Brian O'Connell

TWO EPISODES, YEARS APART, AND THE SECOND IS A CONSEQUENCE OF THE FIRST — not a recurrence. The tumour was found when Brian was small. It was BENIGN, and it was removed; the cast in the evidence locker is from that operation. The bone it had grown in was left weakened, and years later that is what needed fixing. Imaging on 31 January 2018 at Mongkutwattana Hospital; surgery, and a post-operative study on 11 June 2018 at Chulalongkorn Hospital showing his right femur carrying a plate and screws. He was eleven — two years into this plan, not before it. He recovered. Walking distance, stairs and running were limited for a long time and he tired by the afternoon; the hospital team followed him up for years and discharged him to annual review. WHAT IT COST HIM, WHICH IS NOT A MEDICAL FACT AND BELONGS IN A HEALTH SECTION ANYWAY: he played football. That was the thing he did — barefoot on the sand, most days. After the leg he was at home in bed a great deal, and he played games instead. The friendships moved with him: the ones he kept were made online, and he kept them. A health section that recorded the stairs and the stamina and not this would have recorded the restriction and missed the loss. At twenty he walks a campus, manages his own appointments, and registers his own consent. He tires on very long days and plans around it. There is no current health need that restricts his access to education. The adult follow-up that remains is orthopaedic surveillance, which is his to attend and his to decline.

An outcome is here because a Section G provision is named as delivering it. Outcomes served by another section appear on that tab.

DELIVERED, AND HANDED OVER. Physiotherapy ran as set by the hospital team, with a school-based exercise plan the class teacher followed and adapted PE until he was cleared. School nurse checks ran 6-weekly on recovery, pain and wellbeing. Eight sessions with the mental health support team ran at 45 minutes weekly in 2017. All of it has ended by completion, not by lapse. What continues is adult orthopaedic surveillance, which sits with adult services and not with this plan. The inpatient episode is evidenced by photographs his father kept: the ward, the traction frame, and a nurse at the bedside. They are not clinical records and are not offered as any; they are what a family has when a hospital has the rest.

Sections C and G are held by A named clinician. The chat rail on this page is scoped to this tab, so a question asked here is a question about health.