My feet and hands were amputated after sepsis - MP

Conservative MP Craig Mackinlay is returning to Parliament for the first time on Wednesday after suffering a life-threatening episode of sepsis which led to the amputation of his hands and feet.

Speaking to the BBC, the South Thanet MP recalls his experience of falling ill, his recovery and the shock of waking from an induced coma to find his limbs had turned completely black.

He says his arms and legs were "like plastic...you could almost knock them...they were black, desiccating, clenched".

"They managed to save above the elbows and above the knees," he added. "So you might say I'm lucky."

Now he wants to be known as the first "bionic MP", after he was fitted with prosthetic legs and hands.

It was on 27 September, when Mr Mackinlay, 57, began feeling unwell. He didn't think much of it, took a Covid test (which came back negative) and had an early night.

During the night he was badly sick but still didn't think it was anything serious.

However, as the night wore on, his wife Kati - a pharmacist - began to get worried and tested his blood pressure and temperature.

By the morning, she noticed that his arms felt cold and she couldn't feel a pulse. After ringing for an ambulance, Mr Mackinlay was admitted to hospital.

Within half an hour he had turned what he calls "a very strange blue". "My whole body, top to bottom, ears, everything, blue," he says.

He had gone into septic shock. The MP was put into an induced coma that would last for 16 days.

His wife was told she should prepare for the worst, with staff describing her husband as "one of the illest people they'd ever seen". His chances of survival stood at just 5%.

At his wife's insistence, Mr Mackinlay was transported from his local hospital in Medway, Kent, to St Thomas' in central London, directly opposite his workplace, the Houses of Parliament.

He remembers little of this - but what he can remember is the strange dreams which he thinks were brought on by morphine.

As he came to, the grim reality set in.

On waking up, he remembers hearing discussions about his arms and legs. "By then they had turned black...you could almost knock them," he says, likening them to the plastic of a mobile phone.

He says he wasn't surprised when he was told they might have to be amputated.

"I haven't got a medical degree but I know what dead things look like. I was surprisingly stoic about it... I don't know why I was. It might have been the various cocktail of drugs I was on."

The operation - for all four amputations - was on 1 December. He remembers waking up following the procedures feeling strangely alert.

So alert, he wondered if the amputations had actually happened at all. "But I woke up and I looked down and you obviously realise that they had."

Christmas was "sombre", spent with his family, including his four-year-old daughter Olivia. "She adapted to it very easily," says Mr Mackinlay.

"Probably better than anybody else frankly. I think children are just so remarkably adjustable."

Olivia has had to adapt to her father's new prosthetic legs - one he has nicknamed Albert, after the dummy used by war camp prisoners in the 1950s film, Albert R.N.

Learning to walk with his prosthetics has taken time.

First, he had to re-build the muscles which had wasted away.

"My legs have never been big - I always say I've got chicken legs, but now they are sparrow legs.

"There was no muscle on them at all, it was quite horrible. You picked up your leg and you can see a bone and a bit of sort of hanging."

Once his prosthetic legs were attached he gradually relearnt how to walk.

"After a really quite quick time you think 'I can do this'."

On 28 February - five months after first feeling ill - he was able to walk his first 20 steps unaided.

Inevitably progress was stop-start. He got painful blisters in areas where his skin had broken down and had to stop for a bit. "That was very frustrating - for me walking was my sign of success," he says.

Sepsis is a rare but serious condition that develops when the body's immune system overreacts to an infection and starts attacking its own tissues and organs.

Symptoms can include, external severe breathlessness and slurred speech.

If sepsis is not treated early, it can turn into septic shock and cause organs to fail.

Mr Mackinlay says the loss of his hands has been the hardest thing to deal with.

"You don't realise how much you do with your hands... use your phone, hold the hand of your child, touch your wife, do the garden."

He says his prosthetic hands are "amazing... but it's never going to be quite the same.

"So yeah, the hands are a real loss."

Like his new legs, his hands were originally provided by the NHS, but he has since gone outside the NHS for new hands, likening the original prosthetic hands he was given to "something out of medieval times".

"They're just blunt objects - I did look at them and think 'well I'm not sure what these are good for beyond breaking windows and pub fights'."

In addition to losing his hands and feet, the sepsis has caused scarring on Mr Mackinlay's gums, leaving his front teeth loose, and on his face.

"I'm trying to grow a goatee to cover it," he says.

Although his attitude is largely positive, Mr Mackinlay admits to having "low moments".

"You do get a little one every morning because you're in the land of nod having a nice dream, and then you wake up and it's 'I haven't got any hands'.

"That is the realisation every morning.

"It's very easy to say - and I do try and stick to it - there's not much point moaning and complaining or getting down about the things you can't do.

"You've got to be cheerful and positive about things you can do and I find every day there's something new that I can do.

"None of this would be possible without my wife… I wouldn't be where I am today without her.

"We [MPs] probably spend too much time in Westminster, away from our families, chasing this, that and the other.

"You now realise the important things are family, friends, children."

Before entering Parliament, Mr Mackinlay worked as a chartered accountant. Originally a member of the pro-Brexit UK Independence Party, he was elected as a Conservative MP for South Thanet in 2015.

Despite what he has gone through, Mr Mackinlay stills plans to fight the next election in his Kent constituency, due to be renamed Thanet East.

And he still has things he want to do as an MP, particularly making sure sepsis is recognised at the earliest opportunity and making it easier for amputees to get the prosthetics they need.

He also says he wants to become the "bionic MP".

"When children come to Parliament's fantastic education centre I want them to be pulling their parents' jacket or skirts or their teacher and saying: 'I want to see the bionic MP today'."