Health

Cooties

June 3rd, 2009

cootiesChicken Pox never goes away, it lays dormant in your spine. It can reactivate and travel from its hideout along a nerve until it gets to the skin and makes you itchy and miserable, just like it did when you were a kid. This fascinating information I learned after the doctor informed me that I have a case of Shingles.

“Don’t put cream on it,” he said, which is a small victory because I had refused Michelle’s tube of put-this-on-anything cream. There is no question I lost the war though. If I had listened to her, and seen the doctor a few day earlier, I could have received the treatment that is effective within the first 72 hours.

This disease of the young and the old hitting me at my apparent prime of life is tough on the ego, but most painful is that I must admit that all those little girls of my youth were right, “Dirk has cooties!”

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Do Not Resuscitate

May 19th, 2009

“Oh, not too good man. They can’t treat him with chemo and they think radiation will kill him.” This is how the conversation begins.

sunriseI am sitting by myself on a patio enjoying a beer in the sunshine. The speaker is also alone having lunch when he receives a call. His side of the conversation provides a sad glimpse into his life as he relates the condition of a loved one to the caller.

I never learn who he is speaking about, but believe it is someone from his immediate family, because his mom “is not as upset as he thought she would be.” Perhaps his mom has reached the same stage he has. He relates the latest information like someone who has come to accept a situation to grim to contemplate.

His loved one is dying and there is little hope. Cancer has ravaged his lungs. He is on a breathing tube. The disease is spreading rapidly. “The doctors are not too confident” about his treatment. This morning the dying man asked to have an order signed that prevents any extraordinary measures to continue his life. Hospital lingo for this is DNR, do not resuscitate.

My own battles are trivial in comparison. It is a powerful antidote for feeling sorry for yourself. Many have said it more eloquently than this, but if you have a full belly, a roof, and your health, then you have everything. Take a deep breath and enjoy the sun while it shines.

Be kind, for everyone you meet is fighting a hard battle. – Plato

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Eight Glasses A Day

April 7th, 2008

When the twenty year old swimsuit model is asked to pass on beauty tips you are likely to hear the benefits of drinking lots of water to keep you skin looking great. Or some other bullshit. What is she going to say to the interviewer from Teen Beat magazine? I started with the freakish genetics of an Amazonian Princess, plus I smoke a lot of cigarettes and do a lot of blow, which really keeps my appetite in check.

That so many calls for consuming water as a catch all health tip come from sources like the one above, or in women’s magazines in connection with advise on how to look younger, or prettier, or lose five pounds, is probably one of the reasons women seem more likely to be toting around water bottles everywhere they go.

The benefits of drinking, when your body gives no indication of being thirsty, are questionable. “Drink water”, is not health news, it is advise easily proscribed by any fool, and it usually is.

Five Myths About Drinking Water – NPR

Evidence wishy-washy for health benefits of water – Reuters

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Shooting And Stabbing

January 23rd, 2008

What is the difference between shooting pain and stabbing pain? I am reasonably intelligent and have a passable command of the English language but I have no idea what the answer to that question is.

I have a history of being annoyed with the medical profession (see here and here for examples why), but am I alone in lacking adjectives to describe my pain. When asked I struggle to answer if my pain is radiating, tingling, aching, sharp, burning, stinging, twinging, or throbbing. I filled out one of those forms you do on a first visit today and it asked me to circle where I hurt and check off the boxes that described my pain. Stabbing and shooting were separate boxes. When you keep poking that spot it makes me want to punch you right in your stupid face. So not shooting or stabbing. I would describe my pain as punching. What does it say about that in your desk reference?

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Brain Injury

November 15th, 2007

I opened up the mail today to find a letter from the hospital I was at on halloween night. The opening sentence of the letter stated: “You were recently treated for your injury in which you sustained a concussion.“. The letter went on to offer assistance in my recovery and the envelope included a pamphlet entitled Facts about concussion and brain injury. The letter was an interesting surprise, mostly because I had no idea I had sustained a concussion.

Write stuff down for people with brain injuries. That should be the title of a class in med school don’t you think. They could have a discussion about how communicating verbally with the guy that has two eyes swollen shut and blood coming out of his ear is not recommended. I might make the mistake of presuming that general medical knowledge would allow you to suss out that fact, but I could be forgiven my error in judgment I suppose because, as it turns out, I have a brain injury. The letter in the mail notifying me of potentially serious danger signs to watch out for fifteen days after my hospital visit is a nice touch though. Had I suffered a stroke brought on by a blood clot it probably would have been a real comfort to know someone cared. It’s sweet really.

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The Worm Turns

August 30th, 2007

Bilateral. That means two sides. It is the term that was added to my consent form prior to my surgery. I was initially scheduled to get one side done, but there were minor concerns with the other. “Might as well get both while we are at it and you are under anesthesia” says my surgeon. “Yep, might as well I guess”, says I. It was that easy. Fucker up-sold me like I had just bought a big TV and he was throwing in some extra cables.

A three-year-old little boy was examining his testicles while taking a bath.
“Mum,” he asked, “are these my brains?”
“Not yet,” replied his mother

When you are talking to a doctor they tell you a lot of stuff, but never quite enough to reassure you completely. I can attest that you develop very selective hearing during these conversations. In discussion with my surgeon and his resident we went over a lot of information about my condition and treatment. Out of all of that only a few things really dug into my sub-conscience and stayed with me: “chronic pain”, “atrophy”, and “removal of the testicle”. There were a bunch of words that surrounded those phrases, and really, those other words were key in maintaining the context of the phrases, and had I kept them in mind may have provided some reassurance. Laying in bed at night I have to tell you that it was those few nuggets that really stuck out though.

I am happy and relieved to relate that I am no longer quietly freaking out. I now have no part of my anatomy that resembles a purple Nerf ball trying to eat a hot dog, so things are definitely on the up-swing.

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Medical Advise

August 25th, 2007

I have no medical training. I am just a laymen patient like the rest of you. Regardless, I have some advise to dispense that is the culmination of a few minor run ins with medical problems: Man That Guys Got Balls, Brain Injury

Ask to see a specialist

A General Practitioner (GP) knows a little bit about a lot of stuff, but for anything even mildly serious you want someone that knows a lot about your specific problem. If you have a snotty noes or hypochondria see a GP, for all else see a specialist. I have experienced radically different advise between the GP and the specialist I have eventually seen on a number of occasions.

It will depend a little on how often you see a doctor. Personally, I hate waiting rooms, so if I see a doctor its because I am pretty sure I have a problem and it does not seem to be fixing itself. Under those conditions I would estimate I ask for a referral to a specialist at least 50% of the time. Even if you are not too sure that your problem is serious enough, ask for a referral. Unless you are bleeding from the ears it is going to take some time to get into see a specialist, sometimes months. By asking for a referral and setting up an appointment at the first sign of trouble you are at least starting that lengthy process. If things get worse you will be happy you are in the queue. If you get better it is really easy to cancel the appointment.

If your doctor gives you any resistance push back or get a new doctor. Their role is not to play gatekeeper between you and other advise. You know your body and you should decide when you want to speak to someone about it.

Never trust your doctor

What do you call the guy that graduated from the bottom of his class at med school?

Doctor.

This is true of any profession. There are good ones and bad ones. The difference is that if your tax accountant gives you bad advise it is not likely to kill you.

It is astounding but true that most people are happy with their doctor, accountant, and dentist. This is because laymen are not really qualified to judge an expert in any field. I do not know a thing about medicine, accounting or dentistry, so anyone with a first year education in any of those subjects can impress me. By the time there is a problem it is too late.

Most people would say they have a “good” doctor, but that judgment should not have much weight. Never trust your doctor whether it is your regular doctor or some specialist. A healthy dose of skepticism is important when it comes to your health. I have had personal experience with a specialist that made a diagnosis that did not really make sense to me. A little research on my part and some prodding questions influenced him to change his diagnosis. Doctors have opinions but there are often multiple solutions to these problems. Understand your options, and if you are at all unsure, get another opinion and do  research of your own.

Take Notes

If you have followed any of the advise above this next point becomes crucial and it is a valuable tip. Take a piece of paper and a pen with you to your doctors visits. Take notes.

This becomes particularly important if you go to see specialist. You will wait a long time for an appointment and then you will receive a bunch of information in five minutes. The doctor will ask if you have questions, and you won’t be able to think of a single one, but as soon as you are out of the office you will think of dozens, but now it is too late.

A friend of mine had an experience with an orthopedic surgeon that helps emphasize this point. He described finally getting into see this guy and during the appointment the doctor talked a lot about the procedure and ligaments and recovery and threw out a lot of terms, answered my friends couple of questions and the next thing he knew he is on his way home. As I said he eventually had a bunch of questions and concerns but the next time he was scheduled to see the guy was five minutes before he was going to cut into his knee.

I have found it very helpful to be able to type a procedure, a condition, or a drug name into google and get answers to my questions. The internet makes it so easy for you to informed about what is going on with your body, but if you do not write down the basics in the office you are going to have trouble remembering it all by the time you get home.

Take responsibility for your own health

Given my own experiences I think the above three points are very helpful. Now you just have to be aggressive. Taking a passive role in your treatment can come back to bite you in the ass. Be skeptical, do research, be informed, and do not be afraid to speak up if you do not like how things are going. Almost without exception medical professionals are genuinely interested in your well being, but in the end no one is more concerned about your health than you are. If you end up with a bum shoulder that always gives you trouble your doctor is unlikely to lose much sleep over it.

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Man That Guys Got Balls

August 25th, 2007

I had a vasectomy a few years ago. The only interesting part of the process was that an attractive intern assisted. Her roll paralleling the person that helps to tie a bow by holding a ribbon down with their finger. She had little to do, so we chatted while they were tying me off. Then I went home and promptly told my wife that another woman touched by balls.

Whenever the subject comes up, which it does a surprising amount once all your friends turn 30, I brag about how simple and easy it was. It says something that my idea of being tough is staring down a needle and thread without blinking. It says something about men in general that most seem suitably impressed that I let anyone mess with my junk.

All is well for a year or so and then a problem emerges. Upon reaching that moment in life when all things, um, climax, I start to get a shooting pain as well. Even for the hospital adverse this indicates a trip to see the doctor. I need surgery to correct the problem. I would suggest you learn from my experience and read my medical advise.

The surgery is a procedure to cut out the site of the old vasectomy and do a new one. This, by comparison to the first, is not a minor procedure. They must put me out, which I had never experienced before.

As the anesthesiologist injects something into my IV he says, “This first one will just make you relaxed”. He is right because I feel reeeeealy soooooooo chilled out. Unfortunately, I do not get to enjoy it because he then tells me I am about to go to sleep as he injects something else into my IV. By the time I can wonder how long it is going to take I wake up in the recovery room. The first thing I tell my wife is that another woman touched my balls.

I quizzed the doctor about why they have to put me out for this procedure but not the original vasectomy. He said there is more work to do and that I probably do not want to be awake for it. I’ll spare you the details. Lots of swelling and bruising sums up the aftermath.

When Michelle sees me naked she puts a hand to her mouth and says, “Oh Baby!”. Normally this kind of awed reaction would be a positive thing. Under these circumstances, however, it accurately depicts the state I am in.

Things do not get better, in fact, they get much worse. I do not recognize the mild fever I have as a sign of the developing infection. The really sore orange I come to carry between my legs is a sure give away though. The scrotum is definitely not an attractive part of the human anatomy. I can assure you that size and shape are not its only aesthetic challenges. I know this because I have altered both aspects of mine and I am noticing no improvement in its appearance.

I contact my specialist at about 2:30 a.m. and he gets me to meet him at emergency the following morning. During check in the nurse asks me some questions about the problem. When we get to drugs I tell her I am taking the antibiotic pills the doc gave me after surgery.

What kind of antibiotic?
I don’t know.
Anapoxyl, Nanabyl, Ka-flex?
I really don’t know.
You are taking pills and you don’t even know what they are called.

The Specialist with over a decade of higher education gave me a bottle and told me to take it. So I did. He didn’t mention anything about an upcoming quiz, so fuck you and your attitude lady.

That’s what I wanted to say, but I actually said, “I guess so”. It seemed the wrong time to pick a fight with a bitchy union worker.

The doctor diagnoses me with a “raging infection”. An ultrasound and blood tests are done. I am fitted with an IV line I wear for a week, and receive my first dose of high grade antibiotics. When my wife picks me up I consider making the “she touched my balls” joke, but so many doctors and nurses have observed, probed, tested, and scanned my testicles that the joke has really lost its luster.

So here I am, icing my swollen balls, restricted to bed rest, and taking daily trips to emergency to get my dose of IV antibiotics. Good times. A full recovery is expected. In retrospect, it may have been easier to just have a kid.

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