08 Aug

My Second Hernia

I became suspicious several months ago when I noticed a very slight bulge in my lower abdomen. Same place as my first hernia, but other side of the body – right, not left. I ignored it for a long time. In fact, if I’m being totally truthful, I’ve got to admit that I ignored it for close to two months.

But sooner or later, I found myself at the doctor’s office for something, and at the end of the appointment, I asked about the bulge. He put on the rubber gloves, and had me turn and cough. “Yep. That’s a hernia,” he declared.

I got my referral to the surgeon, who threw on his gloves and had me turn and cough again. “Oh yeah. Definitely,” he said.

His resident had me turn and cough. “Yeah. I feel it,” she said.

The med student had me turn and cough. “I don’t feel it,” she said.

The resident helped her out. “Right here.”

“Oh. Yeah, I feel it.”

So. Four scrotal gropings is all it took. Actually six if we count the resident and med student twice.

They gave me an informational brochure.

And they explained that my hernia was congenital. “There’s nothing you could do about it. You were just born with a weakness in the muscle wall.” Here’s how it happens:

Mine was an inguinal hernia:

And so they needed to operate on it, which they did this past Wednesday.

I arrived at 6:30 am, right when the doors to Outpatient Surgery opened. The conversations that floated up and down the unit confirmed that most of us were there for the same thing. Apparently, Wednesday is hernia day.

All went pretty smoothly until a med student came to put my I.V. in. He did well with the small talk; he set up the prep station without a problem; he had no trouble finding one of the prominent veins on the back of my hand. But when he got to poking at me, he didn’t inspire confidence. I looked away until he seemed done, but when I finally turned back to appraise the situation, I saw him mopping up blood. I don’t deal well with blood.

It further freaked me out when I noticed a small air bubble pass through the I.V. into my vein. Can that kill me?

And when he fiddled with the drip and announced that it wasn’t flowing well and that he’d have to do it again, I could feel all the blood leave my head. He tore off the tape and started fumbling with the catheter sticking into my hand. It was about all I could handle. I doubled over and got as close to putting my head between my knees as my current flexibility allows. Then the anesthesiologist resident came in and told him it was fine, that the drip just took a while to get flowing.

Don’t get me wrong. I appreciate medical schools and learning hospitals. But I have some limits. Years ago, I had something called a peritonsillar abscess. It was a horribly painful pocket of pus in the very back of the roof of my mouth. At night, it would drain a little, leaving me with a sore throat many times more painful than Strep.

It didn’t help that the first doctor I saw misdiagnosed me. So this thing had some good momentum behind it before I finally got some painkillers and an appointment to the UW hospital to get the thing lanced. I tried to forget what the word “lance” meant.

But I was reminded repeatedly when I got in to the hospital, where a cute, perfectly nice med student injected me with some novocaine and then stuck a needle into the roof of my mouth. The first time she tried, she stuck the needle past the numbed area such that I could feel its tip poke me somewhere in the middle of my head.

Then she did it again. And again. And again. And again. And again.

They told me later that the abscess had probably popped in the middle of the previous night, thus leaving the hapless med student with nothing to actually lance except my brain.

I left the hospital in tears and bleeding from the back of my mouth. The parking lot attendant couldn’t disguise his shock when he collected my validated pass.

Such tragic visions were still dancing through my head when they wheeled me into the O.R. for my hernia operation. I remember moving from the wheely bed to the O.R. bed. And then I woke up to a couple of nurses declaring that everything went well. Two hours had passed.

“Whoa. Time warp!” I said. My face itched pretty bad and I went to scratch it.

“Let me do that for you,” the nurse said. She rubbed my face with a dry wash cloth. “We’re going to take you back to your room pretty soon. Your wife is there waiting for you. Do you have any questions for me?”

“Yeah. Why am I not allowed to scratch my face?”

“Some people scratch their corneas,” she explained. I wasn’t yet with it enough to picture drugged up patients scratching their eyes out, but as I relay this story now, that’s exactly what I’m picturing.

I have a problem.

But at least the surgery went well. And so far, recovery is going well too. As long as I don’t catch my surgery cut on a chain link fence or run into a waist-high toddler (things I actually think about), I’ll be fine.

07 Aug

My First Hernia

Twelve years ago, I knew nothing about hernias. I thought they were the problems of overweight, middle-aged men who finally got off their asses. Then I got a hernia.

I was working a sort of construction job at the time, renovating a coffee house in Cross Plains. On the day of the hernia, I was busting up a chifforobe concrete wall with a sledgehammer. But I had a stomachache, so I wasn’t putting tons of effort into the task.

My stomachache was getting worse and worse, though, so eventually, I went into the bathroom and tried to produce something consistent with what I was feeling at the time. Nothing happened.

But my gut was killing me, and I started to notice a disconcerting bulge in my lower abdomen. I asked for the rest of the day off.

In my car on the way home, the pain was getting pretty unbearable, so I decided to drive straight to the emergency room. I hobbled in bent over at a 90 degree angle. My memory of what follows is a little spotty, but I know I got into an actual room pretty quickly. They situated me on a bed and promised the doctor would be with me shortly. He wasn’t.

I really have no idea how long I waited, but I eventually paged the nurse and told her, “I’m in a lot of fucking pain, here.” That got her attention.

What I learned later was that they assumed I had a kidney stone, and since the remedy for a kidney stone is that you pee it out, they left me in the room until I was ready to pass the stone. But they were wrong. I didn’t have a kidney stone. My problem was that my intestine had broken through the muscle wall in my lower abdomen and was working on a full escape.

The doctor came into the room and noted as much. Then he announced he was going to try to push it back in. I cringed. He pushed. I screamed.

“Okay,” he said, “it looks like we’re going to have to go to surgery.” I had an ‘incarcerated’ hernia, he informed me. And they had to act quick, because if the intestine remains incarcerated for too long, the blood supply can get cut off and then you’ve got yourself a dead section of intestine, which is a much more complicated and dangerous surgery.

So they wheeled me down the hall, shot me up with drugs, and called my mom. My brother answered the phone, and I announced, “Will, I have an incarcerated hernia.”

“Okay. What do you want me to do about that?” Will said.

I set the phone aside and turned to the nurse. “What do we want him to do about that?”

She grabbed the phone from me. And that’s the last thing I remember.

(Stay tuned. Tomorrow: My Second Hernia.)

31 Jul

Appaholism

If you have a mac, and you’re looking for ways to up your procrastination, I’ve become quite the expert. Here’s what you do.

Step One:
Subscribe to RSS feeds of various mac app websites. These sites will introduce you to really cool software that you are just a click away from downloading. Most of them increase productivity.

Actually, as I was writing this, I also subscribed to macapper.com, which gave me a pretty good example of how RSS feeds can make your procrastination efficient. See, what I did was I skimmed through the 30 Macapper articles downloaded to my mail client and I came upon a review of Snowtape, an app which allows you to listen to internet radio, record it, and 1-click export the recording to iTunes. Nevermind that I don’t listen to internet radio, I clicked on the link to Snowtape anyway, and it’s downloading as I type. Now that’s multi-tasking!

Step Two:
Just because you’ve subscribed to the feeds doesn’t mean you’ll look at them a lot. So what you need to do is get Growl, a genius app which will display a small pop-up notification every time you get a new email or when a new article shows up in your RSS feed. Let’s imagine, then, that you are typing up a blog entry or something else really productive. Suddenly, Growl displays a quick note (in the lower left of the display for me) that promises a comprehensive review of 8 time management apps. You can click on the Growl notification, which will display the RSS article without even opening your mail.app window. Now that’s efficiency.

Step Three:
This isn’t just about staying informed, though. You’ve got to go beyond just reading the RSS feeds. Occasionally, you need to follow the links and download new software. Some of it’s free, like the FuzzyClock app I downloaded this morning. Others, like Snowtape, aren’t. But don’t worry. Those unfree apps always have demos or free trials, so you can use them for free for a week or two at least.

My Setup:
As you can see from the diagram at the top, the essential feeds are AppStorm, Minimal Mac, and Smoking Apples. AppStorm and Smoking Apples have reviews on a daily basis, and they’ve supplied the vast majority of my procrastination. Minimal Mac is very new, and it’s m.o. is to simplify your computing experience through aesthetically pleasing workspaces that eliminate distraction. Subscribing to Minimal Mac’s feed is the most beautiful paradox.

The above triumvirate is responsible for my current setup, displayed below.
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26 Jul

Le Tour 2009 RIP; Or, Why I Would Die in The Tour de France

Well, it’s over now. And Monday’s going to be a sad day, indeed. No more Tour to watch. I guess on the bright side, I’ll gain an additional four hours a day, but I’m still sad to see it go. It’s always impressive and always a bit humiliating. I mean, the skills and athleticism of the Tour riders are incredible. I would literally die if I were to try to compete in the Tour. Here’s how:

1. The sag wagon (of death). No doubt, this is the first thing that would kill me. I wouldn’t last one stage on the Tour. Actually, the first stage is a time trial and there’s no sag wagon there. But on this year’s stage two, I’d have been swept up pretty quick. The average speed of the lanterne rouge (the slowest rider in the Tour) was 38.4 km/h, which equals 23.8 mph. That’s in 21 days of riding, which included 2150 miles and 90 hours for the slow guys.

2. The peloton. What do you get when you combine claustrophobia and poor bike handling skills? Me. Causing a huge crash in the middle of the peloton. I’d hit someone’s back wheel 10 minutes into the first ride.

3. Hairpin turns. And road furniture. If I didn’t take out myself and dozens of others by my nervous pack riding, I’d definitely eat it at a) a traffic circle, b) a curb, c) one of those crazy 180-degree turns like the one on the Champs Elyse circuit. Every time the peloton rounds that thing, I think someone’s going to crash for sure.

4. Descending. I’m pretty conservative going downhill. I got up to 48 mph once and it scared me. Add in some switchbacks and a road without shoulders, and I’d be the fastest guy down the hill. Only problem is I’d arrive without my bike and without an intact bone in my body.

5. Fans. I wouldn’t have the bike handling skills to avoid the idiots that run in front of me on the road, so I’d probably run into a half dozen of them on every stage. But even with the necessary skills, I’d get so mad at them, that I’d probably lash out like Contador did on stage 15. Except I wouldn’t just do it once. I’d do it constantly, and eventually, I’d get my glycogen-depleted ass kicked by one of the overjoyed spectators. Like one of these guys:

6. Mont Ventoux. Or whatever ridiculously hard mountain stage they throw at you on the last day of racing. The headwinds up there were 25 mph, which would have reduced my net speed to -15 mph.

7. Jens Voigt’s crash. It didn’t kill him, but that’s because the hardest substance on earth is Jens Voigt. I would have died.

8. Thor Hushovd’s near-crash. Another instance in which I’d lack the necessary skills to not die.

9. This podium girl. Ouch!

10. The Schleck brothers. By my count, Andy’s total number of attacks in the Alps: 13.

24 Jul

Ecuador Travelogue (part 7)

The ride back to Quito in the afternoon was a lot shorter than the morning ride — about 1.5 hours vs. 3 hours. And I thought the terrain we rode over was much prettier. But it may have been because the clouds had lifted entirely and everyone else was falling asleep, so I didn’t feel self-conscious about gazing past their heads toward the landscape. We were arranged in two benches, facing each other, kind of like a small army truck. And we made it back at about 4:00, with plenty of time to make the dinner we arranged with some of my former students.

We met them at a mall, unfortunately. And the food we ate was mediocre, but five students showed up — Natalia, Silvia, Maria Sol, Maria Eugenia, and Cesar — and it was a lot of fun to reconnect with them all. The conversation highlighted for me just how much weaker my Spanish currently is than it was during my final months in Quito back in 2005.

I knew when we lived here that there were all sorts of limits to my understanding of Ecuadorian language and culture, but I was learning so much every day, and as a result, I was focused more on what I understood about Ecuador than what I didn’t comprehend.

This trip didn’t hold the same amount of promise in terms of daily revelations. So maybe that’s why I focused on my own deficiencies in understanding.

I tried to over-romanticize it. In fact, on one of our first nights in Mindo, I wrote in my journal about all the ways in which Ecuador is superior to the US. You can catch a bus anywhere and get off anywhere. Travel is cheap. Food is cheap. Adventure tourism is cheap. People are very willing to help you. You ask for directions or tell your hostel owner that you have a slight stomachache and pretty soon you’ve got hand-drawn maps and chamomile tea being brewed for you morning and night. A woman with a small child gets on a bus, and some punk teenager who’s been blasting reggaeton from his cell phone says, “Senora, sientese no mas,” and gives up his seat for her. Perfect strangers will ask you to be their daughter’s god-parents.

Even as I was writing that list, however, I was aware that our being American may have motivated the god parent offer and that the buses pollute horribly and that their lack of formal stops leads to increased congestion and that food/travel/tourism being cheap has more to do with poverty than it has to do with kindness and that for every positive, there’s probably some equal and opposite negative lurking around the corner.

There’s no doubt that the people in Ecuador are/were wonderful to us. But our lack of Spanish mastery and our cultural naivety blinds us to a lot of the social machinations that we see so clearly here in our home culture.

Back home, if I’m standing in line at a grocery store, and the guy ahead of me throws a temper tantrum, calling the cashier a bitch, and adding, “you people are always trying to screw me over,” I would be shocked. I’d feel the tension in the air. I’d feel horrible for the cashier.

In Ecuador, a heated altercation is actually one of the more difficult things to understand. People tend to talk faster, and they throw in a lot of colloquial language or palabrotas (bad words). But even if you do understand the words, you’re comprehending the denotations (dictionary definitions) without necessarily knowing years’ worth of contexts and reactions. You haven’t witnessed the relative rarity of the palabrotas; you haven’t seen the shock on your parents’ or friends’ faces when you first heard them uttered years ago. So witnessing such an altercation is almost more like reading about it in a book than experiencing it first hand. There’s a sort of distance that being alien gives you.

This distance is a double-edged sword. It’s often frustrating, but it’s also often comforting. Words are watery. They don’t soak in. There’s very little social stress. But there’s also little sense of social injustice. You miss out on instances of racism and classism. And I’m sure it makes you look stupid occasionally.

I remember my first trip abroad to a country where English wasn’t spoken. I was 17, and I stayed with a family in Seville, Spain for a week. At one point, we were walking downtown, and my host mother pointed to the narrow streets and said, “Calles muy anchas, no?” And I nodded and said si. A little later – I’m not sure how much later – I realized that anchas meant wide and that host mom had duped me into agreeing with a ridiculous assertion. I corrected myself when we got back home; I felt dumb and, overachiever that I was, I needed to tell her that I was aware of my mistake. But now I wonder what motivated her little trick. Was it playful? Was it just a test? Or was it slightly mean-hearted? Did she set out to prove my lack of understanding? Did she want to laugh at me?

I prefer to think the best, and in fact, my Spanish host mom was a very kind and somewhat timid woman herself, so I can’t imagine she had cruel intentions. Still, the point is that I don’t know. The point is that I was the blind alien.

It doesn’t take much to recognize kind-heartedness and sincerity and selflessness in others. It requires more sophisticated understanding to see duplicity and selfishness and cruelty. And I theorize that reverse culture shock is really about re-entering a society you fully understand from a society you thought you understood but really didn’t. Does that make any sense?

You return to the states in 2005 in the middle of the Bush years at the height of American xenophobia with a media system as broken as it’s ever been, disseminating misinformation by the truckload, and you understand all of it. It’s all too clear. And since you can’t retreat to a world where you’re more ignorant, where you are reading the story rather than experiencing it, you start telling your own stories; you start making shit up.