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Daily Archives: April 30, 2012

My hernia operation, Part Two . . .

Okay, come on now, admit it—you’ve been waiting with bated breath for the second installment of my recent hernia operation. I can understand your interest in this because everyone, whether male or female or a combination of both, are subject to such surgery. Other than a few statistics extracted from the web, I’ll leave it up to you to do the research. Click here to learn just about everything you probably never wanted to know about hernias and hernia surgery. It’s the most common operation performed by general surgeons in the United States, and males lead females in hernia surgery by a ration of 3:1 in the US. More than 750,000 inquinal hernias are repaired in our country every year by general surgeons.

Now on to Part Two of my quadrilogy, the diagnosis of the hernia.

I reported to the General Surgery clinic as directed and was examined by a Doogie Howser look-alike, the young man who performed fantastic surgeries on the television show Doogie Howser, M. D. from 1989 to 1993. My doctor (not really a look-alike, just young looking) replicated the hands-on exam that I endured in Internal Medicine and scheduled me for a sonogram to determine the exact location and the size of both hernias. He decided that the left hernia warranted surgery, but the right fissure was small and would not need surgery unless it expanded or became uncomfortable or painful—uncomfortable or painful for me, of course, and not for the hernia.

The doctor told me that he had three hernia surgeries in his early twenties, and since then had no other symptoms. I suppose that was meant to reassure me concerning my pending surgery, but it didn’t work. I wasn’t sleeping well before I was scheduled for surgery, and the wait between scheduling and operating was for too short and in no way helped my sleepless nights (I unashamedly admit that I dozed off for a few hours in the mid-afternoon while waiting, and in fact I still do). I believe it is somehow related to age, but in my case I believe that it’s because I am bored, and napping is something that seems to come naturally for me to make the time pass.

The sonogram gave a perfect picture of the two hernias, and I was scheduled for surgery the following week. I made several demands—no, make that several requests—including local anesthesia as opposed to general, no breathing tube in my throat and finally, that I had to be back home before dark. My demands—I mean requests—were given consideration and the doctor said they would do their best to meet them—that was shortly after his laughter subsided.

Okay, that’s the second part of my quadrilogy, the diagnosis. That’s my story and I’m sticking to it.

 
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Posted by on April 30, 2012 in Uncategorized

 

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Wanna read about my hernia operation, Part One?

I know very well that neither you nor anyone else wants to read about my operation—well, okay, perhaps one in a thousand does wants to read about it so I will offer it up for that one in a thousand, that one that is willing to wade through such drivel just in case it might be educational or funny or foolish or all three—just in case.

I recently managed to shed fifteen pounds of avoirdupois from my 67-inch frame—that’s five feet and seven inches in height, a total of 67 inches. Okay, perhaps by now it is more like 66 inches due to the compaction of vertebrae in my backbone—that’s one of the privileges, or perhaps the vicissitudes of aging.

Mind you, I am not stooped or hunchbacked as was Quasimodo the Bell Ringer, nor do I ring anyone’s bells—in fact, I never have and probably never will. As for my height, whatever the total number of inches I rise from the ground upwards may be, I am militarily erect, and in my not-so-humble opinion I would stand tall even if I were the little fellow on television that was always saying, “Zee plane, boss, zee plane!”

Had I been taller I would have ruled the world, but as it is I’m content to be in charge wherever I may be.

Out of respect for any reader that may take umbrage, I will refrain from repeating something that Mae West said in one of her films when she responded to a tall stranger’s knock on her hotel door. She looked up and told him that he was “a tall one,” and he responded that he was “six feet, six inches.”Oh, well, what the hey! I’ll tell it anyway, and if anyone takes umbrage they shouldn’t have read it. What Mae West said was something on the order of, “Well, come on in, big boy, and we’ll talk about the six inches.”

But as is my wont, I have digressed—-back to my operation. On a fateful morning in late December 2011 while waiting for the water in the shower to reach a reasonable temperature (I’m a wuss when it comes to cold showers), I was admiring my image in the mirror, an image sans clothing, while examining the areas that still needed slimming down (just as an aside, cold showers don’t work for me).

In my pinching and lifting and rearranging for effect while holding my breath (stomach in, chest out) I found something that send me scurrying to the physician who was unfortunate enough to have me on the list of people assigned to him to monitor their health, a doctor in the Internal Medicine Clinic at the Wilford Hall Medical Center in San Antonio TX. I first called his nurse and confided my fears, and after enduring my plaint she checked with the doctor and returned my call, telling me to “Come on down!”

I told the doctor that I had discovered a lump in my lower left abdominal area, a lump that was present when standing but one that disappeared when I sat down or lay down. He suspected that the lump was an inguinal hernia, but then used a hands-on search—with my trousers and under-wear on the floor—and said, “Yep, you have an inguinal hernia in the left groin and also a smaller one in the right groin.” What he actually called the hernia on the left was “a potential candidate for surgery.”

He said the smaller hernia could merely be followed, and at this stage he felt that surgery was not necessary. He set up an appointment with a doctor in the proper clinic at BAMC (Brooke Army Medical Center, now renamed as SAMMC, San Antonio Military Medical Center). He said that BAMC/SAMMC might decide that surgery would not be necessary and then added, “But they really like to do surgery over there.”

On that cheerful note I will conclude the first part of a quadrilogy, one comprised of the suspected hernia, its diagnosis, the surgical repair, and recovery. I am breaking the series into four parts because I have been criticized for making my postings far too lengthy. It’s something similar to the old joke about two drunks in a bar, a bar bet and a cuspidor. Click here to read the joke—it’s funny and you can share it with your children. However, you’ll probably need to define the word cuspidor. The joke is in the last paragraph, and the post is a long read, but don’t be discouraged, and please don’t fast-forward to the joke—you’ll miss a lot of excellent prose!

As an aside, the Free Online Dictionary defines quadrilogy as “A series of four related dramatic, operatic, or literary works.” This posting definitely qualifies to be classified and presented as a quadrilogy. My discovery and its diagnosis were dramatic, the surgery was operatic (Get it? Operatic, as in operation?), and this carefully couched and presented 4-part series is the very epitome of a literary work.

This constitutes the first part of my dramatic, operatic and literary quadrilogy and I’m sticking to it.

Stay tuned.

 
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Posted by on April 30, 2012 in health

 

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