Been a rough three weeks since Jan. 5th's stent surgery.
The surgery itself went without any troubles. The recovery, though, has been a pain in the ass.
Incision's healing up nicely. Staples came out on the 22nd. I had about 2 weeks of "reflected" pain across my shoulder blades caused by the aortic aneurysm reacting to being bypassed by the stents. Percocet took care of that.
The major complication? Ever since the original aortic tear in 2010 and my bad kidney removal in 2011, this body of mine became a freaking sponge and collected about 100 pounds of water weight, especially around my waist and down both legs. Ever since the evening of Jan. 6th, when I tried to bandage the incision site right at the top of my right thigh, I started leaking like a sieve from there.
I ended up in the Emergency Room with a fever and got sent to Interventional Radiology to have a drain put in. I've got a 4th session with them this afternoon to see how things are progressing. They've treated the site with ethanol and Betadine to scar up and close off the lymph channel that's pushing all that fluid up into the incision area. The upshot of this is that I carry a collection bag, keep the incision clean, and hope that the next session will finish this off.
I have drained 6 quarts of "cellular fluid" (lymph?) since Jan. 6. Six freaking quarts. Fortunately most of that has been managed by the drain and baggies, so I'm not washing a dozen towels at a time trying to keep ahead of this crap.
The fluid loss comes up to about 8 pounds. Take THAT, Weight Watchers.
Here's a neat vid of the "AAA"
stent/endovascular aneurysm repair I'm scheduled for. Liking the
spacey-sounding terminology--they "deploy" the stents and anchor them.
The stents look like cat hairballs on a stick before they're launched,
Some surgical squick, though, for the squeamish...
First half of the aortic repair was this past Monday. Everything went well. The doc snipped my left subclavian artery where it joined the aorta and rerouted it over to the carotid. I'm left with a couple of 3" incisions on my neck and collarbone. The doc went with glue to close everything up, so I'm hoping to stay out of Wound Care--unlike with my kidney (staples) and hydrocele (stitches) surgeries.
I did an overnight in the hospital to make sure I wasn't going to stroke out or something. I was pretty bored, very boring. I had a nice room (I got to see it the next afternoon, when I was dressing to leave) with an interesting view up 9th Avenue and across the airport. Couldn't see any of it. They warned me not to turn my head (might tear the glue holding my neck shut) and not to use my left arm (might stress the new arterial joint?). I was wired utterly awake but too tired to read, couldn't write (left-handed), didn't feel like moving or anything. Still better than my usual 7 or 10-day stays.
The next half comes in early January, when a stent will be run from my thigh, up the aorta, and positioned to close off the damaged inner liner of the aorta, and so closing off the full-length "pocket" that runs all the way from the aortic arch down to the south end somewhere.
This probably won't be the last guitar I'll ever buy, but it's the last one I've bought so far. I got it "on sale" on Black Friday (Nov. 25) of 2011. Those Guitar Center scamps had the thing marked as $119 for several weeks, arranged like that one puppy at the pet shop right up front on the main aisle. Then, mere days before Black Friday--$109!
That made me think that maybe it wouldn't hurt to go look at it instead of walking by. I thought about that for a few days, not wanting to just impulse-buy a guitar I didn't really have the space for, even if it was on sale. But like many guitar players, I have Guitar Acquisition Syndrome. Fortunately, my GAS is mild and manageable and only has me buying the occasional instrument at a reasonable price.
Besides...won't hurt to just try it out a little. Plug it into an amp...play it. No wife or girlfriend to roll her eyes and scoff when I extoll its virtues--I don't have one with P-90 pickups, after all, and I don't have a Les Paul. The Les doesn't sound like my Stratocaster knock-off, my Peavey T-15, or the cheapie Tux. It really is about the sound, not about the color...though I didn't have a yellow guitar, either. And I'd never had a new one, just second-hand.
Off I went, visions of maybe bringing back a $109 bargain on that Black Friday. Everything was exactly as it had been when I got to Guitar Center...except that the GC scamps had put the price back up to $119. So much for that.
I picked it up, anyway, and took it over to a suitably big and loud-looking amp. Turned it up just loud enough to hear what I was doing, played around for maybe 40 minutes...and seriously considered putting it back on its stand and leaving, friendly puppy feeling or not. Then I considered trying out its sister guitar, identical in every way but the color--transparent cherry instead of transparent "TV Yellow", because don't have a red guitar...There was a black one, too, but I've already got some. I played it some more, gradually deciding that I liked it enough to take it home.
There was only one thing wrong with the Les: the selector switch had a bad solder joint, so one of the pickups was dead. I could have made some noise about it, but I'd rather just fix things myself. Says something about Gibson/Epiphone's quality control, though. It only took a minute for me to solder the wire properly. Yeah, I shouldn't HAVE to fix a brand new guitar...but I'd rather fix it myself. Trust issues. My damn guitar.
So. Here's what I got:
More than the sound and the shape, I really REALLY like the feel of this guitar. The finish on the back of the neck is smooth enough that for the longest time while I was playing and getting used to it my fretting hand would overshoot. The only clear coat is on the back of the neck. The paint is flat yellow and shows off the body grain nicely.
The guitar's marketed as a "Special," Epiphone's entry-level Les Paul model:
--2 P90 single-coil "soap bar" pickups
--24-3/4" scale length
--mahogany body and neck
--22 "Jumbo" frets
--single volume and tone controls
--low-mount 3-way selector switch
--flat translucent "aged" TV Yellow body & back of neck
--pearl inlay dots
--rear access to electronics
--made in China
--single-piece wrap-around bridge; 2 height-adjustment screws, 2 intonation screws
There's a "Custom Shop" label on the back of the headstock, but apparently there's no such shop. Specials are made on the same line as any other Epi, just in smaller quantities. Heh.
Very good balance. The neck stays where you leave it, unlike that aggravating "Tux" which won't stay put. The mahogany feels solid without being heavy--lighter than a maple, heavier than poplar.
The P90s are very loud and bright, but they mellow out nicely when the volume is rolled off. It sounds best straight into an amp. Doesn't seem to like effects processors like the Zoom 505 or Digitech RP100, which both come off harsh. Through my Crate amp, I brought out a damn good and passable Alice In Chains sound--"Rooster" sounds amazing, even with my hackery. Surprised myself, there.
For all the good feel and comfort, though, this guitar kicked my ass. I had to work to play songs I was used to getting through without effort. Three years later, I still haven't figured out why I had so much trouble. With that Gibson-style 24-3/4" scale length, it's not strung nearly as tightly as my Strat copy or the Tux (both with 25-1/2" scales) and should be slightly tighter than the Peavey T-15 (23-3/4"). I went from wondering whether there was something wrong with the guitar to wondering whether I'd had a stroke or something. I even set it aside and played one or another of my other axes for awhile to keep my morale up.
Maybe it was the working out on the Strat copy and heavy strings, but we worked out our differences after a few months. All the other guitars are hanging out of the way and the little Les Paul is always within grabbing distance.
Big developments, lately--all thanks to my right elbow screwing up in June.
I went to my doc about it in July; he sent me to an orthopedic guy. The appointment came up in August, more than a month after my elbow stopped being a problem. But that doctor sent me along to Occupational Therapy for my non-hurting elbow anyway.
Part of the routine there was "riding" an arm/leg machine, sort of a seated cross-country ski thing. I could run that thing on a low load for 15 minutes non-stop, something I'd never manage just walking. This led me and my therapist to think maybe I should get into lower-body therapy to try building my stamina and walking strength.
Back to the ortho doc, who asked me a few questions about the symptoms I've had when I walk or stand. He recommended that I go to a cardiologist instead: whatever my walking troubles are, they don't start with my legs. Find and fix the big problem and we'll deal with this later.
My regular doc set up a cardio referral. At that appointment this morning, the cardio doc said my heart's fine, based on an echo-cardiogram this morning and the stress test I took over the past two days (more about that next). He's got me set up for lung capacity/function tests next week, since that's the next big possibility in all the issues I've been having.
In the meantime, I had a followup CT in October to see whether my aorta damage had gotten worse.
It did. Now I'm going to need surgery to fix it. The vascular doc sent me in for a stress test to make sure I'm good for the surgery.
First half will be a carotid/subclavian bypass, where two arteries are moved over to tie into the carotid. Four weeks after, a stent will be run up from my thigh and placed to close up the damaged "pocket" that started all this medical stuff 52 months ago.