Is there a House (M.D.) in the Anesthesiologist?

Yes indeedy.

At my post-op appointment a week after surgery with my orthopaedic surgeon, his first question was "Did you have any problems with the staff?".

I do not know if this is a routine question, but I thought it curious of him to ask that right off the bat . . . . it just so happened that I had had a problem, as several readers may know who attended a Dr. Anonymous BlogTalkRadio Show a few days after my surgery. There's a chat room there associated with the show, and the listeners chat amongst each other as the show goes on, sometimes about things unrelated to the show and of course quite often and most likely about things mentioned in, related to, and/or regarding the show or it's topics, and/or Dr. Anonymous or his guest(s)/caller(s).

Anyway, regarding the Anesthesiologist referred to in the title, and that I had a problem with when I responded to my surgeon's question above, here's what happened that bothered me.

I had been prepped for surgery, and the anesthesiologist came in to the prep area and started his part of things, and started asking questions, his first being, "Did you take your meds this morning?" I responded, "Yes", and he replied with something like, "Good girl. Even the psych meds?" I said, "Yes." He replied, "Good! That's so I can stand to be around you!".

Now, I understand that this MAY have been in jest; earlier, my surgeon had been in, and I had declared my nervousness - he had said, "The good news is, I'm not!" - This made me smile as well as helped relieve my nervousness too! Some joking around and such can be helpful to relieve anxiety and such, and so perhaps the anesthesiologist was just trying to be funny, part of me can see that, and can see that perhaps he just ended up being "funny" in a way that, in the very least, is insensitive, if not outright offensive, judgmental, prejudicial, crass, boorish, cruel, arrogant, and narcissistic, among other things.

The thing is, he repeated that last offensive sentence or its equivalent one more time a few minutes later, and perhaps one more time, before leaving the prep area. I feebly joked about my sleep-punching, I suppose in a passive-aggressive way of trying to sort of "defend" myself from this horrid attack upon myself that I felt. Of course, this man was going to be in charge of me whilst I was under anesthesia, of which I was very aware, so I just did not say much of anything, or tell him what I thought of what he had said to me or of his manner (he seemed to act rather brash, arrogant, and narcissistically with and to the nurses, orderly-types, and other operating-type assistants moving about the prep and operating areas and corriders as well, so while I tried to think the best of him and think it was just an insensitive stumble of a joke, his manner and the repetition of it kind of led me to think otherwise . . .. .)

The man's grandiose manner possibly did not leave room for any awareness on his part that he had caused any offense at all - that possibility I was also aware of. That is okay. Should I have further procedures requiring anesthesia there, I will request, if it is possible to do so beforehand, a different anesthesiologist.

It occurs to me also, though, on the one hand, the most important quality in an anesthesiologist is, well, how good is he or she at anesthesiology? Doesn't matter if his or her personality is as narcisisstic as Narcissus himself (of mythology), or as bland as plain white rice . . . . can they do the job WELL, do they know the unusual rare things that can happen and what to do if so (no one knows everything but to a reasonable degree), do they handle themselves expertly under pressure and emergency, do they handle themselves well with colleagues in the operating environment (which IS where personality would play a role, in a manner, but other people have to obey him, so his arrogance fits there, I suppose . . . . I dunno) . ..

Then again, since I watch the television medical drama House from time to time (not because some of the dreadful things he says are acceptable - the opposite, in fact, is the case - twas unusual from my Mormon perspective to see him have a "go" at a Mormon character - there aren't too many of those on TV, I suspect it was because of the Presidential race - he used comments as unacceptable as those he's used with his Jewish associate(s) or underlings . . . . in a way, he treated them the same across the board, but none of the despicable comments and treatment were acceptable. I think this show tries to SHOW that, in his extreme behavior. I enjoy the medical mysteries, though.

In my answer to my orthopaedic surgeon regarding any problem(s) I'd had with any staff member(s), I replied in the affirmative, he inquired as to who, I replied with the anesthesiologist's name (he did not look surprised), he asked why (although seemed to know before I said anything that it was going to be that the guy was a jerk) and I explained. My phrasing of what the anesthesiologist said is a bit off - it was actually WORSE than what I put above, but as time goes on, I just can't remember - things that send me into a shock of some kind, emotionally at the time, I have a hard time remembering later. I believe PeggiKaye or someone else from Dr. A's show from that week might remember better than I, at this point. I was still in shock, at that point.

I'll update on knee later, let me just say an ultrasound on lower left leg for DVT (blood clot) suspected, turned out negative for any, YAY!!!!

p.s. I could go another decade w/out typing anesthesiologist that's a long word lol w. lots of vowels s's etc. lol. Please chime in with what you think about this.

Just a Quackie

I don't want the kind of hits I'd get if I titled the post something else, so I borrowed Shrink Rap's duck for a few. I don't think they mind . . .

Anyway, perhaps more later, if I haven't lost MY mind first.

Tomorrow's schedule is looking a bit nuts.

8:00 am - psychologist (technically today he is still on vacation, but given the circumstances, he called me back and even would have seen me today but our answering machine light didn't show the new msg so by the time I got his later call it was too late to be seen today - because of extenuating circumstances he was more than willing to get me in as soon as we could. Weds. I'd be groggy and less than 24 hrs since surgery, probably too soon, because here's the next part of the schedule -

8:50-9:00 Finish appt. (Sometimes he gives the extra time, highly likely this time given situation.)

9-10 am run a few last minute errands perhaps, drop state taxes off in the mail (that I'm finishing up in a few minutes from now {today/Monday}, although of course I'll be e-filing the federal}, because I've been afraid to address the stupid out of the normal back pay SSI stuff, broken down into three separate years which I finally have the information regarding the individual amounts by year, received recently.

11:30 - Show up to Ortho Surgical Center (Hopefully be in surgery by 12:30? Not sure how long before I am?)

Not sure what happens next, besides the pain part.

Weds. my parents are up to help, as my hubby has to work. Tues my MIL is there waiting with my hubby as they operate, also one of the two can get dd from school . . . . . Yay for family!!!!

Thursday I have a psychiatrist appointment. That's gonna be fun. More pain. In the knee, I mean, if I wasn't clear.

Lots of appointments! And lots of stuff all at once. I may have more later, maybe.

Making lots o'calls today. Besides thank goodness for family, thank goodness for an empathetic psychologist, who is willing to work with me in an unusual situation at the end of his vacation to get me seen, especially with a lot of potentials for panic attacks ramping up that I've been fighting (have some things/strategies and plans in place and activities and other stuff I might talk about later today, or some other time, about what I have thought through and planned to help fight that panic as I sit there at the clinic, waiting, etc., . . . . hopefully these helps will be helpful!!!!)

TTFN, Perhaps Later.

If I don't "see" you guys again though until after my knee thing, wish me luck (yeah, it's only an arthroscopy, but to me I have this maze of fears and all sorts of things I have to fight and plan out and fight and figure out if I can handle and stuff . . . it's not JUST a routine thing, for me . . . . it's a whole host of a bunch of things I have to deal with, for me. A whole bunch of battles, that I have to face and fight and march through, and fight, and and and etc.

See ya!

Pressure and I, Well, We're Like Matter & AntiMatter . . . .

Put me together with alot of pressure and something is gonna explode, some way, somewhere. I'm not saying that in a way of, oh, it's just gonna happen, I can't help it, but in a, I've fought my whole life, and I REALLY FIGHT HARD when I'm under pressure, but hell when everything's falling to pieces um I'm kinda doing alot trying to grab hold of things already starting to shoot off in different directions already . . . . . dunno if I can keep the lid on, guess we'll see.

Anyway, more tomorrow.

You may not know, but I have an arthroscopy on Tuesday. Not sure what time yet, he does his shoulders (as they put it) first, I'll find out tomorrow what time, and tomorrow we'll work thru about specifics on which of my meds to maybe take and not take (cause, um one of my morning meds is a stimulant, that's not so good for general anesthesia, I'd bet . . . . lol).

Arthroscopy may not sound like much to many of you, but it's alot to me, especially considering what the likely next step will be, etc, although I'm not sure as to the timeline of that "next" step.

Anyway, more tomorrow, lots to do.

LOTS of pressure. lots and lots and lots and lots and lots. I don't do pressure. I try with all my being. EVERY time. Despite the I don't do pressure thing, I still throw mywhole self at it, because that's what I do, and still I . . . well that leads nowhere good, so I'll stop. For now. Psychologically, I'm not in a good place, and I haven't seen the psychologist last week, he was on vacation, and the week before that I hadn't been scheduled for this surgery yet, and now it's scheduled right for when we'd usually meet . . . . so that's all screwed up too . . . (he's very understanding tho, I've left him a message.)

Hopefully I can see him later in the week; I already have a psychiatrist appt. for two days after surgery, that I had long before I knew I'd be having outpatient surgery. The ortho people said it's fine to go out and stuff by then so that's good (except the pain part.)

Ok, ramble over, see ya tomorrow. I'm having a tough time, think, pray, whatever of, about me, whatever, cross fingers, k? I'd appreciate it.

p.s. my word verify is poovil(dh) ha

An Approximation of What My Psychiatrist Looks Like

Mr. & Mrs. Pump
Originally uploaded by David Clow - Maryland

I was browsing through Flickr one day, when I happened upon this fine photo of some "dressed up" gasoline pumps.

Amusing, colorful, bright, and fun, I thought, for such usually mundane objects.

I do not mean any of this to imply that my psychiatrist is gassy, nor full of hot air, although he does tend to go on and on . . . .but that isn't why this photo reminded me of him.

The more prominent gasoline pump, the masculine one, if you will - the one on the left, in the foreground - a closer representation of my psychiatrist in gas station pumpery I daresay you will never find.

Save for the fact that this particular pump is represented in what appears to be a, perhaps, 70's style "leisure suit", which my psychiatrist has not been seen to wear in my presence (I do not think any clothing that even involves the word "suit" has passed his way in quite some time, but then again, I only see him at his office, so how do I know!), it represents him rather well . . . . .

He's kinda hippie-ish, although he doesn't exactly dress like a hippie. His hair kinda fits that, hippie-ish thing, though.

Anyway, if you wanted to know what my psychiatrist looks like, there you go.