05/11/23 Better again...

Another update: mobility much improved - 10 mins to get out of bed yesterday (with help from frame); this morning, straight out almost as normal, no need for frame. Just as well, because I'd left it on the other side of the room. Also, first-thing urination back to normal, or nearly.

Oramorph and 8 Co-Codamol a day working wonders, but Co-Codamol having its usual effect on lower intestines. Praise be to Laxido!!

04/11/23 Better..?

20 minutes from waking up to standing up this morning - partly the result of practice, partly because of the frame. Would probably have been at least 30 minutes without that. Staying with maximum 8 C-Codamol a day and Oramorph at need. One 5ml dose this morning.

Good news is successful first-time urination this morning.

Sue's in for her cataract, driven in by a very helpful fellow resident here. No news as yet.

03/11/23 Quite a day...

I'm not going to try to write this all out again, so here's a compilation of today's posts on the Facebook Myeloma group. It took 45 minutes this morning from waking up to standing up, and only did that with help from the House Manager here who brought a walking frame up from storage downstairs. That made things much easier.

------------------------------------------------------------

Going to A&E in hope of x-ray as worse this morning. Ambulance wait may be 4 hours...

-------------------------------------------------------------

Update: Have had a twelfth-degree interrogation over the phone by a "clinician". It would have helped if she knew anything about myeloma.

Eventually agreed transport to hospital but no promises about what happens then.

Six hours....

One of the questions asked was whether I was feeling agitated. You can imagine...

----------------------------------------------------------------

Time for yet another update already. But first, sincere thanks to all those who have responded to and commented on all this. I really appreciate it.

Two ambulance men arrived, took my BP and etc.. Not surprisingly a good deal higher than usual!

Long conversation, upshot is they see no point in taking me in to lie on a trolley for hours (A&E already overwhelmed today) and they "very rarely" do x-rays for back problems anyway these days, so better to hang on for the MRI on Tuesday.

They did organise a bottle of Oramorph, which Sue is about to go and collect for me, bless her.

And to top it all, the House Manager here (who was very helpful getting me on my feet this morning) set off the fire alarm while doing some ironing. That meant the lifts automatically stopping working. Just as our weekly Tesco food delivery arrived....

---------------------------------------------------------------------

I've got the Oramorph and have just treated myself to a rather large 5ml.

The lifts are working again but the hot water and heating are both off. The fire alarm turns them off but re-ignition doesn't work as it should. Engineers are expected...

And now for an aspect of all this I haven't mentioned yet. Usually the first thing I do when I wake up is get out of bed, go to the bathroom (just a couple of non-metric yards away) and urinate. All normal. But for the last two mornings when I've eventually got to my feet - half an hour yesterday, three-quarters today) I've produced absolutely nothing. Not a drop. No sensation of wanting to go but can't, just empty-bladder nothing.

Half an hour later, all back to normal.

There are several possible explanations, one or two of them not very pleasant and with potential long-term implications. I think we can rule out prostate as no other symptoms apart from occasional urgency, and pelvic CT last May reported "Visualized parts of urinary bladder , prostate and rectum appear normal". There may be pressure on the relevant nerve roots right down at the base of spine, meaning that something has changed in that area where we know I have several small lytic lesions.

Talked about this with today's ambulance men and basically they said not our problem, keep a diary and take it to your GP. So I called the surgery and got a phone call back from a doctor inside an hour. She wants "urgent" diagnostic blood tests. I have to pick up the form Monday morning and then try to get "urgent" through the heads of the people at the blood test place "Chelmsford Health Hub". Wish me luck!

Myeloma, the gift that keeps on giving...

------------------------------------------------------

Definitely an "interesting" day...

02/11/23 (2) NHS update

Can't remember when I last did more than one post in one day!

After giving up two or three earlier attempts, got through to the GP surgery at 3:30. Told the receptionist the same story. "Can you come in this afternoon? 4:30?" Sue was otherwise occupied, so followed in her car as soon as she was free. I've got one of those removable handle things that fit into the car's lock mechanism on the door pillar, and not for the first time it saved the day. Don't think I would have got into the car, or out of it, without that "pink thing" as we call it, the original red plastic around the handle having faded long ago.

GP prescribed painkillers and precautionary laxatives, and while I was there Broomfield phoned to say they had organised a "fast track" MRI for Tuesday morning (7th) and a Multi-Disciplinary Team meeting (presumably including Orthopaedics) to chew over the results and decide on a plan. So now we wait, and cross fingers that getting out of bed in the morning won't be as difficult as it was today.

All credit to the NHS for speed. As so often, the clinical side works far better than the admin side.

02/11/23 The NHS does it again

A couple of weeks or so ago I had an NHS letter saying that my next consultant appointment was cancelled and that a new appointment would arrive. Still waiting...

This morning I was on the phone to the Haematology secretaries (see below) and I mentioned this. 

"Oh yes, you've got an appointment on the 28th, 11:50".

First I've heard of it. The problem is that I need to have blood taken at least a fortnight ahead, in time for all the results to come through. I went straight to the online booking for the blood test "Chelmsford Health Hub" five minutes up the road. First available appointment on the 13th, just in time... But only because I made that call, and I wasn't even trying to talk to Haematology.

Yet another NHS admin cock-up. Not the first by a long way, won't be the last.

Some possibly myeloma-related developments, starting yesterday evening. Here's the text of a message to the Royal National Orthopaedic Hospital secretaries:

"Hello again,

When I saw Mr.Gerrand on 9th Oct his parting message was to get in touch if I had more pain and difficulty walking. Both conditions met since last night.

I tried to contact you by 'phone and left a message which I hope will reach you. Going a bit further:

1. The morning after that appointment I managed to fall out of bed and land on my left hip. Seemed to be no damage beyond some impressive bruising.

2. Yesterday 1 Nov, all normal morning and afternoon, went for a walk pm, nothing out of the ordinary. But some low back pain (across top of pelvis and lumbar) developed during evening. A bit difficult in shower but manageable. Later tried to get out of "office" chair to go to bed, couldn't do it. Took a good 15 mins to stand up and make it across room (with stick). Another 15 to get out of bed and stand up this morning, and same again to stand up from chair after breakfast. Getting off WC not easy or straightforward either! Walking v.slow shuffle but does get a bit easier once I get started. Occasional sharp jabs of pain, very reminiscent of walking problems with that big lesion and "extramedullary growth" when my myeloma was diagnosed 2019.

3. Hard to tell what's going on. Mix of muscular pain and deep "bone pain". Not directly in left hip but suppose could be referred pain and there are a number of smaller lesions in pelvis and lower spine that might be causing problems. I hope that CT scan which should have arrived from Broomfield Chelmsford by now might shed some light on those other lesions and etc. Broomfield promise they've sent it!

4. Arranging osteopath appointment in the hope of getting some relief even if temporary. Just heard - tomorrow afternoon. Will also contact Broomfield Orthopaedics and GP."

Shortly after sending that email Broomfield Haematology called and it turned out that I didn't leave a phone message with RNOH Orthopaedics this morning after all. My eye must have skipped a line in my contacts (tempted to say mind distracted by the pain in my back...) and the message went to Broomfield Haematology instead. And that's where the story starts. Not a great way to start a morning!

20/10/23 Anniversary, and CT report

Six years to the day since I fell down those steps at Liverpool Street Station and broke my shoulder. And, until we didn't realise it for years afterwards, my neck as well. Hence the titanium metalwork that was very successful inserted in Jan 22.

Finally got hold of the report of the CT scan done last May and which should have been sent to the RNOH long before my recent appointment. It should be there now...

The main thing, I think, is the references to other lesions in the area - first I've heard of those since the early days. And there is no mention of any bone re-growth, re-mineralisation, or the like. All the rest is only to be expected with advancing years. And good to know my prostate looks ok!

14/10/23 Hip x-rays

The images arrived from the RNOH in this morning's email. The two (one taken lying flat, the other halfway onto my right side, constitute what is called a "Judet view". M.Gerrand appeared interested in the flat one only. Clicking on the images will give a larger view.

Have to say the right hip joint doesn't look all that great to me either... That's the one on the left side of the image.

This is the other position:

This is the relevant bit of the first one, zoomed in:

and again, annotated: