One
year ago, former Banbury Guardian editor Paul Bithells
life was changed for ever.
What began as an ordinary day in the office of the Bucks Herald
in Aylesbury, which Paul now edits, ended with him seriously
ill in Stoke Mandeville Hospital. For the past 12 months,
Paul has been battling with a dreadful illness.
Many
people in Banbury will remember Paul, and he and his family
still live in a village north of the town. Here, he tells
his story.
The
Banbury Guardian has decided to publish this story only
after ensuring that Pauls family was happy that we
did so. Paul hopes it will help people understand the situation
others who have also been hit by a tumour find themselves
in.
It
was meant to be a lunchtime dip at the Maxwell pool in Aylesbury.
It turned out to be a watershed in my life.
Twenty
minutes into the swim and I noticed that the water splashing
into my face from my laboured breaststroke was causing a
stinging pain which seemed to centre on the back of my right
eye. It was penetrating and different to anything I had
ever felt before.
A
few lengths more and, as I reached out to touch the pool
wall, an outrageous thought crossed my mind, it could be
a brain haemorrhage. I kept swimming but after a few lengths
started to worry. Something was wrong, very wrong. Moments
later I got out of the pool and headed for the changing
room. Could I reach my mobile phone? Maybe I should alert
the Maxwell first aider? But my problem was fast becoming
more obvious. The power in my left eye was shutting down.
I didnt have the strength to pull my shorts down.
As
I tried to close a door it seemed that my hand was going
through the wood, my fingers were floppy and out of control.
It was time to raise the alarm. I think I might need
some help, I whispered to another bather. My obvious
confusion was drawing the attention of other people. I shivered
in the cold. Could I get my mobile from the locker? I knew,
instinctively, it would be an impossible task.
Moments
later, a member of the swimming pool staff was talking to
me. He was asking questions, but all I could mumble back
was how bad my head felt. All the time I was trying to come
to terms with the fact that everything was going hay-wire.
I hated the fuss. But that was relegated beneath other feelings
fear, pain and confusion.
The
swimming pool man was obviously worried. I heard the word
ambulance mentioned. It was such a relief to know someone
was taking control. Reassurance answered my need for comfort.
I
was still shivering and the pain in my head was frightening.
But comfort came in the form of two men in green jackets.
They were asking questions. I sensed their concern. Youre
in good hands
well get you to the doctor
dont
worry
how long have you had the pain?.
I
was soon on a stretcher and looking up at ceilings, glass
doors, faces looking down
and still words of comfort.
I just wanted to say thank you.
The
doors of the ambulance brought a new realism. But the pain
was no longer a real distraction, but all-consuming. An
injection morphine in the backside reminded
me I still felt cold and damp from the pool. The men in
green were working hard to reassure me. They admitted I
was in a bit of trouble. Another injection and
the ambulance was moving faster and we were almost at Stoke
Mandeville hospital. I was desperate for the pain in my
head to go away, or just ease a little.
I
know I was being asked questions as I arrived in the emergency
ward. What year was it? Who was the Prime Minister? Where
were we? They were questions they wanted the answer to every
five minutes.
The
knockabout style of the men in green had helped, but I was
more distressed by the time I got into the hospital. One
female doctor offered enough comfort to receive an insane
question from a patient searching for reassurance. I heard
myself asking: I suppose its fair to say Im
in a bit of trouble? Yes but youre in
the best place possible, was the predictable but much
needed reply. I knew all the signs pointed to brain haemorrhage
and I knew the danger. I had to trust in the people around
me. In a childlike way I just wanted them to take the pain
away.
I
can hardly remember the next 24 hours. The jungle drums
had been beating and family and friends were arriving and
calling to check on my condition. An MRI scan revealed the
bleeding but the neurosurgeons at Oxfords Radcliffe
Infirmary were happy enough to leave me at Stoke Mandeville.
Thursday
was a long day of waiting for my loved ones. Friday morning
started with an off chance visit from a friend. It proved
a great pick-me up as events started to accelerate. At this
time there was no need to operate to release the pressure
inside my head. But time was running out. The surgeons at
Oxford had seen the scans and, when a bed became available
that afternoon I was transferred by ambulance. My father
was enjoying an early evening snack in the infirmarys
restaurant when the registrar marched in and asked him to
sign a consent form for consultant surgeon Peter Teddy to
operate. It was an emergency. The bleeding had built up
the pressure inside my head and my life was now in danger.
They had to operate and quickly.
My
father made a quick call to my wife, who had returned home
for a couple of hours of well earned rest and to see our
two children, and explained what was going on. He signed
the form. Forty minutes later and I was at the mercy of
Mr Teddy and his team. The doctors warned me of the dangers
of infection. A few days and their warnings came true.
Five
hours later I was out of surgery and on Osler Ward in the
Radcliffe Infirmary. The cyst was above and slightly behind
my right ear. Mr Teddy found a bit of a mess
and struggled to distinguish what he could see. While others
worried about the result of the op I slept until some time
in the night when the nurses started the endless questions.
What year was it? Who was Prime Minister? I came round to
find my head bandaged and a blue strand sticking out from
the middle of my forehead. I was restless, unsettled by
the anaesthetic. Was I glad to be alive? No, my only interest
was finding my mobile phone and locating a lilac short sleeved
shirt to go to work.
Later
on visitors didnt find much response, but I had the
presence of mind to whisper to my 12-year-old daughter to
bring me my mobile phone.
The
surgeons came and went. We think it was just a brain
haemorhage, they said. well scan again
and check the biopsy results. But were pretty confident
theres nothing else to worry about.
The
words allowed me to relax. For the first time in four days
I was thinking straight. Confined to a four bed ward I wanted
to stretch my legs, which still sported Norah Batty-like
stockings. Flowers, books, cards, chocolates, they all came
my way. As the visitors drifted in and out I never really
thought that any more bad news might be on its way.
One
of the Stoke Mandeville nurses popped in to see me. Her
mother was being treated on a different ward. She had been
gentle and mild. It was great to see her. The two jack-the-lad
paramedics also wandered in. Amazing people. I was flattered
by all the attention. I made the ward mobile phone my own.
Its pretty incredible how the human body recovers.
Apart from looking like a cross between Mad Max Two and
a scarecrow, I felt fine.
By
the start of the next week I had forced my father to wheel
me outside in the sunshine. I even tried coercing him to
take me into town for a quick tidy up at the barbers. But
the yellow iodine-tainted scar on my head lined with a dozen
or so blue stitches prevented a brief get-away. I was quickly
into the routine of hospital life. Morning rounds, endless
blood tests, pills morning, noon and night, camaraderie
with other patients.
I
was so relieved to get through the past few days that I
felt cheery and found people were even laughing at my usual
weak jokes. Headaches were real headaches. The pain behind
my eye was a quick reminder. Then came a moment to remember.
Mr Teddy was at the side of my bed. A little chat, he said.
I couldnt help but like him for his quiet charm. His
words stopped me in my tracks. Weve found evidence
of a tumour. he said. I looked round. Thats
a bit of a bugger, I said to myself. A tumour meant
cancer. I simply thought: Its got to be beaten.
The plan was to operate again. A bit of a family huddle
took place that evening. For the sake of my children it
was very light and hearty.
By
Wednesday those stockings were back on and I was back in
the theatre. Reduce the tumour by taking away a large chunk
of its bulk and later attack what remains with radiotherapy.
A few days later I hit another hiccup septicaemia,
more commonly known as meningitis. With it came a headache
to remember. A days respite followed before the infection
really hit home.
My
head was agony. There was a reluctance to prescribe me further
strong painkillers. I was desperate. The pain was something
beyond my experience. Unforgettable. Many silly thoughts
went through my head. My language was a disgrace.
A
week or so later I was caught out again. I had settled into
life in Osler Ward and felt more comfortable. I hadnt
expected any more bad news so quickly. When it came it left
me for cold. For several days I had waited for the registrar
Vivek Josen to see me. When he walked in I started to talk
in my usual animated way about the cricket, dangers
of using mobile phones and so on. For once he didnt
seem to take much notice.
And
then he broke the news. The biopsy results, he said, had
shown the tumour to be a gliosarcoma, a grade four tumour
and known to be a bit of a beastie one that does
not go away. We can attack the tumour with radiotherapy,
chemotherapy and further surgery, but it will not go away,
was the message. Obviously the news was stunning. Breaking
the news to my loved ones was the hardest thing Ive
done in my life. My parents couldnt believe it and
then came the question of what I tell the children.
A
few weeks later I was prepared for radiotherapy. Every weekday
for six weeks I went to the Churchill Hospital for a four
minute blast of radiation. The help and support I received
at that time was invaluable. A friend, Pud Hawkins, organised
a daily rota for friends to drive me the 40-plus miles to
the hospital. For their trouble all I bought them was a
league of friends cuppa.
After
six weeks there were no major problems to report. The end
of radiotherapy should have meant an easier time, but two
set backs meant two more operations. The first was caused
by a tuck along the scar on my head. The surgeons were forced
to seal the lining which surrounds the brain. Just as everything
began to settle, there was a further infection and this
time a bone flap on the side of the head had become infected.
It had to be taken out at the end of November. Another stay
in the infirmary followed.
To
fight the infection a Hickman line was inserted into my
chest. This enabled specific antibiotics to be fed into
the blood system each day. Community nurses visited each
day to insert the drugs.
So
the battle for health goes on. Three consultants liaise
to fight the tumour.
The
latest MRI scan has shown changes but it will take another
scan to decide what action is needed. It may be more surgery
or chemotherapy. Neither option is appealing, but it has
to be done. Now its a waiting game and the battle
for health goes on. Ive had another scan which should,
I hope allay too many fears. The results will be through
in a couple of weeks.
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