The Pre-Op Polka
By Kathy Reschini Sweeney, who already sick of the whole process which hasn't even started yet
Maybe you already know this, but you don't have to wait for the day of surgery for the real fun to begin. I give you the pre-op labyrinth of bullshit. I chose the Polka as the dance because of the alliteration, but also because the polka seems fun at the beginning, but you can end up with dizziness and shortness of breath if you get the wrong partner. Those things also happen to be signs of an anxiety attack.
A couple of disclaimers (disclaimer is a legal term that means - don't tell me, I already know - so shaddup)
1. Pittsburgh has wonderful health care. We are very lucky. The downside is that the entire UPMC system is a teaching system. We all understand the need for people to learn. We would just prefer that they learn on someone else, unless, of course, they turn out to be a good audience.
2. Doctors are highly trained people who only do the risky parts of the process. They do not ask questions if they can get someone else to do it for them. This is also the mark of a good business model, because the hospital cannot bill surgical time unless there is surgery so they employ other, less medically-savvy, people to do the paperwork.
3. The paperwork people are, by necessity, check the box people. They don't apply common sense or have any memory, especially short-term memory. Apparently, they are not allowed.
Okay. My surgery is tomorrow (Tuesday). The pre-op dance began late Friday afternoon, which in medical time means 330 pm. Heaven help you if something happens after that because you cannot get a human to answer a phone even if you are on fire. I got the first call at 325 pm. It was the surgical center with pre-op questions. Fair enough.
It got odd right off the bat when she told me I had to have someone "sign me in". I reminded her I was 51 years old and capable of producing ID. She told me I wasn't allowed to drive because I couldn't drive home. I assured her that I understood but that no one was going to sit for 5-6 hours, and that someone else would pick me up. She insisted that I have someone come in with me to sign me in. I asked her what would happen if I took the bus - would I have to get the Port Authority driver to abandon his other passengers? She didn't seem to follow and kept repeating that she needed the name of the person who was going to sign me in. It was early in the conversation, and I still had my sense of humor, so I said: "Eowyn, Shield Maiden of the Rohirrem". When she asked me to spell it, I abandoned all attempts at humor, and attempted to just be cooperative.
Until the third round of the same questions. The third time she asked whether I was allergic to latex, I asked why: (a) she didn't refer to the answers I gave two minutes prior; or (b) she didn't refer to the billion-dollar, federally funded (which means our tax dollars paid for it) centralized computer information system that even I can access from my phone.
Her answer: "We're not online here."
Me: "What?"
Her: "We're not, you know, live - we don't have access to the computers. We do everything on paper."
Me: "Like, with monks or something?"
Her: "Huh?"
Me: "Never mind. Are you telling me I am scheduled to have surgery at a place that is not online with the UPMC computer system - because I am not comfortable with that, since all of my scans and results are only available online."
Her: "Well, the surgeon can call and get them if she needs to."
At this point, the picture in my head is of the poor guy frantically sending SOS signals from the HMS Titanic, or perhaps some trained carrier pigeons. Let me tell you, once you get the sinking Titanic in your head, not even the reminder of a young Leonardo DiCaprio trembling in the back seat of a 1912 Renault (both things of beauty) can get it out.
I managed to calm down enough to decide to keep answering questions and following up with the surgeon's office later. Five minutes later, the pre-op puppetmaster starts with all the same questions, all over again.
Me: "C'mon - I just answered all of those questions five different ways."
Her: "This is for the anesthesiologist."
Me: "Are you telling me the anesthesiologist doesn't have access to the surgeon's records?"
Her: "No. We have to write everything down for them."
Me: "It must be hell filing those stone tablets."
Her: "Huh?"
Me: "Never mind. Let me try to be clear - are you telling me that if you don't write down these answers, the anesthesiologist won't be able to access my information?"
Her: "Right. And, you know, general anesthesia is risky."
Me: "Wait a minute. I'm not having general anesthesia."
Her: "My papers say you are."
Me: "Look, I get that this is not your fault, but there is no way in hell I am having surgery when nobody seems to know what is going on with my case."
Her: "Well, if you don't answer my questions, I will cancel the surgery and you will have to wait another couple of weeks to have this done."
Me: "Done. Right. Done is good. We're done here until I talk to the surgeon."
Her: "Everyone is gone for the day. You can't talk to them until Monday and I need to confirm the surgery now."
Me: "No, you don't. The surgery isn't until Tuesday."
Her: "My paper says Monday."
Me: "I am going to hang up now."
They say you could hear the screams across the river. I left what had to have sounded like the ravings of a lunatic on the surgeon's voicemail and did what every rational person would do under the circumstances.
I sent a text to a couple of friends and called an emergency meeting with tequila. Some people call it Happy Hour.
As a post-script, I talked to the surgeon's office this morning and all is well. But my experienced friends have warned me to expect more of the same, repetetive questions when I show up tomorrow.
Since tequila will not be an option tomorrow morning, I will be taking my new best friend, Miss Xanax, with me.
So tell me- do you have any Pre-op Polka stories to share?