Tube Be or Not Tube Be
TUBE BE OR NOT TUBE BE
Somewhere in the far reaches of my mind an alarm went off...a
warning that something was amiss...a "heads up" call that roused
me from my introspection about the surgical procedure I was about
to endure.
I shook my head to clear the sound of the mental siren, but
I discovered that the wailing wouldn't disappear like it should have.
It was faint, but I could still hear it, and it finally dawned on me that
the sound was real. Just then, an orderly came in and told Michelle
that the valet parking attendants at the hospital had inadvertently
activated the alarm on her car and had also accidentally locked the
keys, along with the pushbutton "alarm zapper", inside the car.
he left with the orderly to turn the damn thing off, digging in her
purse for her extra key as she went.
Michelle is one of my closest friends...in fact, I trust her more
implicitly than I trust any other person I know. I have a few other
close friends, but none of them lives within a hundred miles of me.
Besides, Michelle is a damn fine medical student, so when she
offered to help me before, during and after my surgery, I really
wanted her to be there with me.
Oh, yeah...Michelle is also my ex-wife
.
"Excision of tubular lipoma...left groin...local anesthesia, no
meds, no I. V." is what the words on my chart said. I snuck a
look at it when the nurse left it in my room during the excitement
of the car alarm melee. I had never heard of a "tubular lipoma"
until I was pronounced to be the possessor of one. Sometimes
they use words that scare folks just because the meaning of the
words is not clear or well-known. I am a fairly well-educated
person, however, and I do know how to read, so I had looked
up the terms I didn't understand in a medical dictionary. I kept
on looking up stuff until I came up with enough cross-references
between the medical dictionary and my well-worn Webster's
New Collegiate that I had a more than passing familiarity with
the glossary of terms that described my particular ailment. If I
did my lexicography correctly, a "lipoma" is a tumor composed
of fatty tissue, and the term "tubular" refers uninventively to
the shape of the growth.
The things that the dictionary didn't clear up were the questions
I asked the surgeon when my regular doctor first referred me to
him. The surgeon grew up in this part of the planet, the son of a
small town general practitioner, and he could still speak West
Texan well enough that he could understand my questions and
give me straight-shootin' answers. "Chance of malignancy very
low (although we'll send it to the pathology lab just to make sure),
probably a genetic predisposition for these things to form."
The surgeon said he could live with it as long as I could, and that
unless the thing was bothering me, I could probably just leave it
alone. "But it's only gonna get bigger with time" he said. But the
thing that really clinched it for me was when I asked him what he
would do if he wasn't trying to sell me a surgery. "I'd have it
removed if it was me." Well, that interchange was four weeks ago,
and I found myself in this hospital room, wearing the proverbial
tie-in-the-back fashion statement.
There were a lot of forms to fill out and papers to sign, even
though I had "pre-registered" for my "short stay" during the
previous week. The nurse seemed somewhat astonished when
I listed Michelle as my "next of kin" and entrusted my watch,
wallet and eyeglasses to her for safekeeping until after the
surgery.
"Wife?" she asked.
"Ex-wife," Michelle and I chorused together.
"Besides," I continued, "the surgeon is the one who's gonna
be handling my real valuables."
"And I know for a fact that there's no money left in this wallet,"
Michelle added.
"I don't get along this well with my husband, and we're not even
considering divorce," she muttered.
It was during this interview with the nurse that we discovered
that the hospital's computer had somehow determined that my
birthday was September 9, 1899, and its infallible brain had
calculated my age as ninety-five years. This new birthday and
age were on the little plastic identification card that the computer
had prepared and was consequently embossed on every single
form and piece of paper associated with my name. There were
more than a few comments about Social Security and senior
citizen discounts, and I asked the nurse for the appropriate forms
to apply for full medicare coverage. The nurse said that I looked
pretty good for a man my age. I told her "Yeah, thanks to my
daily ration of Lone Star Beer, I am remarkably well-preserved."
"More like pickled," she muttered.
"They'll be coming for you with a stretcher in a few minutes,"
the nurse said.
"A stretcher?" I feigned horror. "I'm here because I need
surgery, not traction!"
"You may," she said as she left the room.
I was playing with the controls that make the bed contort
when the door opened and a beautiful young woman came in
wheeling a gurney. Casting modesty aside, I transferred my
carcass onto the cart and had covered up with a sheet before
she took me into the hall. Then my imagination caused me to
hear the faint sound of a bell clanging and a mournful voice
calling "Bring out your dead!". Was the lump in my groin
really a bubo?
Ever been to a track meet? There is an event where one
member of a team of competitors goes along the prescribed
path as fast as possible and then passes the baton to another
member of the team who continues the trek at breakneck
speed until the next team member is encountered and is handed
the baton. This procedure continues until the final destination
is reached. I felt as if me and my gurney were the baton in a
relay event because about every fifteen steps or so, a new face
would appear above my head as I got shuttled down the hall
toward the surgery area. I finally quit counting the different
number of folks who had a hand in getting me from my room to
the "holding area". Then every single one of them disappeared
and I started looking around.
I lay there for quite a while, contemplating the probable
temperature of the room. It was really cold in there and I wished
for another sheet or blanket to keep my feet warm. There were
several patients already in the room before I arrived, and some
of them were apparently hooked up to heart monitoring devices
because I could hear the "beeps" as the machines sounded out
the pulse of their respective patients. Because each of them had
a slightly different pulse rate, the rhythm of the "beeps" was
quite intricate and syncopated. I could see the clock from where
I was, and it didn't take me but about five minutes to discover
that every thirty-four seconds, every heart monitor in the room
uttered a simultaneous "beep" and then it was silent until the
fastest of the hearts chugged again. I found it fascinating that
all the nurses, orderlies, and doctors in the room cocked their
heads as if they were listening very intently each time the unison
"beep" occurred.
A nurse came by my gurney and asked me for the third or
fourth time if I had removed all jewelry, eyeglasses, dentures, or
contact lenses. I reassured her that I was clean and that I was
not taking any medication which might interfere with the surgery.
"Any allergies?" she asked.
"I'm not allergic to anything but work," I replied. "Y'all
aren't planning to infuse me with any of that, are ya?"
She snorted and walked away.
In a few minutes another nurse came and whisked me out
of the room. She was joined by several other people as I was
trundled down the corridor, and I had the mental image of three
people on each side of me with a priestess at my head murmuring
incantations as we neared my final destination. They pushed
me into the operating room and I was astounded at the array
of sophisticated looking electronic equipment...lights flashing,
softly humming...and I looked around to see if I could find the
big green curtain behind which the Wizard was manipulating
the handles and switches. I hadn't seen diagnostic equipment
as impressive as this since the last time I took my car to Mr.
Goodwrench.
They got me transferred to the operating table and went to
work hooking me up to various machines. I got connected to a
heart monitor via five or six sensors which they stuck to me in
various places. Then they put a large pad with a wire extending
from it on my right hip. I asked the nurse what it was for and
she explained that it was part of the device used to cauterize
wounds to keep the blood from obscuring the surgeon's view.
I have used a welding machine a few times, so it made sense
to me that they needed a "ground strap".
They placed a strap across my legs and secured my right
arm next to my hip. Then they extended my left arm onto a shelf
which they had installed on the side of the operating table and
placed a strap over the wrist of my extended arm. "Where are
the whips and chains?" I asked, and one of the nurses laughed.
As far as I could tell, I was being tended to by a host of beauty
pageant contestants. I couldn't see their faces because of the
surgical masks they were wearing, but their eyes were smiling
and expressing concern for my comfort and well-being. After
they had finished with their bondage routine, one of them said
"I'll let the doctor know that we're ready."
She pressed a button somewhere and spoke in a loud, clear
voice, summoning the surgeon. No response. She tried it again.
Still nothing. Here I was, connected to a half million dollars worth
of sophisticated medical equipment, and the damned intercom
wouldn't even work. She finally gave up and called the physicians'
lounge on the telephone to tell the surgeon that all was in readiness.
He appeared momentarily and immediately went to work
painting me with betadyne and shaving the area on my left groin
where he was going to be removing the growth. Then he said
"Take a deep breath because I'm going to turn loose my trained
bees. That's what it's gonna feel like, anyway, because I'm going
to be injecting the lidocaine to deaden the area where the incision
is gonna be."
I am ticklish, and, when he started touching the area of my
groin, I couldn't help but wiggle and squirm involuntarily. To quash
this rebellion, one of the beautiful nurses held my left leg, another
leaned across my right leg where my right arm was strapped to it,
and another stood at my head, ready to capture my left arm in the
event that I should try anything foolish. "Way too much excitement
for a ninety-five year old man," I thought as I detected the gentle
pressure of the nurses restraining me.
I glanced upward and saw a new piece of machinery appear
over my head. Then someone pulled a sheet over my head. The
sheet smelled of formalin, and I briefly wondered if something had
gone horribly wrong already. Nobody seemed concerned about it
but me, though, so I figured I was still among the living. As a matter
of fact, I was pretty sure I was still alive because those damned bees
wouldn't quit stinging me.
"Are you about through with the lidocaine?" I asked the surgeon.
"Too late to back out, now," he said. "I've already made the incision."
When I concentrated, I realized that I didn't feel the bee stings any
more. In fact, I couldn't feel anything in the area where he had injected
the lidocaine. "How long do you think this will take?" I asked.
"Oh, I'd say about fifteen minutes," the surgeon replied. "Why?
Do you have a date?"
I wondered if the lidocaine would be a help or a hindrance on a date.
The next few minutes were filled with my incessant and sometimes
incoherent nervous babbling. I racked my brain for something to say
so that I could take my mind off the apprehension I was feeling about
the fact that some relative stranger had just cut me open, and that my
most private parts were exposed to the scrutiny of the bevy of beauties
who served as his "hench-persons". (Is that politically correct?)
However, the only response I got from the other folks in the room
was an unceasing rendition of medical mumbo-jumbo, and I imagined
that somewhere on the other side of the sheet that covered my head,
the rest of the occupants of the room were dancing around the table
and waving a dead chicken.
I remember hearing the sound of bacon frying, and smelling the
aroma of cooking meat.
"Do you want to see this thing before I put it in a jar and send
it to the 'path lab'?"
"You bet!" I exclaimed. I wanted to be able to describe my
intruder for Michelle because she had not been permitted to observe
the surgery.
The sheet was pulled back and the surgeon appeared in my view.
He was holding a piece of meat which was about the diameter of a
half-dollar and about seven inches long. The thing was very limp and
it dangled from his forceps, dripping blood.
"My God!" I cried. "You've excised the wrong 'tubular'! Can I
have it, just to remember old times by?"
"Nope," he replied. "We never get these things back from the
'path lab'." I had a fleeting vision of orgiastic revelry in some dark
recess of the hospital.
He put the lipoma in a jar and I heard him return to the area beside
my groin. "I'm gonna close up, now," he said.
"How many stitches do you think it will take?"
"Hey, consider yourself lucky. It's December and I'm gonna
use more than one suture on you. The incision's only about six i
nches long, and I'd usually limit you to one stitch, but I'm feeling
an uncharacteristic Christmas generosity today."
"This is what happens when you get insurance company
and government bureaucrats involved in the health care industry,"
I thought to myself. "They have to economize in every way
possible."
I felt like a "P. F. Flyer" being laced as he inserted the sutures.
A little tug here...a little tug there. Calls for "four-oh", and,
fortunately, no "uh oh's".
A bandage was applied, and all's right with the world.
I was right! They are all beautiful! With the masks off.
"Do you want me to talk to your friend?"
"I would really appreciate it if you would." Michelle had
been waiting to hear about my progress, and she had developed
some stories of her own, but I'm going to let you hear those from
her.
Somebody brought in the gurney, and I scooted
unceremoniously back onto it. I got wheeled back to the
walk-in cooler (the "holding corral"), and I once again wondered
if maybe I had been transferred to the morgue by mistake...
or by design.
"Hey, Badger! What are you doing here?" It was the
voice of a friend of mine from my workplace, who was scheduled
to undergo a lens transplant on one of his eyes today. Serendipity
that we ended up in the "corral" at the same time.
"How did you know it was me?" I asked. I knew that, with
his visual problems, he would have had a hard time recognizing
me unless I had been on his gurney beside him.
"Hell, your voice is unmistakable, and you were talking
non-stop all the way down the hall."
They parked me across the room from him, and we conversed
for a few minutes...cracking jokes and puns...and the patient in
the stall next to my friend laughed as Tommy and I cut each
other's mutual physical impairments to shreds.
An orderly came over and wheeled me to an unoccupied
stall next to Tommy.
"Disturbing the other patients?" I asked.
"Nope, we just wanted to make it easier for y'all to entertain
'em," the orderly replied.
They came and wheeled me away in a few minutes, and the
Pony Express, with its numerous transfers, delivered me back
to my room in short order. I got myself back into the bed, and
asked the nurse if I could put my clothes back on now.
"Not till after I get your vital signs and you urinate," she
replied. "You can't do anything until you urinate."
"Then bring me a cup of coffee or a glass of water," I implored.
"Y'all said not to eat or drink anything after midnight last night,
and, if I'm s'posed to pee before I can go, I'd better get some
liquid inside me."
The nurse was putting the blood pressure cuff on my arm
as Michelle walked back into the room, telling the story about
the car alarm and her mission of auricular mercy. The blood
pressure machine belched into the cuff around my arm, and
in a few minutes it proclaimed its arbitrary results on its screen.
A little high...in fact, for me, way too high.
"I'll check it again in a few minutes," the nurse said, and
then she left. She reappeared almost immediately with a tray
that contained two doughnuts, a cup of coffee, a cup of water,
some grape juice, and butter and jelly (but no toast or bread).
I offered my arm to her for her to re-check my blood pressure
and she obliged.
The result was even higher than the time before, and I
expressed some concern over my steadily rising systolic.
"Maybe I had the cuff on a little crooked," she said, and
she removed the cuff and re-applied it. The machine pumped
up again, and this time the result was about normal for me.
"Okay, you can put your clothes back on, and I'll call for a
wheel chair to get you out of here as soon as you urinate."
"Better call 'em now, and you'd better get me unhooked from
that machine or you're gonna have to change these sheets."
The coffee was doing its homeopathic miracles.
Michelle helped me get my clothes back on and even tied my
shoes, and we settled back to await the wheel chair after I had
visited the toilet.
The nurse came back in and said "They're all busy...it'll be
a while before we can get you a chair. Believe me when I tell
you that I'm truly sorry about the delay." What a delightful
lady...she picked up on the trend of the humor and was
playfully participating.
"How much trouble would you get into if I decided to
just walk out of here?" I asked.
"No trouble, but I'll have to go with you," she came back.
Our little parade sauntered down the hall to the elevator
and around to the valet parking desk.
"They'll have your car here in just a minute," the nurse said.
"Thanks for everything!" I really meant it.
Michelle's car appeared into view just as I lit a cigarette,
and somewhere, on the other side of the building, I heard
a car alarm start blaring.
END
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