Archive for November 19th, 2005

19
Nov

Friday November 11th, 2005

And now things start to get fuzzy.

Despite my best intentions, there’s no good way to keep track of a hospital stay that includes massive doses of narcotics, some fairly serious pain and limited mobility. Well, I guess a personal recording device of some sort would have worked, but I didn’t think of that, and no one was running to get me one at that point either.

During the night, I was taken from my bed and got into a chair (more or less) under my own power. That in itself wasn’t too bad. What happened after that however, was.

After returning to my bed, I began having some “moderate” pain in my chest. Not heart attack pain. But more pain than I’d probably felt in my lifetime and I didn’t know what was causing it.

As I’ve mentioned before, all of these places use a scale of one to ten to measure your pain, with one being a little pain and ten being the worst pain imaginable.

Before being in this place, I’d have called the pain about an eight. Since then, I’d learned that it was only a four or five. But with the staff not knowing what it was, the prospect of that number getting lower didn’t look good and I was feeling worse by the second. I had also basically had all the pain meds they could give me for about another two hours, so when they realized that I wasn’t at risk and was just going to have to get thru it, I was basically stuck there to survive my own pain tolerance for two more hours.

That’s when I met Jim. He had gone thru emergency quintuple the same day as my procedure and was in the bed to my left. We had talked a decent amount thru the night until this “thing” started, and at that point I became a less than desirable neighbor to Jim or the six other people forced to listen to my swearing and gasping for air.

And an amazing thing happened. A guy who had his own problems to worry about and his own pain courtesy of his own cracked sternum started asking me questions. Crazy questions. Personal questions. Just one question after another. And I kept wondering why he was fucking bothering me when I just wanted my god damned pain meds.

And the next thing I knew, it was two hours later, and I was given a xanax, two percocet, and a direct morphine injection.

And it made my pain go from about an eight to about a six point five.

I was getting pretty mad and pretty freaked out as well.

But that was when another angel (whose name I can’t recall) said “I think you’ve got some fluid issues in the sac around your heart and that pain is being caused by your lungs rubbing against your heart. I’m going to give you this anti-inflammatory injection (the name of which I can’t remember thanks to the Percocet), but within about 60 seconds, I was feeling better. In about five minutes, I knew that I was going to be okay.

Molly and many other folks came to visit me throught Friday despite the crazy visiting hours in the CVICU. Although I know they’re not crazy, they’re tough to deal with when your family has to wait two or three hours for a fifteen minute pop-in visit.

Based on the fact that I saw no tears, I knew that I was either going to die or that I was going to be fine.

I was told about mid-day that I’d be getting out of the CVICU and was put in a private CVICU room until my private regular room was ready. Before that however, they’d have to remove the line in my neck that went into my heart to keep accurate blood pressure, my remaining IV’s (except for one), and my chest tube.

Oh shit. I’ve heard about this. I’ve watched it on TV. This is going to suck suck suck suck suck.

And so my nurse started removing lines from my arms and neck and cleaning up around them.

And then she counted to three and removed the bloody disgusting mess that was my chest tube. And I felt literally nothing.

“Hey,” I thought. “This wasn’t bad at all.”

And let me tell you, my private ICU room kicked total ass. It was extra sealed so that when the door was closed, you couldn’t hear a thing. Not a peep. So my sleep was amazing, although short.

And that’s when I was awakened by the ince looking nurse who informed me that she was there to remove my catheter.

“Ummm….can that wait?”

“Nope,” she said. “It’s got to come out before you get your own room.”

Fine.

And that wasn’t bad either. Really. In about 60 minutes I had a chest tube and a catheter removed and they really weren’t bad at all.

Later, it was an uneventful trip to my own room where I continued my diet of water and percocet for the day.

19
Nov

Thursday November 10th, 2005

Woke up at the obscene hour of 4am. Okay, it’s not totally foreign to me since I already get up between 5am and 6am anyway, but to be told to report for heart bypass surgery at 5:30am 35 miles from your house just seems bizarre. Checked in at the desk at St. Joe’s in my now lucky and famous Martin Truex Jr. / Kentucky Fried Chicken shirt. I figure that if you’re gonna do things, you ought to do things that make you laugh even when facing some daunting circumstances. And you have to admit that wearing a KFC t-shirt into a cardiac ward is on the list of stuff that is a tick funny.

Anyway, during the pre-operative interview with a member of the Anesthesiology department, several notes were made on my chart:

Patient is anxious (up arrow – up arrow – up arrow)
Give patient something to relax in pre-op
Patient has high tolerance for anesthesia

(The last line is terribly true. They said that I required over seven times the normal amount during the cardiac catheterization two weeks ago. Apparently I just wouldn’t shut up despite the doctor asking me several times to be quiet so he could concentrate on working on my heart. Not shocking, but more than a little surprising I’d say considering the circumstances).

I appreciated the hospital’s ability to identify a patient that was:

A) EXTREMELY anxious, and
B) Delicate when it came to needles.

Ayway, I was early to arrive since I didn’t sleep well and also since I was Dr. Murphy’s first and only patient of the day. After all we’d been thru to that point, I thought it would be rude to keep him waiting.

I was called back to pre-op curtain area 7 around 6:20am and I immediately said “hey…that’s good news. I got Robby Gordon’s number.”

Actually, the first thing I thought was that Lauren would be happy if I were in curtain area 8 since she loves Junior and all.

Vincent was the guy tasked with making sure I was ready and relaxed when the doctors called.

Thanks to the nervous notations, the first thing I got was a Xanax, then a VERY small IV that was immediately filled with something magical, because I stopped giving a shit about anything at that exact second.

The wife and I shared a few pleasntries and I assured her that everything would be fine, and she did the same for me. The funny thing is that I really was a lot less nervous about the bypass than I was the cardiac catheterization, if THAT makes any sense at all.

From there I was wheeled into the operating room that contained “The da Vinci Robot.” It can’t be moved or anything, so that OR is where every one of these procedures at St. Joe’s has ever been done.

I remember the anesthesiologist and his team being very nice and friendly, and they assured me that I was in great hands. They also put something else into my IV that made me feel pretty assured that I could actually be shot with a gun and not feel anything.

It is at this point that the guy said “you’re gonna start feeling pretty relaxed,” and the next thing I knew it was Thursday evening. (That guy deserves a raise, by the way).

Later, the wife informed me that Dr. Murphy came out to see her around 8:30am to talk to my family. He said that they’d started the IV and would be starting the procedure around 9am. He said that they should be done around 12:30pm - 1:00pm and gave my wife his nurse’s cell phone number.

at 10:10am, Brian called from the OR and said they were just starting. Anesthesia was taking longer to take than normal and that all of the safety precautions they have to do to the robot take longer as well.

I was appreciative of these safety measures, because I didn’t want to wake up hearing “Open the pod bay doors, HAL. I SAID OPEN THE POD BAY DOORS, HAL!!”

At 2:40pm, Dr. Murphy called and said that it had worked and that there were no problems, etc. He also said that it had taken longer than they had expected because I was such a big guy. I assume he meant from the waist down.

At 3:55pm they brought my wife back to see me. I sort of recall it, but I remember because I was freaked out because of the ventilator. They tell you and tell you until you’re blue in the face, but the fact is that nothing prepares you for trying to remain calm when you wake up in an ICU and are on a respirator.

Once I was extubated (it’s a real word…look it up) I was much better. Except for the fact that I thought I was going to fucking die. My chest hurt. A lot. That’s all there was. Oh, and I was thirsty. VERY thirsty. It was several hours before they’d even throw me a bone and give me some ice chips. Not much happened the rest of the day except that they got me out of bed and into a chair and made me cough. Coughing sucked. I cannot tell you how much it sucked. But it sucked.

Eventually, an angel in scrubs brought me some ice and later some water. I learned to manage water and ice consumption like a champ, and it really made my night tolerable.

Oh, and I also found out that during pre-op, I was re-shorn on just one side of my groin, leaving a tri-level area of different lengths that’s gonna be a bear to maintain.

Unless I just go the easy way and keep the garden bare.

Sleep on that image, my friends.




 

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