Showing posts with label Hospitals. Show all posts
Showing posts with label Hospitals. Show all posts

Sunday, June 19, 2011

Another round two

During my recent hospital stay I had the pleasure of being served a pumpkin bran muffin. Almost as soon as I tasted this muffin I thought about trying to make a batch for myself. Sadly, the hospital didn't include the recipe, or even a list of ingredients, with the muffin.

Perhaps even more frustrating than the hospital's lack of diligence on the recipe front is that the web seems to have been flooded with recipes for pumpkin bran muffins that didn't appear to be what I was looking for (many had too much spice or other aspects that I found displeasing).

Anyway, after looking at about a dozen recipes for pumpkin bran muffins I thought that I had finally found one that would meet all of my needs. Yesterday morning I got up at about 6:00 AM and threw a batch together.

Not long after I took the muffins out of the oven for the first time I realized that I had a somewhat severe problem on my hands. The outer layer had developed a leathery texture. This problem was paired with another problem, the innards of the muffin were still relatively raw and doughy.

Though I did eat two of these muffins, they were basically inedible. The one aspect of the muffins that I did like was the level of spicing, which was minimal and not exclusively cinnamon (there was also a little ginger and nutmeg and there would have been allspice had I had any).

After this relatively disappointing failure I was still left with the better part of an open can of pumpkin puree so it was clear that another batch of these muffins would be in my future, though this time with a somewhat modified recipe.

Maybe it should have been obvious to me from the beginning, but while thinking through my first failure I realized that I might consider modifying the the recipe I normally use for bran muffins to accomodate the addition of pumpkin puree.

When I got down to doing an ingredient-by-ingredient examination of the recipe I determined realized that I would likely only have to make a few modifications the the recipe. The primary change would be exchanging the molasses and some of the milk for the pumpkin puree. I decided that I would also add the spicing component from the first recipe.

In the end the recipe I settled on in as follows:

1/4 cup butter
1/2 cup brown sugar
2 eggs
3/4 cup pumpkin puree
3/4 cup milk
1 cup flour
1 1/2 tsp baking soda
1/2 tsp baking powder
1 1/2 cup wheat bran
3/4-1 tsp pumpkin pie spice

Combine the brown sugar and then add and mix the eggs, pumpkin puree, milk, and bran. Add the baking soda, baking powder, pumpkin pie spice, and flour and mix. Scoop into greased muffin tray (12 large/medium muffins) and bake at 400 F until done (probably between 15 to 20 minutes).

While I am not sure that this will be the definitive pumpkin bran muffin recipe for all time I am certainly pleased with the results and am inclined plan on using it when I next want to make pumpkin bran muffins.

Monday, June 13, 2011

Another extended absence

A little while ago I explained that comps a move to Wolfville had been keeping me away from the blog. My most recent absence was for a completely different reason. This time I have a medical excuse.

On Thursday of last week I had a Percutaneous nephrolithotomy to surgically remove a few kidney stones from my right kidney. The procedure resulted in a two-night hospital stay and then some post-hospital downtime. (Now that a few days have passed and I am not losing as much blood I am getting a little energy back).

Anyway, it seems that this procedure, like other surgical procedures that I have had, is a little more involved I imagined it would be when I agreed to it. Instead of just removing the stones surgically, the process is really three somewhat distinct process that all involve some form of anesthesia or sedation.

The first step, which is conducted while under a general anesthetic, involves the places of stents in the urinary tract. And, surprise, surprise, I also woke up with a catheter (one of the aspects of the whole thing that I don't recall being mentioned explicitly much in advance of the surgery). Once the procedure was complete I was sent to the recovery room where I pretty soon regained consciousness and had a nice talk to the nurse about the fact that all three of my names are last names (this fact is commonly noted in Nova Scotia).

After a relatively brief wait in the recovery room, where I foolishly declined pain medication, I was sent along for the second step of the procedure - the introduction of a tube from my back to my kidney. Much to my surprise, this procedure didn't involve a general anesthetic. That this was to be the case was a little disconcerting at first as the last time that I had surgery to my back I was quite awake and could feel the whole thing. Fortunately in this case I managed to sleep/pass out for most of the procedure. As far as I recall I don't even really remember very much of them placing the tube or how I got from the operating table back to my bed, something for which I was likely at least partially responsive.

The third and final step of the procedure, though it involves no new holes or incisions, is really the most significant part of the whole process. Through various means the stones are broken up and/or removed (an exclusive 'or' is used in this case). All in all, these processes can seeming be quite aggressive and really lead to fair bit of internal bleeding and disruption. And apparently in my case at least of one batch of stones was located in a particularly hard to reach area that required some particularly aggressive maneuvering of a scope (the miming of this process that the doctor did for Neil, Rebecca, and I really made it clear why my procedure was particularly sanguineous).

After this third procedure I was finally sent to my hospital room. Soon after I arrived one of the nurses offered me something for pain - this time I gladly accepted the drugs and began to feel less bad almost immediately.

As I was slowly coming to my senses in the room I started to become aware of the fact that my three roommates were all quite a bit older than I and also, arguably, in much worse overall health. This fact fact was pretty quickly driven home when the patient to my right lost control of his bowels all over the floor next to his bed (and then there was some talk of c. diff). Discussions that doctors and nurses had with the other two guys also made it clear that they too were not in the best health.

That evening Neil and Rebecca came to visit, which was a very nice distraction from the general madness of the room. The visit also allowed Neil and Rebecca a chance to soak up some of the atmosphere of the room and meet my doctor. My sense is that they were somewhat shocked by the 'atmosphere' and impressed by my doctor and his general demeanor.

Not too long after Neil and Rebecca's departure things appeared as though they were starting to calm down and patients were washed and lights were turned off. Of course it didn't take me long to realize that the night wasn't going to be particularly restful.

One of the first problem I noticed was that the IV machines that we all had were really quite noisy and produced a special sucking noise every few seconds. The gauze that the nurse gave helped to some extent but really didn't do all that much to muffle much sound.

Pain and general discomfort were another set of issues that made it somewhat hard to sleep. Even though I was taking pain medication regularly almost any movement or muscle contraction would wake me. It felt as though I had to stay awake just to concentrate on not moving.

Finally, and this was maybe the biggest impediment to sleep, the incontinent patient to my right continued to make noise and lose control of his bodily functions all night long. If I recall correctly, at one point he might have urinated on the floor while at a later point he did something to necessitate a middle-of-the-night sheet change. Several times throughout the night while changing his own diaper he thought that he had messed up his IV drip. While in most cases his IV was fine and he hadn't really needed to buzz for a nurse, though in at least one instance he did manage to completely disconnect his IV from his body (amazingly, in this case he had called the nurse for a completely unrelated reason).

By about 5:00 AM all pretense of trying to sleep by any of the four patients in the room was lost. We were up for the day (or at least until our first nap). Fortunately breakfast soon arrived and I was once again pleasantly surprised by the quality of the hospital's food. I was particularly taken with the pumpkin bran muffin I was served.

Fortunately patient drama decreased dramatically on this second day, and the decrease was basically noticeable from breakfast onwards. Perhaps not surprisingly, at least three of the four of us were clearly getting better.

Shortly after breakfast the doctors came through on their morning rounds. It was at this point I learned that I would soon be losing both my IV and my catheter and that the tube that was still directly connected to my kidney would be stoppered and disconnected from the bag that had been collecting run-off directly from the kidney.

The upside of these changes were that I was no longer bed-ridden and I didn't have to have a loud IV machine constantly making noise next to me. The downside of these changes were that I was now expected to start moving around and I was cut-off from real pain medication (real pain would have been a sign of problems/infection so they didn't want to risk masking it). Fortunately I was eventually given an ibuprofen-acetaminophen cocktail that did a little to dull the pain.

Almost before I knew it I was walking around and pounding water to clear my kidney and bladder of stones, stone fragments, and clots. Relatively early on in this process it became clear that there were a few obstructions that were likely going to force me to stay an extra night in the hospital.

Fortunately, after maybe only an hour or two of aggressive water drinking and shuffling up and down the hall I managed to clear the worst of the obstructions and demonstrate that I was generally in pretty fine health. Of course, I had to deal with the consequences of all of the water drinking for the rest of the day.

Later in the day I had the pleasure of having visits from Jeannette, Neil, and Rebecca. Though at times I might like to put on a face of stoicism, it really is nice to have at least a few hospital visitors for a few minutes a day otherwise the days have a way of passing very slowly.

My second night in the hospital went much more smoothly than the first. Though I didn't wake up much I have the sense that the nurses were called to the room much less frequently and that there were fewer big problems for them to deal with.

During my second morning of rounds I learned that I would be heading home that day and that I would be losing the drainage tube that was then leading to my kidney. Much to my surprise one of the residents told me she would be removing the tube right away. Even more surprising was that the tube removal only took a few minutes and didn't hurt. That this could be painless and so fast and easy still surprises.

Of course the big downside of the removal of the drainage tube was that the drainage was no longer limited to the tube but soon began to flow directly from my side (a development that was expected). Of course, even though this drainage was normal at times it came a bit more quickly than I expected. At one or two points before I was released the drainage was abundant that it overwhelmed the dressings that had been taped to my back.

Not surprisingly, since being released from the hospital I have been trying to take it easy and limit my level of physical activity. Of course this sentiment has been reinforced after my one attempt at dishwashing/floor sweeping seemed to reinvigorate the drainage from the relatively small incision in my back.

Now that I am a few days removed from the surgery I am finally starting to feel a little bit less like I have been hit by a truck and a little more as though I am just at about 75% power. Hopefully with a few more days I will feel more like 90% or 100% power.

Friday, December 04, 2009

A Few Quick Notes 376

-We had heavy rain for much of the day today. As I had to make the trip to school on foot this was not a particularly desirable weather condition. Fortunately by late this evening things started to calm down to the point that it now seems quite calm.

-While at the grocery store this evening I was seduced by the Horlick's and the Ovaltine Cookies, two products that I have consumed on a rather irregular basis for the past number of years. So far I can confirm that the very reasonably priced Ovaltine Cookies are definitely as good as I remember. I imagine that I will give the Horlick's a shot tomorrow and will then be able to tell you whether I still have a taste for it.

-This afternoon I had to swing by the hospital for an x-ray. The process was pretty quick and to the point, actually I think that they were using some kind of digital x-ray that really sped things up.

While waiting for my x-ray I was sitting in a gown and robe in the waiting room when a hospital employee walked into the room carrying a Christmas decoration. To no one in particular, but loud enough that we could all hear, he proclaimed that it was time to put up some decorations. He decided to put the decoration on the wall right next to the where I was sitting (not that this is a key detail).

Shortly after he reached the wall I heard something fall, followed by the employee stating in a rather exasperated tone "Oh poop, right in the garbage." It seems that he dropped a thumb tack in the garbage. He was then kind enough to point out that there was only one thing in the garbage can (an empty coffee cup), a level of fullness with which he felt comfortable digging around to find the pin.

After putting up one more decoration he left and I didn't seem him before I completed my visit to the x-ray department.

-I had to lead a review class today. Unfortunately, though not surprisingly, I wasn't really able to engage the students. I think that part of the problem was that it was the last class of the year and I hadn't taught them before.

-I had a rather unsuccessful trip to the grocery store this evening. Not only did I forget to even look for cream of tartar, they were out of the right kind of tofu and frozen raspberries, and I completely forgot to use the lone coupon I had with me. I guess this means that I will have to go back tomorrow.

Thursday, December 03, 2009

Fixtures, of the bathroom variety

Just a few days ago I had to visit a doctor's office to pick up an x-ray requisition. Before heading up to the office I stopped by one of building's public restrooms. Once in the restroom I noticed that the building's designers either really wanted each male restroom to have a urinal or that they didn't really have a sense of privacy. In case you are curious, this basic set-up exists in more than one of the building's bathrooms (which makes it all the more impressive).



A few weeks ago, though I don't really know why or how, the subject of bidets came up in our apartment. Eventually Rebecca even sent me a "how to" article on bidet use (though they are still a bit of a mystery to me). Given the recent discussions and my continuing failure to understand why they exist I was a little surprised to find one in bathroom just off of the x-ray waiting room at the local hospital (where I was getting the x-ray associated with aforementioned requisition). Given their rarity and that many North Americans don't seem to know how to use them or why they exist, I wonder how many times these bidets are misused in the hospital context. It seems that having such a fixture would just be an invitation for trouble, particularly given that as you are in a hospital you know that some relatively high number of people are likely a little bit more out of it than usual. Though I was thinking of temporarily creating a fountain with this bidet I settled for just taking a photo.



To finish this theme off, while I was having my x-ray taken our apartment's bathroom was having its faucets examined for leaks and a new shower head installed. While these aren't really fixtures, I think that they qualify as related.

Wednesday, September 09, 2009

Master Blaster

As I have previously mentioned on Montifax, for many years I have suffered from kidney stones and the associated ailments and discomforts. A few weeks ago I finally got around to thinking about actually getting them taken care of. Amazingly, within only a few days I was able to make remarkable progress on the issue, which was nice in the face of years of procrastination.

Yesterday morning I had to get up at 5:50 and then make my way over to the local hospital for 6:45. After a few preliminary interviews and name confirmations, I eventually made my way to the lithotripsy room. Almost as soon as I walked into the room the team of staff started prepping me for the experience. Before I knew it was I was in place on the table, covered in sensors, breathing with a thing in my nose, and moderately drugged.

I found it was over when they woke me up some period of time later. Within moments I was unhooked from everything and moved to a gurney to be taken to the recovery room, where I was served coffee and cookies with I waited for the drugs to wear off.

After maybe 45 minutes after the procedure ended I was in a cab with Neil heading home. Not too longer after that I had to head out again to run some errands for a few hours. Amazingly, I felt great within next to no time, though by the end of the day I was definitely starting to feel a little tired and rundown (though I think that this had more to do with the lack of sleep than anything else).

Of course, the most important part of all of this, rather than the coffee and cookies, is that I have already started passing stone debris. Some of the reading I have been doing suggests that this might continue to occur over the next several days, so the procedure has given me something to remember it by.

Tuesday, June 12, 2007

Free Hospital

While reading a Industrial Inquiry Commission I came across the following few sentences:

"The [St. Lawrence] Hospital was built by the Government of the United States of America in appreciation for the humanitarian efforts of the people of St. Lawrence area during the marine disaster of February 18, 1942. At that time the U.S.S. Pollux and U.S.S. Truxton ran ashore on the Burin Peninsula during a storm."

If you are interested in learning more about this accident and there is a This American Life story on the subject (episode 201 - Them) that was produced by Newfoundland radio producer Chris Brookes.