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Surgery Day Has Been Canceled

Jesse chowingToday was my last-ditch appointment with my ENT before my scheduled pre-op on Tuesday. To say things went great would be the understatement of 2011. I’d like to celebrate with another one of those Pink’s hot dogs.

He started off by asking me how my symptoms have been and I had to admit that, though I have a headache nearly every day still, they are not debilitating like they were before Christmas. It’s definitely controllable with my Ultram and I’m very able to function with that, even more so than I was with Vicodin, as that at least made me a bit sleepy and has a distinctly more narcotic effect. He reminded me that the surgery he had scheduled was going to have a “prolonged recovery” compared to the one in January, too.

So, up my nose he went (after numbing, of course) to take a closer look at how things had been since I got the PARI Sinus (note I didn’t say SinusStar) and vancomycin to see how that took care of my infection. Last time, he immediately mentioned a polyp. This time, he went in both sides twice with no mention, so I asked, “how’s the polyp look?” “I don’t see one,” he replied. He checked his dictation notes from my last visit and saw the mention of a polyp, but let me know it was gone!

He kept saying how great things looked, too. I had quite a bit of crusting, and the smell burst forth as he dislodged one. Both sides were pretty crusty, even by my standards, but he insisted that my tissue was looking much healthier and he wasn’t at all enthusiastic about operating on me in this condition.

We decided then and there to cancel surgery and keep me on a 3-week on, 3-week off schedule of vancomycin and go back in a month to see if things have improved even more.

In an effort to shame Tampa General Hospital (TGH), they have instituted a campus-wide “no free valet parking” for patients. What was once a pleasure to be treated with such respect as a patient who was often there 2, 3, 4 times per month, we now have the privilege of being charged $5 to use valet or $3 to park in the garage and walk to the building through the hot, muggy Florida air. Thanks a lot, suits. You suck. Needless to say, the valet did not get a tip from me, as they usually do.

Another Year, Another Sinus Surgery

How I feel most days...It’s a new year, so it must be time for another sinus surgery. I’m both super ticked about it and super-relieved to get it done. I’m really suffering recently with epic headaches and a horrible smell in my sinuses that won’t go away. Given that my sinusitis is worse now than it was in October right before that condition that warranted my first surgery in 6 years, this surgeon is taking much more drastic action. I feel pretty much like the photo most days either from my headaches or from my painkillers. It makes getting work done and staying motivated almost impossible on a daily basis, but I charged through it hard enough in the first half of December that we are almost set for January as of this week (more on that later). I have a couple of sites to wrap up to close out and a couple who have paid their deposits to begin work after I recover, so it’s the best of both worlds right now.

This is now my 10th sinus surgery and my second in 90 days. Here’s what happened:

What didn’t get done last time

From what I understand of what was done in October was basically a power wash under general anesthesia. She didn’t mess with my septum or go for anything related to my frontal sinus other than rinsing it out. After surgery, I wasn’t culturing anything, but both sides re-developed scar bands that connected my septum to the outer wall, blocking access to my upper areas. She was really upset that it happened, but I’m gathering that it happened because my septum bends both ways and was simply too close on either side to keep the tissue separated while it healed. My second opinion revealed that he couldn’t even see how to access my frontal sinus to rinse it in the office.

Surgery OrdersHe will be re-aligning my septum (black eyes, anyone?) and removing a lot of tissue and creating a 4-lane highway to my bothersome frontal sinus. My surgery is scheduled for 10am at the main hospital as an out-patient procedure, but one local friend said his surgery there by the same doctor was scheduled for 9am and he got put under at 4pm. He got a “free” night’s stay at that point because of the bleeding. Given how much I bled in October, I would guess we will be staying overnight, too. Beautiful said she was changing my dressing every half-hour or more until midnight and we live a little more than an hour away from the hospital during the evening rush that I would potentially be released in – not to mention my extreme sensitivity to motion and bumps even the next day. We don’t own a Jaguar, you know?

My pre-op appointment

Talk about a complete waste of a day. Talk about a complete waste of Beautiful’s day off! [Read more…]