The Diagnosis

Ok, so last night I talked with K. more about what is going on and was able to finally piece together exactly what the situation is.

She HAS gall stones. There is no doubt about that whatsoever. This was confirmed by not only the ER staff, but by the person who ran the test on her gall bladder and the surgeon. The test in question is a 45 minute test, the first 30 minutes of which they measure the size of the gall bladder when it is empty and when it is full. In the last 15 minutes they gave her an injection that essentially replicates what happens when you introduce a high level of fatty foods to your system, causing the gall bladder to evacuate (for those who don’t know, the gall bladder produces bile that helps break down fatty foods).

K.’s gall bladder still evacuates, so it is essentially still working – This is why they didn’t want to remove the gall bladder.

I suppose the logic is that you wait for it to stop functioning altogether, as from what I’ve seen they can’t do anything to actually get rid of the stones.

So she will likely be given some diet restrictions on the level of drlovegroove when she goes to see her PCP today, and perhaps some kind of pain medication.

None of this changes the fact that –

  • Her PCP never once spoke with her, or came to see her.
  • She was sent home while she was still unable to eat without going through severe discomfort.
  • She was given no kind of medication to help with the pain, and was instead given an antacid.
  • She was told by one doctor that she HAD to have her gall bladder out, or that complications later down the line could lead to possible death. While I don’t fault the doctor for his being frank, having him tell us that then having the other doctors tell us to go home because everything is fine is confusing and not comforting.
  • The doctor assigned to her in the hospital yelled at her for not listening, then denied doing so in front of the other hospital staff.

Had it not been for the nurses and “regular” staff her experience at St. Petersburg General would have been an utter and complete nightmare. As it was, it was still pretty shitty – and this is supposed to be one of the nicer hospitals in the area.

Addtional Update – K. just got off the phone with a nurse at her PCP’s office. What we suspected to be true was confirmed. The doctor that K. saw in the hospital called him, and told him that everything was fine. She did NOT tell him that she was still having pain from the attack, so he agreed with her that K. could be discharged. She completely understated K.’s symptoms, and the only reason we can see she did so is because K. told the doctor not to yell at her.

Nice, huh?

Update

K. is home, with her gall bladder intact. The doctor (who I wrote about before) and the surgeon have decided that it’s too soon to take out her gall bladder, and that she needs to follow up with her Primary Care Physician and see a G.I. In the meantime, they gave her a prescription for the equivalent of Prilosec OTC and sent her home.

Yeah, it’s the old “take two asprin and call me in the morning” routine.

I find it incredibly difficult to comprehend how the ER Doctor could be so utterly convinced that the gall bladder needed to be removed only to have the situation pretty much blown off by the doctors on her floor. K. tried to get in touch with her current PCP to talk to him about the situation, but he never called her back – He called the nurses station to yell at them, but he never spoke to K. once. The test they gave her on her gall bladder caused her a great amount of pain. The ultrasound showed what appeared to be stones in her gall bladder. Every time she eats she gets pain. I fail to see the fucking logic in sending her home.

But that’s what they did.

Right now she’s resting. I made her a few grilled cheese sandwiches, and while they caused her some discomfort they didn’t have her writhing on the floor again.

It’s hard to imagine why the situation played out the way it did – all I know is she’s still hurting, that she hurt worse than I’ve ever seen her hurt the other night, and they are basically giving her drugs that indicate it was gas.

Yeah.

Update

It was a rough evening. K. got into it with her doctor, who decided that it would be a good idea to yell at the patient who was in a great deal of pain and hadn’t had a cigarette or any caffeine in over 24 hours. Not. Smart. I managed to find a reasonable person to talk to once I got to the hospital and calmed the situation down, and I also got K.’s primary care physician information to her so that she could get Ms. Horrible Bedside Manner off her case. The situation was quite tense for a while there, though.

Fortunately, she’s medicated again and (hopefully) resting now. She should be meeting with the surgeon tomorrow to find out what her options are.

More Updates

They finally got K. on some pain medication again, as the surgery is likely to be sometime tomorrow. They are trying to determine if she can eat anything at the moment, but so far she hasn’t had any grub. I suppose the pain medication is taking a bit of the edge off of that, though.

Update

Nothing really new to report. They gave K. something to agitate her gall bladder so they could run some tests, which brought the pain from last night back again. As of yet, they have not given her anything for that pain – Nor have they fed her. I suspect that has something to do with waiting for the results or some such, but that isn’t any comfort to her at the moment. Her neighbor is an old woman who, when I was there, was talking about her diarrhea on the phone and insists on listening to the television at incredibly loud levels. Typical stuff you’d expect, too. Home Shopping Network, true crime stories, and some sort of show on the food network – Which certainly isn’t helping the fact that K. is starving right about now.

She’s miserable, but I did manage to get the dial up internet connection through our service provider working, so she’s at least going to be able to reconnect to the internet and (hopefully) get her mind off of things for a while.

Still no word on when they are actually going to do the operation or when she’ll be home.

Thanks for all the kind words in the previous post. She will see them, and hopefully it will help ease her mind or make her feel a bit better.

Quick Update – Good thoughts requested

Just got home from the ER. K. bolted out of here and drove herself there around 10:00 PM last night in excruciating pain. I didn’t even have a chance to put my shoes on before she was gone. I finally caught up with her at the hospital, where she was in so much pain she could hardly stand there to fill out the paperwork.

They finally got her on pain medications, and she calmed down a bit. After a series of tests, they determined that her gall bladder was “very sick” and was going to need to be removed. This will be happening in the next day or so.

She is very scared right now, as she has never had any kind of surgery. Once I find out if she is up for receiving calls I will post contact information. Until that time, keep her in your thoughts.

I’m going to go try to get some sleep now.

Reservations Confirmed

Tomorrow night (Saturday), Crazy Buffet in Tampa – 6:30 PM

They are adding gratuity on the check due to the size of the party, so bring cash if you can to make things less confusing.

Whee! Sushi sushi!

Bzzreport – Storyville Coffee

Ok, so a little background here. netgoth recently signed up on a website called Bzzagent. The whole premise behind the service is that they send you free stuff, and after you’re done checking out the free stuff you tell all your friends about it. I actually heard about this kind of thing a few weeks ago on NPR, and I thought it was a pretty good idea. They don’t want you to be disingenuous about why you’re talking up stuff that they send you, nor do they want you to lie about something you didn’t like. They are just trying to take advantage of “viral” marketing strategies, and I for one think it’s pretty bloody brilliant.

Why, might you ask, am I now writing about this?

Well, one of the products that she’s received as part of joining this service is a sampling of coffee from Storyville. She did so for me, because quite frankly she’s not a coffee drinker. I, on the other hand, drink it all day long. Loves me some coffee. So the prospect of some free, fresh coffee was pretty damned enticing.

I’m impressed.

Ok, first of all they send you your initial order in a really nicely packaged box with instructions on how to brew the coffee and a DVD for those who don’t like to read. The coffee itself has a roasting date on it (in this case, the roasting date was Tuesday, so the coffee was only 2 days “old”). They recommend using the beans within 12 days of the roasting date for maximum flavor, and using a french press for the actual brewing.

These folks are pretty damned serious about their coffee.

After opening the package, K. asked me if I had already brewed it from the next room. No, I had not. It had not been brewed or ground yet, but the scent filled the house anyway. Potent, indeed!

I followed the directions as closely as I could, waited the four minutes required to properly brew it, and sampled my coffee.

It was pretty damned good. It’s strong stuff, sure, and it has a bit of an aftertaste – but it’s not that bitter, burnt aftertaste at all. It’s pleasant. K. was curious, and took a sip of mine. She looked at me and said “I could drink this coffee,” so I made her a cup as well. Without having to absolutely drown it in cream and sugar, she drank the whole thing – and enjoyed it.

If I keep getting this stuff I might not be the only coffee drinker around here.

As with most premium things, you get what you pay for from these folks. A pound of coffee is about $16, and you have to tack another $4 on for shipping and handling. The local Barnies sells a pound of coffee for $13, so it’s about 50% more expensive. Considering our current budget constraints, I can’t see any likelihood of me completely moving over to this kind of coffee for all of my caffeine needs, but it’s definitely a treat I plan on giving myself on occasion. If you really like good coffee, and have a french press, I’d suggest you give these folks a shot. You won’t be disappointed at all. (If any of you on my list are coming to dinner on Saturday and joining us after at my place, I’d be happy to brew you up a cup…if there’s any left, that is).

Edit – If you check out Bzzagent and decide to sign up, do us a favor and list Netgoth as the person who suggested you try out the site. Thanks!