On Mon, 26 Nov 2018 03:33:59 +0000, Mike Perkins <
sp...@spam.com>
wrote:
>On 24/11/2018 19:33, Jeff Liebermann wrote:
><snip>
>> Drivel and status report: Just escaped from the hospital. Laser
>> lithotripsy to remove one kidney stone failed. I go back in a week or
>> so to try again. A month later, I repeat the ceremony to remove the
>> other boulder. I'll be rather scarce in the forums and mailing lists
>> until I'm recovered.
>First of all my sympathies.
Thanks, and also my thanks to others who also offered their
sympathies. However, none is required. I plan to get through this
mess and return to normal eventually. The trick is not about modern
medicine or money. It's about surviving bad scheduling, hospital
super-bugs, medical mistakes, and oddly about practicing medicine from
a lawsuit inspired medical cookbook. So far they've only tried to
kill me once (by accident), but most everything else is going fairly
smoothly.
>Can I ask why the procedure failed first time?
Laser lithotripsy. The laproscope is about 5.5mm wide. They were
only able to enlarge the entry hole from the ureter to the kidney to
about 3mm dia. (Note that stents are normally sized by circumference,
not diameter). Any larger, and I started bleeding profusely due to my
being on blood thinner (Plavix). The surgeon was unable to get the
laser into the kidney. So, they left a 2mm dia stent in place to
eliminate the painful backpressure, patched me up, dropped the blood
thinners form my growing prescription list, released me on
Thanksgiving evening, and asked me to call on Monday for round two. My
best guess(tm) is the next attempt will be using PCNL:
"How are Kidney Stones Treated?"
<
https://www.urologyhealth.org/urologic-conditions/kidney-stones/treatment>
I had the same laser lithotripsy procedure 10 years ago for removing a
previous boulder. It works, I recommend it, but has some limitations.
The big one is that it only breaks up the boulder, and does NOT remove
the debris. That took about 10 days and was Level 10 agony for the
entire period. The not so big limitation is that running a laproscope
through a rather sensitive part of my anatomy can be rather painful
when later trying to urinate. I've repeatedly asked for some 5%
lidocaine topical ointment to deaden the nerves, which has been
repeatedly "forgotten". I wanted to mix my own using some illegal
cocaine, but failed to find my 30 year old stash.
If you want more details, email please.