realthog: ('Ronica)
realthog ([personal profile] realthog) wrote2008-08-12 02:47 pm
Entry tags:

I took my groin to the party, but nobody wanted to play


So off set [profile] pds_lit and I to the hospital this morning, Pam complaining about how early it was and me with a mouth like the bottom of a parrot's cage because I hadn't been allowed any liquid since midnight. Good cheer by the bucketful in the car, as you'll understand.

We got to the hospital.

We signed in.

We did all the paperwork.

We were put in a room to wait.

I changed into a backless gown.

We waited.

The very sweet nurse (it was Popeye's day off) came and tried to put an IV port into my left arm. My vein declined to cooperate. She successfully put an IV port into my right arm. (The failed attempt was not her fault, but my vein's. She was one of the most skilled IV-port-putter-inners I've come across, giving me almost zero pain.)

She hooked up the IV. Now at a state of dehydration that had me hallucinating unguarded toilet bowls, I faced a plump bag of clear, clean-looking, cool-looking liquid not three feet away from my parched lips.

We waited quite a long time longer, Pam doing her knitting while I read my book (Christine Wicker's Not in Kansas Anymore [2005]: recommended).

The nurse reappeared to give us the good news that the surgeon was ready to take me through to the theatre. He'd be with us soon to talk us through the procedure. In the meantime, could I possibly accoutre myself with a Texas catheter?

My jaw dropped painfully, me having visions of a Texas catheter being like a normal catheter except blowhardishly twice as long and three times as wide. Not at all, she explained. A Texas catheter is kind of like a thick-walled, open-ended condom, to the open end of which can be connected a urine bag; this saves the (male) patient having to undergo the traditional agonizing impalement.

With thoughts of Texan dimensional exaggeration still rattling around in my mind, I fretted as to whether I might have to confess in embarrassment that thoughts aren't the only thing that can rattle around in overlarge containers, but I needn't have worried: the roll-on part of a Texas catheter is coated with a fairly powerful adhesive, so there was no question of me falling out of the thing.

My worry abruptly shifted focus.

Pam, very decently, forwent the temptation to laugh like a drain at her husband's concerns, and carried on knitting.

We waited a while longer, me by now too nervous to read my book. Instead I read the face of the clock on the wall. Fun stuff.

Finally the surgeon appeared! Everything was about to swing into hi-tech motion! The next few hours would be a bit of a blur for me, as the morphine did its stuff! Tonight I'd be home, bionic in both legs! At last the waiting was ov . . .

"Do you have any open wounds?"

"Wha-wha-wha-Sorry?"

"Do you have any open wounds?"

"Just the hole in my leg where the surgeon carved out a mass of necrotic tissue."

"Let me have a look at it."

So I peeled off the elasticated bandage and gauze pads I've been wearing (well, not these exact ones, but you get the idea) for the past few weeks, and we looked at the hole. It marks the place where the bypass crew yanked out leg veins; that wound failed to heal properly, leading to the heart surgeon later having to scoop out a dollop of dead flesh about the size of a half-golfball. The wound's healing nicely, but there's still a hell of a lot of hole to fill in.

"I can't operate on you when you have an open wound like that," said this morning's surgeon. "If there's the remotest chance of infection, it's crazy ever to implant stents. Getting them in's the easy part. The surgery to get them out, should they go septic, is a nightmare. Just for a start you'd be on an IV for eight weeks . . ."

He'd convinced me.

As we chatted, he explained there'd be no problem leaving my stenting another few weeks, until the leg wound has properly healed: the arteries concerned have each about an 80% blockage, which is grim, but it isn't life-threatening -- although, of course, the situation can't be left as is indefinitely or it could become so. He said he'd have another look in four weeks or so; when I pointed out this'd clash with our hoped-for mid-September trip to the UK to Fantasycon, he happily postponed further, until early October.

Since the real big obstacle to making the trip was whether it was wise to expose recently implanted stents to pressurized cabins, it now looks certain we'll be at Fantasycon -- yahey!

Off went the surgeon.

There was still the matter of the Texas catheter, which likewise had to be off.

"Would you like me to help?" said Pam in her very best dulcets.

Images of the celebrated Christmas Cracker Effect filling my inner eye, I chose to undergo the struggle on my own. The sound was as I imagine waxing sounds. I couldn't do the manly thing and shriek piercingly because by this time, on the far side of a thin curtain, another patient had been wheeled in to fill the second half of the room. He must have wondered if I were pulling up the floor tiles.

Then, with one final mighty sound, I was free!

Is this how Laurell K. Hamilton gets the ideas for her vampire novels?

The device now had a beard.

The Texas Catheter Massacre?

I may have limped faster in my life than I limped out of that hospital this morning, but I cannot recall having done so.

Of course, the whole incident is profoundly irritating. For me, the major part of the entire operation is the steeling of myself for it in advance -- and quite a lot of steeling is required by this poor wee tim'rous, cow'ring beastie. Then there's the necessity to dehydrate for 11 or 12 hours beforehand; not easy for someone who normally drinks as much liquid as I do.

Both of these things have to be endured all over again. Grr!

A further cause of irritation is that not one of the other medical types I've seen over the past few weeks thought it could be worth mentioning to Pam and me that we might want to check in case the hole in my leg would outlaw any stenting attempts until it had fully healed. Nor had any of them noted to the stenting surgeon that I had this great, gaping, echoing, suppurating chasm in me. I saw the folk in the hospital's very own Pre-Admission Testing Dept. for a checkup just a few days ago, and they didn't see fit to mention anything to either ourselves or the surgeon. Double grr!

Well, at least it means I ought to get some work done this week . . .
 

[identity profile] fledgist.livejournal.com 2008-08-12 09:18 pm (UTC)(link)
Yes, they do, because it's larger than the normal catheter and thus 'Texas-sized'. Bienvenu aux Etats-Unis.

[identity profile] realthog.livejournal.com 2008-08-12 09:23 pm (UTC)(link)

"Your anti-climax is much worse than mine."

Y'know, one of us should now say, "Was the anti-climax good for you, too?"

[identity profile] louismaistros.livejournal.com 2008-08-12 09:27 pm (UTC)(link)
Could be worse. Could be "Australian for Catheter."

[identity profile] realthog.livejournal.com 2008-08-12 09:30 pm (UTC)(link)

What, with corks hanging round the rim?

[identity profile] louismaistros.livejournal.com 2008-08-12 09:33 pm (UTC)(link)
Yes, precisely like that.

[identity profile] charlesatan.livejournal.com 2008-08-12 09:46 pm (UTC)(link)
One threat postponed...

Between you and Sarcobatus, your medical experiences are starting to sound like an Adam West Batman TV series by leaving us in a cliffhanger.

[identity profile] realthog.livejournal.com 2008-08-12 09:52 pm (UTC)(link)

Actually, I thought it was quite amusing even at the time.

[identity profile] realthog.livejournal.com 2008-08-12 09:53 pm (UTC)(link)

That's pure Greek to me, as you know, F.

[identity profile] realthog.livejournal.com 2008-08-12 09:53 pm (UTC)(link)

"Jumping MRI results, Batman!"

[identity profile] norilanabooks.livejournal.com 2008-08-12 10:15 pm (UTC)(link)
Wow, Paul, just wow! But at least the good thing is the surgeon was careful enough not to take a foolish risk and go ahead with the procedure!

:-)

Vera

[identity profile] realthog.livejournal.com 2008-08-12 10:19 pm (UTC)(link)

"But at least the good thing is the surgeon was careful enough not to take a foolish risk"

Too damn' right! And the other good thing is I can now go on a plane without any sneaking worries about recently installed stents.

[identity profile] realthog.livejournal.com 2008-08-12 10:20 pm (UTC)(link)

I think I'm not going to inquire about this.

[identity profile] sarcobatus.livejournal.com 2008-08-12 10:25 pm (UTC)(link)
LOL!

And smoke a cigarette.

[identity profile] sarcobatus.livejournal.com 2008-08-12 10:27 pm (UTC)(link)
Oh, Charles, it's the wild, wacky world of medicine.

[identity profile] sarcobatus.livejournal.com 2008-08-12 10:29 pm (UTC)(link)
Yes, yes, yes!

No foolish risks. What kind of treatment protocol has your doctor arranged for your wound?

[identity profile] fledgist.livejournal.com 2008-08-12 10:32 pm (UTC)(link)
There's that, true.

[identity profile] realthog.livejournal.com 2008-08-12 10:34 pm (UTC)(link)

"Leave it to you to describe something utterly horrible"

It wasn't that horrible! A lot of the time I was giggling.

[identity profile] fledgist.livejournal.com 2008-08-12 10:34 pm (UTC)(link)
Ah, good. Are you sure you're Scottish? You don't seem to have the dour, Presbyterian part down quite right. (I've been spending part of the summer reading Thomas Carlyle, so I may be prejudiced.)

[identity profile] louismaistros.livejournal.com 2008-08-12 10:36 pm (UTC)(link)
I'm sure it was a delight!

;-)

[identity profile] realthog.livejournal.com 2008-08-12 10:38 pm (UTC)(link)

It's the heart surgeon wot has to do that (it's his wound, so he's got to be in charge of it). However, there are no real worries about the progress of its healing: it's just that the process takes a while, that's all. Today's surgeon said his colleague should give the wound a quick once-over, but he himself could see nothing bothersome about it. It's just that any open wound causes a risk in what has to be an ultra-sterile environment.

[identity profile] fledgist.livejournal.com 2008-08-12 10:39 pm (UTC)(link)
For the benefits of Brazilian citizenship, in Portuguese (and missing a circumflex, alas, as I am sitting in the north Georgia hills and typing on a laptop and so can't use the number pad to type in the accented characters).

And here I thought that the Scots all learned Greek and Latin at their dominies knees.

[identity profile] douglascohen.livejournal.com 2008-08-12 10:40 pm (UTC)(link)
Sorry you had to postpone, but I suppose things could've been worse.

[identity profile] realthog.livejournal.com 2008-08-12 10:50 pm (UTC)(link)

Not to worry, as you say -- and at least I've got a story to tell my grandkids (if ever).

"Grampa, Grampa, tell us about the time you got your . . ."

"Kids! You leave your poor grandfather alone!"

". . . stuck in a . . ."

"KIDS!!"

"Aw, Mo-om!"

[identity profile] ellen-datlow.livejournal.com 2008-08-13 12:04 am (UTC)(link)
Owwww. Sorry you went through all of that prep for nothing.
And bad docs! They should indeed have mentioned that it could be problem.

[identity profile] realthog.livejournal.com 2008-08-13 12:10 am (UTC)(link)

"And bad docs!"

Yes indeed. There is a special circle of Hell reserved for them, where the demons wield Texas catheters . . .

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