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BY: JAMES F O’NEIL

“We cannot learn without pain.”  –Aristotle, Politics (V.1. 1301a, l. 28)

* * *

“It’s just an overnight,” my urologist said to me.  I accepted that after he had examined my bladder and naughty bits for cancer and for whatever prompted him to speak “There’s something there I don’t like the looks of,” after he had probed me and scoped me with the cystoscope.

Now it is easy to whine about how I got to that point in my illness and relate about the symptoms which brought me to the hospital two weeks later for pre-op.  For I was so ready for the promise of relief from pain that prostate surgery would provide.  I was prepared to “undergo the knife” (or whatever other instruments the surgical team would use).

For the next two weeks I cleared my busy retiree’s calendar of all doctor and dentist appointments, planned speaking engagements (kidding…), and prepped for a hospital overnight, followed by three or four days of rest and relaxation.  I organized my writing and reading materials, organized to be placed in the TV Room–Guest Room–Sick Room, with its queen-sized hide-a-bed, with its proximity to a bathroom.  In addition, the TV with ROKU, Netflix, Prime, and hulu, among others.

I had my supply of “diapers” and other special hygiene needs.  An ample supply.

What I never did before surgery, however, was ask the doctor what took place during the procedure.  I had no clue and never did go search the Internet or Home Medical Guide in detail, or visit You Tube for any kind of heads up on what I was in for.  I expected pain and discomfort, bed rest, medications, inconveniences, and the many hours of sleep after I came home from the hospital.  Nevertheless, I felt prepared, having complete trust in my specialist, and was making myself ready for a new medical experience to add to my list containing appendectomy, tonsillectomy, hernia, and hernia repair, two knee surgeries (with a total replacement), a gall bladder attack with a swift surgery and hospital discharge to home, and two surgeries for feet and toes.

In my years, I have had sufficient days spent in a hospital and have had to slide over from a hospital bed to a surgical table: “One, two, three. . .”  I have had my trips in hospital elevators, down hallways and through No Entry doors to arrive in freezing cold operating rooms, with distinctive bright lights, beeping sounds, and muffled voices of gowned and masked nurses, and others.  Down those hallways with neon-fluorescent ceiling lighting, under one, and another, and another.  Turns and doors and more turns and more doors.

Then, once on the table, after the Q & A by anesthesiologist, oxygen tube into the nose, the familiar-to-all, from experience or from living with Grey’s Anatomy, The Resident, ER, and so many other St. Elsewhere TV episodes and movies, “Take a deep breath through your nose,” or “Count back from . . .”  “Ninety-nine, ninety-eight, ninety. . .”

Then nothing.  Except time passing outside the body.  Then, until, “Mr. O’Neil. . .”

* * *

“Mr. O’Neil, are you in pain?”

* * *

“Mostly thirsty.”

The surgery did not go as expected; I was returned to the hard black surgical table the next day for a bleeding fix-up.  Unexpected collateral. 

. . . four nights, sleepless nights, uncomfortable nights in a hospital bed . . .

“You’re going home this afternoon.”  I arrived home, Transportation by Son.  Into the Sickroom.  Into the home bed.  “Ready.”  For sleep-rest, and some Netflix.

Not so fast: It did not last.  Shortness of breath.  Days passing.  Weakness, to the point of crawling. 

A trip to the ER, there a CT scan and EKG.  The usual routine for heart attack.  The ER doctor said, “Good news and bad news.  It’s not your heart.”  And?  “Pulmonary embolisms in the lungs.  You’re being admitted.”

Collateral damage.

Thus began the journey of 41 days and overnights of hospital-patient life, including 12 days of re-hab in a nursing care facility.

* * *

“Just an overnight” became days with tests, blood draws, blood transfusions, medications, specialists, sleepless nights (but mostly tasty food when I was up to eating). 

Then depression and boredom.  (I read nothing from my Kindle or from my magazines.  I would watch television late until I couldn’t see, then fall asleep until the 3 a.m. and 6 a.m. “Mr. O’Neil, could I please have your date of birth?  I need to take some blood.”  My left arm was pin cushioned.  Some techs took blood from my hand between my knuckles.  Ouch!

* * *

“Orthostatic hypotension.”  I was a lump, a sack of bones, losing weight, with no one fixing me or making me better, I thought.

Finally, out of bed into a recliner chair—a true milestone.  I could even walk a few steps, weak, but willing to go.  And then, after, the hospital (and insurance company) deemed it necessary for me to exit my private room, and be discharged.

I was stable and prepped to go.  A new adventure beginning with a wheelchair ride into a wheel chair ambulance to my next place for recovery.  The experience in the nursing home rehab facility was a coda to all I had been through.  The staff worked wonders, getting me to Occupational Therapy and Physical Therapy.  “I can walk!  I can walk!” 

I could walk.  I could wash.  In addition, I could eat!  Oh, the meals!  At 7:30 a.m., 11:30 a.m., 5:30 p.m.  So much–too much–good food, and soup twice daily.  The twenty pounds lost during my hospital stay were regained: My muscles were beginning to re-assert themselves. 

I could walk—with help and safety belt.

Soon I was homeward bound, with cane and walker furnished by Home Health Services.

I made it!  “Going home!”  Ah, sweet words.  “Going home,” there to “re-cover.”

* * *

Anything I write more or tell about my time hospitalized is redundant (and getting boring).  My memoriesofthetime come and go, drift into my consciousness, spend some time, then drift away the way they came.  I’ll never say I do my best to forget; I simply forget some details not to be commentated upon.  Sometimes I can hear myself “It was horrible.”  Or, perhaps, “How did I ever endure?”  I did.  And it was horrible at times.  Boredom.  Pain.  Malaise.  Ennui.

I was bolstered at times by my “De profundis” (my heartfelt cry of appeal expressing deep feelings of sorrow or anguish), or “This too will pass,” despite a cardiologist’s exclaiming “What’s going on here?!”  In addition, “We can fix this.”

So I got fixed enough for home.  “Just an overnight” are words with a dimension of meaning I never knew existed for me. 

I shudder a bit when I hear “Just an overnight.”  I am confident, though, that “this, too, will pass.”

© James F. O’Neil  2022

Hill-Rom Centrella Smart+ Bed(TM): “Because life altering moments deserve elevated care.” (PRNewsfoto/Hill-Rom Holdings, Inc.)

BY: JAMES F. O’NEIL

“In by 7, Out by 11.” 

Some dry cleaners had that as their motto, often prominently displayed in the front window of the store.  As a kid, I never had to have any pants or shirts by 11, so I really did not care about the saying.  However, I am sure that for men who had to have dress pants ready for an afternoon meeting or an evening’s activities, this type of cleaners provided a necessary service, often “at a moment’s notice”: “Same Day Service.”

Neon Sign

I pictured girl friends or wives rushing to be there by seven in the morning, to be able to have shirts ready and pants laid out, with proper tie, for the dinner, opera, or theatre when the man of the house arrived home from work.  No doubt it was a rush job–and maybe poor planning on someone’s part.  Nevertheless, the cleaners did their job–and the man was dressed for success.     

Where I went to high school, I had to wear a suit coat and tie.  For four years, that was our daily dress.  My coats often came from my Uncle Bill, hand-me-downs that worked just fine.  The coat usually stayed in my school locker; shirt and tie were put on in the early morning at home.  My high school yearbook picture shows me so neat, with shirt and tie.

Jimmy yearbook picture 1960

SENIOR PICTURE

(My dad did not wear a tie to work to drive a bakery truck, but he did for church–and dinners–and taught me well how to tie my ties.)

Teaching in high school in Chicago, I wore ties every day: with white (laundered and starched) shirts, for three years.  Later, in Florida, I continued to wear ties, and was comfortable, for the rest of my teaching career.  For the most part.  And that was all right, especially when I was teaching classes like Professional and Business Writing.  I felt that I was setting a kind of standard often mentioned in the textbook as good business dress–even having the tip of the tie “just below the bottom of the belt buckle.”  Dressed for Success…        

That is how I was dressed–wearing a striped Oxford button down, tie (100% silk), and dress trousers–on Gall Bladder Tuesday.  This was a class day like none other EVER in my whole life, with “one of those moments that changed your life forever.”         

I have had my share of illnesses and sickness and operations: tonsils, appendix, hernias, and the awful total knee-replacement surgery.  “On a scale of 1 to 10, what is your pain level?”  I was asked when I awoke in the recovery room after my knee surgery.  “ELEVEN!  ELEVEN!”  And that was no kidding around.          

That was the worst pain I had ever had in my life.  I thought.          

My Tuesday night class progressed as normal, having begun at 5 pm.  Most of the students were present for a professional business lecture.  My tie was perfect, one of my favorites, gold with miniature World War I biplanes in neat little rows, evenly spaced.  I tied it without a problem earlier in the afternoon, around three o’clock.  I planned to end the class at 6:30, with time for discussion and individual questions.  As usual, during the lecture, I was beginning to lose my voice, and was in need of a throat lozenge or cough drop.            

Something happened that Tuesday night after I took that cough drop.  I winced–and began to sweat.  Perspiration, like never before.  That was one powerful Hall’s cough drop!  I was then having a worse pain in the gut.  I did not recognize this pain, and was soon beginning to get very nervous: about me, about the class.  I hung on, of course.  I was the teacher.  By 6:30, they and I were ready.  Class was over.  Then I was alone with the pain.  I sat down and gulped the rest of my cherry Coke.  Then some water.           

I gathered leftover handouts, locked the door, and made my way to the faculty parking lot.  In the car, I sweat, turning the AC on me.  I nearly ripped off my silk airplane tie, and unbuttoned my shirt, down to my belt.  I sat back, trying to decide: a heart attack or a bad candy bar I ate earlier.  I weighed the decision to go to the hospital, to home, or to the nearest fire station.  I chose home.   

“No, can’t do it.”  I made my painful way to the hospital near my home, calling my wife to meet me.  By now I was practically holding my ankles near the gas pedal from pain.  I was in the hospital hallway by 7:00 pm.            

A paramedic walking in the hall helped me into a wheel chair.  I was rushed into an exam room, stripped of all but socks and my undies (“Make sure you always have on clean underwear in case something happens!”  I could hear Generations speaking), and then wired to every machine available.  High blood pressure, intense pain, but no heart attack.

“What is your pain level, Mr. O’Neil?” the ER nurse screamed at me.  “MR. O’NEIL!”  Oh, it was off the chart, as I squirmed on the gurney, on my back, of course, doubled-over with pain.

pain measurement scale

“HOW MUCH DOES IT HURT?”

Dilaudid did it: “AAHHHHHHH….”

By 11 pm, after a CT scan, the ER doctor, having ruled out an aneurysm, decided to consult with the surgeon on call.  I was moved to a room at 2:15 am, where I was morphined.            

At 6 a.m., “Gall stones for sure,” assured the surgeon, drawing me a cartoonish explanation.  “Surgery at 9.”            

“Take a deep breath, Mr. O’Neil,” some masked person spoke, putting something over my nose.           

I was in by 7, out by 11, then back in the room, and was told all went well.  I would be able to leave after 5!

What dry-cleaner success!           

At 7:30 p.m. in the dark, I was home, weighing a bit less.  Twenty-four hours!  I had a reamed out belly button (bandaged, of course), and three neatly spaced slits for the instruments.  I did not have to endure a lengthy procedure of cutting and poking and stitching and tubing and pumping and being sick for five hospital days.  I was certainly lucky.           

Of course, in the ER, the paramedics had chided me.

“Call 9-1-1!”

“Yes, you’ll find me by the side of the road, by my car.”  I thought of that, but then thought, What would happen to my car?  So I tried for the hospital.           

Besides, I had advanced degrees.  I knew what to do….  Dumb…

©  James F. O’Neil  2014

 

 

 

 

 

 

By: James F. O’Neil

“Find a place inside where there’s joy, and the joy will burn out the pain.”  –Joseph Campbell

 

Hospital bed

Photo: Hill-Rom

Recovering from knee surgery was an ordeal that included many nights of restlessness and pain.  During those times, often under the influence of medication, I would lie in my hospital bed, trying to ease the distress by visualizing my home, mentally walking through each room, recollecting objects, colors, and decor.  Soon I was focusing more specifically, trying to picture book titles, CD labels, and the covers of my DVD collection.  I was trying to remember, to ease the pain.

After the allowed hospital stay post-surgery, I had to spend a week in a private room in a rehab center.  There I was welcomed, my aides eager to heal me, though determined to spoil me in the process.  Constant attention was paid to the person in the private room, who just wanted to moan and get some rest.  For unknown reasons, again, my mind would drift, and my memory would work to make mental lists. 

In the evening, I would fall into a light sleep.  I would dream lightly, and then awaken after an hour or so, in my darkened room.  Forced to lie on my back because of the surgical staples, I could turn a bit on my side, enough to reach the bedside stand and the light–but also my gel pen.

On the back of the small slip of paper (my evening meal menu), I added item after item from my mental lists–items that I deemed important.  

During the day, I would study my list.  Between sessions of the staff trying to help me move, to do some exercises, and my pleasant occupation of trying to regain my strength by eating, I would edit and refine my lists. 

At home, after my release from my sick bed, I found some time to copy out those remembered “favorites”–those, “What-if-you-were-stranded-on-a-desert-island-with-only-one…?” whatever-item.

By many standards, my hospital list might seem amateurish.  Nevertheless, as I later began to study the items, I was surprised that such awareness and detail could come during periods of intense pain.  Even though I felt at times as though I were dying, I knew I was not.

I just wanted out of that hospital bed, out of that place–and wanted a Jack and Coke….

 * * *

Here is some of what I scribbled:

The Written Word:  Othello; A Tree Grows in Brooklyn; The Guns of August; The Power and the Glory; Childhood’s End; The Handmaid’s Tale.

My Visuals:  Vermeer; Tiffany; Bernini; Crayolas; Chicago Architecture.

Music:  Vivaldi; La Boheme; Gregorian Chant; Streisand Duets; Fleetwood Mac.

Movies:  English Patient; Casablanca; Jerry McGuire; Shakespeare in Love; Carousel; What Dreams May Come; Moonstruck.

My Beverages (Yes, I even thirsted after other types of pleasures):  Jack Daniel’s; Scotch whisky; Gewürztraminer; Diet Vanilla Coke; Arizona Sweet Tea; Cherry Dr. Pepper. 

What Dreams May Come

Photo Credit: aesteticum.com

 ©  James F. O’Neil  2013