Tuesday, April 26, 2011

To Hospital Hell and Back

RELAX, I WAS NOT THE PATIENT, FORTUNATELY

Just yesterday I experienced one of the most frightening medical-facility days of my life. As is well-chronicled, I have had a few anxious moments in hospitals over the years, both job- and patient-related, so I do have credentials, eh? Once again in my role as a CTDN Donate Life Ambassador (you may simply refer to me as "Mr. Ambassador" or "Hey Dummy", whichever you prefer) I offered to help at a donor registration information at a hospital I shall refer to only as "Hospital X", or just X for short. This is to protect both CTDN as well as members of our family from any unpleasantness arising from my comments.

After a brief self-inflicted period of confusion finding the parking garage, I began the inevitable stopping and staring at the floor plans posted on the walls for visitor guidance. Those and the signing were not bad, but most of the medical centers with which I was connected have conducted extensive employee training in customer awareness. The most basic component of these is noticing and assisting people who are obviously in need of directional assistance. I have noticed recently in other hospitals that often staff members will approach politely even if you don't seem lost but are just obviously a visitor, and offer assistance before you need to ask. And in many situations when directions are necessary, employees will actually physically guide you at least part-way to your destination, instead of just pointing and saying "Just go down there, turn left, then spin around backwards three times and turn right, You can't miss it". Thank Disney for providing the nice way to help people find stuff.

Well, as you can imagine, nobody could tear themselves away from talking basketball or "shooting the s**t" so to speak, in order to help me out. I correctly guessed our table would be in the cafeteria, and when I spotted the Donate Life banner in the hallway, I knew I was on target.

The good news was that the table was attended by Laura from CTDN and Frank, a rare heart/kidney recipient. As we got acquainted I could not help but start to eyeball the area. So the bad news is that it was a train wreck. Maybe you've seen something like this; signs on everything saying "Don't Do This" and "Out of Order", negative crap like that. And of course there were empty pans of unappetizing food, all cold items since no hot food is offered until dinner hours (a common practice in even well-run operations). But way worse was the employees' level of attention (no, not more of that!).

After wandering around the serving area a bit, I was treated to some very healthy shouting as a cook was hailing a friend who could well have been somewhere South of Gilroy, such was the decibel level. I stopped to speak with the cashier but gave up after she failed to look up from her texting session. In checking out the nearby coffee cart, again I went unnoticed by the attendant who was not only paying rapt attention to her cell phone, but was simultaneously entertaining a young child while she "worked" inside the cart. All this while many of the dining room tables were liberally decorated with dirty trays and dishes, abandoned newspapers, and crumpled napkins, one of my major pet peeves from the Old Daze. Absolutely no attention was given to even a cursory cleanup, as it would have proven distracting to shouting, texting and child care. Sheesh.

Luckily the day was saved when Laura allowed me to attend a brief educational session with her for the nurses of the ER. The purpose was to inform them of an upcoming seminar on transplantation, although the staff on this very busy urban emergency unit were already well-informed on the subject. Laura ran up and down the corridors telling anyone who was not too busy to "come meet this recipient guy", which they did. It was quite gratifying to speak with several of these brave souls, who were either fighting grim battles in the treatment rooms (and hallways...Yikes!) or about to thankfully exit at shift's end.

Laura guided me back to the garage and I made a successful escape from X without too much physical harm. I pulled to the curb to phone Cheryl, and noticed a strangely-customized Pontiac of some sort maneuvering up to a gas pump next to the street where I was parked while the driver pulled on a cigarette. Not wanting to suffer major burns in the impending explosion, I hung up and made swiftly for the freeway and our safe humble home in the 'burbs.

OTHER STUFF

Seems like bullet lists make reading go faster, except you get stressed like you gotta read all this bunko and sign it before the guy behind you in line gets perturbed and pulls out an assault weapon from his iPad case. So please, don't trip if you decide to check out the next section of both social and scientific natures: (Dammit, I don't know if bullets are possible on this blog! So how about dashes? Ok, you say? OK, then!)

-Our heavily-anticipated visit to the Spine Center at UCSF was accurately predicted by my Livermore heart/kidney buddy, Fred. He and I were both told we could do physical therapy, drugs, or both. Depending on our "lifestyle decisions" if those were insufficient then the only "cure" would be back surgery. We are both taking Door Number One, PT. So far, so good, and I do feel pretty good most days.

-After lunch with my Muir friends Ken and Mike, I was afforded a guided tour of the new kitchen at John Muir, Walnut Creek Campus by my comparades Sandi, Alison, Pat, JP and Dennis. It was nothing short of magical, since the old facility put a staggering amount of meals out of a very tiny preparation area. The new one is vast, with refrigeration everywhere and a storeroom that could easily be the new home of Your Oakland Athletics, thus saving lots of taxpayer $$$ trying to keep Al Davis from moving the team to West Allis, WI if he doesn't get a new, spectacular stadium.

-Admitted to 12 Moffitt at UCSF on a Sunday evening for an early-Monday angiogram on my right upper leg. The anticipated obstruction was confirmed and stented, and after a gruelling six hours of flat bedrest I was able to end my visit on my beloved 10 Long. Despite promises, I was not served French toast Tuesday morning, but my wonderful nurse was able to contact the kitchen and the prized dish was promptly delivered. After a relatively swift discharge process, we beat it East and got home quite quickly to resume normal life with no complications of any kind.

- Once again faithfully representing CTDN, it was a pleasure to visit our very own Livermore Veterans Administration Medical Center. It is on top of a hill opposite Wente Vineyards Champagne Cellars on Wetmore Rd. in Livermore's wine-and-luxury living area. I will confess that after 32 years here in La Livermoria we have never taken the tortuous 15 mph, 1/4 mile trip to the hospital. Not only is it remarkably beautiful, but all the staff we encountered were noticeably happy to be there. This is in part due to the many programs and training opportunities afforded to them by the VA. Our discussions about organ donation and my own experiences were quite exceptional. I was told I would have fifteen minutes to talk about my transplant story, and it turned out I was the one and only "speaker". The reaction to my remarks was quite positive and enthusiastic, a great source of good feelings for me and the listeners.

- A most unusual Dinner with the Gang was enjoyed all the way out here in our town, at Campo di Bocce. After a rousing session of bocce, beverages and snacks, we sat down for an inconsistently-prepared dinner served with wildly mediocre waiting skill. Yes, it was busy, yes, it was noisy, and yes, the manager was sitting at the bar scarfing his dinner while mayhem swirled all around. Still, a great time was had by all, and I managed to throw a "Good Evening" screen pass at John Madden as he exited the restaurant.

-Just this morning I was graciously allowed to offer brief comments to two of the weekly Weight Watcher sessions on the occasion of National Donate Life Month. Again they were warmly accepted. I even spoke directly with three ladies, one who wants to donate a kidney to a relative, one who wanted information on donor registry, and one who lost her husband two years ago. This nice person was proud to have had his organs donated, the liver to a relative and the others to recipients not yet known. She attended the annual recognition ceremony in Hayward last year, and said it was quite a session for her and her family. She and I most definitely shared a moment, neither of us leaving with completely dry eyes.

WHICH LEADS TO....

I might be telling you of my weekend driving plans or the approach of some major race this weekend. But before you change the channel on me and switch to Maury Povich or Dr. Oz, please, hold on a second. This coming weekend will be one of the very most momentous two days of our lives, as we join Leslie, Chris, Linsey and Andy to meet my donor family for the first time, on Saturday. Sunday, we will be greeters for the event, and then I will appear onstage with two groups of recipients, an adult group and a youth group. We will enter holding hands, then each delivere a one-line message about ourselves and our transplants. Everyone who has been to this has said what a highly meaningful and emotional thing it all is. We are excited, scared, happy, nervous....all of it.

Seems like every day is bringing both transplant-related and other joys. I think this could be habit-forming. Hope so.

Bob/Irv

Wednesday, April 13, 2011

It's April 13th...So What?

Hi everyone.....just wanted to give a brief description of why today is so important to me. Maybe some of you know of my life-long enthusiastic interest in motor racing. Over these many years, one driver/owner/constructor/all-around great guy has stood out for me. The first race I ever saw on (primitive) TV, the 1962 Daytona Continental, was won by him. And I saw his very last victory, at Sears Point in 1970, driving the race car his company built, the All American Racers Eagle. In between, he notably won the 1967 Belgian Grand Prix in an Eagle, followed a week later by a significant win (with A.J. Foyt) at the 24 Hours of Le Mans driving a Ford GT.

I am of course talking about Dan Gurney. The reason I mention all this is that today, April 13th, is Dan's 80th birthday. So allow me the opportunity to send a sincere Happy Birthday his way. Thanks for all of it, sir.

Wednesday, April 6, 2011

Time Shore Do Fly When Yur Havin' Fun, Don't It?

FIRST, THE TRIVIALITIES

May I suggest to those out there in Subscriber World who are nauseated by accounts of personal activities ("We don't wanna know what you had for lunch!"...an actual quote....Ouch!) that you and the horse you rode in on skip to the more relevant and scholarly events I deal with further down the blog. I would NEVER knowingly subject any reader to such unpleasantness, so perhaps many of you might be more pleased with graphic descriptions of medical procedures to which I have been subjected lately. Just look downward on this page to the BOLD HEADING to get what you truly came for. Sure, don't mention it. My pleasure.

SO ON TO THE PROMISED TRIVIALITIES

Last month our humble abode here in The Town of Spring found itself draped in a jolly tent for the purpose of exterminating every living creature that resided therein. Yes, after several years of ignoring the "swarmers" that came flying out of the windowsill, we finally succumbed to the need for fumigation. Oh, the shame. Even worse, there was a huge sign hung in front advertising Terminix, as if to scream "These people harbor dangerous insects, and shall be punished financially!" to every passing motorist.

Considering the need to virtually move completely out for three days, we were fortunate and thankful to the Senior Caples for allowing us to house sit during their gala trip to Scottsdale for Giant's spring training. So we schlepped, with Leslie's able assistance, most of our lives over across Vasco to Robin's and Pat's lovely dwelling. Staying over there was a pleasure, as was tending to the needs of the two kitties in residence. Not quite so much fun was looking after Lucy, who definitely did not enjoy being held captive upstairs in order to protect unscratched furniture and innocently by-standing fellow feline creatures.

I took my second cooking class at LifeStyle Rx, where I am the longest-running cardiac rehab patient in modern history. I understand that roughly 165 B.C., a Roman vice emperor by the name of Dicklessius Cheneyllius was involved with rehab for over 220 years, but I do hold the modern record, so there, Mr. Smartypants. At any rate, excellent and healthy dishes are prepared in the demonstration kitchen, with one of those tilted mirrors above the preparation area just like on Food Network (and the honeymoon suites up in the Poconos). Luckily, unlike the Food Network's worst representative, Paula Deen, there is hardly any butter in evidence. Now I know how to make healthy lasagna, shrimp 'n' grits, fruit cobbler, and New Orleans Bourbon bread pudding. Thank you Anne Moselle, RD, for organizing these.

A last-minute social arrangement with the Henrys resulted in an excellent evening in Downtown Martinez. Dinner at Haute Stuff was truly outstanding. This was exceeded by the intensely high-quality show we caught at Armando's. Again we saw Jeff Magidson, as we did at First Sunday, and again, when backed up by a remarkable band, he truly gets it done. Jeff, along with his wife Isabel, also perform together as Duo Gadjo, which supplied the music at Leslie's and Chris' wedding.

We were very pleased to tour the newest building at John Muir Walnut Creek Campus at the community open house recently. As we saw at Concord Campus several months ago, this magnificent part of the hospital incorporates all the latest thinking in technology, the better to achieve optimum patient healing. Virtually every room is private and has a window allowing natural light. There are several roof gardens for patient and family enjoyment, and the domed lobby with its water feature is also a place where everyone can spend emotionally healing time. There is a new kitchen as well, but since it was not on the tour I have been promised a private showing by my former associates, TBA.

If I sound like a JM ad writer, sorry, but for anyone who has spent time either incarcerated or visiting a hospital (and I have), this is a major eye-opener. One of the main guys who made this happen, CEO Ken Anderson, retired on March 31, and we saw him at the event but were unable to speak with him. I spent many happy hours helping to provide meals to many meetings and functions Ken attended, and he was always appreciative of all of our efforts. Quite a fine leader and a gentleman, to be sure.

Later the same day we made our second trip to Napa to procure a site for Linsey's and Andy's rehearsal dinner. Cheryl, Andy and I were successful at Filippi's, where we may have over-sampled just a wee bit. However, all three of us gathered it in nicely, and Cheryl and I are proud to have both dropped a coupla pounds last week. Hoo hah.

OK, NOW FOR THE SERIOUS STUFF

In a medical sense, it has been only so-so, to be honest. An ultrasound indicated a blockage in the right upper femoral artery, although I have had no symptoms. The vascular surgeon, Dr. Eichler (who expertly did my leg bypass several years ago) strongly suggested an angiogram, with possible ballooning and stenting of the affected area. I will be admitted on April 17th, hopefully getting the procedure done early Monday, and returning to Ciudad de Liver on Tuesday. The best-layed plans and all that.... At the very least we were able to leave UCSF that day in time to join Suzy and Greg at Gather in Berkeley. Here, the largely-vegetarian menu features "stinging nettles" amongst other Local, Sustainable, Organic, Expensively Farm-raised and altogether Groovy items. I dunno, it must be my ignorance, but I am loathe to put anything "stinging" in my mouth. I got enough problems, y'know?

Meanwhile the spinal stenosis (or whatever the Hell it is) is so painful in my lower back that I have forgotten all the weakness and discomfort in my left leg ever since Thanksgiving. Bummer for me, the Spine Center doc was away, so my March 17th appointment was rescheduled for April 14th. No hurry at the UCSF Spine Center, which obviously subscribes to the same "later, mon" attitude I found in Urology. Yeah, Urology....what great memories. Perfect for those voyeurs out there who prefer frightening accounts of medical discomfiture over descriptions of happy, inspirational times (like my lunches). I hate to disappoint, but I didn't even have to reveal my goodies during the last visit, so I guess some of you will have to wait until the next savage medical episode to get their jollies. So terribly sorry.

ON TO TRANSPLANT ACTIVITIES

I was very interested in participating in an education session, wherein representatives of CTDN address high school students about the facts of organ donation. I got my chance recently at College Park HS in Pleasant Hill. Three of us, all recipients, spoke to three periods of Physiology classes, not only providing important information but giving two different teachers a welcome hour off. Each of us described our transplant experience, to which each class responded with sincere applause. We showed a new video featuring words and pictures of actual organ recipients and donor families. This is a tool to inform students to assist them and their parents in making their donation decisions, as many become new drivers. There is currently a bill before the state legislature to require information about organ and tissue donation in high school health classes, which is a most worthy idea.

Cheryl and I will be participating in more CTDN events during this, National Donate Life Month. Of course the culmination of these vital activities will be the annual donor recognition ceremony at which we will meet the family of my donor. So, a very important and emotional month is ahead for us. And if you would be so kind, do consider promoting awareness of the need for donor registration at any opportunity you deem appropriate. The 110,000 or so people waiting for transplants in the US, and Yours Truly, would appreciate it.

And on that hopeful note, I bid you adieu.

Bob/Irv
RJ/Bob/Irv is a 61-year-old beloved husband, father, uncle, brother, motor racing fanatic, and Livermore resident who received a heart and kidney transplant in February of 2010. Bob's recent years have been defined by his health, which forced him into early retirement. Unfortunately, many of his days were spent in a dialysis center or at various medical appointments, primarily due to his living with diabetes for over 40 years. Numerous were panic visits to various Emergency Rooms all over California for treatment of chest pain. But now no more dialysis and no more late-night dashes to UCSF! The main focus of Bob's family, friends, and doctors has been a prompt transplant, so that he can get back to traveling with his Sweetie, driving fast cars, enjoying great music and laughing with his friends. This blog will function as a way to communicate with all interested parties and to keep everyone informed. And hopefully it can serve a great purpose also, in making people more aware of the importance of organ donation and how each life saved has a positive effect on dozens of related friends and relatives.