Well, I'm alive. It's been quite a day.  You are probably wondering
why I'm sending this email after midnight.  Well, the answer will be
revealed below.  If you are looking for the short answer, you can
skip to the bottom paragraph.  If you are looking for way too much
boring detail, have I got a treat for you!  Read on, Mac Duff!  And
don't say I didn't warn you.

For those of you that don't know, don't remember or don't care, I've
been treated for a vocal chord granuloma for almost 2 years now.  A
contact granuloma is a little growth on my vocal chords that keeps
getting cut off and keeps coming back.  I was scheduled for surgery
#5 on Thursday.  The surgery itself usually isn't too horrible
(outpatient and all that) but it is followed by some period of
complete voice rest.  That's the REALLY fun part.

Late Wednesday night, I realized that I hadn't received an
authorization letter from my insurance company for the surgery.
This started me panicking a bit.  Would I be having surgery or not?
So, Thursday morning I called the surgeon's nurse but got her voice
mail.  Then I called my PCP and asked them what could be doing.
Finally, the surgeon's nurse called back and assured me that
everything was ok.  I called back my PCP and said "oops".  Not an
auspicious beginning.

(Why do they send those damn letters?  I don't think I've EVER
gotten one before the actual procedure.  They usually come a day or
two later.  Thanks, that helps a lot.)

Nita dropped me off at the hospital at 11:15 or so.  (Our all-day
baby-sitting plans had fallen through so she couldn't stay with me
from the beginning.  She was going to come back later to be with me
and bring me home.)  The surgery was scheduled for 1:15.  Why do
they tell you to be there THAT early?  The surgeon was running late
and they didn't even call me in until after 1 pm.  So I sat in the
waiting room for 2 hours as my lack of water and caffeine-induced
headache got worse and worse.

Finally, I get called into the prep room.  I get changed, get in bed
and wait some more.  After a bit, they start my IV and do all that
stuff.  Then wait some more.  Apparently the OR room isn't ready.
There's another case that has run over "a bit".  The prep nurse, the
OR nurse and the surgeon's assistant are all standing near me
talking.  Finally, I hear one of them say "5 minutes"!  Then,
someone comes up and says "the C02 laser is broken".  We'll have to
wait for it to get fixed.  A few more minutes pass.  They are having
trouble fixing the laser.  Oh no.  Have I gone through all of this
for nothing?

At that point, my head was really pounding, my arm hurt and I was
feeling strangely jumpy.  I decided to stop listening, as it was
only making it worse, and try to take a nap.  After some unknown
amount of time, the surgeon came in and said they were going to do
the surgery without the CO2 laser.  I guess they used old fashioned
scalpels!

They took me into the OR and moved me to the operating table.  I was
starting to say, "uh, guys?  Have you forgotten something?  I don't
mean to complain, but have you noticed that I am WIDE AWAKE!"  At
that point, they must have hit me with something because that's the
last I remember.  Next thing I knew I was waking up in the recovery
room.

The anesthesia did a number on me again.  Woke up freezing and
shivering uncontrollably.  I was covered with lots of nice warm
blankies and that helped after a while.  Then I was moved to the
second recovery room and they found Anita.  Even though I was still
pretty out of it, the nurse asked if I wanted my IV out so I could
go home.  You bet!  As they did this, Anita and the nurse struck up
a nice conversation about how the nurse's 4 year old son is
apparently exactly the same as our 4-4 year old Andrew:  out of
control, full of energy, amazingly destructive, a wild-child.  In
other words, they are both boys!!

IV out, I was wheel-chaired out of the hospital and on my way home.
Immediately upon returning home, I popped a couple of Tylenol with
Codeine (truly a wonderful drug) and went to sleep.  This was about
5:30 pm, I think.  Nita got the kids, who immediately came up on
succession to check on me and give me a kiss.  Then they went out
somewhere, I can't remember where.  (Nita did tell ask me if I'd be
OK.  I think I nodded an affirmative.)  When they came back, again,
the succession of kids coming in to kiss me good night.  Still I
slept on.  Oh yeah, throughout this time the phone rang a number of
times.  Each time I woke up and started reaching for the phone
before realizing that answering wasn't a good idea as I couldn't
even say "hello?"  If you called, thanks, and, sorry there was no
answer!

I got up a little while ago, around mid-night.  Very hungry, very
thirsty and hurting a bit.  No food but a big drink (and 2 more
Tylenol) later, I decided it was time to send a REALLY long email
with WAY too much detail to all my friends and relations.

Aren't you lucky!

So, the long and short of it is:  I'm OK.  After 5 of these damn
operations, I pretty much know what to expect.  My throat doesn't
hurt too much and I'm sure it will be better tomorrow.  Just can't
talk for a while.  Yippee.  Enough of that, I think I'll go back to
bed now.

  - jmh
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