Learning New Skills

Posted by Deb on Friday February 22, 2008 at 2:27 pm

You’ll already have read the first bit of this story if you’re a regular here and not one of the people who’s arrived as a result of me crowing about my accomplishments on an email list somewhere ;-) - in case you’re one of the latter, however, you can find the sorry beginnings of this tale here

After all that brouhaha, and after being told by a midwife that they were doing me “a big favour” coming out to do the injections at all, I’d had enough. I don’t need or want favours that leave the donors feeling resentful or like they’re owed something. I got so mad I decided that the best thing was to do the injections myself.

The other thing you need to know is that I am needle-phobic, and have been for as long as I remember. I’ve never even been able to watch people getting injected on televison. I remember three injections that I had before puberty, and I managed to pass out at every one of them - sometimes multiple times. After an appendectomy, when a particularly unsympathetic nurse was taking blood from me and I said I felt faint, and she responded, “Don’t be silly, you can’t faint lying flat on your back”, I promptly proved her wrong. When everyone else in my year at school got a vaccine for something (BCG? can’t remember), my mother signed the “no” bit on the form, because she knew what I was like. And so the rest of the class toddled off from Geography to get jabbed, and I and one other person stayed behind. And then we all went to English class, during which the boy seated next to Martin Somebody said “Miss, Martin’s not feeling well” and we all turned to look at Martin and he was green…and I, knowing that the cause of his green-ness involved a needle twenty minutes earlier, fell out of my chair and woke up in the hall.

So yeah, pretty bad about needles. Even working in a hospital lab - even in Blood Bank, even in Pathology, where you really do see some gross things - didn’t help.

Those of you who don’t have any phobias won’t understand this at all; you’ll think it’s daft and unreasonable - and you’d be right. But those who are needle-phobic will understand why this decision was, for me, a huge one.

Of course, never having even watched an injection, I was starting from a fairly, uh, uneducated position.

But google is my friend, as is youtube. And I read lots of websites and forums and watched all the youtube videos of people getting and giving IM injections - at least, all the ones that didn’t involve people getting their jollies from it (and really, what on earth is up with that? I thought the diaper-fetishists were bad enough, but injections? Eh?) And 5.30 this morning found me lying in bed, in the dark (so as not to wake Toby) watching and reading more. And feeling stressed as I realised that in less than five hours a midwife would arrive and I would a) have to have a needle in me one way or another and b) have to try to convince her to let me do it myself.

By 9 o’clock, I was tired enough that I wanted to go back to bed. By 10 o’clock I felt sick. And the midwife was late…

By the time the midwife and a student arrived, at about 11, I wasn’t in a fit state for anything. I had said on the phone yesterday that I wanted to learn to self-inject, but obviously nobody took me seriously, because they were surprised and worried when I said it this morning. The midwife didn’t know if it was legal for me to do it; I asked under what law it would be illegal, and how exceptions were made for women injecting fertility meds, body-builders injecting steroids, etc. I told her I’d read about lots of people self-injecting B12 IM. She accepted that it might be legal for me to do it, but worried that she might not be allowed to teach me. I suggested she sat next to me while I did it and told her what I was doing, so she didn’t have to say or do anything unless I was getting it dangerously wrong. She wasn’t going for it. She said she’d have to speak to her Supervisor, and she’d do the first injection today and come back on Monday and if it was okay she’d teach me then. I pointed out that I’d been working myself up to this and that a weekend of further nervous waiting wasn’t something I was willing to take. She tried to contact her Supervisor but the paging system failed. I phoned the GP (which I needed to do anyway to get a prescription for folate), and he said he was happy for me to self-inject if she was happy to show me - she was still hesitant (the GP, hearing her in the background, said to me, “it sounds like she just doesn’t want to do it”). I suggested we phone the Royal College of Midwives and ask for a professional opinion, but in the end she phoned the local fertility clinic (the irony!) who assured her that yes, it was perfectly permissible for a professional in her position to teach me what to do.

And so she did.

I already had the procedure of actually injecting well-memorised, but wasn’t completely clear on all the preparatory stages - getting the stuff from the vial into the syringe, etc. We got through that without any trouble though, and then I found myself sitting on the sofa, one trouser-leg pulled down past my thigh and a needle attached to a syringe full of cobalamin in my hand…

This was the point I had thought might take an hour - getting pysched enough to actually do it. But a couple of deep breaths and…I did it.

I shut my eyes as I started to push the needle through the skin, but had to open them to pull the plunger back to check for blood (which would have meant the tip of the needle was in a blood vessel rather than the muscle and I’d have to start over). I pushed the plunger in a lot slower than I’ve ever had anyone else do it, but in fact it hurt less that way so I’ll stick with doing that!

I am quite ridiculously proud of myself; I know that for a lot of people this is a minor thing, but for me it was a Very Big Deal Indeed. I still need more syringes and needles and a sharps disposal box, so a midwife will come back on Monday morning with those, and sit with me while I do the second injection, but after that I’m on my own - and I’m quite happy with that! The midwfe and student who were here said I did a good job, and you know, I actually think I did :-)

In: babies, education, life, outings and adventures

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17 Comments

Comment by Dani
2008-02-22 16:45:25

Wow! That is seriously impressive - both on the overcoming-phobia and the being-assertive-with-medical-professionals side of things! Congratulations.

Comment by Deb
2008-02-22 17:48:58

I’ve had years of practice with the assertive-with-medics thing. My first job involved working with med students; once you’ve partied with them, seen them at their best and worst, you get over that doctors-are-gods thing pretty fast. And since midwives don’t tend to think they’re gods themselves, that makes them even easier ;-)

 
 
Comment by Sarah
2008-02-22 17:29:42

I’m impressed too - as Dani said, with both of those things. Not sure i could ever have the guts to self-inject but then I guess the alternative was far far worse so perhaps the lesser of two evils. Hope all the subsequent injections are as successful.

Comment by Deb
2008-02-22 17:52:54

Sarah, if you’d asked me a week ago if I would ever be able to self-inject, I’d have been absolutely certain that I couldn’t - especially IM. As you say, it was the best of the available options. And now that I’ve done it once, I think it will get easier next time - I hope so anyway! - but I’m not trembling to think of it, which is a good sign :-)

 
 
Comment by Michelle
2008-02-22 18:09:38

Full credit to you! I skipped reading the penultimate paragraph as I can’t cope with needles either (go figure the irony of me falling for someone with diabetes - fortunately he mosty uses pen devices and the syringes don’t come out that often). Seriously impressed.

Comment by Deb
2008-02-22 18:20:24

Being needle-phobic, I was aware as I was writing that paragraph that it might bother people, so wrote it carefully, in a way that wasn’t very graphic. So you might be okay with it ;-)

Now if I’d married a diabetic, he’d have been used to injecting and would probably have been willing to do this for me, unlike Scratchy, who’s too worried about killing me. But then I suppose I wouldn’t have had to overcome my own fear, so there’s a bright side to everything LOL

 
 
Comment by Linda
2008-02-22 18:45:46

Well done Deb, as a needle phobic myself I can imagine the guts that took to do.

 
Comment by Tech
2008-02-22 19:26:54

WOW!! Awestruck! Yay you!!!

 
Comment by jax
2008-02-22 20:07:05

seriously impressed by that Deb, don’t think I’d be able to do it - I’ve just about got to the stage of not hyperventilating when ppl do bloodtests on me but that’s taken some time.

Comment by Deb
2008-02-23 09:09:58

I’m not much past that, Jax! I’m still in shock that I managed to do it at all. Amazing what a bit of fury at the system can do for you LOL

 
 
Comment by alison
2008-02-22 22:33:47

Fantastic Deb - well done you :) :) :)

I don’t have a problem with needles, but I don’t think I’d fancy doing it myself. So pleased for you that you did it :)

 
Comment by t-bird anni
2008-02-22 23:44:43

wow, well done! didn’t realise you were needle phobic. and if it hurts less when you do it for yourself then that’s an added bonus (and perhaps a reflection that these things usually get rushed?)

Comment by Deb
2008-02-23 09:13:07

I was thinking about that last night - I’m not daft enough to think I’m just “naturally good at it” LOL I know I put the needle in a lot slower than it would be normally, and I think that’s because I didn’t know how hard to push, how much resistance there’d be - which, of course, is something anyone used to doing these would know. So I think that helped. And then I pushed the liquid in a lot slower too, although that was, I think, just down to fear…but again, it didn’t sting as it usually does, and again, it’s something a person used to doing them would be less hesitant about.

 
 
Comment by Lucy
2008-02-23 00:26:16

Well done Deb

As you know I’ve had to self-inject and it was hell - so I have huge admiration for you.

Don’t let scratchy do it - I let my dh do one - and he was crap and it was awful…

xx

Comment by Deb
2008-02-23 09:17:39

I don’t know if I’ll let him do any or not - I don’t feel I need him to, but perhaps if I’m ill or something at sometime, it might be quite good for him to have learned, y’know? But see T-bird’s comment and my reply - I think he’d be even more terrified than me (though for different reasons) so he might be even slower LOL

I’m amazed that it actually wasn’t hell - not even difficult or painful, once I got my head wrapped around the idea. Preparing for the whole thing - the idea of it - was fairly hellish, but I hope that bit has been largely done and dusted now.

 
 
Comment by Kate
2008-02-23 18:40:55

good deal! I hope the first time was the hardest and it’s all easier from now on.

 
Comment by Em
2008-03-01 21:29:43

Well done! And what a good idea, I don’t think I’d have even thought of it myself. It makes far more sense to do your own injections when they need to be that frequent (regardless of the logistical nightmare you getting yours would have been). They should suggest it to people, and save the nhs a fortune in midwife/nurse/doctor visits *snigger*

 

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