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[personal profile] thisnewday
Yesterday, I had what was supposed to be a follow-up exam with my internist, whom I saw for the first time about a month ago. Just by chance, the follow-up had been scheduled to take place a few days after the orthopedics appointment at which I was told that I'd need a pre-op exam and written OK from the internist before the surgery on my knee. Originally, the internist was just going to check on the efficacy of a new inhaler that I'd been given for my COPD, but the office said that they could handle the pre-op thing as well.

And that went OK aside from the fact that, when I got the appointment reminder, the office said that I had to do a four-hour fast before the exam. Which raised a flag with Her Nurseliness because it seemed to indicate that they intended to repeat the bloodwork which they'd done a month earier.

It turns out they either changed their plans or that wasn't their intention to begin with. So I had fasted for an actual FIVE hours AND, because of the timing of it, skipped the ONE cup of coffee that I've been allowing myself per day. (Black coffee, I think, would've been OK but that's not the way we roll. To qualify as my one-cup-a-day, my 10 ozs. of Newman's Own must also contain at least 1 oz. of whole milk or cream and 2 teaspoons of sugar. Both of which are definite no-nos before a fasting blood sugar test.)

Still, after returning home, I resisted the urge to remedy this cruel and, as it turned out, unnecessary departure from my daily routine because by then it was later in the day than I normally ingest caffeine. So I wisely held out until about 9 PM which, for this old boy, is about an hour before bedtime.

Then, I totally caved and swilled down my usual 10-plus ozs. of Newman's Devine Nectar. And it didn't seem to bother me a bit because I still got right to sleep and then woke up twice during the night to use the bathroom and was every bit as exhausted as I usually am in the morning.

(I like to think that I was protected by the Newmans' genuinely kind and philanthropic spirit which, I truly believe, infuses every aromatic cup. Thanks, Paul. For that, and your kick-ass work in Empire Falls which proves that, even if old white guys can't jump, they can sure as hell act.)

Anyway, that part of my limping, halting journey toward a repaired knee is done and this morning I received a call from the anesthesiology nurse who got writer's cramp listing my daily meds. Plus a few other questions like, do I have a medical proxy.

Personally, I hate that one. I find it only slightly less distasteful, not to mention ill-timed, than the one asking if I'd consider donating my organs if, by some unlucky chance, I'd happen to flat-line on the operating table.

C'mon, people, positive thoughts. Think about your bosses' monthly standing in the patient survival survey...

LPK
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2.24.2016

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