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Claire's Story
Claire is a happy fun loving person but during her younger years she never felt
settled the grass is always greener philosophy.
She always talked about going to Australia.
She went to University and moved away for four years and got a degree in
nursing but still she felt there was something missing.
She moved back to Warwickshire and got a job at the local hospital and
following a rotation she decided to work in the A & E Department and for a while
she was happy she had a job she loved and started to settle down.
BUT Australia was always in the back of her mind.
Unfortunately in 2001 sadly my mother Joy died on my son Adrian's 30th
Birthday Claire as well as her other three grand children Adrian, Matthew and
Mark who were all very close to her and she left a great hole in our lives.
My father Bill had died in October 1989.
The following year we had a Memorial Service for her at our local church
on which would have been her 79th birthday 17th November.
The following day Mark my sister Dawn's youngest son, Claire's cousin to whom
she was especially close, was found dead in his bedroom of Sudden Adult Death
Syndrome. Once more our family
reeled from the shock of losing another dear member of our family but especially
as Mark was only 25 years old. No
cause could be found for Mark,s death other than SADS.
Claire, along with the whole family, suffered very badly from our bereavement.
This was the spurt she needed she was definitely going to go to
Australia! She felt she had
nothing to lose. This
happened the following year in 2003.
She got together all the equipment she needed to go back packing and off
she went alone! Saying good bye to
our only daughter at Heathrow Airport was the worst thing apart from losing
our parents - we have ever had to go through and I cried all the way home.
She flew first to Singapore where Claire made friends with another older lady
who was going to Australia to family she had there. In Singapore she travelled
around sight seeing. During the day
she developed a blister on the side of both feet but she thought nothing of it.
From Singapore she flew to Perth where she met up with another lone back packer
called Jo who was also on her flight but she hadn't known this at the time.
If we had known she wasn't alone we may not have worried so much.
They stayed for a while in Freemantle and then travelled up towards
Darwin via Broome. During the
trip up north she was went on a trip to the outback, sand surfing and abseiling.
However during this last activity she cut her left shin on a stick.
She dressed and cleaned this herself.
She also went scuba diving but unfortunately she failed because she
suffered from breathing problems.
However during the coach ride up to Broome Claire felt that her rings were
getting tight and she mentioned this to another girl travelling with them to
Darwin. The wound on her leg became
necrotic, was enlarging and had an infected smell to it.
By the time they got to her Broome Claire also felt slightly breathless
and got herself to the local A & E department.
At the department Claire was found to be in early renal failure and she was
admitted. It turned out that Claire
who had sustained a blister in Singapore had picked up a bug that had attacked
her kidneys. Her
kidneys started to go into retention and she did not pass enough urine which
worried the doctors. The
doctors liaised with a specialist in the renal unit at the Royal Hospital in
Perth. After two or three days they
were concerned enough about Claire to fly her to The Royal Hospital in Perth.
She had glomerulonephritis and pneumonia.
She had to undergo a kidney biopsy.
We were fortunate in that a friend had given Claire an Australian mobile phone
and we were able to contact her often taking into account the time difference.
She phoned home and told us what had happened and naturally we were very
worried especially as she was on her own.
She had told her friends to carry on with their journey as there was
nothing they could do and they would waste their time but this left Claire alone
and anxious as to what was going to happen to her.
Before Claire left for Australia
she left a copy of her insurance documents thank goodness she got insurance -
and we phoned Direct Line. They
were absolutely fantastic. They
brought up her policy on their computer system and immediately took over her
care. They phoned Claire and put
her mind at ease and kept us informed almost daily.
We were also lucky in the fact that we had two friends who were visiting
their family in Perth at the time and they were able to go and see Claire and of
course phoned us to inform us of her condition � which was reassuring.
After two weeks Claire was getting better but was unable to travel as her
saturations were down. Direct Line
flew out a nurse to look after her and to organise her flight home.
She needed oxygen for the trip and this also had to be monitored.
She flew first class (although she couldn''t enjoy it as she was feeling
very uncomfortable and not really eating very much).
From Heathrow there was a private ambulance waiting for Claire and her
nurse and they were then driven home straight to our door.
We were never so pleased to see her safely back home so we could care for her
and give her the tlc she deserved.
She went on to a make a full recovery and she wrote to Direct Line to thank them
for their help and care at time when it was needed most, but there was still
this niggle at the back of Claire's mind that she hadn't really finished her
Australian trip after all she had only been out of this country for six weeks
and had to be flown home again. She
had planned to be away for twelve months!
Needless to say Claire saved up and went back to Australia in February 2004.
This time she went to Sydney with her friend Lisa who had friends in Sydney and
Claire and she also met up with an old friend who had emigrated there.
Lisa stayed for three weeks with Claire and they had a lovely time and
was shown the local sites by Lisa's friends.
However Lisa had to go home and although Claire's new found friends asked
her to stay with them she felt she must make her way herself.
Claire worked as a nurse working for Nurse Worldwide in Sydney for three months
first staying in a hostel and then she shared an apartment in Sydney with other
back packers near Rock. After
three months Claire felt she needed to take off again and made her way up the
Gold Coast. One of her stops was
Townsville. She had made
friends with other back packers and met up again with Jo.
They went on a trip to Magnetic Island where they had planned to hire
sand buggies and enjoy this lovely island.
Unfortunately luck was again not on Claire's side.
She hadn�'been there long before she felt unwell and began experiencing
chest pains and thought she was about to have a heart attack!
Again she was taken by ambulance to the local GP run Clinic and from
there was airlifted back to the mainland to Townsville General Hospital where
she was admitted. Claire was
diagnosed as having pancreatitis a condition usually caused by having gall
stones. Investigations were carried
out and it was felt that she had a gall stone and after taking advice removal of
her gallbladder was decided upon.
This way she wouldn't have any more problems with her pancreas or so we
thought! Unfortunately she also
developed a left pleural effusion.
Again we phoned Direct Line (as she had re-insured herself with them) and our
minds were put at rest although we would dearly have loved to have been with
her at this awful time. She
had to undergo a cholecystectomy by keyhole surgery.
Again her friends came to visit her at first but they had their own trip
to complete and Claire told them to go on without her.
She was befriended by one of the domestics on the ward who brought her flowers
but it wasn't quite the same as having family or friends looking out for you and
I am sure Claire felt at an all time low.
We were again able to phone her direct to her bedside by using the
hospital patient line system. This
we did every day to keep her chin up.
She went on to make a good recovery from her surgery and again Direct Line were
there for her phoning her and informing her of their plans.
This was that on discharge from hospital she was to have at least ten
days to convalesce after the operation before she could be flown home.
It was felt that because of her training there would be no need for a
nurse to be flown out to look after her and she was booked in to the Holiday Inn
in a suite. She spent most
days lazing on the beach (which sounds lovely but not on your own perhaps) and
wishing of course that she could carry on with her journey.
The time came when she was to be flown home a taxi was ordered to take
her to the airport where she was flown first class.
Before the flight Claire had to give herself an injection to ensure she
suffered no blood clots.
Again she was met at Heathrow airport and brought home again safe to us.
Well that put paid to any thoughts of her going back to Australia as we felt her
third time might not be lucky for her.
After a period of convalescence Claire needed to get back to work and worked as
a Bank nurse at Good Hope Hospital until a permanent position became available
in the A & E Department. Claire
applied for an E grade position but because she had had a break in nursing
(they did not recognise the time she had actually worked in Australia or the
fact that she had worked as a bank nurse in A & E in Good Hope Hospital she did
not get the job even though she had previously worked there for three years!
Claire felt let down by that hospital where her friends still worked and
where she felt she could be an asset to them and had previously been happy
there. This was a very traumatic
time for Claire as she felt she had been made a fool of by the management.
Claire ceased working at Good Hope Hospital on the bank to keep her
dignity and self respect. She
felt that if they didn't appreciate her experience then she would go where she
would be appreciated. Claire felt betrayed.
We went through the usual routine by this time I knew the routine well and
could tell any junior doctor what to do (which of course I didn't).
She was seen straight away and had bloods taken, blood pressure etc and
given morphine which is the only drug that takes away the pain although not
completely and then put on intravenous fluid.
Usually the pain is eased with the morphine and she is monitored
carefully as to how much she needs.
However this time the usual amount did not work and Claire was really suffering
and her dose was raised quite dramatically compared to previous admissions at
least up to five times compared to previous times!
Claire was taken to Critical Care at around 2 o'clock in the morning.
We were asked to wait in the waiting room while they settled her down and
carried out their own procedures.
After what seemed like an eternity the night sister came into Critical
Care she knew Claire and came to speak to us.
She like us couldn't believe that Claire had had to be transferred there.
Alan and I were exhausted for me I had spent virtually all that day and
evening there. We decided
that we would be no good for anything unless we got some sleep.
It was around 5 o'clock in the morning when we got home and crawled into
bed. I had to set the alarm
so that I could telephone my work to inform them of what had happened to Claire.
After some sleep we went back to the hospital for 11 o'clock visiting time.
You soon learn the procedures.
When you arrive in Critical Care you inform the receptionist whom you are
visiting and she in turn informs the nurse in charge of the patient.
You are not allowed to take outdoor clothing in through the doors and of
course you must wash your hands with the disinfectant supplied.
Claire was in a bay on her own with a very attentive nurse at hand.
She had venflons into her hand by which they were administering her
morphine and fluids as and when needed.
She was also on oxygen to help her breathing.
Alan and I stayed with Claire virtually all day � visiting was 11 - 2pm and 4 -
8pm. So we went to the
hospital restaurant and had something to eat and drink between visiting times
but as long as we were at the hospital and near Claire we were content.
They also had Alan's mobile phone number just in case.
Again, that night we went home but felt Claire was in the best place and had had
really good care.
The next morning after a good night's sleep. Alan went to work feeling that
Claire would now be on the mend and Adrian and I went to the hospital.
On arrival in Critical Care � the usual procedure � ask the receptionist
to ask the nurse if we could go down and see Claire.
This time however the nurse came up and told us the doctor wanted to see
us. Alarm bells again!!!!
The last time this happened was when we were told my Dad was going to die
after a heart attack. I felt
sick.
We were ushered into a side room with the doctor and the nurse who was looking
after Claire. He told us that
Claire's condition had got worse and that they were going to have to put her on
a ventilator and put in a central line to enable them to administer her drugs.
They were also going to ensure that she was 100% paralysed by the
sedation drugs. Her organs
had apparently started to shut down and her body was filling up with fluid and
this was making it difficult for Claire to breath.
Adrian and I were stunned. The
doctor asked if we had any questions but we were too shocked to even speak.
He told us that we could see Claire while they made the preparations to
sedate and ventilate her.
When we saws Claire her bed had been raised until the bed was formed into an L
shape and Claire was sitting upright with oxygen to help her breath.
She was gasping and distraught but the whole situation.
We had ton choke back our tears and say goodbye to Claire and tell her
that everything would be OK and when she woke up she would be better if only
we could believe that ourselves!
Claire herself was relieved as she was exhausted from trying to breath on her
own for so long when her body was fighting back for her to give up.
Adrian and I made it into the corridor outside Critical Care and just cried we
felt absolutely helpless and couldn't quite believe what was happening.
We also had to let Alan know who was happily working away thinking Claire was on
the mend. Little did he know.
Obviously he came to the hospital straight away.
The next time we saw Claire was later that day when we were allowed to see her.
She was surrounded by machines a ventilator from which was a tube that
was in Claire's lungs to help her breath and in her neck was the central line
from which arose 6-8 lines. These
were attached to syringe drivers which were set to administer just the right
amount of drugs to keep her pain free and sedated.
Claire lay lifeless on a bed which was also set to move her gently from
side to side so as not to create bed sores.
We couldn't believe what had happened to Claire.
Claire remained in critical care for five days after which time they had decided
that she could perhaps be brought round from her sedation.
We were warned that if Claire fought against the ventilator she would
have to have a tracheotomy introduced to help her breathing.
Slowly Claire was brought round and the next day we hurried to her bedside as we
believed she would be back to normal and would be able to speak to us.
Unfortunately this was not the case.
Because she had been so deeply sedated the process of bringing her round
would be slow and in fact it took two days before we could really speak to her
and even then she was very restless and didn't know what to do with herself.
She was of course going cold turkey after being on all the drugs
including of course morphine. Her
first words were were you here yesterday?
She couldn't quite believe she had been in critical care for five days.
She was eventually transferred to a normal ward and we said goodbye to all the
fantastic staff and of course all the other relatives of patients who were in a
similar position to Claire and who you get to know.
Eventually Claire had her central line removed and she was discharged home to
our house where we could look after her and provide the tlc.
On the morning of her discharge Claire felt she had slept awkwardly on
her neck as she said her neck hurt her but we felt this would resolve with time.
This was Monday. Claire was
still in pain the next day and her arm was becoming swollen - she went to see
her GP. She felt that it could
possibly be an infection and gave her a course of antibiotics.
By Wednesday Claire was in so much pain with her neck she was having to
hold her head as any movement was excruciating.
Her arm also was more swollen.
We took it upon ourselves to take her back via A & E.
Her friends couldn't believe that Claire was once again in trouble.
She was seen by the A & E consultant.
Apparently when a patient has a central line put in as did Claire � the
end of this line is sent to the laboratory to see whether any bugs were growing
there. The SHO on duty looked for
the result and it showed that she had got a bug and the consultant advised
intravenous antibiotics and Claire was admitted overnight onto a short stay ward
in A & E. However the antibiotics
did not appear to make any difference to Claire's pain and swelling.
Claire was transferred to a side room in the same ward she was on before
her discharge.
By Friday evening the consultant looking after Claire decided to have a scan
taken of her neck. This
showed that unfortunately Claire had developed a clot in the subclavian vein
which is just behind the collar bone which unfortunately for Claire is an
unusual event! The problem now was
how were they going to deal with this.
She was put on another antibiotic which help to clear the infected clot.
As usual in hospital nothing gets done over the weekend unless something urgent
crops up.
Alan and I went into action; we wrote a list of what had happened to Claire and
Alan was determined to see her consultant to get something done.
He left home at 7.15 a.m. on the Friday morning to make sure he was there
when everyone arrived.
He was told where her office was he went to see her.
But in true fashion the consultant was at a meeting in Birmingham.
Frustration!! However her
secretary was very helpful and she tried to get in touch with the consultant and
left a message on her mobile.
She then arranged for Alan to see the Matron which he did.
Again she was excellent and also enraged that this had happened to Claire
and more especially as she was actually a member of their staff!
Alan left to see Claire to tell her what he had done.
From that time onwards things started happening.
Doctor came round to see Claire and she was sent for another scan, the
physio turned up and the consultant's secretary met Alan on the ward to inform
him that he had an appointment with the consultant at 2.00 pm.
Alan came home and we went back to the hospital later that day for our
appointment with the consultant.
She informed us that they had had a meeting about Claire and had decided not zap
the clot but that she would be put on warfarin which would hopefully thin the
clot and this would eventually disperse.
The main problem appeared to be that Claire was not on her vascular ward
and we think she was just forgotten!
It got to the stage where there was always a doctor or someone with
Claire talk about attention!
Claire was discharged on 1st February 2007.
What a month she had had as had we.
She came home her arm still swollen but she carried on with her own
physio. Today it isn't
swollen but tends to swell if she overdoes things.
Her subclavian vein is still blocked but she has other small veins they
are called collateral - veins
opening up and in time will take the place of the blocked vein.
Claire went back for an appointment with Mr Dennison in Leicester.
He had received a report from the events that had taken place at the
beginning of the New Year. He
also commented upon the fact that Claire's triglycerides were high at the time
of her admission. This was also mentioned by the critical care team who felt
this was probably the result rather than the cause of her pancreatitis.
However Mr Dennison felt that this could possibly be Claire's problems.
Her lipids were measured and found to be high again and Mr Dennison
suggested she went on a statin to lower her lipids.
He asked to see her again in ten weeks time by which time Claire is
running true to form she should have had another admission. If this is not the
case then he feels he may have found the cause for her pancreatitis.
She is due to see Mr Dennison again soon and we are hoping that her lipids have
come down and at last we may have found a cause for all her problems.
If not, it may be that Claire will have to have part of her pancreas
removed but we will wait and see.
For Claire the pancreatitis is in abeyance but if she wants to take a holiday
abroad an insurance company may not be keen to insure her with her history but
we will of course use Direct Line as they have not failed her in the past but of
course we will always be on tenterhooks that she may have another attack but you
can't live your life wondering 'what if?
Claire must lead her life as normal as possible but hopefully
pancreatitis for Claire could be a thing of the past.
Her right arm is slightly larger than her left arm due mainly to the clot in her
subclavian vein which caused the problem in the first place, and after a long
day at work her arm does feel firm.
Hopefully in the future this will go back to normal.
She takes warfarin daily to thin her blood but this too seems unwilling
to settle. Her INR is up and down
and it is hard to know what dose of warfarin she should be taking.
This of course is checked weekly.
We just hope that Claire's life may now run smoothly and that she has all good
luck from now on - after all she has had enough bad luck to last a life time.
Alan and I just hope that she never wants to go back to Australia lovely as it is but Claire has a really bad track record and we just feel that a
third time may be really unlucky!
Claire's happy go lucky personality has been given so many knocks and who can
say they wouldn't be affected under the same circumstances.
One thing we can say is that Claire has put up with a lot in the last few
weeks especially but she has never moaned.
I feel very proud of Claire - I just don't think I would have been so
calm especially when she had to sustain so many injections etc for this that and
the other.
EPILOGUE
Two weeks ago (5th June) Claire had a mini attack of pancreatitis but
fortunately she was able to self medicate and the attack eventually settled.
We felt that if this was what is going to happen in the future then we would be
very happy especially after the
last attack.
However only fairy stories have a happy ending.
On the 18th June Claire went to work on a day shift
something she was not looking forward to.
She clocked watched until her alarm went off anxious not to be late for her
first day shift. All went
well, the morning went well but a little while later the old feeling of pain
rose its ugly head. She self
medicated for as long as she could until she could bear the pain no longer and
informed the sister in A & E. She
placed Claire in a cubicle and started the process of monitoring her pain,
taking blood, giving her morphine to stop the pain.
This was when a phone call was made to our home to go to the hospital.
I found her not too bad but in pain.
A bed was found for Claire in a side room on ward 33 and after settling Claire
down on Claire's instructions she sent me home. I left at around 10.30 and went
home with a heavy heart but felt reassured by Claire that this attack was not as
bad her last one.
Alan and I were awoken the next morning at around 5.15am by Claire's friend
Becky who had been with Claire all night.
She condition was becoming worrying and the staff pushed for a bed in
critical care. When Alan and
I got there they were just pushing Claire's bed in and after settling her down
we were allowed in to see her.
Claire was sitting up in bed obviously in pain but surrounded but monitors that
were giving her the medication she needed.
However Claire's pain did not ease and after giving her a large amount of
morphine and IV paracetamol. Claire
was in such discomfort with the pain and grimaced when the pain obviously got
too much for her. The doctors
decided that it would be a good idea to get a CT scan for Claire to see what was
going on in her pancreas. For this
they felt it would be better for her to be sedated and put on a ventilator.
Alan and I decided to go to Claire's flat and the nurse said she would
contact us there. She did
not long after we got there they asked us to go back to the ward.
We phoned Adrian and suggested he should be at the hospital with us.
We got to the ward and Claire was now fully sedated and was unconscious.
The machines were doing their job by pumping in medication to keep her
asleep, ensuring she had analgesia on tap and that she was breathing easily.
It was like being at a space station with all the machinery.
Her CT scan was inconclusive but felt that she had a haemorrhage as her blood
count had fallen from 14 to 7 and because of all the warfarin she had been
taking for the blood clot in her subclavian vein the haemorrhage was not
clotting. She was given a
blood transfusion together with blood products to help her clotting.
Nothing seemed to help, her blood pressure was coming down to a critical
figure and the doctors and staff were clearly concerned at Claire's
deterioration.
We were taken into a room for a discussion with the A
& E consultant. He informed
us that everything was being done to help Claire but it wasn't looking too good
and we were given the worse scenario possible.
It seemed that all the drugs given to Claire to keep her blood pressure
up were not making any difference and it seemed that we were slowly losing our
lovely Claire.
Her friends from A & E came in to see her and we were asked if there was any one
that should be there we called in Dawn my sister.
She arrived with her son Matthew, Claire's cousin.
We watched Claire, touched her, stroked her hair and told her how much we
loved her and that she would remain in our hearts forever. Her friend also came
in to see her and say their goodbye's everyone in a complete state of shock at
what was happening to Claire.
Slowly Claire's heart gave out and
the nurse came in to tell us that she had gone from us. Nooo this could not be
happening our lovely daughter,
sister, niece and cousin had died in front of our eyes.
It felt like a nightmare.
She died at 8.40 p.m. on Tuesday 19th June even writing this down
felt like I was talking about someone else, not Claire, not our daughter, my
friend, the person who would be with us until the end of our days!
We moved away from Claire, the nurse asked if we would like to come back when
she had seen to Claire and removed tubes, machines etc that had been keeping her
alive. We all left after
saying good bye to Claire's friends and promising to keep in touch.
We went off for a coffee and talked about what had just happened.
When we went back to the ward Claire looked lovely still very bloated
but lovely. We all spoke to
her gently, quietly and again said our good bye's.
Then the nurse asked if we would like a lock of her hair.
We jumped at the chance of being able to look and touch something of
Claire when she had gone from us.
Claire never realised just how loved she was by all she came into contact with,
the security staff and car parking assistants who helped find her car in the car
park, her friends and colleagues in the A & E department even the staff in the
bereavement office said that Claire's death had been like a shockwave running
through the hospital it had affected everyone so much.
Next week we will celebrate Claire's life and not one day will go by when we
don't think about her, talk about her and wish she was still with us.
We love you Claire and always will.
Until we meet again in heaven God Bless you Claire and keep you safe.
Sweet dreams.
Mom, Dad and Adrian.

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