{listener} Update: A doc made rounds at 4:20am to check on my well being and everything looks great so far. My surgery team stops by in a couple hours to confirm and answer questions. (Very quiet unit otherwise!) 👍
Thanks for the link to the article, Alan. I had no idear it's as rare as 3% of hernias. For the record...what I had was an irreducible femoral hernia with partial strangulation and necrosis. Soooool hernias are relatively rare, comprising about 3% of all hernias. They used a full incision (not laparoscopic) incase they needed to do a bowel resection. However, it did not affect the bowel in any way! Instead what became herniated was some fat tissue that had gotten squeezed through a tiny hole in the abdominal wall. So they were able to simply cut that bit away and patch the hole with mesh. I'll be good as new, with a little extra scar of remembrance. Fortunately, it wasn't as bad as feared. But it was still something that could not have waited through the weekend, as I might have had a full blown ambulance-ride style emergency. It was emergent enough, all the same. Sooooo good to be home.
Relief For Elderly Student Loan Borrowers? [Click] As memory serves me, no small number of such people borrowed the money to pay for the educations of their children. I stand by my opinion that the federal guaranteed student loan program is a massive fraud that rewards banks and oversized college administrations. ——Alan
I remember a university professor who opined that if all the students disappeared it would take the administrators a long time to notice; in the meantime they would remark on how well things were running. -----Alan
X-ray results back already.. No broken bones but it looks like one of the vertebrae may have been pushed out of position (subluxation). No word on what, if anything, to do about that.
No idea whether the subluxation has anything to do with the pain. That seems to be mosrly from the bruising. One thing I saw seemed to be talking about chiropractic manipulation as a tretment for subluxation.
Got out of surgery around 11pm, settled into my room around 1:00am, and got fresh pain med at 1:47am, then slept for 2.5hrs until a doc came at 4:20am to check my incision. Rested after that but never got back to sleep. By 7:00am I had already gotten up, and walked a complete circuit of the unit. Another doc came in at 7:20am and said he was aamzed I had already walked when my surgery had been so late at night. I seemed the model patient. I did all the required things, ticked all the boxes 3-4 times, actually, and still had not gotten discharged. I was ready to leave by 10-11am, but we were waiting for the chief doc to come by and discharge me. SIX HOURS LATER, at 5:00pm, I was finally discharged! Never saw the doctor but my RN pleaded my case and said she felt I was ready. So the doctor relented remotely. It is soooooo good to be HOME!!
Once upon a time during my cancer treatment it was taking an unreasonably long time for me to be discharged from a specialty hospital in San Francisco, because of waiting for a physician who had a lot of other things on his plate and to have a by then useless central line removed. Having worked in hospitals for a long time I knew that there would be a form to fill out for leaving "against medical advice" ["AMA" in hospital lingo] so I went to the nursing station and demanded the form; the nurses seemed confounded--- as if they had never dealt with such a thing before--- but finally rooted through their book of standard forms and found it. I signed it and we went home, arriving before sundown. Had the central line removed in Fresno the next day. -----Alan
Maddow pans Oz for pushing Medicare Advantage; I have heard/read people complaining about Medicare Advantage, but we get it through Kaiser Permanente [Click] and it is first rate. We have a local KP hospital and two of their clinics nearby. I have heard more, and more serious, complaints about standard Medicare coverage hereabouts. We pay nothing per month, and co-pays vary from nothing to not much. (Before Obamacare we paid $15 per person per month). If they can’t justify a specialty service locally they will contract with a local provider (in my case for radiation treatments), but they can negotiate a reasonable cost because they know EXACTLY what the service costs and what the economies of scale are. Alternatively, they may have the service at another of their hospitals (like my cancer surgery— the location of the tumor made it very difficult to work on, so they sent me to their specialist surgical unit in San Francisco. They reimbursed us for mileage and paid for a hotel room near the hospital for my wife and daughter.) We can upgrade to standard Medicare through KP, but unless one requires multiple [5+?] hospitalizations per year it doesn’t make economic sense. On top of that they are completely unionized, and the difference from hospitals where management treats workers like the enemy is obvious to me (having worked in both types of hospitals). ——Alan
The old county hospitals out here were good places to be treated and to work, but alas, most of them have been privatized. It came to be considered good management practice for boards of supervisors to reduce the numbers of county employees, and the county hospitals were major employers. -----Alan
puddle is first!! 💖
ReplyDelete^ {listener}
DeleteOh, yes.
Delete----Alan
I will always remember dear puddle. -- nordy
Delete{♥Puddle♥}
Delete{listener}
ReplyDeleteUpdate: A doc made rounds at 4:20am to check on my well being and everything looks great so far. My surgery team stops by in a couple hours to confirm and answer questions. (Very quiet unit otherwise!) 👍
Comments on previous thread, including link to Wikipedia article about femoral hernia.
Delete----Alan
Thanks for the link to the article, Alan. I had no idear it's as rare as 3% of hernias. For the record...what I had was an irreducible femoral hernia with partial strangulation and necrosis. Soooool hernias are relatively rare, comprising about 3% of all hernias. They used a full incision (not laparoscopic) incase they needed to do a bowel resection. However, it did not affect the bowel in any way! Instead what became herniated was some fat tissue that had gotten squeezed through a tiny hole in the abdominal wall. So they were able to simply cut that bit away and patch the hole with mesh. I'll be good as new, with a little extra scar of remembrance. Fortunately, it wasn't as bad as feared. But it was still something that could not have waited through the weekend, as I might have had a full blown ambulance-ride style emergency. It was emergent enough, all the same. Sooooo good to be home.
DeleteGlad to hear it's treatable. Be well, friend. -- nordy
DeleteSending healing vibes! ♥
DeleteClose call; but all's well that ends well.
Delete------Alan
Foggy again this morning; foggiest winter in a long time, although nothing like it used to be around here.
ReplyDelete-----Alan
Relief For Elderly Student Loan Borrowers? [Click] As memory serves me, no small number of such people borrowed the money to pay for the educations of their children. I stand by my opinion that the federal guaranteed student loan program is a massive fraud that rewards banks and oversized college administrations.
ReplyDelete——Alan
I remember a university professor who opined that if all the students disappeared it would take the administrators a long time to notice; in the meantime they would remark on how well things were running.
Delete-----Alan
*laugh*
DeleteX-ray results back already.. No broken bones but it looks like one of the vertebrae may have been pushed out of position (subluxation). No word on what, if anything, to do about that.
ReplyDeleteThat sound painful! I hope they have a remedy.
DeleteNo idea whether the subluxation has anything to do with the pain. That seems to be mosrly from the bruising. One thing I saw seemed to be talking about chiropractic manipulation as a tretment for subluxation.
DeleteSending healing vibes to you, W.A. and very careful, gentle hugs. I hope they get you sorted out with all dispatch!
DeleteW.A., I'm a bit confused. Is the subluxation resulted from your recent fall or not. -- nordy
DeleteGot out of surgery around 11pm, settled into my room around 1:00am, and got fresh pain med at 1:47am, then slept for 2.5hrs until a doc came at 4:20am to check my incision. Rested after that but never got back to sleep. By 7:00am I had already gotten up, and walked a complete circuit of the unit. Another doc came in at 7:20am and said he was aamzed I had already walked when my surgery had been so late at night. I seemed the model patient. I did all the required things, ticked all the boxes 3-4 times, actually, and still had not gotten discharged. I was ready to leave by 10-11am, but we were waiting for the chief doc to come by and discharge me. SIX HOURS LATER, at 5:00pm, I was finally discharged! Never saw the doctor but my RN pleaded my case and said she felt I was ready. So the doctor relented remotely. It is soooooo good to be HOME!!
ReplyDeleteGood to hear you're home and soing well.
DeleteSame here. -- nordy
DeleteThere's nothing quite like getting home from the hospital.
DeleteOnce upon a time during my cancer treatment it was taking an unreasonably long time for me to be discharged from a specialty hospital in San Francisco, because of waiting for a physician who had a lot of other things on his plate and to have a by then useless central line removed. Having worked in hospitals for a long time I knew that there would be a form to fill out for leaving "against medical advice" ["AMA" in hospital lingo] so I went to the nursing station and demanded the form; the nurses seemed confounded--- as if they had never dealt with such a thing before--- but finally rooted through their book of standard forms and found it. I signed it and we went home, arriving before sundown. Had the central line removed in Fresno the next day.
Delete-----Alan
MAJOR Peaceful Protest to BLOCK Trump's Illegal Presidency │ Lights On with Jessica Denson - Click
ReplyDeleteVideo: Rachel Maddow on Dr. Mehmet Oz: Five things about Trump's pick to lead Medicare & Medicaid Services/a> [Click] Gee; picky, picky, picky!
ReplyDelete——Alan
Maddow pans Oz for pushing Medicare Advantage; I have heard/read people complaining about Medicare Advantage, but we get it through Kaiser Permanente [Click] and it is first rate. We have a local KP hospital and two of their clinics nearby. I have heard more, and more serious, complaints about standard Medicare coverage hereabouts. We pay nothing per month, and co-pays vary from nothing to not much. (Before Obamacare we paid $15 per person per month). If they can’t justify a specialty service locally they will contract with a local provider (in my case for radiation treatments), but they can negotiate a reasonable cost because they know EXACTLY what the service costs and what the economies of scale are. Alternatively, they may have the service at another of their hospitals (like my cancer surgery— the location of the tumor made it very difficult to work on, so they sent me to their specialist surgical unit in San Francisco. They reimbursed us for mileage and paid for a hotel room near the hospital for my wife and daughter.) We can upgrade to standard Medicare through KP, but unless one requires multiple [5+?] hospitalizations per year it doesn’t make economic sense. On top of that they are completely unionized, and the difference from hospitals where management treats workers like the enemy is obvious to me (having worked in both types of hospitals).
Delete——Alan
The old county hospitals out here were good places to be treated and to work, but alas, most of them have been privatized. It came to be considered good management practice for boards of supervisors to reduce the numbers of county employees, and the county hospitals were major employers.
Delete-----Alan