An Operation In Tweeting

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On the 31/03/2011 I had a much anticipated hernia operation. With the joys of modern technology, I was actually permitted to tweet my experiences for most of the run-up and soon after the op was finished. I'm adamant that the ability to do this not only helped me take my mind off the looming op but also helped in my relatively quick recovery. The staff at Neville Hall Hospital in Abergavenny were all very positive about the fact that I was tweeting and some even gave suggestions about what I could say. I wanted to get the whole story down while it was fresh in my mind - so here it is (with tweets). I hope by writing down my experiences from diagnosis to operation - it helps someone with similar health problems. If anything here is inaccurate -- it's probably because I wasn't listening properly to the Doctor/Nurse/Surgeon...

Diagnosis
Around Christmas time, I noticed a lump in my groin. I say around Christmas time -- I think it had been there for a long time (possibly years) but I just put it down to being "slightly asymmetrical". While in the shower while at my inlaws I decided it had definitely grown so I went to see the doctor in Machynlleth. I was absolutely convinced that I'd got Cancer. Isn't that what a lump means? I was sure it was!

The doctor made me cough whilst feeling my groin.

He immediately diagnosed it as a hernia (an inguinal hernia no less). The doc explained what a hernia is (eugh) and how it happens and recommended I go to my local doctor when I get home as it'll need an operation to sort it out.

When I got home, I went to our local doctor's surgery in Abersychan.

The doctor made me cough whilst feeling my groin.

He immediately diagnosed it as a hernia and put me on the waiting list for an operation.

Waiting
So next up was the waiting. I spent most of this time trying to pick things up that I shouldn't and being told off by my wife. After the Diagnosis - your loved ones immediately decided even the lightest thing is a cause for comment. Your family loves you, so they exhibit this in two ways:

1. By asking you repeatedly if you're ok whenever you pick something up.
2. By tutting when you pick up something they deem is too heavy.

This is usually followed by me uttering the phrase:
"I've got a hernia, I'm not dying!"

Followed with the reply:
"You might die if you get a strangled hernia..." 

It was during this wait that I went for a pre-assessment assessment assessment (or something) where they ask you questions, weight you, measure you and make you cough while feeling your groin.

I was down for an old-style open operation rather than keyhole (keepin' it real) mainly because the waiting list I'd been put down for was for Newport Hospital which didn't have facilities for keyhole surgery (apparently). We went through the positives and negatives for each type of op and I was given the option of changing to Neville Hall and going back on the waiting list for a keyhole operation. I decided against it because I like an easy life.

A Date For The Diary
I was expecting to get plenty of notice for the operation, but this wasn't to be. On 29/03/2011 we received a call asking if I could have the op in two days time. Two days! Someone had dropped out last minute, clearly because they were as scared as I am of having an operation. I checked with Sequence (the wonderfully geeky company I do wonderfully geeky things for) - they were amazing and just came back to me and said "Go for it, your health is really important". And so the Tweeting began:

So, got a last minute op on Thursday to put Herbert the Hernia in his place. Petrified of being put under. At least it'll be done then.

The next day, I went for a pre-operation assessment at Neville Hall to make sure I wasn't ill/someone else/knew my address & date of birth.

The pre-operation assessment went better than I expected -- as a geek, I do virtually no exercise so I was expecting that the be reflected in my bloody pressure and heat-rate.

So - apart from the hernia it seems I'm in tip top condition (so they're happy to cut me open tomorrow morning).

I saw a Lady who asked me my name, my address and my date of birth and then was checked for health in various areas and told I was textbook 100% which was really rare (*geeks rule OK!*) she also took swabs from my mouth, nose and groin (I think she said this was for MRSA tests). Then on to the next room where another Lady asked me my name, my address and my date of birth. Then I was subjected to a load of other tests and finished with her making me cough whilst feeling my groin.

I got given the all clear - I definitely did have a hernia and I definitely was well enough to have the op. Hooray! Next up I had blood taken for further tests and then got given a letter along with a load of reading matter saying what they'd do and when. From this letter I discovered that:

The surgeon is a breast specialist. Worried that I'll wake up with a boob in my groin and a smiling man standing over me: "April Fool!" 

And so that was it tomorrow I would have an operation!

Owen's TODO List for tomorrow: Do drugs, get crotch shaved by a stranger, wake up in a strange place with a scar.

That evening, I took out my eyebrow piercing as I knew I'd be too tired to do so at 5am the next morning (when I had to get up)

Just removed eyebrow piercing before tomorrow's op. Not taken it out for about 5 years. Feel naked. I'm not though, wearing me jimjams :)

The Big Day (Herbert Goes Home)

5:30AM: Ouch. Too early! Think the last time I was up this early was for a holiday. This will be less fun. #herbetgoeshome 

6:00AM: Had shower. They say it's to help avoid infection, my wife says it's so they don't have to deal with smelly patients.

6:20AM: Needcoffeewhycan'tIhavecoffeereallyneedcoffee...

6:55AM: Spaces at the hospital carpark. Amazing!

7:00AM: Good start, bit I'm meant to go to is locked. I have, however, found the mortuary :/

The scariest part of the whole thing was walking past the Mortuary at 7AM and seeing a bin moving around on its own. So it was windy? It was still scary.

7:10AM: Ok, so reread letter and it says 8, yesterday they said 7. Going to assume 7:30.

7:20AM: The coffee machine is taunting me with its hi-tech blue flashing lights

7:30AM: Yay! Building I'm meant to be in is now unlocked. I'm making progress :)

7:45AM: The lady opposite me was also told 7 and they thought she was having a knee op when it's her shoulder.

I was then booked in, they asked me my name, address and date of birth and then after a while I was moved through to the next waiting room (or Level 2). At which point they asked me my name, address and date of birth.

8:15AM: I'm going to end up with crotch boobs!

8:30AM: There is a box of toys in reception *tempted*

8:40AM: For those of you who are confused herbert is my hernia, having an op today to send him back to his intestinal brethren

8:45AM: Book of choice during this adventure. Voyage to Venus by C S Lewis. Apparently it's really weird. 

It is as well! Although I didn't read much on this day as I was too busy Tweeting!

9:15AM: Pre-assessment done. Surgeon seems nice. They drew an arrow on me and now I feel marked! 

The surgeon talks you through the operation after checking your name, address and date of birth. He also draws an arrow on you in biro (this way up). Presumably so that he can get drunk and not worry about forgetting what op you're having and giving you breasts in your groin. He also got me to cough whilst feeling my groin.

9:30AM: Haha! Just like the rest of the nation I will shortly be suffering from a period of cuts.

9:40AM: They've given me a name tag on each arm, presumably in case they accidentally lop one off.

A different Nurse comes over and asks you your name, address and date of birth. Then they put a wristband on each arm with your name, address and date of birth on it. Like some kind of rubbish festival.

9:45AM: They've also drawn an arrow on me to show which way up I go. Op is around 10:30 will tweet as much as I can til then

9:46AM: Wonder if they can cut my hair while I'm under. I hate going to the hair dressers.

9:48AM: Accidentally let slip to the surgeon that I do stand-up. He has now asked the nurses to introduce him to the theatre.

9:49AM: Hope he has a good gig!

9:55AM: All gowned up. Didn't realise I'd get paper pants. Sexy!

They recommend you bring a dressing gown and slippers. THey did this because no-one wants to see your hairy arse. Especially not when there's a small chance they'll die on the operating table and one of the last things you see is someone's hairy buns.

10:00AM: There's some hoo-har about notes not being here and patients not being told where to go. Fun.

10:15AM: Spoke to *makegosleepman* also nice. Thought he was going to agree to let me tweet while I'm put under. Shame.

Ok ok, so I couldn't remember how to spell anaesthetist. He was nice although reminded me a little of the trendy surgeon in Greenwing. He asked me my name, address and date of birth and then we went through the general anaesthetic procedure, talked about pain relief in general and about Tweeting. He did not go near my groin (yay!)

There are no more pre-op Tweets, I was expecting the 10:30AM time to be more like 11AM but it was spot on and before I knew it I was whisked into another room. Once in Level 3 (after a fun bonus game on a bed with wheels) a man (I think he was a Porter) asked me my name, address and date of birth. Just to make sure I wasn't lying, he checked on my wristbands.

After a little wait in Level 3 I got moved quickly to Level 4, I was pretty sure this was the last level before the end of game boss. Bonus! In this smaller room another *makegosleepman* put a needle in the back of my hand and started pumping me full of drugs (I think he said this started with painkillers). This was (of course) after he had checked my name, address and date of birth...

That's the last thing I remember before:

1:01PM: Just woke up. Still a but woozy. Feels like being drunk. Lovely staff took me straight to phone :)

1:10PM: Think op went ok, when local runs out i'll know how much pain i'll be in.

My one criticism of the whole experience was that after the op, no-one came up to me and said "The op went fine" or anything like that. I just had to assume that because no-one said anything, it must have gone OK!

1:15PM: Still can't believe they're letting me tweet in the ward. This is progress!

1:30PM: I have a slightly metallic taste in my mouth. Is that normal or did they turn me into a cyborg?

They put a tube down your throat to keep your airways open while you're under, so this sometimes leads to a sore throat. I'm assuming this is where the taste came from too.

1:35PM: Coffee! They're getting me coffee :)

1:35.30PM: And biscuits :)

1:40PM: The surgeon said I should tweet to say he looked like George Clooney, will wait to see if there are complications first ;)

1:50PM: On my second coffee. Think they're trying to wake me up the same way I do every morning

2:00PM: Thanks for putting up with my constant tweets today. Really helped me get my mind off the op. I'll stop when I'm home

2:10PM: I have to wee before they'll let me go. *morecoffee*

2:20PM: I have had 5 biscuits. When the cuts come - will they enforce a biscuit limit?

2:30PM: I've been given local anaesthetic in my groin. If I play with myself will it feel like I'm pleasuring a stranger?

2:35PM: About to get up and try to wee. Wish me luck, it hurts when I try to sit up...

2:36PM: Managed to dress myself. They shaved my leg! Wish they'd done them both lol

2:45PM: I weed! Can I go now?

2:56PM: Just waiting for the cavalry and then I can go home. Hooray!

And that was that, packed off home to recover. I recovered relatively quickly (think average recovery is 2 weeks+) I was ready to go back to work after the first week although held off driving for a little while after that just in case.

Sneezing, coughing and laughing really hurt - that was the worst bit. Now I have to not do any heavy lifting until 6 weeks after the op and then just be a bit more careful about exactly how much I lift at any one time.

You can follow me on Twitter on twitter.com/owenniblock or if you've got any questions about the op I'd be happy to answer them - just email me on me@owenniblock.com