adventures


16
Jul 12

Scalpel? Scalpel. The day of surgery.

nofood

We few, we hungry few, can smell your raw food and processed snacks as well.

Midnight is the arbitrary cutoff for people who are going to take the big medicated sleep and these rules applied to me today. I wasn’t nervous about the procedure. It is an out-patient thing. And while he wasn’t blowing us off, I got the impression that my surgeon has done a few hundred thousand collarbones. The details were just things to him, variables to move on feel and instinct. But I’m a detail guy, especially when they involve me being cut. I’d become a little nervous then, over the last week, about my unknowns.

And so it was that I found myself eyeing the clock at 11:56 last night, focusing on that one detail I could see, pounding down grapes.

That sign, by the way, was in the first waiting room of the surgery center. There were three volunteers there, all bent to the task of trying to help one man get access to the WiFi. There were also two administrative people across the room. They had the volunteers walk through the long waiting room to call out patients. Not sure why the administrative types couldn’t do it. Maybe they were shy. Maybe they were union.

Patients receive a little badge with a color and a number scheme to preserve medical privacy. I was Red Number Thirty. They called me up for paperwork. They called me up to make my co-pay. They called me up for more paperwork. They called me up to sign something that was a receipt for something I hadn’t received. I believe I purchased property in Phenix City.

After a short while, though, Red Number Thirty was called for a fourth time. The volunteer then walked us to an intermediate waiting room. There are stages of waiting. In this second room there were fewer chairs, fewer people and the real understanding that we were all getting closer.

We stayed there maybe two minutes. The volunteer in that waiting room took a handful of us to our pre-op destinations in a large group. This was where I had to leave The Yankee behind. But I had a nice nurse to chat with distractedly. We talked about military service — she’d been in the Navy — and education and hemoglobin.

The surgeon, an older gentleman who clearly has it together, came by and I asked him a few of my scripted questions from memory. The most relevant: I won’t feel any worse after the surgery. This was purely for morale. We talked about arm movements and rehab. The anesthesiologist, a robust Englishman, dropped by. I asked for a double of everything; he promised to take care of me.

Somehow we learned that I’d be waiting awhile, so the very nice nurse who’s name I can no longer recall brought my wife into my littler curtained staging area. While we killed time chatting the nurse slipped me the good stuff without my knowing about it.

About four hours later I woke up. My tongue was two feet thick, making it hard to explain they’d managed to get the head of an ax stuck in my shoulder blade. This, boys and girls, hurt. After I said this three times some unseen soul understood and bade the post-operative drugs do their bidding.

They later sent us home where I settled into my chair for a nap before a late lunch of soup. Probably a quarter of my torso is covered in gauze and betadine. I dozed, which was broken up by sleep, which was often interrupted by dozing. I had pasta for a late dinner. My appetite is healthy.

We go for our first checkup on Wednesday, where I’ll ask the doctor more questions, including “Will the titanium plate in my shoulder set off medal detectors?”


15
Jul 12

Catching up

The regular Sunday post that slaps together a bunch of pictures among my many other featured treasures of the Internet. Showing them off with trite commentary constitutes cheap content. Off we go …

Did you know there’s a Hank Williams museum in downtown Montgomery, Ala? He’s buried not far from there, so it makes sense. I just found this museum on the Fourth of July, though. It was closed, but you could see this hand-carved Kaw-Liga piece from the door.

Kaw-Liga, you see, was a wooden Indian who fell in love with an Indian maid at a nearby antique store. He does not, as the song explain, share his feeling, because he’s from a pine tree. Classic tune, and this piece took 530 collective hours to carve:

Kawliga

On the way to the beach last weekend we saw signs for another Hank Williams museum. I can’t comment on the quality of either, unfortunately, but I want to visit them both.

Parasailing tourists on the Gulf of Mexico, off Orange Beach, Ala.:

Parasail

Mr. Brown, our weekend host, is catching fish on his condo’s private pier on Orange Beach, Ala.:

MrBrown

Brian photographs the pelicans on the state pier in Orange Beach, Ala.:

Brian

Allie, playing in her tunnel this weekend:

Allie

The Yankee celebrating her first state line in cycling:

Yankee


10
Jul 12

What I hurt in my bike wreck

My South Baldwin Regional Medical Center experience where, aside from the triage nurse, no one ever asked about a head injury and we never saw a doctor.

We wound up yesterday in the emergency room of a small regional hospital. When you can calmly walk yourself in, you think “This will do.”

A kind volunteer points me to the paperwork. The Yankee has to fill it out. In two or three minutes the triage nurse calls me back. Pulse, blood pressure, temperature. I tell him what happened, complain about my pain. He asks if my neck hurts. It does not. He asks me if I hit my head. Yes, I brought my helmet. He asks me if there are any cognition problems? I tell him no. He asks if I want to go to X-ray or wait for the doctor to order it. This decision is apparently up to me, so why wait? Let’s do the X-ray.

Someone from radiology quickly comes along, plops me in a wheelchair and rolls me back to X-ray for two quick shots. I prepare my best Yogi Berra joke. “They did a brain scan. It came back negative.”

I go back to the waiting room.

Soon a room opens up. My guess is that the above has all taken place in 30 minutes, give or take. The Yankee and I go back to the examination room, leaving our lovely friends Brian and Mrs. Brown to sit in the waiting room. We tried to get them to stay at the condo, but you know how concerned, caring people are.

And now the real waiting begins.

A nurse comes and leaves. The administration lady comes. No, I do not have a last rites preference. And I appreciate the protocol, but that’s not happening in here today, thanks.

Later another nurse comes in with a syringe of morphine. She wants to shoot it in my hip, but she can’t find my hip.

She can’t find my hip.

This … nurse … who somehow was trusted with a needle … can’t find my hip.

I was ready to give myself the shot.

A physician’s assistant comes in later to tell us about the X-ray. I have broken my collar bone. She’s waiting to hear from an orthopedic surgeon. Not too long after this I pop a sweat. I get the dizzy, dry-mouth sensation. A passing staffer kindly helps move me from sitting on the edge of the bed to reclining in the bed. I’m in too much pain to do it myself.

The simple act of lying in a bed when you have a broken collarbone is just about impossible, by the way.

The morphine, which the nurse said would provide some relief in 30 minutes, didn’t do anything. And has done a lot of nothing for an hour or so. I suspect that either my metabolism is super-charged or she pumped me full of saline.

I sit up, but soon take another turn to that sweaty, nauseated sensation. Back on the bed I go. I’m on my right side because lying flat is unbearable. Someone comes along and stuffs a pillow behind my back for support. This was, in point of fact, the best thing since sliced bread.

The physician’s assistant eventually returns and apologizes about the no-show ortho. He’s operating. Well, that’s understandable. She said, though, that they pulled him out of a surgery to glance at my film. He suggested we get an orthopedic consult at home this week. After a while we saw the X-ray ourselves.

X-ray

The nurse who doesn’t know where hips are later brings a shot of dilaudid for the other hip. This painkiller, she predicts, will make me loopy. (It did not, but it did leave me tired, and occasionally left me at a loss for words.)

That same nurse then disappears to fetch something called an immobilizer. Over the long period of her absence we decided that the basement of this hospital is as hard to find as my hip. We’d later come to learn that my discharge papers were equally difficult to find.

After a while the nurse returns and struggles with the immobilizer for a period of time beyond comical bemusement in front of us before finally asking for help on how to use it. The immobilizer is a large elastic band that wraps around the torso. There is a cuff to keep your bicep close to your side. Another cuff keeps your wrist secured to your ribs. The idea is to keep your shoulder in one place. (This is challenging medical technology. There are three strips of velcro on it.)

After five hours — Five hours! — we were given a small prescription and my discharge papers. To my recollection no one ever looked at my road rash. There’s a mildly impressive case on my shoulder and arm. There’s a little more on my hip, knee and leg. Good thing we’d cleaned it up before going to the hospital.

Aside from the cursory triage question no one ever, ever, asked about my head. Ever. The farther away from the hospital I get, the more appalling that becomes.

We never saw a doctor.

On the wall in the exam room there was a note about the hospital’s goal was that we’d recommend them for emergency care needs. That’s a tough sell.

This deserves mention: everyone was courteous.


8
Jul 12

Life’s a beach

Another lovely day on the Gulf Coast. Here are just a few pictures to document things. Mr. Brown is pulling in a crevalle jack with his brother:

MrBrown

We bought our wedding rings from Mr. Brown. He’s a terrific man and has a great family. And I’m not just saying that because he’s letting us visit his condo, either.

We took a trip off the condo’s private pier and drove down the street to the state pier. It is very long, almost three-tenths of a mile, and costs $2 to walk. It is not unlike walking through a county fair held in the parking lot of a Walmart sale next door to an Alabama football game. Interesting people watching and too many hooks flying through the air.

The pelicans hang out for any left overs:

Pelican

Kids were reeling in bait fish to give to the pelicans, so that was fun:

PelicanFish

I startled him off so everyone else could take in-flight pictures. I was just a tiny bit hasty with this one:

Pelican

Not bad for phone pics, though.

Since we rode 60 miles yesterday and that was too far and too hot for my lovely bride, I suggested we take her ideas for future rides and reduce them by about 30 percent. So, today, we just biked into another state.

Florida

Don’t tell anyone, but we are staying just four miles from the line, so it isn’t the most impressive feat you could imagine. Hence my expression, I guess. (Incidentally, a friend of ours got engaged just a few hundred yards from this sign a couple of years ago.) We pedaled on into Florida for a while and then turned back for the condo before we made it to the Atlantic ocean. People in Florida are about as observant of bikes as people anywhere else, but the accents might be a bit thicker.

I hit another round number on the odometer today. This is where I should have been to start June. Still behind, still catching up.

Odometer

That’a 1,500 miles so far this year. Not bad. Not great, but not bad.

We had dinner tonight at a place called Cosmos. Jot that down and go there on your next visit. You might have a wait, but once you get beyond the it-is-fashionable-to-wait-despite-half-a-dozen-available-tables insult the food is worth it.


7
Jul 12

We took a long ride along the coast

It was going to happen at some point this weekend. The land is flat and we brought our bikes. There are long stretches of road and we’re on the right side of the bay. I had this feeling of certainty: The sky is blue, the water is blue-green and I’m riding to Fort Morgan.

My mother used to play here when she was on vacations as a child. She took me there once or twice when I was a teenager. We’re only 30 miles away.

So we were looking at routes last night and The Yankee says, “Let’s ride to this Fort Morgan place.”

It seemed a bit long for her, but she suggested it, so we went.

We had a slight headwind as we headed west. We did a quick turn off the main road on the coast, up to a state park. We did six miles through woods on a bike path, sliding past lagoons and katydids and then two or three more miles of RVs decked out in Alabama and LSU regalia.

And then we joined the cars again, more woods, beaches, beach houses. Head winds. A beautiful, warm summer day. It would make sense that we’d get the tailwind on the way back. We even passed this street:

GulfWindCt

But the air was dead still on our return trip. This ride, The Yankee said, was a better idea last night when she was in the air conditioning. But it was a great ride. We stopped at a marina and topped off our drinks. I tried new cycling snacks of gels and crackers and things.

We just missed a coastal rainfall, the kind you can set your clock by each afternoon. We did not miss the post-rain humidity, though. Essentially this route took us across the entire width of Baldwin County. It was sunny and the heat index barely made the mid-90s. I love to ride like this. We had plenty of wonderful views:

beachhouses

Here are my seat stays and seat tube, after a flat, steady 60-mile ride:

Felt

The dirtier it gets, the better it looks. Just wish I’d been pedaling harder.

We had lunch, cleaned up and then went fishing with our hosts. We caught nothing.

That’s not true. We became very proficient at catching bait fish. Other fish would then eat the eyeballs of those fish. Eyeball-less bait is unattractive to what we were after, so we’d have to catch more bait. And this cycle repeated itself for hours. Fish eyeballs, it seems, are a delicacy in the Gulf this season.

As the sun went down we got cleaned up again and headed out for dinner at the famous Wintzell’s Oyster House.

Tomorrow, she tells me, we’re taking a much shorter ride.