PACE…It’s not just salsa.Posted: November 26, 2013
Today, mom and I got up at dark o’clock and made our way into the hood. Specifically, the Keck Medical Center of USC for my PACE appointment.
PACE = Pre-Operative Assessment and Center for Education
I met with the pre-op nurse and went over all the instructions. No eats or drinks after midnight. No meds in the morning. No lotions. No No No NO NO!
I also got the funky cleaning cloths to use post-shower on the morning of surgery. Use cloth 1 for your arms, cloth 2 for your stomach, cloth 3 for your front legs, blah blah blah. My skin is super sensitive so it will be fun to see if I break out in hives.
The nurse was really nice but when she was asking me things like “do you have chest pain?” or “Do you have headaches?” I was all “Yes, every freaking day.” Some of the things she seemed concerned about are just side effects of the Aplastic Anemia. Nothing I can do about it. Some things are side effects of the Aplastic but got worse when I started my new meds. So I have no idea how to answer “how long has it been?”. 15 years or 4 months, take your pick. Anyway, she made it through the interview without crying in frustration. She was also super cool and checked all my diabetic medication to see what I should and shouldn’t take the day of.
Then I had an EKG with a nice tech with a thick eastern european accent. I think we had a conversation about Thanksgiving. My favorite part was when she started the EKG and immediately went “Oh.” She asked me “What is your normal heart rate?” My normal heart rate is in the mid 90’s. My HR at that point was 108. An hour earlier it was 128. A little anxious I am. (-yoda). I was done with that after a few minutes.
Then I met with the anesthesiologist NP. I was told by a doc that I would meet an attending anesthesiologist and we would talk about my port and what they would do that day, etc… But no. It seems as though the only thing they do at PACE is tell you if you are cleared for anesthesia. You don’t get to discuss actual port vs IV stuff until the morning OF surgery. So I made him write a note to the attendings that I would refuse a big IV and they needed to use my port. We’ll see. I’m still a bit nervous about that but I can’t do anything about it. They also decided to order a cardiac clearance so sometime next week I see a cardiologist and possibly have an echocardiogram. Another day in paradise.
Then I was good to go home.
I got a call from Interventional Radiology this afternoon. They are the ones that will be putting in my port tomorrow. Again, Nothing after midnight, no lotions blah blah blah. It’s a twilight anesthesia but I’m having a hard time with it. Just nerves. Big fat ones. I wouldn’t consider the things flying around in my stomach butterflies, more like giant rabid flying meanies.
Or it could have been the Chipotle I had for dinner.
Nothing after midnight means I am pounding down the water and food for the next hour.
What is it about being told you can’t eat that makes you so hungry?
FIGHTING ON (and running for the fridge)