Watch Those Stomach Pains!

So, anyway, the night of the 28th of January, I’ve got this major heartburn that just won’t stop – relentless, searing pain that feels like it’s coming in through my stomach and going all the way to my backbone, where it feels like someone is jabbing a hot knife into the spaces between the vertebrae from my lower to mid back. This was the culmination of five days of similar problems that started the previous Saturday, but seemed to decrease for about the next four days afterward.

Naturally, off to the hospital I go, and check myself into Triage at the Emergency Room. Naturally, since I didn’t have any arms off or wasn’t bleeding all over, I enter the line at about fourth, displacing a few people with lesser symptoms, and it only takes about an hour to see a doctor, because there actually were a couple of people that showed up during that time were actually bleeding.

When I do get the call to go in, they immediately give me something for the pain which has continued to be white-hot since I got there, and this turns out to be morphine, but not in a high enough concentration to make me happy, just enough to take the edge off. I’m kind of suspecting gall bladder, and so is the doctor after taking a history, so on we go to diagnostics, with me receiving a CT scan, and an ultrasound, a few more shots of morphine, and surrendering numerous blood samples. At about five am, they wheel me up to a room, with the idea that surgery may occur the next day.

Unfortunately, it doesn’t, because like everything else, you are triaged and put into a sequence, and if something else happens (like a bad MVA), you can get displaced, which is what happens in my case. All it really means is that I am in a holding pattern, waiting for a spot when I can be taken care of. More shots of morphine and heparin follow, not to mention numerous IV bags, until the next morning when they arrive at about 9 am to tell me that I’m going to the OR that morning within the next two hours.

Sure enough, they are wheeling me down about 90 minutes later, and about three hours later, I wake up in recovery, with a dry throat and a tube coming out of my nose. A nurse sees me wake up, and tells me not to talk, and that she will get me some ice chips; before long, they are taking me back upstairs. The rest of the day passes slowly and I’ve always got an IV bag on the go, but I’ve really got no pain, other than the fact that the right side of my stomach is stiff. Since I’m not up walking around, more heparin to prevent blood clots in the legs. The tube coming out my nose, I soon discover, is linked to a bag on the bottom of my IV rack into which there is a seemingly never-ending supply of a greenish-brownish colored fluid moving through, occasionally with small black specks floating by, looking like someone’s weird impression of Goldschlager gone wrong.

Sleeping is off and on, but the next day is better; I’m up walking up and down the hallway, since although my side is stiff, my legs are fine. It is at about this time that I make a startling realization: although I haven’t had a cigarette since the night I was admitted, I don’t even have the craving for one. I get no food that day, unfortunately, just more IV bags, but I’m hopeful for the next day.

The next morning, I actually get a breakfast tray! Okay, it’s only a small amount of oatmeal with flax, some cherry jello, a small container of cranberry juice and a mug of tea, it’s a start. I eat with relish, and it stays down fine. Still no cigarette cravings, which is not a bad thing. Lunch, when it arrives is more of the same – an entree, in this case, Chicken A La King, served with tea or coffee, juice, a dessert and toast (this type of meal makeup continues over the next two days, with such entrees as herbed fusilli and Italian vegetables and a baked veal cutlet, a baked barbecue port cutlet and mashed potatoes and peas, scrambled eggs and cereal at breakfast time with toast, etc.). Even better, that day they take the tube out of my nose.

Things get better until Thursday afternoon, when they tell me I can go home, and I’m out the door within two hours, after seeing the doctor and getting a post-op talk on how to take care of myself until the following week, when I have to go and get my staples out.

Leaving is a breeze. My wife comes to pick me up and we leave.

The whole thing has cost me nothing, money-wise. I’ve left behind an inflamed gall bladder and two stones the size of golf balls, and I still haven’t had the urge to have a smoke.

It seems I’ve gotten more out of the experience than I’ve really had to put in.

Wow - two stones the size of golf balls, eh? You put Jim’s black olive sized gallstone to shame :smiley:

I assume you had the eight inch incision with stones that size - be prepared for a long recovery time. A LONG recovery time - two years later, Jim still hold his scar when he sneezes. (It didn’t cost us anything other than the cost of hospital parking, either.)

Yep, the big incision, twenty staples. Instructions were not to lift anything over ten pounds for the next six to eight weeks. Nothing but TV for me, but luckily, I can afford the time off…

Did they let you keep the gall stones?

Mrs. echoreply went through something similar two seeks ago. It was the second time she had a gal bladder attack, so we knew what to do. I think we were at the emergency room about 15 minutes after the attack started. They did an ultra sound and verified that it was gal stones after giving her morphine and an IV and all that good stuff. After a few hours we decided to go home, planning to schedule an appointment with a surgeon in our health insurance network. Unfortunately, the gal stones decided not to cooperate, and the pain started again, so we were back to the emergency room.

This all started about 11pm on a Sunday night, and she was in surgery at noon on Monday. Everybody at the hospital was really fantastic. Everyone from the surgeons to the nurses aides took the time to answer questions, and if we asked for something from them that wasn’t their responsibility, they quickly passed the request to the right person, who followed up.

Being in the US, this will end up costing us something. Fortunately she has insurance now, unlike the first ER visit, which was $1600, after the non-insured discount. My genuine expectation is that the insurance company will refuse because it is out of network (even though it was emergency surgery), but then will relent and cover everything on appeal.

Now, two weeks or so later she is recovering pretty well. The tape has come off, and the follow up with the surgeon went well. The nurse warned us that 1-2 weeks after can be dangerous, because you feel much better, but your body is still not healed. She’s been taking it easy, though.

She wasn’t a smoker, so I can’t speak towards that, but she did used to have the occasional coughing fit after eating, and those seem to have disappeared since the surgery.

Hopefully you’ll have as easy of a recovery as she’s had so far.

Glad to hear it had a happy ending.

Two years ago last Halloween, I had an emergency surgery to remove an inflamed appendix. I haven’t had a cigarette since that time. It wasn’t very hard to stay off of them after my hospital stay. Maybe you can stay quit too. :slight_smile:

Eep, good wishes here from a fellow 'Pegger.

My wife got her gallbladder taken out a year or so ago after she suddenly took ill. Bit worried that she doesn’t have the “filter” that it was supposed to be any more, but it takes some getting used to.

I’ve heard some people go to extreme lengths to quit smoking, but damn, that’s a bit far!

But seriously, good to hear that you came through it all right and not much worse for wear.

What a tale! Glad you’re doing better!! My flareup was in December (during a blizzard) but fortunately things settled down enough for me to wait until last week and I got it done laparascopically.

Sounds like you had a pretty nasty case. Did you know you were getting the big incision before they did the deed or was it “we’ll try with the laparascope and switch if we need to”?

Did they let you keep the gallstones? I’m pissed that I couldn’t bring mine home.

What was with the nose tube? Did you have a lot of damage to the ducts or something? It sounds like you must have been full of pure bile.

Yeah, they were hopeful of doing a laproscope, but when they took a look inside with the camera and realized how big the stones were, they knew there was no way they were going to get it done through a little hole.

Of course, if they had actually listened to me, they may have realized that this wouldn’t have been the right way to go anyway, because I told them that the first attack I remember having was in 1989; on that occasion, I presented at a small-town hospital in Northwestern Ontario with the worst case of indigestion I ever had at about 4 am, only to find that there were no doctors on duty because of economic cutbacks or something, but if I could “wait three hours until one came on…” No way, I went to the local doughnut shop and had three large cups of warm coffee with triple cream – the temperature seemed to quell the “indigestion,” and I didn’t have a further flare-up until some five years later.

No, I didn’t keep the gallstones. I guess I should have asked ahead of time.

The nose tube was to drain bile, and yes, I indeed must have been totally full of it. Overall, I estimate that there must have been something like 14 oz or so in total.

I go in an hour to get the staples out. I don’t think it’s going to hurt, but I am going to take a Tylenol-3 anyway, just to make sure.

In my experience, getting stitches/staples out is usually more of a relief than painful, but taking a painkiller first is not a bad idea. There always seems to be one that they rip out from somewhere a foot inside you. :slight_smile: