Michael Y and Pauline

Michael was diagnosed with his health conditions in childhood and believes he was born with them. His main problem is epilepsy which is poorly controlled and his medicines makes him feel in danger of falling. He also has a lung condition (bronchiectasis).

Michael has had two forms of epilepsy for his whole life: both tonic-clonic seizures (which have led to hospitalisation on occasion) and complex ones; the latter of which became more frequent as he got older. During one hospitalisation for a seizure the medical staff were convinced that he’d had a stroke. Michael’s medicines make him feel unsteady on his feet as if he is about to fall over.

Michael was diagnosed with bronchiectasis (a lung disorder) at the age of 7. At 16, he had an operation on one lung to try to remedy the problem. Ever since, Michael has to drain his lungs daily (by being banged on the back for ten minutes or so). Although medicines are available for his lung condition, he has been told that he cannot take them as they would interfere with his epilepsy medicines. When he was in hospital, his need for chest drainage was ignored by hospital staff, who as Pauline states, Just focus on why he was admitted at that time.

Michael is unable to write, is more or less housebound and needs to be accompanied by his wife when outside. On one occasion he was taken off his epilepsy medicine whilst in hospital and deteriorated to the extent that he ended up in intensive care. A major problem is a lack of continuity of care when Michael leaves hospital after periods of inpatient care. Pauline feels that staff do not undertake proper risk assessments before sending him home.

Pauline reports that together they feel that there is a lack of emotional support from health services. She hopes to find such support in a carers forum. They used to use a local epilepsy group but it closed down. Pauline mentions the stigma of epilepsy, that the public see it as a mental condition. Michael was told that he is not allowed to go on the organ donor register due to the number of medicines that he currently takes.

During a hospital stay, Michael Y’s wife Pauline was better able to recognise his seizure activity than hospital staff. After Pauline asked to see a specialist a junior doctor acted on her records in order to control the seizures.

Age at interview 70

Pauline says that she doesn’t see any planning when Michael Y is discharged from hospital. She feels that there is insufficient assessment of whether they can cope at home.

Age at interview 70

Pauline describes that the key ingredients in her husband, Michael Y’s care would involve a sympathetic person trained in epilepsy who can be a friend to him when he is having a seizure.

Age at interview 70