An Anxious Night

I don’t typically sleep well at night. It’s been this way for years. Between insomnia, kids up late watching the television too loud, trips to the bathroom, and the occasional panic attack, sleeping through the night has become a rare occurrence.

So, it was doubly disturbing the other night when I was awakened in the small hours of the morning by the sound of my wife’s voice. I had been fast asleep, deep into a lovely dream, and enjoying several hours of restful sleep strung all in a row.

As I swam toward wakefulness, I heard her repeat, “What? What is it?”

I turned toward her, thinking she was talking in her sleep and wondering if I could fix the problem with a well-placed pillow and a length of rope. Then I heard another voice in the hallway outside our bedroom. It was our daughter, EM2. She was complaining that her chest hurt, and she could not sleep.

Knowing that EM2 was in the middle of her finals week at college, and that she had spent a rather stressful weekend writing papers and studying for her upcoming tests, I told her she was most likely experiencing some anxiety, and that she should take some antacids to settle her stomach and try to go back to sleep.

She agreed and left.

I turned back to my pillow, who waited faithfully for my return. I was asleep again in moments. I recall dreaming of an idyllic forest, with a small stream running through it, and a deer drinking from the flowing water. The deer raised its head and looked at me. It opened its mouth, and said, “Hey, Dad. Are you still awake?”

Groggily I opened my eyes and found EM2 standing beside my bed, staring down at me.

“What?” I asked. Perhaps with more emphasis than absolutely necessary.

“My chest still hurts. Are you sure its not a heart attack? I think I need to go to the hospital.”

EM2 is twenty-one years old and, while heart attacks do happen, they are extremely rare at her age. Plus, I have suffered from anxiety and stress for many years, and I know the symptoms when I see them from personal experience. Still, to be cautious, I told her to call the on-call advice nurse at the hospital and see what they had to say. If they wanted her to come to the emergency room, I would drive her.

I figured the nurse would realize right away that they were talking to a stressed-out kid who was NOT having a heart attack. They would tell EM2 to relax and try to go back to bed. I closed my eyes and fell back asleep.

Ten minutes later, I was in my truck, still not fully awake, driving my daughter to the emergency room.

We arrived, and hospital staff brought EM2 to one of the examination rooms right away. For the next ninety minutes, I sat in the hallway watching medical staff in comfy blue pajamas wandering the premises while EM2 had her blood pressure checked, blood drawn, and an EKG performed to check for irregular heart rhythm.

All tests were negative.

The doctor’s determination? She was suffering from anxiety.

If only someone else had recognized the signs early on. This whole trip might have been avoidable.

Before EM2 was released from the hospital, the nurse handed her two written prescriptions. He said one was for a steroid, and the other was an antibiotic. EM2 asked if she needed to take them, and the nurse explained that yes, the doctor wanted her to take the medications.

I honestly wasn’t certain why a 21-year-old needs steroids and antibiotics after an anxiety attack, but what do I know? The doctor wanted her to take them. And doctors are trained professionals. They take two or three extra weeks of schooling just so they can get their doctor’s permit, or medical ribbon, or whatever the hell it is they get that says they know what they’re doing.

Next stop, hospital pharmacy.

EM2 handed the pharmacist her prescriptions and then was told she did not have insurance through the hospital and would need to go to another pharmacy to get it filled.

Hold on a minute. My daughter is a Kaiser member. We went to a Kaiser hospital to get treated. She received a Kaiser prescription, written by a Kaiser doctor on a pad of paper that said “Kaiser” at the top, with a ballpoint pen that said “Kaiser” on the side of it.

And the medications weren’t covered?

The pharmacist said EM2 would need to go to a Walgreen’s to fill the prescriptions, but that they would be covered and wouldn’t require a co-pay if we did. Otherwise, if we got the medications at the hospital, they would cost us full price. Completely confused but having no other recourse but to go find a Walgreen’s to fill her prescriptions, we left.

A few minutes later, during the drive to find a Walgreen’s somewhere in our vicinity, EM2 received a phone call from the hospital. The nurse told her that the prescriptions she had received had been a mistake and that they were intended for someone else. At least now the mystery of why her insurance wouldn’t cover the cost was solved. It wasn’t her medication. EM2 was advised to take some Motrin if she was still not feeling well, but otherwise there was no follow up treatment, and she was free to go home.

I made a U-turn at the next light and started driving toward our house. I noticed the time and realized that I would be arriving home right about the time that my alarm clock would be going off on my bedside table. I turned toward the passenger seat to comment on the irony of the timing to EM2.

But she was sound asleep.

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A True Friend

I like to think that I’m a good friend, that I would drop everything I’m doing to help out somebody else that I care about. And, for the most part, I think I am. I have to admit, however, that several years ago I learned what it truly means to be a friend in times of need, and I don’t know if I will ever measure up to that kind of standard.

The guy that taught me what it’s like to really step outside your comfort zone for another person was … my boss.

Tim Twomey was a lieutenant working for the Sacramento County Sheriff’s Department. He was assigned to the Rio Cosumnes Correctional Center (Jail) as a Lieutenant. This meant that he was in charge of our shift and answered only to the Captain, although I learned while working there that Tim pretty much answered to nobody but Tim.

I was a brand-new deputy with zero seniority and only a vague idea of what I was doing. A situation that changed very little during the three years I worked in the jail.

One morning, I was attending briefing before my shift started. The shift sergeant had already gone over assignments and scheduled activities for the day and was about to let everyone head out to their posts, when Lt. Twomey stood up and stated that he had an announcement.

“Will the following deputies please meet with me in my office immediately after briefing,” he said. Then he listed five names, including mine.

I had no idea what he wanted, but when the Lieutenant said meet him in his office, you went and met with him in his office. As soon as the sergeant said we were done, the other four deputies and I headed to Tim’s office.

Tim didn’t waste any time. “I’ve been looking into your hiring files and I want to ask you a few questions.”

My next thought was that I was about to get a disciplinary write-up for something. I wasn’t sure exactly for what, but nothing that started with your personnel file ever ended up being a good thing.

“I see that all of you have ‘O’ positive as your blood type. I have a friend that needs blood, and he’s ‘O’ positive. How would you feel about donating your blood?”

This was definitely not what I had expected out of this conversation. I mean, I had no idea, what to expect, but this certainly wasn’t it. He was asking us to donate blood?

“When?” asked one of the other deputies.

“Right now.”

“Should we go to the nurse’s station?” asked another.

“Nope. My buddy is in the hospital in San Francisco. We’re going there.”

I thought he was joking. San Francisco was a three-hour drive away, and that’s if traffic wasn’t a complete mess.

Tim was not joking, however. A close friend of his was in the hospital, being treated for Leukemia. He had already gone through several pints of blood and needed more. Tim was determined to help him out any way he could.

Uncertain what to expect next but being up for an adventure (especially one that was going to take me away from work for the entire day), I volunteered to go. Two other deputies in the office also volunteered.

Tim thanked us, then got on the phone to call our sergeants.

Each call sounded a little bit like this:

“I’m taking three deputies for the day, so you are going to be short staffed. I’m sure you can make it work.” The sergeant said something we couldn’t hear. Then, “We’re going to be away from the jail, that’s all you need to know.”

Tim hung up the phone, and five minutes later (still in uniform, by the way), we were in the Lieutenant’s marked department SUV and pulling out of the driveway of the RCCC facility.

I expected the drive to be a long, awkward experience, but it was anything but. During the drive to San Francisco, Tim had us laughing the entire time with stories of the things he did as a young deputy. Not just work-related stories, but several personal tales of mayhem and debauchery as well. I’m not sure I can in good conscious share those stories in this blog, besides it would take a week or more just to write them all down.

He appeared on the Phil Donahue Show and had an article written about him in Playboy just for starters.

Suffice to say, Tim Twomey led a very colorful life. If you talk to anyone who knew him, I’m sure they will have at least one or two stories to share.

We arrived at the hospital and pulled into the parking garage. Ten seconds after going in the underground structure, we hit a low-hanging concrete beam that tore the light bar off of Tim’s vehicle. He climbed out of the car, announced that he never used the light bar much anyway, then threw the broken item into the back compartment of the SUV.

We continued on as if nothing untoward had happened, although I couldn’t stop giggling for about five minutes afterward. I kept thinking that Lieutenant Twomey was going to get fired for this trip and he was going to take all of us down with him. And … strangely, that was perfectly all right. If I got fired for this, I would at least have a hell of a story to tell.

Well, I didn’t get fired, but I still got a great story.

We made quite a picture: Four uniformed and armed Sacramento Sheriff’s deputies marching through the hallways of a hospital in San Francisco. I’m sure we looked as out of place as I felt. We all gave blood, making sure our donations were placed in his friend’s name. While we donated, Tim went to his friend’s room and spent some time with him. About an hour later, we all piled back into the (lightless) Sheriff’s vehicle and headed back home.

I never heard any negative backlash from our adventure, and Tim continued on as our Lieutenant, so I assume everything was fine. Or at least forgiven. I suppose it would have been difficult to fire someone for helping out a sick friend. That kind of story never plays well in the press.

I left the jail to move out to patrol a couple years later and never worked with Tim again. He retired soon after, and then, in 2011, I heard he passed away.

I still think about Tim once in a while. I wish I had gotten the chance to tell him how much of an impact he made on me, personally and professionally, in the short time we worked together. He taught me the lengths we should be willing to go to help out a friend.

I hope I can live up to the example he set.

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Pizza, Donuts, and Appendicitis – Part 2

When I had my appendix removed, the whole process was quite a bit more drama than most people generally experience while undergoing this procedure. Just getting to the hospital took more time and effort than I thought necessary, but my dad always did have different priorities than I did. Apparently, coffee and cigarettes listed higher on his list of concerns than the dying child in his car. I would have hoped that I ranked at least a little higher among his top three, but ultimately that was just wishful thinking.

We did make it to the hospital, if not quite intact, at least alive. I went into the emergency room and was admitted almost immediately. Things appeared to be looking up.

I was moved into an examination room, changed into a paper gown, and told to lie down on a gurney. A nurse began poking and prodding my stomach causing me to break out in a sweat. “Does that hurt?” she asked.

“Only a lot,” I told her.

“It looks like you’re having trouble with your appendix.”

I agreed with the prognoses and figured the examination was over. But I soon discovered it was only just getting started. After the nurse finished trying to make me jump off the gurney, she wrote some notes on a chart and left. As soon as she was gone, a guy in a white coat walked in. I assume he was a doctor. At least, I hope so, since he pulled up my paper gown without so much as a, “pardon me,” and started jabbing at my lower stomach with his fingers.

“Does that hurt?” he asked.

I screamed once, which I assumed was the agreed upon signal for, “Yes.”

“It looks like it’s your appendix,” he said.

Then a girl stepped into the room. I say, “girl,” not because I’m trying to be dismissive, but rather because she appeared to be about ten years old. She looked liked she might have been there for “bring your kid to work, day.” Although she was also wearing a white coat, she didn’t look old enough to be watching R-rated movies, much less working in a hospital. I can’t remember her name, so I will just refer to her as Dr. Preschool.

The older doctor introduced me to Dr. Preschool and told me she was doing her first-year residency at the hospital. He then told me she was going to do an examination on me.

As she approached my bed, I said, “Let me save you some time. It looks like my appendix.”

Dr. Preschool smiled at me, then spent the next five minutes torturing me mercilessly. There was a great deal more prodding than either the nurse or the older doctor had found necessary. This was followed by a great deal more screaming on my part.

“It looks like your appendix,” she finally said.

“You think?” I asked. “What was your first clue?”

Next, I signed some forms saying that if the hospital killed me during surgery I was totally cool with it, followed by a few more forms that said if they didn’t kill me but messed me up real bad I was okay with that, too.

After the paperwork was completed, the older doctor gave me some unexpected news. He said that Dr. Preschool was going to be the one performing my surgery. I asked if she was old enough to be playing with sharp objects, but he said everything would be fine. He would be observing the operation the entire time.

Well, that was certainly a relief. I was glad to hear that he would be watching while Dr. Preschool cut me open. It was nice knowing my homicide would have a witness.

About an hour later, I was wheeled into an operating room and a plastic mask was placed over my face. Dr. Preschool hovered over me and said, “Just breathe deep. You might feel a little dizzy from the gas, but don’t worry. It will feel like you just drank a lot of beers really fast.”

It was not a very comforting statement. Right before being cut open, nobody wants to hear that in addition to your surgeon being a child, she might also be a raging alcoholic. Before I could object, however, I passed out.

When I woke up a couple hours later, I couldn’t breathe. I mean I literally could not breathe. I couldn’t draw air into my chest, and I began to thrash around in a panic. Somebody put an oxygen mask on me and started an albuterol treatment to open up my lungs. It helped. Several minutes later, when I was certain I wouldn’t die of asphyxiation, I finally began to calm down.

I found out later that while I was unconscious, they had experienced some difficulty intubating me. By “some difficulty,” I mean they couldn’t get the tube into my lungs to keep me breathing. It took several attempts and by the time they finally accomplished it, they had done so much damage to my larynx that my throat closed up from the swelling. There was some damage to the vocal cords as well. I didn’t talk normally for months afterwards.

That was the bad news. The good news was that I was so traumatized by the whole event that they gave me some really powerful drugs to calm me down and stop any subsequent panic attacks. So … thanks for that, guys.

A few hours later, they let me go home. I got the usual warnings about taking it easy and not lifting anything that weighed more than ten pounds. That didn’t go over really well with my wife since our new baby weighed about fifteen pounds at the time.

“Sorry, dear. Dr. Preschool’s orders.”

Fortunately, my parents lived close by and they were able to help out while I was recuperating.

Well, actually my mom was the one that helped out.

My dad was too busy getting coffee.

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Pizza, Donuts, and Appendicitis – Part 1

Many years ago, I had my appendix removed. It was supposed to be a simple procedure; I would be on the table for twenty minutes, wait another couple hours to wake up and recover from the anesthetic, then they would send me home.

Things did not go as smoothly as I was promised. In fact, I am quite fortunate to still be around to tell the harrowing tale.

This is the main reason that today I do not trust hospitals or doctors.

Or my parents.

Especially, my parents.

It all happened about twenty years ago when my wife and I still lived in San Jose, just a few houses away from my mom and dad. Yes, I lived in the same neighborhood as my parents. My wife and I moved there right before my oldest daughter, EM1, was born. We figured it would be a good idea to be close to family because they could help with the baby.

This was a mistake we corrected about a year later.

Anyway, back to my appendix.

I went to work that night, feeling absolutely fine. I worked the graveyard shift from 7 o’clock at night until 7 o’clock in the morning. The first few hours of the shift were quiet, and at about 10 o’clock I decided to get something to eat. I went to a local pizza shop and ordered a small pepperoni pizza.

Three hours after I ate, I was in the bathroom of the police department locker room, throwing up. I thought I had food poisoning, or that an employee at the restaurant had put something noxious on my pizza. Between bouts of vomiting and stomach cramps, I contemplated going back to the restaurant and fire-bombing the place. Fortunately for everyone involved, I was far too ill to act on any of my delirium-induced fantasies. I wasn’t going anywhere.

On a side note, if you have never had the pleasure of being on your hands and knees in a locker room bathroom, throwing up into a toilet that probably had not been properly cleaned in over a decade, I don’t recommend it.

My supervisor found me in the fetal position later that night and sent me home. As soon as I thought I could stand up without throwing up again, I took his advice. I drove home, crawled into bed, and fell asleep immediately.

I woke the next morning with sharp pains running through the lower right side of my stomach. It wasn’t food poisoning after all.

I woke up my wife and told her I needed to go to the hospital.

Because we had the new baby in the house, my wife called my parents and asked them to drive me to the emergency room to get checked out. They came over right away.

And by “right away,” I mean about an hour later. Apparently, driving the car 200 feet from their house to ours was quite an ordeal.

They hustled me into the car and headed for the hospital. I was in so much pain, I closed my eyes. Not because it made me feel better, but because if I threw up, I didn’t want to see the look of disappointment in my parents’ eyes when I ruined the upholstery of their car. A few minutes later, I felt the car pull to a stop, and my dad turned off the ignition.

I opened my eyes and asked if we were at the hospital already. Instead of a big, red-and-white emergency room sign, I saw a giant, neon owl, and the words, “HOOZ DONUTS.”

My mom turned around in her seat and told me, “Your father wanted to stop and get coffee. He’ll be just a minute.”

Then, as an afterthought, she asked, “Do you want anything?”

What I wanted was to not die from a burst appendix in the parking lot of a donut shop. But rather than say what I was thinking, I just sat there and watched as my dad went inside the shop, stepped up to the counter and ordered coffee. He chatted with the only employee in the shop while the kid poured coffee into a Styrofoam cup, then he paid and waited while the same kid fished out twenty-eight cents in change from the register.

How do I know it was twenty-eight cents? Because I watched him drop those same coins into his cup holder when he got back to the car. I had plenty of time to total up the amount while my dad took a sip of his new coffee, set the cup into a different cup holder, and lit up a cigarette. I guess he figured he had two other kids, so if one died in the back seat of the car while he was having his morning coffee and cigarette it wouldn’t be that great of a tragedy.

My dad was always so practical.

He cracked the window (because he was such a thoughtful guy) then finally drove out of the parking lot to take me to the hospital. I sat in the back seat shivering in the 35-degree air blowing over me during the entire drive. Did I mention it was winter? No?

It was winter.

At last we arrived at the hospital. I staggered into the emergency room, hunched over like Quasimodo and grateful I had lived long enough to reach help. I thought the worst of the ordeal was behind me now that I had found trained professionals that could aid me in my hour of need.

I was so very wrong. How much worse could it get? Come back next week, and find out what it’s like to have your surgery conducted by a toddler.

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Enjoying Deep Dark Thoughts? Follow me on Facebook so you don’t miss a post. Just go to my page and click the “Like” button to receive updates on my blog and other projects.

And you can follow me on Twitter @gallenwilbanks.