I went to see a surgeon about getting rid of some cysts that I get on my scalp. I wait until I have a ‘crop’ of them before bothering with them, but eventually they do get infected, so I prefer that they are gone. This isn’t anything new. I hadn’t anticipated any problems. This same surgeon had inserted and removed my Hickman catheter for chemotherapy. He’d been pretty decent to deal with.
So, I go to the appointment, and he’s deciding what he wants to do, and we both agree that doing it under a local anesthetic would be fine. I’d prefer to not get knocked out; anesthesia doesn’t sit well with me and I’ve had some nasty complications. Then he tells me he’s going to do it in a small town about 15 miles from here. There are three good sized hospitals (250-350 beds) and an ambulatory surgery center here in town. In the little town, they have a ‘branch’ hospital of one of the larger hospitals. If something unexpected happens, I’m either stuck in that dinky hospital, or I’ve got to be transferred. And why should I have to go out of town to a smaller place? The nurse said that the doc thinks it’s quieter over there. Really? I’m being inconvenienced for his convenience? I didn’t see him walk on water. I’m not impressed. I think he may live there, and it would let him sleep in later instead of driving here early in the morning. But that’s pure speculation.
Then I tell him that the driving distance is an issue. So he tells me that I’d have to have someone drive me here in town even for a local anesthetic, so just find someone. At that point I hadn’t brought my dad into the picture (the one who does the driving in these situations). I am always within a cab ride or bus ride away from home no matter where I go for medical stuff; I always want a backup plan even if dad is going to drive me. There is no bus between that little town and home, and a cab would be more expensive than the surgery. I told the doc I don’t have anybody to ask, and he insists that I can come up with someone. I told him I’d have to ‘rent’ someone (which will be the case when the time comes that my dad isn’t available).
That made me mad. When I say that I don’t have a lineup of people to drag me through two counties, I mean it (well, dad is willing to take me there, but that wasn’t the point). Not everybody has a list of people who will be available to help them at the drop of a hat. Not everybody has friends that they’re in contact with regularly- or even in the same state. I’ve got one friend here who just had some significant complications after one surgery, that required another surgery, and she’s still recovering. She also has a toddler, and works part time when she’s not recovering from surgeries. We’ve talked, and had FaceBook contact, but I haven’t seen her for 27 years. I know she’d help if she could. I know a very few other people who also work, and I haven’t seen them since 1985 either; it’s all FaceBook contact.
I don’t go out of my way to be difficult, and I’m not obligated to go into every reason why I want something done closer to home. If that little town had some medical center of the universe, I might think differently (but probably not for some stupid scalp cysts), but it doesn’t. To me, it’s like ‘The Podunk Urgent Care and Taxidermy Shop’…not really fair, since it’s associated with a good hospital (actually my preferred facility IN TOWN). I have to have the local anesthetic without epinephrine, which will increase blood loss- but the epinephrine would make the dysautonomia go crazy, and there’s a considerable risk of ending up in ICU. I’m not just being stubborn. I need to be closer to home, in a decent sized facility, or even the ambulatory care center, where they deal with emergency transfers if needed. Then I got to thinking that maybe something was wrong with the doc being banned from the hospitals here, but the info online didn’t show any problems. It was purely for his convenience or preference. Yeah, well buddy? I’ve got some preferences as well, that revolve around safety and getting this done without any medical mayhem happening because of being somewhere that isn’t as equipped to deal with blood loss and/or the dysautonomia. And yes, he knows about the dysautonomia.
So, I got the call from the nurse at his office thinking she’s going to schedule the procedure out there in the back forty, and I told her I’m not going to be going there. She then asks “So I should cancel it?”, and my unpleasant, sarcastic self is thinking, ‘Why no ! Let’s just let him show up to NOBODY, and he can see my list of people who can drag me around the state -right there in front of him’. But I was nice. Sorta. I just said that would be fine. End of conversation.
I’ll see my regular doc on Monday, and ask her for a referral to someone who doesn’t do cross-country surgery. I’m sure there are plenty to choose from. And dad will be happy to lug me around here in town whenever it’s scheduled. 🙂