Monday, January 25, 2010

More TMI and OMG! NO!

A month or so back I wrote about how I'm supposed to have a nasty procedure done in my nether parts due to a persistent hematuria condition. In fact, I used this procedure as an excuse not to visit Texas for the holidays, although I had changed the date of the procedure from just after Christmas until, well, this coming Friday.

I hadn't thought much about it because I didn't want to think about it; but today the outpatient surgery center called to take all of that information that you think they could keep in a damn database somewhere so you don't have to repeat it every time you go into a doctor's office. I know, privacy issues trump inconvenience; but, still, I sometimes think I should just have a printout that I can hand to any physician who needs the information.

Let me back up a minute to explain some of the scheduling issues here. First, they scheduled me for just after Christmas. It turned out Gentleman Caller, who was going to help me out, couldn't get down here then. So, I called to change the appointment. I called again. I called again. I called again. I called for a whole damn month before the person who answered the phone was, by pure chance, the person whom I needed to talk to. The person who hadn't returned my 5 gazillion messages.

"Oh, Ms. Bluestocking," she said. "We already changed your appointment." And did not call me. Of course, by this time, the window in which Gentleman Caller could come down to help me no longer had any appointments, which is why I am going in on Friday.

When the person from the surgery called, she said, "Oh, they changed your appointment." And did not call me. Fortunately, this change worked in my favor. Originally, they had me scheduled for a 6:30 AM procedure, which meant I had to arrive at 5:30 AM.

Yeah. I don't do that time of morning. In fact, I had planned to stay up all night to make sure I arrived on time because the odds of me arriving at all were better that way. Now, I'm scheduled at noon.

In the interest of maintaining my reputation as a gloom-and-doom, bitching-and-moaning pessimist, let me point out that I'm not supposed to drink or eat anything after midnight the night before. Not even gum! I also can't wear make-up, lotion, perfume, or jewelry. I probably would have worn all four.

Why? Because I'm going to have to find someone to pick me up, and it will probably be someone from work, and I will just DIE -- DIE, I tell you! -- if I'm seen out of uniform by someone at work.

I'm now also going to always be THAT woman, the one with the bladder problem, which I suppose beats being THAT woman, the one who is "angry," "destructive," and "creates a hostile environment." Or doesn't.

Anyway, the woman from the surgery took my information -- and I'm pretty freakin' healthy by the standards of that questionnaire, if you don't count the excessive use of happy pills and alcohol -- then asked if I have a living will or if I have given anyone power of attorney.

Wha....?

Oh, yeah. General anesthetic. Not exactly a natural state, and one in which nasty things could go wrong. I watch House. Metal pins could come shooting out of my brain or my heart could flip inside or something.

This did not worry me. I figure that I will be out of it and won't notice dying at all. Not a bad way to go, if you must (and, at some point, you must, just most of us hope it will be later). I'll be sad that I never finished my Douglass book. I'll be sad to leave Gentleman Caller, too; but, then, I'll be dead and won't care. In any case, the prospect of dying on the table doesn't worry me. In fact, it became a great prompt for planning my own funeral.*

I'm not afraid of dying on the table because the chances of that are insignificant. Instead, I found out what I am really afraid of when I did a Google search on "cystoscopy."

You see, I am rather curious as to what they are going to put up there. I mean this is a private part that was decidedly NOT meant for pushing out babies (not that I've ever seen a woman who thought labor was all fun and laughs). Since the urologist used words like "fiber optics," I decided to think of the machine as being a mere wire. Unpleasant, but bearable. Denial is such a wonderful thing!

This is what they will be shoving up my urethra:

Holy SHIT!! What sort of S&M, sci-fi porn prop is that? My parts will be damaged beyond repair or use! I'm hemorrhaging at the mere sight!

Sure, I'll be out cold; but the drugs wear off. I'll have to rely on the Vicodin from the wisdom teeth. I will then actually become House.

Now, I need to go assume the fetal position and whimper.

*I want someone to read a list of people to whom I say "fuck you! I'd haunt you if I thought there was an afterlife!" There will be instructions for how many birds to flip at the mention of their name, too. I also would like the Stones' "You Can't Always Get What You Want" played -- like in The Big Chill, only not on an organ."**

**But, I don't have hostility issues. I also don't watch too much Six Feet Under.

12 comments:

Ink said...

(((((((Clio)))))) So sorry that you have to go through all this. If it helps, I felt the same way before my hysterectomy -- like no one was telling me what I needed to know, and everyone made me repeat myself over and over gathering information. And also about the dying.

But you are going to be FINE, sweetie! They do this operation all the time. But please stop looking at the instruments online, ok? Those would freak anyone out!!!!

Courtney said...

That paperwork is a really big deal, and your health care provider should have mentioned it when your first scheduled the procedure.

The power of attorney and living will comes into play not if you die on the table but if medical decisions need to be made while you are unconscious or incapacitated, including whether or not to keep you on life support in a vegetative state. If you don't have those documents, your next of kin makes those decisions. Most states consider an unmarried adult's parents to be the next of kin. You can download document templates on sites like www.nolo.com, just make sure they are specific to your state and that they are HIPAA-compliant.

You need:
- living will/health care advanced directives (states your preferences regarding under what circumstances you wish to be kept on life support.)
- health care power of attorney (names your decision maker for when you are incapacitated)
- financial power of attorney (gives a personal representative the ability to deal with your financial issues in the event you are incapacitated.

If all of this is too much to get done (and notarized) by Friday, ask your provider if the hospital has a POLST form (Physician Orders for Life Sustaining Treatment.) That will cover the life support question, and it's usually one page that doesn't have to be notarized (and it goes in your medical chart.)

Good luck!

Dame Eleanor Hull said...

Ick! If I were you I would be so happy about general anesthetic.

Clio Bluestocking said...

Ink: Thank you! I have this sick curiosity about medical things. I almost want to be awake for it -- not to feel it! -- but anethsteized (knocked out) from waist down so that I could watch the proceedings. I wished that for my wisdom teeth, too, high as I was. It is my body they are poking around in. Shouldn't I be able to see the insides, too?

That said...

Dame Eleanor Hull: Oh yeah! I'm very happy about the general anesthetic! I only worry that I will start saying things better left unsaid to the person who drives me home. I'd rather be babbling to a cab driver because I never have to see the driver again. The co-worker? Yeah, I don't want to be confessing all of my secrets to her. I save that stuff for the blog.

Courtney: Wow! Thank you. I'm a total babe in the woods with all of this paperwork. That's incredibly helpful information.

I told the Gentleman Caller what I wanted in case of the vegetative state, but it isn't like he has any power. I trust him to make smarter, calmer, more collected decisions that my parents who will have complete breakdowns. They will have complete breakdowns not just because I am their kid and no one wants to make those decisions about their kids, but because that's what they do in crises. I know a notary, so I will get the documents. I might also trust one of my brothers,too, beleive it or not. In fact, I trust the asshole one the most.

Susan said...

If you told GC what you want, you need to ask Gentleman Caller to be the person to ask with an Advance Directive. Where I live, it needs to be witnessed by two people, but not notarized.

You can also be very specific: I don't want to live as a vegetable, or I want everything done, or oxygen/feeding tubes only to make me independent again.

In the very remote chance that anything happens, this will make a difference.

And if there's anyone you trust, you should appoint a literary executor who can finish your article at least:)

Susan said...

PS doing the above would be my way of guaranteering everything goes well! And don't worry, they won't let you leave when you would still say something you'd regret to your colleague. You may fall asleep on her, but .. .

As for the doctor's office, I'd actually write a formal letter of complaint. It's one thing to change an appointment, it's another to not tell you.

Notorious Ph.D. said...

Nice post, but the footnotes are pure genius.

And I'm sure this will go well. Really I am. Looking forward to your first vicodan-laced post-op post.

LivelyClamor said...

Cancel the appointment and RUN, DO NOT WALK to a naturopath. they don't do invasive and they fix things.

I would so NEVER walk into another doc's office EVER AGAIN if someone tried to do that to me...

Bardiac said...

Wishing you well, and good pain meds. I hope they can solve your problem and take good care of you.

Modern science and medicine are wondrous things; be glad you aren't living way back before pain meds!

bitternsweet said...

Anesthesia is an amazing thing. Can't say enough about how well it works.

I wouldn't freak too much on the paperwork ... it's great to do it, very responsible and all ... but don't let it become another source of stress.

I hope everything goes great -- I know it will -- and a lifetime of bladder health is entirely worth it!

Digger said...

Hope all is well on Friday! I agree with Notorious; your footnotes are pure win. I've had a run-in with the same piece of equipment, many moons ago. It wasn't so bad, though I was glad I was out cold (my curiosity was trumped by not wanting to be aware of wtf was going on). Just a bit uncomfortable afterwards.

RPS77 said...

Good luck tomorrow (or actually, later today).

 

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