Tag Archives: kidney stone removal

The End of Adolf the Kidney Stone…Padre Steve Muses on Surgery

Smiling again…Adolf is Dead

Well neither the Abbess nor I slept well last night as we waited for morning and the trip to the hospital.  I finally got to bed at about 0400 and was back up at 630.  We made it to the hospital in plenty of time.  I went by the office a few minutes and Chaplain Derek Ross walked us up to the APU and on the way took the time to pull aside at the small chapel near the OR to have prayer with us.

Adolf Getting Blasted By the USS Enterprise NCC-1701

Upon getting to the APU I was given pants, a smock and robe, which thankfully did not leave my tookus exposed.  Within 45 minutes I was taken back to the pre-op area and prepped for surgery getting an IV for my IV fluids and medications as well as a port for the anesthesia medicines.  I asked the Nurse Anesthetist if I would be under “General Anesthesia” for the procedure and caused him to laugh when I asked if that involved watching a video of an Army General giving an incredibly boring Power Point briefing.  The man like me has spent a good number of years in the Army and said that he would have to remember that.  The intern working with him was one I had worked with on ICU and of course the Urologist was my former battalion medical officer at 2nd Combat Engineer battalion back in 1999 at Camp LeJeune.  Once all was prepared they wheeled me to the OR where all I know was that I went under anesthesia and woke up in our post-op ward.  I was of course monitored continuously and intubated for the first time in my life, something that I knew that they would do but had no idea it happened until I tried to talk and felt the scratchiness in my throat.  I was also fitted with a stent to keep things open which I get to keep for a week. Here is a video of a Laser Lithotripsy:

http://www.miamiroboticprostatectomy.com/videos/video002.html

The surgery was successful but I was told by the Abbess that the Urologist told her that he had to do some fancy maneuvering to move Adolf into a position that he could get a good shot with the holmium  laser but that it went well with some minor injuries down there that I will have to ask him about.  After my time in recovery I was taken back to APU where I was prepped for discharge and in pretty good humor despite some discomfort especially the pain that I experience in the process of urination, which I am mandated to do to the tune of 3-4 liters a day.  Since getting home I have had to repeat this painful procedure often.  As I was wheeled to the car Monsignor Fred Elkin came down to see us off.

We went to dinner at Biersch where we were treated by some of our Stein Club friends and that was good, my first food other than two graham crackers and two saltines after surgery in the APU.  I was given a butt-load of medications for my recovery and will schedule my appoint for removal of the stent and follow up in Urology tomorrow, since I will not get it removed for a week they don’t plan on clearing me for work until the 17th.  So I have to take things easy and slowly get some light PT in at home.  I have lost two weeks of my conditioning program but should be able to get it back before time for the Physical Fitness Assessment rolls along next month.  I was hoping to do the early bird test but may have to wait a couple of weeks into the cycle.  Regardless I will do well, inshallah.

Thanks to all who encouraged, prayed and laughed with me throughout this ordeal and to those who were involved with my care.

Peace

Steve+

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Padre Steve Gets Adolf the Kidney Stone Removed: Musings on Laser Lithotripsy

Adolf Von Grosse Schmertzen will see his last sunrise in the morning, or whatever he can view from where he is at in the ureter.  Whatever, since he has stayed in his bunker and made my life miserable for the past two weeks he will not get to stay intact as a reward for leaving.  Instead he is going to get blasted to pieces by the latest and greatest in Kidney Stone breaker-upper technology, the Laser Lithotripsy using a holmium laser mounted in a endoscope.

This procedure is replacing the older method of extracorporeal shock wave lithotripsy as the standard of care in treating bastards like Adolf.  The older method was less invasive and used shock waves generated outside the body to break up the stone. The new method which according to the literature is “minimally invasive” involves passing the endoscope up the pee-pee thru the bladder and into the tunnel, the ureter, between the bladder and kidney where Adolf is dug into, sort of like his namesake who did the same in a Berlin Bunker back in 1945.  When the endoscope reaches Adolf the Urologist will direct a “laser” beam into Adolf “vaporizing the stone.”

Evidently there is no stone that has been able to withstand this high tech assault and the remnants of Adolf will be flushed into to sewer of history.  The success rate for this procedure is in the 90-95 percent rate according to the literature which means that for me there is a 50-50 chance of success though only a ten percent chance of that.  My assumption as to why this has replaced extracorporeal shock wave lithotripsy is that for the Urologist it is much more like imitating Luke Skywalker when he blasts the Death Star or playing the video game Asteroids.

Now I will go in tomorrow and be prepped for the procedure, I report at 815 and am told that it will be an hour or two until the procedure will begin.  Usually the preparation involves placing an IV, placing monitor equipment and asking lots of questions.  The one question I hope they ask if I have any special religious needs.  If they do I will ask if the have a live chicken, a sharp knife and an altar with candles and a shot of rum.  I am told that I will go under “General Anesthesia” which I imagine as being forced to watch a very boring Army General giving a briefing on power point to his subordinates.  Since I have slept through a few of those I image that this will be the case again.

Today I got a call from the Ambulatory Procedure Unit where I will be prepared for battle and then taken to the Operating Room, or the O.R. as medical professionals call it.  My Urologist says that the procedure could take up to three hours but that he expects that it will be done sooner than that. I do hope so because I need to wake up fast after the briefing of the boring General so that I can get home and then top off the day at Stein Club appreciation night at Gordon Biersch…yes, I know I’ve heard that you are not supposed to have alcohol after being under anesthesia but it won’t be like I will be having a beer in post-op, they don’t have any good beer there but I digress.

Today Adolf obviously sensing that his time is short has been giving me a lot of pain even with the Vicodin on board.  I cannot eat or drink anything after midnight so I’d better finish this so I can eat something to go with my last dose of Vicodin.  Providing nothing goes wrong I expect to be writing of my experiences tomorrow night, inshallah.

Of course my mind drifts to great medical films like Robin Cook’s Coma and certain episodes of House, M*A*S*H, Scrubs, the X-Files and the “Junior Mint” episode of Seinfeld which I find very comforting when facing surgery.

Pray for me a sinner,

Peace,

Padre Steve+

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