May 2012
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My Favorite Shake!

Wild Strawberry Protein Shake

Gallery

Calypso - SPCA treasure 10 years ago! Gingerbread - smart and sassy girl Tom looking cool Gingerbread - SPCA find 10 years ago! Calypso - easy going and loving Tom close up

Let’s Get It On

Another “boot strap” day.  Work a little — tell Stephanie (my student) Thursday might be in jeopardy but don’t even try (yet) to reschedule with her or any clients.  We’ll have to wait and see until (Monday? I hope) for the whens and whats.

Although I try desperately to be hopeful about my afternoon to come; doubt and fear prevail.

I leave work early to arrive home for emotional and physical prep and an equally traumatized Tom and I go to the hospital for my testing.  Thank God (for me, not him!) he is off this week; to accompany me on such distasteful appointments.

I am to have a chest X-ray, EKG and blood/urine work-up.  I had asked on the phone when I scheduled this what the sequence was likely to be so I could time the taking of my valium with bloodwork - both to maximize calm during this and minimize “stupid” during other procedures.

When we arrived at the pre-surgery desk, I asked (and asked) again — carefully explaining that I tend to peak about 1 ½ - 1 hour in.  Although pleasant and attempting to be helpful, I got answers ranging from “take them at 2:15 to 2:30 to 2:45). Opting for 2:45 as the best estimate, at 2:43 I reappeared to see if they were on time/track, especially as I’d just overheard 2 other wait room patients grumbling that they were very late in being taken back.  I was reassured that now was the time…only to find myself barely able to answer intake questions at 3:15, and nearly asleep during my EKG.

By the time I was sent floors away to the blood draw place, I think it was after 4:00 p.m. and I had to wait longer for the people in line ahead of me.  So - I took 2 more (that made 5!) valium and felt unpleasantly drunkish by the time I was called in.  I was immediately delighted by the pleasant, warm and engaging manner of the poor woman who got stuck with me, and in many ways she reminded me of my beloved Venus.

However, the difference ended with her inability to draw anything but eventual tears from me.  Right crook, left crook and then (ouch!) between my left hand knuckles, all the while obligingly telling me a story about her upcoming wedding to distract me.  She was very sweet and kind (and I hope she went on to have a lovely wedding and Toronto honeymoon, as planned) - but sadly confirmed what I already knew, that I appear to be a veinless wonder.

When she suggested that a male colleague be called in to have a gander at me, I cried harder but either the valium or profound resignation had set in, and I agreed to walk past my husband’s horrified expression in the waiting room and into a neighboring office, for try number 4.

Immediately a screaming baby took my place with poor Venus-like woman, while I felt envious of the uncensored cries of horror that children are allowed to make under the circumstances (tinged with compassion for this unseen little one).  In any case, Aaron (I think — but who was up for introductions) came in with a West Indies accent although he barely spoke — no nonsense, no stories, and no exchanges.  Although I asked him to promise not to try unless he was sure to succeed, I couldn’t tell if he agreed, because before I knew what hit me he seemingly struck gold, as I heard (and felt) tube after tube being inserted.

He did it!  I told him that if I weren’t a married woman I’d kiss him on the lips - (meant to reward, not punish! I’ll have to think up a better one next time!) and gleefully (and somewhat drunkenly) announced the success to Venus like lady on the way out.  The sound of infant wails continued to follow us as we left - with me relieved that for now, they weren’t to be joined by 47 year old ones!

After this, my chest x-ray was anticlimactic and dinner out (while groggy and starving) with Dennis and Zoe was heavenly.  Thank God for now, I can still eat as a reward.  I do wonder what will ever replace the luxuriant feeling of a grand restaurant meal, lingered over, with good friends and decadence.

Bipolar Bear

I swear I’m developing bipolar disorder (manic depression).  I go from exhilarating highs to crashing lows of despair and doubt about everything bypass.

I was thrilled that Dr. C himself called me directly at work and had clearly read my letter and was considering my needs.  Slightly funny (when he joked about transferring me to the other Doctor!) he was otherwise thoughtful and recommended I meet with Dr. P while on site today anyway - and that as he (Dr. C)  was off this week but would call Dr. P ahead to discuss options.  Joy!  Trust restored!  Hope!

I finished my ½ work day distracted and preoccupied.  I then painstakingly made plans to coordinate plans with my student to treat her to dinner (as is my tradition - a vital part of closure and send off, as far as I am concerned) next Thursday - the only time we could get together before my surgery and her 5/1 departure.

At 1:30 p.m. my husband picked me up for my 2:15 consult and then 3:00 “class” at the Center.  Not so ommbayahish this time, Dr. P spoke with a tone of resignation and sternness - outlined options that included substituting a subclavian line for a pic as this could be done under general anasthesia and my Vena Cava could also be installed through it.  However, just as this was sounding pretty darn good to me, he suggested that there was an increased chance of infection with it, and this procedure best be done days before bariatric surgery (ie:on Thursday) to give my kidneys time to recover to decrease change of renal failure.  When my knee jerk reaction was to balk at taking all of Thursday off (this whole process takes most of the day) so close to being off for likely 6 weeks (and missing my final dinner with Stephanie and numerous client sessions -ack!), he sighed wearily and indicated that I was being difficult and putting their backs to the wall.  He said it might be possible to do everything the day of surgery- but I must get my blood results ASAP to see if my kidneys could tolerate this.  Although both Tom and I listened carefully to everything said, somehow I (we) still left with questions and confusion - especially about which one was being planned and other than praying for success at the hospital with blood drawing tomorrow, what else I should do.

This bothered me throughout the mandatory exercise class and dietary class.  The young fit man teaching us about the Center’s gym was funny and pleasant.  He also did my final weight - egads - over 300! - I’ve gained 6 more pounds!  He was nice enough to acknowledge that last hurrah syndrome that we both knew I was caught up in.  What - no lecture!  How refreshing.  I liked him even better after this.  And, when I splatted to the floor yelling (shit!) during a mandatory medicine ball experience, (obviously I possess no balance and no core strength); he (and others) simply laughed.

Next up was an hour class by “L” (the woman who I’ve left 2 unreturned telephone calls to, and whom I dislike based both on this and her somewhat snotty, crisp manner).  Other than that it was taught by her and that she was rude when I asked about open versus laproscopic surgery, the information was valuable, although a bit overwhelming.  The other annoyance factor was the music piped in overhead during our class combined with the fact that the general wait area is just feet from the café where we were listening.  Can’t there be a quieter, dedicated space where overhead music and waiting room conversations don’t distract from such vital information?  Plus, my husband and I met a woman who told us that her daughter had the surgery with Dr. C in November 2008 and has already lost 100 pounds (hurray!).  However, she insisted that he did it laproscopically on her - causing me to feel confused enough to ask about this in class,  only to be told with reprimand that he ONLY does open.  Well - someone’s wrong.

In any case - feeling disgruntled and lacking closure, after class ended “early”  - I reapproached apathy girl (who earlier had been holding an infant with no greater enthusiasm or emotion than when she greets patients.  In fact, when my husband asked how old the squirming baby was, she blandly answered - “oh, I don’t know its Dr. C’s grandchild”).  Her immediate response as I approached the window was “have a seat” (her favorite phrase, I think).

When I explained that I wondered how I would learn when/what Dr. P and Dr. C decided about how to proceed with my situation, she told me to write my questions and they’d get back to me.  Okay.  Except, as I was finishing it off, a nurse behind the desk indicated that something, something, something, something, something, something - at which point she said I could talk to him further if I wanted.

Yes, please!  So Tom and I waited over an hour so a now very resigned and tired Dr. P could sound like “as I already said…” while I felt more confused about things than ever.  Bottom line it became more clear that everything rests on the bloodwork I haven’t yet been able to produce (”If I have to I’ll cut off my arm and collect a bucketful!) to ensure “normal” kidney function.  It felt as if although on one hand he was steering me to have everything done on 4/28 - when I asked about kidney risk, he clearly answered that although there is a 1% risk of renal failure with gastric bypass and 1% with the other procedures - “1 + 1 don’t equal 2 but 4 or 5″ in this case.

If, my kidney function tests aren’t entirely in the normal range, this won’t even be an option.  And our glimmer of hope that I could have the first procedures done on 4/28 and then the bypass days later suddenly became impossible as he remembered that Dr. C will be off for 2 weeks after 4/28.

So - I guess we must all live with more uncertainty about when and how, and all I can do is pray for paydirt with Sister’s Hospital phlebotomists tomorrow. And if not, how I can find Venus, the Quest phlebotomist who has had success with my tiny veins in the past.

Needless to say, I ended the day on a crashing low of uncertainty and anxiety.

Oh, and I remembered on the drive home that my BUN/creatinine ratios in my last 2 blood tests were both elevated.  Double shit.