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2007 - March 15th - Thursday

JH received an email from Ray which confirmed that the crossmatch was negative, although there is no match: this would be perfectly adequate because live transplants with no match have the same success rates as cadaveric transplants with a full match; Kathy has a little more risk of rejection which is easily stopped with additional drugs but she may run into problems should she require a second transplant, because she may have antibodies to JH’s unmatched tissue type.  Ray also said that ‘It sounds like you will be able to have your formal renal angiogram at Derriford; our Nephrologist Raj Thuraisingham spoke to your Nephrologist about it’.


 

2007 - March 21st - Wednesday

JH phoned Sara in the Renal Unit from the WRVS Tea Bar but received no reply; JH called on the Preliminary Investigation Unit whose staff had the request form - filled in by Sara - for JH to have an angiogram; the PIU Staff gave the names of two Consultant Radiologists to JH, Dr Wells and Dr Roobottam, whose secretaries JH could speak to but, essentially, the staff thought it best for JH to persevere in tracking down Sara; JH called in at the Renal Unit but Sara was not around.

2007 - March 22nd - Thursday

JH phoned Sara (whom the Staff Nurse asked to phone back when she returned to the office): In the conversation we went through all the communications which had been had about angiograms and – on Sara referring to JH’s notes – it seems that although angiogram/s had been mentioned ‘here and there’ since July 2006, that no-one had quite spelt out what the RLH required; furthermore, Sara had last had a conversation with Ray on Thursday, 15 March 2007, in which Ray had asked that JH have a ‘renal flush’ done – but Dr Wells, in Derriford, does not know what this is!  JH phoned Ray Trevitt, as Sara said that she was waiting for feedback from Ray about the renal flush which was required; Ray explained that, as far as he knew, it was simply X-raying the dye as it went from the kidneys into the ureters and bladder; the surgeons were going to be in the RLH in the afternoon and Ray would ask them about the procedure, and then get back to Sara/Dr Wells.

JH received an email reply from Ray saying that Dr Wells is NOT prepared to do an angiogram on JH, and that he had told Dr Denton this: JH would need to go up to the RLH; the Nephrologist – presumably Dr Thuraisingham – was not around to discuss the matter; Ray reiterated that Dr Thuraisingham and Dr Denton had had a telephone conversation in the past.

2007 - March 23rd - Friday

JH sent a reply to Ray, and copied in Sara: JH expressed her disappointment at this turn of events but assured Ray that she realised that this was a difference of ‘professional decision-making based on the soundest professional experience . . .’; JH made a very forceful request to be provided with a bed for two nights stay at the RLH.

2007 - March 24th - Saturday

JH also received a reply from Sara: she regretted that JH could not have the angiogram in Plymouth ‘. . . but I guess that what this Surgeon is after in the angio we are unable to provide.’.



 
 
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