Since my discharge date from hospital in
November last year, I have visited the doctor on a monthly basis for a check
up, blood tests and an ECG. Granted my health has been stable for a few months
now, but as this difficult period of transition has loomed as my life adapts to
that of a university student, it is as if my illness never existed.
After experiencing a little blip one
evening this week, I found myself clawing on to those closest to me for
reassurance and support about the feelings I was facing. Fortunately, the blip
was just that- an unexpected, minor, and typically temporary deviation from a
general trend; and the next morning I awoke feeling absolutely fine. However,
with my parents being as proactive as they are, it suddenly dawned on us all
that the professional infrastructure I once felt supported and reassured by was
no longer there. For my psychologist, this is not her fault, but this was only
realised after an infuriating conversation with my previous doctors surgery.
I had applied through my private health
insurance to receive psychologist support from a professional that I have
worked with continuously since January. A referral was put in place before I
transferred to the doctors surgery in Sheffield, however, from that moment on,
things have become very unclear. A phone call to my doctor’s surgery at home
revealed a severe response of denial in acknowledgement that I even existed.
Apparently my records are not present at the surgery any more; therefore it is
not their responsibility. This prompted me to visit the surgery at Sheffield-
again another frustrating experience.
When I arrived in the city, I immediately
registered at the doctors, as well as submitting a letter written by my GP at
home that stated exactly what has happened to me in recent years. This letter
was transferred to my ‘new’ medical files in Sheffield and I stated that I
would need a check-up, as I was a new patient at the surgery. Now, I am not
quite sure what the process is, but as somebody that was once critically ill
and in hospital just a year ago, I would presume that a GP would read my file
and communicate with me to arrange an appointment. Well, that did not happen.
Today I made my way over to the surgery for it opening and requested a same day
appointment, as instructed by a phone call I had made the previous day.
Unsurprisingly, the closest time I could get that fitted in with my timetable
was next Thursday. We are all aware of how long it takes to see a medical
professional nowadays, but my point is that if I had not have gone in to
request an appointment myself, would I have just slipped under the radar?
The relapse rate of Anorexia sufferers is
incredibly high and as I myself know, the triggers can be involuntary, unprovoked
and most of the time unrecognised; that is until it gets to crisis point. This
poses the question, is that what the healthcare system is willing to do? Expect
people to continue as they are until they reach a stage of urgent crisis. As a
student living away from home, I could have quite easily allowed my anorexia to
consume me as I try to adapt to the new surroundings, new routines and new
responsibilities. I could have quite easily gone through the next three years
without visiting home, without my friends raising concern about my behaviours
and without recognising that my situation was reaching a critical level. So
when would an intervention have taken place? When would my GP have requested I
come in for a check up considering my medical history? Would it have ever
happened, or would I have collapsed and required urgent medical treatment for
the healthcare services to even notice?
Thankfully, I am, in my opinion, doing very
well! I have managed to adapt to my new environment, shop for myself and cook
meals that are balanced (and enjoyable!). I am managing my emotions and dealing
with the pressure in a healthy way, without sacrificing the nourishment that my
body needs. Food is still a prevalent thought every day, but in an exciting
way. I am enthusiastic about food; curious about its properties, and engaged by
the effect it has on everybody’s lives. I am excited about what I am going to
learn, the positive impact it is going to have on my life and the experiences
this knowledge is going to give me. The difficulties that I am going to have to
endure over the next three years may at some points seem undefeatable; but so
did the first few stages of recovery, and look where I am now…
So next week I will attend my appointment, I
will address the concerns I have and I will, once again, initiate the referral
that I need. I am incredibly thankful to have such caring parents that have my
health and wellbeing at the forefront of their mind. However, following on from
this experience, I could not help but express my feelings about the system, for
the fear of lots of other sufferers of mental health conditions that have to go
through this transition phase and may well be the ones to just disappear.
Only today on the news was the outcome of a report regarding the higher rates of suicides amongst people being "cared for" in the community compared to those in hospitals which confirms that once you are out of hospital you are on your own, as the care in the community is so over stretched. It's a good job you are so determined Jess! Xx
ReplyDeleteI also saw that Shen! I understand that the community have a lot of people to care for, but it is worrying to consider how many actually slip through the net and are not noticed until they have reached a devastating crisis point. Thank you for being so supportive xx
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