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to thnk she could have pushed my intestines back in

(35 Posts)
maddening Wed 13-Feb-13 15:55:00

Have an umbilical hernia from pregnancy with ds.

It has become strangulated a few times eventually going back in. When it was finally diagnosed the dr pushed it back in - the pain relief was immediate and it took a couple of minutes to do.

So yesterday I was at my parent's house (I am staying over once a week so I can avoid lifting as much as poss and df is at work) it is 40 mins away from my home.

So my hernia started hurting when we were in the village and about to go for lunch at midday so we go home. By the time I got there it was awful - I lay down and could feel the hard lump. Mum tried to get her Dr to see me in the next village but there were no appts. I called my gp and got an emergency appt for 3.30pm . By 1pm it really stepped up a gear - was thinking about a&e but awkward with ds being 2 so mum took me to dr down the road. It was empty of patients - receptionist said no drs were in but the nurse practitioner was in so she would ask her. I obviously looked a state being in a fever and obvious pain.

The nurse practitioner was not with a patient - as the receptionist opened her door I could see she was doing paperwork. Sh refused to even speak to me saying we should go to a&e - which was 40 mins away or I could wait 4hours for an ambulance.

So I could either

Go to hospital with my son which would take 40 mins at least to get there and likely a couple of hours to be seen.

Go home and be seen at 3.30pm

But the nurse could have sorted it right there and then.

I thankfully got it back in before 3.30 but still went to my dr who checked me over. I asked about the timescales and her advice was if I can't get it back in within half an hour I should seek medical assistance - and a&e would treat as a medical emergency as after a certain time you are in danger if gangrene and losing bits of bowel.

So aibu to feel that the nurse practitioner should have helped me being that it had been stuck out for over an hour and it could be another 2 hours before I would likely be seen at a&e - it would have taken her a couple of minutes and no patients were waiting?

maddening Sat 16-Feb-13 21:27:05

Thanks ladies thanks

V reassuring locked out - ds is 2 and walking but I am looking for childcare anyway as I am hoping to get a job soon (before the op) and being sat at a desk will be physically easier than being at home so that might help (financially too!) And if he is in childcare when I have the op that will help also.

recall Fri 15-Feb-13 02:25:39

Maddening - I am a nurse, and I wouldn't have a clue how to treat your hernia, it is something I have never been trained to do. However, I would have handled the situation differently, by at the very least showing some kindness and compassion.

Hope you are feeling better smile

Lockedout434 Fri 15-Feb-13 01:19:12

Maddening hi mine was fine a breeze I was in and out , tiny scar in my belly button. I am sure he did some sort of tummy tuck as my stomach was flatter. Could be just as he stuck it together again properly but anyway it was better than it was before and as this was in the days of pre signing you off for your recovery rather than actually how ill you are I got six weeks off work.
Which I took with no guilt what so ever as I had just worked my bloody arse off for them through immense pain and no bloody sympathy.

So as long as you don't pick up anything heavy for 4 weeks you should be ok. My youngest was 18 - 20 months and I managed ok. She had been walking for ages. If I remember rightly I potty trained her in those weeks .

Good luck though. You will be fine. It's just great to be out of pain and not to have to lie on work toilet floors and push your innards back in.

Lockedout434 Fri 15-Feb-13 01:18:28

Maddening hi mine was fine a breeze I was in and out , tiny scar in my belly button. I am sure he did some sort of tummy tuck as my stomach was flatter. Could be just as he stuck it together again properly but anyway it was better than it was before and as this was in the days of pre signing you off for your recovery rather than actually how ill you are I got six weeks off work.
Which I took with no guilt what so ever as I had just worked my bloody arse off for them through immense pain and no bloody sympathy.

So as long as you don't pick up anything heavy for 4 weeks you should be ok. My youngest was 18 - 20 months and I managed ok. She had been walking for ages. If I remember rightly I potty trained her in those weeks .

Good luck though. You will be fine. It's just great to be out of pain and not to have to lie on work toilet fl

WiseKneeHair Thu 14-Feb-13 18:20:36

Next time it happens, go and lie down. Take some pain relief and try and RELAX! I know, easier said than done. If it doesn't reduce either on its own or with a gentle push within 1/2 hour, go to A&E.
Best to manage to hold off until April to get it repaired electively than needing it done as an emergency as you are likely to be in hospital for a shorter time and it would be less likely to recur.

Whoknowswhocares Thu 14-Feb-13 18:12:05

Yabu, as you probably already realise! Extreme pain is likely to bring on irrational thoughts, so quite understandable........but in the cold light of day, the absolute last thing you would want is the uninitiated prodding around randomly!!!!!
Good luck with your surgery and if you have any other issues in between, at least you now know to head straight for a and e.

maddening Thu 14-Feb-13 17:39:14

Good tips - so glad I posted smile thanks thanks

Seachelle Thu 14-Feb-13 16:58:55

Good! Don't do anything too strenuous. I found eating soft foods helped - I pretty much lived on yogurts and soup. I was also advised to chew my food really well so that it was in very small pieces.

Pay attention to a lack of bowel movements or wind as this can be an early sign you are obstructed. Since my operations I am always happy when I've trumped as I know everything is working properly! blush

maddening Thu 14-Feb-13 16:48:02

Seachelle - yes on Tuesday I felt it was life threatening which is why I went to closest drs - I had gone in to a fever and it was agony - I think that's why I had the "why didn't she just help me" feeling - I am glad I wbu as I greatly respect the profession and felt (incorrectly) let down so am glad I wasn't actually smile

Am just going to take it easy till the op!

Seachelle Thu 14-Feb-13 13:11:56

Didn't see your last post sorry. Good that you've not got too long to wait.

Seachelle Thu 14-Feb-13 12:55:37

Oh crumbs don't mess about with this. I think the nurse was absolutely right. My bowel kept getting trapped for then freeing itself for several months. When it eventually strangulated it is a whole new level of pain and you will be in no doubt that it is an emergency situation.

How long do you have to wait for your operation?

maddening Thu 14-Feb-13 07:32:16

Locked out - thank you so much for your post - glad to hear that hernia surgeons are handsome grin

How was recovery from the sugery? Mine is booked in mid april - only met the registrar who was not as dishy as your chap sad

maddening Thu 14-Feb-13 07:17:13

Sash - the dr after it happened on Tuesday said it would be treated as an emergency - till then I wasn't aware of that

I'm sorry you've been in so much pain and hope this gets sorted for you soon.

On a lighter note: best thread title of the week! smile

Lockedout434 Thu 14-Feb-13 07:11:51

Next time go to A&E because its instant pain relief when it goes back in doesn't mean it's not serious.
Good luck

sashh Thu 14-Feb-13 06:30:49

Hang on

Your DR said it would be treated as an emergency at A and E but you think you would wait hours?

The nurse had no idea who you were, how often this has happened and how long it had been strangulated.

She could have popped it back, and your bowel could already be damaged but you would be in no pain and go home.

It was an emergency and you were told to go to A and E.

Lockedout434 Thu 14-Feb-13 06:23:56

Hi I had exactly the same as yourself except I went into a&e a marvellous doctor popped it back in. ( It was like a miracle) Agony to ecstasy in second.
This happened about 3 times. Always in a&e i was in absolute agony so your wait must have been awful. But he said on the last go to ask to see the surgeon next time rather than getting it popped back. I did and and it was sorted that day brilliant. I was out of hospital in 2 days and felt marvellous. I still look on that doctor as a godlike figure he was a genius and lovely 6ft, handsome, manly, striding round with white coat billowing behind him and his amazing, straight out of a mills and boon. Not at all like the normal a&e spod. It could have been the morphine though, sigh

maddening Wed 13-Feb-13 17:00:06

I guess iabu then - I wasn't feeling reasonable yesterday haha smile

Mammatj - until yesterday the gp seemed quite blase about it - she did say it could be life threatening if I couldn't get it in and could pop back to gp if it was stuck out again.

The gp yesterday (different lady) seemed quite shocked it had got to that point yesterday and said going forward if not in in 30 mins to either see them or go to a&e.

It comes out and goes back in a lot but so far has eventually gone back in either by itself or with assistance.

bruxeur Wed 13-Feb-13 16:56:51

MammaTJ, that isn't what strangulation means. It might have been strangulated as well, but you're describing an irreducible hernia.

maddening Wed 13-Feb-13 16:54:37

Fair point - I did think nurse practitioners have extra qualifications though and since I am expected to try with no instruction or guidance that it wasn't such an awful ask.

Would it be wise to ask my gp for a written statement about my hernia? Just in case I am out and about again - as I can't stay in till easter abd currently applying for jobs so may be in work soon (would be a job sitting down so ok to do with my hernia)

I have a belly bandit which I now wear all the time and gp is referring me for a truss to help me till the op as the belly bandit is uncomfortable and not ideal (I got it as they were convinced it was just separated tummy muscles for ages even though I had complained of something popping out which I had to push back in )

X post.

Everything Bruxeur said really!

lunar1 Wed 13-Feb-13 16:54:20

Another nurse here that wouldn't have done it either. For every patient that can give an accurate detailed history there are 2 that think they are telling you the correct details when in fact they have got it wrong.

Also not all nurses would have the experience of this, as a sister i have never come across it in practice, and wouldnt like to have a go with no notes and no back up.

Sorry you had such a long wait to get it sorted though

Dannilion Wed 13-Feb-13 16:53:52

As a nurse myself, I would be reluctant to treat you too. As much as I would have wanted to, we live in a culture where the vast majority are out to make a quick buck out of human error.

If I were to treat you without knowing any of your history and not make your situation better, you could sue me, I would be struck off and lose my career, house etc.

It doesn't matter whether you could state your history or not, there would be nothing stopping you from changing your story when a 6 figure sum is being waved in your face.

I'm not saying you would, but unfortunately this is the society we live in. The fact of the matter is that nursing has become more about following the correct procedure, than using our own common sense and desire to help people who are suffering.

MammaTJ Wed 13-Feb-13 16:53:17

I had a strangulated hernia-strangulated as in would not return to where it should be. It was four months after my DS was born.

As we live at the ends of the earth, when I rang NHS direct I was told by the doctor who rang straight back to get to the MIU, where there would be a nurse practitioner able to give me pain relief-gas and air and pethadine, and load me in to the ambulance that would be along shortly.

NOONE messed with it. I had almost immediate emergency surgery. Why are you popping in to get nurses to mess with it? It is potentially life threatening.

JakeBullet Wed 13-Feb-13 16:53:17

It's frustrating I agree but as a nurse who didn't know you, didn't know if it was a reductible hernia I wouldn't have done it either. ....not what you need to hear I know but had anything gone wrong it would have been in her head.

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