bunrab: (me)
So I had the defibrillator replaced on the 29th, and it was so painless and easy compared to all the other surgeries I've had these last 10 years that I feel like there's another shoe that's gotta drop - something can't possibly go that well without anything going wrong! And yet that seems to be the way it worked. Went over to the hospital at 11, was home again before 4, even counting the extra time we had to wait while they rearranged the operating room because someone had forgotten to tell the setup people that my device is on the right side, not the left. It was, as expected, local anesthesia and a bit of sedation, with the sedation increased for a few minutes when they had to test the device after putting it in - the sedation caused some mild hallucinations which I recognized as such while they were happening: the blue woven-paper coverings and pads that they use to cover areas, block things off, rest tools on, turned into a vast rolling Avatar-like landscape. And of course I chatted all the way through the thing, uncontrollably - but the anesthesiologist says she enjoyed it, and that constant chatting is in fact quite reassuring to them.
Boring details of easy recovery )

In other news, I am now officially elected to the condo board, not just appointed, and have already started wielding my immense power - which consists of volunteering to do many, many hours of unpaid work on behalf of the 433 owners who /aren't/ on the board, while enduring complaints from them and hassles from the other new board member who is a nutcase, and an exciteable, shouting nutcase at that. Wonder how long he'll last???

We went to the state fair the weekend after the surgery - and I was fine, although, since this year the scooter rental people weren't there, we didn't get to see much of the fair. In general, I'd have to say that for most ag stuff, the Montgomery County fair was larger and better organized than the state fair - the only place where the state fair has it better, and the reason I wanted to go, was the Home Arts building - many more quilts, knitted things, and needlepoint things at the state fair than there were in Mty Cty. This coming weekend we are going to go to the Great Frederick Fair, which is the name for the Frederick County fair. I've never been to that one, but Frederick is  a big agricultural area, just as northern Montgomery county is, so I have high hopes for fancy goats, obscenely-shaped vegetables, and, since it is a month later than the Montgomery one, much, much larger pumpkins. I shall report!
bunrab: (bathtub warning)
Just a quick update for those of you keeping track - I got this ICD/pacemaker September 3, 2006, so I am now pretty much 7 years into a "5-year battery" expected life of the device - it finally dropped down to the replacement level last month. So I am getting the battery - or generator - replaced this Thursday. To explain that quickly - when they talk about replacing the battery on a pacemaker or ICD, they really mean replacing the whole blob of metal that is the device, everything except the leads. The human body is full of nasty fluids, so pacemakers are sealed very well so as not to have the works damaged by their environment, and that means there's no easy-in, easy-out battery slot; the battery is an integral part of the unit. Which is also referred to as a generator, since it generates those little electric shocks.

The upside of this is that, although the generator is the very expensive part of the device (5 figures), it is very easy to install; it's the leads that are a bitch to install. Lead placement is an overnight (or longer) procedure, which, as you all know, I have had remarkably bad luck with. But device replacement is outpatient surgery, local anesthesia with sedation. So I will be in and out again Thursday afternoon. And, since Medicare is now my primary insurer, I will have no problems with out-of-network anesthesiologists billing me thousands of uncovered dollars - we're going into this knowing that anyone who touches me better take Medicare. The EP (electrophysiologist, or pacemaker/ICD specialist) surgeon is someone from my regular cardiologist's practice whom I've talked to several times, and so we're really clear on what we're NOT doing here - no weird attempts to suddenly be the person to succeed in placing a third lead. In fact, we are putting in the simpler device that doesn't have bi-ventricular lead capacity. Smaller and probably longer life than the current device. All the way around, though any surgery is a nuisance, this one I expect will be less of a nuisance than anything else I've had done anytime these last 10 years.

It's Howard County General, just a few miles from my condo. Cindy is driving me there and back. I'll post to Facebook as soon as they let me have my phone back in the recovery room.
bunrab: (sodium)
Every now and then one has to pay some attention even to archival journals, to keep LJ from deleting them, so here's a post in this one.

Battery still holding out above the elective-replacement level on the ICD, but close enough that we expect that at my August device check, it will have fallen into that range, and we'll schedule the replacement for the week after that. Since they don't have to replace the leads, which is by far the most difficult part of placing a device, the whole thing will be outpatient surgery with a minimum of anesthesia, a good thing after my anesthesia-induced bout of extremely low blood pressure on the occasion of last September's try (the fourth try, and definitely the last) at placing the third lead. That was a minor disaster - not a major one, since I'm only slightly worse off than before, but nonetheless not fun and there is that /slightly/ worse off. More details over on my regular blog, I guess, if you care to look there.

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