Some surprises at the Royal Marsden today

Now that the weather is good and Lockdown seems to be easing, I am doing a lot more getting out, but am in a physical state where properly thoughtful blogging is hard to do on a day when I will be doing or have been doing much else. And today was very busy, by my standards. A complicated and prolonged visit to the bank. Then a haircut. Then a trip to the Marsden and the usual waiting around for blood tests, doctor consultation, and prescriptions. After all that I am no state to say very much here.

So I will content myself, and you, with this photo:

On the face of it, this is a photo of a Royal Marsden Hospital bannister. But that was the law of perfectly focused intervening objects asserting itself. What I was trying to photo was what is going on in the background. That’s right. Not just the Royal Marsden piano. A pianist playing the Royal Marsden piano. Chopin? Mozart? Sadly not. Generic improvised jazz, which is not my favourite. Even so, actual piano playing going on. Could it be that this is a regular occurrence, interrupted by Lockdown, but now resuming? Maybe.

I was going to end this there, but there were two other oddities at the Marsden today that I might as well mention, now that I have actually got started with this posting.

There was also this:

That being a photo taken by my Senior Designated Friend, who was with me at the Marsden today, now that they are getting more relaxed about such things.

What that is of is of an old grey-haired geezer who has presumably been up to no good, handcuffed to a police lady, in the Marsden Outpatients Department, presumably getting treatment. Despite the handcuffs, he seemed like a very well-behaved sort of a guy, but I guess cancer will do that to you.

I have never seen such a thing before in a hospital. That almost certainly being because the Marsden is the only hospital I have much experience of.

And finally, another Royal Marsden first, in the form of a less that totally obliging Marsden member of staff. This was the lady who was doing my blood tests. This hurt a bit more than usual. But worse, I got the distinct impression that she neglected to do the tests for the people doing research into the impact of Covid jabs on cancer patients, which I have been contributing to. I brought in some paperwork, but also mentioned this research, and that the usual routine was quite a large number of blood samples. That would usually mean the person I said such a thing to checking this out in some way, to see if more blood was indeed needed. But this lady just took the one sample and mumbled something about “I just do what I’m told” and the paperwork I brought in only said do one sample. That I said do several, and that I might be worrying about this, didn’t seem to bother her.

Later, we happened to ask the same lady how to get to the pharmacy, and for the very first time, I got directions from a Marsden worker that were hurried and unhelpful, and giving off a bit of a “don’t bother me now I’m busy” vibe. We had to ask someone else as well.

As I say, such has been the hitherto amazing level of Marsden staff helpfulness that these items of less than totally obliging patient service came as a surprise. I wonder if Lockdown easing has meant people coming in to work at the Marsden who are not totally indoctrinated into the Marsden Way, so to speak. Again, as with the visiting pianist, it could well be.

It’s not that the Marsden service is absolutely perfect. But what stands out for me about this place his how kind and patient the Marsden people (almost) all of them are with any difficulties that arise. So today, for instance, I had a rather longer wait for medical attention than has been usual, and I queried this at the desk. A medic then came out to tell me that they were waiting for some test results, hence the delay. This was not a brusque phone message to the desk. This was a full explanation and a courteous apology for the really quite short wait I was having to put up with. I’m guessing the delay getting those test results may have been something to do with the bank holiday weekend, which only ended today. Whatever, the point was they knew I was starting to fret and the medic went out of her way to put my mind at rest.

The test results, by the way, continue to be very good. My cancer continues to be in retreat in the face of the Osimertinib pills I have been taking. Although the side effects of these pills are starting to pile up, the pills are working spectacularly well. The doctors do not promise that these this will continue. Apparently the cancer could mutate, or something. But, so far so good. Wish me luck.

Compared to that, a somewhat brusque blood tester is hardly worth mentioning, and I only do mention this because, such is the overall standard of Marsden care for and kindness to patients, that it stuck out like a slightly dim bulb in an otherwise totally dazzling chandelier. In many a bog standard NHS place, such a person would fit right in.

Now I’m even more knackered. And tomorrow looks like it will be just as strenuous. I blame the perfect weather.

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