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Surgery delays leave Christchurch woman on liquid diet for a year – ‘My life is on hold’

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Beri Cakal has not eaten a proper meal for over a year.

She can only take sips of water and nibble on plain crackers or small white sandwiches after her bowel “fell apart” during emergency surgery and left her on the brink of death a year ago.

Instead, Cakal survives on a special liquid diet pumped straight into her veins through a feeding tube at home and wears two uncomfortable ostomy bags.

The 43-year-old was desperately looking forward to an operation to repair the damage this month, but surgery delays and cancellations at Christchurch Hospital mean it has been deferred indefinitely.

Cakal cannot bear the thought of another year of ill-health, discomfort and confinement.

“It’s horrible. It will be devastating for me,” she said.

“My life is upside down now. All my movement is in slow motion. All my freedom and confidence has gone. I just want to be normal again, eat and drink normally.”

Cakal was admitted to hospital last March with stomach pain from a small bowel obstruction, but a bowel perforation during surgery left her in a coma for 29 days.

Doctors told her family she was not expected to survive.

“The first week my family was told to say their farewells twice, I had six major surgeries in 12 days,” she said.

Against all odds, Cakal pulled through.

She spent 40 days in intensive care and a further two months recovering in hospital before her discharge last June.

While she waits for more surgery, her fluid intake is limited to 800 millilitres per day.

Her main sustenance comes from a total parenteral nutrition (TPN) machine she is hooked up to for 14 hours a day, from 5.30pm until 7.30am.

“I’m allowed to eat small bites, but no fibre, no raw food – just like cheese and crackers, some chips, small white sandwiches,” she said.

“I’m from Turkey, I love food. It’s another thing in my life I’m missing, just drinking water without stopping. Everything is limited, so I have a sip and stop, I have a bite and stop. It’s quite depressing not being able to eat.”

The liquid TPN formula costs around $9,000 per month, Cakal said.

She must also check her ostomy bags, which are stinky, uncomfortable and prone to leaks, every half-hour.

“I hate colostomy bags and I feel ashamed of my body, but they saved my life,” she said.

“I cried almost every day because of my situation. My friends are meeting up, going to parties or overseas, but I’m stuck at home. I feel like I’m 80 years old at the moment. My life is on hold.”

She has dropped to part-time work as a graphic designer because of her health, but fears she is on the brink of losing her job because of the lengthy wait for surgery.

Cakal’s doctor Chris Wakeman said he could not promise her a date for a major bowel resection.

“She needs an elective procedure but Christchurch Hospital is now only basically, from a colorectal point of view, just doing cancer operations and we’re postponing those regularly every week,” he said.

“Someone like Beri, who doesn’t have cancer, hasn’t got any chance of having an operation here in the foreseeable future.”

Wakeman said Cakal could potentially be referred to Auckland Hospital but there were no guarantees she would be able to have an operation there either.

“It’s a failure of the medical system in Canterbury. It’s always been hard to get non-cancer operations done, but we did manage. This is just a total free-fall for the state of our elective waiting list,” he said.

“They’re promising come Anzac Day that things will improve, but we’ll have to wait and see.”

Canterbury medical professionals have described a health system in crisis, with a chronic shortage of anaesthetic technicians exacerbating existing workforce problems.

Surgeons met health officials at Christchurch Hospital on Wednesday to discuss elective surgery waiting lists.

Te Whatu Ora could not say how many surgeries were being deferred this week.

In a statement, interim hospital and specialist services lead Lisa Blackler said it was difficult to measure how many operations were deferred because most were rescheduled rather than cancelled.

“For some specialities there is a 50 per cent reduction in their usual capacity this week, however we are aiming to deliver up to 70 per cent of our overall planned surgery this week – this does rely on having sufficient staff and bed resources each day,” she said.

“This is being managed on a session by session basis to ensure all available resources are utilised.”

 

SOURCE RNZ

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Police say person who fired gun at officers still at large

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Police say a person who fired a gun at officers in Napier is still at large.

Eastern District Commander Superintendent Joel Lamb said Police tried to stop a vehicle in the Pirimai Area at about 10pm on Tuesday.

He said someone in the back seat pointed what was presumed to be a firearm at officers pursuing the vehicle.

“Staff have then heard two distinct gunshots as the firearm was discharged.

“Fortunately, neither of our officers were injured, and the patrol vehicle did not sustain any damage.”

He said hours later, the vehicle was seen travelling north on the Waikato Expressway towards Auckland.

Police seized the vehicle at an address in Manurewa, but they had not found the alleged offender.

Lamb said people who lived at the Manurewa address were engaging with Police.

He said Eastern District and Counties Manukau Police were making enquiries.

“Presenting a firearm at a Police officer is a serious escalation that puts our staff and the wider community at risk. This behaviour is entirely unacceptable.

“We are taking this incident extremely seriously and will be pursuing all lines of enquiry to locate the offender and hold them accountable.”

Police asked anyone who witnessed the incident to contact Police on 105 or online using the reference number 261111/3764.

Information could also be provided anonymously via Crime Stoppers on 0800 555 111.

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New Zealand sides named for RLWC finals

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The players tasked with ending Australia’s Rugby League World Cup dominance have been named.

The Kiwis and Kiwi Ferns have announced their squads for this Sunday’s World Cup finals in Brisbane.

Both sides are chasing their first titles since 2008, and both are looking to end their opponents run of three crowns in a row.

“Our Kiwi Ferns have been so dominant in years gone by, and we want to bring dominance back to this jersey, so I think it will be a case of who wants it more,” said co-captain Georgia Hale of the impending clash.

The Kiwis get a major boost for the final as they welcome back Ronaldo Mulitalo after he served a one-match ban for a high tackle against Fiji Bati.

Mulitalo replaces Charnze Nicoll-Klokstad, who moves to the six-man bench, which again includes utility Te Maire Martin, middle forwards Naufahu Whyte, Erin Clark and Xavier Willison plus fullback Keano Kini.

Loose forward Joseph Tapine will make his 30th Test appearance in a familiar pack again, including second-rowers Isaiah Papali’i and Briton Nikora, and props James Fisher-Harris and Moses Leota.

Winger Jamayne Isaako is on the cusp of claiming the New Zealand record for most Test points.

His five goals against Tonga lifted his career points tally to 225 – level with Shaun Johnson – while centre Casey McLean goes into the final with 16 tries in just eight Tests.

Fisher-Harris will again captain the team.

Fullback Ponga said the goal of the group was clear.

“We have high expectations around what we want to achieve, and obviously winning a world Cup is one of them.”

Meanwhile, Ricky Henry has selected a settled side to take on the Jillaroos, led by their lethal centre combination of Stacey Waaka and Mele Hufanga.

Veteran Apii Nicholls takes the number one jersey, Leianne Tufuga and Mackenzie Wiki on the wings.

Henry has stuck with his halves pairing of Chantay Kiria-Ratu and Raecene McGregor with Alexis Tauaneai, Georgia Hale and Otesa Pule up front.

Rounding out the starting pack is Shaniece Monschau, Kaiyah Atai, and Angelina Teakaraanga-Katoa.

“We have been building well throughout the tournament; we understand the Jillaroos side, and will give it our all to make New Zealand proud this weekend,” said Henry.

RLWC Finals:

Kiwi Ferns vs Jillaroos- 6.10pm

Kiwis vs Kangaroos – 9.35pm

Sunday November 15

Suncorp Stadium, Brisbane

Live blog updates on RNZ

Kiwi Ferns:

1. Apii Nicholls 2. Leianne Tufuga 3. Mele Hufanga 4. Stacey Waaka 5. Mackenzie Wiki 6. Chantay Kiria-Ratu 7. Raecene McGregor 8. Alexis Tauaneai 9. Georgia Hale 10. Otesa Pule 11. Shaniece Monschau 12. Kaiyah Atai 13. Angelina Teakaraanga-Katoa.

Interchange: 14. Ashleigh Quinlan 15. Annessa Biddle 16. Shannon Mato 17. Ivana Lauitiiti.

Reserves: 18. Brooke Anderson 19. Zahara Temara 20. Brianna Clark 21. Abigail Roache 22. Tenika Willison.

Kiwis:

1. Kalyn Ponga, 2. Jamayne Isaako, 3. Dane Gagai, 4. Casey McLean, 5. Ronaldo Mulitalo, 6. Kodi Nikorima, 7. Jahrome Hughes, 8. James Fisher-Harris (c), 9. Jeremy Marshall-King, 10. Moses Leota, 11. Isaiah Papali’i, 12. Briton Nikora, 13. Joseph Tapine (v/c).

Interchange: 14. Te Maire Martin, 15. Naufahu Whyte, 16. Erin Clark, 17. Xavier Willison.

Reserves: 18. Keano Kini, 19. Phoenix Crossland, 20. Charnze Nicoll-Klokstad, 21. Scott Sorensen, 22. Leo Thompson.

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Parliamentary Service working on extra chairs and offices for increased number of MPs

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The chief executive of the Parliamentary Service is confident there will be enough room to accommodate the increased number of MPs and their staff coming into Parliament.

On current numbers, up to 131 MPs could be sitting in the Chamber following the election, brought on by a record overhang result.

Clerk of the House of Representatives Dr David Wilson told the Spinoff that currently the debating chamber had enough chairs to seat 124 MPs – including the Speaker of the House – and work was being done to accommodate more by altering the seating arrangement.

In a statement, Parliamentary Service chief executive Rafael Gonzalez-Montero said planning for a larger Parliament had been going for “some time”.

“Now that the election results have confirmed an increase to the number of members we are looking at several options.

“We are confident we will be able to accommodate all members within the Chamber.”

Chief Executive of the Parliamentary Service Rafael Gonzalez-Montero appears before select committee.
Parliamentary Service chief executive Rafael Gonzalez-Montero.

VNP / Phil Smith

Gonzalez-Montero said office accommodation for members and their staff would be “stretched” for a short time, but the new Members’ Building was only a few months away from “practical completion”.

That building – located behind Parliament – was due to be ready to occupy in April next year and had capacity to accommodate around 30 backbench MPs.

“All members should be in fit-for-purpose accommodation from that point,” Gonzalez-Montero said.

Following the 2023 election, 123 MPs sat in the Chamber – a record number at the time. That decreased to 122 following the resignation of National MP Judith Collins.

Collins held the seat of Papakura and stepped down in May and Parliament voted against holding a by-election because it was too close to the election.

The election result also meant high-ranking National Party MPs like Chris Bishop, Paul Goldsmith, Nicola Willis and Gerry Brownlee – Speaker of the House and an MP for 30 years – would likely not make it back into Parliament.

Only resigning or retiring MPs were permitted to give a valedictory speech meaning none of them would get the chance to give a valedictory statement.

Asked if their would be special allowances for valedictories, Wilson said in a statement that normally only MPs were allowed to speak in the House but the House could suspend its own rules or temporarily alter them.

“It could do so to allow former members to address the House.”

Wilson said no such arrangements could be made until the next Parliament opened and members sworn in.

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