Showing posts with label Mini Ops. Show all posts
Showing posts with label Mini Ops. Show all posts

A Tale of Tumours, Cataracts and Paper Pants.

Thursday, April 5, 2012

My latest operation, actually my thirteenth, was a mixture of seriousness and hilarity. Obviously having a tumour removed isn’t to be laughed at, but in my case I’ve had so many bodily parts removed it’s neither here nor there.

I was being admitted to Ward 5 which is a Day Case ward, and as soon as I arrived I could tell they were very busy. There were no beds available, the main waiting room was full and there were also people standing, but after so many admissions I have learnt what I will and will not accept. I staunchly refused to stand and demanded a chair. There was a small waiting room round the corner so at least I could sit down in some comfort to wait until a bed became free. Why the others remained standing completely bemused me. The bed never arrived and due to the level of overflowing patients, I eventually ended up on the eye section. This led me into one of the most bizarre medical worlds I have experienced.

I was told to sit in this massive chair that looked like a Lord of the Rings throne on wheels. There were about eight in the room in total and the other thrones were occupied by an elderly clientele whose faces painted a picture of I’m going to be electrocuted. All had big arrows on their foreheads pointing down at whichever eye was to be, presumably, operated on. A doctor wandered around introducing himself to everyone. I figured it had to be cataracts. He smiled at me. I smiled back whilst mumbling under my breath, “There’s no fecking way you’re going anywhere near my eyes mate.” Cathy told me to be quiet. He walked past towards another patient, pointed towards me and said “You’re next.” I shot back, “I don’t think so.”

A few minutes later he came towards me, the last of his ‘cataract patients’, with marker at the ready. He looked down his list. “You’re not Hettie are you?”  he said. Do I look like a fecking Hettie to you? I replied - Well, actually I didn’t say that aloud, I just thought that line, what I really said was “Yes.I’m Hettie Edwards.” Cathy burst out laughing as he fingered through his list, got the joke and finally realised I wasn’t to have my eye operated on after all. By now I wanted to grab a marker and paint some arrows on my own face and join in the party atmosphere. Why did I have to be different to everyone else? Arrows had gained a new appeal.

The time was 1pm and I was due in theatre in half an hour. A doctor came round for a chat. Mumble mumble blah blah is all I heard as I noticed my consent form hadn’t been filled in and my thoughts wandered to where I was supposed to change into my sexy gown and paper pants as this was an open ward. 1.15pm and still nothing. 1.30pm a man arrived from theatre to take me down. I was still fully clothed and my consent form lay blank. They decided to fetch someone from theatre to fill this in. In the meantime I was told to change. “Where?” I asked. “In the toilet” was the answer. I trundled into the toilet to change. I put on my sexy paper pants, a gown, then another gown on back to front as a makeshift dressing gown and walked back out into the room full of arrow people complete with black shoes and socks which said Thursday even though it was a Wednesday. I suddenly decided I looked a complete twat and wanted the earth to swallow me up. My surgeon (who is brilliant) came in to fill in my consent form, looked surprised to see me sitting on my throne surrounded by eye patients and must have wondered what I was doing there, then said he’d be in theatre in five minutes as the hospital appeared to have misplaced one of his patients!

I took off my shoes as I was quite happy to walk to theatre in socks. Nope, that wasn’t going to happen. Big lecture on health and safety from a nurse who said it would take hours to complete the health and safety forms if I fell and repeatedly told me ‘Nobody, but nobody falls on shift’ At the same time I was thinking…if only I could fit both shoes inside your mouth.....but I’m not a violent person so thought better of it.

I sat down on the chair to put my shoes back on and this is where the whole thing gets silly. The only way I could get my shoes on in one of those Gandalf type chairs was to lift my legs up stirrup stye. My dignity had gone out of the window completely. I said to the nurse, “Don’t you realise that everyone across the room can see my bollocks hanging out and they’ve all got a birds eye view?”  “Don’t worry” was the casual reply. “They’re all having cataract operations and can’t see three feet in front of them.” At that point we all burst out laughing. It was like a scene from a sitcom.

Off I went to theatre, which meant a quick local and forty minutes having my back sliced and the tumour removed. I actually liked the experience. As I’ve said before, the surgeon is a gifted wonderful man and we chatted throughout. When they started stitching me up outside the anaesthetised area and I yelped in pain, we talked at length about operations in the olden days before anaesthesia. I found out that the record for cutting a man’s leg off was two minutes. We chatted about astronomy (my degree subject) and I asked this poor nurse every question imaginable about what each piece of equipment did in the theatre. It went very well and before long it was goodbye tumour and back to the eye ward.

No marker arrows this time. Lots of people with half an easter egg over one eye. I chatted to a lovely lady next to me over a nice cup of tea and my afternoon was virtually complete. Clothes on, bit sore and back home by 4pm. Not too bad for a day’s work, even though I say so myself.

P.S. Unfortunately no pictures were taken that day although I was very tempted!

Mini Ops - The minors between the majors to keep me on my toes.

Saturday, November 12, 2011

April 28th 2008
Breathe Easy Campaign - SMD Number One
After neck surgery my nose felt continually blocked up - very uncomfortable when you have a cold, a nightmare when you can’t breathe at all for months on end. Nasal drops helped but the long term damage is severe so I had to find a surgical solution. I was told that an SMD would be the next step in my ‘breathe easy’ campaign. SMD stands for Submucosal Diathermy. Enlargement of the Turbinates leads to obstruction of the nose, Submucosal Diathermy to the Inferior Turbinates aims to shrink these soft tissue linings of the nose. Another general anaesthetic and another stay on the ward would be necessary.
The impending operation seemed like a walk in the park after my recent Neck Dissection. It wasn’t all easy though, my nose was blocked completely from the operation. It was a combination of swelling and blood, but was assured that it would die down after a week or so. Well I must admit it certainly seemed to work. A few weeks after the op and my nose was much clearer. Nothing like it was originally mind, but at least I felt I could breathe a little easier now. I felt that operation was worth it in the end and was quite pleased with the outcome.
I knew I would have this operation again at some point in the future but for now it had done the trick.

November 19th 2008
Collagen Injection
This is a procedure that sees collagen injected into the atrophied vocal cord to ‘thicken’ it, thereby closing the gap between the cords and subsequently improving the strength of the voice and making it less breathy. It turned out to be quite a distressing operation as I was awake throughout the whole process.
I had to have my airway anaesthetised and, guided by a camera put up my nose and down my throat, a series of injections were carefully placed in the paralysed vocal cord. Being awake was important as they could carefully balance the amount of collagen needed and test my voice out each time to see how strong it was getting.
Once the correct amount was reached, it took three hours without food or water and then a few days of rest to recover. The good news was that it worked very well. Unfortunately it was only a temporary procedure as, over time, the collagen would filter slowly back into the body.
The most important reason for doing it was to hear the improvement in my voice and it certainly worked. At some point in the future a more permanent procedure would hopefully be found for me.

February 9th 2009
SMD No.2 (See SMD No.1 above)


August 4th 2010
Septoplasty.
Well, the SMD operations I had done were successful for a short period but I needed something a bit more permanent, therefore another consultant was consulted, and this time I was having a procedure to straighten the septum in my nose. Although it hadn’t caused me any problems in the past it was now, so this was the next step for me.
Back in the familiar surroundings of the anaesthetic room, I chatted to everyone who I knew quite well by now, went out like a light and awoke in the recovery room feeling ok. Someone offered me a cup of tea which I thought was very nice of them. Big mistake. I took a few sips and a waterfall of blood erupted out of my nose. ‘You shouldn’t drink warm drinks after a Septoplasty’ I was told. Great I thought, wish someone could have told me that before my cuppa. The bleeding didn’t stop and a couple of hours later an ENT Registrar came down and sorted me out. That involved putting a tube with a suction thing on the end and sucking all the blood and gunk out. Mess everywhere including my nice new PJs. At least it solved the problem of my nose bleed so I was happy. 


The day after my Goretex Thyroplasty op.  My neck dissection and radiotherapy scars are also clearly visible.




















November 2nd 2011 
Goretex Thyroplasty
Was really looking forward to this one. NOT! It was an hour’s operation in theatre under local anaesthetic. The surgeon was planning to insert a piece of goretex ribbon into my vocal cord. A difficult procedure as my neck was shot to pieces from my surgery four years ago, was full of scar tissue and my skin was like rice paper after radiotherapy. There was a 50/50 chance it could be done. After loads of of local anaesthetic my throat was sliced open and slowly but surely this incredible guy made his way towards my voice box. Things were looking good and suddenly he was there. He managed to place the ribbon in my voice box and as soon as I made a sound you could hear the difference straight away. It was incredible.
My wife was in theatre to support me as I was wide awake throughout the procedure, and she could hear the difference in my voice straight away. The thought of being awake during the procedure horrified me at first and I was very nervous beforehand but I have to admit it was so worth it. Having your voice back improves your quality of life no end.
I was very sore and swollen for the first night but the improvement was worth it. Not only has the thyroplasty helped me with speaking but also with swallowing and breathing so my quality of life has improved immeasurably. It was great to have my wife there as well. She has been so strong for me throughout every procedure I’ve been through these last four and a half years, and this occasion was no exception.