Posts Tagged ‘Health Care’

Just So’s Ya Know…

Tuesday, September 16th, 2008

The best laid plans of mice and men sometimes run amok, even if the mice are hopelessly addicted to social anxiety disorder drugs. Doubtless my faithful readers (both of you—Hi, Mom!) are anxiously awaiting my brilliant post mortem on the so-called Syracuse game. Well, you’re not going to get much of one due to extenuating circumstances. So, tough!

I spent the weekend in the hospital, all wired up and monitored. I had some chest pains, which sometimes means that an old geezer like this Turkey is about to gobble his last gobble, so I went to the ER. Under the “Better Safe Than Legally Liable” principle, the ER doc, a pink-cheeked, mid-20s-looking butterball who will be a future coronary case himself, admitted me for 23-hour observation. That was at around 4 PM on Friday.

Alas, what was this Turkey to do? Even if I got out on time, the discharge procedures and the ride home would get me there past the end of the game. In this area, ABC was playing the Georgia Tech vs. Virginia Tech game, so I couldn’t get it on the hospital room TV. That would have been acceptable, even if I wasn’t in the brand new wing with the big LCD flat-screens in each room. I wound up ordering DirecTV to record the game on my DVR by using that satellite company’s nifty remote recording set-up via their web site from my Blackberry. Modern technology is great, but I couldn’t stand not to be able to get the game in real time.

I settled for watching the Michigan vs. Notre Dame game while I accessed ESPN.com from my notebook, which Artificially Sweetened had brought for me. Fortunately, the hospital provides Wi-Fi for its coronary patients. In this case, it would have to provide me with the appropriate adrenaline jolts. The game tracker thing worked in a pinch. I was able to watch drives via a chart and textual play-by-play in almost real time. The nurses thought I was completely nuts, with the TV bouncing between channels, the computer splayed out, and the Blackberry repeatedly chirping out score alerts.

Very quickly, the game was out of hand (or in hand, depending on from whose perspective you’re looking at it). My only EKG bender came on the second play of the game when Daryll Clark fumbled the ball away. That was quickly followed by our defense forcing a fumble on the next play, which made me laugh in comic relief. The game was never in doubt from that point on.

My testing was completed on Sunday, after a couple of false starts. The treadmill stress test was originally scheduled for 9 AM, but it had to be rescheduled to 11:15 AM because someone (and I now know who it was) was supposed to have ordered the radioisotope dose the previous day but didn’t. Then, my cardiologist had an emergency at another hospital, so my test was moved to 12:30.

In the meanwhile, I got a chest shave. Now, I’ve had treadmill stress tests before, and in those instances only the areas where the contact pads were to be installed got shaved. This time, I was completely shorn.

When I originally met with the cardiologist in my room, he was rather pessimistic about my chances, wanting to transfer me to the big hospital because he believed that I would do just OK on the treadmill and would still need to get the cardiac catheter to determine how major the blockage was. He wanted to do it at the big hospital in case he had to “open me up” right then and there. He even mentioned that Tim Russert had a good treadmill and still keeled over unexpectedly. These bright, cheery, reassuring words led to my suffering what I presume to have been a panic attack while the Ohio State vs. USC game wrapped up on my non-LCD, non-flat-screen room TV. After some nitroglycerin and a shot of morphine, I was fine. I mean really fine. I still had chest pains, but I didn’t care. Yay, morphine!

So, anyhow, with that glum forecast, I was looking forward to proving to this pessimist that I could handle the treadmill. I told the doc that I had to be home by 8 PM to see the Steelers game. I hopped on the treadmill and did my thing. The nuclear medicine tech knew me from the gym where we both work out. She told the doc and his other tech that I would probably do at least 10 minutes, because she had seen how hard I work out. Both the cardiologist and the technician were indeed surprised that I was able to do 11 minutes of the Bruce Protocol. My pulse simmered down rapidly from maximum, too, and my measured ejection fraction was 69%, for those Turkey fans with medical (or hypochondriacal) orientation. The imaging studies at rest and after exercise revealed no significant blockage or other abnormalities. The cardiologist told me I was going home and could follow up with him if I wanted.

Then, it was a matter of time before my floor nursie got my discharge signed off and sent me home, well in time for the Steelers.

Surprisingly—or maybe not—I had no desire to rehash the Penn State game. It is still there on the DVR, but I might never watch it. I know, I know! I am an irresponsible Nittany Lion blogger, not bothering to watch every nuance of Daryll Clark and Pat Devlin. But, hell, a scrimmage like that one proves absolutely nothing about anybody. They might as well have been playing Discovery Middle School. Besides, I don’t take myself that seriously. There are plenty of pedestrian reports out there on the Internet with more facts than I could dig up. Read them and then come back here to hang out with someone who has more opinions than facts. I’m easier to argue with!

I wish people would quit making comparisons to 1994 and 2005 teams, already. It’s just too early in the season for that kind of crap. What games have PSU played? A scrimmage with an FCS team; another scrimmage with an Oregon State team that was a shadow of its former self; and a walkover with a hapless, has-been Syracuse. So please shut the hell up with those comparisons. We have another cakewalk this weekend, and then the going gets tough. We’ll have nicely padded stats going into the Illinois game, but that’s when the tests of team character and efficacy begin. Until then, I don’t want to hear about the “greatness” of this team.

Sadly, with my weekend hospital stint, our guest reporter for the Syracuse game backed out on us. Hillary was busy with other things and she didn’t want to do it without me. However, Dr. Bill Cosby is still on board for the Temple game wrap-up next week.

This Turkey will return later in the week for a look at the Temple Owls.

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A Close Brush With Dr. Drool

Thursday, July 31st, 2008

It was lunchtime on a recent afternoon (Okay, last year. It’s been a while since I posted.) and I was about to take a bite of a Garlic Chicken and Pasta Lean Cuisine when I ran into a snag, or to be more specific, my left jaw did. I couldn’t bite down all the way and it hurt. Since this was the third such incident within a two month span, I decided it was time to take action. I called a local dentist who specializes in jaw irregularities. Having acquired his name from my “regular” dental office, I figured I would be in good hands. I figured wrong.

New age Muzak wafted through the waiting area when I arrived for my appointment the next day. Gee, never heard that at a dental office before. I signed in, sat and looked around. The reading material was fairly typical: those big blue Bible Story books for kids; some health magazines; monthly Guideposts. A rather odd mix, I thought, new age music and Christian literature, but whatever works. When the mild mannered receptionist asked me to follow her into a small office, my feeling that something was just a tad strange grew a little bit bigger. Ms. Mild Mannered explained she wanted me to fill out some forms while she made copies of my drivers license and insurance cards. Okay, but why take me into a private office? I start digging my ID out of my wallet and catch myself just before I accidentally hand her my Visa card. Whoops! “Oh,” says MMM (Ms. Mild Mannered), “you may want to keep that out. Heh heh.”

Huh?

When I’m finished filling out the forms and pay the $300 fee—I was informed when I made the appointment that payment was required upfront, and desperate to unlock my jaw, I agreed—MMM ushers me down the hall to yet another small office, even tinier than the last. I take a seat in front of an enormous desk which fills up most of the room. About a minute later, in walks Dr. Drool who makes up in width what he lacks in height.

“Welcome to our family,” Dr. Drool cries, spreading his arms out wide. My jaw has relaxed by now but the rest of me begins to tense up when Dr. Drool proceeds to take a seat right next to me.

“So, what brings you to see me today?”

I tell Dr. Drool about the lock jaw and he explains the condition, TMJ, that is, when he’s not cracking himself up with dumb jokes. In fact, at one point, Dr. Drool becomes so tickled with himself that he leans over to me and actually rubs his shoulder against mine. Excuse me? Who is this guy? Dr. Drool chortles on and seems completely unaware that his behavior is, shall we say, f—ing inappropriate!

A voice inside my head starts to cry: “I want out of here!” Unfortunately, my butt seems to be as frozen to the chair as the smile is to my face. I’m too shocked to move. Dr. Drool has moved behind his desk and is showing me some bizarre looking computer graphics of the jaw and its workings.

“Well, you’ve heard enough of me (I’ll say, buddy), so now I’m going to show you a little film. Watch this” Dr. Drool commands and flicks on a small TV. Suddenly I have double-vision. There’s Dr. Drool—TV celebrity—talking with a local news reporter about TMJ and his miracle cures. Hello? I’m sitting right across from you, pal, why do you need to play me a promo?

Dr. Drool is really having a good time, watching himself on TV and all. The voice inside my head is getting louder: Get away from this nutcase! But then the video portion of what is becoming quite a freak show ends and Dr.-Drool-in-the-flesh begins to speak. First, however, he comes over to sit next to me again.

“That’s a cute haircut,” he grins.

Uh, thanks.

“Now. Let me ask you. How do you deal with stress?”

(Uh, I have a lot of sex but don’t think for a minute that I’m going to have it with you, mister.)

What I really say: “I run. I’m training for a half marathon.”

Eyes me up and down. “Yes, you’re in good shape.”

Okay. I’m getting out of here. Really this time.

I’m about to move out when Dr. Drool whips some forms under my nose.

“This is my fee. Are you married?”

Yesyesyes!!!!!

“Well, get ready to have another man in your life for a while–wink wink.”

Moving quickly, Drool proceeds to show me how much it’s going to
cost—upfront, of course—over the next 12 months (!) of treatment. It ain’t pretty.

I tell him I’d like to talk with my husband about this first.

“Oh, you can call him right here and we’ll discuss it together.”

He’s kidding right?

Doc picks up the phone.

No. He’s not.

I say I really want to talk this over—in private—with my husband.

He’s not happy. “Well, okay. But I explained in my introductory letter to you that you should bring your significant other.”

Letter? Hello, I just made the appointment yesterday. It is now the next morning and unless he sent it special delivery, I don’t think the mail works that fast.

Dr. Drool clucks his tongue. He’s getting the idea that I’m not coming back so he trots out the big guns. Actually, it’s only a single gun whose name is Pat, a no-nonsense looking woman with grey hair and a slight brown mustache.

“Pat will take your check.” Dr. Drool takes in a massive breath and gives me a hard look. “We’ve got a lot of work to do.” Drool pauses, swallows, then says: “Your condition will NOT improve without this treatment.” With a dark cloud of doom floating above his head, Dr. Drool turns and waddles away.

Pat says, “I can take Master Card or Visa.”

They really want my Visa card! I reiterate that I want to talk this over with my husband. The cloud of doom floats back into the room. All right, says Pat, “but you won’t get better UNLESS you come back and see the doctor.”

I’ll take my chances with lock jaw, lady. I (finally) make my exit with my Visa card still firmly tucked inside my wallet.

A few days later, I receive a letter from Dr. Drool stating that he has forwarded my file to my regular dental office. Little problem. I signed a form permitting this however Dr. Drool has sent my records to the WRONG dentist. I read further. Drool informs me in bold typeface (I’m surprised he didn’t use all caps as well) that “your condition will not improve without this treatment.” For good measure, he repeats his warning two more times before concluding with—

Have a blessed day.

Oh, I will all right. I’m counting my blessings that I won’t be rubbing elbows or shoulders or anything else this shyster may be planning, ever again. And when it comes to the TMJ, I’ll just take smaller bites.

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Official Post-Neck Brace Photo

Friday, September 28th, 2007

The Nittany Turkey Loses the BraceAs this ancient, battered Turkey gradually heals from the great neckal fusion movement, he rediscovered his turkey neck with the removal of the dreaded neck brace for long enough to take a hike in the woods. Sharing this egocentric milestone with you, I present the picture at left as the official commemorative post-neck brace photo. While the post-surgery evaluation does not take place until next Wednesday, after 11 weeks of being constantly strangled by the damn thing, I decided that my neck needed some fresh air. So as to provide a tie-in with the theme of this blog, I wore my PSU Alumni Association Central Florida Chapter T-shirt, which proudly features the anatomically incorrect five-toed mutant Nittany Lion footprint, to which this Turkey has violently objected for a long, long time.

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Pain in the Neck Redux

Tuesday, September 18th, 2007

This Turkey wishes to share his turkey neck with his vast legion of readers. A diagnosis of severe spinal cord compression at C3-4 led to a bout with the neurosurgeon’s knife—Jonathan Livingston Greenberg vs. the Abominable Turkey. As you know, I survived (I think). In spite of a three-level cervical spine fusion, which took place on July 10, the Turkey has continued to gobble gaseously. The neck brace has no doubt impeded oxygenation of his brain, which has led to some overly euphoric predictions, such as a 10-2 Penn State football season, as well as some paranoid ramblings of conspiratorial complicity by Al Qaeda in the Dominoes/Oreo partnership.

Neck X-RayWhat you are seeing here is an x-ray of the aforementioned turkey neck taken this evening, straight from the digital darkroom. Click on it for a larger view.

The five-hour operation involved removing three degenerated discs and degenerated ligaments, adding bone grafts to maintain the column height, and stabilizing the cervical spine. The incision is on the front of the Turkey’s neck, toward the left side. To access the discs, a retractor was used to move aside the larynx and the trachea aside.

Note the prominent hardware. The whole affair is held together by titanium girders secured by four golden screws. (And a golden screwdriver with a diamond encrusted handle issued forth from the heavens and descended upon him, slowly unscrewing the fastener, finally getting it all the way out…and his ass fell off.) This thing is located right behind the larynx, creating like a total lump in the Turkey’s throat.

So, was that an overshare? TMI?

Frequently Asked Questions

  1. Does the metal stuff set off airport metal detectors?
  2. Through the throat?
  3. Were you in an accident?
  4. Did they give you good drugs?
  5. How long til you can take off that neck brace? Oy, it must be so hot in that thing in da summer, already!
  6. What did the doctor say?
  7. Were the nurses hot?
  8. Dude, how could you do this right at the start of football season?
  9. Bone grafts? Which bone did they come from?
  10. (Questions 10., 11., 12., and 13. all involve sex and will be censored due to the family oriented nature of this column.)

Frequently Delivered Wise-Ass Retorts

  1. Does the metal stuff set off airport metal detectors? I already have a hip replacement that’s got a lot more metal so this one is moot. I wind up being hand searched each time through. Besides, this device is non-ferrous titanium (which is sort of redundant). It was funny—when I got the total hip replacement six years ago, my mother asked if I could be struck by lightning. She thought having all that metal in me would attract lightning. I, on the other hand, was trying to figure out how to magnetize the thing to attract bra fasteners.
  2. Through the throat? Only Linda Lovelace and I know for sure. Yes, that’s the way this surgery is done. Through the damn throat.
  3. Were you in an accident? No, it was a fight. You should see the other guy.
  4. Did they give you good drugs? Well, the fentanyl didn’t do a damn thing for pre-surgery sedation, even though they gave me 2.5 times the standard dosage. So, instead of fentanyl for post-op pain control, I got a patient-administered morphine pump. Anytime the hospital got on my nerves, I hit that damn button, giving me a good, warm feeling.
  5. How long til you can take off that neck brace? Until the other guy’s private investigator stops following me around. See, I’m suing his ass. I have no idea what the hell I’m talking about. The neck brace has been on for 10 weeks. It’s part of me now. Why would I ever want to take it off?
  6. What did the doctor say? With reference to my degenerated discs, he said, “I just called to tell you what a degenerate you are…” He’s a comedian on the side. Meanwhile, the neurosurgeon says little or nothing. Aside from the M.D. degree, he’s also got a J.D., so he plays his cards close to the vest, lest he say anything I can hold him to in a court of law.
  7. Were the nurses hot? This is Orlando Regional Medical Center you’re talking about here. Draw your own conclusions. Heat, I suppose, is a relative term. The ones who catheterized me had cold hands.
  8. Dude, how could you do this right at the start of football season? It was a calculated ploy to rationalize the purchase of my 50″ 1080p plasma HDTV. After all, I can’t travel to games for a while and I deserve some comfort, so I took pity on my poor ass, using the neck as an excuse. Now, I can watch O.J. being arrested over, and over, and over…
  9. Bone grafts? Which bone did they come from? The bone grafts essentially take the place of the removed discs. While sometimes the grafts come from a patient’s own hip bones, in this case they came from the bone bank. Thus, I have bone material from folks who have gone to the great beyond (they wash it first), and I thank them sincerely for their contribution.
  10. Well, the neck brace makes that a bit of a contortional challenge, but we improvise, we adapt, we overcome.
  11. You better ask her about that one. That’s what she said.
  12. Oh, yes yes yes!!! Oh, God, yes! Uh huh.
  13. Blue pills.

But seriously, though, the Turkey is hoping for a favorable determination regarding the need for continued use of the neck brace sometime in the next week or so. In spite of what I facetiously stated above, I genuinely look forward to the time when I can shed my omnipresent plastic and foam rubber companion. It’s hot, it’s bulky, and it sucks. It limits my driving to very short, necessary trips during light traffic periods.

In the meanwhile, I’m speed-walking between 3.25 and 4.7 miles per day on a concrete path around my community. When I finally dump the brace, I intend to celebrate with a 10 or 12 mile hike in one of my favorite natural areas here in Central Florida, as I much prefer bushwhacking to walking in circles. I seriously miss that aspect of my life.

Now, back to the business of beating Michigan. I’ve got Joe Paterno on the other line, on hold…

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