Archive for November 20th, 2005



20
Nov

Tuesday November 15th, 2005

Tuesday morning came with a wimper more or less. I’d managed to sleep about 4.5 hours straight and a total of about seven hours, which is awesome for me any day, let alone a few after heart surgery.

Buoyed by this and my need to blog, I decided to start weaning myself off the Percocet. Instead of two every four hours, I figured I’d try two every six hours or so.

Mistake.

I waited the six hours, took two Percocets, and I didn’t feel better.

At all.

As a matter of fact, I was already counting down to my next chance for two Percocet, and it was three hours to go.

Ack.

It took two more doses to not be hurting again. And I mean hurting. When you get your Percocet on a schedule, you start thinking you’re bulletproof and not hurting as bad as you really are. When the Percocet had worn off I realized that I was in bad shape.

“Dude…you had heart surgery. How fucking stupid are you?”

Good question.

And the simple answer is that painkillers are a double edged sword. They help you manage pain but they also make you functionally retarded, leading to decisions like no longer taking Percocet.
See? It’s quite a catch-22.

20
Nov

Monday November 14th, 2005

This day started early, as though Sunday night never really ended.

It was the same old thing: gas in belly, but as soon as it got near the exit and I ran to the head, it’d run away.

The wife even went so far as to put down a crib pad and implore me to just go ahead and shit the bed if that would help at all. (I’m telling you, you don’t know someone loves you until they tell you to shit the bed so you can feel better. Unless it’s Chuck Berry. But that’s for another time).

Despite the generous offer, I simply could not make myself shit the bed.

So instead, I brought a chair upstairs and turned its seat away from the crapper. Then I put a pillow on the back of the chair and proceeded to rolling pin my abdomen again until I was just about to shit the floor, and then I’d drop on the can and purge the evil from my system.

I can’t tell you how bizarre it is to build up your anxiety about surgery, only to find that your biggest nemesis would be superpowered farts and cramps.

This went on until about 4am when I finally fell asleep.

As soon as we could, we called the doctor’s office, and his nurse asked the sixty four thousand dollar question:

“Why is he taking Zocor? He doesn’t have high blood cholesterol…does he?”

No…he does not.

“Well, don’t take that anymore. Let’s see if that helps.”

Meanwhile, I religiously took my two percocet every four hours, lest I lose any of the sludge that was muddying the creative works up in my pumpkin. I had hoped to keep a realtime blog after I got home, but all I could seem to do was eat (a little) and sit and sleep, but only if it was two hours at a time. (Thanks hospital).

I felt better than I had on Sunday. Hell, I repeatedly feel better now than I did six hours ago. I’m truly amazed by this. The healing powers of the human body are truly remarkable.

20
Nov

Sunday November 13th, 2005

Sunday Morning I felt better. I didn’t think I felt better enough to go home, but I certainly felt better than I had.

Dr. Murphy’s nurse came by to check on me and said my lungs sounded good and that my Sub-Q air wasn’t getting any worse.

This Sub-Q air was and still is my favorite part of this whole event (except for not dying and getting 90 percocet in one bottle). If you don’t know what it is, here’s an explanation:

Sub-Q air

Basically it feels like rice crispies under your skin when you roll your fingers around across the top of your chest and lower neck. At first it freaked me out, but once the nurses told me it’d eventually go away and that it wouldn’t affect my go home date, I embraced my Sub-Q air.

Student nurses came by to feel it. Visitors felt it too. I let anyone feel it that wanted to. Even my neighbor Anne, who’s an IV nurse at St. Joe’s, when told of my Sub-Q air, was excited and asked if she could touch it.

“I LOVE Sub-Q air!!” she said.

I was happy to ablige.

Anyway, the nurse said she didn’t think that I’d go home that day, and that made me sad. I’d built myself up just knowing I’d go home on Sunday and the thought of staying another day just sucked. I mean, staying another night in the best cardiac hospital I know of wouldn’t be the worst thing in the world, but I was ready to be home.

So Molly and I sat around and she spent the rest of the morning trying to cheer me up and I spent the morning moping and waiting for football to start.

Then, about 2pm or so, a nurse came in and said “so…are you ready to go?”

What’d she say?

“Your orders came, so we just need to go over some stuff before we can send you home.”

YES!!!!

And they did. They went over all kinds of stuff about exercise, activity, resting, medications, etc. The trouble was, almost none of it applied to me.

See, 99.9999% of folks that leave there are leaving with a recently split sternum that’s wired shut like a broken jaw. Thusly, they are limited in what they can lift, how much they can lift, and their mobility is severely impaired for months to come.

I, however, only have three little holes in my chest and one hematoma on my left groin, so my stuff’s gonna be a lot more like home study I’m guessing.

We packed and got all of my stuff on a cart and they wheeled me to the curb while my 47 month pregnant wife huffed it to get the car from the parking deck. There’s nothing quite so manly feeling as sitting around while your pregnant wife packs for you, pushes the cart while you are wheeled outside and everything else she has to do for you while you do nothing. I wish they’d have explained THAT on the waiver forms and the check out list.

I was thrilled to get home and thought I felt great. I had no idea.

20
Nov

Saturday November 12th, 2005

Saturday was a better day, although it’s tough to tell the days apart since you never get to sleep in the hospital. I mean, you sleep in fits and starts, but with someone coming to check your vitals every 90-120 minutes, someone coming with meds every few hours (and not often enough), phone calls, visitors and exercise laps around the nursing station, it’s impossible to get meaningful rest or sleep.

Saturday started as my second consecutive Saturday where I was awakened at 6am so someone could take some blood. A month ago, the thought of that wouldn’t have made me squeemish. Now, it’s just what I do on Saturdays.

The nurses in the ward where my regular room was were awesome. I got great care, and as long as the last nurse kept the next nurse up to date on my meds so that I didn’t have another one of those heart fluid sack pain thingies, everything was pretty much okay.

A note here about surgical shaving. I’ve heard all kinds of folks say all kinds of things about how bad it is and how itchy it is and everything else, and I don’t get it. I was a little distracted from my groin shaving by the excrutiating and consistent pain throughout my chest where a man and a team of robots had torn me apart to rebuild me.

So, Saturday was basically a day of finally getting a solid (albeit clear) meal. I also made many many laps around the nurse’s station and worked hard to get back my lung capacity. It seems that to make room to poke around in my chest cavity, it was necessary to deflate my left lung and when you do that, there’s a risk of pneumonia unless the lung is exercised and coughed regularly and frequently. I have this super cool breathing machine that I am still using and that I used 10 times every hour while I was there. (I used it far more than that since I wanted to exceed their expectations, but bragging about being great in the breathing gym seems pretty pathetic, so I pretty much leave that out when I’m telling the story out loud).

Well, since I’ve gone to the trouble to brag about the breathing gym, let me introduce you to the AirLife Volumetric Incentive Spirometer - without valve - 4000ml

Like I said, I don’t want to brag, but I’ve maxed this thing out on several occasions since I’ve returned home. Heck, sitting down in a chair blogging with one hand, I just knocked out 3250ml of lung capacity baby. Maybe after you get yours, I could spot you while you work to be as awesome as me.

Anyway, my plan Saturday was to chill out, watch a ton of football and the Busch race, eat a solid meal or two, and get ready for the good news that would have me going home on Sunday.

What Saturday turned into was a painful day that saw me sleep through one of the better Auburn-Georgia games of recent history.

Starting when I first had my chest pain and got my cardiac catheterization, I was immediately placed on beta blockers to keep my blood pressure down and Zocor to lower my cholesterol. I imagine that these two things are pretty standard among the cardiacly impaired octogenarians that usually have this thing done.

The trouble is, I have neither high blood pressure nor high cholesterol. My blood pressure is consistently between 110 over 70 and 125 over 80 and my cholesterol, as I bragged earlier, was recently measured two hours after a Zaxby’s lunch at 144.

Anyway, the side effect of the Zocor in some patience is extreme, profuse (and unbearable) abdominal gas and cramping.

Yay.

How did I find this out, you might ask? Easy. I took Zocor Thursday night, Friday night, and by Saturday night (when I also took one), the pain was worse than anything I’d ever felt gastrally speaking.

And there was another problem. This was not heavy gas, but apparently very light gas. Meaning when I’d lay down flat on my back, I’d feel it rumble and move and make all sorts of noise like I was ready to “purge the system”, but as soon as I’d get up and rush to the head, the gas would surge back upward toward my stomach and away from the exit area. This went on and on until my gut was hard as a rock and I couldn’t sit, lay or stand.

The nurses suggested I take a Gas-X or some Mylicon. Yes, the Mylicon you give your two month old for gas. For the record, the Mylicon worked…a little. The Gas-X didn’t work, and the nurses admitted that it never does. Thanks.

Finally, I had an idea, I figured if I could lay across my bed on a pillow or two and use the pillows as sort of a rolling pin to help “urge” the gas to the bottom of the system, maybe I could get it close enough so that by the time I rushed to the head to expel it, I could rid the system of some of it.

(Why not just fart in bed you might ask? Easy. I hadn’t yet had a “movement,” and had been warned that any efforts like that might result in some explosive results, and since I didn’t want to be the 37 year old that had to push the call button and say “Uh ma’am, I just shit the bed in room 333.”)

So I spent most of the early, middle and late afternoon and early evening leaning over the bed with my bare ass pointed at the window rolling to and fro, getting as close as I dared to shitting the wall in my room, then rushing to the head repeating this process until I decided I could live with it.

Oh, and there’s nothing like bragging to your dad who’s visiting you about being able to fart finally.

So this went on and on and on until I finally felt good enough to sleep. Which was about 10 minutes into the Auburn-Georgia game.

I woke about 10 minutes into the second half, only to fall asleep again.

I woke for the last time with about 2:18 to go in the game, and pops was on his way out to get my percocet.

“Relax, man. You stayed all this time to watch the end. I can wait a few minutes.”

And we watched the last 2:18 together, and Auburn won.

Saturday was a good day.

(One final note about the Zocor. I took one Sunday too, and finally Monday when I called the Doctor’s office and they told me to stop taking them, and the pain finally eased and I was normal again by Tuesday).




 

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