The month of September, even though it is my beloved birthday month, can go ahead and dip into October; Patrick is on stay 2 in the hospital, and we are over September. No offense to September, it’s not September’s fault. October, though, we’d like a smooth sail. Thank you in advance.
A peri-tonsillar abscess decided to take up residence between Patrick’s left tonsil and his jawbone. Who knows how long it was there before reaching volcano stage. On September 1, he started to talk about pain in his throat, couldn’t get up, fevers began that broke and left him needing to be mopped with towels, and then, the fevers began again. COVID was starting to go around, as was a nasty strain of strep throat, so we thought rest would do the trick. On September 3, Patrick still could not get out of bed; he could not swallow, he was sopping wet from fever-sweat, weak, dehydrated, and he said words he never says, “I need to go to the hospital.”
We headed to St. Francis South because it’s not as busy as St. Francis Main. During triage/in-take, the nurse saw immediately that his sore throat was not strep or COVID but that it was a large abscess near his left tonsil. She set the ball in motion quickly. He was placed in an ER room, tests were run, including a CT scan of his throat and bloodwork. The doctor reviewed these and took a look in Patrick’s throat; he straight up told us that at St. Francis South, they are not equipped to handle Patrick’s specific situation and that he would have to be moved by EMSA to St. Francis Main. The ambulance took him there, and I drove in the car to meet him there. Long story short, an ENT came, took a look, and immediately set about draining the abscess, which is a grueling process involving numbing spray, long needles, draining, and incisions all while the patient, Patrick, is awake, which he was – and he felt it all. But, he, in true Patrick fashion, took it without a whimper or a flinch. He was put on a strong antibiotic, and on the 5th of September, the hospital let him go home.
For 10 days, Patrick faithfully took his antibiotics. The pain in his throat lessened somewhat, but swallowing food remained painful.
On day 2 post-antibiotics, Patrick’s throat swelled again, and the pain worsened. We went to the ENT’s office, and he took a look, saying that some days are like that – sometimes it’s worse, sometimes it’s better, and that the healing was going to take a while. We left glad to know that he was okay – and that it was ‘normal’ to feel how he was feeling; it was healing. We thought. That was September 18th. On the 19th, he progressively felt worse throughout the day, but he didn’t say much about it. I could tell something was off. We had smoked ribeye for dinner, and Patrick had a hard time swallowing it. That was different from the previous hard-to-swallow days.
Through the night, he did not sleep.
He tried to doze, but his neck swelled more, and the pain grew in intensity.
When he got up around 2:00 p.m., he came into the dining room, soaking wet again, and he said, “I think I need to go to the hospital.” In under 5 minutes, we were in the car headed back to St. Francis South. Hoping that we’d be told it was healing, all was well, here’s some more antibiotics, but that was not what happened.
The doctor took a look in Patrick’s throat and said, “It’s back.”
Worse than it was the first time. It had spread.
Two days before, the ENT, in his office, had said it was getting better, and now it’s worse than it was on September 3rd. They loaded Patrick into an ambulance again and sent him to St. Francis Main. I followed, as did a large number of our family members. Shout out to Joey, Carolynn, Madison, Zackery, Maureen, Veronica, Joe, Nana, Harley, Josh, Max, and my Daddy. They all gathered in the lower level of the Emergency Room waiting area, and Joey and I went back with Patrick who was kept in Trauma C. The large room held large lights and surgery tools. Our concern levels rose at his being placed in the space where they do surgery in the ER. Now, we expected they were going to open his neck and dig out the infection, which had, at the beginning of the month, been told to us was a potential option. Joey and I both held Patrick’s hands, and he tried to sleep. He was going on hours with no sleep, no food, nothing to drink, and he was in excruciating pain. After 40, minutes we were told that a regular room was ready for him, and that he was going to be moved there, that the ENT would get with him either in the morning or on Monday, they didn’t know which. Okay, at least he was getting antibiotics.
Joey went with him as the techs moved Patrick to his regular hospital room.
I moved the car.
The family scattered – some walking through the hospital to Patrick’s room, some of us moving vehicles to be closer to the main entrance. We all reconvened on Patrick’s floor. Carolynn and I went in, and the ENT was there, ready to do the draining! So fast! And wham-bam, she numbed him, gave him a shot, and began draining the abscess and its fingers, which were creeping down into Patrick’s neck. She worked thoroughly, making incisions into the fingers and spreading them wide to ensure they would also drain. Patrick was in pain the entire time, but he told her to keep going, to get it done, and he bore it like a beast. He amazes me.
After she was finished, he felt better and wanted coffee and food. The family all crowded into the room, and we had a nice time of fellowship. Once everyone disbanded, I walked to one of the several Starbucks in this massive place and purchased some chicken noodle soup and a grilled cheese sandwich. The nurse got Patrick some coffee. He ate and drank it all. This was good news! We were pleased, and we hoped for some rest. That did not happen. Loud beeps. Vitals checks. Blood draws. The changing of antibiotics. The night passed slowly, and with both of us awake, dozing occasionally – sometimes hot, sometimes cold, always interrupted. But such is a night in the hospital.
This morning, we wondered whether we would see the ENT as she had said she and her attending doctor would be here. It’s a Sunday, though, so we weren’t sure. We thought maybe they’d wait until Monday. I went home to change and pack an overnight bag, which contains a much softer pillow than any this hospital has to offer, as well as some sparkling water. I grabbed my medicine and a change of clothes for both of us because I know my husband, and he would not want to stay in the hospital any longer than necessary … in his mind regarding what’s necessary. I also made my own cappuccino at home and brought it in an insulated cup; these Starbucks in the hospital will drain your bank account. Patrick’s coffee comes from the floor we are on, and the nurses keep it coming.
The ENT arrived just as she said she would, and right on time. Her attending physician was with her, and they set to work looking in Patrick’s throat at the work she’d done yesterday evening. The doctor said she had done good work, but he saw three pockets of infection that were still there. He gave Patrick the option of just allowing antibiotics to try and get the infection that was in those pockets, or to do one more draining right then and there to get as much as possible dealt with on the spot. My husband said, “Let’s do it.” And the doctor asked if he was a veteran. I proudly said, “Yes. He was in the Coast Guard.” The doctor said his grandfather had been in the Coast Guard. They set to work in Patrick’s throat, and my husband, being the beast he is, bore it all without complaint, though there were tears in his eyes. I saw that he was in pain, but he took every bit of it, as he says, “like a man.”
The doctor cut into the pockets and spread them, allowing them to drain.
Patrick spit up lots of fluids, which I won’t describe.
The doctor told us that Patrick then had two options. One was to go home today and be on oral antibiotics or to stay another day on IV antibiotics, which are stronger. Patrick asked which one he would choose. The doctor said to stay one more day, and he laid out a good case for why. Patrick agreed to his reasoning, and thus, we are here until tomorrow. The doctor also said that after we get home and the antibiotics they ordered for Patrick to take at home run their course, if the infection returns, then it will be tonsillectomy time. He was direct and told Patrick that at his age, a tonsillectomy is not what it is for a 6 or 7-year-old. They bounce back quickly; a 62-year-old will not. He said it will be a very painful recovery, but the infections are coming from the tonsils, and removing them will stop their recurrence. We are hopeful that the antibiotics and the drainage of the past two days will alleviate the need for a tonsillectomy, but we do know that it is an option in the future if needed.
The local that they’d put into the area for today’s draining has worn off now, and Patrick is in immense pain, but he’s trying to sleep, and he doesn’t want painkillers if he can keep from taking them. Again, he amazes me. His 38 years of sobriety are something he refuses to risk by taking substances into his body. I’d be like, “Hydrocodone, please.” He doesn’t want to tell the nurse just yet about the pain because he’s sure it’s from the basically-what-was-surgery done in the throat earlier this morning, and the local anesthesia is wearing off. I’m sure he’s correct as well, but she could give him something for the pain.
Ah, this man.
He will push through the pain, and he is. He finally found a somewhat comfortable position, and I’m sitting here listening to him snore now. Except the beeping just went off, indicating that the antibiotic is out, and it woke him up.
Sleep is not something that happens in a hospital. Sigh.
September, we are tired. You still have my birthday in store for us, and turning 53 seems whack – so, that, we can pass quietly at home in our jammies, curled up under blankets and grateful for more time together and October’s imminent arrival. May it bring cool weather, beautiful sunsets, breathtaking leaves, and lovely evenings of conversation on the front porch.