Wednesday, August 25, 2021

Day 4262

One down, one to go. I had a procedure today to remove stones from my bile duct and apparently it was successful. The procedure is called endoscopic retrograde cholangiopancreatography and involves passing an endoscope about the thickness of a finger down your throat, through your stomach, and into your intestine where it meets the bile ducts. Special tools are passed through the endoscope to grab and remove the stones. The process has been explained to me several times but it still seems incredibly complicated. The doctors seemed pleased with their results today. Tomorrow they will remove my gallbladder which is the source of these gallstones.

I've asked several doctors why we even have a gallbladder, since it is the most common organ to be removed. Apparently, you can live quite well without a gallbladder. Today I finally found an answer that made sense. The gallbladder only gets called into action when you eat really hard to digest foods. The bile the gallbladder produces breaks these foods down into compounds the body can digest. This is not good news for me. Among the foods that are hardest to digest are nuts and seeds. Jeez. I love nuts. They are my go to snack and I eat them every day. I had no idea that nuts are hard to digest. They are a healthy source of protein and much better to snack on than candy or chips. Oh, well. I guess I'm going to have to change my diet a bit.

I'm getting a much better idea of why medical care is so expensive. Every two hours someone is coming in my room and giving me some kind of test. I've lost track of how many blood tests I've had. Blood pressure and temperature are checked frequently and so are blood sugar levels. Every single time a nurse does something they ask me my name and birthdate and then check to see if if matches the information on my wristband. Sometime they give me little test to make sure I'm not senile. "Do you know where you are," they ask. "Why are you here?" Occasionally is gets ridiculous. "What month is this?" Can you remember what day it is without looking at your watch?" I'm not senile, but apparently the loud deaf lady next door is. I hear the nurses yelling questions to her, and the lady never knows the answers.

I can't figure out whether the hospital is padding the bill, or whether I actually need all this attention. I've never had so many meds in my life. I try to refuse some of the medication because I know from prior experience that it doesn't work on me or that I just don't need it. I wish they wouldn't give me so many pain pills. I"m not in that much pain at the moment. It's hard to get a nurse to change something that is one the schedule though. They follow orders.

I'm a little apprehensive about tomorrow's gallbladder surgery. This is real major surgery. I asked one of the doctors how long the operation takes. "Usually between 45 minutes and 4 hours,"  he told me. Wow. "Isn't that a pretty big range," I asked. "Sometimes there are complications," the doctor said. You always have to sign a ton to disclaimers and forms when you go to a hospital. I never read the fine print, but basically the hospital saying "is it OK is we accidentally kill you?"

I bet I've lost some weight. I haven't had any food today at all. I can't eat tomorrow either since I've got another surgery. A nurse asked me if I'd had a bowel movement today. Nope. Nothing in, nothing out. It's been a long day. You'd think it would be easy to sleep in a hospital since you are just sitting in bed most of the time. It's almost impossible to sleep though. Hospitals run on a 24 hour schedule and nurses think nothing of popping in at 3 AM. The machines I'm hooked up to start beeping a lot and have to be reset. Last night one of these machines had to be reset every two hours.