29 September

Into The Whirlwind, Surgery Suddenly Seems Serious

by Jon Katz

My bone spur surgery coming up next Wednesday has never seemed like a big deal to me, but my doctors are treating it so seriously, I’m starting to wonder. I guess part of it is my diabetes, which can make even common foot injuries dangerous. And part of it is my heart, which can make even the most routine procedure difficult.

This coming week will be intense, even crazy. I’m eager to get the surgery and receive a mask for the sleep apnea the day after.

One good thing about being a writer is that I usually sit at a desk a lot, so having a bandaged foot won’t be that much of a change.

I think the anesthesiologist got a little freaked by the sleep apnea diagnosis. “We won’t want you to stop breathing during the surgery,” she said, “and if you do, we want to be ready.”

It’s easy and quite common to bitch and squawk about the doctors and nurses and what they did or didn’t say or did or didn’t do.

I’m grateful for my nurse-practitioner Amy Eldridge. She and I will be meeting more frequently to make sure my diabetes and foot and body stay strong and together. I look forward to that. I am lucky to have some like Amy caring about me and my health. She is very easy to talk to.

I try very hard not to do squawk and whine about doctors. It has become thankless work, but no less important.

It is challenging and complex work, and I am grateful to be on the receiving end of their care, even when it gets tiresome or wears me out.

I do see them as heroes and angels.

The other day, visiting the podiatrist – my knee – the one I feel down hard on in Hebron,  was hurting, as it sometimes does.  Moving it was suddenly painful,  and it started to throb.

I was struggling to get my socks on after an exam.

A doctor was walking by the examining room, and he saw me struggling and came in and quietly and gently- he didn’t say a word –  pulled my stocking up on over my foot, and then did the same for the other one – I was up on a raised examining bed.

Then he walked out. The gesture touched me; that is what healers do.

Between now and the next few weeks, I have eleven appointments scheduled with doctors, sometimes more than once – podiatric surgeon (four times), primary caretaker (above, three times), pulmonologist, Covid-19 testing, cardiologist, and anesthesiologist, blood taker (twice.)

I’ve had four phone meetings to go over the procedure.  I need to see the surgeon before and the next day. Then once a week for a couple of weeks.

The afternoon after the surgery, the sleep apnea people come to the farmhouse to fit me with a mask.

Three nurses called to ask me questions about my medications; one even wanted to talk about my tonsillectomy when I was four. I have twice gone through every medication – which ones I can take, which ones I can’t when I can resume taking all of them.

I was warned that the pain would be severe when the anesthesia wore off after 12 hours, so the doctor’s office will have some painkillers ready when we get to the pharmacy here at home. I don’t yet know what time the surgery will be.

This is a lot more attention than I got when I had open-heart surgery in 2014, but I guess there is no time for too many exams and meetings when you have a heart attack. They get right to work.

I was told Maria couldn’t come into the hospital because of the pandemic, but the surgeon will call her as soon as the surgery was over. I will be numbed in the lower half of my body, but I will not be knocked out with general anesthesia. They call it nerve blocking.

My doctors and nurses have all been excellent. I’m fortunate in that way. I like and feel comfortable with all of them.

They are patient about answering questions; they laugh at my jokes; they love the Amish cookies and necklaces I bring (Amy, my primary above, is wearing one), and explain every part of the procedure, even when I don’t want to hear it. They seem to know I don’t have the longest attention span.

I have to go to the hospital’s Covid-19 testing tent Friday morning, and we are scrambling to get the clearance of the pulmonologist, which is only available next Tuesday afternoon. It’s a tight squeeze because they’ll have to cancel the surgery if any of the tests go wrong.

I admit to being a bit disconcerted by all of the meetings and exams and tests and very detailed conversations about the possibility of things going wrong. I suggested to one nurse today that they hold at least one session, which considers the possibility of everything going right.

But that’s not their work; it’s mine. I’ll get on it

I’ll continue to share the experience as it unfolds. Tomorrow, I hope to bring Moise his new boots. I also hope to assemble a bread and cookie and donut exhibit for the Amish shed. I ordered it a month ago, and it just came today.

I’m going to do some of that meditating I keep urging the residents to do.

A slew of creepy Halloween decorations is coming to the Mansion next week. Come Hell or High Water, this will be a g great Halloween at the Mansion.

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8 Comments

  1. Its a small consolation in the midst of all the fuss, however, I’ve had nerve blocking and it works like a charm! You are safe from pain during the surgery. I’m pulling for you john and expecting the best outcome.

  2. Sounds like my life. 25 medical appointments and tests in a short span of time this summer. Twice denied a heart catherization even though the chemical stress test came back indicating blockages but the insurance company is so busy paying out millions for hospitalizations that procedures like mine are now denied. Our catherization lab is closed because the hospital has canceled all elective procedures and surgeries. The covid numbers here are extremely high because we have an extremely high number of non vaccers and they are now filling up the beds. And yet our doctors, nurses, physicians assistants, and nurse practitioners show up everyday and keep on keeping on. My cardiology advocate has spent hours on the phone with the insurance company trying to convince them that I really need my heart tended to only to be denied. I am so grateful for her and yet I hear some weariness in her voice when she calls me to once again give me bad news. I’m not the only one. They work so hard for us. You are so lucky to have such a team working with and for you. They really care. Blessings on your surgery it’s not an easy recovery pain wise but like the pain after knee replacements —it’s “good pain”. Hang in there on your medical merry go round. Grab the golden ring and I hope you are riding the most ornate animal on the ride.

  3. I am hoping that all goes well for your surgery. You have given me a lot of happiness with your blog, and have made me think and try to be a better person. All my best to you!

  4. You must have a terrific, wonderful and caring team of physicians. This week I finally had an MRI of my neck. I was scared to death to go to the hospital because Covid is so extreme here. I can relate with Marty Randall. I was given a sheet of paper that I didn’t have time to read before I was put on the table. It was about the dangers of the die that would be injected. This was the first time I’ve ever let them use the die. I just want to be able to make informed decisions. So, yes, you are very lucky indeed.
    I think it’s wonderful what you are doing for the Mansion residents. That nun is scary as hell. Good luck with your surgery.

  5. I hope all goes well for you.
    I cannot sleep without my full facemask. Once you get past the newness, I think you’ll find it a wonderful tool for a healthy good night’s rest.

  6. Like so many others, & thousands more that never comment, I wish you the very best. I hope & pray for a painless & very speedy recovery.
    Please keep writing. It’s the highlight of our day.

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