Tuesday 2 October 2018

CERY'S CANCER JOURNEY part 2


Well today is Sunday the fourth of December 2011 and what else to write, actually quite a lot, a lot of which you and others will be uncomfortable with. I thank you for having read Cery’s Story, I know you found it emotional, but then that’s part of what being human is all about.

Before I move on, I want to take you back to the morning of Wednesday the third of August 2010, there are pieces I left out of the Cerys’ Story I need to tell you about.

As I said after Cerys died Helen Andrew and I went to the Teenage Cancer Trust Unit, if it was for the staff there to console me, I didn’t want it. I was frustrated and angry. The events of this day and the days that followed, seemed as if they were happening to someone else, but of course they were happening to me, because I presume, I was so emotionally charged over Cerys’ death.

Elsa, was Cerys’ lead nurse there and I raised a few issues with her. Over time I have forgotten what some of them were, the one I do remember was about the big bag of medication Helen took home with Cerys, This Helen was to administer having had no training and no medication chart and I told Elsa that this, “was wrong!” “Point taken, ”was her reply.

Elsa gave me a phone to use, I knew that the first call I would be making would be to the surgery in Pembroke Dock, to leave a message for the doctor who wouldn’t do a home visit. The receptionist answered and I said “I want you to tell Dr *, I want you to tell him that Cerys Lewis is dead!” the reply was “how will he know who she is,” “because we took him to the Community Health Council. The other two calls I remember making out of many, was to Cherryl where I worked, the shock and surprise on the telling of Cerys’ death I remember well. Julie my sister I could not contact, so I rang her daughter Ceri to tell them. “Ceri,” I said, “Cerys is dead,” Ceri replied with an almighty scream of anguish she was so devastated, she had to leave work and go home.

We went back to the flat to get Cerys’ and Helen’s belongings and the second car, Helen in the second car followed, as Andrew who was still phoning family and friends, and I headed home. Helen on her own with her thoughts and alone and Andrew and I with ours, mine were so black and despairing.

Cardiff, as it disappeared behind us, was being slag off very much, a hopeless hole of a place, but not so some of the people from there, was one of those thoughts.

But then, if we had had got Cerys to good health and to the Millennium Stadium to watch Wales playing and winning at rugby. Cerys loved watching rugby, then my feeling about the place would be different. That didn’t happen, so that thought remains.

That journey as with all of the journeys to and from Cardiff over this time, were never good, but this one went on and on, mile after mile.

Having left Cerys’ body back at the hospital, as in our despair and desperation we headed for the sanctuary of Pembrokeshire and home.

I consoled myself in the belief that that’s were Cerys’ spirit had returned home also.









We didn’t stop until we reached Kilgetty and Peter and Rose Probert and their family, whose friendship and support was very welcome throughout this time. My feeling now is that we arrived at their home in a very shocked state, I think we cried, had a hug, Peter and Rose and family gave their condolences, as we told them about today’s events, that lead up to Cerys dying.

Then we were on the move again, for home to try and gain some comfort from being in our house, with family and friends.

I do not remember much about the rest of this day, as so much happened, other that the phone kept ringing and people were visiting. Although the first two people to call I think were Abi and Ceri our nieces. More hugs and condolences, as we told them about Cerys’ final hours of life, all these things would happen, over and over again, today and in the weeks, months and years that followed.

Helen said she can remember her brother and sister in-law Warren and Mel visiting. In the evening Tracy Thomas bless her, Haematology Nurse and Cerys’ Lead Nurse at Withybush Hospital’s Cancer Day Unit, visited gave her condolences and took a very very large bag of Cerys’ medicines etc, back to the hospital

It is important to write that Julie my sister, her husband Ronnie and their daughters Ceri and Clair when home from university provided a lot of the emotional and physical support required throughout Cerys’ eighteen months of life after diagnosis. I have to tell you of the support my father Geoff gave, in looking after Andrew up to his death from cancer in August 2009. Bless you Dad. We are most grateful for this, as it allowed our family to concentrate our efforts to support Cerys when she was in Cardiff for months and all the journeys back and fore to that place for follow up treatments.

To go back a little, in the earlier morning of August the forth, waiting for the dawn and Cerys’ untimely death, in my head I was planning how we would Celebrate Cerys’ Life.

The venue I just knew had to be Pennar Community Hall.

The people, who I wanted to do readings at Cerys’ Celebration, were Harry Dixon and Mike Rowe, Scouts Leaders, both of whom have been touched by cancer.

From work I chose Andy Taylor, from my Cub Pack, Jacob’s Dad, David Gooding, both these men were Lay Preachers.

As Cerys’ body would be taken in the Hall Kylie Minogue, who has also been touched by cancer, new song “All the Lovers,” would be played.

Back now to Thursday the fifth, we wanted to register Cerys death in Pembrokeshire, but because Cerys died in that place, registering Cerys’ death became too complicated? We would have to go back to there to get Cerys’ death register and bring it to the Registry office in Pembroke Dock to get Cerys death certificate.

This would have lengthened the time scale and we would have missed the date arranged to Celebrating Cerys’ Life on Friday the thirteenth of August. Unlucky !  Not for us, our unluckiest date had passed.

Cerys we were told needed to be repatriated? Cerys was born in Wales, she died in Wales, we felt that no repatriation was needed.

Bureaucracy who needs it? Not us.







During this time we had a phone call from Hugh John Wilson the Scout Chaplin, offering his assistance which we accepted. Hugh met with us regarding the arrangements and we said prayers. On Monday the ninth of August, Helen Andrew and I had to go back to that place to register Cerys death. On the Tuesday the Undertaker’s went and collected Cerys’ body and took it to their Chapel of Rest in Pembroke Dock. Then on Wednesday, laid out in a wicker coffin, they took Cerys home. Hugh John Wilson was with us when Cerys came home for the last time and we said prayers.

Cerys was laid out in the front room for that day and the Thursday into Friday.  

Cerys’ body was now at peace, it’s suffering over, as Cerys’ spirit we felt, unable to communicate, looked on at us. Many people came over this time to say their goodbyes to Cerys

On the day of Cerys’ Celebration of Life, as the sun shone, the house that was already festooned with flowers and other colourful plants now had to take in wreaths, bouquets and small ornaments. We had asked that people wore only colourful and bright clothes and this they all did.

Family, relatives’, good friends, undertakers came and went or stayed. One poor gentleman delivering a wreath for the second or third time was so overcome with grief, was in tears as he left us.

When it was time for Cerys to leave her home for the last time, there were so many people there willing to share in our sadness and show their respect, there was no room in the house. These good people were on the front lawn or in the street. The good people who came to Cerys’ house, Helen Andrew and I met with them all. I gave a hug to each of them and thank them for coming, this I continued at the Hall, as best as I could. 

The Bearers were Nigel, Robert, Warren, Ronnie, Terry and Mickey, they carried Cerys out to the hurst and we all took the slow short walk to the Hall.

There were many more good people there and as the Bearers took Cerys into the Hall, Kylie Minogue’s   “All the Lovers,” was playing.

Family friends Billy and his son Joe, provided the sound system, thank you.

Hugh John Wilson officiated at Cerys Celebration of Life and it was all done with the up most dignity and respect, thank you.

Readings were said by Harry, Mike, Andy, David and Hugh said prayers.

We all sang Kum Ba Yah, which is actually about the death of a child.

Ceri our niece had put together a power point presentation of pictures of a living Cerys, thank you. While Joe played Katie Perry’s song, “Black and White.” This was one of two of the very last songs Cerys had listened to on her I Pod, which Cerys used incessantly to drown out the noise of the world, when away from home.

The emotion in the Hall was immense, we had asked Hugh to keep it as positive as he could and he did his best, telling the good people about Cerys’ life. Although, there were there those moments of much sadness and crying and while the living pictures of Cerys were shown and Katie’s music played, this was one of those moments.

Time and life had left Cerys, though not us and as the Celebration of Cerys’ Life came to a close, the last song Cerys would have listen to was played. This was Queen’s “Radio Ga Ga,” it was so strange how this song fitted the occation, just believe me it did!







Hugh asked the good people so to speak, to quietly clap as the song played.

This then, as Cerys left the hall, accelerated into a very loud round of applause and cheering, so emotional, so fitting, As Cerys came out of the Hall Scouts lined up either side of the path, still clapping as Cerys was taken to the hurst.  

I like to feel that Cerys would have been so proud, on how all the good people had helped out and how well this part of her Celebration had gone.       

As the good people came out of the Hall, we thanked them all for coming, whilst some commented on how wonderfully different Cerys Celebration of Life had been.

The good people kept on talking for so long, was pleasing to see, but with time pressing, I felt I had to do something as we needed to get to the crematorium at Narberth. So I lifted myself up on the low wall surrounding the Hall and shouted that, “ it’s time to Rock & Roll to the Crem.”

We followed the hurst I drove our old Ford Maverick 4X4, a car we’ve had for twelve years.

This car evokes so many memories of the living Cerys, the trips to Grove school where she was a pupil. The trips to family and friends and the shops.  To the beach and on camping holidays, towing a trailer with all our gear in it. There were so many loving, happy memories, more than I’ve written here. Now to one of my saddest memories, the evening of Tuesday the sixth of January 2009, with the night drawing in around us and with Cerys Helen Andrew & I in the Maverick. We were on the road from Pembroke Dock to Withybush Hospital, Haverfordwest. We had to be in Ward 10, where a bed was available by 5 pm, as instructed to do so in an earlier phone call by our GP Andy Evans. I clearly remember saying to Cerys, that once we get her to hospital, they would make her better again. Not thinking it was cancer or remembering that Ward 10 is a Cancer Ward.

It was as expected a slow drive to the Crematorium, Huw officiated and Andy and David said readings. Proceedings were moving along as expected, while my family, relatives and good friends were caught up in the emotion of such an event. That was until it came to singing, “ I am the Lord of the light.” This was a Celebration of Cerys’ Life and as the Good People started to sing this song at an upbeat pace, the organist had different ideas. Rather that speed up to our pace, the organist slowed it down to that, that would befit a funeral. I know I should have said something, probably loudly, but I didn’t. I was not looking forward to this part of the day and wanted it to go with the littlest of upset, if that is the right word, as possible. We, after this bit, shook hands, hugged and cried with the Good People, who gave their respects to us as they left the chapel.

We left the crem and headed back to the Hall, where some of the good people had arranged a buffet. We had been away for over two and when we got back there were still so many Good People awaiting our Families’ return, it made me feel so good, on a day such as this, Cerys’ Day.







The talking was good, the food was good, the drinking well, only tea coffee squash was available, opp’s, was fine. As the evening lengthened, the Good People started leaving so after a tidy up, we locked up and those of us

remaining went to Julie and Ronnie’s house, to continue the talking eating and drinking.

Then I remembered & said loudly, “we’ve left Cerys behind in the Hall.” Helen though that with all the tragic events that had happened, I’d lost it completely! While startled expressions was what I saw on the Good People’s faces. “No,no, what I mean, is we’ve left Cerys’ picture,” ( 5ft by 1½ ft, this was on the outside wall of the Hall and was used as a point of reference for those who did not know Cerys,) “in the Hall.”  Great relief was expressed by my wife and the Good People, that I had not “LOST IT!” Some would question that, including me, ha ha!



With the Cerys Celebration of Life on Friday the thirteenth of August two thousand and ten over, the anticipation and excitement, if that is the correct word to use was gone. I needed a new focus and one was easy to find.



Helen and I had been assertive with the medical teams and associated services, in wanting the best for Cerys during her final eighteen months with life.



For me as you have read I was frustrated and angry.



Angry that Cardiff was the location of the Regional Haematology  Centre and this meant that Cerys’ treatment and survival was disadvantaged by distance.



Did you know the Cardiff Centre treats cancer patients from the south west of England? These poor unfortunate cancer patients should be treated in England, as close as is practical to where they live.



Angry, with the treatment Cerys had to endure, if she was to live, as she clung on to life.



Angry that Cerys had to endure long journeys to recived her treatment, this was not humane. Now that’s a very important word I have never heard used in connection with the NHS in Wales.



Angry with the attitude of some of the medical and nursing staff at the Centre, who had it in their heads that Cerys and her family would be passive and that they knew best?



Angry with the facilities in B4 ward, where Cerys recived her treatment in those first three months or so and where Cerys was the youngest female patient. 



Angry that Withybush General Hospital, where the Doctor’s and Nurses are good people doing their best, to treat people with cancer, were not allowed and not furnished with the resources that favoured hospitals are given, by the Welsh Government, through NHS in Wales, to comprehensively treat my daughter Cerys

.

Angry with the recent information I found, that Acute Lymphoblastic Leukaemia the type Cerys had, is very rare at her age and as the Regional Haematology Centre, swung into action to treat her cancer, it did not put into place appropreate measures to treat a cancer so rare.



Angry now, that at the time of diagnosis, we were not told by the Regional Haematology Centre, how rare Cerys’ cancer was. I’m left wondering why?



I was so appalled at the level of cancer provision provided to Cerys by the Welsh Government, through the NHS in Wales. If this was their best, then they are mistaken, that I wrote to the then Minister for Health and Social Care at that time, Edwina Hart.



This letter you can now read for yourself, I feel it reflects well on how I was grieving for Cerys in those first few months, after life was forced to leave her.



                                                                               9th of September 2010.



           Dear Mrs Hart,



Our daughter Cerys Elen Lewis born 14/4/91 in Withybush General Hospital, Haverfordwest, died on 4/8/10 in The University Hospital of Wales, Cardiff.



My wife and I feel that we needed to write in order that you know about Cerys’ journey since being diagnosed with Acute Lymphoblastic Leukaemia on January 6th 2009 which ultimately concluded with her untimely death.



There follows our observations and opinions:-



To place the Regional Haematology Centre in Cardiff and expect our daughter and family to endure four hour round trips during Cerys’ admission and subsequent follow up IV chemo treatments was wholly inappropriate.  From the day of diagnosis until the day of her death, you and the Welsh Assembly Government made her endure these 4hr round trips, this is inexcusable.



Cerys was never in good health and though being unwell she never complained.  Cerys believed that your NHS service would make her well again.



The fact that on many occasions because of the chemotherapy treatments, Cerys was neutropenic, and you and the Welsh Assembly Government required her to attend the University Hospital of Wales for IV chemotherapy treatment. Cerys went into the most densely populated region of Wales, entering the biggest hospital in Wales, through the main entrance and having to pass so many people, to get to the Teenage Cancer Trust Unit, which increased the risk of Cerys contracting an infection.



This is also the case to a lesser extent at Withybush General Hospital, where Cerys attended the Chemotherapy Day Unit twice a week, to have her bloods checked or blood products given, or to be admitted, due to complications. To allow these situations to occur is inexcusable.  All neutropenic patients should have their own separate entrance when receiving cancer treatments.



Cerys was always ill, however on the 26th of July 2010 her condition worsened, she contracted a respiratory infection and she was initially admitted onto Ward 10, Withybush General Hospital. Then subsequently the Intensive Treatment Unit, Withybush General Hospital. 



Cerys’ conditioned continued to worsen and on the 2nd of August 2010 she was required to travel by ambulance to the Intensive Treatment Unit  at the Critical Care Department of the  University Hospital of Wales, because they had an oscillating ventilator, Withybush General Hospital did not. This was inexcusable.



There was no isolation room available for Cerys when she arrived at the Intensive Treatment Unit in the University Hospital of Wales. She received her treatment on the open ward that is the Intensive Treatment Unit. We as parents expressed our opinion that this was not a satisfactory situation to the medical team and had this written into her medical notes.



The fact that on the night of the 3rd of August and into the morning of the 4th of August, while my wife, son and I waited for the inevitable untimely death of our beloved daughter Cerys, we had been required to travel so far away from home, with no family or friends to support us, surrounded by the Intensive Treatment Unit medical team, who only hours before had been complete strangers, in utter and total emotional turmoil. This is totally inexcusable.



Cerys’ heart was still, with the aid of life support machines, beating. The medical team had continually kept us informed of her worsening medical condition. At around 8.30am on the 4th of August, we met the medical team and said,  “we started Cerys life, we will stop Cerys life.” This was agreed to and around 9.15 am life support was turned off and as we held Cerys’ hands she died in front of us.



Before leaving the University Hospital of Wales, we thanked the medical teams at the Intensive Treatment Unit and the Teenage Cancer Trust Unit for all their efforts in attempting to preserve Cerys’ life.



Then, that same day, as bereaved and grieving as we were, you and the Welsh Assembly Government made us drive two hours back home.

The following day we went to Withybush General Hospital and thanked the medical teams at Intensive Care Unit, Ward 10 and the Chemotherapy Day Unit for all their efforts in attempting to preserve Cerys’ life.



Cerys’ leukaemia journey was always going to be difficult, primarily we  feel due to where we lived. It is a fact that Cerys and others in her situation receive a different level of service than someone who lives in or around Cardiff.



With Cerys’ journey now over, my wife and I had to write this letter in the belief that very soon it will have made a difference to the way that the NHS in Wales, treats cancer patients this far west and makes a difference for those, children, teenagers and adults who are yet to start their cancer journey.

Mrs Hart, you only need to reply to this letter, if you are prepared to remove your political mask and show your human face.



We thank you for taking the time to read our letter.



Thank you for continuing to read my blog, a blog of tragedy that many would shy away from.



The letter to Mrs Hart was copied to the local paper the editor published our letter near verbatim, except for the second to last sentence that starts Mrs Hart.



A few days later a Dr Jones from the Welsh Government phoned me in response to the letter. Mrs Hart and he wanted to meet with us to discuss some of the points we raised. I was not sure if I wanted Mrs Hart in our house, she was the Health Minister and in that role she was ultimately responsible for the NHS in Wales & that meant she was ultimately responsible for the haematology services.

Just to move to one side a minute, there are those in the Welsh Government and the NHS in Wales, tell us that Cerys was made to go to Cardiff, because it was a centre of excellence. I have challenged that, because I believe that what Cerys got was a   rationed service.

Anyway, Mrs Hart being in our home was resolved when I told Dr Jones that the letter had been published in the local paper. This changed everything, Dr Jones felt that Mrs Burns would no longer want to visit and this turned out to be the case. Although Dr Jones still wanted to meet with us and said he would got back to us with a date for a meeting, more on this meeting soon.

Helen and I felt it would be appropreate to put an acknowledgement in the local paper and this is what I wrote and we had published. 





TO THE LIFE OF CERYS ELEN LEWIS  


BORN THE FOURTEENTH OF APRIL NINETEEN NINETY ONE.



THE FAMILY OF CERYS ARE PLEASED TO THANK ALL RELATIVES AND FRIENDS, WHO WERE INVOLVED IN HER NINETEEN YEARS OF LIFE WITH US.





THE FAMILY WOULD LIKE TO THANK THE MEDICAL TEAMS, WHO THROUGH THEIR PROFESSIONALISM AND HUMANITY, DID ALL THAT THEY WERE ABLE TO PRESERVE CERYS’ LIFE.





THANKS TO ALL OF YOU WHO SENT CARDS AND FLOWERS.





THANKS TO ALL OF YOU WHO VISITED, LISTENED TO US AND SUPPORTED US.





THANKS TO ALL OF YOU, WHO ON THE THIRTEENTH OF AUGUST 2010, JOINED US IN A CELEBRATION OF THE LIFE OF CERYS AT ST PATRICKS COMMUNITY HALL HERE IN PENNAR.



OUR BEAUTIFUL BELOVED DAUGHTER AND SISTER CERYS LIVES ON IN OUR HEADS AND OUR HEARTS, GOD BLESS YOU ALL AND HAVE A GOOD LIFE.

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