elfSPEAK

So let me just jump right in here and catch you up on the post-Holiday bliss . . . .

December was a CRAZY month. A car accident followed by a week-long visit from my sister & brother-in-law that involved beer tastings, strippers, lost IDs, credit cards, medication, a “Getting To Know You” session with the TSA, a flurry of found & lost employment, a crippling snow storm and a major abdominal surgery . . .

Not much of a Christmas & New Year’s, but – what can you do? Life intervenes sometimes and puts the smack down on all your sparkly plans.

So yeah, from car to job and health matters – it’s been buckets of suck lately, but thank goodness i have my Joe, for better or worse and all.

The Bunny Goes Bang . . .

Joe and i were in a car accident early in December (my poor VW Rabbit). We were simply dropping off a friend so she could avoid taking the bus. Luckily, it was a slo-mo, non-jarring crash that no one was hurt in. In short, some jackoff signaled to go right, then changed his mind and veered into us, even though his lane had ended. This sent us banging into the large SUV to our left, effectively smashing my left quarter panel, taking out the left headlight cluster and ripping my bumper off in one arc over my hood and into the street behind us.

i was all in my Zen-state, post-yoga and coolly remarked from the passenger seat, “well, there goes the bumper,” as it sailed overhead. I was not pleased to discover the no-fault law here in Oregon. The police didn’t even take a report?!?! But we did have two witnesses who volunteered information without even being asked, so it was clearly NOT our fault. i rode home with the bumper in the backseat curled up on the ends like a big, red-lipped smile while the broken eye of the headlamp cluster sat dark and blinded in the trunk.

Surprisingly, all told, it wasn’t too much of an inconvenience. Even though it was several days before my sister & brother-in-law was scheduled to visit us from Indianapolis and i thought, “great, now what?” The body shop took us VERY early the next morning and gave us a free loaner car, a pimp-ass white ’00 Ford Taurus with the body shop name emblazoned on the doors. The smell of faux strawberry walloped you in the face when you got in, which was better than say, cigarette smoke, though the history of burn marks dotted the seats exposing the fleshy, pale foam below. Then i discovered the source of the scent.

There was a Little Trees air freshener hanging from the steering wheel. This reminded me of an old friend Dave, who became a police officer and used a special sort of profiling. He noticed that a high proportion of criminals in an effort to mask the smell of open intoxicants and / or drugs have an awful lot of the Little Trees air fresheners hanging from air vents and from their rearview mirrors. He referred to these collections as a “felony forest” and a sure sign of unlawful nonsense being perpetrated. So, in all of its red and white, cloyingly fruit-scented glory, i thereby dubbed the pimp car “Strawberry Shortcake Mobile.”

We had the estimate the next day – $5,081.00 worth of damage (we merely paid the $200 deductible). All of this was completed within a week and my car looked factory show room new. Plus – anyone getting $2,000 worth of work done qualifies for their “Detail For Life” plan, which entitles me to come in four times a year and they will clean the inside and polish up the outside of the car for FREE. Even if i sell the car, for the life of the car. The body work also took care of all minor road, gravel, dings scrapes and insults on the first half of the car since i owned it, so THAT was great too!

Jobless but not Hopeless . . .

Joe is happy & successful with his job at PSU and thank goodness he has a good salary and has made good friends & contacts with his workmates. My job search, not so much. Not since October. i started one, then had my driver’s window smashed & my car broken into while working. i could see someone else nearby had the ol’ window trick pulled on them as well. It was next to a dimly lit playground, plenty of places for crazies to crouch. No way i was hanging out there. i drove home sitting on a grocery bag that nite and had the police come to my house to take the report.

To work there, i was spending more money on transportation and parking (unsafely) than i was making and was generally miserable serving happy hour food to VIPs (Visibly Intoxicated Pricks), hotel and rich asshole marina guests. Nice enough people to work for & with, but i am accustomed to a much faster pace and different atmosphere. i quit that job.

i was also interviewed by a winery, Chateau Ste. Michelle (Erath) one of the oldest in Oregon wine country, until Cigarette giant Altria Group, which owns Marlboro, announced an agreement on Sept. 8 to buy smokeless tobacco firm UST for $10.4 billion. As part of the deal, Altria acquired UST’s Chateau Ste. Michelle Wine Estates. In all that, the position fell through or more or less, evaporated when they began reorganizing.

i also interviewed with a woman who was opening a new wine shop. i suspect her bank backing bottomed out or perhaps she chose someone else, either way – i haven’t heard from her again. i worked one day at another wine shop. a week later, he reneged his offer and sent me a check for my time. no loss, i’m afraid i was a bad fit and didn’t make the cheerleading cuts anyway.

i’m sure everyone’s been saturating themselves in the depressing news about the shitty US economy, banks, mortgage crisis, unemployment rates & the systems supporting it crashing & drained. All bad news about how it affects things both locally and globally and i am here to tell you, it’s no bullshit. Being in the service industry, i am also keenly aware that dining out is one of the first things to be culled, the first belt hole to cinch up from the family budget, making my employment search options even more grim.

Then i read this article: Portland’s restaurant scene in trouble. And thought – well hell . . . no wonder i can’t find fuck-all for work! so, i may want to reconsider my line of inquiry and use some of my other “job skills.” this of course being freelance photography or administrative desk slave. i may just start writing that novel i’ve been threatening for years. I’m looking forward to seeing what the Hope & Change guy has in mind and more, what he puts into action.

Briefly, the beer & the boobs . . .

my sister’s visit was mostly, fun. and there are stories i could tell which were hinted at in the opening paragraph, but i will protect the innocent and spare my sister and her husband the embarrassment of me airing a couple kooky escapades that ended in ill consequences . . .

It was during the week of my sister’s visit that i had the surgery consult after an ultrasound revealed several 2mm stones in that useless little bile storing organ, so it slowed things down considerably for us, in a city known for, in addition to its natural beauty, quirky places and fresh local food, its prevalence of brew pubs and strip clubs.

Now – before i get into this last bit, make no mistake, we are eating, and living and loving and surviving just fine. Oregon is wonderful; Portland was not a bad move and my Joe and i are as  happy & close as ever, Just little irritating life issues have been getting in the way, like, my gallbladder, for instance.

but let me back up . . .

You Don’t Have The Gall . . .

i had an episode several weeks back where i was waiting to see Quantum Of Solace on Sunday’s opening weekend when, apropos of nothing, i had extreme abdominal pain and pressure – it was so bad and intense i thought it was a heart attack. or a really bad taco. Joe refunded our tickets and drove me home immediately. I thought for sure i would have to go to the emergency room! Turns out that time and the 5 repeat performances afterward were gallbladder attacks. I had a mean, miserable headache for three days after the first one!

and let me tell you – i don’t wish that pain on anyone!

It was as if my body were hi-jacked, my heart pounded, i would sweat and waves of nausea built up into a high pressure weather system that radiated pain concentrated in the center of my chest, lateral right, and shoulder. then i’d wretch and writhe for anywhere from 30 mins to more than an hour until it passed. no position, being still, Maalox or movement eased the pain. the only thing that seemed to mitigate it somewhat was glugging down a big glass of water as the attack symptoms began and i began to ride it out.

Generally, i just felt sorta weak, dizzy & fatigued and simply tried to make myself comfortable, warm, sleep a lot and took it really easy. i’d have several hours a day where i felt good and tried to do some writing and editing photos or read or catch a flick, just to keep myself occupied.

i had another bout of a lesser attacks on and off over several nites following the first major attack, these while my sister was in town. It was all i could do to try to be remotely fun, a decent host, and not a total drag. Those tail end attacks were mostly just overwhelming nausea, pressure, heart pounding, then sudden drop in blood pressure and dizziness (like fainting), the sudden multiple bowel movements/diarrhea (sorry, TMI all indications of a sick gallbladder), but at least it didn’t include any monstrous pain or vomiting. i had some anti-nausea medication (Phenegran), and i took only 1/2 a Vicodin a few times to stave off any pain.

Eating was scary as you can imagine. everything i put into my mouth i worried about, “what will trigger an attack, this time?” i felt WAY too full after even a small meal (which was mostly, lite protein, soups, the BRAT diet (bananas, rice, applesauce, toast), juices, mint tea, gingerale, etc.) Despite all that, i sometimes felt like there was a lump in my throat, as if it were food that hadn’t gone down. a sort of creepy indigestion. This really pissed me off, and since i love food, i grew quickly fed up with the baby diet!

i was of course, drinking lots of water & tried to avoid any fatty foods or anything that might trigger an attack & send the gallbladder into secretion or action or whatever it is that it does to try to clear out the multiple stones that are in there. Thus, the suggestion that i hydrate more than usual and at the onset of attack, drink down a big glass to try to i guess, move the bile along.

None of this is fun to read, i imagine, but i suppose it helps me to assess what i experienced and to tune in with my body, recounting what i had to do to nurse myself along until i had that evil little sack of pearls out of there! So – thank you for taking the time . . .

“Oh The Weather Outside is Frightful” – But The Fire Inside My Gut Isn’t So Great Either . . .

i was supposed to have my surgery on December 22nd, except, my surgery was canceled due to SNOWPOCALYPSE 2008. ( SEE my photographic evidence). Or as the local news kept referring to it “Arctic Blast.” It was reported as the most snow they’ve seen in Portland in 40 years, and in its soft, white fluffy beauty, it went about crippling the city, crushing public transportation, grinding everything to a halt. The more the snow fell, the more my anxiety mounted. i worried that in the case of an extreme emergency, we were clearly going to have a difficult to impossible time even getting out.

We were lucky enough to have already purchased snow chains from a quick jaunt Joe and my brother-in-law, Flounder took out to Bagby Hot Springs the week before the real snow hit. As the mayor, Sam Adams (yeah, like the beer guy with the funny bowl cut) reported on the news, snow chains were required to travel on Portland roads, but were also SOLD OUT locally. How helpful. We got to try them out a few days before and survived our maiden voyage out to get cat food and return & rent new DVDs for the Holiday pre-surgery stretch.

The only trouble we had was getting back into the garage, if you can believe it. It was messiest in our back alley, kind of a dirty slushie. One of the chains twisted up & fell off, we retrieved it, got a little mired on an ice patch, and i pushed Joe into the driveway, but then the garage door opener and track decided NOT to work. It’s probably an easy fix, but nothing wrong with using our hands to pull the door open in the meantime of investigation. Luckily, it warmed up and some of the snow turned to rain and the roads became only slightly less sloppy the following week.

While the white shit was busy falling in heaps and mounds from the sky, it was three days before someone even answered the god damned phone at the surgery center’s office! This did not contribute to my sense of well-being. When i finally did get a human, Rose, the frazzled sistah on the other end, was mumbling some nonsense about the schedule being pushed into February, to which i declared shenanigans, “i am not waiting and feeling like this with pain, nausea and strict diet management,” i calmly explained to her. i knew it was “elective” surgery, but i was voting to have it out ASAP. So she “caught up” with the doctor and i was rescheduled for the following Monday the 29th. Sad that i have to raise hell to advocate for my own health care. but it was my first major abdominal surgery and i wanted it over with!

The F criteria . . . family, flights, fairness – does FUCK this count?

It’s been a frustrating, confusing health journey, seeing as how i am otherwise, the picture of supposed health – good diet, whole, organic foods when possible, yoga & exercise, 119 lbs, low LDL, normal EKG, healthy heart & lungs, liver function healthy and all other bloodwork levels completely within normal ranges, including thyroid. Even my surgeon said i don’t really fit most of the F criteria (Female, 40, Fat, Fertile & Fair) and remarked questioningly “doesn’t seem fair does it?” In my case, estrogen in my oral contraceptives & the environment, and family history (my aunt) might be the only risk indicators.

My mother’s initial flight had also been canceled, not enough snow plows in the city or de-icers for the planes. But she was able to rebook, came out Sunday and stayed for a week while i recovered at home. Sure, the main calming factor is, my mother is a nurse and she was able to help Joe administer my post-surgery care, but really, when i get down to the basic emotional component of what was happening to my body, i wanted my mommy!

Ladies & Gentlemen, Nurses, Anesthesiologists and a Surgeon! The Main Event . . .

The laparoscopic surgery (cholecystectomy) involved four small incisions for light, scope, suction and instruments, and they pulled that sucker out through an incision above my belly button. Weee! It’s same day outpatient (unless they have to convert to an open cholecystectomy), routinely safe, well-practiced and the most commonly performed surgery. So, you know, i made sure i tortured myself on the internet, reading up on all the truly rare complications incurred during or after, until i whipped myself up into hypochondriac frenzy. i don’t recommend this method of education, but i was prepared for the worst, so i came out with just about the best, of course.

i scrubbed up the nite before with special special surgery soap called CHG (Chlorhexidine Gluconate). It was all wrapped in foil and had a spongy side to wet and release soap and scrubby side to get under nailbeds. It was quite a humbling ritual to remove my wedding bands, my moonstone rings, the small drop earrings i haven’t taken out in more than 6 years, my moonstone necklace & toe rings. And then, the morning of my surgery, absent of all body decoration, i used the second CHG provided me and was instructed – “no shaving, no deodorant, no lotion, no perfume.” No germs. No scent. No signature.

i showed up in comfy clothes, at the Sunnyside Medical Center, had 2-hour prep which included consent forms, a nurse to take my information, a nurse to start my IV, plus an anesthesiologist and his nurse with another battery of questions.

“Do you have anything of value, any jewelry, electronics, medications . . .” the nurse rattled off a big list in rapid fire succession.

“No. No. No No, nope. Nothing. i come to you naked and without frills.” i answered lightheartedly.

She laughed and gave me a big plastic snap bag with the words PATIENT BELONGINGS and a name & info sticker on the front, then told me to take everything off and put on the lavender colored hospital gown that had the words “Bair Paws” and a little foot print of a bear track scrawled across my heart.  Now let me “paws” a moment. Go ahead. Groan. i don’t care. This was one of the best things i’ve ever experienced in medical care. It was a soft, longer, thick gown with the usual bum-showing slit down the back, except that it had a sideways wrap around tie so you could make yourself decent. But the best feature is what the thing actually DID.

Pre-op, surgery and recovery areas are usually kept a little chilly to discourage bacteria growth, so you end up with minor hypothermia, and they merely toss an extra blanket on you to stave off the cold. Not with this thing though . . . the Bair Paws had a port in the side where a warming unit hose attached and a temperature control box with a dial was placed beside me. i suppose if you’re the hot-blooded type, you could choose cool air, but not me . . . crank that sucker up! In moments, it filled with warm air that puffed the gown up a little and filled the little channels inside, flooding warm air over my whole body as i lay there waiting for surgery. Awesome! i wanted to take it home with me when i left!

Speaking of comfort, while i lay there the nurse asked me things beyond the normal health battery that crossed over into personal wellness. “Are you employed?” “How would you say your stress levels are?” “On a scale of 0-10, how much pain are you in right now?” And one of the strangest things the nurse asked me was: “Do you feel safe where you live?” Which one could interpret as, “Is your neighborhood kinda sketchy and do you think you can be a bit incapacitated for a week without the worry of having to fend off an attacker or break-in?” Or perhaps an equally unpleasant implication “Is your spouse / partner / parent / roommate abusive or uncooperative?” But maybe this was just a general assessment of “Do you fear having no help or support during your recovery at home or are you safe in the knowledge that you have a loved one or family & friends to help you recuperate?”

The anesthesiologist asked if i’d like a mild sedative but i felt pretty calm and warm and content. Everyone was so pleasant, calm, kind and assuring. The woman who put in my IV was a pro, it didn’t hurt at all.

“Would you like to see your family now before we take you back? It’s almost time,” the nurse said, her eyes motioning to the clock that was 7 minutes from 8am.

“That would be nice,” i said softly and as she walked away i looked beyond her to see that one of the surgery swing doors had a feminine scrolled, handwritten sign taped to it that read “Door To Narnia.” And this made me laugh.

My mother & Joe came back to pat my hand, rub my feet, kiss my forehead and cheeks and assure me before my passage into the back of the wardrobe and on into snow-laden Narnia.

i was wheeled back past a few operating room doors all looking set for procedures, heads wrapped in institution green caps bobbing in and out of the square fields of glass in the doors and finally, there i was, last door on the right. They bumped my hospital bed / gurney against another set below operating lamps and a nice young man with his mask pulled up halfway told me his name, then a nice woman across the way named Tammy said hello, then from my left the surgeon and another nurse came in.

i mentioned i’d like pictures of my gallbladder, which drew a couple strange looks to which i explained, “Hey, i want to see the thing that’s been causing me so much pain. Can i have some of the stones too?”

“We don’t give them out like candy honey,” the nurse to my left quipped, “they usually get sent off to the lab.”

“Well, it’s just that i spent some time making them, so i want to see them too.”

“i hear some people make bracelets and jewelry out of them,” remarked Right Nurse.” i had already thought of this and in fact had joked about it just days before.

Then the male nurse to my right said, “Ok, scoot over to this bed,” while Left Nurse gently instructed, “Move up just a little so your head is on the pillow, your bed is a little lower.”

While i did this, Left Nurse injected something magical into the midsection of my IV and Right Male Nurse put a mask lightly to my nose and mouth with, “Some oxygen?” which seemed mostly a statement but went up a little at the end to form a question.

“Yes, please,” i half-thought and thought nothing else.

There was no counting back from 10 or 100, there was only sleep, then surgery for 45 minutes to an hour, and then i was suddenly awake. None of this drifting back or blurred cinematic visions of white coats flurrying about or a nimbus of faces hovering near me while lights flashed in my eyes checking for response. It was, “Some oxygen?” then, i was wide awake in a bed somewhere in recovery, back in my Bair Paws and feeling amazing. i don’t know what drugs they gave me, but it was more than relief, more than feeling that some offending organ making me sick had been removed. i felt at peace, warm, well-rested, comfortable, not cloudy, no pain, and an oddly light sense of elation. Truly happy.

A nurse picked up the phone at a desk directly across from me. i smiled at her over the tops of my feet. “Yes, she’s very alert,” she reported to someone on the other end.

i was wheeled back to the room in a line of beds where i was first admitted and my mom & Joe came in to see me. it was less than an hour of recovery where i chewed two cups of shaved ice, gulped down 3 apple juices, had two glasses of water and some graham crackers, proved that i could walk across the hall & urinate and i was free to go. A funny little old man cracked corny jokes and wheeled me down to the car where Joe helped me into the passenger seat, we were home before noon, and i rested for a week.

REAL food . . .

My mother & Joe ordered Hawaiian pizza and hot wings that first nite, and sure, i had my juice and water and all that nonsense, but for weeks, i had been craving fried chicken, so i am happy to report i had a slice of pizza with cheese stuffed crust and three little nubby chicken wings just hours after surgery and was SO happy. Nothing like jumpstarting your system by challenging it. Shortly after that i mostly behaved and ate more mild foods: brothy soups, applesauce, cottage cheese, peaches, saltines, tea, gingerale, and managed to destroy a box of graham crackers.

Then my mom would get to cooking and i found myself eating spaghetti and meat sauce, crock-pot slow-cooked pot roast with carrots, potatoes and buttered biscuits, happy, fluffy clouds of 2 scrambled eggs nestled into Franz white bread with a light spread of mayo and cut into little triangles. She made sure i got my protein and ate “real food” as she called it. None of this “organic” shit we usually eat which as everyone knows, is made of ground-up hippies and probably caused my gallbladder to go rogue in the first place. There may be such a thing as eating TOO healthy and not eating some evil stuff once in awhile.

But man, my mother packed this house with 12-packs of three different sodas: Vernors, a Michigan hometown gingerale favorite, Dr. Pepper and Fresca. Then there was a deluge of junk food snacks: three different types of chips, 2 dips, ranch dressing, a box of See’s chocolates, a canister of See’s nuts, a HUGE canister of three flavored popcorns (cheese, butter and caramel), a pound of Twizzler’s red licorice, Raisinettes and Resse’s peanut butter cups that were Christmas Tree shaped. That was just what i took immediate stock of, there was plenty more. i have considered hosting a movie nite or a party just to get RID of some of this!

I’d Like to Introduce You To My Girls, Vicki and Pam . . .

Diet was one concern which seemed to go fine but pain management was a deep worry. i thought for sure that i wouldn’t be able to tolerate the Vicodin, but a few experiments of breaking them in half in the weeks before the surgery proved to be promising and when i came home i simply tapered as the days went and remained a little sore sometimes, but pain free. First two days were every 4-5 hours, days three and four every 6-8, by days 5 & 6 i was taking one at noon and one at midnite, plus a little Motrin for the pain and swelling and by the end of the week and the beginning of next, i was taking ½ a Vicodin at nite to sleep through the nite peacefully.

Though infrequent, my usual fall back sleep aid is Tylenol PM, who i call “Pam,” and just one, because the suggested dosage of two guarantees i won’t be attending anything the next day until after, oh, say 3pm. i also nicknamed my Vicodin, “Vicki.” i only need ½ of her. And the girls now, well, i just keep ‘em around for laughs and a good time if i need to just knock myself the fuck out of consciousness for the nite.

Here Kitty, Kitty Or, Taming The Beast . . .

i’ve been introducing food slowly and lightly as a one at a time lineup to my digestion, sort of like tossing bananas and tennis balls and roller skates and live goats into a lion’s den with “here you go – what do you think of THIS?” Experimental interaction. And because what i know of food is occupational, i think of my gallbladder in food & restaurant terms as having been “86ed” or as i said to Joe while pawing through the random generators for the words and distractedly typing on the computer the other day, “my gallbladder’s been deleted.”

To follow that theme – i’m sure it will be awhile before my digestive system reboots & comes back online. And i’m certain that i won’t be able to hork down a bacon cheeseburger and waffle fries without incident anytime soon. i don’t want to piss anything off in there . . . i know very well it’s a first class luge ticket for any food that offends my system currently rewiring itself and trying to figure out why the bile salts storage facility closed down. Sorry, love – it’s the economy. Things are tough all over. Soldier on. Now here’s some Indian Food, some wine, some corn chowder, a fried egg sandwich, some potato chips – oh, no sorry, i take that back. Baked potato chips from now on.

All told, if you find out your gallbladder is angry and you are considering just leaving it in and dealing with it, DON’T! You have to EAT to LIVE, and there was no way i was going to compromise my lifestyle & diet in fear of food and future attacks. i already had the basics and took care of my body, now i just have to bounce all the way back. The incisions are barely anything, one inside my belly-button that you can’t see, one barely the length and width of the edge of my pinkie fingernail, one smaller than the circumference of a pencil top eraser, and the largest one is about a centimeter. That one has character too . . . a little red edge, like its smirking at me which will fade and flatten over time, plus a little kitten whisker edge of a clear, dissolving suture, which i may snip if it doesn’t go away soon.

The cost of this whole adventure via the care of Kaiser Permanente? $14. Two office visits at $5 apiece, $4 for four presecriptions. No cost for the EKG, bloodwork or ultrasound. Thank you Jesus. Thank you Joe. Thank you PSU. Thank you State Of Oregon.

Well, that’s enough for now. i’m sure i have left anyone who made it this far with plenty to digest . . . sorry about that – you can see what occupies my mind these days.

And you’ll just have to forgive me, you see – i’m not all there . . .

Tags: 2008, anesthesiologist, Bagby Hot Springs, Bair Paws, beer, car accident, cholecystectomy, Christmas, Dave, December, Dr. Pepper, Flounder, food, Ford, Fresca, gallbladder, insurance, Kaiser Permanente, laparoscopic, Little Trees, mom, Mortrin, Narnia, New Year's Eve, Obama, Oregon, Portland, PSU, rabbit, Racheal, snow, snow chains, Snowpocalypse, stripclub, surgery, Taurus, tea, TSA, Tylenol PM, Vernors, Vicodin, Volkswagen