On Thursday, Chris and I celebrated our 27th wedding anniversary by doing one of our favorite things: We ate well. There were shared plates, a glass of champagne, an incredible dessert, and a dozen raw oysters from Washington state, the mid-Atlantic, and South Carolina. As a life-long Easterner, it was hard to concede victory to the west coast oysters on the plate, but I had to. They were just better. But they were all good, and we were all smiles, for we had tested that whole “in sickness and in health” vow and come out on the other side. In celebration, I wore a black and white dress that I’d had forever and that Chris really likes, and when I looked in the mirror, I realized that at my age, it had become a little too short and a little too low-cut (both of which may explain why Chris likes it). As I wore it, I figured that the anniversary meal was a perfect send-off for a dress that had served me well.
I did not think of the oysters again until Saturday, when something inside me was just not quite right. I went through my regular routine in some discomfort, and by 8:30 p.m., the time we came home from dinner with friends, I told Chris that if I made it through the night without a trip to the hospital, I would be surprised. I am not one for dramatic pronouncements like that, for I have a healthy dose of the pioneer spirit in me, and a little before midnight, I became convinced that it was only food poisoning (which I’d had a few times before). Then this thought arose in my mind: What kind of knucklehead eats oysters — even west coast oysters — in a month that has no R in it?
And then the dam broke.
Five hours of absolute hell followed. I could not stand up. I could not sit down. I could only lie in a fetal position on the floor, a pose I punctuated with frequent trips to the bathroom to vomit violently. My belly was distended, and I had the chills. There was pain everywhere in my body. A little before 5 a.m. Sunday morning, I decided I did not want to die on my living room rug, so I drug myself up the stairs, woke Chris, and asked him to take me to the hospital. My ever-sensible husband began to run down a list of questions that felt decidedly health-insurer approved, at which point I offered to summon an Uber — quite possibly in a tone of voice that could peel paint.
And that got his attention.
By 5 a.m., I was doubled-over and staggering into the emergency room, stopping first to allow the on-duty officer to check my purse and to summon me through the magnetometer. I clutched a plastic grocery bag just in case. After a time that seemed like forever but was probably 30 minutes, I found myself lying on a gurney in the hall of the emergency room — moaning, shivering, and using the hospital-approved bright green emesis bag — and after 60 minutes, I got the first of three morphine and anti-nausea doses fed into the line running from my left elbow.
If you are going to be in tremendous pain in an ER in the early morning hours on the weekend, I highly recommend both the painkillers and the lack of a private room. The ER hallway, especially after the drugs kicked in, was compelling television. Police officers and shackled arrestees paraded by steadily. People had been in some terrible fights. There was a crazy man (apparently a regular visitor) who parked himself in the bathroom next to my stretcher, kept the door unlocked, and made noises that did not sound quite human. The nurses would come and go, and when the doctor finally came to see me, she asked where the pain was. When her hand reached the lower right side of my abdomen, I let out a loud shriek. She ordered a CT scan.
And there it was: acute appendicitis.
A hospital can mobilize pretty darn fast in an emergency, and by 10 a.m., I was being wheeled into a surgical prep area. The operation was short and done by laparoscope, and I was in a private room by noon.
I tell you all of this not to gross you out — and if I did, I’m sorry — but to pass along several things I learned. First, as my family physician told me when I was describing the symptoms that eventually got connected to cancer, pain is never normal. As I was pondering the length of my life on the living room rug that morning, her words stuck with me. I am grateful for her wisdom, because if I had postponed going to the ER, my appendix could have ruptured. That may have alleviated the pain, but then I would have been facing the possibility of a septic abdominal cavity.
Second, that I had appendicitis never crossed my mind until the doctor touched the magic spot. I am just glad that I got to the hospital when I did — after 24 hours of symptoms — because it’s a short time frame from the display of symptoms to rupture: 48 to 72 hours. If you have what seems to be the worst case of food poisoning in the world, please — remember my experience.
Third, if I’d known I was going to have appendicitis, I NEVER WOULD HAVE EATEN MEXICAN FOOD FOR LUNCH AND DINNER. Oh, lord. That may have been my greatest tactical error in the whole ordeal.
Fourth, after encouraging everyone to choose one’s own adventure, I found one that had been chosen just for me. A few days ago I was coming to terms with six scars on my stomach. Now I am coming to terms with nine scars on my stomach. With all of the travel that I had planned for the summer, I am so relieved that it happened at home.
Finally, Monday — the day after my emergency appendectomy — I celebrated six months since my cancer surgery. I was doped up, ragged, and tired, but thanks to the kindness of a nurse, I was happy to have a chocolate-covered ice cream bar in my stomach. Chris suggested that I celebrate the one-year anniversary a little more conventionally (cupcakes, perhaps?), and I think that he is correct. Life changes on a dime — a message that I have proven yet again, having discovered it yet again the hard way — and clearly all my efforts to get back to health were to get me to the point where I could handle another abdominal surgery. Which I did.
Around noon on Monday, the doctor released me. Chris had been tasked with bringing me something to wear home, and when it came time for street clothes, he reached into the bag and pulled out the black and white dress that I had worn to our anniversary dinner. When I asked if he thought it was a little much, he replied that he knew I’d want to look nice leaving the hospital. There I was, belly wildly distended due to the surgery, tape residue and antiseptic goo everywhere, unwashed, tired, slightly defeated. I loved that my husband imagined me dressed in a party dress after one of the most painful nights of my life. I decided that I would like to imagine myself like that, too. So without complaint, I stepped into it — still a little too short, still a little too low cut — and let Chris zip me up. I rode out of the hospital in a wheelchair, head held high.
ALC