Category Archives: Health

Surgery, I had, they tell me

Fall                                                                         Harvest Moon

Drove into the city yesterday to Abbott-Northwestern Hospital.  Checked in and had to add, along with my name and date, the time to several spots on various pieces of paper.

After a brief wait, I went to the area for ritual preparation of the sacrifice, removed all my real world clothes and exchanged them for a purple garment made of paper.  Many people asked my name several times, my surgeon, Dawn Johnson, came and autographed my groin.  A nurse anesthetist found a big vein, asked if she could use it and I said sure.

The IV went in there.  Then, the first of the Versid.  It could better be named Lethe after the river of forgetfullness that flows through Hades for that’s its function.  I saw the operating theater.  Felt them lay my arms out in a cruciform manner.  “Just like an execution,” I said.  “Oh, no.  I don’t think so,” a nurse said.  It was, though.

There was a large tray with many sharp instruments, a number of tables and screens and such that looked as if they stayed there between operations, waiting for some future use.  Above me were two lights with mica like scales, I assume to give even, penetrating light.

There were scratch marks on the giant arms that held the lights.

Then, I woke up as my gurney careened (to me) down the hall passing light after light, door after door, the sacrifice already given and I missed the whole thing.  Forgot it.

In the recovery room my nurse’s name was Helen, whose face launched a thousand ships.  My consciousness danced in and out, opening the screen, then closing it.  Kate came back and I was very glad to see her.

By 2:30 pm we were in the Rav4 and headed back to Andover.  We drove in, something happened of which I have no memory, only wounds and we returned to our house.

Where, since then, I have been in the care of nurse, nurse anesthetist, pediatrician and after hours physician, Kate.  It’s been good to be in her ward.

Now, with the aid of Vicodin, I ride through the adaptations my body must make to this insult.  But, an insult with a purpose.  The hernia repaired and a mesh installed.  Or, so they tell me.

Fall                                                                  Harvest Moon

Ancientrails will be dark as long as I am.  Not long I imagine.  Surgery at 2:00 pm.  Home for recovery.  Probably back at it sometime Friday, maybe Saturday.  See you then.

Country Club Living

Fall                                                                     Harvest Moon

Just back from Golden Valley Country Club.  Not my usual haunt.  This was a luncheon put on by our financial manager, RJ Devick et al.  Interesting presentation by a guy from JP Morgan saying that the economic outlook has good spots:  corporate profits, medium spots:  growth and jobs and medium to weak but improving:  housing.  He foresees continued growth and a genuine wrestling with the country’s financial situation after the election.  The economy has improved every year under Obama’s administration and the deficit has shrunk.

Also, a presentation on metabolic medicine by a very sharp woman doc.  Will probably be taking some of her recommendations by mouth.

Both of these presentations were worthwhile but neither the setting nor the crowd were mine.  A lot of nervous retirees focused on the bad in the economy and the bad in their health.  Good way to generate gloom.  Bah, humbug.

Going to the Dentist

Fall                                                        Harvest Moon

Oh, boy.  Dental hygiene appointment this morning.  Met Stacey at Metro Dental. My first time there.  We switched from Centennial Dental in Edina this summer after Kate retired.  Going to this outfit, which is in a small open plan mall near Round Lake and Highway 10, knocks about an hour + off the trip and visit time.  Much better.

 

Though there is a difference.  In the waiting room at Centennial I felt young.  The canes, blue hair and walkers of the morning appointment crowd reflect, I’m sure, the location nearby of more than one senior retirement center.  Here in Anoka the lobby had toddlers, teen-agers and young adults.  Mostly.

Another difference.  Country music played lightly in the background.  Centennial had Bach and Mozart, that sort of thing.  I’m happier with the classical music, but for an hour, I can deal.

Now I have to go back in November and have one tooth, a problem root canal on my lower set, planed and scaled.  Sounds like something to be done in a woodshop then passed over to the fish cleaner.  The hygienist mentioned a cavitronic.  I assume it cavitates, but it sounds pretty close to cavity. Still, I trust they’re not in the business of promoting cavities.

(cavitron)

Dr. Lugo, the dentist who examined me, looked like he might be old enough for a Big Wheel, but in spite of that he seemed to know what he was doing.

This was the kickoff to a medical week for me with the hernia repair coming on Thursday.  Big fun.

Medicine

Lugnasa                                                     Garlic Planting Moon

Back from my pre-op physical for hernia surgery.  Questions, palpitations, blood pressure, blood and ekg.  Looks like I’m cleared to go.

(Hippocrates Teaching)

Having someone cut on my body, especially paying somebody to cut on my body, is not at the top of my list of things to do.  Still, needs to be done.  So.

The whole medical system works well for those of us who have decent insurance and buy into the Western model of care and treatment.  But, even for us, it is cumbersome, overly complicated and very, very far from transparent.

Still.  Having competent docs and hospitals does make me feel much more secure as I age, particularly if I lay Minnesota health care over against, say, Indiana.  We’re in a sweet spot here when it comes to medicine and I’m grateful for that.

 

Gimmee That.

Lugnasa                                                               Garlic Planting Moon

Kona, our 12 year old whippet, as spry and agile as ever, a canine hymn to successful aging, started, about a week ago, jumping up and pulling down bagged honeycrisp apples.  They were on a low hanging branch and I can’t imagine what she thought she was about, but she bagged (sorry) several before I saw her in the act and promptly plugged up her way into the orchard.

Honeycrisps mature in mid-September, so her effort, maybe she was being helpful?, was premature by a month or so.  As a result, Kate and I decided to try drying apples and pears.

A word on pears.  Thankfully Kate saw this in a drying article on pears and we got them off the tree in time.  Saw what?  Well, the UofM extensions says the mistake most novice pear growers make is to let the pears ripen on the tree.  Geez.  Turns out they get grainy and not as tasty if you let Mother finish the job.

We cut up the seven apples I recovered (some had been gnawed on by other dogs) and the four pears, soaked them in sodium bisulfite (from your friendly home brewing store in nearby Springlake Park), spread them out on drying racks and put them in our Excalibur.  I had a slice when I got up from my nap and they taste just like dried apples!  Success.

We’re reinventing ma and pa every day here this fall in Andover.

 

A Common Thing

Lugnasa                                               Hiroshima Moon

Into the Midway Doctor’s Building this morning for a surgical consult.  A hernia needs repair.  Not very exotic, not carrying dire warnings, but significant nonetheless.  Hernia’s are common.  Common enough for hernia repair to be the most common surgical procedure in the US.  Who knew?

Dawn Johnson, in her early 40’s, has practiced for 20 years.  She had the brisk, almost brusque, approach Kate says means professional.  We chatted briefly. she examined me (with no wine before hand) and said that, yes, surgery would fix it.  Would I prefer laparoscopy or open?

Faced with a menu of only two choices I chose the one that did not require a general anesthetic.  Open.  Well, there were other reasons, too.  It seemed to fit my situation and it has the additional virtue of being frequently performed, a known quantity.  I’m very conservative when it comes to things medical.  No experiments on this body except as a last ditch effort.  Tried and true, efficacious and low risk.  That’s what I want.

So, on September 28th, I’ll go to Abbott and Kate will drive me home the same day.  Key consideration in the date was the requirement that I not lift anything over 30 pounds for 30 days.  Hive boxes full weigh around 50.  Couldn’t do this surgery until the bee season has calmed down.

 

A Bike, The Orchard, Gertie Wounded

Summer                                                       Hiroshima Moon

Got a bike and a helmet today.  Ready to ride.  This bike’s a fixie which means it won’t coast, though it has a hub that can switch out so it rides like an old timey Schwinn.  Not expensive, my helmet cost almost as much as the bike.  Wanted another aerobic alternative, something to get me outside for exercise.  This’ll do it.  Bought the bike on line and had a local bike shop assemble it.

Kate and I worked in the orchard today.  One day a week she says where and what she’d like to have me do outside.  Think it’ll be two days this week.  I like to work outside for an hour to an hour and a half, then I’m done.  She likes to work until she’s finished.  Commendable, but not my style.  I parse tasks over time.  Needless to say Kate gets more outdoor work done than I do.

Gertie has wounds again.  This is the third time since she got here and the second time in a month.  We’ve not seen it happen so we can only speculate, though they look like canine bites and tears.  Fortunately pediatrics has a lot in common with veterinary medicine–that is, the patients often can’t talk–so handling doggy trauma at a certain level is well within Kate’s capacity.

I held Gertie while Kate put hydrogen peroxide on and into the punctures.  The punctures went all the way through the dermis to the muscle fascia.  She debreeded, then put an antibiotic ointment under the skin around the wounds.  Then, some bandages that lasted for a bit.

We started her on antibiotics we have here from other doggy misadventures, gave her some rimadyl for the pain and let her sleep in our room.  Where she is right now.

 

A Dream, Become Real, Become Dream

Summer                                                Hiroshima Moon

“Dreams pass into the reality of action. From the action stems the dream again; and this interdependence produces the highest form of living.” – Anais Nin

Horticulture.  When we moved in here now 18 years ago, we decided to spend money upfront on landscaping, figuring we could enjoy it over the life of our tenancy rather than putting in as an amenity at the time of a sale.  We hired a landscape architect from Otten Brothers and he put in a basic plan.  Two wild prairie patches on either side of a manicured lawn.  Norway pines, a spruce or two, some amur maples, a genus maple, an oak, some river birch.  Near the house he put on narrow beds planted with shrubs like euonymus, a dwarf lilac, shrub roses, viburnum among others.

A boulder retaining wall in the front shored up a long bed like a peninsula into the green ocean of our yard.  In the back we had them cut a three tiered garden, each tier marked off with boulder retaining walls and divided near the house by steps made of rail-road tie size square lumber.

The rest of our property, all now that is our “backyard”, was part woods and part scrubland covered with black locust trees, thorny and not visually appealing though very good for fence posts.  The first two years after our move I spent cutting down trees, using a commercial wood-chipper to  grind them up and hiring a stump-grinder to come in and rid us of the stumps.  The scrubland became, gradually, a place where we could build a shed, plant a vegetable garden and I dreamed of making it an expanse of prairie, as I had wanted to do with the entire property when we moved. Continue reading A Dream, Become Real, Become Dream

A Career Finished

Summer                                             Under the Lily Moon

Kate left for work for the last time tonight.

She’s had a difficult and contentious time with Allina as they have moved more and more into medicine delivered by fiat rather than from an autonomous physician.  There are lots of problems: cook book medicine, coding for maximum revenue, treating the physician as an employee and giving them speed-ups in terms of number of patients per hour to see, pay differentials between the gatekeeper doctors, the primary care providers like pediatricians, internists and family practice and the surgeons/specialists, pay differentials in the hundreds of thousands of dollars.

It’s comforting in a way to know that Allina has screwed her on her last night of work.  She just called me and told me she’s the only doc on in after hours care.  There are supposed to be three.  Her last night.

Come on, guys.