Tales f/t O.R. Vol.7 TRICKLE UP MALPRACTICE

Eye X

TRICKLE UP MALPRACTICE

 

It’s this simple. You arrive at a surgical care establishment.  The receptionist takes your insurance info and marks you off the schedule as “arrived” and you’re sent to a nurse that checks you in. He or She says (as she looks at the print out) so we’re working on your left eye? You say: “Yep” then she looks at you and puts an X over the left side of your forehead. (Remember it’s left from her point of view)

And you have no Idea what just happened.

The nurse that put an X on your forehead takes you into an area called “Pre-op”. This is where you are supposed to be asked a million times, which eye or limb are we working on.  Some nurses may be more concerned about what drugs you are allergic to. Some just look at the X on your forehead (especially if there are a lot of patients) and say I see you’ve been written on. “I see your X”.  So the mistake is accepted at the 2nd check point.

After you’ve stripped, put on a gown and locked your valuables in a locker, a doctor that is going to either put you to sleep during the case or keep you sedated does a rough check, looks at your armband, checks the name with the chart and asks again: “Are you allergic to any drugs”? You say: “Just Ancef that I know of.” So the doctor/anesthesiologist puts a note on the top of your chart that says ALLERGIC TO ANCEF. It’s usually on a big red label designed to catch a care provider’s attention.

Your doctor is grumpy because he can’t have his coffee until after your surgery. If he’s using a microscope, he can’t have a shaking hand.  So your doctor says to the Surgical center: “I want all of my patients on the table 10 minutes before their scheduled time.  I don’t want to wait as I have a busy office schedule.  So you get rushed into the O.R. ASAP.

Someone says: “Dr. Grumpy just pulled up. Let’s get going. The next thing you know is you’re being draped and they’re putting Iodine around the eye with the X.

This actually happened at that HMO I talked about in vol.5. I was the guy getting ready to put a drape around the eye so it would be ready when Dr. Grumpy walked in the room. But for some reason (I call it divine intervention) I STOPPED!  I said: “Read me the Operation Permit”.  This is the document signed by both the doctor and the patient in the Doctor’s office.  The room nurse said: “It says cataract removal left eye”.  The X was over the right eye and had made it past 3 check points.  It was at this point, that if we were ever operating on a part that had a counterpart, I always asked for the Op-permit to be read before I came near the patient.

OK, If God put me on this planet for 3 reasons, the 3rd was to stop that patient from having a lens put in a normal eye. Chalk one up for the Holy Spirit’s intercession.

Three is a sign.

In my final week in the Operating Room I witnessed 3 events. One event is a fluke. Two is a serious concern. Three is a sign.  That’s how I see it.

The first event was a patient that came back with belly stitches coming undone.  When I heard that I prayed: “Please don’t let it be my name on the Op-report”.  Please let this NOT be a patient I sutured up.  It wasn’t

The 2nd event was a case I was working on.  It was an ACL repair of the left knee that had been done a week before.  It was infected and needed to be opened, inspected and irrigated.  I found a sponge. Not a 4×4 inch gauze, but a thick absorbent rag. Again my prayer went out and no my name was not on that Op-report either.

THE 3rd and FINAL EVENT

The day before I quit, a patient was brought into the O.R. and his leg was put into a leg holder. Some facilities set up the first case of the day for you.  If you’re doing a right leg, they’ll put the leg holder on the right side.  The staff before didn’t have time to set up the room and the morning staff assumed the room was set up.  Because the nurse put the leg in the holder, the tech assumed it was the correct extremity.  She didn’t check for an X or ask for the Op-permit to be read.

The patient got the wrong knee operated on!

MY LAST DAY

The next day I had to assist 10 hours without a break for food. (I’m not a breakfast guy, but I did have a Vente Americano at 6:30AM. At 5PM I asked if I could get a break for some water or a PBJ.  I was called a pussy and told to keep working.  One nurse showed mercy on me and gave me a sip of Orange juice through a straw under my surgical mask. “During a case” but only because I was getting dizzy.  I told a friend who knew I had been on my feet for 12.5 hours non-stop.  A doctor who assisted on a lot of cases as well as brought his general surgery cases there: “I don’t think I’m coming in tomorrow”.

I started work on my first solo album the next week.

CHB

Destiny vs. Free Will

Ramone4
Tales from the O.R. is more than intriguing stories about surgical cases. It represents what I’ve come to know as God’s will. I hated the operating room. I even had a surgeon tell me that he couldn’t believe how good I was in surgery; yet how apparent it was that I hated what I was doing. Reflecting back on my years in the Operating Room has given me much to think about. Yes I’m a guitar diety first, (according to the Wave Magazine)  but we all need to eat.
wave1
I knew a plastic surgeon who came from a long line of surgeons. His first love was sculpting. He couldn’t wait to get home to his studio and get his hands into his clay. It’s hard to be really good at something you have disdain for. But I always approached every case as if the paitent were a loved one. Jesus said treat your neighbor as you would yourself.
Waveprops220
Although I’ve been called “The Greatest Guitarist in the World”, it never gave someone back their vision or allowed them to live without a cancerous tumor in their body.
It came at the sacrifice of fame and perhaps riches
King Solomon said all in life is vanity. (useless). I believe we’re all here for a reason. Perhaps King Solomon never helped someone walk again. He was speaking about his own personal pleasures. I feel that as much as I love playing music, I was tasked with helping people heal so they could help others. It came at the sacrifice of fame and perhaps riches. I never played music for fame or riches. I played because it made my parents happy. After they both died, I kept playing thinking it would make someone happy. But that was my plan not God’s. Who knows, maybe there’s a bigger stage in the next realm.  Maybe I’ll realize someday that Music is not that important.
 All my life I’ve wanted to be on the cover of Rolling Stone Magazine.  But it seems that my greatest virtues will only make the “Tales from the Operating Room”.

TALES from the O.R. Vol6 ME IN THE O.R. ?

AceOrange

ARE YOU CRAZY?

I was 11 when my mom died. It was a tragic thing but I was too much in denial to understand it. 4 years later, I was a sophomore in high school. I joined R.O.T.C just to give it a try.  We got to go on cool field trips and on Tuesday we had to come to school in an Air Force uniform.

As you know, I ended up enlisting in the Navy because my brother had done it and my father had done it and in the 60s/70s it was natural to serve your country. I left the Navy as a Hospital Corpsman/Operating Room Technician.  Training for the O.R. was something I wasn’t so sure about.  One of my rotating chores was to “water the dead ones” Yes, I had to poor formaldehyde over dead bodies to keep them fresh.  It’s one of the few times I thought about my mom’s death.  In fact I didn’t even think about having to face blood and guts when I signed up for O.R. school. I was supposed to be a Pharmacy tech until Washington closed the OJT program I was in.  They offered my any school I wanted.  I wanted to stay in the Bay Area so I chose to be an Operating Room Technician.

This is ironic as on one of my field trips while in R.O.T.C. I was forced to wear an orange flight suit over my jeans and Tee-shirt and watch a first aid movie. The room was hot and muggy and I was sort of tired but I was watching this movie when a scene showing a fake injury with a bowel hanging out made me “pass out”.  Yes a guy that would get blood and puss in his face passed out watching a fake first aid flick.  Yes; I fainted.  I came to, with my head between my knees out in the cool shade outside.  What the hell ever possessed me to go into the operating room for a living?

TALES from the O.R. Vol.5 THAT’S NO TUMOR

OC

 

After getting shown the door for my outstanding Laparoscopic skills, I went to work for an agency. Unfortunately, when you work for a Temp Agency, you get all the crap nobody else wants.

I, like many others, were sent to a well-known HMO on the west coast. So with my pride in one hand and my surgical skills in the other, I became popular with many HMO surgeons.  One day I was scheduled to do a simple “Bowel Resection”.  I had gotten to know the senior resident. We’ll call him Jeff.  Jeff was excited one particular morning because he was doing a lower GI tumor resection without a Staff man in the room.  He was riding without his training wheels.  All I can say (and I don’t mean this to sound arrogant) but thank God I was again the 3rd man in the room.

All was going as planned. It was a female patient and her legs were in stirrups.  I was between her legs.  After an easy dissection into the peritoneum it was time to get the intra anal resection device into place.  Yeah, it means what it sounds like.  It’s a unique device that’s used to go up the rectum and make a clean incision from inside the intestine.

As Jeff’s assistant switched places with me, Jeff said: “Hey Ace, wanna check out this tumor”? I really didn’t but I was polite because I knew how much it meant to Jeff so I said heck yeah. He said: “Hold out your hand”.  I did as he slid this cantaloupe sized mass into my hand.  It slid into my hand in such a fashion that I immediately told (We’ll call him Frank) Frank: “Frank! Hold on a second”.  Jeff asked: “What’s wrong Ace?” I ran my hand down what they assumed was scar tissue, but having spent years in GYN surgery, I slid my hand down the scar tissue and felt a Uterus.  I looked at Jeff across the table and said: “Jeff! Your bowel tumor has a Uterus at the other end of it”.

Frighteningly, this HMO had diagnosed her Ovarian Cyst as a bowel tumor. I guided Jeff’s hand down the fallopian tube and said: “Do you feel that? I think you’ll find a match on the other side.” I never thought that morning that I would be walking two General Surgery Residents through an ovarian cystectomy.  It’s not hard but also not that easy if you don’t know how to open up the capsule.  There were no GYN surgeons available plus we had already thrown the first pitch.  She was wide open on the table. All I can say is: “Thank God they didn’t needlessly remove a piece of her intestine.  If I was put on this earth for 2 reasons, it was to find that rag and stop Jeff from cutting out an innocent woman’s intestine.

What was my reward? (No good deed goes unpunished) I never got to see the inside of that Hospital again.  I guess for fear of leaking this story which happened back in the late 90s.  Who knows, perhaps someone from Time magazine will read my Musings and offer me a job.

Hopefully that lady is alive and well, walking through the park, listening to the birds singing and the wind blowing.

 

 

Tales from the O.R. Vol.4 The Rag

Laparoscopy

THE RAG

HERO TO UNEMPLOYED

 

I was working the evening shift. I came in at 3:00.  I took over as the 3rd person on a major Laparoscopy case which included the resection of a tumor.  For those who don’t know, a Laparoscopy is when they blow up your belly like a Mylar balloon then make 1” incisions and insert tubes that are either 5mm or 10mm.  Then they stick a scope which is attached to a camera and insert small but long instruments like scissors, water irrigators that also suck blood and fluid out of the belly.  Last but not least, the probe.  It’s a smooth swizzle stick that allows you to move organs around without causing friction or damage to other organs.

This was a major case being done with instruments that would fit through a sweetheart straw. There was an extra 10mm straw big enough to put a 4” by 4” sponge in.  Being the 3rd person at the table, it was my responsibility to make sure we didn’t leave a sponge in this lady’s belly.

*Note: I was well trained and highly respected at Stanford University Med Center under the greatest Laparoscopists in the world.

After 10 hours of removing tumor, we were ready to close. I said: “Excuse me but you left one sponge in the patient”.  Not exactly the kind of news you want to hear after a “Job well done”.  The 1st Surgeon looked but after 10 hours his eyes were tired.  He said to the 2nd guy, I need some coffee. Call X-ray and keep looking for the sponge until they get here.  His eyes were tired as well, but when the 1st surgeon left, that put me in the #2 spot.  I was holding the camera while the GYN chief kept looking.  He was tired and said: “Let’s just wait until X-Ray gets here”.  I said, do you want me to keep looking? He said: “Sure, I’m going to go have a seat until X-Ray arrives.

The word came that X-Ray was backed up 45 minutes. In surgical time that means an hour plus.

*2nd Note: The Anesthesiologist (Chief of Anesthesia) and the Chief of GYN hated each other.

At some point while we were waiting, the Chief of GYN took off his gown and gloves and headed for coffee and a Bagel. Nobody saw him leave and I was alone at the table with a camera in my left hand and a probe in my right.  Within 5 minutes after Dr. GYN left, I announced that I had found the sponge.  I asked the GYN doctor if he wanted me to go ahead and take it out.  <crickets> The anesthesiologist called for Dr. GYN then said: “Where the fuck is he”?  At that point I’ve got the sponge and ready to finish the case when Joe Gas Passer said: “Ace step away from the table” I said: “I’ve got the sponge”. Nurses raced to the doctor’s lounge and the 2 tired MDs put on gowns and gloves and one took the probe, replaced it with forceps and pulled out the sponge.

Something I had done hundreds of times at Stanford.

In the locker room afterwards I said to  Jack Gas passer: “We’d still be waiting for X-Ray if I hadn’t found that sponge. Much to my surprise he responded: “You assaulted that patient”. I had the next day off and spent the day mountain biking in the hills above the lake feeling good about finding the sponge.  When I got home, I got a message saying not to come in tomorrow as I had been suspended for practicing medicine without a license.  This was all to make the GYN guy look bad.  I went from everyone’s Hero to unemployed overnight. No good deed goes unpunished.  I saved the patient an extra hour under anesthesia (which I thought was most important) and I saved her unnecessary radiation.  Something she’ll never know.

No good deed goes unpunished.

Tales from the O.R. Vol.3 The Cyst

Cyst

 

THE 303.2 POUND CYST

 

I had heard about this case. I was a popular guy with the ladies in the O.B./GYN residency program.  When I heard about a woman with a 303.2 pound cyst coming to town, I had to make myself available in the neighborhood when the 13 hour operation was going on.

How do you grow a 303.2 pound cyst? It helps if you’re an agoraphobic person. (fear of the outdoors)  Many grossly obese patients that hit the upper 3 digits don’t like going outside.  They find it hard to bathe normally and tend to neglect medical attention.  If you weigh 550 pounds; who’s going to miss 303.2 pounds?

It turned out that the patient had what was called a “Dermoid” cyst. It’s a type of ovarian cyst.  They’re quite disgusting cysts usually about the size of a ping pong ball. This one was bigger than almost everyone in the room.  What makes a dermoid cyst so disgusting is its composition.  The garden variety dermoid cyst is a collection of synovial fluid, teeth and hair.  The trick is to excise the cyst without cracking the egg or breaking open its contents.

When you have one that’s 303.2 pounds, it is like removing a human from a Boa constrictor. Yes I got to witness the delivery of this monstrosity up close and personal as they needed strong Biceps to remove the specimen.

As I recall, the cyst was about 2.5’ long (That’s feet) and we took a gurney into the O.R. with the patient’s abdomen open. We gowned and gloved then put a sterile drape on the gurney as not to contaminate the surgical field and people on the O.R. table side pushed, while yours truly with help caught this creature and centered it on the gurney.  Another drape was used to cover the cyst and away we went.  It may have sounded simple but you have to remember that losing that much weight will affect your enzymes. Blood loss was almost a secondary concern.

Hopefully the patient is alive and going for walks in the park. It should be easier without carrying an extra 303.2 pounds in your belly.  I was there and would have bought the Tee-shirt had they sold them.

 

Tales from the O.R. Vol.2 Plasticity

Meg

A New You

(sometimes the old you is better)

I used to love Meg Ryan’s appearance.

My least favorite field of surgery is “Aesthetic” surgery. Sometimes it’s done by a Plastic surgeon (Which is misleading. I’ll explain) and sometimes an ENT (ear, nose, throat) surgeon. Depending on the surgery, I would not hesitate to choose one over the other.

 PLASTIC SURGERY

The term plastic surgery has almost nothing to do with the word “plastic”. The closest it comes to plastic is when they use a material called “Silastic”.  A material designed for surgery that is minimally reactive to the human body. Its main component is silicon.  But the stereotypical paradigm of “plastic surgery” is that you make a plastic mold and change the face of a James Bond Character. That only works in the on the silver screen and on X-files.

It has nothing to do with plastic molds. The term plastic comes from the root word “Plasty”. As in Arthroplasty, the repair of a joint. The term means to “repair”.  So plastic surgeons specialize in more fields than most surgeons.  Many hand surgeons are trained as plastic surgeons.  As I said above: “I would pick one doctor over the other depending on the surgery”.  If I broke a guitar finger, I would go to a plastic hand surgeon. Many would be referred to an orthopedic or “bone” surgeon.  Most Plastic Hand guys only do hands. Orthopedic surgeons that don’t specialize in hands, also do knee replacements, hip replacements, knee scopes etc.…

For the sake of this article, keep in mind that what might appear as appearance altering is not as it seems.  A woman may have a plastic surgeon reduce the size of her breasts because it’s causing here low back pain.  Yes guys, the perfect woman with a thin waistline and DD breasts are an anomaly, but they’re also destine for low back disc surgery if they are not altered to fit the frame of her body.  I do not see this as “Aesthetic” surgery.  There are other examples like removing deformities to just make people look normal.  (Not special).

It might make you more desirable but for the wrong reasons.

But there are plastic surgeons also known as “Aesthetic” or “Cosmetic” surgeons. These guys make your boobs bigger, your nose smaller and your waistline smaller.  Sadly, they prey on the insecure.  I’ve gotten in fights with plastic surgeons as I feel (for the most part) they’re nothing but enablers.  Ladies, if you’re a AA bra size, pumping a quart of salt water into bags in your breasts is not going to make you a better person.  It might make you more desirable but for the wrong reasons.

Sadly, they prey on the insecure.

If you have Barbara Streisand’s nose, and you feel disfigured, I can see that as being a psychological cure. (Keeping in mind a large nose is better than a botched nose job) For that matter, I would go to an ENT doctor who works on noses all day. Would you let a tractor repairman tune you’re Ferrari?  I wouldn’t even let a Porsche repairman work on my Ferrari.

pyramid scams

But feeding on the insecurities of the rich is what is known in pyramid scams as reproductive residual income. Let’s start with taking that hump off of your nose.  Then after getting more dates you consider having silastic put in your chin. They say that chin implants are the single most therapeutic cosmetic surgery that “Aesthetic” Surgeons perform. I would think it would be the nose job, but if you have no chin, then you all of a sudden you have one of those Kirk Douglas chins, it gives you something counseling can’t.  “Courage”.  In our culture people with no chin appear weak.   So now you’ve gotten the courage to divorce your perfectly fine yet normal husband because the big hitters at work think you’re attractive. You’re no longer plain Jane.  So you take 6 weeks off and go for the big one.  You have D/DD breast installed. Now you’ve had the “Trifecta”. You’ve had the triple crown of Cosmetic surgery.

you’re still plain Jane.

But under those fake tits, fake chin and modified nose, you have to hide your secret. Mentally you’re still plain Jane.  It makes you even more insecure. (Or deniably crazy)  If anyone knew the truth, you would be found out.  I will say that if your spouse insists on you having cosmetic surgery, they don’t love you as you are. If you feel you must have cosmetic surgery, you don’t love yourself the way you are. (How can you expect others to love you?)

I will make one exception.

And this borders on fixing a deformity.

Most Aesthetic surgery cases could be avoided if the patient learned to love their appearance for what it is. I will make one exception.  Some might consider this cruel, but others might see it as compassionate, but I’ve done “Otoplasties” (Ear Jobs)on 7- 9 year old kids.  When a kid is born with elephant ears, I think one of the kindest things you can do for him or her is take that thousand bucks you were saving for the Cabo vacation and get your kid’s ears bobbed.  Kids are cruel. Taking a little bit of cartilage from behind the ear will keep your kid from growing up being called Dumbo and ridiculed.  I always felt like I was doing kids a huge favor and perhaps altering their future (for the good). Next to giving them a normal name, it’s one of the most humane and compassionate things you can do for a kid born with ears that stick out like Alfred E. Newman. (Mad Magazine) I would also include any anatomical anomaly that would subject a child to being called a freak.  Yes go ahead and have those webbed toes separated.  It’s OK to get rid of that sixth toe.

FINALLY THE TWO OPERATIONS I LOATHE

 

The Facelift and the Tummy tuck. The facelift is the ultimate resistance to aging. Its vanity at its peak. It comes with severe risks like nerve loss and the chances of a bad outcome are high.  They say a good face lift is one where you can’t tell you’ve had surgery. I agree.  So why have it?  I can pick with 90% certainty who has had a facelift and who hasn’t.  Rarely do I see someone who I feel “NEEDS” a face lift.

The Facelift that looks like you’ve had a facelift is often too tight and you can often see those ugly knots where your cheek muscles have been sewn together to actually lift your face. Again, we all age and nothing is more hideous than a 60 year old trying to look like a 30 year old.  Remember the song: “Hey 19”?

Finally the worst of the worst. The Abdominoplasty and Liposuction. This is an operation that is often used to replace exercise and healthy eating.  Cosmetic surgeons say: “Oh we only do this after you’ve tried all of that”.  Hey that’s bullshit! The only circumstance for justifying an Abdominoplasty is if you want to trade in the stretched out skin (after weight loss) for an ugly scar.  That’s it.  Many women are disappointed to know that they’ll be confined to a one piece bathing suit after having various incisions sewn up.

The sad part is; after the first person says, ooh that scar is really ugly, don’t be surprised if the patient gets depressed and starts binge eating and the fat cells come back.

Hey: “Shampoo, Rinse and Repeat”. It’s called reproductive residual income. Plastic surgeons are there to “repair” not make you something you’re not.

PLAY FROM THE HEART

Ace Andres bistro1 

NOT FROM THE STAGE

Let me quote a musician that plays music I enjoy. His name is DAN BAIRD! Most of you have heard Dan on the song “Keep your hands to yourself”.  His music is entertaining and very desirable for the simple minded.  But although he acts like a redneck, Dan is smarter than his music makes him appear.  Dan once said in an Interview: “Once I put away my “YES” albums and other progressive rock albums and stuck with (as he calls it) Runka Runka songs. (Chuck Berry style). I was on my way.”  He had direction.  A few years later, “Keep your hands to yourself” became a hit.  Remember hits?

 

….Todd is the Irving Berlin of our time.

When I recorded my first album in 2002, it was called “Cowboy Hat Blues” it was a power blues album that was comparable to Pat Travers, Gary Moore and yes, Stevie Ray Vaughan. But the songs on that album that I like the most are the songs that sounded like an obscure artist (obscure to the public) named Todd Rundgren.  To me, Todd is the Irving Berlin of our time.  He made a name for himself in 1972 with AM hits like “Hello it’s me” and “I saw the light”. The first song I ever recorded was a blatant rip off of “I saw the light”.  (BTW the song is harder to play than it sounds) All of Todd’s songs are really hard to play especially if you’ve been playing Chuck Berry songs all of your life.

In 2005 I released my 2nd Album called American Infidel.  It was a Rockabilly Album with a few original metal protest songs on it and the Wave Magazine reviewed the Album and gave me the moniker: “The Guitar god of Los Altos”. It’s a label that’s impossible to live up to.  But American Infidel is my favorite Album that I’ve recorded.  Especially with songs like “Sleepwalk” and “Viva Las Vegas” on it.

…..I kept my monster locked in the cellar

 In 2008 I released an album that was a little of this and a little of that. There’s not a cover song on it, but it’s sort of a religious album with a heavy personal growth back beat.  There’s funk on it.  There’s even a little rap on it. (Only one short song). There’s a two part song that has a Prog Rock (YES/Close to the edge) intro then a song that sounds like Dave Edmunds wrote that it transitions to.  I have a song with a Hawaiian title called “Ho’Oponopono”. The album was recorded as an attempt to be used in the Sequel to the underground movie “The Secret”.  The music is directly from my heart.  I went into the studio and wrote and recorded as I went. It’s a fine album but as for my musical prowess, the Guitar god only makes a few appearances.  I kept my monster locked in the cellar for the third album.  I was more dedicated to the message and beautiful chords.  The lyrics are hard to understand unless you’ve read Napoleon Hill, Wallace Wattles, the Bible or other motivational speakers like Matthew Kelly and Stephen R. Covey.

 ….what the hell had I done to myself

Where am I now? All I can ask is what the hell had I done to myself. I wasn’t the guitar shredder I was on American Infidel or during the 2002 tours.  I said to myself as I’m getting up there in the years: “I’ve got to cover my favorite Todd Rundgren song “A Dream Goes on Forever”.   Todd is not an easy musician to cover, believe me when I say that is a gross understatement.  In this video Todd has problems playing his own brilliant creation.  If you only listen to one lyric; Listen to the last line.

 

….I WAS PLAYING FROM THE RIGHT SIDE OF MY BRAIN

I learned how to play that damn song and it made me feel like the guitar Fod. (Fodder). It was like learning to play Mozart’s Belleview concerto. (That’s Belleview as in the mental institution in New York)  I was so proud of myself. Big deal. I can play a song with 17 different chords in it. (Blues songs usually only have 3 chords) I played it in front of an audience and I think I was the only one that could really appreciate it. It was more work than fun.  I was playing it with the right side of my brain. (Not good)  To me music should be subjective.  Even when I covered Viva Las Vegas, you can’t tell what the song is until the chorus.

So what’s the message? Play what makes you feel good.  Club owners who have seen me play say that when I play, it looks as if I’m having an out of body experience.  When you watch my videos, I just throw my head back and let the music come out through my fingers. To quote Bleeding gums Murphy:

BGM

Bleeding Gums Murphy

“Music is like a flame that comes out of your heart and when it does, you better put a guitar in front of it.  But I’ve seen the other side.  I’ve seen beyond the curtains.  On one side of music is your soul. Dr. Covey would call it your inner voice. On the other side is your creative genius. I’ve learned to write lyrics like Todd Rundgren (also known as one of the greatest songwriters ever) and I’ve found that his influence has been reflected in my songs. On my first album I wrote a song called “Coming home” which has 11 chords and I was so proud of this song. Since I’ve been down the rabbit hole; I could never bore an audience with some cheap 3 chord version of “Mustang Sally”. (Or was that 2 chords?) So after incorporating all of my favorite material from Queen to Steve Vai, I’ve become myself.  Some say I sound like Brian Adams, some say Warren Zevon.  I was once told in Florida that Jimi Hendrix was dead. I responded: “Not until I say he is”.

…..PLAY WHAT MAKES YOU FEEL GOOD.

 In the end, if it’s 2 chords or 17 chords, play what makes you feel good. It’s like being on a roller coaster ride. (If you love roller coasters like I do) Why do you put your hands up in the air on the descent?  Because others doing it appear to be having more fun.  If you’re having fun on stage the audience will sense it and start playing air guitar with you.  But that’s just my experience.  Playing music without emotion is like riding a flat rollercoaster and trust me, your audience with not be throwing their hands in the air.

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TALES FROM THE O.R. Vol .1

Surgical

TALES FROM THE O.R.

Vol. 1

 

THE END

Let me start with The End. I have a book full of unbelievable stories that are sad, funny, short and downright frightening.  I originally just wanted to write an article on “When you know it’s time to leave a job”.  Then I looked back on all of the real nightmares I experienced and had to share them.

WARNING

Many of these stories are graphic and I will use the exact language that was used at the time.

Who am I? I’m a guy that spent the majority of his life standing across from a surgeon standing by an operating room table.  We use to be called O.R. techs and before that “instrument nurses”.  But when the government stepped in and cut payments to general surgeons, many of us former military O.R. (Operating Room) Technicians became what surgery calls first assistants.

THE LAST OPERATION

I was scheduled to go home but the main desk wanted me to stay and start an “Incision and drainage” of a Bartholin cyst. Most of the public (Even some of you women) probably don’t know a Bartholin cyst from a ganglion cyst.  The Bartholin gland is in a woman’s vagina. Its purpose is to lubricate the vaginal canal for sex.  When the opening gets obstructed, it builds up pressure. (You can see where I’m going with this).  I was assisting a female OB/GYN surgeon with this procedure.  There wasn’t much room between the patients legs, but both of us were able to squeeze in between the stirrups.

I was holding the vagina open and she was doing her best to “probe” the opening. When she found it, the contents found me, I instantly had a mixture of blood, pus, and synovial fluid in my hair cover, my mask, my neck, it dripped down my chest under my shirt and of course my goggles could have used windshield wipers.  They did wipe my goggles off during the case.  I had one hand up this lady’s vagina holding pressure on the bleeding gland with a surgical rag while turning my head to let the nurse wipe the bloody pus out of my face, mask and handball goggles.

I was relieved of my duties shortly after by the late shift and basically went through a short decontamination process in the O.R… I thought I had gotten everything but when I left the room, my manager saw me and everyone around just backed away from me.  I guess this stuff was everywhere.  As ugly as your imagination can imagine; it smelled worse.  That was the last operation I did at that surgery center.  It was unforgettable. Just for further reference; I don’t mind the gross stuff.  I’ve seen stuff I wish I could unsee, but what bothers me the most, is the smell.

My Last case

I was setting up for a laparoscopy. (Taking a scope and looking inside a belly) I was in a hurry and my gay male nurse counter-part didn’t have his Wheaties that day. I remarked on his lack of enthusiasm. (Slowness) and he said to me: “A good Tech would take his time throwing the cables off of the field”.  I had just watched the movie “Roadhouse” with Patrick Swayze and doing my best villain impersonation, I responded: “I used to fuck guys like you in prison”.

The next morning my work computer would not let me log on.

CHRONIC PAIN

Tyler_Sash

IN MEMORY OF THE LATE TYLER SASH.

(Dead at the age of 27)

Dear Politician,

I am a disabled vet. While I agree many people are easily addicted to pain medications, You CANNOT throw the baby out with the bath water.

Chronic Pain for inoperable conditions are the price middle class Baby Boomers are paying for building America.

TOS XRAY

X-Ray of rare rib invading nerve bundle

What used to take four 200 pound men to lift can now be done with robotics.  But from 1946 to the 21st century it wasn’t always like that.

It wasn’t until the 1990s that “Physiatry” became a respected semi-invasive discipline.

Because heavy lifting was required to build the infrastructure of our great State and Nation, a physiological price was paid. Spinal injury among others became as common as carpal tunnel syndrome.  Manual laborers were not required to wear back braces until the late 1980s.

TOS

Rare extra Rib on R-side of picture

BACK SURGERY
Remedies for back injuries are a crap shoot at best.  It wasn’t until the 1990s that “Physiatry” became a respected semi-invasive discipline. Pain management is an answer but not a good one. Physiatry is the field of “curing successful neurosurgical” operations. Disc fusions and laminectomies often leave the patient in more pain from scar tissue than the original disc pathology.

Physiatry is the field of “curing successful neurosurgical” operations

Patients over dosing
Chronic pain treatment should only be made available after a psychiatric workup has been done on the patient. Pain pills are like bullets and pain treatment is very similar to the 2nd amendment. Patients taking narcotics need to be responsible. Pain pills don’t kill, irresponsible patients abusing them kill. For that matter; there are plenty of over the counter drugs that can kill legally if abused.

Legislation
I’ve been suffering from an injury in 1996.  I responsibly went through pernicious radiological exams and MRIs that left me with few options.  The last thing a true  disabled chronic pain patient needs is more legislation that makes it difficult to attain something they don’t really want to take. After years of narcotic pain treatment (as well as multiple steroid injections)the pain management patient no longer experiences euphoria or a “high” from the medication. It only “Takes the edge off the sharp pain”.

After years of narcotic pain treatment

the pain management patient no longer experiences euphoria

The Answer
The answer is not passing legislation that handcuffs doctors that sincerely provide legitimate treatment. The think tanks must know that Chronic pain is a real problem that was a result of hard working Americans who built this country. (Not to mention soldiers told to follow orders) It needs to be understood that many Chronic pain patients retire in remote states because the cost of living is more affordable. (Than California or New York). Until a non-narcotic pill becomes available, there will be no pragmatic answer. I might add that it’s not the pills that kill as much as it is the pain. I can only imagine that those who overdose, do so because they cannot tolerate the pain. They don’t want to overdose, yet the pain is an ugly game changer.  I’m sure there are those that think pain pills are party favors like other recreational illegal drugs.  To the patient that needs a reliable form of pain relief; narcotics are currently the only proven form of practical relief. Again, it’s not a good option, but it’s the best. Sort of like our government.

Get the economy and GDP up and healthy people won’t have time to abuse drugs. As our economy declined, vices and crime have increased. If I were not disabled, I would be out camping on weekends or working on my car. Sadly, without pain management, the best I can do is lay flat on my back and try not to move.  Even with pain management, I’m restricted to what I can and can’t do.  I used to be able to coach baseball. I taught pitchers how to throw sliders. Today I can’t even play catch with my son.

Please don’t pass any laws that make it harder for patients in pain to get access to the medications that keep them somewhat mobile until science comes out with a pain reliever that is safe.

Albert Schweitzer wrote:

“We must all die. But that I can save him from days of torture, that is what I feel as my great and ever new privilege. Pain is a more terrible lord of mankind than even death itself”.