Saturday, June 19, 2010

A Black Comedy, In Three Acts

At 7:30 Saturday morning, Susan and I reported to the Urgent Care Center, as instructed on the computerized appointment schedule that MSKCC maintains for each of its patients. Dr. Glare had tried to arrange for me to bypass the UCC and be seen directly by the Interventional Radiology department, to determine whether the I.R. doctors could remove some of the ever-increasing fluid in my body cavity. Thus, I was feeling a bit grumpy about having to keep a third appointment with the UCC, as the first two such appointments had proved to be an exhausting waste of time. 

We waited about two hours for a confused UCC physician to see me, who said that my records showed that I had gone to I.R. two days previously to have fluid drawn. Nevertheless, she agreed to examine me ultrasonically to see if there were fluid she could access with a needle; she found an accessible pocket and drained some three liters of fluid. I would guess that there are another ten liters where that came from. After I was dismissed, and we went home and had lunch, I discovered that the UCC had forgotten to disconnect my Mediport. In a lamentable mood, I paid my second-- this time gratuitous-- trip of the day to the UCC.

When I returned home, I worked on this book via Skype with the book designer and editor and suddenly developed chills so severe in the 90- degree summer temperature that I had to don a heavy cashmere jacket, ski parka, stocking cap, and Arctic gloves to stop shaking. My temperature shot up to 101.9 degrees. Partly because of dread of another long, uncomfortable wait, I delayed going back to the UCC. Also, I was trying to think through whether dying of an infection might not be as good an alternative as I am likely to get. 

I concluded that I don't know anything about dying of an infection and reluctantly went back to the UCC about 7 PM. About three hours later a doctor saw me, who recommended that I be hospitalized and begin intravenous antibiotics. In spite of my having had an adverse reaction to a penicillin drug in the past, she recommended using a penicillin-related drug. When I asked what would happen if I got an anaphylactic reaction, she said, "We will intubate you."  

After signing a form indicating that I was acting against MSKCC's advice, I got a prescription for non-penicillin antibiotics, and we went home. Altogether, my three trips to the UCC had involved about eight hours of waiting around, with pain mounting as fatigue deepened. As I finish this post on Father's Day morning, I have gotten a little rest, and I have only a mild fever.