Adventures in Otolaryngology
If you hate:
- long stories
- surgical stuff
- gross oral fluids
- up close pics of infection
then move along, move along.
—
My lack of breathing due to throat-swelling had me pretty worried some weeks ago. After a visit to the emergency room, I figured it had all passed. Then, towards the end of August, it swelled up again; couldn’t talk, could barely breathe. I ended up back at LAC ER, back in the same ENT floor. After the same IV unit of saline and steroids, my throat felt a little better. The doctor recommended making a Peritonsillar incision to drain the pus. It was what I’d been dreading. Let me explain: some people have a thing about needles, it creeps them out; some people can’t stand the sight of blood. For me, I’ve always hated any medical thing involving the throat and mouth. My gag reflex is set off way too easy. So the idea of getting a needle and scalpel and some weird pair of scissors back there- well, that just seemed way uncool.
They gave me three choices, though. I could let the IV do its thing, let the swelling go down temporarily, and then have it likely come back because the pus and bacteria was still back there. I could merely aspirate the abscess with a needle, though there was a chance of some pus being left behind (and thus a chance of infection and swelling), or I could open it up and use suction to get it all out (the most painful route, but also the most effective). Never mind the pain (though that kinda worried me too), I was just hoping I could get my mouth open wide enough and keep it open without retching and dry heaving (or worse). Even so, I opted for door number three and signed the waiver for the procedure. The doctor blasted the back of my throat with Novocaine spray and gave me the suction wand to use myself as needed (fun). I somehow kept my mouth open. Lots of pain, lots of blood; but no freaking pus. The doctor couldn’t find the sweet spot, so I ended up going home with a cut-up (though relatively less swollen thanks to the IV medicine that would wear off soon) throat. As you can see here in this gratuitous close-up shot of the back of my throat (which I would advise not clicking unless you’re the morbidly curious type), all I had to show for it was an “R” shaped wound and still swollen tonsils.
Less than 36 hours later, my throat nearly closed up again like it had the first time around, it was back to the emergency room. It got so that the nurses and I were on a first name basis (quick aside: when I was finally able to eat again, I had fallen asleep through the designated hospital dinner time and there was no tray for me when I awoke. One of the nurses split her sandwich with me, which she brought from home, along with some of her Oreo cookies. Whether it was out of kindness or pity, I appreciated it very much, let me tell you).
So, the same script: paperwork, triage, waiting, more paperwork and diagnostics, IV unit, transfer to the ENT wing, more waiting; then finally, a doctor. Same three choices again, and I nearly relented on going through that ordeal again. But if there was going to be any improvement, it had to be that route. I signed the waiver again. The second time around, I had a pair of doctors perform the procedure- and it worked! They hit pay dirt and drained that sucker. I could feel the difference almost immediately. Within a few hours, my voice no longer sounded like I had a potato in my mouth, and I could eat solids again without worry. Even the new scar was something of a good sign (a triangular shape; my sister pointed out it looked like the triforce which simultaneously reassured me and solidified her awesomeness). I took my medication and went back for a check-up and they say I’m fine.
Not trying to jinx it- knock on wood or whatever- but the third time may have been the charm. The doctors and especially the nurses were all really nice throughout but if I never go back, it wouldn’t be the worst thing in the world.
Adventures in Otolaryngology
If you hate:
- long stories
- surgical stuff
- gross oral fluids
- up close pics of infection
then move along, move along.
—
My lack of breathing due to throat-swelling had me pretty worried some weeks ago. After a visit to the emergency room, I figured it had all passed. Then, towards the end of August, it swelled up again; couldn’t talk, could barely breathe. I ended up back at LAC ER, back in the same ENT floor. After the same IV unit of saline and steroids, my throat felt a little better. The doctor recommended making a Peritonsillar incision to drain the pus. It was what I’d been dreading. Let me explain: some people have a thing about needles, it creeps them out; some people can’t stand the sight of blood. For me, I’ve always hated any medical thing involving the throat and mouth. My gag reflex is set off way too easy. So the idea of getting a needle and scalpel and some weird pair of scissors back there- well, that just seemed way uncool.
They gave me three choices, though. I could let the IV do its thing, let the swelling go down temporarily, and then have it likely come back because the pus and bacteria was still back there. I could merely aspirate the abscess with a needle, though there was a chance of some pus being left behind (and thus a chance of infection and swelling), or I could open it up and use suction to get it all out (the most painful route, but also the most effective). Never mind the pain (though that kinda worried me too), I was just hoping I could get my mouth open wide enough and keep it open without retching and dry heaving (or worse). Even so, I opted for door number three and signed the waiver for the procedure. The doctor blasted the back of my throat with Novocaine spray and gave me the suction wand to use myself as needed (fun). I somehow kept my mouth open. Lots of pain, lots of blood; but no freaking pus. The doctor couldn’t find the sweet spot, so I ended up going home with a cut-up (though relatively less swollen thanks to the IV medicine that would wear off soon) throat. As you can see here in this gratuitous close-up shot of the back of my throat (which I would advise not clicking unless you’re the morbidly curious type), all I had to show for it was an “R” shaped wound and still swollen tonsils.
Less than 36 hours later, my throat nearly closed up again like it had the first time around, it was back to the emergency room. It got so that the nurses and I were on a first name basis (quick aside: when I was finally able to eat again, I had fallen asleep through the designated hospital dinner time and there was no tray for me when I awoke. One of the nurses split her sandwich with me, which she brought from home, along with some of her Oreo cookies. Whether it was out of kindness or pity, I appreciated it very much, let me tell you).
So, the same script: paperwork, triage, waiting, more paperwork and diagnostics, IV unit, transfer to the ENT wing, more waiting; then finally, a doctor. Same three choices again, and I nearly relented on going through that ordeal again. But if there was going to be any improvement, it had to be that route. I signed the waiver again. The second time around, I had a pair of doctors perform the procedure- and it worked! They hit pay dirt and drained that sucker. I could feel the difference almost immediately. Within a few hours, my voice no longer sounded like I had a potato in my mouth, and I could eat solids again without worry. Even the new scar was something of a good sign (a triangular shape; my sister pointed out it looked like the triforce which simultaneously reassured me and solidified her awesomeness). I took my medication and went back for a check-up and they say I’m fine.
Not trying to jinx it- knock on wood or whatever- but the third time may have been the charm. The doctors and especially the nurses were all really nice throughout but if I never go back, it wouldn’t be the worst thing in the world.