• 2 days ago
A medical student who lost limbs to meningitis has had a rare hand transplant to help her become a doctor.

Becca Heritage had been enjoying her first weeks at University of Southampton when she became ill.

Doctors later discovered she had meningitis in November 2018 - a diagnosis that would change her life forever.

Her parents were told to expect the worst - but medical staff were able to save her life by amputating both legs and most of her fingers.

She self-referred herself to undergo a hand transplant - and would go on to become the ninth person in the UK to have it done.
Transcript
00:00I'm Becca Heritage. So I just started uni in Southampton. I was about five or six
00:05weeks in. I had a friend visiting from home, we had a nice evening together. I
00:10went to bed feeling perfectly normal, really well, and then in the night I woke
00:14up vomiting and that wouldn't stop. So I ended up going into A&E and they were
00:18about to send me home after giving me some anti-sickness medications and then
00:23I started showing signs of sepsis. So I had a really high temperature, my blood
00:28pressure like sank right down, my heart rate was really high and I felt really
00:31like clammy and unwell. So that all happened very quickly and then my
00:37parents came to Southampton because they basically couldn't cool me down fast
00:42enough so they were putting me in intensive care. So I was in a coma for
00:45two weeks and stayed in intensive care for six weeks and during that time my
00:50family were told to kind of prepare for the worst, that my organs were failing
00:53from the sepsis and then again when my brain had swollen with the meningitis.
00:58So it was a hard time for them but I woke up and could see kind of the
01:04damage had been done to my body, so like my hands and feet had turned back and I
01:08had all these patches over my skin. From there on it was kind of lots of
01:12surgeries to try and make the most of what I had, so trying to save my skin, so
01:18lots of grafting and then they were trying to save my fingers and my feet
01:22but realistically they were already gone. So I had my fingers on my right hand
01:27amputated in the December and then I had my left hand, most of my fingers
01:32amputated on that hand as well and then in the new year I had both my legs
01:36amputated below the knee. I had a lot of focus on my legs I guess at first and
01:42prosthetics and so I got up and walking within like seven weeks of going to
01:45rehab. So I was walking fine but there was not many options for my hands
01:50especially functional options, so I'd heard about hand transplant so I started
01:55looking it up myself and found the team in Leeds and you could self-refer to
02:00them so I did that. Just a year after I'd had all the sepsis, so eventually went to
02:04meet them, see if I was a good candidate or not, did lots of different assessments
02:08and blood tests and all sorts of things and eventually they said you know that
02:12they could put me on the list. So that process took about two years and then I
02:15was on the waiting list for just over a year and then I got my call on a
02:19Tuesday morning when I'd woken up to go to placement so I had to go to Leeds on
02:23that day and have the surgery. Well at first it's so bandaged up I couldn't see
02:27too much but I saw a little photo, got quite emotional actually and it felt
02:31like a really long time coming and I finally was taking kind of a step
02:34forward for myself and how I'd be able to function. So I was really excited just
02:38to get moving but you have to be really careful during the recovery process so I
02:41found that a little bit frustrating. You have to protect all the bones that have
02:45been joined together and things like that. At first you kind of lose a bit of
02:48function because you can't use any of your hand but over time I do lots of physio
02:54and things that functions pretty good now. I'm really happy with how things
02:58have gone and it was like definitely the right choice for me yeah. Things feel
03:03natural. A lot of the things that in the last year or so that I've been able to
03:07start doing I haven't really consciously had to think about trying to use my
03:11right hand. They just come kind of naturally, everything's felt normal, it's
03:15felt like mine since the beginning which is kind of amazing and I don't
03:19think you'd ever get that with a prosthetic. Well in the lab the things
03:22that you do aren't kind of normal like activities with your hands I guess
03:26like I'm pipetting things or using different like machines and things I
03:30just haven't used before but overall things been pretty good like there's
03:34nothing that I haven't been able to do in the lab which is really cool. So I
03:37think it's given me the opportunity to do this research and then go back to my
03:42medicine degree afterwards and hopefully have extra function with all those kind
03:45of clinical skills as well. I know that it's such a quick-acting disease you
03:50know I went from waking up in the night you know just being sick and to being in
03:55intensive care within 12 hours so it acts really quickly so it's just to be
03:58aware of the symptoms and the kind of red flags what to look out for it's
04:02really important and also there's like vaccination and learning about that you
04:07know helps prevent the disease in the first place so I'd always encourage
04:10people to look into that as well.

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