Despite my intentions to get up and go out to a local Easter fair with the hope of some Photos I didn't get up and spent the day at home.The weather was poor and so I wasn't to worried, with some encouragement from Liz the kids got on with some of the Homework that they have to do.In the evening, to save work for Liz, we all had a Indian Take away which was great.
Since last year when I had a persistent bug called pseudomonas aeruginosa in my lungs that took several months to treat, I have been unable to do much to help with the cooking. I now get so breathless when cooking that Liz has asked me not to.
I found this hard to deal with as I was doing a lot of the cooking when I was better,I felt that that was my contribution to the household.This is one area of the illness process that is most hard.Continuing to adjust to what is possible as you get more unwell.When I went for my assessment for 4 days at Harefields Hospital in January 2009 before I went on the list in September 7th 2009 I was a bit concerned that maybe it was to soon to be considering transplant as other people at the clinic were on Oxygen continuously and I could get by in the day without most days. But now I find myself using Oxygen every time I go out, and my concentrator runs 24/7 at home so it seems it was just the right time to be listed.
Sunday, April 4, 2010
Friday, April 2, 2010
say 99?
I thought at this point it would be good to mention where the title of the blog came from
In the past I have spent a while in hospital and had the dubious pleasure of being an unusual case. On these occasions when able, I have been subjected to several groups of medical students who have been sent to find out what is wrong with me as part of their training.
On these occasions one thing that I have been asked frequently is to "take a breath in and out" then please could you say "99", this enabled the more accurate students listening to my lungs to determine that on my right side the lung is not fully inflated.I had several pneumothoraces resulting in me having 4 chest drains inserted in my upper chest and having a one way valve on a pipe as a fashion item when I left hospital.
I was lucky that the hole in my lung repaired itself and they were able to remove the pipe.But the phrase has remained in my memory.
I have researched this subject and found out that this phrase that is integrated in to a chest examination is used to elicit tactile fremitus and enable doctors to identify areas of consolidation or pneumothroax in the lungs, came about as a result of a mistake of language.The error has been repeated ever since from Doctor to medical student.
"Students are taught to say the number 99 in order to elicit these vibrations. In truth, this results from a misunderstanding of some postgraduate doctors in Germany being told to say the original German "neun und neunzig." This uses a dipthong not found in "ninety nine," but similar to "toy boat." Research has shown this dipthong is essential to the characteristic of the sound useful for diagnostics."
Dock W. Examination of the chest: advantages of conducting and reporting it in English. Bull NY Acad Med 1973;49: 575-582
So they should have been saying say Toy Boat all along.But I don't think that would have been such a good title for this blog
In the past I have spent a while in hospital and had the dubious pleasure of being an unusual case. On these occasions when able, I have been subjected to several groups of medical students who have been sent to find out what is wrong with me as part of their training.
On these occasions one thing that I have been asked frequently is to "take a breath in and out" then please could you say "99", this enabled the more accurate students listening to my lungs to determine that on my right side the lung is not fully inflated.I had several pneumothoraces resulting in me having 4 chest drains inserted in my upper chest and having a one way valve on a pipe as a fashion item when I left hospital.
I was lucky that the hole in my lung repaired itself and they were able to remove the pipe.But the phrase has remained in my memory.
I have researched this subject and found out that this phrase that is integrated in to a chest examination is used to elicit tactile fremitus and enable doctors to identify areas of consolidation or pneumothroax in the lungs, came about as a result of a mistake of language.The error has been repeated ever since from Doctor to medical student.
"Students are taught to say the number 99 in order to elicit these vibrations. In truth, this results from a misunderstanding of some postgraduate doctors in Germany being told to say the original German "neun und neunzig." This uses a dipthong not found in "ninety nine," but similar to "toy boat." Research has shown this dipthong is essential to the characteristic of the sound useful for diagnostics."
Dock W. Examination of the chest: advantages of conducting and reporting it in English. Bull NY Acad Med 1973;49: 575-582
So they should have been saying say Toy Boat all along.But I don't think that would have been such a good title for this blog
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