An Open Letter to My Premier on Healthcare


Mr. Wall,

My name is Cassandra Bumpus. I was born and raised in Saskatchewan and diagnosed with Cystic Fibrosis as an infant. Cystic Fibrosis (CF) is a fatal genetic disease that primarily affects the lungs and pancreas. There is no cure. 

Since my diagnosis, I have spent a large portion of my 24 years of life either in hospital or dealing with the healthcare system in one way or another. Due to these many years of experience, I feel I have some authority to comment on the current state of our healthcare system. I would also like to note that the majority of the dealings I’ve had have been with the Royal University Hospital in Saskatoon. That is, when I could receive the care I needed there without having to travel out of province for it. 

First, I’d like to give you a bit of background information. There are currently two pediatric CF clinics in the province – one in Regina and one in Saskatoon. There is only one adult CF clinic in the province, meaning all 70 adults living with CF must travel to Saskatoon on a regular basis to see the CF specialist and clinic team.

Below, I have outlined only a small sample of some of the more recent issues I have come across in my frequent dealings with our healthcare system.

  1. Over the past twenty years there have been only miniscule improvements to the hospital food. This should be a concern for a few reasons. One, for patients that need to be gaining weight, such as myself, it is very difficult to do this when the food on your hospital tray arrives soggy, lukewarm, and bland. You are then forced to purchase food from the cafeteria which becomes costly over time or you must ask your friends and loved ones to bring food for you when they come to visit. Second, on countless occasions I witnessed nurses looking after and trying to soothe sick and scared children. On top of that already difficult task, it also became the nurse’s job to try and persuade the children to eat the unappetizing items that arrived on their meal tray. This problem and the accompanying stresses could be easily avoided with improvements to the food served to inpatients.
  2. Paying for parking at a hospital is an utterly stupid concept. I have a genetic condition which means I have no choice but to go to the hospital for appointments, medical imaging, blood tests, etc. Why should I be charged to park there when it is not my choice to be there in the first place? It is incomprehensible to me that we would charge parking fees for people coming to visit ill or dying loved ones. Why do we need to add financial stress to their burdens? Is our healthcare system really so desperate for cash that we’ll steal it out of the pockets of our emotionally distressed residents?
  3. When I transitioned from the pediatric CF clinic to the adult clinic, there were two doctors running the clinic. Neither of these doctors running the clinic were specifically trained in CF care and to be frank, I know I would have received better care somewhere else. If my current specialist had not decided to practice here, I would be driving five hours to Edmonton every 4 months to attend their CF clinic. This is unacceptable and just one example of questionable and ineffective staffing. Where are the checks and balances to see if residents requiring specialists are actually getting the quality of care they are entitled to in 2017? 
  4. The emergency room at the Royal University Hospital in Saskatoon is overcrowded, understaffed, too small, and the wait times are truly shocking. This month (June 2017) I spent nine hours waiting to get a final word from the ER doctor about the issue I had come in for. On more than one occasion, I have spent two to three nights sleeping on a stretcher in the ER, sharing a bathroom with many other patients, while waiting for a bed on a ward to open up. I have heard an elderly woman in the stretcher next to me, speaking with the nurse about how she was extremely tired but could not sleep because of how hard the stretcher was on her back. Later, she was crying and telling the doctor she wanted to go home so she could sleep. Is this acceptable?
  5. The RUH inpatient wards are overcrowded. This month (June 2017) I walked past a two-bed room and happened to glance in. There was a patient in each of the two beds with curtains drawn around each, and there was an elderly gentleman lying in a bed pushed up against the wall at the back of the room near the entrance to the bathroom, thus making it a “three-bed” room. This gentleman had no curtains for privacy, no nightstand, no bedside table. While I was waiting in the ER for a room, a nurse mentioned to me that I may be placed in what she referred to as a “pod.” I questioned her and she explained that this is a cluster of beds put together and that extra staff were then scheduled to look after the patients in the pod. Where this pod would be located, I did not want to ask.
  6. The inpatient wards are understaffed and crowded and this leads to nurses making mistakes. I cannot rest and recover in the hospital because I am always on alert, watching my medications and what the nurses are doing. They have brought me incorrect doses of important medications. They have neglected to properly take care of my implanted port through which I receive intravenous antibiotics. I have to remind them that the line needs to be locked with 5 ml of heparin and not just saline. Last night (June 24, 2017), I did not receive any of my nightly medications until 10:30pm, which because of how they are scheduled, meant that I could not go to bed until midnight. That’s not a great bedtime for someone trying to regain their health in a hospital. The excuse the nurse gave was that they had had an admission to their ward that had to be dealt with – paperwork done, medications ordered, etc. Clearly more staff is necessary.
  7. In our province, many children have gastrostomy tubes for various reasons that help improve their nutrition and assist them in maintaining their weight. Now, more and more adult CF patients are having these gastrostomy tubes placed for the same reasons. However, there is only one nurse who handles the education and care of these tubes for all pediatric patients and she is only part time. There is no one to look after the adults who have these tubes so they are forced to contact her and she does her best to make the time to see them.
  8. My current CF specialist takes care of all the 70 adult CF patients in the province out of the clinic at RUH. After the two previous doctors left the clinic, he has taken on all of the adult patients by himself and sadly, he is only ¾ time. Inevitably, rather than spending the money to hire another qualified CF specialist, we will work him until the point of burn-out and then we will lose him too. And myself, and many others, will be faced with the prospect of driving out of province multiple times a year for appointments.
  9. This month (June 2017), I was placed in a private bedroom at RUH. I informed my nurse that, when flushed, the toilet in my washroom would bubble up and spray the dirty water onto the seat and walls surrounding. She brought me disposable pads to place over the toilet when I flush it (it has no lid), because, as she said, “it would probably take forever to get maintenance up here to fix it.”
  10. According to my research, it costs approximately $8000 for an average hospital stay in a bed at RUH. I have been in the hospital for two weeks now, with one of those weeks spent entirely on waiting for a CT guided biopsy to be done. If we optimized the use of our medical imaging department and the staffing of it, would that not save us money in the long run? I would not still be sitting in the hospital, waiting, using up valuable taxpayer dollars.

Changes need to be made. So that patients receive the quality and timely care they are entitled to. So that Saskatchewan can retain medical professionals with competitive pay and access to the latest in medical technology and research. Changes have to be made starting in 2017. Starting with you, Mr. Wall.

The creative restlessness. 

My questions. 

My question is: What do I want to be when I grow up? 
My other question is: What do I want to do to make money? 
My answer is: I think I have an idea. But I really don’t know. 
I know it’s going to be something creative. And I think it’s going to involve the sharing of stories. Stories are my favourite things. 

Let’s back it up. 

I had a double lung transplant at the end of November because Cystic Fibrosis had ruined my own lungs and I could barely breathe enough to function even while wearing oxygen tubing. (That’s a story for another blog post.) Now I’m feeling better than I’ve felt in years and have so much more energy. I’m getting married and moving into a new apartment with my guy – so many exciting things happening! But….what am I going to do

My unfocused creative pursuits. 

  • I have some skills in photography and editing. 
  • I have some basic skills in video editing. 
  • I have some writing skills and abilities. Poetry and essays mostly. 
  • I have a decent amount of experience in public speaking and an interest in podcasts. 

But I have no idea which one or ones I want to pursue. Maybe it will end up being a few of these or maybe none of the above. I have dabbled in all of them to some extent or another but I have no formal training and only bits of experience here or there. I have no certificates or university degrees. Sometimes due to my own choice and sometimes because my health made pursuing an education difficult. I know that whatever I choose is not a life sentence. If it doesn’t work out, I can change my mind. But where to start? How? 

The creative restlessness. 

This is bothering me. Getting to me. This not knowing what I want in this area of my life. I keep getting told that I’ll figure it out eventually, to give it time, try anything and everything, etc, etc. But I’m impatient to have a creative purpose. I need a direction so I have a creative outlet and can come up with ideas and plans and get down to creating! I’m eager to start connecting with people through whichever medium I choose to utilize. I’m eager for the stories that are sure to come. 

More questions. 

But again I ask, where to begin? 
And how? 
How do I figure out what is going to light me up? 

Well, hi there. 

If you are out there and you have advice or suggestions, I’m all ears. For serious, guys. Or, if you can relate to what I’m carrying on about, I’d love to hear about that too. Feel free to comment or send me an email! 

Possibilities

When you look at me

                  I see that you see

                            All the possibilities of

                            what you and I could

                            be. 

Where is the joy?

I’ve been so focused on getting things done and planning for the future and making up for the time I lost while I was in Edmonton (for five long months) that I think I forgot about joy. I think I forgot about having fun. But what good is having new, healthy lungs if I don’t use them to enjoy life? Sure, it’s great to have a “to do” list and have the drive to get things done. But what about joy? What about enjoying this newfound freedom that comes from having new lungs and being free of supplemental oxygen? 

I think it’s about balance. A balance between accomplishing tasks and enjoying and being grateful for the life I get to live. I need to prioritize down time and relaxation and fun. As much as, if not more than, I prioritize the things on my “to do” list. I want to work on being more present and in the moment. Rather than constantly thinking three steps ahead. It’s fun to get excited about the future but balance is key. Focusing too much on the future can cause me to start getting anxious about little things that don’t matter yet and may never matter. So the latest lesson I’ve learned? Balance is key. Prioritize fun. Prioritize joy. They’ll help you be more productive in the long run anyway! And that’s just a bonus. The best part is that you’ll feel hella good. That’s right, I said hella.

The Future

The future looks brightmy love.
I’m excited for the big things but more than that 
I’m excited for the little things. 
The Star Wars marathons and movie date nights. 
The kitchen dance parties that leave behind unwashed dishes. 
The feel of your skin on mine as sleep takes over. 
The endless kisses and giddy laughter. 
I want it all with you by my side. 
Come
my love
and take my hand.
It’s time to begin the life we’ve dreamed of. 

Whisper-sing

We whisper-sing Marvin Gaye’s Sexual Healing in bed
and I laugh as you attempt to dance under the sheets. 
My goofiness is seen by few
but you always manage to bring it out. 
I laugh until my cheeks hurt
and you kiss them better. 
Let’s never stop making each other laugh.
Let’s never take these moments for granted. 
Let’s fill our home with love and laughter and kisses on smiling cheeks.