Balming, calming hospital visiting

• In March I had open heart surgery in Glenfield Hospital and stayed for over a week. In early September I had robotic surgery on cancers attached to my remaining kidney in Leicester’s General Hospital. Both were successful. I am profoundly grateful to all staff. Comparing the two gave me an insight into the difference between limited family visiting and no visitors at all.

No-one in the medical and caring professions chooses that career path it for money: it’s a calling, a little bit like becoming a vicar. The core reason is the word: ‘care’, and despite different disciplines, caring for patients is always the prime driver. The perfunctory explanation by the surgeon; the brief check on catheter output; the automatic, wrap-around of the blood pressure strap: each one involves an element of direct care for the patient. It is intense and pressured; there aren’t enough staff and there’s too much to do, even before the patients make it harder and slower.
In March my wife and daughter visited me in Glenfield Hospital in the days just before ‘lockdown’; In September I got a taxi to Leicester General, and walked alone to Ward 23 realising that I was not going to see anyone except nursing staff for several days.

In March I knew that the ‘no visitors’ rule was coming alongside lockdown, and my first thought from my hospital bed was that this was good. Nursing staff and doctors would be able to carry out their work without interruptions and wouldn’t have to give quite detailed explanations to outsiders who have limited knowledge. This was time they could dedicate to medicine.

In September I saw ‘no visitors’ in action, and it was a jolt of reality. Visitors take up chairs and ward-space; they demand nurses’ time; they need to be supervised, but what’s missing runs deeper and probably has a direct impact on the patient’s health and recovery.

Hospital wards are pretty soulless: there’s no offensive dust, no shoes tucked under the bed alongside the missing cat’s toy, no rumble of passing traffic through the open window, no deep sense of belonging. There shouldn’t be. Family and friends don’t bring these, but they bring the notion of them, the inconsequential gossip, the little parcels of clean pyjamas, gifts and cards, the descriptions of overgrown lawns and blooming flowers. These conversations may, when visitors are allowed, be meaningless on the face of it, but to a patient, an hour or so later, on reflection, they mean a lot.

Being told not to worry because someone else has put the bins out is all about the real care of home life; being administered a life-saving injection is also caring, but very different. Nursing staff at all levels are the most caring people in the world. For hours on end they are at the end of a wave, a subdued cry, or a loud bell and flashing red light, but it is enormously difficult to replicate family and friends when the patient is ‘theirs’ 24 hours a day, sometimes naked, both physically and mentally, often getting very personal treatment and procedures. Patients can be confused and upset, and it is often the elderly who are most alone and frightened, and confinement for any reason will have an adverse effect. Putting up the restraints each side of the bed to prevent falling out does look, and feel, like being caged, for example.

Doctors, staff nurses, healthcare assistants, specialists and tea-troller-pushers work as a team. The HCAs are more numerous. Day staff appear with the sun and leave with the moon. Towards the end of that shift, when they are tired and weary, dementia seems to kick in amongst the more elderly patients, and it is a fact that nursing dementia calls for specific, trained skills. The professionalism and care summoned up by young assistants left me wonderstruck. In the past, the faces these elderly patients recognised and trusted, played a big part in helping them calm down for a long and lonely night. Covid-19 has stopped that.

I believe visitors play a big role in patients’ getting better and leaving hospital sooner. That is shallow psychology, and I am no psychologist. And right now, Covid-19 means no visitors.

Is there a solution, a way of improving the situation? Not in terms of allowing visitors, but modern technology offers social media, photos and videos, as well as digital interaction. My suggestion looks more to helping the hard-working hospital staff who are at the sharp end of this personal deprivation.

Stop the horrendous shift system. Nursing staff are under intense pressure at every level and 12-hour shifts are bound to lead to mistakes.

They do in business, in travel, in factories. I wouldn’t put an innocuous chequebook in front of someone who’s worked half a whole day, or a spanner in front of a someone on a production line. It is nigh on criminal to ask tired, and sometimes quite emotional, nursing staff to carry out life and death duties for twelve hours, not even including handover.
Stop the gestures and pay NHS employees at all levels more. They save lives, they care, they return loved ones to their homes. How lovely it was to see people clapping, how impressive to see an old aeroplane flying overhead, but neither paid the bills. NHS staff deserve financial respect.

I’ve looked at life from both sides now, from family visits to nursing care. It’s obvious to me that those who make the rules don’t understand life at all.

7 thoughts on “Balming, calming hospital visiting”

  1. Great insight here. Never thought about the comfort of visitors. With you all the way on paying health staff a good wage. Glad you got through both trips with your writing skills undimmed. Take care my friend.

  2. Well, what can I say Tony. With you all the way regarding the NHS Staff!!! Sounds like you have been to hell and back my friend. Glad to hear you are well and on the mend. Keep up the work you are doing matey. I have taken early retirement from my job as an HGV Driver for the past 37 Years and in total worked for 43 years!!! Since this pandemic I have taken stock of my life and came to the conclusion that enough is enough. I am 63 years of age and I am going to enjoy life the full. So, take care my friend and enjoy life! This is from a old Slade Fan!!!!

    Kind regards From

    Michael Van Overstraeten

    Take care!

    1. Thank you Michael.
      I’ve not been to hell; I’ve been in the company of angels! It is strange to know one needs medical attention at the same time being in the company of blokes who need much more help. It is a salutary lesson in understanding one’s place in the universe – there’s always someone worse off and needing more attention.
      I retired from the business 10 years ago after I’d past the 60 years on this earth stage. I have not been bored for a second. Writing books was something I never realised I could do – and my first in 2014 is an example of how I was learning, not producing a finished product. Do what you wish is the only advice I can offer, but I’d also add that doping nothing is not an option. Keep rocking on.
      Richard – and writing as Tony R Cox

    1. Thanks Simon. I feel, like so many authors, that 2020 has witnessed the writing mojo fleeing like Tinkerbell out of the window (yet another author who lived and worked in Nottingham!). Hopefully it will return refreshed and raring to go soon.

    1. Thank you. As always, your opinion is welcome and respected.
      We must all stay well – and try not to put extra pressure on the NHS.

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.