by Colin Simpson (the patient)    14-11-1945
Next of kin - Michael 0456658885
Neil (brother) 47353127

Email - col.elec@gmail.com

Note  about after hours catheter blockages.
  Latest messages - 19/01/2018 :  
I have ZERO catheters on standby - 16mm 2way.
Urine sample to GP.

Next scheduled catheter change - Wed Feb 14.
For Palliative care Doctor Shahbel - Donna - 1300 302 343 - all hours.

  For Palliative care - 22/01/2018 :  
My morphine hasn't been changed.
I've lost my appetite now - down to 2 twocal per day from 4. I'm too weak to open bowel properly. All I want to do is sleep - but I have to keep moving around...
** Can't eat except twocal and multi-vitamin - don't have teeth - small stomach (see 'trending' below).
** I can't sit up for long - 2 minutes maximum - run out of breath and feet go numb.
** Can't sleep much because my legs need constant repositioning to keep up circulation.
** I do physio's exercises - max. 2 minutes - run out of breath.
** I can't talk for long - now using oxygen sometimes. I lie on my right side 95% of the time.
I am a CO2 retainer - confined to bed.

Trending -
1992   First diagnosed COPD.
2004   Specialist Frieberg Bankstown.
2004   Lived alone - shopping assisted by
            electric scooter. Walk 70m.
2010   T.U.R.P. - Since then reduced appetite.
2010   to 2015 - weight drop 72kg to 52kg.

2012   Gave up smoking completely.
2016 Mar.   Part play golf with cart assist.
2016 Aug.   Enter Weeroona with 40m walk.
2017 Jan.   Hospitalised and confined to bed.
2017 Oct    Lowering breathing capacity.
2018 Jan    Palliative Care.

Any department list that conflicts with the following info is not real. I have lived this since Dec. 2016.

MEDICATIONS -
Recommended by Braeside, Bankstown hospitals and Weeroona GP.
2x10 mg mscontin  ordine 1ml (5mg) every 4 hrs
seretide am and pm - 1x Vitamin D am.
1x antacid am and pm.
Movicol or Actilax at my discretion.

DIET -
Recommended by Braeside and Bankstown hospitals, Salvos Dietician and Weeroona GP. Due to my difficulty breathing, all agreed that my entire menu consists of :
Each meal (breakfast, lunch & dinner) -
200ml Ensure TwoCal HN drink meal replacement.
Optional : plus 2 Ensure drinks.
       --------------------------------
* The Community Nursing recommended after hours service no. is 000 - ask for ambulance then ask them to arrange a home visit to 'replace IDC' (patient C.S details are on their file). I am not urine retentive.

04/10/17 Dr Al-khalili assures Two-Cal HN is charted and will not change.
30/11/17 Dietician affirms Two-Cal is my meal replacement drink.

Dec 22 catheter = Bard
ref 226516 16ch/fr (5.3mm)

Catheter - 2way FG16 silicone catheter.

Catheter ANCHOR - Statlock folo102 - 2 way.



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