Archive for December, 2005



12
Dec

And now for something completely different

So if you’ve read my last entry, you know that the wife and I have decided to take our lives back. Hooray, Koombayah and all of that shit.

Last Wednesday, I went to see my regular Doctor (Doctor Henderson, aka the guy that’s saved my life twice since Halloween 2005) about the sinus infection and cold I have had.

He looked, listened to my lungs, and did a couple of x-rays (again) and decided that my breath sounds in my left lung were diminished (again), just as they were Saturday morning just five days prior.

“Is it bad?” I asked.

“It’s not as bad as last time, but there’s still a good amount of fluid there.” He said. “I think you should make an appointment with your surgeon in the next week or two and have him take a look and see what he thinks and what he wants to do.”

Since my Doctor Phil(ip) hadn’t steered me wrong yet, I called that day and made an appointment to see my surgeon for an x-ray and a consult after that.

I got there about 1pm today (half an hour early, cuz that’s how I roll) and picked up my x-ray order and walked (not drove) to the building where I’d get the x-ray done. It wasn’t a mile, but it wasn’t next door either. See how I was taking my life back?

I got the x-ray, looked at it, held it up next to Wednesday’s and last Saturday’s and said the following:

“Well God dammit.”

There isn’t as much as there was last Saturday (when only 1/3 or so of my left lung was visible on the x-ray), but there isn’t much less either.

I walked the x-rays back to my surgeon’s office and waited my turn (I was still about 30 minutes early for my actual appointment).

In the meantime, I was sitting next to a very fit looking guy of about 55-65 and his wife, and no one was saying anything. Finally, she left to make a phone call and so I asked him “So…whatcha getting done?”

He said “I’m having valve replacement.”

“Are you getting the robot deal?” I asked.

“Yeah. How about you?”

I then told him my story, and by this time his wife had returned. Between them, I bet they asked me about 150 questions and I seemed to make them feel a little better. He was acting cool, but I could tell he was a little freaked. Who wouldn’t be? It’s heart surgery for God’s sake.

After we talked for a good 20 or so minutes, they headed out for pre-op stuff (as his surgery wasn’t until Wednesday or Thursday), but not before I wished them good luck. I think they both felt a lot better, and I felt better having eased some of their fears.

An interesting story about this guy. He told me that he’d had reflux so bad for so long that he was in constant pain for years. When they finally got that controlled with medicine, he literally woke up the next day and said to himself “What the fuck is THAT pain right there?”

Next stop: Cardiologist.

Diagnosis: Failing valve.

Crazy, huh?

Anyway, I got into a room and relaxed by reading the book “Whiteout” by Ken Follett until Lisa or Dr. Murphy were able to talk to me. (That didn’t take long by the way. This isn’t a bitch post about doctors and their schedules. I’m just establishing a timeline).

They both agreed that I had built up enough fluid that they wanted to have it drained. Again.

For those of you that haven’t backread my blog (shame on you), here’s some important information. The draining process is called Thoracentesis, which is:

a procedure to remove fluid from the space between the lungs and the chest wall called the pleural space. It is done with a needle (and sometimes a plastic catheter) inserted through the chest wall. This pleural fluid may be sent to a lab to determine what may be causing the fluid to accumulate in the pleural space.

There. Now let’s return you to our story.

I asked if there was anything I had done or not done that would cause this condition or if there was anything I could do to prevent it.

No to both counts.

“It just happens,” he said. “It’s not uncommon for this to happen several times to a patient.”

(I’ll act in the meantime like he didn’t actually say that last part).

“So when would you like to get the fluid drained?” Lisa asked me.

First I said ASAP, but it was getting towards 3:30 in the afternoon, and since Atlanta traffic in general (and Pill Hill traffic in particular) suck ass after 4pm, I asked if I could get it done tomorrow. As in around noon.

Lisa said “Okay, I’ll let the 4:30 appointment for today go and see what’s available for tomorrow.”

Great. That sounds great.

She returned and said “I’ve got a 7:30am tomorrow.”

Shit.

“Can I take the 4:30pm today instead?”

“Let me check…nope. They’ve already given that appointment slot away and there’s no more staffing for the afternoon.”

“How on earth did I lose a slot in three minutes?” I asked incredulously.

“Happens all the time,” she said.

“Okay, is there a chance I can get it done later today? I mean, I’m here. I’ll wait.”

She said “Dr. Murphy might be able to do it at 5:00 or 5:30 this afternoon, but it could be later.”

“Fine with me. I’ll wait.”

She left, came back a few minutes later and said “It’d really REALLY help us out if you could take the 7:30am tomorrow.”

Shit.

“Fine,” I said. No big deal. I’ll just get up at 5:30am for the first time in 6 weeks and drive over there for a chest draining without all of the romance of the ER like last Saturday. Just me, some lydocaine, and a thirsty Bic pen-sized drain.

The good news is that if it’s a litre and a half or so like it looks, I’ll lose another 3 pounds tomorrow morning in about 90 minutes, and for about five bucks a pound (based on the $15 co-pay. If this is follow-up and no co-pay is required, this weight loss is free). At this rate, I could hit 200 or less by Memorial Day.

That’s a weight I haven’t seen since Jeff Burger was the QB at Auburn and I was using his name to score tail as a Freshman in college, even though his isn’t spelled right. (In case you must know, I explained away the Burger / Berger disparity by saying we were half brothers. Man, freshman girls from the country were dumb).

Anyway, if I do hit 200 or less, you can count on seeing me in a Speedo at the pool this summer.

Guaranteed.

11
Dec

The turning of a new leaf

Yesterday was December 10th and marked the one month anniversary since my bypass surgery. Since then, I’ ve had highs and lows, but personally (healthwise), more lows than highs.

Yesterday however, I decided to make a change. First of all, you all may recall a blog about a car accident I was in back in September that was totally not my fault and was ruled an uninsured motorist accident, meaning I was on the hook for $250 but with no impact on my rates or driving record.

I have been fighting this since the beginning saying that I wasn’t gonna pay a thin fucking dime for an accident that I only kept from being much much worse.

Well yesterday I gave in. In an homage to the show “My name is Earl,” I decided that fighting this thing over a piddly $250 bucks was risking some karmic change that I wasn’t willing endure.

I also decided yesterday afternoon that I was not sick anymore. Sinus infection, ear infection, busted eardrum, whatever. I am not sick. I will go about the business of resuming my life. I will exercise, eat right, help take care of my babies, and do the things around the house that I can until such time that I can’t. I will go to my doctor’s appointments and if they have to drain fluid again, so be it. But I am living my life.

Yesterday, we cooked steaks on Saturday night for the first time in seemingly forever. I had half a ribeye and a quarter of a twice baked potato, and both were awesome. The steaks were actually some of the best that we’ve ever made.

I also had my first beer since Halloween, and let me tell you, it was glorious. It was like that sip you got as a kid when your grandpa let you open his little pony Miller High Life and take a sip before you gave it to him. It was glorious.

I also enjoyed the fact that I could eat a reasonable sized meal, have two beers (which is within the surgeon’s recovery guildelines for me, by the way) and enjoy a regular, old fashioned Saturday night.

I’m also down 29 pounds as of this morning. That brings me to 221 pounds which is a level I haven’t seen in several years. I actually mentioned to the wife this morning that if I could somehow hit 210 by New Years, I’d be seeing a weight that my body hadn’t known since my Junior year of colllege in 1989.

I’m not sick anymore. I’m not.

It’s good to feel like I’m on my way back.

09
Dec

miscellany

Most of you know but if you don’t here’s the deal:

Baby Sophia had seemingly been under the weather since around Monday or maybe Tuesday of this week. The wife took her to the pediatrician on Wednesday and he said it looked like a mild case of RSV but that we’d caught it early.

By last night, Sophia was a mess. Coughing, gagging, throwing up, etc., and she couldn’t lay anywhere but on someone in an upright position.

Last night around 7pm, Molly and her sister took Sophia to Scottish Rite’s ER here in Atlanta. She was having increasing trouble breathing and eating, to the point that she’d cough repeatedly, gag a bunch, then throw up what she’d eaten. She also has been incosolable and unable to sleep for more than short periods and only if she was laying chest to chest with one of us.

She was diagnosed with RSV and some respiratory something yesterday and they said if she wasn’t better by friday, to bring her back. In seeing that she was not only not better but was in fact much worse, we skipped the wait one more night step and made the move.

I think we did the right thing in that they x-rayed her lungs and there is no pneumonia, which is very good. We are nebulizing her every 4 hours (prior to feedings) which has helped a lot. I am hoping she’s turning a very soft corner.

I have, for some reason, nearly ceased my recovery. I’ve currently got a blown left eardrum, infected left ear and left sinus, and a cough that would make someone not married to me kill me when I wasn’t looking. The cough feels similar to the one I had before having the half gallon of fluid drained from my chest last Saturday, which is both scary and quite possibly a relief. For if it is fluid, at least I know that can be fixed in about two hours time.

I only hope that if it is fluid, they don’t decide to go back in and poke around again to see what it is or from where it is coming. That’s the double edged sword of medicine. They can fix you if they know what it is, but sometimes, YOU don’t want to know what it is.

Now, to answer a question from one of my readers, ATB. He writes:

If Auburn goes down to Orlando to play in the Capital One Bowl, but nobody is around to actually watch it, does it really happen, (or matter), afterall?

Well atb, that can’t happen. Because both Auburn and Wisconsin travel well, and by all accounts this Auburn team finished the season as one of the 8 or so best teams in the country. I suspect the answer would be different around Camp Randall however. I’m betting that Auburn’s gonna put the wood to the Badgers and send Barry off in a way that he might not like.

Look for Tuberville to unleash the hounds that day, my friend.

That’s all for now. Hopefully things will quiet down here and improve here enough over the next few days that I’ll have some more to write and the time to write it.

Later.

04
Dec

Just another boring Saturday

So last week, urchin 1.0 finally recovered from her unbelievably bad cold/whatever it was, only to pass it on to me. That’s fine. I’m a tough fella. (chuckle). But by Friday night, the consensus was that I was not looking my best. I knew I had a cold in my chest and a left sinus infection, but it also didn’t seem too bad.

That night around 2am, I awoke with a pain in my left ear that was indescribable. I looked on the pillow and realized that I was bleeding out of my ear.

“That settles it,” I said to the wife. “I’m going to the doctor in the morning for some antibiotics.”

I was in the parking lot of the Doc in a box at 8:30am Saturday morning so I could be first (or second). There’s no point in waiting in line first thing in the morning for a doctor, but that’s just me.

So I got in first, and was greeted by Dr. Henderson (the guy that sent me to the first cardio stress test back in November) saying “How’s my favorite patient?”

I told him my story, he checked my blown right ear, then wanted to listen to my lungs. He didn’t like how they sounded, so he decided to do a couple of X-rays.

When they came back, he said “The good news is that you do, in fact, have an ear infection.”

(That’s the good news?)

“The bad news is that you’ve got a lot of fluid in your pleural cavity around your lungs, and I want you to go to the ER at St. Joseph’s right now. I don’t want you to drive there. I want you to get someone to take you and they’ll take care of this.”

Umm…what the fuck did he just say? Fluid in my chest? WHAT??

So I drove to my daughter’s soccer game to tell the wife, who was just finishing explaining to our soccer parent friends all of the stuff we’d been thru in November. I told her, and her dad (who was in town) agreed to drive me to the ER.

I called my cardiac surgeon on the way, and I got to the St. Joseph’s ER around 11am. I was in a room (Room 29, in case you were wondering) within 15 minutes and was getting poked for blood work and IV’s (8 times, I believe, before they were successful thanks to my flat, dehydrated veins).

I was given a breathing treatment of Albuterol and after the Doctor looked at my X-rays, he explained what was going to happen to me.

The process is called Thoracentesis, which is:

a procedure to remove fluid from the space between the lungs and the chest wall called the pleural space. It is done with a needle (and sometimes a plastic catheter) inserted through the chest wall. This pleural fluid may be sent to a lab to determine what may be causing the fluid to accumulate in the pleural space.

Normally only a small amount of pleural fluid is present in the pleural space. Accumulation of excess pleural fluid (pleural effusion) may be caused by many conditions, such as infection, inflammation, heart failure, or cancer. If a large amount of fluid is present, it may be difficult to breathe. Fluid inside the pleural space may be found during a physical examination and is usually confirmed by a chest X-ray.

What? You want to put a what where to do what?

Anyway, they sent me down to the ultrasound department where the nurse located the right place between my ribs about halfway down my back on the left side to perform the procedure.

The doctor came in, asked me to lean forward over a table a little and he started giving me novicane injections, making a small incision, then a couple more injections, and that was that. Before I knew it he was draining the stuff.

We spent about 90 minutes doing that and he talked to me the entire time to be sure he didn’t go too far and create what’s called “negative pressure” in the chest cavity, which can apparently be excrutiatingly painful. (I was certainly NOT signing up for that).

When they were done, he said the fluid looked good in that it was infection free and only had a little blood in it. He was, however, a little shocked to see that he’d drained over half a gallon of fluid from my innerds.

My immediate thought was quite positive. “Hey…I just lost about four pounds. Kick ass!”

Then it was back to X-ray for another set of pictures for the after of the “Before and After,” and then it was back to the ER for another breahing treatment, prescriptions, a referral to an Ear, Nose and Throat guy for my whistling eardrum, and finally to checkout.

Time total spent in the ER: about five hours.

Time wasted there: Only about 30 minutes. Yet another great time at St. Joseph’s hospital (and I mean that).

So now it’s heavy antibiotics, Albuterol treatments every four hours, Loritab for the pain (and believe me, there is some), and hopefully a non-surgical solution to my left eardrum.

See? Nothing exciting ever happens around here.




 

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