Tag Archives: surgery

Physical Fit: The impatient patient

It has been said that doctors, nurses… well almost any healthcare professional make the worst patients. I can probably, and shamefacedly, admit to being precisely that. I am no exception. I can say that being on the other side of the desk, treatment, etc. just does not suit my own proclivities.

I wonder sometimes if it is just part and partial of the nature and personality of an individual choosing the healthcare career path, or if it is something that happens because we’ve come to know too much, or perhaps, more likely still, we prefer to be in control of the situation than being forced to let others control the situation for us. Yes, we are as a species slightly control-freakish.

Without going into the the gory details, I recently was forced to undergo major surgery. I’ve been lucky in my life to have not been subjected to the skills of surgeons (excepting maxilofacial and oral). I still have tonsils and appendix. Let me tell you now, it is not something lightly approached to have a “right gutting” as my spouse has quaintly put it. Even when it is for the purpose of correcting a more serious issue (as in my case), which ultimately will result in improved overall health (I hope), it can be way more of an impact to the body and life than you might otherwise expect given all that is said about modern medical procedures. It probably didn’t help matters that I am blessed with some rather inconvenient allergies to most pain relieving medications. This resulted in me being a challenge for anesthetists and nurses to find a way to manage my rather excruciating post-op discomfort… (remember the “right gutting?”). That pretty much is all I will say about the adventure of the hospital and my rather stubborn desire to escape back to my cave where, like a wounded animal, I felt I could lick my wounds and snap back to being almost human.

And about that “snapping back” thing… This is where my patience at being a patient has been sorely … ha! (see what I did there)… tested. As those of you who have followed my journeys and ramblings these few years may have noted, I have become a rather active gal. Part of this was due to my increasing dismay and the middle-aged spread that had overtaken my body in a way which displeased me greatly. At least, that was probably the main instigator of the fit that I pitched, but over time, the running and lifting things had also become a comfort and source of stress relief (no, I sincerely never actually thought those words would come from my head).

Suddenly… like literally in the course of about 90 minutes in an operating theater, I went from active to forced inactivity projected for 6 to 8 weeks. Of course, I had this delusion that I would not require that much time. I mean, for real, I went in with pretty good physical condition… well, as far as eating right and exercise, always excepting the actual source of the problem which required the surgery. Somewhere in my head still resides this person who thinks she is still 20, or maybe even 16 and can just bounce back from any injury.

And boy howdy, did I receive some strong-talk info to the contrary from my poor beleaguered body so recently traumatized (though therapeutically). For a while, the whole pain thing made inactivity tolerable because moving was not tolerable (neither was many bodily functions over which there is relatively little control… but I digress). Finding out that your core muscles are engaged or used for things you probably never consciously thought about was not fun: Walking upright, standing up, lowering oneself to a seat, or even trying to stay upright in a chair. Who knew? Sneezing, coughing, even laughing would cause less that pleasant reminders that I had an abdominal injury. Point of fact… it hurt. A lot.

However, time does heal some wounds… at least, it has for the physical ones I sustained. I started walking about more and doing little things for myself… showering and getting dressed, for instance. So, while the pain became less and less apparent, the fatigue from recovery and blood loss still kept me from my normal existence. Impatience raised its ugly head every time while I chastised myself with “Seriously, you used to run 5 miles, but you need a nap from putting on pants?!?” All the while, my friends and family were providing the background singers to my body with “Take it easy… you know you just had surgery, right?”

Did I mention I’m inpatient, and not a good patient? I tried to push myself, to which my body stood its formal and rather insistent objections by placing my ass firmly on the couch for a full day to recover from that little effort.

But I’m getting there. Truly. It’s been almost 5 weeks. I’m still not allowed to run, lift, or sing (yes, sing… can’t strain the abdominal muscles). Hopefully soon. Not being able to work out or run has driven me, ever so slightly bats. I’ve watched almost every documentary available on Amazon Prime, and I’m really quite ready to be off my sedentary butt and getting back to it, but I must wait… So, for now, I will find other ways of discharging my stress, and I remain somewhat impatient as a patient.

Prepping for Surgery and a sense of the absurd

anesthesia

I know I’ve been quiet for a while. Seems like time got away from me, and a severe case of writer’s block apparently required surgical interventions or at least the threat of them to budge.

Surgery is a funny thing. I don’t mean funny “Haha,” but funny peculiar. Think about it. In order to fix something in our body, someone with letters after their name and hopefully a lot of impressive training is going to actually injure and go poking around inside what is generally supposed to be a closed and intact system. Now, I’m not knocking medical procedures. We’ve accomplished some astounding things, and it seems like every day they are improving the methods to prevent complications. Modern surgery and the accomplishments thereof are a far cry from the near butchery of the antecedents. Still, I wait with great impatience for the days when I can take a pill and grow a new kidney (or any other organ for that matter… Points to the people who get the reference).

And yet… there are parts of the process that still cause me to ponder, ruminate, become anxious, and aye, even cause me to shake my head with humor and irony. If you haven’t yet figured it out, I’m no stranger to the surgical theater. Due to a number of genetic quirks and other accidents, I’ve been the recipient of quite a number of procedures, mostly to my skull… No, they still haven’t found that brain they have been seeking. All the operations in question were to my jaws and dental structures. In fact, after one surgical procedure, I could walk through a metal detector stark naked and set it off. I quite enjoy to this day the look on the faces of x-ray technicians when they see the odd collections of wire embedded in my jaw hinges. But, I digress… I do that a lot, which is why this blog even exists, when we come down to it. If my brain always stayed on an expected track with normal and logical thought processes and zero tangential traipses through the ether, none of this rambling nonsense would be out there.

The interesting part of all the surgical curiosity is the instructions that the patients are given before (and after) the processes to insure the best possible outcome. Honestly, even understanding the reasons behind the directives does not always alleviate my perpetual ruminative escapades. Without fail, my mind will wander about after reading or hearing specific instruction and think about various aspects including what would happen if one didn’t actually follow the directions given. This last bit is frequently not really a good idea if one is, in fact, the patient. While I have been privy to a number of surgeries and recovery wards as observer or clinician, my imagination can still become quite creative enough to depict scenarios that are not only completely unrealistic, they would put the best of the horror directors to shame. So, as I said, not the best mental occupation for the intended target… I mean subject of the surgeon’s skill.

What brought on this recent rambling through my cranium is, as you might have surmised, that I am once again going under the knife. Nothing terribly serious, but as they do say there are inherent risks with all surgical procedures. It is another oral surgery, and I’ve become, after nearly three decades of experience with this form of intervention, somewhat inured to the general angst… but not entirely immune. I will occasionally and inexplicably have bouts of anxiety that are only relieved by contrarily imagining the worst possible situations and outcomes and making a complete farce of the whole ritual of instruction. Today, for instance, I receive the call (Like ya do) from the surgeon’s office reminding me of my appointed time and confirming that I had not left the state, country, or planet accidentally. I assured them that I was Earthbound and in the near vicinity still. As the caller was about to ring off, I asked if there were any instructions. To which, the lady gave me the usual “Nothing to eat or drink 6-8 hours before. Wear short sleeves. Bring someone to drive you and all your money.” Ok, I might have exaggerated the “all your money bit.” I think they only want most of it. Honestly, health costs in America… but I digress… again. I’m just a digressing fool today.

Anyhow, the caller ended the conversation at that point, and left me to my usual mental calisthenics about all of the foregoing… and of course the impending doom. I was so caught up in all of it that my usual morning conversation with my friend was the recipient of the overflow. I expressed to him that the worst part (aside from the monetary extortion) was that part about not eating or drinking. This is normally not a problem for me. It would be unlikely that I am imbibing or participating in a repast after midnight, but now… I will be thirsty as hell at 3:00AM. It’s true, and totally psychological. I consume more than enough liquid to keep myself hydrated (water, of course… a woman cannot survive by coffee alone, but without the blessed bean everyone else might die), but because someone told me I could not have anything to wet my whistle after the appointed hour, I will develop cotton mouth that would make the Mojave look like a lush oasis. Additionally, the eating thing… I’ve been in an appetite lull for a few weeks. That is the pendulum swing from the periods of time when I can’t seem to sate the empty cavern of my gut and want to eat ALL THE THINGS. For whatever reason, I just haven’t really been neck deep in the trough. I continue to eat small meals and snacks and consume protein shakes in an attempt to keep the energy stores going, fuel the physical machine, and avoid metabolism shut down, but otherwise… meh, just not that hungry. However… now, because I have been told I am forbidden to eat after midnight, I will very probably become quite ravenous at 12:01AM and nothing will do but to eat an entire wildebeest. Maybe it isn’t surgery that is so odd. It might actually be the perversity of my own mental nature. Nah! Surely that cannot be it…

On top of all the cogitating about the instructions for all good patients, I also, due to my years of experience, know what to expect in the aftermath. Again, this is where we have advanced beautifully from days gone by when I would have been laid up for hours or days in recovery and med-surge units while the anesthesia worked its way slowly from my system, groggy, nauseous, and grievously hung over (I usually try to reserve that for New Year’s Day). Now, the modern cocktail they use wears off very quickly with very few lasting effects. There is one, however, and it is a doozy. Because this is, as I said, oral surgery, one of the things they use is atropine. For those who don’t know, atropine dehydrates. In other words, it dries up everything. This makes it more convenient for people trying to deal with any and all things inside the saliva factory that is the human mouth. The natural consequence of using this tool is that there is a rebound effect when it wears off. It rather seems like everything on your face (and sometimes the rest of your body) is trying to liquefy or melt. Combine this with the local anesthesia that they use, and voila, snotty, drooling, tearful mess… I feel like a toddler left for the first time at daycare. On top of that, I cannot actually feel from my nose to my chin and so all attempts clean up aisle 4 are rather like Gumby trying to wipe the nose of a latex Richard Nixon Halloween mask. Super sexy, right?

And just like that… sense of the ridiculous appears to be my saving grace from rising anxiety levels. It is just virtually impossible to be scared of something that turns me into Tim Conway’s dentist routine or my own one-woman sitcom. See ya in the aftermath…

Blocked in…

For quite a number of days now, I have been getting little reminders. “You haven’t posted anything in X days…” or “Hey, we haven’t heard anything from you in a bit. Are you ok?” This is probably a testament to the fact that I had managed to post more or less weekly since the first of the year; and that there must be at least two people on the planet that read the mad ramblings of my brain. That all came to a rather screeching halt a little over two weeks ago. It was a cluster of events and emotions that ended up creating what might be called THE MOTHER OF ALL WRITERS’ BLOCKS. I literally have a half finished post that I started a couple of weeks ago, and I just felt it going nowhere and my heart just wasn’t in it.

That’s the problem with writer’s block, though. The words don’t come. Even when the words come, they don’t look right. Everything that appeared on the screen just sounded, in my head, like so much meaningless drivel. I know. You all are now saying, “So, how is this different that any of the general crappola that you type out?” Well… it just was. Nothing seemed worth the time and energy.

The problem was that I lost someone dear to me. She was too young and too vibrant for me to understand why someone like her is gone. In truth, all of this year… 2016… has seemed to be a great gaping hole of grieving and rage about loss. It seems astounding to me that the world continued to turn and people went on about their business when all I really wanted to do was stop. While people are watching the spectacle that is our political machine (honestly, it’s a circus I tell you… I may have to join my friend Tess for a big thing of popcorn), are fighting about bathrooms, and watching with feelings of impotence while more and more of civil liberty is trampled by laws that have blurred beyond recognition the original separation of church and state… I’ve been grieving and aching for a time when people seemed to be kinder and happier and able to take a joke. I have been thinking about the loss of talent and gifts of joy that we are now missing because of the people who have left this world just in a few short months. I have been avoiding writing because I was afraid the the voice screaming in my head in anger would flow out my fingertips and keyboard onto the screen in hurtful ways that would only add to the very phenomenon that was agonizing to me.

On top of it all I had surgery. Oh, nothing major, you understand, but as they say “surgery is surgery and there are always risks.” (Don’t you love it when they say things like that? They like to speak in ‘odds,’ too. Do they not know that I make it a personal goal to break curves?!? Seriously, don’t challenge me…) So, along with the demonstration of life being fleeting, I was also required to do the stuff they suggest when you have to have general anesthesia… I had to face my own mortality. That means thinking about what you want done when you are gone: Advance Directives, make sure finances are taken care of (sorta), put things where people can find them. It means talking to people you love and trust to carry out those wishes and then try to convince them that you aren’t “just being morbid” and are instead being responsible… and that you will be OK… that they shouldn’t worry. It’s just a worst case scenario. Except that for most of the people I love and trust… it wasn’t. We had just experienced that direct knowledge that tomorrow is not a guarantee. We suffered a loss that was too soon and shouldn’t have been. Suddenly, I was also a little afraid; afraid that I would somehow cause that pain to someone I loved.

As it turns out, all the responsibility stuff was, in fact, just a precaution. It was good to have it. I’ll hang on to the paperwork and file it, and update it just like I should. And I’m still here… Whether that is a good thing or a bad thing (not being morbid… believe it or not there are probably more than a few people that might wish me out of this world), I am here.

My words, it seems, are still a tad stuck. This is my attempt to get them back out. I’m one of those people who have to push through things. Not everyone is the same. Some people need time to recover. Just give them space and time, and eventually they come back out into the light. I can’t do that. I get stuck. I get stuck so hard that I have trouble finding my way back out. So, I have to push through. I have to force myself to exist in the light and ignore the shadows while they wait to reclaim me later when I least expect it. This is me pushing through. This is me sharing my process. It doesn’t have to be the same as anyone else’s process. If you actually do share this tendency, then, I’m here. I know the feeling, and eventually you push out to the other side. For now, I’m relying on positive posts from people I know and love. I drink in their non-judgmental, optimism like a man dying of thirst stumbling on an oasis. If you are one of those people with hope and optimism that you share, know that I appreciate you (and probably others do as well).

Because for now, I’m still a little blocked in, perhaps a little less than when I started, but still blocked… trying not to get stuck.