sabotage you and those you love in one of the worst ways imaginable is a horror that I would not inflict on my worst enemy.

Although we learned (when our daughter was 3 months old) that there was no obvious genetic cause for her individual handprint the intervening period was quite possibly the greatest test our marriage will ever have. My husband and I recently discussed this time in our lives and found our experiences to have been significantly different. Where a positive (in the worst way possible) result would likely lead to our daughter either having profoundly increased needs or a dramatically shortened lifespan my husband envisioned us remaining a stoical family of three; standing strong together and enjoying the time that we had to the best of our ability. In stark contrast, I couldn't envision how we could possibly stay together in the knowledge that our genetic make up had come together to punish our daughter in such a cruel fashion. What would we do if it happened, albeit accidentally, again? 

I can honestly say that I have always loved my husband but I seriously contemplated divorce at this juncture. I don't think either of us was right or wrong and neither of us are more invested in this marriage than they other it was just an instinctive reaction to an unprecedented turn of events.

Hey ho, it was negative. So married we stay.

Marriage: The Ultimate Test

The Test of Friendship
No one should ever feel tested as a friend but unfortunately there are occasions in life when friendships will be truly tested and, hopefully, forever cemented by the shared experience of something truly awful happening to one party and I choose to find something rather heartwarming in this. When the worst happens the nature of the human condition is to expose their true self and act on their gut instinct. People either prove themselves to be the best of friends, surprise you with a devotion that you didn't know they felt or leave you feeling a little disappointed in their lack of understanding or empathy.

Sometimes the worst times of our lives bring out the best people we never truly knew we had and whilst I would never chose to have gone through what we did I do appreciate everyone who helped us on the way.

Every cloud and all that


Wednesday 8 November 2017

Holiday: It Would Be So Nice...

Top of the list for logistical nightmares must be going on holiday with toddlers. I swear there are military manoeuvres that take less organisation and negotiation skills than mobilising a family of four off this island. The obstacles to overcome include (but are by no means limited to):

1. Heat
To the average singleton, a destination that is warm equates to less of pretty much everything: less clothing, less beauty paraphernalia, less hassle. To a family with young children heat means more. More clothing, more creams and more apparatus as a consequence of heat based activities (read "swimming"). We have parasols, muslins and a variety of hats in the vain hope that one shall be tolerated and save that fresh, translucent skin from almost certain scorching.

2. Lack of NHS
This is not something the average young traveller really thinks about but when you have small children the nearest healthcare provider is at the top of the list of things to research. Gone are the Google searches for "cool things to do in Ecuador" or "nightclubs in Bucharest" and here to stay are "English speaking healthcare providers in Tenerife"... Ho hum.

3. Baby paraphernalia
Travel cots, baby monitors, prams, car seats, bottles, sippy cups, favoured formula, seat adaptors for eating out, nappy cream, travel potties, blankets, calpol... Need I go on?

4. "Essential" toddler items
Also high on the list, but not to be confused with potentially useful and necessary baby items are the "essential" toddler items. Those which they cannot live without. The things that absolutely define their being... Until you leave the house. At this point the plethora of plastic pieces, assemblage of assorted animals and the formation of furry friends will immediately be forgotten about. Left cruelly discarded in the bag in which they traversed miles across land and oceans only to see daylight upon their return to the homestead.

5. In flight entertainment
I defy anyone to have come up with the exact array of accoutrements that will entertain a child of preschool age for the duration of a European flight, never mind a long haul journey. This particularly item of hand luggage will be weighed down with small toys, iPads, headphones, snap cards, magazines, comforters and above all, snacks for bribery purposes. It shall be adorned with a popular swine based character or Disney Princess and shall be a violent neon colour. Expect to carry it.

6. The "last minute contributor"
This mantle falls to my husband who considers himself to be very organised and to the most part I would agree. However, with 5 minutes to go before departure you will find him throwing everything bar the items glued to the building into the bag "just in case" as "you never know"...
Well, I tell you what, I do know. I know we'll be paying for excess baggage. 
Oh look! We'll be trapped on that for 5hours together! Huzzah!

Saturday 25 March 2017

A Love Letter to the NHS....

Dear NHS,

I love you.

The adoration that I have for you is complex and not easily put into words but much like a lover on their deathbed I feel that I must so that you can hear it and know you are loved.

I can see that you are struggling and that there are people who are trying to bring you down. You trusted them as friends but now you realise that they have been undermining you at every turn and have left you demoralised and insecure.

I need you to know that I still see you for everything that you are and everything you are capable of being. My love for you remains steadfast.

You see, I know you of old.

I was a junior doctor once. I craved those five letters from my early teens, MBChB, refusing to let anything get in my way. Despite my desperation to get to the front line and start helping people, I found myself convinced that I was woefully inadequate; consumed with the fear of hurting anyone. This daily terror forced me to, reluctantly and sorrowfully, desert the profession. I now realise that the vast majority of your junior doctors also battle with this terror every day and yet continue to turn up; continue to devote themselves to the service of others. The risks they undertake and the vast responsibility that is prematurely thrust upon them is crushing; yet their labours go largely unrecognised and poorly rewarded.

And they are not alone.

NHS, I know that in your heart you are kind. You long to meet the needs and surpass the expectations of everyone of your charges and yet you are thwarted at every turn by bureaucracy and meagre funding. Your caring nature is dispersed through every last one your nursing and midwifery staff who tirelessly tend to the masses whilst making each one feel like they were the first.

I have been the patient, more often than I would like. I take advantage of your benevolence on a weekly basis from the multitude of health professionals who wage war on my failed pancreas and my body's inability to house my unborn children without peril to those who mend my the resultant anatomical consequences borne by my child.

For that I thank you. I shall be eternally grateful.

Don't let them get you down.

You are so much to so many people and we love you.



Lockdown 2.0: Another Day in Paradise

So, a pandemic.  I'll admit that it is a parenting hurdle I never saw coming. It's not so much the sanitising (I mean, they eat dirt...