Showing posts with label g.i. bleeds. Show all posts
Showing posts with label g.i. bleeds. Show all posts

Sunday, December 23, 2012

My Seasonal Under-Seasoned, Non-Reasoned Side Dish

This is not exactly a "vent," according to the technical requirements of venting, nor is it a pot pourri, as defined many times in this blog.  You can refresh yourself of the sad history of rotten earthenware on elle est belle la seine la seine elle est belle by fecklessly clicking HERE.

As for "venting," I'd go there in a heartbeat -- perhaps it's all I ever do -- but the thought of passing gas in the midst of a gastrointestinal bleed that cannot decide whether to resolve or seep, well, you understand.  And if you don't, well God bless your sweet little heart and maybe you should consider hanging out elsewhere, hmm?

It's an upper bleed, born of my need for anti-inflammatories.  See, Ma?  I told you it wasn't the crack and the meth and the fentanyl or the percocets that were gonna bring me down!  It's the Mobic and the ibuprofen, not to mention that fiendish aspirin protocol, those deceptively sweet little 81 mg aspirin doses meant for gurgling, chubby babies. Those fiendish back-alley drugs sold by tottering toddlers in droopy diaper drawers.

While I am blessing simpler minds and hearts, let me also praise the television and the brilliance of its offerings today.  You see, changing the channel has become difficult, much as standing, sitting, rolling over, and begging for bonita flakes have become terrible tasks.  Of course, I may be slightly confused, as my O2 sats are averaging a whopping 84.  I don't beg for bonito flakes.  Buddy begs for bonito flakes.  So where the television was when it was extinguished in the wee hours is where it stayed, mostly, today, under the terse glare of my double vision.

I watched three Dirty Harry movies in a row.  I'd never seen one before, not in its entirety (there's a clue for ya!).

Being a member of the simpler-minded set, the "dirty" in Dirty Harry began to bug me.  I started to itch.  Putting on my thinking cap, and vaguely wondering what-the-hell-is-that-musty-odor? -- I began to calculate, by counting backward through the momentous events that mark my days, when last I showered.

Hmmm, thought I, the Mathematician.  I knew The Calculus would serve me one day.  A liberal arts education is not yet bereft of all use!  And do you remember the guy who tutored me, O My Goodness.  Joe the Football Player and Math Whiz.  A cutie-pie.  A sweetie-poo.  His jeans weren't in style but they fit well, and we liked each other.  I hope Joe the Football Player and Math Whiz had a good life.  He surely deserved one.

Umm, yes, well, anyway, it turns out to have been the morning we went dashing through the rain to the Emergency Room... last Monday.  No... that's not right.  It was the Monday before THAT, 10 December.

Upon which realization, I made showering the sole goal of my day, to the relief of Fred, the Feline Triumvirate, and the Cistercian Brotherhood (apparently there has been a freakish shift in wind patterns, lo this past fortnight).

I must insist, as I have before, that I am not dirty.  I bathe daily, just not in the confines of a bathtub or shower.  Judicious use of a well-stocked half-bath, often two to three times in a day, keeps me as clean as your average person.  But we all know there's nothing like a shower, and certainly nothing feels so good as warm water streaming down an accursed bowed back.

This time, I refrained from scrubbing my feet, as that proved to be such a distraction to the medic-types in the hospital.  "Ew... your feet are bleeding." They even called in the Wound Care Team, which consisted of two timid young folk, quivering at the end of the bed, saying: "Ew... your feet are bleeding."

Moving right along, the shower is done, and the Dirty Harry marathon, as well.  I made a stab at changing the channel and hit upon, in sequence, The Sound of Music and The Return of the King, last of the trilogy.  Thank you, Peter Jackson.  Pippin just sang a plaintive tune to the finger-licking Denethor, Steward of Gondor.  That's one messed up Daddy -- though the influence of Mordor can do that to a man.

Which brings to mind a hilarious series of tweets, strung together by Todd Zwillich some time back.  I love 'em and know you will, too.  It was his moment of personal insanity over the often insanity producing topic of the bleeping "fiscal cliff."



Know who else went over the cliff to his demise? 

Know who ELSE went over the cliff to his demise?? 

Know who !ELSE! went over the cliff but survived? 



Know who ELSE went over the cliff but was stronger for it?!

[i *totaly* messed up that slick copy and paste maneuver, apologies!]

I can't go to movie theatres anymore -- that's right, I've been universally banned -- so The Hobbit being out is about killing me.  Have any of you Dear Readers seen it?  Was it wonderful?

I made it through this day, plan to do well tomorrow and actually sally-forth from behind Manor walls for some Christmas cheer and shopping.  I'm whipping up a ginger and honey carrot dish for Fred to offer the few Militant Existential Feminist Lesbians who will gather for a meal on Christmas day.  I'm planning to sneak some fresh cranberries, cooked just to the point of popping, to the dish, and think it will be beautiful as well as tasty.  

When I dropped the bomb about having been granted DNR status and offered Hospice palliative care during this last hearsepital stay, I thought there'd be an uproar.  Instead, there's been a studious refusal to discuss it.  I am in a quandry, as I don't feel much like talking about it, either, but really, really would be angry were it to be screwed up in application... so I am trying to figure out the right time to broach this oh-so-celebratory topic.  All I know is... bless one Dr. Montgomery, who helped me NOT to go to pieces but to articulate my wishes in a sane and sensible manner.

So I am thinking the best time to spring the discussion on the old Loved Ones is between the Yule Log and the popping of the 2013 cork.  And to cross every available digit in the hope that nothing happens between now and then.

As usual, not the post I set out to write.  Not a vent, not a pot pourri, not even something I'd choose to proof or edit.

It turned out like some kind of underseasoned, overthought side dish.

Needs salt.


Thursday, December 13, 2012

yes, the river really does know

Hi, all.  

The buzz around Marlinspike Hall has been all about how I have adroitly ducked out of doing any work on The Manor -- where everyone is all a-flutter due to an upcoming Haddock Corporation Inspection [We're expecting a flotilla of pink miniature submarines surfacing in the moat -- which, despite Fred's superhuman efforts, still has a kind of neon emerald algae overgrowth going on -- at any time.  "At any time" refers equally well to our  algae overgrowth chronicity as to the possibility of a herd of pink submarines popping up, full of corporate suits and a swearing Captain Haddock.]  Anyway, yeah, I ditched my usual slave labor in favor of a stay at the local hospital, the Lone Hospital West of the Lone Alp here in Tête de Hergé.

Everything these days, from internet orders to a simple request for some apple cider from the Cistercian Brothers right next door, carries an "order number." Well, at the hospital, I wore so many of those fashionable little plastic bracelets that they decided to revert to the old "case" shorthand.  I became "the case of the missing hemoglobin."

It was just an upper g.i. bleed, and without benefit of supplementary blood products, I have returned to my post here at The Manor with a hemoglobin of 9 and a solid hematocrit of 20-something.  I'm getting no sympathy from anyone, just glares for my shirking-of-duty ways.

They decided to let me go late last evening when it became clear that my pain management and general overall comfort would be better managed by getting me the heck out of a place where people are just hardwired to TOUCH the patients, God bless 'em.  Even though they were bound by their own set of internally ultra-rigid rules -- "you can have the pain medication in another 2 hours and 4 minutes!" -- they were truly understanding of the situation, and together we decided the best place to be was... home.

Which leads me to what I hope will be accepted as a quiet understatement, despite any verbal tendencies that may have led my dedicated readers to assume me incapable of quiet understatement:  Working with the admitting doctor, we were able to pretty easily have me placed on a "No Code" status and discussed possibly making use of some of hospice care's gentler gifts. This just goes to supplement the legal documents I already have in place but which, quite honestly, are often ignored.  It's much more effective to have it written as an order in the chart, and to have the secret not-so-secret orange band placed upon the wrist.

And so, of course, I came nowhere near coding and am home with my robust Hgb of 9 and a hell-hole of pain, since all anti-inflammatories are now forbidden, seeing as how they made me bleed in an unholy manner, that momentous bit of decision-making really did turn out to be a quiet one, momentous for me in that it was so easy and not fraught with emotion or argument.  I suppose it should be a bit depressing that the doctors didn't see much point in arguing with me, and that I saw a bit of "whew!" relief in their eyes, but it's not at all saddening.  The nurses were a different story -- they felt that if I had the right kind of pain relief, POOF, everything would be fine.  "Have you tried a heating pad?" asked one particularly kind, particularly inexperienced new nurse, on her very first evening shift without being "shadowed" be another nurse-mentor.

That's the sure DNR fix:  a heating pad.  It was hard to know what to say to her without bursting her first-night-working-alone bubble.  I explained that heating pads and ice were both contraindicated but "that sure is a good idea."  She was the *only* person I encountered, though, with whom I had the Usual Conversation:

ME:  Please don't touch my legs.  Thanks.
NEW NURSE:  [while touching feet]  I won't.
ME:  STOP TOUCHING ME.
NEW NURSE:  [feeling for pedal pulses] I'M NOT!
ME:  {whispering} Please, please, please don't touch my feet.
NEW NURSE:  I'm not, I'm just checking for pedal pulses.  It's part of my assessment.

Don't ask me.  I don't get it, either.  All I know is that I was BLESSED to have it happen only once.  I got the feeling that while I was under "conscious sedation" for the upper g.i. scope, my legs were pretty well checked out.  I swear I could be brought into the emergency room with an arrow through my head and my nose where my ear should be and the first area of interest would be my legs.

It borders on the absurd (o, puh-leeze, it inhabits the heart of absurdity), but they sent in the damned wound care "team"-- they travel in packs -- to investigate the patch of raw skin on one of my toes, a patch that would not have been there had I not made the mistake of scrubbing my feet with Hibiclens prior to hopping into Ruby the Honda CRV for the trip to the ER.  The bruising that has been there for over 5 years was much "ooohed-and-aaahhhhed" over, until I suggested a layer of gauze and a light application of paper tape, which my nurse and i promptly removed upon their self-satisfied departure.

We should start a pool to see what the Wound Care Consult and "treatment" charges turn out to be.  I wager somewhere in the region of $600 but that's lowballing it.

Fred was a trooper.  He did the best he's ever done and I am really, really proud of him.  The DNR discussion was hard, but we did it, and it's over. I hope.  I had to have the same discusssion with Brother-Unit Grader Boob, as he is my health care proxy in case Fred craps out or is unavailable at the necessary time.  That was harder, as silence on the phone -- I HATE PHONES -- can be difficult to interpret.

For you, TW, this is that conversation.  One-sided.  But somehow, I thought and think that you will most easily understand it for what it is:  The River knows.

The Doors; Yes, The River Knows 
Uploaded on Aug 3, 2009 by jameshippiekid
Waiting for the Sun 

Track:10

So... give me a few days to get stronger and I shall regale you with hilarious tales of funny and terrific nurses and some of the sweetest docs I've ever met.

Unless I die earlier than necessary because the Domestic Staff has me scrubbing one of the ballroom parquet floors with a soft toothbrush.





Please believe me the river told me
Very softly want you to hold me

Free fall flow, river flow on and on it goes
Breath under water till the end
Free fall flow, river flow on and on it goes
Breath under water till the end
Yes, the river knows

Please believe me if you don't need me
I'm going, but I need a little time
I promised I would drown myself
In masticated wine

Please believe me the river told me
Very softly want you to hold me

I'm going, but I need a little time
I promised I would drown myself
In masticated wine

Free fall flow, river flow on and on it goes
Breath under water till the end
Free fall flow, river flow on and on it goes
Breath under water till the end