I’ve been to the
Mountain!
Like many
journeys in life, my journey began before I knew it. The first steps were into the pharmacy,
unless you want to take the long view of things. In the long view my journey probably began
years ago when I began taking Synthroid or a generic substitute.
I had called in
a prescription refill, but when I went to the desk to get it, the pharmacist
said, “We can’t refill it.”
“But it says
one refill by 4/14,” I said. The
pharmacist scrolled around on the computer.
“No. Before 10/13,” he said.
“You sure?”
“Yes.”
“Now what do I
do?”
“We called the
clinic. They’ll let you have five pills,
but they want to see you.” I took my
five pills and went home.
Jill answered
when I called the clinic. Yes, she knew
all about it. Kyle wanted to see me, but
first I needed lab work, a thyroid test.
“Come by the office and pick up the lab order. Then we’ll make you an appointment with
Kyle.”
“But I’ve
already made an appointment with the county nurse to do the blood draw Tuesday.”
“Well,
whatever.” So I counted pills. With the ones in my old folks pill container,
you know the one, long rectangular with seven compartments with lids marked S,
M, T, etc. with brail, too just in case you lose your glasses, and the
emergency pills in two bottles in my shaving kit, and the five new ones, I can
go for eight days. That will be five
days after the county nurse’s “blood draw.”
Two or three times a year they offer blood tests, a whole bunch for $70
or less depending on what you get.
I’ve always kept
an eye on my glucose just so diabetes can’t ambush me. At my age you want a PSA too to ward off
prostate cancer, and of course the thyroid one.
Then there was the calcium one.
Premature gray guys are susceptible to osteoporosis. I took calcium for a few years. I quit after the last blood draw and I wanted
to see if it made any difference. (It didn’t.)
I called Karla,
the county health nurse. (Karla and Jill
are both former students of mine.)
“Karla, how long
will it take to get the results from the blood tests?”
“Sometimes we
have them by Thursday, but it takes a week to get the results out to
everybody. Why?” So I explained my predicament.
“I don’t want to get
tested twice if I don’t have to.”
“No need to. I’ll call you when the results come in.” So I went in Tuesday morning and got my blood
drawn. I hadn’t heard from Karla by
Friday, so on Monday I called. Karla
wasn’t in, and her secretary said they didn’t have the results yet. I had one pill left.
“Will you have her
call me when she gets in?” Karla didn’t
call for a couple of hours, but when she did call, she said, “Your blood test
results are in. Do you want me to send
them up to the clinic, or do you want to pick them up?”
“Why don’t I just
pick them up and take them up myself.
Then they can tell me what they want me to do.” And I did.
Jill said she would show them to Kyle.
Later that same
afternoon, Jill called back. “We’ve
called your prescription in and you can pick it up anytime.” No rush.
I still have one pill left. “But
Kyle still wants to see you. When would
you like to come in?”
Now the journey
is on for real. The mountain which has
been below the horizon is just about to peek above it.
I’m new at this
Medicare business. I thought the yearly
checkup was optional. Well, not if you
have to have a prescription renewed.
Much later I would see where I took a wrong turn in this maze of life. I should have said Kyle is pretty busy so why
don’t I just see Doc D? Doc would have
looked at the lab reports, asked about my home brewing and then would have
said, “You feeling ok? Well, you look
OK. We’ll just renew your prescription
for another year. I really think we
should start a microbrewery.” End of exam.
But no, I went to see Kyle. His physical was cursory. The nurse had taken my vitals and recorded
them. He looked at them, listened to me
breathe and to my heart beat. Then came
the questions.
Have any
problems? Still sexually active? Depression?
Use alcohol? How much?
“A beer a day.”
“Keeps the
nagging wife away?” You have to like
Kyle.
But then the IED
along the side of the road, that which caught me totally off guard, blew up
right in my face. “When did you have your
last colonoscopy?”
“Er, ahem,
um. Never had one.”
“Never!? You’re how old? 66? You need to have one.” There followed the lecture, colon cancer 100%
curable if found in time, if you wait for symptoms, too late, etc.
“Look, one shitty
day in exchange for knowing you don’t have colon cancer and you’re good to go
for ten years. Do it again when you’re
76. Ten years after that, you’ll be 86
and by then who cares?”
Yeah, yeah. I was weakening. How could I have any resolve? I was completely ambushed, taken totally by
surprise. Then came the clincher.
“Besides, when
the doctor does your colonoscopy, he’ll check your prostate and I won’t have to do it today!”
Isn’t it
completely human to avoid immediate pain by putting it off to some indefinite
future time, especially when you’ve been caught so sudden-like, without time to
do any serious rationalizing? I’m sure all of you would have said, “Oh, let’s
just go ahead and check my prostate today and not worry about the
colonoscopy.” Yeah right.
Anyway, do you see that mountain now? Do you see how we humans stumbling along
through this maze of life, tying to take the path of least resistance as Nature
programs us to do, get trapped into climbing a mountain while all we wanted to
do was to stay in the valley or on the plain?
Or keep your thyroid going.
Or do you only
see a mole hill magnified several million times through the lens of a paranoiac,
an anal paranoiac at that?
Well, one man’s
mole hill is another man’s mountain. On
with the story. The clinic called again,
Lindsay, another former student. “We
have a procedure (procedure?) scheduled for you on January 16.”
“I have a pretty
busy day scheduled for the 16th.”
Well, we did have a clinician coming in from Denver to work with the
barbershop guys. Couldn’t miss that
could I?
“How about the 23rd?”
Nothing on the calendar for the 23rd. Darn!
Now there is.
“23rd
is ok.” Amazing how easily a person of
conscience can break the 8th (if you’re Lutheran) commandment. It was anything but ok. But there it was. The “indefinite” in “indefinite future” was
gone.
Lindsay called
again on the 16th (just to see if I really was busy?). I need to make an appointment to see Kyle,
then see her either before or after, and be sure my insurance information is up
to date. Life? Or health?
I didn’t ask.
This time Kyle
had only one question. “Are you going to
chicken out on me?” I’ll bet Kyle is a
great fisherman. Hook is set, 150 pound
monofilament line, heavy duty reel. He
just as well have said, “I dare
you.”
Off to Lindsay,
fill out the usual questions (ever had this, or that? Allergic to anything?),
and get a packet of instructions with the blanks filled in. Pick up the prescription at the pharmacy on Tuesday
and follow the mixing instructions. On Wednesday
you will be on a liquid diet. You can
have coffee (no cream), tea, soft drinks and Jello, etc.
Sure enough,
Tuesday got here, though I was hoping it wouldn’t. The pharmacy gave me this big plastic bag
that weighed hardly anything at all. The
lady standing at the counter with me, a rather religious lady who used to be an
aide who worked with visually impaired in my classes, says, when they handed me
the bag, “Whoa! Looks like a fun time
for you!”
“What? The plastic bag didn’t fool you? I just as well have gone to the liquor store
if you already know what’s in the sack!”
“I know what’s in
the bag! Ha ha ha.” So did everybody else, apparently. Home and read the instructions. In the bag is a one gallon (4 liter) plastic
jug with some powder and crystals in it.
Fill it with water, shake it up until everything is dissolved, put in
the refrigerator. Easily done.
Not too much
time to worry about it Tuesday. That
night we went to see “Church Basement Ladies.” Then it became Wednesday. No solid food. Liquid diet.
Follow the instructions on the jug.
Drink a tall glass (8 oz.) every ten minutes.
Out to the walk-in
refrigerator, also known as the garage.
Return with jug. Pour out a tall
glassful. Flitting through my mind, the
last scene of Socrates’ life, the one where his now-friend and jailer tearfully
brings him the hemlock and gives him his instructions. “Drink this down, then walk around until your
legs feel heavy.” It was a few minutes
past eight. Here’s to Socrates.
Ten minutes later
I tried another dose of the sennaic hemlock.
My stomach wasn’t big enough for that second one. The Lindsay papers said about every 45
minutes. Well, that would take too long. Just drink it as fast as you can.
Soon, my time
was taken up between going to the kitchen to refill my glass and to the
bathroom. A few minutes before noon, I
drained the last bumper. I handed the
empty jug to the Goodwife on her way to the recycle center. It was number 2 plastic. Appropriate.
If you don’t look
back, it’s hard to tell how far you’ve come up the mountain. In retrospect, by 2 p.m. when things slowed
down considerably, I had scaled the steepest cliff. I couldn’t know that then. I still had another 12 hours of liquid-only
diet and 10 to 12 hours of nothing at all to eat or drink.
One can of
fat-free chicken broth, one can of fat-free beef broth, one packet of
dehydrated soup, about a quart of grapefruit juice was what I “ate.” I couldn’t help but sympathize with all souls
in the world who were involuntarily fasting, especially kids, as I crawled into
bed Wednesday night.
Then it was
Thursday, summit day. The alarm was set
for 6:45. I awoke at 6:30, crawled into
the shower and waited for 7:30. Take one
step at a time and we’ll get through this.
A look at the thermometer as we stepped out the door, 5 degrees F.
Lindsay is at the
front desk at 7:45. Here comes Jolene,
another former student, to take me to my room.
“You have a roommate. I think
you’ll recognize him,” Jolene says.
There already in backless gown, IV in left arm, waiting was my 20 year
colleague, football coach, AD, PE teacher Dan.
“I didn’t think
things could get much worse,” Dan greets me.
“Yeah, we’ve really hit bottom.”
Jolene hands me
a rag and says, “Here’s your gown. You
can change in the bathroom and put your clothes in this closet.”
I have to walk
past Dan’s lounger to get to the bathroom.
“Close the door. I don’t want to
see this,” he says.
“Not in the mood
for a strip tease?” After trying to tie
the neck string of the gown with it on, I finally took it off, tied the string
and put my head through the loop.
“Get the ties
figured out?” Jolene asks as I step out of the bathroom, juggling clothes and
shoes in one hand, trying with the other hand to avoid giving Dan a BA. “Oop, nope.
Missed this one,” as she gets behind me and ties the apron string I
somehow missed.
The
nurse-anesthetist arrives just as Jolene is inserting the IV. “We’ll try this mask on. We’ll be giving you a little oxygen.” Mask on, mask off. The usual questions, any allergies, any
problems with anesthesia, any questions?
No. “See you in a little while.”
“What are you
having done?” I ask Dan through the curtain.
“Both.”
“Both?”
“Upper and
lower.”
“Well, tell them
to do the upper first.”
“OK. Why?”
“You don’t want
them cramming that thing down your throat after they’ve used it on the other
end.”
“They don’t use the same one,” Jolene
says. “The one they use on your stomach
is smaller.”
Eventually, the
surgeon comes in, apologizes for being late, forgot to set his alarm, asks Dan
what we’re looking for, assures him it won’t take long and he’ll know the
results before he leaves.
“And what are we
doing for you, just a routine exam?”
“Yes.”
The Goodwife
chips in, “Kyle is a good salesman. He’s keeping you busy.”
“This will be
easy. You’ll know before you leave if I find
anything. I remember you. I don’t remember many of the people I’ve operated
on, but I remember you.”
“Yes, you’ve dug
a hole in me before.” The truth is, he
saved my life by referring me first to a urologist, and then to an infectious
disease doctor who both helped me get rid of staff infection in mesh used to
fix my hernia.
“I was a bet
between you and Dr. B. He bet you he
could cure me with antibiotics. You
didn’t think he could. You lost, thank
goodness.”
“No problems
with it any more?”
“Not since it dried up.”
“What has it
been, five or six years? Well if you
ever do have any problems, I’d like to know.
You are a pretty rare case. Well,
see you in a little bit.”
Somewhere
during our conversation, they’ve hauled old Dan off. I’m reminded of the scene in Animal Farm where they load old Boxer up
in the knacker’s van and haul him off to the glue factory.
Now nothing to do
but wait. And wait. I should have brought something to read. Finally, the nurse wheels Dan back into the
room. He asks me, “You OK?”
“Yeah, I’m
fine. How about you?”
“I’m doing ok. Hey, there’s a lot of our former students in
that room.”
“Having any
pain? Gas pains?” the nurse asks Dan.
“Yeah, gas
pains,” Dan agrees.
“Well, let it
go. The truth is, we can’t let you go
until we know you can pass that gas.”
“Maybe I should
leave,” says the Goodwife. As she’s
leaving, the nurse laughs and says, “Where else can you fart and the women in
the room will cheer instead of chewing you out.”
“Do I need to
come over and pull your finger?” I ask.
“Do you have
someone to take you home?” the nurse asks Dan.
“Yeah.”
“Who?”
“My wife.”
“What’s her name?”
“Sally.”
“Where is she?”
“Home.”
“I’ll call
her. What’s your phone number?”
Then the wheelchair is in front of
me. “I’ve come for you,” the nurse says.
“They’re coming to
take me away, hey hey, They’re coming to take me away,” I quote.
“Yup, I’m coming
to take you away,” echoes the nurse.
“What do I do with
my glasses?”
“We’ll put them
right here,” says the nurse and puts them on the table. Down the hall we go past the nurse’s
station. I say “hi” to all my former
students at the station.
Cheryl greets me
at the OR door. “Just sit on this
pad. Now roll onto your side.” She adjusts the pad and undoes the gown draw
string, throws a blanket over me. Around
the table to my front side Cheryl asks, “What are we doing today?”
What? What are we doing? Climbing a mountain? “WE
are doing a colonoscopy,” I say. Then I
think. “Wait a minute! What if I answer that question wrong, do I
get kicked out of here?”
Cheryl laughs,
“Too late, you already answered correctly.”
The nurse-anesthetist comes in, puts a mask on me.
“I’m going to
give you a little oxygen to clear your head.”
Another violation of the 8th commandment, but this one isn’t
on my soul. “How are you doing?”
“I’m getting a
little sleepy.”
“That’s ok.”
That’s it.
I’ve reached the mountain top. A
bit anti-climactic, don’t you think?
The next thing
I’m aware of is sitting back in the room in the same lounge chair. “How’d I get my glasses on?”
“We put them on
you the first thing we got you back in the room. Can you pass gas?”
Action speaks
louder than words, so I acted. “That’s
good,” the nurse says. I’m little
surprised that old Dan is still farting around on the other side of the
curtain. But then things aren’t all that
clear yet. The surgeon comes in to tell
me I’m good. As he’s telling Dan he’s
good on the lower end but he couldn’t find anything to cause his stomach pains,
I’m given my clothes and shepherded into the bathroom. Somewhere in the jumble of events I chose a
muffin and a glass of water for a snack, have to return to the bathroom because
the gas-passing has gone a little beyond air. Then the muffin and water are
gone and the Goodwife hands me my coat and we are making our way down the hall
to the front door. I don’t remember Dan
leaving or if he was there when I left.
Sally was
there. When she saw me she said too bad
Joe wasn’t there. The three of us
retired together and were honored together by the school district. It would be a reunion of sorts.
Outside, it has
warmed up to 9 degrees and that walk to the car sobers me up pretty fast. Hey! I
walked out that door, didn’t have to be carried! My backside is covered. I can eat.
The sun is shining! I can eat!
Home we go. The first thing I did after taking my coat
off was throw the skillet on the burner, fry some bacon, an egg and have a
banana ready for dessert. Don’t forget
the acidophilus. The real end of this
will be when things are back in working order.
But hey! I’m down from the mountain! It’s great to be back on the old flat plain. Man is it good to be able to eat.
I may go see Kyle again someday. When my prescription runs out.