" /> BRAINPAN LEAKAGE
  • With Six You Get Eggroll…

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    (Continued from I Do Not Like The Cone Of Shame…)

    Actually, you DON’T get eggroll. You get pudding, a cold turkey sandwich, and cranberry juice – but we will get to that in a bit…

    You know those scenes in movies where you see things from the patient’s point of view? The POV as they are being rolled down a hospital corridor and the fluorescent lights are flashing by. The one where pristine acoustic ceiling panels offer up intricate details in a split second before blinking to a light, then more panels, then a light, then more panels… Doctors and nurses are yelling, Code Pomegranate! Trauma 1! Get me 4000 CC’s of Somnobuttwellubrex STAT! Fire up the shocky-thingy, start an IV- D5W Lactated Ringers, and somebody get me the goddamn epinephrine! Some nurse is sitting on top of you riding the gurney and doing CPR while another one is running along squeezing a balloon in your face… All while a loved one is  holding your hand, crying, and murmuring “hang in there…”

    Well, it wasn’t like that at all. Not one fucking iota.

    The ambulance rolled in to Mercy emergency and kicked off the sirens so that they wouldn’t scare the geese across the way. The dark and not exactly warm (but not exactly cold) interior flooded with light as the back doors swung open, and a few seconds later I was sliding out into the day while the go-go gadget wheely legs on the gurney dropped like landing gear on a Beechcraft and locked into place. A heartbeat later we rolled from sunlight into muted artificial light and a shade more warmth than the back of the ambulance. We made a quick series of turns – or maybe we didn’t, I couldn’t really say. I tend to squeeze my eyes shut when I am in pain, and the jostling about wasn’t doing me any favors. All I can say is that the gurney was on the move and it felt like we made a left or right or two. And, remember, this all took place in a matter of seconds. There was no smooth,  dramatic dolly shot down an endless corridor, here. This was all steadycam, point A to point B as fast as possible. A handful of seconds later we went through a door and all hell broke loose. Now, when I say all hell broke loose what I mean is there was an organized chaos filling the room, BUT, to the crumpled Merp patient guy, it was utter insanity.

    Yeah… Just my kind of audience.

    Now, at this point, I have to apologize. I cannot remember ANY names. I really should, but I cannot. I suppose given the circumstances I really wasn’t expected to, but given that there were so many characters in this play, it would be nice to put names to them. THAT SAID, I am sure that some of them will be happy that I don’t recall their monikers (other than Doctor One, Doctor Two, etc) because a few of them aren’t going to be portrayed all that well.

    Back to the chaos…

    Fan meet shit. Shit meet fan. At least that is how it appeared from my point of view.

    And now, I shall exaggerate. Not what happened. Just the numbers. Mostly because in my state at that time I was having trouble with the whole counting thing. However, I do have a damn good recollection of what was coming out of my mouth, mostly because it was the only thing keeping me conscious given that the ride and the jostling had taken the pain from a False 6 to a very real 18.5.

    (Here’s the exaggerated number –>) Three-hundred ninety-seven people dressed in scrubs and lab coats were crammed into that little room, and every damn one of them was talking at once. Not only that, about half of them were talking to me, not each other.

    “Can you tell me your name? What is you pain level? When is the last time you saw an Alpaca on a bicycle? Are you allergic to cheese? Pizza or tacos? Do you really need that foot or can we just toss it in the trash? This is going to hurt. Can you move this? Can you move that? Star Trek or Star Wars? And on, and on, and on…”

    I’m going to have to admit that this particular blog entry may not be as entertaining as some of the previous, partly because there was so much going on it is really hard for me to wax poetical about it and have the verbiage be coherent. So, I am going to try to hit the high points, if they can be called that.

    Now, remember, at this point I have called Evil Kat and that’s about it. I’m still not entirely sure whether or not I am going to live at this point, especially with everything that is going on around me, but this gaggle of people have now taken my cell phone away from me, taken my glasses so that I cannot see, AND they have stolen my shoes so that I can’t run away since they undid all of the straps. I’m still sprawled out on a backboard with a collar around my neck, and that’s when shit started getting real.

    I felt something cold running up my shins and I jockeyed my head into enough of a twist so that I could see a couple of scrub suited individuals with scissors having a fabric cutting contest.

    “Just WHAT the FUCK do you think you are doing?” Yes, I said that.

    “Relax, Mister Sellars, we have to get your pants off.”

    Now, there’s certainly that whole porn fantasy of a nurse telling you your pants need to come off, but this quite obviously wasn’t one of those adolescent, hormone induced daydreams. Also, she had just called me Mister Sellars… Now I’m old and I’m sure I’m going to die because I’m being talked to like a feeble elderly person.

    “There’s a goddamned zipper on them you know,” I replied.

    “This is faster.”

    “They’re my favorite jeans and you just turned them into rags.”

    “Sorry.”

    I should note now that pretty much everyone in the room is chuckling a bit while still doing all this medical stuff and calling out different long-ass, Latin-rooted (or just flat out Latin) terminology at one another, so you know what that means. Yeah, it’s sorta like being abducted by aliens because you can’t understand what they are saying, but they are obviously having a great time experimenting on you. So, what do I say?

    “Okay, fine. You can go ahead and take my pants off, but I’d just as soon skip the anal probe.” Again, yes, I really said that.

    We now went from chuckling to all out laughter. This room wasn’t going to be hard to work after all.

    “How’s your pain?”

    “Well,” I said, “It was a 6, now it’s more like 17 or 18.”

    My favorite paramedic chimed in, “He refused pain medication.”

    “Why?” someone asked.

    And so, I explained it all again.

    Now, while there are people farting about with my legs, and people farting about with flashlights in my eyes, and people asking me questions, and other people asking me where my insurance card is, and people feeling my abdomen, and people sticking their hands between the backboard and my back, and people making me squeeze things, there is an intern or some such on my left putting in an IV.

    Dude tells me he’s putting the cannula in my arm and I say, “No thanks, I’ve already got one.”

    “We have to put in another one.”

    “Why?”

    I never got an answer to that. In fact, he put it in, then the Doc in Charge tells him he put it in the wrong place.

    So guess what? Yeah, they put an oil well cap on that fucker, taped it down, then stabbed me again in a different place. Now I have the trifecta – three IV’s, no waiting.

    Then someone says, “We’re going to give you some FramoLiptoTriptoDiFremulene XQ, now. It’s a pain medication and it should help.”

    “I’d much rather just have a bottle of bourbon and a glass with a couple of ice cubes,” I replied. (Again, yes, I really did say that.)

    “How are you able to be making jokes when you are in pain?” someone asked.

    “I hear laughter is the best medicine,” I replied.

    Now, at this point the frenzy of activity is calming just a bit. Not completely. Just a bit. The Doc in Charge – and I really wish I could remember her name, because she was the shit. Seriously. She had a great bedside manner and really knew her craft. I later discovered that she is one of the top ER docs in the area and that everyone is always trying to steal her away to other departments, but she staunchly refuses, electing instead to stay in the ER. At any rate, the Doc in Charge says to me, “It looks like you shattered your calcaneus.”

    “That’s easy for you to say.”

    “Can you feel this?”

    “Yes.”

    “How about this?”

    “Yes.”

    “And this?”

    I tried to sit up on the table, “JESUS FUCKING CHRIST!”

    “Sorry.”

    When I caught my breath, “Don’t mention it.”

    “We’re going to get some X-rays.”

    “Cool. Put me down for a set of wallets and a framed eleven by fourteen.” (As if I need to note this gain, YES, I really did say that, as well as everything else I say in this post – and the others for that matter.)

    A bit out of sequence – This was actually taken AFTER they put a temporary cast on my foot/leg

    Now, at this point I really have no idea how long I had been in the ER. I suspect it had been a while, but I can’t really say at this particular point. I stress that because I DO know that by the time everything was said and done, I was in the ER for right at 6 hours, hence the name of this installment.

    By now a couple of X-ray techs have arrived with a portable radioactive laser death ray machine, and they are very carefully attempting to get the necessary 8×10’s with the circles and arrows and paragraphs that had been ordered by not only the Doc in Charge, but the numerous other Egos that had been called in to consult. I call them Egos because that’s pretty much what they were. In fact, they were even having pissing contests with one another whenever they were in the room together. The only one not engaging in the bullshit was the Doc in Charge, because she was a Doc, not an Ego. The rest of them just wanted to be in charge, but near as I could tell they were all too busy pissing on one another to know what being in charge really meant.

    So, anyway, back to the X-ray thing… My daughter had been contacted by EK and she had hightailed it to the hospital and they had sent her back to see me. She had only just arrived and I have no idea what it must have been like for her to see her dad sprawled out on a table, mostly naked, bloody, with tubes and wires attached, and grimacing a lot. At any rate, since they had to irradiate the premises they sent her right back out the door within a couple of minutes of her arriving. So, she was standing outside the room while all of this was going on – I point this out because she has noted that everyone in the entire place could hear me. Hear what, you ask?

    Well… In order for them to get the proper 8×10’s it involved moving my shattered foot. A lot. Into all manner of positions. I should also note that there were pictures of my back, too, because it turned out that I had broken that as well. But, we will get to that in a bit. Maybe.

    So, anyway, as they were moving my foot the pain, which had been blunted by the FramoLiptoTriptoDiFremulene XQ from an 18.5 down to a 12, now shot up to the 20 territory. They ask me about the pain and I relay this information. They say, “Well we will get you some more pain medication.” I say, “Just go ahead and get this done, then give me a goddamn bottle of bourbon.” They say, “Are you sure?” To which I reply, “Hell yes, and I don’t even care if it’s cheap bourbon.”

    So, they continued, and the pain went from the 20 territory to around 35-37.

    I grabbed the side of the treatment table and pulled myself up – which they really sort of frowned upon – and screamed, “THESE TWO GUYS WALK INTO A BAR!”

    They looked startled.

    I gasped in a breath and continued, “THE FIRST GUY SAYS TO THE BARTENDER, I’LL HAVE H2O.”

    They still look startled.

    “THE SECOND GUY SAYS I’LL HAVE H2O TOO.”

    Now they seem curious, and startled.

    “THE SECOND GUY DIED!”

    Again I get asked, “How are you cracking jokes when you are in this much pain?”

    “It’s what I do…”

    So, now that the X-rays are done (and, I should probably note, this was only the first round. They did another round of them about 30-45 minutes later) more nurses and doctor types come back in and inspect, detect, and otherwise inject me with stuff. By now they have let my daughter back in and she is sitting across the room in a chair watching all of this shit happen to me. To this day I am really sorry that she had to see all of that, especially at the age of 18. You aren’t supposed to see a parent helpless, at least not until you have a shit ton of life experience under your belt, and 18 doesn’t qualify. At any rate, one of the medical types (I say medical type because I am not sure if he was a doc a nurse or some other sort of assistant that works in the ER) engaged his “take the patient’s mind off the situation” training and asked, “So, did you have some big plans for tonight?”

    To which I replied, “Yeah. Sex. I’m married to a smoking hot redhead who is my best friend and we are pretty damn active in the sex department, but I guess that’s right out.”

    The ER Doc in Charge then says, “Wait? What? You’re going to dump me for the redhead?”

    See why I say she has a great beside manner?

    So… In truth, the next couple of hours were pretty damn boring. It was just me, the Teen of Doom, and a nurse in the room while all manner of decisions were being made about me. A doc would come through every now and then and lay some news on me – most of which would be, “We’re going to order this test or that test, so hang in there,” to which I would reply, “Yeah, well, it’s not like I’m going anywhere. You wingnuts took my pants.”

    I need to note here that FramoLiptoTriptoDiFremulene XQ kinda sucks.  It may do great shit for others, but not for me. So, they finally decided to give me Morphine. Now, I have experience with Morphine from the appendix incident. I was excited. I knew that shit would knock me right out. This time, though, it didn’t. BUT, it did take the pain back down to the False 6, which was now probably a real 6, but it would still spike to 15 or so on occasion, and when it did I would hold my breath and grunt my way through it. This is when my nurse decided that my Pulsox of 88 wasn’t all that good and slapped some O2 on me. She expressed concern about the Pulsox and I said, “It’s because I’m holding my breath when the waves of pain spike.”

    She said, “Stop doing that.”

    I said, “Easy for you to say.”

    She said, “I know.”

    At this point, since there weren’t any egos in the room I thanked her for being there and told her, “Look, between you and me, I trust you and all the other RN’s here. Maybe a couple of the docs, but most of them not so much. I know good and damn well that RN’s are going to keep me alive, AND keep the egos from killing me. So, thank you.”

    And here’s the thing, I wasn’t just saying that. I was sincere, and I believe it with all my heart. I know some fantastic docs that I trust with my life, but they are few and far between. Most of them – that I have dealt with over the years – are egos with legs. Nurses, on the other hand – I’ve only met one that I didn’t like and that was during the appendix incident. She was ready to retire, and believe me, she was about 10 years behind schedule on that given her crotchety demeanor.

    Anywho, there’s more but I am going to save it for the next entry because I have probably bored you enough at this point. The last bit for this post was the fact that the RN gave me my glasses and phone back so that I could make some calls. As it turned out, though, there was no cell service, so I was sorta hosed. UNTIL… You knew that was coming, right? The Teen of Doom pointed out that there was free Wi-Fi.

    Yeah, leave it to the teen to find the Wi-Fi immediately.

    So, I got signed in and jumped on messenger. I’ll leave this entry with what my loved ones who had yet to be contacted received that afternoon, along with the caption, “Now don’t panic…”

     

    More to come…

  • I Do Not Like The Cone Of Shame…

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    (Continued from Operator, What’s The Number To 9-1-1?)

    Here’s the thing about Ladue… Oh, yeah, we’re still right where we left off. I’m crumpled on the asphalt after falling off the roof of the St. Louis Ethical Society, a pre-school teacher is shushing me, my supervisor is on her way, and I have my phone in hand while attempting to dial some numbers so that I can say a few final I love yous to some people because the rudimentary assessment I was able to make of myself indicated that it was entirely possible I just might bleed out before making it to the hospital. This was driven a little closer to home by the fact that I was starting to feel somewhat lightheaded and I knew for a fact that I hadn’t hit my head on impact. No, I’m not a doctor and I don’t even play one on TV, but I also know a few things that I learned from them what DO have such degrees – and I’m not talking television degrees. I wasn’t so much diagnosing myself as I was making an assessment and saying, “Self, this ain’t good, and hopefully it’s not as bad as it could be, but ya’know, you’re showing a couple of signs here, so…”

    So… where was I? Oh yeah, Ladue.

    Here’s the thing about Ladue. Anyone who is from around these parts knows exactly what I am talking about when I merely utter the word Ladue. Those of you who “ain’t from around here” – and I know there are many of you readers who aren’t – are probably saying, “What the fuck, Murv? So what’s the big deal about this Ladue place?”

    Well, I’ll tell you. It’s kind of where the elite live. It’s the high dollar district. It’s where you find really big ass houses with 6 car garages, 12 bedrooms, 42 bathrooms, pools (indoor and outdoor), great rooms, formal dining rooms, etc. It is populated by corporate lawyers who sue other corporations for hundreds of millions. Pro athletes. Architects who struck it big designing a building that looks like an art deco penis. Shit like that. It’s where the rich people hang out. And so, not just a whole lot of excitement occurs around there. This is not to say that shit doesn’t happen. Shit happens everywhere. But, in Ladue, there’s not a whole lot of real excitement of the sort we commoners are used to. You’ll understand what I mean in a minute.

    So, back to me sprawled out on the cold asphalt bleeding and broken and trying to make some phone calls while the shush lady watches on in horror. (Seriously, I feel sorry for her. I hate that she had to meet me like that. I’m the happy go lucky maintenance guy there on odd Fridays. I’m the one saying, “Sure. Happy to take care of that for you,” with a smile while I clean up some mess or fix some broken thingamawhatzit. Your first introduction to me really shouldn’t be a string of high volume obscenities spewing out of my mouth while I bleed all over the playground. But, it is what it is. I just hope she isn’t having any flashbacks.)

    I’m digressing again, aren’t I? I probably need more coffee…

    So, anyway, since not much excitement goes on in Ladue on a regular basis – especially on an idle Friday mid-afternoon a few weeks before Christmas – getting a 9-1-1 call gives the fire department a chance to shine. And by shine, I mean they get to bring out every shiny truck they have, run the sirens, and every single firefighter and paramedic on that shift gets an opportunity to get out of the building for a few minutes. Now, I want to make myself clear – I am NOT in any way dissing the Ladue Fire Department. These guys totally rock. I kid you not. They are the shit. They really are. All I am saying is that since excitement seems to be scarce, everybody gets on board for it. Why am I telling you this? Well, do you remember the hurried footsteps from the end of the previous installment? Yeah… well, we aren’t talking about two sets of footsteps. Roy Desoto and John Gage didn’t come running up the steps – although, it would have been sorta badass if Randolph Mantooth and Kevin Tighe had turned out to be the responding paramedics (Yeah, I’m old, so sue me) – no… it wasn’t a couple of paramedics. It was ALL OF THEM. Okay, I’ll admit that I’m not sure if they were ALL paramedics. I know there was at least one, and his name was Trevor, but we will get to him in a bit. All I can tell you is that as far as warm bodies showing up I counted (eventually) a minimum of five. Hell, I don’t even get that much attention at my book signings.

    Now, at this juncture I am still squinting and trying to dial some numbers (remember back when we had phone numbers committed to memory? Yeah, I sorta miss that) so that I can say “I love you, goodbye” to a few people (now I have a Thomas Dolby earworm…), but as it turned out that wasn’t going to happen. Making the phone calls, I mean. Obviously I didn’t die. Unless I am a ghost writer, in which case this blog is about to get especially weird. Anyway, as the entire Ladue Fire Department descended upon me the whole notion of calling anyone came to an abrupt end. Things became pretty hectic, pretty fast, and given my state of being my observational skills were a bit blunted. What I mean is, I didn’t get to sit back and watch. I was in the middle of it and everyone had questions.

    I’ll be honest – I should have written a bunch of this down back on December 8th (later in the evening, I mean), because at this point a lot of it is a blur. The things I do recall are talking to Kitt, because she arrived on the scene as well. I remember asking her to take pictures of the action so that I would have them for a blog… After all, I knew then and there that if I lived I would be blogging about this. I have talked to Kitt since the fateful day, but I haven’t asked if she ever snapped a pic or two. I guess I need to do that.

    UPDATE: Kitt sent me the three pics she snapped at my request

    Everybody came to the party…

     

    The cone of shame…And the evil ladder in the background

     

    And away we go…

    Among the other snippets were Trevor the paramedic introducing himself. The other firefighters/paramedics introducing themselves, but unfortunately I don’t remember their names – mostly because Trevor was the one who rode with me to the hospital and was in the ER with me. Then there was being asked several questions, all of which I was able to answer just fine… You know the drill – What is your name? What is your quest? What is your favorite color? How many joules of free energy were created by the force of your impact? Yadda, yadda…

    During all this I was pretty much just watching blurs bounce around me, so very early on I asked, “Does anyone see a pair of glasses anywhere?” A few seconds of searching and one of the firefighters said, “Yeah. Here’s a pair of sunglasses.” To which I said, “Actually, they’re prescription and I am damn near blind. Would someone please put them on me so that I can see who the hell I am talking to?”

    Also very early on, one of the primary questions was, “On a scale of one to ten, what would you say your pain level is?”

    My response, “Oh, about a six.”

    “Only a six?”

    “Yeah. I have a pretty high pain tolerance. Just ask my wife. She’s a redhead.”

    And yes, they all laughed. And then they offered me fentanyl. And then I declined the fentanyl. And then they said, “Are you absolutely sure?” And then I said, “Didn’t I just tell you I am married to a redhead?” And they laughed again. And then Trevor asked, “Are you really sure you don’t want anything for the pain? I can give you something for the pain.”

    So, now I will tell you what I told Trevor – many years ago my appendix exploded (not burst. According to the surgeon it literally exploded) while I was out in the woods. After my wife and a good friend dragged my ass out of the woods and got me to a hospital I was shot up with painkillers (because I needed them badly). The problem was, when they got me to the next hospital (long story) where a surgeon could evaluate me, I felt fine and was talking to bluebirds and Snow White just for something to do. This prompted the surgeon to have me sign a release that said he was going to cut me open and fix whatever he found wrong, because it was that he couldn’t be sure from an external examination since I was loopy as all hell and didn’t respond to the poking and prodding as I should. Granted – the version I gave Trevor was slightly more abbreviated, but he got the gist. The long and short was that I wanted the docs at the ER to be able to figure out what was wrong without too much guessing because I wasn’t responding to their stabbo devices – if I wasn’t dead by the time I got there, that was…

    Either way, he reminded me several times that painkillers were available to me. I, in turn, reminded him several times that I appreciated the offer, AND that had they arrived about five minutes sooner – as in ten seconds post impact – I would have gladly taken every goddamn thing they had in stock and demanded more, but that Adrenalin and the onset of shock were now doing the job of the painkillers… AND, after all, as I had noted, I am married to a redhead. A six is nothing in the grand scheme of things.

    It was at this point – well, when they all stopped laughing – that I was told, “You know, we get people who have done nothing more than stub their toe and they are screaming and demanding drugs.”

    To which I replied, “Lightweights.”

    After a quick encounter with a sphygmomanometer, Trevor announced, “Your blood pressure is a bit high.”

    My reply? “Dood, YA’THINK? No offense, but I just fell off a fucking roof. I’d expect it to be a bit high.”

    At this point I should probably point out that they had all been working on me as they were supposed to do. They’d already cut my pant leg and then insisted that I lie still because I was trying to see what they had uncovered. I asked, “So, is it a compound fracture?” An aside here, I also seemed to amaze the crap out of them with some of my questions and limited knowledge of things medical such as knowing I’d had an Adrenalin dump, that I was getting shocky, and knew exactly what a compound fracture was, not to mention the difference between a tibia and a fibula. Anyway, the reply was, “Not really sure just yet.”

    Now, I’m hard of hearing, but when you are on your paramedic radio right next to my head, I can hear you, and what they were telling the hospital was that it appeared to be a compound that had come through then reduced itself so that the bone was no longer poking out. Of course, at that point, given the size of the gash in my leg and the amount of blood, without an X-ray that was about the best they could surmise.

    By the way, sorry for the disorganization here. As I noted earlier in this post things were pretty blurry and disjointed. I remember snippets, but not everything.

    So, by now they had carefully peeled off my coat, cut my favorite blue jeans all the way up to my knee, removed my shoes, gingerly moved me onto a back board, attached an EKG, locked me into a cervical collar (hence the name of this post) and strapped my happy ass down with all manner of ratchets and ties that would make the Redheaded Dominatrix I am married to squeal with glee and say, “Oooh, look at the toys!”

    Somewhere in all this mess, I gave my truck keys to Kitt so that EK could come pick up the truck and sell it after I died. I’m pretty sure I remember Kitt talking to EK on her phone and letting her know where the paramedics were taking me. And then, the thrill ride began.

    Now, when I say thrill ride I don’t mean the ambulance ride. That was pretty anti-climactic in reality. Wasn’t my first, but hopefully it will be my last (but probably not.) The thrill ride of which I speak is getting off the deck. You see, the building was constructed back in the early 60’s during a time before common sense. I can say that because I grew up in the 60’s and I know good and damn well none of us had any of the above. Some of us still don’t, but let’s not go there. Anyway, the stairs to get up onto this deck are straight the fuck up. They are like climbing K2. Trust me, I know. I have been up and down them numerous times carrying tools, materials, and <gasp> an extension ladder. On top of that, the gate at the top of the stairs is a bit on the narrow side. It’s designed for a person to come through. It is not designed for a person on a back board carried by a half-dozen paramedics to come through.

    Suffice it to say, these guys carried my fat ass down those stairs and loaded me into the back of the ambulance and didn’t once drop me, which was much appreciated.

    So… There I was in the back of the ambulance. They started an IV, because everyone needs a “four” when they are hurt. (think about it)… Trevor once again asked me if I wanted some fentanyl. I replied, “Dude, have you got short term memory loss? Haven’t I told you several times I’m married to a redhead?”

    He laughed, then asked me how I managed to be cracking jokes when I was in as much pain as I obviously had to be in.

    I told him, “There’s humor in everything. Sometimes you just have to look for it really hard. Besides, there’s that whole shock and Adrenalin thing. I’m going to be a lot worse when that wears off so I am holding out for the really good shit.”

    Then the door closed, the siren started up, and I took a horizontal ride to Mercy, about 7 minutes away.

    More to come…