Today’s the day!! Its a weird one, it’s a day I’ve been stressing about getting to what with all the snow that’s happened and or been forecast,Praying it wouldn’t come down too hard or heavy enough to stop the trains, as even missing one appointment would have meant redoing the whole set of 4 from the very beginning again. Thankfully so far at least (I don’t want to jinx things at this late stage) The weather hasn’t beaten me and its all worked out (minus some bizarre moments with the Jubilee line), but I digress.
Until last night it hasn’t and didn’t feel any different,however this morning ,more so since around 10am it all feels so different. This is potentially my last appointment with Guys and honestly they’ve been great. So it’s a surreal one, what will results show today?, honestly I’m not sure, it’s been a rollercoaster of a journey. I always said whatever happens, happens, it will either flag something up and give answers to questions I’ve pondered for some time and answer what has happened and why. Or it wont. My gut initially said nothing would show and if that was the case I would be ok at least I would know what it’s not-which is still positive and I would be able to rule that one out. But if its positive though great as it would give answers to those unanswered questions, it throws a spanner In the works with what of the already very limited options are now viable ,if any and potentially ending the whole process and journey (something I don’t want and am not ready to do).
Sunday afternoon removing those tapes and patches off my back myself with just a mirror and my phone for help,reference an guidance proved a challenge, frustrating and yet hilarious at the same time. Seeing I had some marks/blemishes whatever you may wish to call it initially had me feeling we had cracked it and they may be indicative of an allergic reaction was both relieving, yet I felt my heart sink at the realisation my hearing journey could all be over from a few small pink squares. The feelings of “please don’t let it be anything that’s In or related to the implants and be something totally random I otherwise wouldn’t have encountered” then crept in, so that the possibility of moving forward with hearing implants is still viable and a possibility, realising I’m far from ready for that journey to be over and end. Realising I both want and need to fight on.
Monday sparked confusion and bafflement when nothing was said about those four pesky pink squares and the reading was marked as “all negative”, great news, but also what did those squares mean? Why were they pink? But time would tell, no stress they know what they’re doing and looking for ,myself with a mirror and phone isn’t the best nor accurate a view to fully know.
Wednesday sparked an odd reaction occurring causing puzzlement and confusion. had I reacted to gold? Had I not? As a patch of skin came up pink, raised and bumpy, all clear indications of a potential allergic reaction- however it hadn’t occurred where a reaction is expected (within the allocated square where the sample had been placed) instead appearing just slightly below and outside of that square raising question was it the gold? Was it something else? Was it a reaction to the pen or tape? Something else resulting in us retesting out of curiosity and with potential of adding in an extra appointment to check it. Hours later though a bump could still be felt colour had returned to normal, all very odd
To today.. Friday sitting here with the feeling “this is it.. results day” what way will this go? honestly I’ve absolutely no idea , at this point in time anything could happen, pigs could fly and I wouldn’t bat an eyelid.
What will happen? Questions of what are those pink squares that have remained and why? Both Dr Izzy and consultant Dr Ferguson have ruled them out as allergic reactions. What happens from here? Especially if no allergies detected? I’m ready either way but equally it feels sad yet relieving to be at the end of the patch test journey , relieving in the sense that I’m one step further into my hearing journey and hopefully 3rd time success..
Over the past couple of days my right arm has felt very heavy and achey as though I’ve just recieved a vacination injection. it has also felt very cold as though the blood is running out of it and I’ve really struggled ar work with manovering and putting the tables down- something I intially struggled with when first starting but have since found the knack and tricks for doing effortlessly- well at least more so than previously and it certainly doesn’t take me more than a few minutes to lay out 10 tables compared to minutes on just one alone. I’ve found myself to be very aware of the patch sample- it’s not itchy just very aware of it’s presence . It feels like its more than just the tape being restrictive , but equally is it all in my head ? am I just overthinking it all? lets be real that would hardly be the first time would it…
Today, again I was in luck getting home from work ,parking up and getting across to the station in good time,so much so I had time to grab a (rather over priced) hot chocolate costing me the best part of £6 from across the road before the train arrived. Of course, don’t worry this is me and it couldn’t of course be that easy or without a hiccup now could it…

All was going well until the train came to an abrupt holt just outside of Shenfield station ,being deaf I have absolutely no clue why we have stopped, what the problem is or how long we will be stopped for as I cannot hear the tannoy announcement, and although the station stops are displayed onboard of trains ,tannoys are yet to be captioned or displayed in the same manner.I have no option but to sit ,wait and watch the few people around me for visual cues as to what is going on – are they getting off? are they looking annoyed etc? nobody is moving and so I stay put in my seat, though I question do I need to notify the hospital I could be late? but how can I do this when I cannot explain what exactly is happening ,besides emailing something along the lines of ” Good Afternoon, I’m on route to my appointment this afternoon, but unfortunately the train has come to a stop I have no idea why, or how long this could take but I may be late to the appointment” – I opt not to do this…. at least not just yet.
Thankfully after a few minutes the train begins moving again albeit slowly, but I manage to get to the hospital still with plenty of time and no further hiccups… phew..
The self check in machines are still out of use with an A4 piece of paper taped onto the screen of each one reading “out of use please go to reception to check in”
I head to reception and as per usual autopilot my check in with my name, that I have an appointment at XYZ time, and a few yeses to whatever question they will ask whether thats does your mobile number end in xyz, is this still your gp, are you still at the same address or something to this whereabouts.
The receptionist smiles and points towards the door/gate of the patch testing area , I head over and attempt to find a seat. it’s very busy today I assume most must be starting or finishing their treatment and this is the main day for it? as every other time I’ve been here the waiting area hasn’t been too busy whereas today I’m fighting to even find a seat anywhere near the door.
I find a seat albeit further away from the door than I would like , so I’m sat sideways in order to be able to visually see the door to have a better idea of what is going on, I’m getting a few odd looks- but never mind it’s certainly not the first time I’ve raised an eyebrow or two and I’m sure it won’t be the last.
Around 10 minutes later I’m called through the nurse (still the same one- still no idea what her name is and she isn’t wearing a yellow name badge either) comes over and calls me through, leading me through the corridor to the cubicles, even as we do this I notice how busy it is as almost all of the cubicles appear to be occupied and we’re dodging people as we walk through. I’m taken into the last cubicle where the nurse says “you know what to do now, I will leave you to it”
I quickly change into a gown and take a seat, I’ve barely sat down before Dr Izzy appears around the curtain gaining my attention by gently tapping me on the shoulder, she comes in briefly to check my back and tells me there is still nothing obvious jumping out at her, before moving onto my right arm where she removes the retest patch of gold, and has a quick look at it, though doesn’t pass comment on it other than telling me we need to wait 10-20 minutes to allow it time to settle.Dr Izzy checks the remainder of my arm, all of which appear to be settling more than they would anticipate or expect to see in an allergic reaction. Dr Izzy leaves the cubicle telling me she will be back in about 20 minutes once the newly removed patch has had time to settle.

I sit waiting with my back to the curtain for the 20 minutes watching the newly removed patched, convinced this is it, I’m allergic to gold , as the skin in that area appears to have reacted more significantly than on wednesday it presents red, raised, bumpy and appears to have 3 tiny pin prick size blisters. Naturally of course I Google gold allergy and perform some research about gold in hearing implants just to know my liklihood of being able to be reimplanted again.
Google informs me only 1% of the population have a gold allergy- this adds up and is most likely going in my favour then isn’t it, after all I hardly do things the easy or “normal” way do I?! so that would defintely check out and be in keeping for me to have an allergy to something that only affects 1% of the population wouldn’t it
Implant wise Google informs me gold is used in implants such as Cochlear Implants due to it’s high conductivity and resilence against corosion.. great.. this does not appear to be going in my favour then does it? However it does confirm what I believed that the BAHA does not contain gold- so this doesn’t link up with why I had issues with the BAHA, however the Osia apparently does contain traces of Gold- so this does link. On a positive note though, I do find that the new sentio implant does not contain gold- so this potentially is still viable (If I even have a gold allergy that this) I also find that despite gold often being used for Cochlear implant coils, this doesn’t have to be the case- again reassuring to know.
20 minutes later Dr Izzy returns to check the newly removed gold patch test, she takes a look at the patch and quickly takes a feel of the area as she too can see the raised bumpiness to the skin and the discolouration. Dr Izzy tells me ” ooh I think you might have had a reaction there, something is defintely happening there isn’t it?” Dr Izzy mentions it may be the pen or tape that has caused the initial reaction, though I’m dubious of this as the whole of my back is covered in the same pen and tape, so surely if it was either of those all of my back would have reacted to it too? but tells me she is going to find one of her consultants to check it, explaining how after this I can get dressed and we will then go and have a chat. Dr Izzy leaves the cubicle drawing the curtains and goes in search of a consultant.
A few minutes later Dr Izzy returns with Dr Ferguson who takes a look initally neither are too concerned about it, however when they look under the light they’re a little more curious about the potential reaction and well.. the short and sweet of it is, in true Bethan fashion I have another two doctors stumped and baffled as to what is going on. Dr Izzy asks me to get changed and tells me once changed to head to her room for a chat..
I quickly remove the gown and put on my bra, just as I’m about to put on my jumper Dr Izzy comes back in, I’m not phased by her seeing me nor chatting to me whilst I’m stood in my bra because at the end of the day she’s a medical professional and has seen it all before, we’re both female, it’s just a body and well.. once you’ve had a child there isn’t much left on the dignity front anyway.
I pull on my jumper and gather my things.. now what room did she say to go to? and how do I find it? thankfully as I come out of the cubicle I spot Dr Izzy in the corridor, she waves and directs me round into her room.
I take a seat in her room and Dr Izzy discusses everything from the week pulling out my mapping chart, explaining how my back has always been negative and there are no positive allergy reactions there, discussing how we added patches of gold and zinc to my upper right arm and retested it, with that Dr Ferguson pops her head around the door and comes to join us,
Both Dr Izzy and Dr Ferguson explain that although there very much does appear to be something going on with the gold, for them to be able to say it is an allergic reaction they would have expected the previous test site of the gold to have remained red, bumpy and prominent, whereas instead it has done the complete opposite and is virtually non existent and has faded. They are however very aware that this reaction today is much more noticeable and prominent than previous, but they’re not sure it’s enough to rule in or out an allergy or positive reaction, querying other factors such as the marker pen or tape- I’m dubious over this theory, just because all of my back is covered in the same pen and tape and surely that would have equally presented in this way?
Dr Ferguson turns to me and says “To be honest, even when you first showed us the photos last week, we never thought it was an allergy ,we were very baffled too.” I asked Dr Ferguson.”What do you think it is, as we’re all in agreement something is reacting or has happened?” Dr Ferguson replies.”I genuinely have no idea, and I wouldn’t like to say because I’m so baffled. if its not an allergy and its not infection then I’m really sorry to say ,we don’t know” They reiterate they cannot say it is an allergy for sure as they said to do so they’d like to have seen it on both sites, which if it had remained pink/raised on the initial site they would say it is an allergy, Dr Ferguson explains from their point of view there is unfortunately nothing more they can do, it is not an allergy but the gold may potentially be irritating something, but she does say “By no means does that mean you cannot push forward with another implant if that’s what you, we would not be saying it’s a no from our perspective in our letter to your consultant, if you want to push ahead then absolutely you can and you have our go ahead and we will perhaps recommend you’re given medical grade scrub to use before surgery to keep the microbes down ,not saying you don’t wash your hair but just as another precautionary measure”

We are all in agreement it was worthwhile retesting even if we are just as if not more confused than we were on Wednesday . Dr Izzy said “I’m really sorry that we cant tell you what this is and why this is happening to you” ,No honestly its fine it was still worth doing as it has ruled allergies out, and means we aren’t missing anything obvious. Dr Izzy replies “I’m sorry this has happened and we’re so baffled” Honestly it’s fine don’t worry I appreciate it,but I was always open to the fact this could draw a blank, and honestly you’re not the first to baffled, I have a way of keeping everyone on their toes” I reply back light heartedly
The appointment ends with Dr Izzy and Dr Ferguson agreeing it isn’t worth them seeing me again Monday, and instead have asked if I can send them a photo on Monday of how the site looks, regardless of whether it is still obvious or faded, which I agree to do. Dr Izy explains that they will write a letter up for my ENT consultant (Joe) , which they said should hopefully reach him before my next appointment with him in March
I’m fine about this outcome and I’m taking the positives from it which are:
we know it is not an infection -minus the staph of course.
It is not an allergic reaction
it’s not eczema
It’s positive in that it narrows possibilities down a bit. but hey you know me .. forever a mystery, but you wouldn’t have me any other way , life would be far too easy otherwise (though I won’t lie it would be nice once in a while)
once home what had initially looked like blisters now look more like redish whitish spots like a graze, when the dermis becomes exposed, although still raised it is only ever so slight compared to what it was, which is really bizarre.. Natrually of course it’s only when I get home I realise although I should now be able to bath/wash as normal , Dr Izzy and Dr Ferguson have asked for photos on Monday.. so can I get my arm wet? – I will just avoid my upper right arm until Monday to be on the safe side














