A Million Little Pieces Of My Mind

So, yesterday was the surgery on my spine. More specifically, the surgeon performed a lumber laminectomy on L2 and L3, and I couldn't be happier with him and it, or less happy with the hospital in which it was performed.

As you may recall, I have been scheduled for surgery on my spine twice, only to have it cancelled at the last possible moment. So, to be honest, I wasn't convinced it wasn't going to be this time, either. But I showed up ready-to-go, regardless.

I'd been advised ahead of time to not wear jewelry or, indeed, bring my whole wallet—with me. They only wanted my photo ID and insurance card. They probably were tired of people losing, or claiming to lose, cash. So, apparently, no one was to get a tip.

I also had to arrive at 5:30 AM. When the scheduler called to make the arrangements, that's what she said. I blinked. "There's a five-thirty in the morning, too?" My fanily is very helpful. My daughter ordered me an Uber. And I arrived at the hospital at exactly 5:30.

In the morning.

The Uber delivered me to Banner Desert Medical Center, which is where Dr. Hersch was going to perform the surgery. In fact, this is where he performs all his surgeries, including the two procedures he did on me before.

I loathe Banner Desert. I don't loathe the staff; everyone I've met there has been completely competent, friendly, and kind. But the hospital itself is another matter, because the owners are cheap sons of bitches. Consequently, about 20 years ago, when I arrived at their emergency room with a case of cellulitis, I wound up waiting in the emergency room for 13 fucking hours, during which time the cellulitis advanced to necrotizing fasciitis, which put me into a coma for two days. So, yes, I came by my destestation of Banner Desert honestly.

I went to Admitting and signed some papers, and then waited until about 7, when someone showed up to take me to surgery. By now, after sitting in a chair without lumbar support for an hour and a half, my back was killing me. But no one offered a wheelchair, and I didn't ask for one, since I didn't want to wait for someone to find a wheelchair.

The phlebotomist showed up to start an IV. I explained that people generally have no luck without using an ultrasound to find the veins, as mine are deep, and tend to flatten and roll easily. However, he explained, the hospital only has a few of them because they are expensive; they are kept in the emergency room, and frankly he didn't want to wait for one to be delivered, which would also delay my surgery.

Even worse, my surgeon wanted two IV sites.

However, it worked out well as, knowing in advance what to expect from my veins, he actually made the connection on the first try. Bonus points for missing all my nerves as well, so I didn't feel a thing! Fist bump, bro!

Eventually, I was put on a gurney and taken to the operating room. It looked familiar, and for good reason; this would be the third procedure he would perform on me, the previous two times having been RF ablations (Also known as a medial branch block).

The anesthesiologist, with whom I had already spoken, wasted no time injecting her potions into my IV line. Nobody bothered asking me to count to anything. After a few seconds, though, I announced to anyone who might be listening, "Oh, I'm starting to feel it now!"

And I was out like a light.

The reason for the laminectomy is that my spinal cord was getting crushed by a narrowing spinal column, the tube the cord runs through. A laminectomy for lumbar spinal stenosis is a surgical procedure that aims to relieve pressure on the spinal cord or nerves in the lower back. Lumbar spinal stenosis is a condition in which the spinal canal narrows, putting pressure on the spinal cord and/or nerves, causing pain, numbness, or weakness in the legs, hips, and buttocks. This often occurs as people age and minerals collect on the inner surface of the column.

1. Anesthesia: The patient is given general anesthesia to ensure they are comfortable and asleep during the procedure.

2. Incision: The surgeon makes an incision in the back over the affected vertebrae. In a minimally invasive procedure, the incision is much smaller than in an open surgery.

3. Removal of lamina: The surgeon removes a portion of the lamina using special instruments. The amount of lamina removed depends on the extent of the spinal stenosis and the surgeon's preference.

4. Access to spinal canal: Once the lamina is removed, the surgeon has access to the spinal canal. They can remove any bone spurs or other tissue that may be compressing the spinal cord or nerves.

5. Closure: After the procedure is complete, the surgeon closes the incision with sutures or staples.

6. Recovery: The patient is usually monitored in the hospital for a few days to ensure there are no complications. Physical therapy may be recommended to help the patient regain strength and mobility in their back and legs.

During a laminectomy, the surgeon removes a portion of the lamina, which is a bony structure that forms the back of the vertebra and covers the spinal canal. By removing part of the lamina, the surgeon creates more space in the spinal canal, which relieves pressure on the spinal cord and/or nerves.

The next thing I knew, I was waking up after the procedure. And I felt fine. I was able to stand and walk, and I had a dressing and a drain around my butt.

But they informed me I would be spending the night in the hospital since the drain was actually draining stuff.

It was a typical night in the hospital, involving urinals and frequent visits from people who wanted to take blood samples or to feed me pills. But eventually it ended with the loud beeping of some machine.

The sound was coming from the IV machine, but I couldn't figure how to turn it off. So I hit the call button for a nurse. That was at 10:30.

At 11, no one had shown up.

At 11:10, my doctor showed up for his visit. He did not come to my room because of the nurse call, which was still lit and still not doing anything. He turned the machine off, though, which was a relief to my ears. He checked the dressing, and said they can remove the drain, and that, afterwards, I could go home.

No one ever showed up to ask what I wanted from a nurse. But, eventually, my floor nurse came by to have me sign some more forms. I complained about the lack of attention to my room call. "You're pretty understaffed here, aren't you?

"This is the busiest hospital in the Valley," was her irrelevant reply.

"Meaning," I said wryly, "The hospital owners don't want to pay nurses a living wage."

"That's part of it," she admitted quietly. "But also, we lost 100,000 nurses during the pandemic. They got tired of arguing with patients who insisted they couldn't possibly have COVID, since COVID was a hoax. But they did have it, and they cursed the nurses with their last, gasps for air, insisting that the nurses were killing them to make COVID look real. So many of those nurses quit, and now the pool of available nurses is much smaller.

Anyway, I got my discharge papers signed and called for a nurse to take me downstairs. My daughter, Jenny, was picking me up at exactly 11 and wanted me to be downstairs waiting for her. This is understandable because Jenny is also short-staffed, between her job and her caring for her youngest kids as well as four cats, two dogs, and me. But as I sat there, again with no response from a nurse, looking at the clock. Finally, I took out my own IV lines—both of them—and was about to walk myself downstairs when the nurse finally showed up. She was a little upset that I'd removed my own IV, but I just shrugged. "You're understaffed," I reminded her. "I just used the self-service line, like at Wal-Mart."

As it turned out, we beat Jenny to the hospital entrance anyway.

So, I got home, got a really good sleep, and at the moment I'm writing this from my office chair without feeling a lot of pain. I still have to take it easy for a couple of weeks, avoiding bending or twisting my back.

Which, to be honest, is actually feeling better now than when I first started typing this. So, that's cool.

What inquiring minds want to know, however, is: Will I ever be able to go back to hiking?

Time will tell.