I think my procedure is a lightweight compared to some of the previously outlined medical anecdotes. However, it is distinguished by the fact that it was a DIY job.
I’ve never gone to a hospital to get anything done to me. So, when I had acute appendicitis, I figured why start now? A complete lack of any formal medical training sure wasn’t gonna stop me.
The first thing I figured I needed was plenty of absorbent materials. So, I started a laundry load of towels, making sure to add some bleach to the wash cycle.
Next, I had to hunt up some medical implements. An old science dissection kit provided a scalpel and some tweezers. I figured I wouldn’t need retractors or forceps, since I wasn’t going to be able to see my abdomen that well anyway. I was planning to go in blind and just feel my way around.
So into the bathtub I go, with a stack of fluffy warm towels, a pile of q-tips, three pre-threaded sewing needles, scalpel, tweezers, strips of duct tape, a bottle of hydrogen peroxide, a bucket of water, some bandages, and a long-neck candle lighter. I figured moving quickly and methodically was the key, and I really didn’t want this to be a multiple session procedure. After a quick swig of vodka, I pop in a mouthguard and lean back.
Taking a moment to admire the smooth flat belly skin, I press down on the scalpel with my index finger and make the incision at the place where my side aches. Droplets of blood appear immediately, but all in all, not too bad. Pain level at 1, but shoots to 3 when I start pulling the skin apart. Separating out a hole through the layers of abdominal muscles wasn’t too bad and for once I’m thankful I have poor muscle tone. I have to be super careful with the scalpel to get through the peritoneal lining. Then, it’s a matter of feeling around for the appendix, using pain as a sort of geiger counter.
Fortunately, the appendix was fairly large and close to the incision, so I take a few deep breaths and fish out a glistening loop of intestine with my finger. Shooting pain erupts, and I stupidly let go and the loop falls back in. I get it out on the second try, but pain immediately shoots to around an 8 and stays there. Good thing I had thought of the mouthguard. I am lucky I didn’t pass out, but it takes me about two minutes to acclimate to this level of sensation. I suspect this maneuver actually dislodged and put pressure on the appendix itself.
Pulling on the loop of intestine until the appendix was out was relatively straightforward. The firm little finger-like appendix was shiny, bright red, and had purply blue lines. I trapped it as close to the intestine as possible with the tweezers. As soon as I start to slice into it with the scalpel, an awful rank smell hits my nose. I persevere and start sawing back and forth to get through faster. It drops off and hits the tub with a wet splat, dripping dark fluid.
Time to move fast now. I decided I wouldn’t be able to hold it tightly enough with the tweezers very long, so I just splash some hydrogen peroxide on the area and douse it with plenty of water. Then, I take the lighter and pass the flame over the cut area to try to cauterize the wound. Not a good idea. It maybe killed some bacteria, but there was no way I could scar the tissue together. So, I have to stitch it after all. I do a pretty lousy stitch job, but at least I pulled it tight. When I let go of the tweezers, it holds.
Ok, into the home stretch. I go through a ton of qtips to treat the area with hydrogen peroxide and rinse. Then I push it carefully back into the gut, and disinfect the skin at the incision with more hydrogen peroxide and rinse everything thoroughly. After lining up the skin, I use copious amounts of duct tape to hold the hole closed. The bottom half of my body is covered with blood, but a quick shower remedies that. The next few days, it’s sore and I have to be super careful when I move around, but after a week, the duct tape comes off and I got a pretty cool looking scar.