This blog is basically no more, I have moved over to Wordpress and enjoy it there.

I am now "Opinionated Bean" and located at http://opinionatedbean.wordpress.com/

I'm toying with the idea of moving my blog over to Wordpress. I don't think I'll import what I've written in the past 2 years here in LiveJournal - but instead shall start afresh and will setup an RSS feed or whatever so that this blog gets updated with whatever I write in WordPress. I'll still keep this blog for more "personal" posts and my mental meanderings with regards to politics, the state of society and so forth shall go elsewhere.

A new chapter has opened in that a single blog can no longer contain me :-)

Plus, LJ doesn't have the ability to provide me with stats - I am curious to know how many hits I get.

Now I need a new nom de plume. I was toying with Bean Geek as I do have geeky tendancies and am an accountant. But the name is too cumbersome. Maybe Amber Bean.

Seems Medical EI is for 15 weeks maximum and I reach that tomorrow. I am still unable to work, due to my requiring nursing care for my incision.

The lady on the line said rather tersely when I asked "what am I suppose to do? I still have a gaping wound on my abdomen", "I recommend you find other sources of income". And I reiterated that I am physically unable to hold down a job for the next month.

Now I have to apply for welfare.

I paid into the EI programme for 15 years and never made a claim before and then all of a sudden I am being cut off. And how did I find out? I got a letter last night - just lovely, 2 days before I get cut off. Now I have to scramble to find money.

I hate EI.

PD Network Updates are emails from the CGA for "Professional Development". Now that I have my CGA I have to "maintain" the designation by doing continuing education. So I get PD updates - Professional Development. Last week's email was about negotiation skills. This week's is on tax updates.

I am intrigued by the tax updates webinars, I have to admit. They are done through CCH, which is one of the foremost publishers on Canadian Tax issues. I used them a fair bit when I worked at the prior company when calculating Corporate Income Taxes - I wanted to understand why certain calculations had to be done in a certain way so I subbed to CCH.

The current tax webinars are on: Taxation of Private Businesses; GST Update; and, Cross-Border Update.

I got my first letter from the CGA and it had those glorious three letters after my name... yup "C-G-A".

Now the thing to consider is should I go for my ACCA? CGA Canada and the ACCA have a reciprocity agreement between themselves. Is it worthwhile getting the ACCA? Means I would be an accredited accountant in the UK able to practice/use the designation in the UK and I believe Ireland.

Hmmm things to ponder.

.... I can sleep on my side now - though with some support behind my bum.

yes!

(for those wondering why I am delighted by this, this means that my abdominal muscles have healed sufficiently enough to handle this.. I am sleeping with support behind me and under the tummy so it has something soft to rest against)

I am extremely sleepy, but in a good way. I am trying to get as much sleep as possible, as I find that the more I get the more I feel better.

I am healing nicely. Other than the odd twinge now and again I am not dipping into any pain killers - even regular Tylenol.

My surgical site is healing very well, according to my nurses. I have been reduced from twice daily visits to once a day. The stoma is doing well.

All in all I would say I am doing remarkably well.

The only issue right now is that I am find stairs extremely difficult. I can go down stairs, slowly. But climbing stairs is a challenge - my legs feel like heavy weights and it's difficult to raise them high enough to climb a stair. But I am practicing each day, taking short trips outside for 5 minute intervals. Today's excursion was to purchase some liquid hand soap from the downstairs variety store.

I am obsessed with cucumbers at the moment though - I can't stop eating them.

I have been home for a day now, from my latest bout at the hospital. It feels good to be home, but I have to admit, I am feeling betwixt myself. I spent the day munching on carrots and cucumber, and then having some roast chicken from a local german grocery shop (thank you Tarotcub!), all lovingly accompanied by the television.

To put it plainly, I am bored. I want to go out, but I am still feeling very weak.

On an odd note I believe my latest stay at the hospital freaked out my doctor as I am getting twice daily visits from a homecare nurse. It appears that they have been instructed to keep a careful eye on my stoma, my temperature, any mucous output, and the amount of my output. I believe they are keeping a careful eye on me so that I don't need another hospitalisation.

Not sure what to do with myself tomorrow.

I can't really stray far from home even if I did go out. The stoma care regime, for the time being, is quite severe with regards to timing - and as it involved alcohol wipes, MUKO, an irrigation tray, irrigation syringe and sterile saline - so I am limited with regards to my time away from the medical "supplies".... le sigh

I got the letter from the CGA - my work experience has been accepted and I am to be designated. Yup, I shall have my CGA designation shortly. Yes!

Diresquirrel has pointed out that this means that he doesn't have to bribe a lawyer to sign his passport applications. If any of you want me to sign, once I get the designation, bear in mind that I have to have known you for 2+ years.

May the bribery begin!

I have been silent for a wee while and some of you might have noticed - or not.

I was released from Sunnybrook on December 7th and I was doing okay. But around the 20th I started feeling icky and the abdominal pain was getting a little worse each day. I thought it was an infection so I paged Urology at Sunnybrook for advice and to see if I should come in for a new script. I was advised to stay home, drink plenty of liquids and to take Noroxin (I have a renewable script for it).

The evening of the 23rd I was puttering about the kitchen, doing dishes (my new PSW refuses to do dishes) so that I could sterlize some foreceps for the homecare nurse for the 24th dressing change. I turned around and caught the tube of my mallicot on a door handle. I managed to rip out the mallicot from the bladder but it was still stuck in the abdomen. I called Diresquirrel to get me to the ER; got there at midnight (so the start of the 24th).

At the ER the triage nurse decided that I was a low priority - even though I was screaming in pain and I couldn't see past my tears. Eventually I get onto a stretcher and while I am writhing in pain Diresquirrel tried very hard to get me some painkillers. Lucky for me Dr Chung (5th Resident who worked on my surgery and has a bit of a possessiveness to my case) was called in to the ER for a consult. A fellow next to me fell off his roof and had broken some of his bones...but what also happened to him was that his urethra was severed from his bladder, the man couldn't pee. Dr Chung fixed him up (it took awhile but at this point I was willing to wait since Dr Chung told me that I am next), but it took nearly 2 hours.

It was around 2am that Diresquirrel had to leave as he had to work the next day. Dr Chung fixed me up around 3:30am. So from my ripping the mallicot out at 11:00pm to 3:30am I was without pain relief and screaming in pain. The ER nurse didn't like the fact that Dr Chung took care of me, with the comment of "but she's not a priority"... Dr Chung stated that she is not an ER doctor and I am her patient.

I was stuck with the tube in my stoma for drainage and as that tube had no anchor for it, it could easily slip out and I could have no ability to drain the bladder. During the day of the 24th I was feeling really weak and when my homecare nurse showed up she did my dressing and inadvertantly pulled the tube out too much. I went 9 hours without being able to drain the bladder; I irrigated with sterile saline, thinking that there might be some blockage and I had unfortunately ended up soaking my dressing and not clearing anything.

At midnight (the 25th) I paged Urology and they ordered me to come to the ER and ask for a GU Tech (their speciality is catheters, tubes and drainage). It was like night & day the treatment I got at the ER. I showed up and within 2 minutes I was an acute care room in the ER getting immediate attention from the ER doctor (lovely and delicious morphine was pumped into me) and the GU Tech cleared me up. In the meanwhile blood samples and urine samples were taken, along with swabs of my open wounds.

Results of the tests were that I had 3 infections - a rather severe Urinary Tract Infection, a skin infection that got into my wounds and MRSA (a bacteria resistant to practically every antibiotic out there). I got admitted to the hospital the morning of the 25th. A 7am phone call to my parental units freaked them out, but they were also relieved to know that I was getting help.

Because of the MRSA I had to be put into isolation so that I wouldn't infect others. I was in isolation from the 25th til today, January 3rd. While in that tiny room I was on a high dosage of vancomycin (aka, drug of last resort as per Wikipedia) and macrobid. I had 9 glorious days of puking my guts out.

Now I have no tubes - I have learned how to catheterize through my stoma (it still looks so raw and tiny, but it's getting better looking) and I am down to one open wound. I am still having a hard time with certain foods - mostly beef, eggs, cakes, potato (unless mashed), and bread.

I think I lost more weight :-)

I am constantly tired, but yet I can't sleep. I desperately want to lie on my side, but with the open wounds and the tubes I have to lie on my back with my head elevated to a nearly sitting position (to make it easier for me to get out of bed without great pain).

According to Buelah (my homecare nurse) the open wounds are noticeably smaller than last week, the drainage is good (better out than in) and there are fewer bladder spasms.

My only issue is my appetite. Before surgery I could easily eat 2 eggs with a whole wheat bagel and a small banana for breakfast - now, I can barely eat a single egg with half a bagel, I have to force myself. I have to make sure I'm eating a wide variety of foods so that I can get enough nutrients for the healing process. Buelah suggested that I increase my protein intake, coupled with potassium, so that I can more easily heal. Again, before the surgery I could eat a 10oz steak with a potato and a side of broccoli - now I can barely eat 4oz with a couple of broccoli florets.

At first I thought I may have lost about 10lbs because of the surgery, but looking at my arms, fingers, ankles, toes and even my swollen stomach I think it's easily 20+ pounds. Makes sense since I did put myself on a liquid diet 3 days before surgery, and then after surgery my main source of nutrients was an IV which was just saline. It was only 5 days before I was released from hospital that I actually started having something more substantial (i.e. broth, jell-o, juice and gradually moving onto soft solids like full-bodied soups).

I have managed to consume 16g of protein so far - and now I'm off to get some baked beans, which are 15g of protein.. I need a minimum of 50g just so I can heal. Thank the stars that I had a large bottle of multi-vitamins before going to Sunnybrook - I'm quaffing those as well.

I didn't add this to my hospital update - I realised this after reading it and everyones' comments.

Dr Lee (the Uro-Gynecologist) stressed that I am not to go anywhere near an OR for years as this surgery nearly did me in. As any pregnancy on my part would require a c-section she also strongly recommended against any pregnancies.

I would be more than high-risk if I got pregnant, I would quite literally be taking my life into my own hands and endangering it.

I had ample time whilst in hospital to think about this. If there is to be a child in my life it would have to be via adoption.

I got home from hospital on December 7th, last Friday, but couldn't post anything as I had lost my glasses and was blind as a bat.

Anywho, for those who feel squeamish, I am doing okay and am moving about at the speed of a racing snail. Those who want more details, please read on.

I went in on November 20th for what I expected to be a 5 hour surgery. The two doctors (Dr Herschorn - Urologist & Dr Lee - Uro-gynecologist) were to fix a prolapsing uterus and build a stoma for me (sealing off the urethra and allowing me to catheterise through a new opening near my bellybutton). My mother and brother showed up to lend me support and to hopefully check on me after 5-6 hours. What ensued was not a 5 hour surgery but 11 brutal hours on the surgical table.

Seems the bladder augment done by Dr Hardy 24 years ago had gotten twisted and old and the augment portion had adhered itself to my uterus - they were stuck together. So what ended up happening is that no only did the two doctors do what they needed to do, they also re-did the augment from 24 years ago. I have even less intestine now, so I am now even more sensitive to foods because of my inability to digest certain items. What Dr Lee wasn't able to do was to adjust the cervix and lower area as it would require a plastic surgeon.

So my surgery that started at 1pm went til just a bit after midnight - my brother and mother weren't able to stay that long though it turns out that my brother kept asking questions when it was going overtime. I was transferred to Recovery and then at 4am to C2 (the urology ward at Sunnybrook). My father showed up the next day with my backpack which had my glasses - it was a good to see a friendly face. He didn't stay long - he didn't want to tire me out and he hates hospitals.

I fell asleep and the next minute I was in ICU - seems I went unconscious and my blood pressure plunged to dangerous levels. I was in ICU from November 21 to the 25th. I actually became aware of my surroundings on the 24th. The whole time I was on a PSA pump (morphine). To get my blood pressure to normal levels the medical team ran a lot of fluids into me - I was a puff ball, similar to the Pilsbury Dough Boy. I was so puffy that my wrists and the rest of me quite literally doubled in size.

I was transferred back to C2 and for the next couple of days it was a daily struggle of barfing and running high temps. I have very bad veins and it seems that in ICU I was poked way too many times. They had exhausted all my viable veins, so they started to take blood from my ankles, the tops of my feet and even drawing blood from my femeral vein. Eventually that didn't work and they weren't able to draw any blood for 5 days - and in the meanwhile my temp was increasing, getting to 38.8C at one point, and my incision was beginning to go grey (means the flesh is beginning to die) so the residents had to open up the incision in 2 places so that the wound could be more carefully cleansed.

Eventually I was able to get a PIC Line inserted. A PIC is a catheter that gets inserted into the vein so that blood can be drawn cleanly and easily. It was a 3 hour process but the Angioplasty Team was able to insert the PIC.

I had quite the medical team working on me. In consultation with the Resident in Infectious Diseases I was put on a broad-spectrum antibiotic to combat whatever infection I had. I was also put onto potassium tablets as my potassium levels kept dropping. In the meanwhile my two open wounds were being packed with surgical gauze twice daily - the purpose being that the packing was to soak up any impurities. After a couple of days the wounds were no longer grey but pink and draining well.

I was sent home on December 7th with the two open wounds and 2 tubes still in me - a malicott, which drains the bladder directly, and a red-rubber catheter in my stoma which is still healing. I get daily nursing care at home, and three times a week I get home care. I am still incapable of cooking, doing dishes, doing laundry and even bathing myself (it's still sponge baths until the dressing is gone).

The nurses at Sunnybrook were amazing, taking care of my wounds and catering to my constant demands for orange juice (the room I was in was very dry). The Residents on the other hand.... whoa, they need some humbling. The Infectious Diseases Resident was fine, but the Urology Residents were complete pricks. Thank God and whatever other Deities there may be that my own doctor is a completely caring man - he went to a 4 day conference to Jamaica and when his plane landed in Toronto he rushed over immediately to the hospital to check in on his patients before going home first.

So now I sit at home in a hospital gown, amusing myself with television and books.

I would like to thank certain individuals for their visits and good wishes: Lydia, Andrew & Rebecca, diresquirrel, fordarkness & parasubvert, my parents & brother, macnacailli, and the wonderful comics and books from puckrobin.

As well, the good wishes received through Facebook - Cara-Mae, Kevin, Matt, Mr MacKid, Amy and Kit.

One more day til surgery. Yipee!!

As many of my readers will know I have had a very long struggle trying to get this surgery to be done. From March onwards it's been a daily struggle, what with an employer demanding that I get more aggressive with the medical professionals, losing my job, and the surgical date getting pushed back constants - June to July to September to October to early November and now November 20th.

This has been a very stressful year and yet a very necessary year - and not just with regards to the expected outcomes of the surgery. Because of all the stresses and the many endless hours I've had for reflection I have learned how to simplify my life, find cheap entertainment which is emotionally meaningful (like the Toronto Music Gardens, Harbourfront Cultural Events etc), and become less materialistic. And in the spirit of my newfound frugality I am not Christmas Shopping this year - all gifts will be handmade by me. Yup that means fruitcake, scarves, afgan blankies and possibly crotcheted slippers.

I have also had the opportunity to think about how I have lived my life so far with regards to friends, family, my social life and work. When I am ready to return to the workforce I am quite sure of what I am looking for. I most definately want a work-life balance. Many employers mouth those words, with an aside of that O/T is a necessary part of life if one is an accountant - I say bollocks! It is possible to find a job that provides a decent work-life balance, but that means potentially taking a lower paying job than my previous position at LMGC. But as I stated in the previous paragraph, I have learnt how to deal with a very much reduced cash flow and still maintain the livestyle which I desire - so if that means that I take a $5-8K reduction then so be it... if it means no weekend work, little to no O/T and the ability to actually take a holiday without stressing about work while away.

In preparation for my soon to be upcoming surgery (this coming Tuesday, barring any unforeseen circumstances) I have placed myself on a liquid diet. Last time I had surgery the hospital gave me this horrid drink called Go Lightly. It was absolutely vile - just full of sodium, so much in fact that ice cubes would melt almost immediately if placed into the solution. I tried drinking it, but I kept gagging from the horrible taste. I kept begging the nurses for some other solution to getting my innards clean for surgery.

This time round I haven't received instructions, yet, from the hospital. But to avoid that horrid drink and any colonics or enemas, I have been eating jell-o and drinking broths.

I am hungry. And the jell-o isn't satisfying for my hunger. I crave a muffin, but I have to be strong on this.

I have eaten today 2 cups of wildberry jell-o, and a cup of peach jell-o. I am saving the soup for tonight.

Can't have anything that is difficult to digest - so no eggs, no dairy products, no meat, no rice, no peas & carrots, no corn and no peanut butter. I can have toast, but not a lot. My english muffins are looking awfully good to me right now.

I got the phone call from Sunnybrook, the surgery has been moved up from November 29th to the 20th.

yes!!!

I am suppose to have an appointment at the Cystoscopy Clinc next Wednesday - but oddly enough (can you detect the sarcasm) no one is available to answer the phone or return calls. I have left a number of messages with the Cysto Clinic to confirm my appointment and nothing - no return calls whatsoever.

I have made an appointment with the Patient Advocate's Office at Sunnybrook for next Tuesday at 10am. I hope it's productive. Thankfully they are quite understanding and are equally outraged that a doctor and his assistant can hold a patient's life hostage like this.

Whilst there I will be walking over to the Cysto Clinic to confirm my appointment for the following day.

I really really hate Sunnybrook now.

Anyone out there who is contemplating going to Sunnybrook for anything urological - I strongly urge you to reconsider and go to another hospital.