Wow! Can You Really Do That?

May 7th, 2008

I mentioned that my job took the family and me out to the desert east of Palm Springs.  At the time, I still had unfinished business in the L.A. basin, requiring periodic day-trips back.  During this same time, we had a problem regarding our oldest son’s orthodontia.  He had started with an orthodontist in Manhattan Beach, just north of our then home in Palos Verdes.  It was covered by dental insurance but, because he had spent so much time dealing with the problem, the orthodontist had billed the maximum amount to the insurance company.  This meant that he was, effectively, making all of the final adjustments and examinations for free.  To see a new orthodontist near our new home would mean paying a substantial start-over fee and an additional fee for each additional visit, none of which would be covered by insurance.

 I did the math.

 It was far more cost effective to put our son on a plane to LAX, where his grandmother would pick him up, take him to the dentist, and then put him back on the plane for home.  For him it was an adventure.  For her it was a chance to see her grandson and do grandmotherly things.

 Once, I had business in L.A. on the day he had his appointment.  We decided to fly in together and make a day of it.  I would sit through his dental appointment and he would sit through my meeting with the Century City attorney.  We might even grab a burger or something if his teeth didn’t hurt.

 We finished our business and went back to the offsite car rental place to turn in our car.  On the trip back to the airport we were the only passengers on the courtesy bus.  We sat up front, next to the sweet, twenty-something driver. 

 She looked at my son and, trying to be conversational, said, “Hey, why aren’t you in school today?”

 He looked over at me and then back to her.  “I don’t go to school.”

 “What do you mean you don’t go to school?”

 “Just that.  I don’t go to school.  I just travel everywhere with my father.”

 “Wow! Can you really do that?  I mean, don’t they make you go to school?”

 Turning to me, he said, “Tell her dad.”

 “Well,” I said, “have you ever seen pictures of the Eiffel Tower or Big Ben?”

 “Yeah, I guess so.”

 “Well he’s actually seen them in person.”  (This was true, but not for the reasons mentioned to her.)  “We just travel all over the world and I teach him whatever he needs to know.  When we have a history lesson about some place, we just go there and look at it.”

 “Wow!”  (Maybe her favorite word?)  “That’s just too cool!”

 She stopped at the American Airlines terminal to let us out.  As we stepped out of the bus doors, I turned to him and said, “Well, where do you want to go today?”

 He glanced at her and said, “I haven’t seen Detroit.  Let’s go there.”

 As we entered the terminal he looked back at her, still sitting at the curb, and said, “That oughta give her something to tell her friends.”

So, What Would You Do?

April 18th, 2008

Well, we have an answer.

To recap, last December I had “minimally invasive” heart valve replacement surgery.  This involved slicing open my chest over on the right, inserting a robotic arm between the ribs and going into the heart to replace the Mitral Valve.  (The spell checker just suggested that it should be spelled “Mortal.”  They’ve got the spelling wrong, but maybe the definition fits.)

As readers of The Empty Rocker are aware, the surgery went fine, but there was a problem with my upper chest whenever I coughed, sneezed, hiccupped or laughed.  These so-called “Valsalva’s Maneuvers” (and a few more) occur in everyone’s daily life.  When they happened in mine, they were accompanied by a bulging or popping of the chest wall (about the size of a deck of cards) and moderate, continually increasing pain.

A total of six specialists have reviewed the problem and have come to six conclusions.  I think I have alluded to it being like the fable of the blind men trying to describe an elephant.  Each specialist has been able to exhaustively explore the problem from his own narrow practice viewpoint and five of them have come to the same two-pronged conclusion.

I have heard, “I’ve never seen that before,” and “This is definitely not within my specialty,” on more occasions than I can count.  (Well, no.  I can count to five. And I have to add in two radiological technicians, so the number is actually seven.)

Specialist No. 6 is a thoracic surgeon who is on the teaching faculty of Vanderbilt University.  He has a simple and definitive answer.  Sometimes, when “minimally invasive” surgery in the thoracic cavity (the area inside the ribs where the heart and lungs live) is completed, the sutures holding the ribs back together can fail or get torn out.  This can cause a herniation of the lung, in turn causing pain and a bulge in the chest.  It is not common, but it is not unheard of.

That is what happened in my case.

Now, here’s where it gets intriguing.  He has performed several operations to relieve this problem.  He explains that it is a simple procedure with far less risk than the operation I just went through.  It would, however, be nearly as painful (a lot!) and have a 50/50 chance of reducing the chronic pain.  Failing to have the surgery will not result in any increased medical risk from the condition, but will likely mean having this condition and its associated pain for a long, long time.  On the other hand, the problem could resolve itself anywhere from nine months to a year from now. 

Or never.

I’ve made a decision, but before I tell you what I have decided, I have a question for you:

So, what would you do?

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