Forward and Back (So, What Else is New?)
Posted March 15, 2014on:
I have a tentative surgery date: March 26th. That’s the good news.
However, that may need to be put off for a bit.
See, I had this cellulitis infection occur in December, and again in February. My friend Marie the Nurse (as opposed to Naomi the Nurse) reminded me that this could leave me in a very bad position with regard to surviving the surgery, but subsequently ending up with a staph infection. Her words:
“Something has been bothering me, call it a gut feeling. You had cellulitis a few months back. What bacteria caused it? If you don’t know, it is imperative you find out before surgery. Let me know as soon as you find out.”
“You need to see an infectious disease specialist before surgery. I forgot to mention this last night. Primary care people and cardiologists don’t always know the most current stuff as it is not their field. Infectious disease is a highly evolved and fast moving specialty. Seeing one may save your life.”
“The important question is has it reached the bloodstream in any way. You want to also know where it is hiding in your body. Frequent colonized sites include the nasal passages, the armpits, the groin and more recently the vagina and rectum. These areas should be swabbed and cultured. This is why I am imploring you to see an infectious disease specialist. It would be awful to survive the surgery and then die of MRSA sepsis or MRSA pneumonia. The surgery you will be having is highly invasive and therefore puts you in the crosshairs for an internal MRSA infection – which will be extremely hard to treat if it is possible to treat it at all.”
So I am seeing my PCP today to acquire a referral to an infectious disease specialist. Of course, the problem then becomes when can I get an appointment with the specialist, and can we get the results back in time for me to have surgery on the 26th.
Meanwhile, I never realized how much paperwork is needed to take care of making sure that the people I want taking care of things for me while I am in the hospital, or after I die, will be able to do so. I have printed out a will, and a statement appointing one person to be responsible for my remains, and I have made sure my Medical Power of Attorney and my Advanced Directive are in order. Now I have to get copies made, and – in several cases – round up people to do signatures in front of a notary.
Of course, while I am doing all of this, I found out that Nelnet had somehow not notified me that it was time to re-apply to keep my student loans deferred, and that it’s also time for me to recertify for Medicaid, because if I don’t do that in the next few days, it will come up while I am in the hospital. I did the Nelnet certification yesterday, and will do the Medicaid stuff this evening, since I need more documentation for that than for the Nelnet stuff.