Wednesday, 13th July
On the 13th I took a 12.30 train to Carlisle. The visiting hours were from 3 to 4.30 but I couldn’t wait any longer. In the train, I looked up the meaning of CCU with my little electronic dictionary. Iain had told me that CCU meant cardiological something. However, what I saw was quite a shocking term in Japanese.
Kanjo Domyaku Shikkan Shuchu Chiryo Byoto. It is a place where patients with problems with their coronary artery and are at high risk stay. They are in an intensive-care ward. When I realised the seriousness of his condition, I wept - luckily there was no one sitting beside me. However, I quickly stopped thinking of the worst and tried to think positively. I said to myself -
surely Iain will be okay. He will never leave me alone.
At the station in Carlisle I took a bus to the Infirmary. The hospital appeared to be a nicely busy place, by that I mean staff were going about their business briskly - with a good attitude. The entrance was spacious and full of light. Lots of people were walking around on the ground floor so it almost felt like a shopping centre. There was a café on the first floor and it looked cheerful with visitors and patients chatting over a cup of coffee. The CCU was on the second floor. It was, I think, only 2 p.m. but I went into the unit. Iain had told me on the phone that nobody would stop me from visiting him even though I would be a bit early. As I walked around, I felt uneasy again since all I saw were people in their 80's and 90's who looked really frail - but then I realised I was in the wrong unit. I should have turned right and gone through the opposite door to the CCU!
Eventually I found him sitting in a chair beside his bed, with an insulin drip attached to him. He told me he had to be on a drip 24 hours a day. Thankfully his blood sugar was now being held under control. He reasoned that the shock of the heart attack made the blood sugar so dangerously high. Sitting with a book in his hand, he looked much better than I last saw him. I often felt that his face was rather red, but now his colour looked fine. I brought a chair for myself and sat close to him.
The room was bright with sunshine and the air was pleasant, I thought the windows were open as the blinds were moving, but I'm not sure. The room might have been air-conditioned and there might have been a draft. There were, I think, three other beds, two of which were empty. A man was sitting on the next bed, a really big man, he appeared to be a similar age to Iain and he too was on a drip.
Iain said he felt fine, and had no more pain in his arm, shoulder or chest. He'd had his heartbeat checked the day before and they would do an angiogram the next day. (As an aside he remembered that in his childhood he used to have arrhythmia.) There was a plan mentioned to take him to a Newcastle Hospital the following day to do a 3-D analysis of his heart. But he wasn't sure if it would happen. The good news was that the damage due to the heart attack was to the lower part of his heart and not the upper part. We both felt relieved because this indicated that he'd only had a minor heart attack.
On the table beside him was a thick booklet. It explained how to recover from a heart attack, and mapped out in detail the step-by-step process that a patient must follow. It encouraged people to regain confidence after the shock of having a heart attack. The message was to increase physical activity gently day by day. On one page, it said that the heart is the strongest muscle in your body. I read this sentence aloud to him feeling encouraged. I thought,
from now on we really have to live a less busy lifestyle. And I have to watch him more carefully, to make sure our daily routine included adequate exercise.
While we were talking two medical people came to see Iain. The first one, an ultrasonographer, an Egyptian perhaps. I helped him draw the curtain around Iain’s bed. On the screen I saw his heart pumping away. When I saw his heart beating so strongly I childishly thought his heart was strong and I asked, “Is his heart okay?” To this he replied, “I cannot tell you, the doctor will need to take a look at the ultrasound.” After he went, Iain chuckled and said “I smiled when you asked that question – actually that is the question you can never ask a doctor. He cannot say, can he?” And I felt ashamed of myself asking such a silly question.
After a while a diabetic nurse arrived. She explained to him that it was now necessary to change his diabetic medication. Iain now needed to have insulin by injection and she showed him how to do that. It was a bit scary to see her using a syringe on herself to demonstrate how to give an injection. Iain's dad used to do insulin injections on himself, so I thought we would get accustomed to doing this too.
The bell rang and it was time for me to leave. I asked what he wanted me to bring the next day. He said “My mobile phone, please!” Since a nurse came to take his temperature and so on, we both threw our kisses to each other and I left. Actually I wanted to kiss him but I hesitated to do so in front of the nurse. I said "See you tomorrow!" not knowing that was the last moment to see him alive.
posted by Edera