Monday, March 28, 2011

The Story, The Horror, Monkeys, and Patient Controlled Pain Medication

So, a week has gone by and I wanted to get this out of the way as I feel it's getting to that point of "If that bitch makes one more lung joke or reference....'"

I still ask myself if it really happened & probably will for a while.
8:30 p.m., after my day had gone extremely well. I kicked it with George & Jon, got a good news phone call from a dear friend, had an excellent dinner, was excited for the return home of my mother the very next day, after she had been in Florida for three weeks....

And out of nowhere I'm in the car with Jon driving me to the hospital.
Sure, I've gotten chest pains before, even endured the pain of Pleurisy swelling up my lungs a few times in my life after bouts of Chronic Bronchitis.
Something was very different. Something was urgent & telling me I couldn't lie down on my side till it went away, not this time. Something had pretty much paralyzed the entire upper right side of my body, front to back.

The triage nurse wastes no time & I hurriedly follow her to X-Ray.
The technician is a raging bitch until she realizes she sees something on there that she shouldn't.
I overhear the conversation - "What are they talking about? I have what? Where?

A sudden flip of the switch to sympathy & she walks me back to an ER room with a sharp, blunt look of "This is gonna be a long night for you, kid."


Fast forwarding through being informed my lung had spontaneously collapsed (For no reason apparent to them) & the explanation of a possible chest tube procedure, the surgeon comes in & decides to give me an IV, a few mg's of Dilauted & keep me overnight for observation.

"What? I have to stay here?"


My inner child at that moment.

Half an hour to an hour & the X-Ray machine enters the room & this time I'm flying high on pharmaceuticals while they're taking the X-Rays from the bed.

"It's getting bigger. The doctor is coming back, we're gonna do the chest tube."

` "The fuckin' wha again?"

I still didn't quite get what was about to go down here.
Wtf had even happened between my relaxing night & ending up where & how I was.

I saw myself at home the next day dancing around like Mary fucking Poppins, blowing air bubbles out of some lil straw sticking out of my clavicle through a pinhole.

I pretty much didn't realize wtf was going on until the doctor barged in, rolled me over, shot up the side of my breast/underneath my armpit with two bottles of Novocaine, cut me, and plunged a tube 2 in. in diameter of what seemed like PVC piping into my chest cavity, rubbing against my lung with. every. breath.
With a giant box attached to it monitoring my every breath, compressing the air & fluids that need to be drained from my pleural (lung) cavity.


Very similar, my level of shock & the way I felt violated.


The PAIN (After the procedure). Holy shit, the pain this would be for however long this tube would be in was now a new reality I couldn't handle. Because of my Endometriosis, I have a high tolerance to pain meds & "Shit, they're gonna have to kill me.", I thought.

After yet more Dilauted & my new shocking reality along with the discombobulation of what just happened combined with the strong meds, I am taken up to Med/Surg. And in not knowing how I would ever get through the unbearable discomfort, I often wondered why they didn't bar the windows on this unit?

A few different times during my stay, I had to battle the logic in simply getting up & throwing myself out of it.
"Pain. Baaaadd. Bye-Bye", would occasionally run through my head.

These sweet, sweet nurses, lots of them my age & where I once wanted to be, but now on the other side; the patient.
They heard my pleas, they called my doctors, they tried Morphine, more Dilauted, Torodol, Ultram, and it escalated & escalated as I waited for the doctor to come in & say "Okay, let's get this thing out & get you home."

After an entire day waiting in hell, the doctor finally arrived.
First he had heard me cursing to dear Jon  (My ex who slept in a recliner beside me in Med/Surg & refused to leave my side the entire time I was in there, God love him) about how long I had been there with this unbearable tube stuck through me already & that the doctor had forgotten me (This was really the intolerable pain speaking), so when he came in he first made it clear he didn't wanna get beat up by a psycho chick with a tube in her chest.

"Now, I don't wanna see you in Shaws sometime down the road & have you throwing bananas at me.
Okay, well just not COCONUTS!"

"Hey, there's the asshole! The doctor guy. Go round up some pineapples."


"I like him."

When he ever uttered the words "Probably tomorrow or the next day", the look of horror on my face was too much for even him to bare. He started stroking my forehead & hair & joking with me to console me, just the like the ER nurse downstairs who tightly held my hand & comforted me through the whole tube procedure. I didn't even cry for my mother as I normally would. I had angels by my side the whole time. I owe those angels so much thanks, I can't even describe it.

(Except for my nurse, Lindsay, whom regardless of being a sweetheart, almost ripped out my tube, stole me an assload of scrubs from the washroom, ripped the giant vat of hand sanitizer off the wall to give to me, stated she had a cardiac problem with an average pulse rate of 120, and is probably too much of a danger for the nursing field. Not to mention that this whole time the girl across the hall is pushing the call button EVERY. FIVE. MINUTES for three days & treating the nurses like shit, and Jon is sitting there on his laptop attempting to hack the bitch on the hospital network, while I'm in so much pain, I can't even scream.)

I was angry that whole day but I gave into the fact that this was only to save my life & I had no choice.

They had a choice, though - To help me manage the pain or watch me tumble out their unit window.
This is when they decided I was a special lil case & brought in an Anesthesiologist to discuss PCA.

Some of you are probably wondering what that is. Well, I'll tell ya because this is where it starts getting good.
Patient. Controlled. Analgesia....
Let me repeat - Patient. Controlled. Analgesia
Their way of shutting up patients yelling for more Morphine every hour. Or really, just their last resort for patients in such excruciating pain that hardly anything will make a dent in it.

So the Anesthesiologist gave me options...
- Morphine (Peppermint)
- Dilauted (Wintergreen)
- Fentanyl (Or Watermelon)

The Dilauted made me too sick & dizzy, the Morphine didn't make a dent, but the big fucking F & I were familiar. It was prescribed to me in duragesic form at the pain clinic.

Now, I'm no idiot & I'm cautious with myself. I'm a medical buff for fucksakes, so I was scared shitless & figured they were out of their ever-lovin' minds when they told me I could press the button to deliver the medicine through my veins every 6 minutes & that the machine itself would lock me out after so many pushes of the button over a period of time to keep any risk of overdose down.

Shit, I was about to take a ride down the motherflippin' euphoria rainbow, and possibly so hard that they have to take your vitals every half hour at the start of the insanity. "The Rainbow Ride" as I'm calling it.

"SOMEBODY KILL ME OR I'LL DO IT MY G'DAMN SELF! WTF is going on here?!"
.
.
.
Then the liquid pain candy machine makes its way into the room.
.
.
.
.

You okay, man? You mellow?
Yeah, you're alright! Pain's easin' up.
.
.
.

And then the moment hits where you realize it's actually possible to overdo it with things you're convinced you have under control.
.
.
.
.
Listen, that dinosaur was supposed to be a unicorn & sometimes you draw things a lil weird & then realize they'd look better with guns, wearing diapers & don't fucking judge me, K.

But it worked. I got sleep that night after I had finally learned not to be afraid to keep pressing that button if I needed it like the nurse told me.

The tube came out the next morning, with the biggest sigh of relief, but they kinda had to pry the pump from my hands, and I'm hitting it as much as I can *Beep Beep* "Patient Lockout" as they were getting ready to take it away.

 I floated across the unit that afternoon, in my gown, with my monkey, and went around to the nurses station like it was fn' Cheers & everybody should know my name.
"They're starting me on Percocet now, and where the fuck is Norm, guys?"

And here I am, home, a week later, and sore as HELL!!
And guessing it'll be another week or so before I feel pretty normal again, but I'm getting there. Lots of trouble sleeping with the discomfort.

And there were many comical moments during that stay, but I couldn't exactly write a novel about it here, so I just included all the key moments.

Now, where's that pain medicine button again?
Aww.......... Shit.................

________________________________________________________

On a few side notes: I would like to bring up the Blog Of War.
(No, I'm not a participant, but rather an observer of the contest.)

Mr. B over at BlackLOG has been advertising it & was searching for more interested participants.
I'm not sure if I'm already passed the deadline for mentioning it at this point, but if you're interested, please go visit BlackLOG for the details. This blogger is so talented with his style of comical writing, I'd love to see a few people go head to head.. ;~}

And lastly, I have a new Facebook account especially for my blogging buddies, so if you intermingle the two & have such an account, Friend me on that shit. It's fun over there, and inappropriate 90% of the time, I promise.

Hope you all had a great weekend, and things should be back to normal here before you know it.

27 comments:

  1. That is one terrified looking inner child! lol

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  2. omg. I've only seen those bastardly chest tubes on Trauma, Life In the ER. And told myself, if I ever had to have one of those, they better f-ing put me to sleep first.

    Did they ever figure out what caused your lung to collapse?

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  3. Any reason given for the lung colapse? You really went through alot. Feel better, K?

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  4. I had a tear roll down my eye because I could feel the pain through your words.

    And then I had a few more tears from the laughter when I saw the unicorn shitting rainbows.

    Hope you're stabilizing. Missed your blogging.

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  5. Zombie - I was more terrified at the thought of a hospital stay than all the rest of it (until the pain hit).

    Dazee - My ex said the same exact thing. That they'd have to chase him around the hospital otherwise. lol

    And to answer you & Middle Child's question - They still don't know. Apparently, that happens too frequently as well, that they just don't have an answer for it & it could have been so many things. =( I have a follow up appt tomorrow, so we'll see if they have more thoughts on that.

    LostInIdaho - Haha. I'm glad! As serious a situation as it was/is, I wanted to feel more like my old self & less like a drama mama. Hahaha

    Thanks for the love, all. <3

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  6. OMG OMG OMG OMG OMG

    My lungs actually hurt now.

    I like the dinosaur/unicorn, though. And "liquid pain candy machine" is hilarious.

    I'm so glad you're okay. I'm so sorry you had to go through that. I would be much happier if they could tell you why it happened and how to make it not happen again, though....

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  7. Me too, sister. Me too!!
    Hopefully with the follow up they can give me some possible answers tomorrow.

    I think injury may be the #1 cause & I started up A LOT of activities that week that I normally do in the Spring.

    I am psyched to see ya'll on the Facebook too! YAY!!

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  8. when BlackLOG told me what happened, I freaked the fuck out seriously! I can't wait for you to tell us the reason why this happened. That sucks that it happened to you! I wish It would have happened to a douche bag or something! Not my sweet lil Pixi!!!!

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  9. Aww, I love you, mama!! I often wonder why the worst things seem to happen to the good people & the douchebags stay healthy & alive forever when it comes to health. lol

    I think I've freaked him out a lil extra this week. I think his blog is so damn funny, I've gotten all giddy on him & shit. I am a dork. Ask Jill, ya'll. Haha.

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  10. Wow... You had a helluva life altering ordeal there. It could have turned out differently if the docs and nurses had been total nincompoops. The pain you described sounds excruciating. You interjected a butt load of great, funny moments like the constant button pushing of "The Liquid Pain Candy Machine", the tripping on Fentanyl and the drawings of gun-toting dinos and rainbow shitting unicorns but I can tell it was pure hell for you. The most potent pain killer I ever had during my hernia operations was morphine. What you were on sounds a passport to the Land of Oz. I can tell you have a lot of strength and I'm impressed that you were able to still comment on my blog and others throughout your recovery. That's very humbling to me. Thanks for that. But I hope you continue to strive to rest and recover for your own welfare and try not to push yourself too hard.

    Take care, LilPixi. You were missed while you were gone. Great post, as always.

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  11. Life is so unfair the sky is blue and the ski slopes are calling me and I want to stay and read this and I can't decide......Oh, damn ......\promise you won't go anywhere and I'll catch you later

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  12. What a great comment, Kelly. That's just so sweet of you. You're right too. I always push myself too hard to recover (tough ass cookie), but I gotta take it easier on myself.
    It was so crazy, and you're so right about the doctors & nurses too.

    So much love & farts. <3

    Mr B. - I'm just jealous now. I'm staring out at total darkness, sitting in bed. *pouts*

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  13. Your pictorials cracked me up!!! What a sense of humor you have. I'm not sure I would have been quite so upbeat with a chest tube. Hope you gather your strength and rest up. You have a new fan in me.

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  14. So very glad to hear you are back and you are fine. Well a little messed up of the head but otherwise good lol

    Nice knowing about you and everything else in between. Feel better.

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  15. Hey LilPixi,
    After all these comments, there isn't much more that I can add.
    You know, I've got tons of respect for you. Despite all the goddam painful hell you've experienced, despite all the bloody trials and tribulations, you've got this warm and inspirational ability to display some awesome humour through it all.
    The main thing is, my dear friend and awesome buddy on 'Farcebook', 'Fartbook', 'Fakebook' or whatever the fuck it is, the main thing is y'all rest and take it easy. LilPixi, you rock!
    Kind wishes and positive thoughts, your way, Gary :)

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  16. The Snee - What a compliment coming from one of the greats! =) I have this type of blind optimism that could take down a freight train. lol. Also, I am honored, and right back at you, mama!

    PorkStar - Thank you for being the awesome friend & person you are! You're too easy to talk to & laugh with, and what the hell could be better qualities in a person?!

    Gary - You're so especially friggin' sweet, and hilarious to boot (There's that term again, lol), but seriously, YOU rock!! It almost makes me sad we hadn't been "properly" properly acquainted earlier. All the kind wishes & positive thoughts in the world to you. =)

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  17. First of all I want to thank you for even thinking about promoting the Blog of War, when you have so much going on. It is an honour for me that you enjoy the BlackLOG and make such interesting and interactive comments, unlike the mumbo jumbo you receive in return….

    Sleep - I feel guilty in that while you were struggling to sleep, heck to even carry on your existence because of the pain, I’ve been a bit miffed (I’m English we have various levels of anger and this is fairly low on the scale) that I had a disturbed night because Mrs B’s work Blackberry kept me awake. She refused to turn it off as she didn’t want to miss some urgent texts and then promptly slept through the ones that arrived at 2am, 3am 5am before waking up for the 6am one. I would have turned her Blackberry off but as I don’t have the access code, my other two options chucking the Blackberry out the window or daring to wake Mrs B before the appointed time would not have ended well for me….

    Pain – I can’t even begin to contemplate the pain levels that you have had to endure , the closest I can think of (we are talking as close as the Titanic and unsinkable) was when I caught my todger (I was not yet a teenager so could not use grown up terms like willy ) in my jean zipper. Not only did I catch it but it remained embedded in the zip mechanism…. I also remember wanting to die, but that was more of embarrassment because my sister walked in, while she was in the middle of a vital investigating into what all the primal screaming was that was emanating from my room. No candy dispensing machine required for me just loads of ice and one big tug and it was free. Still brings salty water to my eyes when ever I think about it, I’m not sure my sister ever got over the experience either and to this day still claims to be traumatized….

    Please keep on your road to recovery and I look forward too many years of your blogging companionship. Fingers crossed that it is later rather than sooner that you see behind the BlackLOG curtain that, like in the Wizard of oz, there is no magic, just a little old man tapping away, for all he is worth, (about £1.25p at the moment) in a losing battle against spellchecker and the grammar Nazis….

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  18. Oh good God almighty, what a freakin' nightmare! Last time I was here I can't even remember what you wrote, but it was nothing like this. Holy crap on a cracker, what a horrific experience! Yeah, I'm gonna follow you on Twitter and go friend you on Facebook. If you can get through that, you must be pretty tough. And if you weren't before, you are now.

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  19. What a treat to get such an entertaining & delightful comment, Mr. B.

    You too have experienced the taunting of the Blackberry?

    My father has one, and would often set his alarm for an early hour every morning, and then leave his phone in all different kinds of places, nowhere near him might I add. So, if you happened to be in the area where the Blackberry was at the time & the alarm went off, you would have to endure that haunting alert every 3-5 minutes without being able to do anything about it because those damn phones are so complicated, you couldn't figure out how to disable it (Yes, like a bomb).

    Sorry for that lil rant. I was just reminded of it.

    What a horror story about the zipper. My deepest sympathies, and I don't even possess the part.

    *To many years of blogging companionship.
    *And to my delusion never being broken.

    Steve - Is that you in the pirate costume on Facebook? Totally bitchin'. My apologies for not catching up with the blog in a while. I followed too many at once & started drowning in them, but I've now put you in the reader twice, so I don't miss anything.

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  20. I still have so much admiration of how you got through the pain. Even with the meds you are a true trooper.

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  21. Thank you, Copyboy.
    I often wonder how I get through such things myself.

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  22. Here at the Andrews Estate we are declaring this coming Friday to be "LilPixi Day," and I will be serving Absinthe and Vodka Malted Milks to the assembled throngs. We will raise our glasses high in your honor, drain them, refill, repeat.

    And you will stay in our thoughts, prayers and toasts at least until we are unconscious. Unconscious in your honor, of course.

    Be well, recover quickly, and know we care!

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  23. Aww, hey Tom! What a great comment! =)
    I am very honored. lol. Mmmm, Absinthe.
    How sweet of you. Thank you so much.

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  24. im glad ur recovering. your story makes an interesting point and it reminds me of a documentary i was watching recently about what is consciousness? it mentioned and asked a profound question: where does our conscioussness go when we are "knocked out" and drugged up? anyway glad to read your shit and thanx for still visiting my blog even though it has been shitty recently. im so tired from the commute after work. its difficult to be creativive when u lack energy.

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  25. I don't think it's been shitty. ;~}
    And if I haven't been around as much it's because I've spent a lot of time away from the computer recovering & so many blogs be gettin' crazy to keep up with. =O *Spins*

    I love watching that kind of stuff. Was just thinking of you, Iz. Just finished watching The Room for the first time. lol. WOW!!

    Good to see you stop by. =)

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  26. What a nightmare! Hope you are much better now. Love the drawings and the explanation of the guns too! You are really funny!

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  27. Thanks, sister! Glad you came over. You were cracking me up on your blog earlier.

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