Archive for the ‘Announcements’ Category

Week 18 – Tuesday

Tuesday, March 15th, 2005

I said last week that I would follow up on the issue of swabbing the skin with alcohol, or not, before an injection. I have spoken with Mynurse again about this – after she had checked with other specialists in this area. From what I understand, there is no clear or universal response on swabbing with alcohol before injection.

What Mynurse pointed out is that some professionals take the view that washing the site with alcohol better protects against infection. However, the alcohol must be allowed to dry for over a minute, otherwise the alcohol enters the body when the skin is pierced by the needle tip. Often people don’t wait long enough and experience the stinging of the alcohol during the injection.

The argument against swabbing is that wiping the area with alcohol removes the natural flora on the skin surface – to some extent removing the ‘natural’ protection which is also useful to protect against infection. She also pointed out wiping the syringe tip with anything undermines its previous sterile condition and, if the wipe has just removed flora from the skin surface, this too can be transferred to the syringe point increasing the risk that this is inserted into the body with the needle tip.

Mynurse also said that research shows there isn’t a significant difference in outcome between the two approaches in effectiveness of preventing infections.

However, as Mynurse points out there are pros and cons to both approaches – and different medical units have their own views and policies around swabbing before injection. While this doesn’t produce a definitive answer to the issue I think it highlights the issues involved!

As I write this today I am aware that I have just not been ‘firing on all cylinders’ today. It is another one of ‘those’ days. The day after my injection. (I am not going to say this is a pattern now – too many times I have thought I see a pattern, only to discover a contradiction.) Despite feeling like this, I have attended a business meeting already this afternoon and am about to see clients for counselling. I feel I can carry out my commitments for the day but it certainly feels like I have ‘less energy’ than I had yesterday – and I hope I will have tomorrow!

I spoke with Gemma yesterday by phone – arranging some filming for tomorrow at the media event. I can empathise with her feeling some apprehension about herself for the day – she is due for injection this evening and she HAS spotted a pattern of feeling rough the next day. So she is concerned that the media event, and her film project, need her attention on a day when she forecasts she won’t be feeling well. I suspect this is a dilemma for all of us on this treatment. It’s difficult to plan ‘everyday life’ when one never knows if that could prove to be a ‘bad day’, or the event falls on a day when one can guess it could be a ‘bad day’.

Week 18 – Monday

Monday, March 14th, 2005

Well, this morning was a planned early start. A car picked me and Carol at 7:30 am to take us to St Mary’s Hospital where we were due for an interview with Channel 5/Sky News. There will be a live stuio interview with David Marks of the Beach Boys on Channel 5 News on Wednesday at 12 noon, talking about the launch of the Photographic Exhibition in Leicester Square. Supplementing the studio interview will be an introductory taped piece featuring Prof Thomas, as an expert in HepC, and me, as someone living with HepC. So the plan today was to tape these latter interviews at St Mary’s.

As we left 3 ½ hours later I was marvelling at how long it takes to generate an item that will probably last only a few minutes in a news broadcast.

Obviously there were gaps for us while Prof Thomas was being interviewed elsewhere so we spent time in the Hepatology Unit on the 10th Floor. It was a bit of ‘nostalgia’ for me when we were shown into one of the treatment rooms while we waited. It was in this room I had my liver biopsy and the post-procedure ‘6 hours of lying down’ before I could home.

I am not a patient at St Mary’s but I had been referred there to see Prof Graham Foster. At my first appointment with him he said he was going to take up post in another hospital – and I asked if I could change hospitals so he could continue to be my consultant. This came to pass but, back to the point, my liver biopsy was carried out at St Mary’s. So, I was delighted to recognise the nurse, Theresa, who had supervised the biopsy that day. I remember her from that day as kind and caring – when I had been so nervous about the procedure and then so fed up with waiting afterwards for the time to pass before I could get up and leave. And she is still kind and caring – offering us drinks while we waited and asking about my treatment, etc. It was good to see her again.

The interview process was interesting, if not slow. The reporter, Raoul, had a chat with me beforehand. I could tell that he was interested, sympathetic and ready to listen but he hadn’t much previous knowledge about Hepatitis C – perhaps not surprisingly. It was a challenge therefore to answer briefly and succinctly general questions such as ‘how has living with HepC changed your life’ and ‘what was it like being diagnosed’. Big questions.

It also made me aware that I have travelled through my journey with HepC a long way! What I am concerned about now in my travels are very different issues than when I was first diagnosed. So a confusing mix of talking about my concerns of today (life-changes, stigma, etc) with issues I have moved past (diagnosis, fear of treatment, etc). As an example of the difficulty juggling this ‘mix’, it was Raoul who pointed out in the interview – and of course you don’t drink alcohol. I am so used to alcohol not being a part of my life I had completely forgotten to point this out as a change in my lifestyle.

I can see why they talk about some people being ‘good communicators’ – juggling this mix and talking about points salient to your audience. I look forward to seeing the results on Wednesday!

I am also aware that the fifteen minutes or so of taped interview will be edited. What I have said can be cut and spliced in any way – even taken out of context. I don’t think I said anything which on its own would be contentious – and my sense of yesterday is that they won’t do this. But I can see how it happens.

I am thinking of an interview I saw with Gemma, done by BBC news. The main clip of her talking shows her saying something to the effect that health services or the government didn’t provide enough information for her and that someone must be responsible. I don’t know if that, in itself, was her main concern but that was presented as her main message. So, again, I am interested in seeing what is broadcast tomorrow!

Back home again – Monday is injection day. I notice that several red splotches, which often appear later at the injection site, on the left side of my stomach (site of injection a fortnight ago) are still there – whereas they have been disappearing on other injection sites. They don’t “hang around” longer than a week or so on my left or right thigh nor on the right side of my stomach. This is something I will discuss with Mynurse when we next meet.

Injection #19 went well – although I feel tired earlier again and plan an early night.

I also found time yesterday to return phone calls and emails which have gone unanswered for some days now. I telephoned T who co-ordinates the Support Group – of which I have been an erstwhile member (unfortunately the group meets at a time during the week when I have commitments to my counselling therapy clients). I was concerned to hear that one of the group on treatment at the moment is having a very difficult time – catching lots of infections (colds, flu, etc). T points out he swims great distances and works out regularly with weights but doesn’t eat regularly. He has apparently become very paranoid about his vulnerability during treatment – to the extent he has stopped for two weeks and is thinking perhaps he will only do half-doses, in attempt to protect himself from more infections. He has also turned off his mobile for days and doesn’t get out of bed. I know he lives alone and therefore will not have anyone to help him regain his balance – keep going, keep eating, cut down the exercise if it is making you vulnerable to infections, etc.

I am convinced of the importance now of having a carer or a buddy to support you through this treatment. I can see how easy it is to lose perspective and get ‘off track’. It is also striking that what for one person is a great positive to support their treatment can, for another person on treatment, become a negative. I am thinking of Jonathan who regularly works out and swims great distances to positive effect whereas this friend is finding it having the opposite effect.

Week 17 – Thursday

Thursday, March 10th, 2005

Just come in from work – exhausted and fuming with stress. Everything that could be problematic seemed to be – computers, phones, printers, etc. Too many callers, not enough counsellors. I think we were more stressed than the people calling up for help!!

Don’t really want to moan about work – it is a very friendly and supportive place to work. I like my job and the people I work with. Recently there seems to be too much for everyone to do!

Having checked my blog for the evening – comments replied to, spam deleted, etc I am going to settle down to relax a bit so I can get a good night’s sleep before getting up tomorrow to do the same thing again – hopefully with less stress!!

Hepatitis C Public Awareness Event In Leicester Square, 16th and 17th March

Sunday, March 6th, 2005

I see that some details of the event are now being released. Medical News Today have featured an article on it. So, it is time to say more about the event here. I am quoting from the original Briefing Note for the event:

This a media event to raise public awareness of hepatitis C consisting of a two day outdoor photography exhibition of large-scale portraits of people with hepatitis C. The event is being staged on the north terrace of Leicester Square on Wednesday 16th and Thursday 17th March and will be launched by former Beach Boy David Marks, who himself has hepatitis C, with new research showing low levels of public awareness of the disease.

The pictures are a series of powerful black and white portraits of people who are currently living with hepatitis C, produced by renowned photographer Michele Martinoli, who herself has hepatitis C. This event would be the first time these pictures are being exhibited. Martinoli’s work has previously been shown in titles such as The Face, Attitude, AXM, QX, G3, The Times, Sunday Mirror and Time Out.

12 panels, each three metres high, will display the portraits using a modular frame system – this is a mock-up of the exhibition (using dummy pictures):

David Marks and several of us in the portraits will be on hand for a press call in the morning – and to hand out brochures. I know for certain that Michele, Nick and I will be there. And Gemma, who is making a documentary, will also be there with her cameras.

If you are able to attend this event please do so – and be sure to come over and say hello. It would be good to meet you! (And I won’t recognise you as a blog reader from a distance!)

Week 15 – Sunday

Sunday, February 27th, 2005

I am freezing. I cannot get comfortably warm no matter what. During my massage with Carol today I realised I was cold. Carol’s treatment room was warm and inviting as usual, with the air warmed above usual room temperature; Carol was in short sleeves and her hands felt comfortably warm as she massaged the aromatherapy oils into my skin. But I kept feeling cold air on my face, didn’t want to take my socks off, etc. The massage was great and I could feel the toxins being shifted under the expert hands of the therapist and the knots in my shoulders being dissipated! But I couldn’t warm up.

I was out this morning to the supermarket and aware the air temperature outside is chilly today (with the temperature hovering just above zero) and I was warm enough in the supermarket to unzip my coat. Otherwise I hadn’t noticed I was particularly cold.

When I did notice, I realised I have been feeling chilly several times over the last few days. Last evening, I wanted to have a ‘throw’ rug wrapped around me when I sat down. Everyone else in the house – Carol, Phil, friends of Phil’s, all seem comfortable enough and I thought I was having a ‘chilly five minutes’ by myself. However, today I am aware that I can feel the coldness of the chair fabric through my clothing. As well as cool air on my face. I checked my temperature – no fever, in fact below 35 degrees Celsius.

And my head feels ’swimmy’. Several times I have found myself beginning to feel like I am reeling as I move about. And ‘vacant’ and tired. Again I just can’t find it to be concerned about doing anything. It has been several hours since I started this entry – walking away (to sit down and think, well, vegetate really) and coming back to it.

And irritable. Carol’s ‘neutral’ silence after some comment tells me – “that reaction was OTT, Ron”. At other times, Carol does a nice line pointing out to me – “that was a bit liverish, wasn’t it”. Lovely expression, probably in common usage in Victorian times (although it also appears in earlier times, such as in Pepys Diary in the 1660’s) – but it says it, referring to the anger behind the comment and at the same time attributing it to the HepC and/or medications.

And there’s no point mentioning breathlessness – that just goes without saying these days.

At one stage today I sat thinking – I want my life back – to the normality I had before this treatment and all its hassles. The side-effects of these drugs are as much of a problem to put up with as the HepC. If I just stopped the treatment I wouldn’t be having all these difficult days, peculiar feelings and fatigue.

Then I thought no, I don’t want the virus back. I guess I have to recognise – this is “my life” at the moment. I was hoping I would feel differently after I wrote all this down. And I guess I do marginally. But it is only the reasonable, logical part of me that recognises this is “my life” at the moment and get on with it. ‘Keeping on going’ is probably my main task in this phase of my treatment.

Tomorrow I have an appointment with Mynurse at the hsopital. And in the afternoon I am visiting Charles Gore at The Hepatitis C Trust. So, I suppose I should be organising myself for the day – so I will stop there. PS – I think I have finally warmed up a little now all these hours later.