Health Update #2

A more step-by-step procedural post...

Saturday
10:00 PM Take last 20mg dose of Verapamil till procedure

Monday
4:00 PM Dr. Dana Eisenman runs a baseline EKG. Gives me a flu shot. Looks in my ears, nose and throat (For what? The problem's the heart. He's thorough). Order blood and x-ray.

4:30 PM Downstairs lab pulls three vials of blood. Gives me a "You're a hero" sticker I use as a bookmark.

4:45 PM Get to x-ray lab and get two chest x-rays. Back to machine and right side, arms up to machine. Leaving lab, notice door says closes at 4:30.

Friday
4:30 AM Up for quick shower. Out the door by 5:00.

5:30 AM Arrive Cedar Sinai and with in 10 minutes, walked to 6th floor Cardio Cath Lab Lobby. With in 5 minutes, asked for money and signing releases (What exactly is a Health Care Directive?). Within 1 minute, called back to lab.

6:00 AM Strip down and neatly put street clothes in plastic bag. Put 'gown' open on the back (What's the point? Later I am unconscious and naked, anyway). After having Anthony shave places no man (gay or straight) should every shave someone, I hear him say to a nurse "The last guy I shaved tipped me, the procedure worked perfectly and he never had to come back." At least they are now using electric razors. One #20 gauge IV is inserted into my lower left arm. They start to wheel me in and I say, "Can I at least say 'bye' to Clay?" They're not rude, just super fast about it all. I later learn there's a back up in cardio caths.

6:05 AM Move to Cardio Cath Lab where three people are doing a variety of things. Most obvious is that they are talking about the Jazz playing in the room. Also, they ask if I have a iPod I want to listen to (oops, forgot to bring that to the Cardio Cath Lab). Story about drunk guy at bar listening to Coltrane playing for 15 minutes straight who stands up and slurs, "When ya gonna quit warmin' up an get ta playin?"

Moving me from my gurney to the procedure bed, one is sticking cold sensors about 8 inches square to my bare chest and back, hooking up wires while another is arranging curved Lucite arm rests that hold me in place. I don't know where the gown is. Someone is uncovering the bottom half of me. The last guy is Fred and he puts what I thought was oxygen on my face. One minute later, I'm asleep.

2:00 PM I wake up and think, where am I. Clock on the wall. Thought I was in the Cath Lab Prep room but I'm in my recovery room. I now have air compresses at the three entry points (right & left groin and neck). Better than the sandbag compresses used last time, more gentle. Instructions are to lay flat and still for four hours. Not as easy as it sounds. Between this and having the urethra catheter pulled, I'm not sure which is worse.

2:30 PM EKG, blood pressure machine goes off every 15 minutes. Just keep in mind, it is tightly wrapped and when you least expect it, it tightens more than an anaconda python.

5:30 PM I get into a discussion with the nurse about going ahead and pulling the urethra catheter but they say not to. I need to go. I can’t wait. Just use the catheter they say. I begin to, but it isn’t in right and so I’m lying in a pool of my own urine. At least I feel it wasn’t really my fault. They decide to go ahead and pull it now. Not a good feeling at all.

5:55 PM Finally, I can get out of my puddle and clean up. I must dress for dinner.

6:00 PM Brisket, mashed potatoes, peas, salad. Not bad really. Sitting up and able to bend my legs. Must stay seated for two hours.

6:30 PM One more test is needed. A CAT Scan. The 20 gauge needle in my fore arm is too far away for the heart so an identical 20 gauge needle is put 6 inches further up the arm. But wait. You just ate. Needs to be four hours after your meal. No food or water till it’s done. Maybe 10:30 or 11:00.

11:00 PM Haven’t heard yet so no water, no midnight snack. CAT room is backed up. Very busy.

Saturday
12:00 AM Still gonna have it done. Calling down every 30 minutes. Hold tight. Emergencies are going first.

2:00 AM I go to bed (they changed the sheets earlier).

2:05 AM Nurse does another battery of vitals. Puts the blood pressure machine on once an hour. When I doze off, I keep suddenly jerking awake. I notice that when I awake with a start I feel very differently than before. I used to wake with a few flutters and skipped beats. Now, I don’t feel my heart but I feel a rush of warmth to my extremities, which I later decide id adrenaline which used to just cause the heart rhythms. It is a good feeling to have your heart beat correctly.

3:05 AM Wake up when blood pressure machine goes off. Call nurse for water, but I’m two patients away from having the scan done. Eat or drink nothing.

4:05 AM Time for vitals. Like they can’t see from the heart monitor that I’m still alive.

5:05 AM Wake up when blood pressure machine goes off. Call nurse for water, but I’m two patients away from having the scan done. Eat or drink nothing.

6:05 AM Time for CAT scan. Go downstairs, get put into a tube, shoot in some iodine and hold breath. Iodine feels warm inside the body but mostly at the throat and the groin. Whole thing takes 10 minutes. Oh, and the room I’m wheeled to has space for 20 beds and is completely empty. Have been all night. Just no staff to do it. Should have known it’d be in the morning. Should have been able to drink water before bed, etc.

7:00 AM Back in room. Lovely breakfast of French toast, scrambled eggs and mini-wheat cereal, pears, cranberry juice. All pretty tasty.

9:00AM Last consult with Dr. Salvo who performed the ablation with Whaung and Gallik. Very interesting case. Same spider web type of procedure and scarring in the heart but seems to have gotten all. No physical exertion for a week or so. Easy bike rides ok. No lifting of 25 pounds for a week. Limit alcohol to one glass a day for 10 days (we’ll see about that). No prescriptions. Very good prognosis.

10:00AM Home. Take shower. Remove groin bandages to reveal 8 inch charcoal purple bruise on left side.

Health Update #1

I am AOK or now, but the doctor's suggest I set up a Porsche fund.

The last time I had this done, the procedure was $83,000. I've had this done four times now. My regular doctor did number one and two. A specialist was called in from Utah for three and four. So, I'm probably up to $400,000 by now. Throw in the $1000 doctor's office visits and the emergency room visits and the electrocardioversion and we are at $500,000.

I may not be the six-million dollar man, but I'm well on my way to being the one-million dollar man!! If my insurance co-pay was 20 percent, we're talking about a PORSCHE, aren't we? I first thought I was looking at $20,000, but soon realized I was talking about $200,000. Luckily, the co-pay is just 10% so get those checks coming!!! ( Just kidding, really. The State plan is 100% with a $50 hospital co-pay each visit, so my true out of pocket has been just probably less than $300 or $400 over the last 5 or so years this has been going on. *** good luck Clay decided to marry me, at least in a domestic partner state!)

Good night for now. Prime time TV starts in a bit and Cedars-Sinai has about thirty channels and NO guide so I'll be spending an hour fiding out what's on just in time for what I want to see to be going off!!

Hope to see you all soon.