The past two weeks have been another interesting. It all began on March 20. I went to my primary doctor for my fall in January. After a brief discussion and a few pushups and neck bends, I was declared in good health with ths suggestion of resuming normal activities. That even meant the end of physical therapy; I will be glad to have the time back in my schedule. The preceding weekend I'd done a few long walks in the mountains with my dog, Maggie,covering the terrain of the bike crash in January. She enjoyed eating the fresh long grass, and I proved to myself that I was back and going again. I even did a 9 mile flat bike ride. That weekend, and especially the twelve hours after my appointment with Kahan were peak times. Little did I know that a new trough in the cycle of life was headed my way.
Tuesday evening had me out for dinner (Indian food) with a number of compatriots from work. In the middle of dinner, my shoulders started getting sore, which I thought was strange, but I chalked it up to sitting still for too long. The fun began when I returned home. My stomach (left side of body, mostly) began to spasm. I threw up numerous times. I had cold sweats like a fever, and could not find a comfortable position to sleep or sit. In fact, every sore muscle and joint in my body, and there are many of these, lit up like a five alarm fire. The pain was like a purging fire; I am much less sore after this than before. Except for those times I was kneeling before the porcelain throne, I stood up until 5:30AM. I was still in questionable shape for conference calls that started at 7 AM, but I made it through the day. My major outing was a trip to the drugstore for anti-nausea medicine, Ginger Ale, Seven-up and crackers. I ended the day feeling somewhat better. I did make an appointment with my doctor for Thursday.
Thursday was a somewhat normal day. I had energy again. I did visit the doctor, and we concluded that I had a quick bout of food poisoning. I had a somewhat exciting dinner (microwaved chicken breast and rice). Friday was also ok, although I had a bit less energy. I also noted that my abdomen was a bit sore, but I chalked that up to starting to use my muscles again.
Ann was off with her sister and a conference for her
new business for the week, and was returning Saturday. I had little energy Saturday, and my abdomen was starting to hurt more. I still couldn't figure out if the pain was on the left or the right, so I constrained myself to a diet of Ginger Ale and Saltines. When the evening came, I suggested that I was not in shape to pick her up at the airport, but that she should take a cab home instead; this is a sign of me not being at all well. She walked into the house, looked at me, said "you don't look right," felt my forehead, and a thermometer was in my mouth in two minutes. The answer came back slightly over 100. She also said that my color was grey (never the best of skin tones). I then went to sleep within a half hour, and had a fitful sleep. When I awakened at 6 AM, I decided that my abdomen hurt more (it hurt when I inhaled deeply), and that the pain was definitely on the right side.
I awakened early Sunday morning, and the pain in my abdomen was more intense. It was definitely on the right side. There was pain if I took a deep breath. I went to the medical books, and read the various fault trees. It came down to appendicitis, diverticular infection, or gall bladder issues. I had learned that I had gallstones from a CAT scan in January, so that seemed a possibility, but I couldn't decide which it was. One thing was clear however: none of these were issues where you hang around the house and see what develops. I awakened Ann at 7 AM (having made some coffee first) and suggested that this would be a good time for a hospital visit. 7:45 brought us to Good Samaritan Hospital's door (a very good time for an emergency room visit). I explained all this to the doctor, who ordered a CAT scan. Within a few hours, he came back and said "it's not diverticulitis, and it's not your appendix, which leaves only one thing left... you have a gallstone lodging in your common duct, and bile has backed up into your liver. You're jaundiced (I had yellow rings around my eyes by that point). So, a few surgeons will come in, but we'll remove the stone today by ERCP (see below) and remove the gall bladder soon."
To make a long story short, they did the ERCP and removed the stone. I began to feel much better. I was admitted to the hospital for Sunday evening, but had a relatively healthy stay (as opposed to my crunched face in January). The Laparscopic removal of the gall bladder took place around 9 PM on Tuesday evening, and I was released on Wednesday afternoon. The incisions hurt for a day or two, but I'm approaching normal like again.
If you'd like to know more about the surgical procedures.
Information on Laparoscopic gall bladder removal (it contains a 54 page presentation on the surgery and the glall bladder in general, which is quite complete... I suggest you load the PDF version)
ERCP - Removal of Gallstone blocking bile duct.
A site on Laparoscopy that includes a video.