Showing posts with label arthroscopic surgery. Show all posts
Showing posts with label arthroscopic surgery. Show all posts

Thursday, May 22, 2008

The procedure

I'm in the elevator with Dr. Resident. "Busy day?", I say. "Everyday is a busy day", he says with a smile. Quick trip, the doors open and we walk out onto the 3rd floor. We go through the doors and there's the pre/post-op area. There's a gurney right there next to the nurses' station. Your table, sir.

I hop on and Dr. Resident confirms all the information. You might think it would be annoying, but I'm actually glad that everyone is confirming the procedure and the side. Right knee arthroscopy. No I have not had anything to eat or drink. No medications. The gurney is enclosed by curtains and I'm asked to take off the top gown. He exposes my knee and marks it and puts his initials on there. Nice. I tell him to call MLW as soon as I'm out. That she's a physician and will get worried if too much time passes and nobody has called. He says Gladstone will call.

Then the anesthesiologist slips into our cocoon and he's also a resident. Any crowns, caps? No. Then the nurse shows up and introduces himself. It's getting a little crowded around my bed and I feel like a presidential candidate being mobbed by reporters. What's your economic policy regarding NAFTA? Are you allergic to anything? How would you address the sub-prime problem? Any prior surgeries?

Then Gladstone walks in, takes a look at the knee and orders the nurse to shave it. I ask him to call MLW as soon as I'm out of surgery to let her know. He writes the numbers on the leg of his scrubs. I remind him that she's a physician and will get worried. He gives me a non-committal ok and leaves the cocoon. By this time, the nurse is already half done shaving my knee. It looks naked.

Resident 1 leaves with him and resident 2's boss shows up and asks the same set of questions. He then leaves, so I'm there resident 2 and his job is to start the IV. He puts the tourniquet on my arm and pokes my arm. He misses, but plays it cool. He even tries to hook up the IV and then try to move the needle back and forth. Luckily for me, he decides to abort and go for the back of the hand. I got better veins there anyway.

Resident 1 shows up and says that he's going to wheel me into the OR. If he ever decides to give up this orthopedic surgery gig, he'll be a great cab driver. This guy was whizzing through the hallways and making left and right turns with the gurney as if he was riding a scooter. He almost took out a doctor who was standing a little too far outside a doorway. All the while the anesthesiologist is running behind us with his bag o' goodies.

We went quite far. I think it was all the way to 5th Ave, the very last room down the long hallway. Once we got there he collected my IV stuff and we walked in. Of course the room was not ready so resident 1 volunteered to help. They locked the table and had me lay down on it. Resident 2 went to work on setting up his magic and resident 1 started drawing on my knee and explaining what he was doing to a medical student to whom I was not introduced. They put the oxygen mask on my face and resident 2 told me to take deep breaths.

They exposed my leg and removed the non-skid hospital sock from my right (and correct) foot. I asked resident 1 how long the procedure would last and was told 20-30 minutes. He then grabbed a BIG-ASS needle from the table. My eyes must have given me away because the medical student motioned to resident 1. He looked at me and from under the oxygen mask I said "That's a big-ass needle." "Oops. I should really hide this from patients, but we don't use it until you're totally under."

I then felt cold and wet on the back of my hand where the IV was. I asked resident 2 if I was supposed to feel cold where the IV was and he said, "Yes. That's the medication."

That's the last thing I remember from the OR.

Tuesday, May 20, 2008

Significant event's Eve

Tomorrow is the day that I go in for my arthroscopic knee surgery. The procedure, as I like to call it, will take place at Mt Sinai, 3 blocks away. I feel pretty calm about the whole thing, which I think is troubling some people. Should I be more worried? I really don't see why and it may be because of ignorance about being put under and having surgery. Ignorance may be bliss.

One aspect of this whole thing that is really bugging me is the fact that every entity involved in this procedure is only looking out to get paid. They don't give a damn whether I'm going in for brain surgery or wart removal. Last week the orthopedics department called and asked for a "deposit". I'm not renting a fucking clown for a birthday party. What am I going to do cancel because of rain? I know, I know. Bad analogy. But it's still pissing me off.

They all want to make sure that they get paid and make their quota. Being in sales, I know what that means. I am really frustrated about the fact that medicine is not about healing but about business. It's the business of medicine and I'm sure that more than a couple of deadbeats have walked through the doors of Mt Sinai. Still, it doesn't make it right. They required a pre-op physical with labs to make sure they covered their ass in case I croak on the table. Maybe they should also run a pre-op credit check.

What's next? "Sorry sir, but we can't operate because your FICO score is too low." or worse yet "It's our Presidents Day appendectomy sale. No credit, no problem. Only $100 down with our low, low financing". What the hell is up with that?

So we'll see if they operate at 10:30 tomorrow morning. I will have my banker on alert and make sure I have a balanced portfolio with no CDEs. Oh, and I have to remember to bring my own crutches, because apparently the hospital does not provide you with these post-op necessities.

My next post will be under the influence of Percacet. That should be a doozey.

Saturday, May 10, 2008

Significant event

This is not something new, yet it's something that is significant. I am going under the knife on May 21, 2008 at Mount Sinai to fix my knee. It's long story...

My right knee has been bothering me since July of 2007. I got an X-ray which was negative and the pain was not consistent, so I let it go. Then around January of 2008, I decided to go for a long overdue physical and asked my doctor about the knee. He referred me to an Orthopedic surgeon. This new guy ordered another batch of X-rays and then sent me to get an MRI. The MRI showed "an oblique undersurface tear in the posterior horn of the medial meniscus."

He said that the way to fix it is to cut out the torn part by arthroscopic surgery. He explained that there is minimal risk involved and that I can resume normal activity shortly after the out-patient procedure. He then sent in his nurse to schedule the operation. Bang-bang-bang!

At first, I thought that they had their shit together and it was good that this guy was going to do the cutting. But after walking out of the room and thinking about it, I decided that a) I needed a 2nd opinion and b) I did not care for the off-hand way the whole thing was handled. I mean, if I was taking my car into service and the guy told me I needed to replace my struts, I'd take it to another mechanic just to make sure the first guy hadn't overlooked something. More importantly, I felt like a piece of meat being put through the machinery at this place. Slow down there, doc. Let it sink in and let me make a decision not based on your next availability but my comfort level at letting someone rip through my flesh. (technically, they only puncture your flesh, but I thought "rip" was more dramatic) So I got my MRI images (I posted 2 of the 134 images on a CD) and got a 2nd and 3rd opinion. It was unanimous: To get rid of the pain, I would require surgery.

So, on May 21, Dr. James Gladstone is going to do the honors. I have to say that I really liked the way Dr. Gladstone handled the interaction. He answered all my questions and was actually expecting me to have questions. He showed me the MRI images and the tear (that's how I knew what to put on this blog) in the meniscus, which is what I did not get from the 1st guy. I asked about scheduling the procedure and I already have my prescription for crutches and Percocet.

I suppose this is the countdown. 11 days away.