Santa Left a Rock in My Stocking
‘Twas the week before Christmas and all through the house
You could hear Frank curse loudly and grumble and grouse….
OK, I’m not much of a poet. It all started on Tuesday, December 6th. I had just taken my morning shower and dried off. I put my foot up on the toilet lid to rub some anti-itch cream on my leg (dry winter weather makes my legs itch if you must know). All of a sudden, I had the most god-awful pain in my lower back. I could barely straighten up enough to walk to the living room and sit on my recliner. After I sat, I began to wonder if I would be able to stand up again. The pain persisted all day and into the night. The next morning I was almost unable to get out of bed and my wife decided to take a PTO day from work and take me to a nearby clinic.
After filling out the necessary paperwork and sitting for what seemed like an eternity in the clinic waiting room, I saw a nurse practitioner who poked me a few times and ordered x-rays of my back. After that, she prescribed some muscle relaxants, an anti-inflammatory drug and some pain pills and sent me home. By Saturday, I was feeling pretty much back to normal and Sunday I was able to watch my beloved Seattle Seahawks completely demolish the 49ers. I was pretty happy and pain-free.
On Monday the 12th, I was just getting settled into my afternoon nappy-poo when the phone rang. It was someone from the afore-mentioned clinic asking me what I wanted to do about my kidney stone. This was five days after my visit to the clinic! I said something brilliant like, “What kidney stone?” and she said, “Oh, they haven’t called you about it?” Now, I have passed probably a half-dozen kidney stones in my life, and believe me, I would have remembered if someone had told me I had one!
Well, feeling somewhat abashed I imagine because the clinic had screwed up, she told me that if I came up to the clinic and got my x-rays she’d arrange to get me in to see a urologist on an emergency basis that very afternoon. So, I hurriedly dressed myself and hied myself to the clinic, signed my life away for the x-rays, got general directions to the urologist’s office across town and drove there. I filled out more paperwork. And I waited. And I waited.
The staff at the urologist’s office treated me like some kind of celebrity. They kept whispering to each other that I was the “15.” Come to find out, “15” had nothing to do with my undeniable good looks (on a scale of one to 10, he’s a 15). My stone measured 15 millimeters, which by kidney stone standards is considered a boulder. They’d never seen one that big before.
I was finally granted an audience with the urologist, who asked a few questions (most of which I had already answered on the forms I had had to fill out before I was allowed to see His Eminence). He checked my hernias and did the ever so popular finger wave on my prostrate gland. He asked if I’d ever had a hemorrhoidectomy (no, and what the hell does that have to do with a kidney stone the size of Mount Rushmore?). Finally, he told me that it was highly unlikely that anyone could pass a stone larger than a five millimeter, and I had a 15, so I should probably have a procedure called ESWL, which stands for electroshockwave lithotripsy – or something like that. It’s where they use shock waves to blast the stone into smaller fragments so they’ll pass harmlessly through the urinary tract. He also said he wanted to implant a stent somewhere in my plumbing to make the passage of the particles easier. The stent might be somewhat uncomfortable, but he’d remove it after a week or so.
I’m thinking the doc’s going to put a catheter up my male member to put the stent in, and then again to take it out. Having worked in a state mental hospital on a geriatrics ward while a college student, I am familiar with catheters and I really wanted no part of it. He assured me that no catheter would be used, so I calmed down a little.
He could perform the ESWL the following Friday, December 16th. Since I am still unemployed and money is in damn short supply, I told him I’d have to consult with my wife and get back to him (hoping that she’d find a good reason to delay this rather daunting event). We have medical insurance through my wife’s employer, and she convinced me that we’d just have to take money out of our dwindling savings account to make up the difference. Soooo, I called the urologist’s office the next morning and using my very best he-man, John Wayne voice, told the nurse that I would look forward to having the ESWL performed on Friday. She made me come into the office and fill out more paperwork which I was then to take to Kadlec Hospital’s pre-registration office, where I would fill out even more paperwork. Then she called me at home and told me that the doctor had forgotten to tell me I needed to have a CTUT done (that’s a fancy x-ray), and could I be at Kadlec at 3:30 the next day for that?
So, being an orderly person, I plotted out a schedule where I would drive to Richland’s Kadlec Hospital, pre-register for same day (outpatient) surgery and then go get the old CTUT. I allowed ample time (forgetting that the medical industry does not care a wit for patient’s schedules). The pre-admission people were very nice, but in absolutely no hurry to get me processed in time for my 3:30 appointment for the fancy x-ray (which it turns out was in another building two blocks from the hospital).
To make a long story a little shorter, I got pre-registered and was only about two minutes late to fill out more paperwork for the CTUT. Thursday, I did not have to see anyone from the medical industry, nor fill out any paperwork. A day of grace to make peace with my God, I suppose.
I take back what I just wrote. The scheduling lady from the hospital called me late Thursday afternoon to let me know that my procedure was scheduled for noon the next day, and that I should be at the same day surgery unit by 11:00 am. My wife took another day off from work to drive me to the hospital and back. There had been freezing rain the night before, so we left plenty early. The medical industry couldn’t think of any more paperwork for me to fill out for the moment, so we waited a short time before being called into the pre-op area where I was told to take it all off, put on a hospital gown and lay down on a gurney thingamujig while an IV was started.
The day of the procedure was going smoothly I thought. But after waiting on my back for them to wheel me into the operating room for about an hour, the appointed noon-time hour elapsed, and we were finally informed that some inconsiderate person had had to have an emergency procedure and I had been bumped until they could get that little detail taken care of. My wife went to have lunch, and I lay there listening to my stomach growl.
Finally, they got the emergency cleared and the operating room “turned over.” From here on, there were no delays. Scoot your cute little butt over onto the operating table (the center of which has a water-filled pad), breathe into this oxygen mask deeply for a while until the anesthetic is administered, and, well that’s all I remember until they woke me up and hauled me into post-op.
After a short time, they decided to let my wife take me home with a prescription for pain pills and instructions to take it easy for a few days (I told my wife it was a “few weeks”), no alcohol (haven’t had a drink in nearly seven and a half years), and to pee through these paper mesh cones to collect any particles from the stone for analysis.
There are no words to describe the pain a spasming kidney just coming back into usage after what were probably several years of being inactive can cause after being rudely awakened. Only a woman who has been through several days of agonizing labor will be able to empathize. The pain pills (hydrocodone) have helped to keep me from praying for a quick and merciful death, but when that kidney decides to spasm to push more of the now pulverized stone out – well, let’s just say I’m surprised that one or more of our neighbors haven’t called the police to report that someone is torturing a bull elephant in the neighborhood.
Today, December 19, 2005, I have finally decided I might just live through this experience. The spasms have decreased in severity and my urine has gone from the color of cherry Koolade to more of a tan color. And I haven’t had to suddenly run for the bathroom every five or ten minutes. Life is a little less painful today. However, my wife will have to drive me to the urologist’s office, probably after Christmas, where the good doctor will remove the stent without the benefit of general anesthesia; only a sedative according to what he told my wife. Kind of gives me something to look forward to. Merry Christmas to all, and to all a word of advice – drink lots and lots of water.

