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Roverlord off road spares
12th September 2021, 01:47 PM
Last Thursday and Friday I developed extreme cramp like pain throughout both of my legs, just continuous pain that didn't let up. I had sleepless night. It wasn't the usual spasms of Electrical pain I have been getting. After 2 days , I couldn't stand it any more, I just wished some one would just amputate my legs to relieve me of the pain. Tramadol did nothing for me and
I then started to get severe pain in both sides of the groin, it felt like a tourniquet had applied to my groin area and was getting tightened.

I am aware the MSA ( Multiple System Atrophy) has various symptoms like joint and muscle pain. I inquired on a private MSA suffers face book page, about this and was told it was one the joys of having MSA, but should get checked out my a doctors as it could be Deep Vein problems, It was highly unlikely though as none of the other tell tale signs of DVT was shown and was in both legs and no redness.
I tried to contact my neurologist but could only have his booking service email him, late that afternoon I never heard back from him.

I couldn't talk to my GP that is assisting my management of my MSA. As my mobility is severely limited I was given a phone consultation with another doctor, who had no knowledge of what MSA is or what it does to people suffering from it, it was a complete waste of time.

Saturday l couldn't bear it any longer l wanted to call an ambulance, we had a bit of a squabble over it as we constantly have problems with health professionals unawareness of this rare disease.

I called 000 and asked for an Ambulance when asked which suburb I replied, Tecoma and got the reply Lalor
tried 3 times and had to spell the first 3 letters. Heather came back in and told them Tecoma.

Lately MSA has been taking away my ability to use voice function. I have been trying to avoid using a electronic voice, but that will probably be something I will require. Yooralla assessed me earlier in the year and showed me electronic voice devices Damn expensive they are.

The ambos came from the station 1 km away and gave me of whistle of Methoxiflurane and told me that it should last me 20 -30 mins enough to get me to hospital. They put on a stair chair and bumped me down the back steps then when out side put me on the stretcher. 10mins later l as at the local hospital where I got triaged and covid swabbed then to an examination room.

there a young nurse asked me what Mulitple System Atrophy was as she had never heard of it. I tried to tell her with difficulty as me voice volume drops too low and sometimes no voice comes out, she asked if I would like to hold her hand, l took her hand and explained what MSA did and what the future for sufferers have to face which is quite confronting for the suffer and the carers. I could see the look in her eyes and she showed compassion.


The doctor then tied to put and IV line in but failed then tried a further 2 veins using a ultra sound before they got the canular in. They then injected morphine into me and took me to a ward.

In the ward I was placed in crowded room with 3 woman , then a nurse came in a said because I have sleep apnea I will have to go into another room as my machine would annoy the other patients. So I was transferred to a room on my own.
They the started me on regular does of endone to ease the pain.

Shortly after a doctor to my room and informed my my UTI came back ( I had a UTI 3 weeks ago, and had been treated, He thought it may be re infecting via a germ left inside the catheter inner tube and it might best to remove it and replace it he would organise that.

Then he asked me if I wanted to be revived if something happened, and explained that choosing revival doesn't mean they will be successful and I may not come back the same way,.
This was quite confronting, and I said so If die don't have to die again later as this heinous disease advances further.
I him told a had too many ends to fix up and couldn't leave Heather with the burden. I said I have seen my youngest son who is overseas for 3 years. I also told him I don't want to die in hospital and want in my own home .

On Sunday a social worker came in to see me as the Doctor said I was bit distraught.

I was a bit ,having to deal with not being able to to verbally communicate easily and the medical staff not understanding what MSA is. The prodding and poking

The nurse came later and told me they had ordered an inflatable air pressure reliving mattress for me, they must have hired it, as a medical hire company delivered it on Monday morning and the nurse set it up and inflated it on the room's floor. later they used a sling and ceiling host to lift me up and change my beds mattress.

The nurses were always rushed and worked part time or restricted shifts there were always new ones each shift, some l found caring, some it was just a job. I noticed this many times when dealing with a certain ethic group when I dealt with them in home care or times I have been in hospital in the past. They are just robots programmed to do stuff without compassion .

I have very little mobility at times and can not roll in bed, numerous times I required assistance to move in to another position as I was getting pressure sores , and every time they came after I pressed the nurse call button and they asked me what was wrong , I had trouble talking and to be understood.

After every time a new nurse came they would move my bed head higher, which caused me breathing difficulties then they would hang the bed controls where I couldn't reach them so l pressed the nurse call, they seemed to get annoyed they didn't say it but there body language showed it as the were understaffed , but l said stop putting the remote out of my reach.

I took all my meds 36 tablets I pop every day with me in chemist packed blister pack with each days doses. Under hospital policy these can't be used, being the weekend on admission their pharmacy dept didn't have some of my meds so I was cold turkey for 2 days until they got them in on Monday, even though they could have used mine they confiscated. I can understand why the do it but.

Monday night 2 shift nurses ( the robot nurses) came in and ripped off my boxer shorts and were clean and fitted a nappy to me . they call it a pad, in fact l was rolled over every day to check my pad which I didn't have.
The next morning the 2 young day shift nurses came to wash me and asked me who put that on me as l was not incontinent.
Early that morning prior to the day shift nurses, I woke up in the early hours with my shoulder jammed against thec bed rail and my arm under me. I had a pinched nerve and in a lot of pain, my nurse call button was not in reach. i could hear the nurses outside my door talking and laughing. I tried to call out but my voice is not loud, l called please help me, repeated over and over l was tying to yell and getting frustrated, l was in pain.

Eventually some one heard me and asked what was wrong, l couldn't talk, I couldn't see who came, but they said they would get the nurses.

When the nurses came all they heard was the word pain, ad asked if I wanted pain relief?
I tried to say pinched nerve and they just grabbed me and yanked over on to my back. l screamed in pain when they did that. They then positioned me which wasn't really comfortable and left, the bed controller was also out of reach again.

I apparently was on a restricted liquid diet, so had little to drink except thickened cordial , juice, lemonade and thickened water, but was thicker than l normally have. Then the doctor comes and tells me l'm dehydrated and they put a drip into me.

Then the time comes, I need to poo, I press the nurse call , they take for what seem ages to come and then come and don't back quickly, so l end up soiling myself. It happened a few times after one nurses gave me laxatives, pan requests are not a priority and the key is try not to need a pan on shift change.

The night shift robot nurse cam with my medications and told me to open my mouth and poured the cup full of pills into my mouth , I have aspiration risks , and take 1 or 2 at a time, but this apparently must have been to hard for her. No other nurses wold do this to me.

With MSA is is common to have fainting or light headedness due to orthostatic hypotension, a condition in which blood pressure drops when rising from a seated or lying down position.
There was panic when my blood pressure was taken with me lying and rested when readings of 205/100, sitting up the pressure dropped to 75/55 when standing and then feeing like I am about to go down . The doctors were worried, but I showed no other signs like eyes sight going or dizziness in my head when it was high, I felt normal, considering.

Another time I was clammy and sweaty, the doctors were worried, again another symptom of MSA, I lost the ability to control my body temperature.

Anyway after I had the doctors visited on Thursday I was informed that medically there was no reason to keep me there, but the physio had concerns that if I was allowed home I might be in danger with only Heather there.
The physio wanted to keep me at least to Tuesday net week and do an extensive rehabilitation course in house. So l had to work on gg the physios approval.
Then the doctor whilst on a 3 way telephone conversation asked whether Heather or myself had considered a nursing home for me.
I was gob smacked.
Friday morning the physio cane to see me , she was reluctant to release me due to the lack of mobility and only having Heather to care for me. and how it took 3 people to get out of bed on to the a chair the day previous.
I told her that I had daily 4hours of personal care workers available but due to covid don't feel safe having people in the house. I told her my doorways have been widened and I have a powered wheel chair an a lift will be installed so I can use it in e no s4side, and a harness and an electric hoist installed on the ceiling to lift me out of bed and have a $10,000 wheeled commode for toileting and showering and that the shower is a drive in type.
She said she looked up what MSA was. I told her if she wanted to improve my mobility then l would never be able to leave the hospital and the fact I already have Neuro physio that sees me twice a week and is more qualified than a normal physio.

She would talk in a loud slow voice, I wasn't sure if she normally talks this way or it was because I cant talk properly and thought I was death and talked slow because I was mentally challenged. Anyway she agreed to sign them release.

Then at 5pm on discharge and the patient transfer ambulance arrived and I had the high blood pressure reading which would have jeopardised me leaving.


Now I am in my own home for 2 days now my BP has gone down and I slept well.

V8Ian
12th September 2021, 03:37 PM
It's good to know that you're home Mario, regardless of how crook you are, home is one's haven.
I know what you mean about a certain ethnicity and compassion.

Roverlord off road spares
12th September 2021, 05:00 PM
It's good to know that you're home Mario, regardless of how crook you are, home is one's haven.
I know what you mean about a certain ethnicity and compassion.
it's also very regimented in hospital like dinner at 5pm, I never have it that early, the nothing until breakfast, then strained porridge for breakfast. i had no tv, i only had my mobile, when that was flat i could reach the power point. a nurse did plug it in but didnt flick the power switch to on, so spent hours on my back looking at the ceiling for hours each day. they did bring a recliner in on Thursday, I was put in that and sat there for hours until. no one checks on you unless it's to give you pills or drain blood. I couldn't move with out help and was getting pressure sores and the blasted call button was never put where i could reach it. the nurses did have the bed rails up that l could try and pull myself around a bit but then some nurse lowered one side and said it is not allowed as it is deemed entrapment and takes away liberties or something
I dont expect hotel service but they are understaffed..

BradC
12th September 2021, 09:27 PM
Jesus H tapdancing christ (name that quote) Mario. I've seen inadequacy in the health system from another angle, but that really brings it home.

I'm afraid all I have to offer is a stream of expletives. If you ever want someone to swear on your behalf, or just to swear then let me know. It's about all I'm good for these days.

On another note, your typing appears really good. There are excellent bits of speech synth software that might be useful coupled with a laptop. That way you could at least let the nurses know what you think reliably. A bit of a pain having to carry a laptop, but you could always throw it at them for "punctuation".

Roverlord off road spares
13th September 2021, 08:08 AM
Jesus H tapdancing christ (name that quote) Mario. I've seen inadequacy in the health system from another angle, but that really brings it home.

I'm afraid all I have to offer is a stream of expletives. If you ever want someone to swear on your behalf, or just to swear then let me know. It's about all I'm good for these days.

On another note, your typing appears really good. There are excellent bits of speech synth software that might be useful coupled with a laptop. That way you could at least let the nurses know what you think reliably. A bit of a pain having to carry a laptop, but you could always throw it at them for "punctuation".
rhat took me all day to type. i trialled on of thosse prest set word machnes monhs agio with yooralla

John_D4
13th September 2021, 08:18 AM
Good to hear you’re home again Mario. Working in health care it’s interesting to read your story from a patients perspective.

Sadly health care workers are like mechanics - there are good ones, average ones and crap ones.

austastar
13th September 2021, 09:18 AM
Hi, and others who don't really want to be there. Fortunately there are some dedicated staff who devote their life to the care of others.
Cheers

d@rk51d3
13th September 2021, 11:02 AM
Glad you're home again Mario.

We have a close family friend going through exactly the same thing with MSA.

DiscoMick
13th September 2021, 03:28 PM
Great you're home and able to describe your experiences. All I can do is encourage you to look for positives to balance the negatives. Heather would obviously be the biggest positive.

incisor
13th September 2021, 04:46 PM
thoughts are with you Mario...

Roverlord off road spares
13th September 2021, 08:47 PM
Glad you're home again Mario.

We have a close family friend going through exactly the same thing with MSA.

There needs to be more awareness, unfortunately I am but one.
I shot an email a few weeks ago to Rhonda Burchmore asking if she could help as I know her sister was taken by this disease and has a charity called NueRA.

There is no awareness as death certificates dont list MSA as the cause of death because MSA will cause a heart attack, aspiaration resulting in pneumonia, asphyixiation, infection from a UTI, a PEG feeding tube, a tracheostomy and these are then listed as a cause of death

I belong to a face book group of sufferers, but memberships declines as they silently pass on.

Then sadly ( I say sadly because I wouldn't wish anyone to get this) we get new members and carers joining and it is always mentioned medical people are unaware of this disease and are reluctant to attend the ER because of this.
Many fall and hurt themselves breaking bones like ribs etc.

When I was able to go to the physio's rooms , there was a chap doing sessions with me. A quiet, nice bloke. I was never told what he had, due to medical privacy. But watching him I assumed he must of had MS or parkinsons.
I found out recently he was initially diagnosed with parkinsons, which now I find he has been re diagnosed with MSA
when I heard the news my eyes started to tear.

There is research happening and the is something in a stage 3 trials happening in the UK and USA of a drug that in laymans terms is some sort of oxidiser that switches something off in the brain slows the progression of the loss of one of the two proteins we are loosing in the brain. Many are hoping this will help them but being realistic if your in an advanced stage then it's not going to regenerate what you have lost. This is keeping their loved ones hopes up, but once your in the pallative care phase it is going to be too late

One of the members had this made up, which they carry around, a laminated note. This got me thinking having a medallion made, some thing that had info stamped on it that you could wear and maybe a QR code on it. Every one has a phone these days. Just me thinking.
173562

John_D4
13th September 2021, 08:53 PM
That laminated note is great Mario. As a health care worker I’d be more inclined to prefer a patient is that instead of a QR code. I can’t always have my phone in my hand and a laminated sheet like that one give ask the info that I’d need to know. The only other thing you could add is a date of birth and the contact details of next of kin/power of attorney.

Roverlord off road spares
14th September 2021, 09:07 AM
That laminated note is great Mario. As a health care worker I’d be more inclined to prefer a patient is that instead of a QR code. I can’t always have my phone in my hand and a laminated sheet like that one give ask the info that I’d need to know. The only other thing you could add is a date of birth and the contact details of next of kin/power of attorney.<br>
John, every one wit MSA is different the key words are "Multi System" meaning can effect everything in your body it's the autonomic nervous system so you would need a laminated A4.

NavyDiver
14th September 2021, 11:39 AM
<br>
John, every one wit MSA is different the key words are "Multi System" meaning can effect everything in your body it's the autonomic nervous system so you would need a laminated A4.

While talking with bureaucracy this morning I now see it as a minor bother Mario. Thanks for sharing. The issues with health care are many and quality of care varies. For most of us that's a minor issue. When you really need help it is a major issue.

Years ago a gent who was dying wanted to die at home. The dramas to allow him to get that wish were huge. It happened by the efforts of a wonderful Doctor who was not his Doctor until that point. I know for a fact dozens of others had refused to help to allow him to be released from hospital to get his wish.

With out any doubt your helping a lot of people learn more about MSA. Thank you

Hope the Lift arrives soon and more help via NDIS is provide for both you and Heather.
Keep shouting it mate

https://d.justpo.st/media/images/2020/10/30/never-give-up-1604062202.jpg

Regards James

Saitch
14th September 2021, 04:44 PM
There needs to be more awareness, unfortunately I am but one.
I shot an email a few weeks ago to Rhonda Burchmore asking if she could help as I know her sister was taken by this disease and has a charity called NueRA.

There is no awareness as death certificates dont list MSA as the cause of death because MSA will cause a heart attack, aspiaration resulting in pneumonia, asphyixiation, infection from a UTI, a PEG feeding tube, a tracheostomy and these are then listed as a cause of death

I belong to a face book group of sufferers, but memberships declines as they silently pass on.

Then sadly ( I say sadly because I wouldn't wish anyone to get this) we get new members and carers joining and it is always mentioned medical people are unaware of this disease and are reluctant to attend the ER because of this.
Many fall and hurt themselves breaking bones like ribs etc.

When I was able to go to the physio's rooms , there was a chap doing sessions with me. A quiet, nice bloke. I was never told what he had, due to medical privacy. But watching him I assumed he must of had MS or parkinsons.
I found out recently he was initially diagnosed with parkinsons, which now I find he has been re diagnosed with MSA
when I heard the news my eyes started to tear.

There is research happening and the is something in a stage 3 trials happening in the UK and USA of a drug that in laymans terms is some sort of oxidiser that switches something off in the brain slows the progression of the loss of one of the two proteins we are loosing in the brain. Many are hoping this will help them but being realistic if your in an advanced stage then it's not going to regenerate what you have lost. This is keeping their loved ones hopes up, but once your in the pallative care phase it is going to be too late

One of the members had this made up, which they carry around, a laminated note. This got me thinking having a medallion made, some thing that had info stamped on it that you could wear and maybe a QR code on it. Every one has a phone these days. Just me thinking.
173562

I work in the health industry and one thing that I have seen people do is put all relevant information - condition, symptoms, issues, next of kin - contact details, your GP or specialist to contact - all on a USB stick on a lanyard. Of course that depends on what has happened, and where you are for people to be able to access the information, but easy to save any updated data as time goes on. However, if not being able to talk in the first place a simple alert bracelet or pendant can work so people quickly identify this. Sadly I can relate to your story and hope you have better experiences as many of us are in the industry for the right reasons...to care and support.

Helen

Roverlord off road spares
14th September 2021, 06:16 PM
my Doctor did a home visit, actually just left few mins ago, he is going to prepare a custom file for me with key issues , info etc,treatments in progress.
My Doc had a large multi paged discharge file on me from the hospital, it seems they were worried about me aspirating and getting pneumonia, hence the liquid restriction and making me sit i a chair after a few days saying they wanted me sitting me reclined to stop pneumonia.
It seems strange that when I told them I had a risk of aspiration and give me my tablets 1 by 1. so why did robo nurse give me 8 in one mouthful


My speech pathologist is calling in to see me on Thursday.

Physio called in to see me this arvo.

I had a issue this morning when i woke up and my BP was over 200 resting, it wouldn't come down, got it to normal by getting up then it violently dropped and settle back to normal.
I was suggested to me next time if I need non life threatening hospitalisation to see if they can take me to Box hill hospital and it is a major hospital and has better facilties. I've been there before and have more specialist.
He tweaked all the meds I'm on and deleted and replaced some. so hopefully it sorts itself out.

There's no dodging the fact I'm going to deteriorate further, and many have mentioned this to Heather, but she is determined to look after me until the end and keep me home. I enquired with one of my supports and pallative care in home is available. I'm sorry Heather has to go through this with me. It makes me feel guilty and that I might be selfish. Our wedding vows said for in sickness and health.

DiscoMick
14th September 2021, 08:57 PM
Nothing is selfish about your situation Mario.

V8Ian
14th September 2021, 09:41 PM
Mario, Heather wants to look after you, let her do it.
If Heather was crook, you'd want to do as much as you could for her, because you love her. She loves you too, let her show it.

Roverlord off road spares
16th September 2021, 08:34 AM
Yesterday evening I was sitting in my recliner watching tv when I started to get that dizzy about to pass out feeling, I lid my head back into the head headrest. I don't recall what happened after. heather later did tell me that I as asleep. I woke up and started to watch the TV but there was no sound. I grabbed the remote and turned up the volume , still nothing , then checked the mute control, Heather was talking to me but i couldn't hear, I had woken up ad DEAF!]
After about 1/2hr I could hear a crackly, very faint wah wah wha of the tv Then my hearing gradually returned.
this freaked me out. We rang my doctor this morning to ask if this is part for what I have. He's not on until 1pm, so waiting call back

NavyDiver
16th September 2021, 01:17 PM
Yesterday evening I was sitting in my recliner watching tv when I started to get that dizzy about to pass out feeling, I lid my head back into the head headrest. I don't recall what happened after. heather later did tell me that I as asleep. I woke up and started to watch the TV but there was no sound. I grabbed the remote and turned up the volume , still nothing , then checked the mute control, Heather was talking to me but i couldn't hear, I had woken up ad DEAF!]
After about 1/2hr I could hear a crackly, very faint wah wah wha of the tv Then my hearing gradually returned.
this freaked me out. We rang my doctor this morning to ask if this is part for what I have. He's not on until 1pm, so waiting call back

Spooky plus Mario. Hope that settles down mate.

Roverlord off road spares
16th September 2021, 04:40 PM
Spooky plus Mario. Hope that settles down mate.
just a reaction to Amitriptyline hydrochloride.

a med commonly called endep or entrip i have taken for a few days now if it keeps happening he will take me off it .for my nerve pain it can also be used as an anti depressant