Sunday 13 October 2024

An ode damning the health service

 

THIS from a recent British Medical Journal, reported also in the newspapers.

“The complete lack of specialist care in England for patients with severe myalgic encephalomyelitis (ME or chronic fatigue syndrome) could cause deaths in future unless urgent action is taken, a coroner has warned.

“The hard hitting prevention of future deaths (PFD) report by assistant coroner Deborah Archer on the death of Maeve Boothby O’Neill, 27, also highlighted the lack of research funding, training, and guidelines on treating the condition.”

The truth is that ME and other conditions such as EDS (Hypermobility Ehlers Danlos Syndrome)

are not widely understood by doctors who shrug and say: “Nothing to be done”.

That’s my family’s experience. It came as complete sur prise to me. Until that moment I had faith in the health service.  No longer, especially in respect of chronic illness.

And so to my latest Blog, which refrains from peppering this piece with the profane remarks it deserved.   






Rant!!!!!

AN ODE DAMNING HEALTH PROVIDERS

Who’s that going up and down the stairs?

Who’s that going up and down the stairs?

It’s the carers.

It’s the carers.

Who is that behind the closed bedroom door?

Who is that behind the closed bedroom door?

It’s their daughter.

It’s their daughter.

Room bound many years

They thought it was ME to begin with. It may still be ME.  But it is certainly EDS – a faulty gene causing weak connective tissue – the stuff that  holds muscles, bones, holds all organs together - making movement painful and sometimes impossible;  no known cure.

POTS – (Postural Orthostatic Tachycardia) sudden movement causes surge in heart rate and corresponding drop in blood pressure resulting in giddiness.

It’s their daughter.

Who is also considered to be autistic.

Praise be for Kings College Hospital, London.

Praise be for Royal Orthopaedic Hospital, Stanmore.

For their thorough and exhaustive tests

For their diagnosis of POTS and EDS.

Cursed be Surrey and Borders Partnership  mental health services.

For turning down her doctor’s referral.

Damn your eyes.

Cursed be the NHS at large, for choosing to remain largely ignorant of these conditions, in some cases doctors disputing them; and for their failure to press GPs to automatically provide rudimentary health checks which would also boost morale.

Instead, they say “nothing to be done” - when there is much that can be done to manage symptoms. 

Who is that going up and down the stairs?

Who is that going up and down the stairs?

It’s the carers.

It’s the carers.

Carrying food, medicine, vitamins, water…morning, noon, late into the night.

It’s the carers.

Carrying Complan, carrot juice, heat wraps.

It’s the carers.

It’s the carers

Drawing the curtains

Raising the blinds.

Emptying the commode.

It’s the carers.

It’s the carers.

Taking care of the one lying in bed up upstairs.

Morning, noon and late into each and every night – for over 5 years now.

To sit with her at bedtime.

In her confusion.

Holding hands.

Their daughter.

Their daughter.

In her drawer, the university degree, key to a different life.

It’s their daughter.

It’s their daughter.

Lying still in her bed wearing sound deadening headphones,

in a silent room in a house which must remain quiet, the TV muted or sound turned off.

In the early years, over two decades ago, our doctor surmised it was “ME”, saying to the 12 year-old: Nothing to be done!

He said that to a child!  A life sentence.

He could have offered to look up a specialist for us to refer to. He did nothing. We had to do our own research and we discovered a world of self-help, about how to manage symptoms, how to oblige the school to arrange home education.

He simply shrugged. 

This doctor died recently. I held back from adding something to the book of condolences in the surgery. Didn’t want to offend his family.

More recently another doctor, from the same stable, angrily told us that having to mute the TV

 was ridiculous. You should not put up with that. (This guy, I may yet swing for him, as the saying going).

So no friends to visit, unable to do so for many  years:

No visitors to the house. No social contact. Never goes out. No Christmas. No holidays for many years, no meals out for years and years.

Plagued by sensory issues; sight – people move too fast; sound – too loud, clink of plates deafening; her anxieties - off the scale.

Once a vibrant personality, now speaks little, subdued. Beaten down.

It’s their daughter.

It’s their daughter.

thousands like her.

Thousands like her.

Isolated…disregarded…off the NHS radar.

Who’s that going up and down stairs?

Who’s that going up and down the stairs?

Not the doctor.

Not the doctor.

Who’s that ill behind the door?

Who’s that ill behind the door?

Five years and counting

No one they care about.

No one they care for.

To those in the NHS who either do nothing, or do very little to help, who never seek to ask how this is impacting upon the family brought to breaking point – damn your eyes.

To the Mental Health services – damn your eyes.

 

As for carers...

Every waking hour of every day for the last five years we have been on constant alert, for the ‘ding’ of a text from our daughter’s mobile!

“Caregiver burnout is a state of profound mental and physical exhaustion, especially common in parents of autistic children. It arises when the constant demands of caregiving—managing meltdowns, sensory overloads, and advocating for support—drain their energy. Over time, neglecting their own needs leaves caregivers emotionally overwhelmed and trapped in guilt and frustration, which diminishes their ability to provide care and affects their mental health, relationships, and overall quality of life.— (Tony Attwood, Clinical Psychologist).

*The rhyming and repetitive nature of this piece draws for its inspiration two comic sources; ironically!:

The song by the Ukulele Orchestra of Great Britain, which ran thus: “What’s that coming over the hill? What’s that coming over the hill? It’s the monster. It’s the monster”;  repeating itself.

And secondly, to Private Eye who, in 1972, gave away a spoof record – a priceless political satire - purporting to be that of Prime Minister Ted Heath singing about the Miners’ strike; “Oh the miners want more pay, damn their eyes; the miners want more pay, damn their eyes.”