Half calf

Okay, so this was scary.

To the untrained eye, it looked like I was sleeping on the couch last Thursday afternoon. But actually I was, um, letting my subconscious work on a slew of ideas that would bring me fame and fortune. As that was happening, suddenly I was jolted awake by a piercingly sharp pain in my lower left calf. It wasn't an ongoing pain, just one sharp stab.

When I took a look at my leg, my calf was slightly swollen and larger than my right one.

So I thought if there's any place that'll know what this is it's the interwebs. What I learned was there may actually be a little too much information available online.

What the symptoms were shaking out to looked like DVT, or Deep Vein Thrombosis. That's a blood clot deep in an interior vein in the leg. The problem with that is the clot can break up, and go to the brain or heart causing a stroke.

I'm not a hypochondriac. I'll sit with a pounding headache for hours before I resort to taking something for it. Most of the time, I just tough it out. However, clot, swelling, stroke? Not so much. But instead of racing to the ER like I probably should've done, I waited until Friday morning when I went to my doctor's office.

Because I needed to see my doctor, naturally he was on vacation. So instead I met with his physician's assistant, who come to find out was awesome and probably more involved than my doctor would've been.

She took a look at my legs - and I do have fabulous legs so I'm used to this - and agreed it was swollen for no apparent reason. She sent me to have an ultrasound of my calf. She said if they saw a clot, they would immediately send me to the ER and start me on anticoagulant meds to stop further clotting. If they didn't see a clot they'd send me home.

The technician was great in that way someone is when you know they've seen this a million times before. She took about a thousand images like the one you see here. Now technically, the technician isn't allowed to tell me the results. A doctor has to read the images, write a report and then send it to my doctor.

But after the ultrasound was done, and I asked her if it was a boy or a girl (BAM! Thank you. I'll be here all week.), she looked at me and said, "You're free to go home." She waited a second, then said, "Do you understand? You're free to go home."

Relieved, I thanked her, put my pants on and went home. Another thing I'm used to.

However, all weekend long, my calf would swell up, then I'd take Aleve and ice it, and the swelling would go back down. But because I hadn't heard the official ultrasound verdict from my doctor, I felt like a ticking bomb.

So first thing this morning, I went back to the physician's assistant. She showed me the report that said everything was fine, and we decided I'd probably injured my calf on something and didn't remember. Her prescription was continue the Aleve and ice for five days, and give it about three weeks to heal completely.

And if anything changes we'll reevaluate the situation. But she doesn't think it will.

Me being me, I spent most of the weekend worrying and telling my wife over and over how to spot a stroke (something everyone should know). My kids had a track meet and a jazz concert this weekend, so I put on a brave face even though all I could think about was how disappointed they were going to be by the inheritance.

But thankfully, it looks like they won't have to worry about it for a long while.

So now, I'm fit and ready to get back to what I was doing when this all started.

After all, it's a very comfortable couch.

The account executive of bodily organs

Here's how my Saturday went.

In the morning when I woke up, I found my dog Max on his pillow in our bedroom. Now, Max comes and goes in and out of our room during the night, but he's never there in the morning when we wake up. But I decided to just accept it for what it was: he finally realized he couldn't tear himself away from me.

When I left the room and called him though, he didn't come. He just stayed on his pillow, looking up at me with those big, brown eyes.

Something wasn't right in dogtown.

We wound up taking him to our dog-walker's vet since our local vet's office was closed. After an X-ray, we discovered why Max was being so sluggish: a grapefruit-sized tumor on his spleen.

It sounds awful, but it's apparently quite common in larger breeds - like German Shepherds - and usually around the eight-year mark. Max is eight and a half.

We were in shock how fast this came on him. Just the day before, we were playing with him in the yard, and he was chasing, jumping, barking and just generally trying to kill us (not literally - we love to play rough with him). The day before, the World's Greatest Dog was the World's Happiest Dog.

David Feldman, a close friend of ours for over 25 years, and the world's greatest vet, explained it like this: the problem is the spleen. If it were the heart, you'd notice his troubled breathing much earlier. If it were his brain, we'd see him unsteady on his feet. But in a dog, much like in a human, the spleen is pretty much a useless organ that does nothing, which is why as the tumor grows on it you don't notice it until it's almost too late.

My wife called it "the account executive of organs." Before you get all over me for that, she was an account person in her former life.

We wound up driving Max up to David's office in West Hollywood around eleven last night, and by midnight he was in surgery. Yes there are vets and emergency clinics closer to us, but when it comes to the big stuff, David and his staff are the only ones we trust. After we dropped Max off, we were able to breathe for the first time that evening.

About 2a.m., we got a call from the doctor at David's practice who did the surgery, saying the words we were hoping to hear, "It couldn't have gone better."

Now there are a few ways this can go. The tumor they removed along with the spleen is either malignant or benign. If it's benign, Max heals up and life goes on. If it's malignant, we have maybe two to four months if we do nothing, and maybe six to twelve if he goes through chemo. And of course, chemo brings its own set of pleasantries with it.

So we'll wait for the pathology report and then we'll have some decisions to make. But while we're waiting, we'll do what we've always done: love Max as unconditionally and fully as he's always loved us.

There are four of us in this house. Max's magic is that each of us thinks he loves us the most.

Bedside manner

Every once in a while - a great while - my faith in humanity is momentarily restored. This is one of those times.

A while ago I had seen this letter from an emergency room doctor to a man who's wife he'd treated. Sadly she later passed away, but she'd left such an impression that this doctor felt compelled to write his first letter ever to a family member. What strikes me is the time he took to write this letter, which is clearly carefully and deliberately worded, was probably longer than he gets to spend with most of his patients.

In an age of cost cutting, managed care, debates by monkeys in congress over healthcare and the traditional distance doctors keep from the personal lives of their patients, this letter is nothing short of remarkable.

I never want myself or any member of my family to have need of an ER doctor. But if it's unavoidable, I hope they get someone as compassionate as this.

Grandma got screwed

And now for an update on the patient.

You'll remember back in October I published this post talking about how my mother-in-law had fallen on our top step, broken her arm and was about to have surgery. Well, a lot's happened since that post.

For starters, as you can see by her x-ray, grandma got screwed good and hard four times right after her fall. Given her age and the position she was in, it was exactly what she needed.

Yeah, I'm making sexual innuendos at the expense of an 85-year old woman. Deal with it.

At her recent doctor visit, he was very pleased at her progress. Her arm had regained more movement than he would've expected from someone her age so soon.

She's also lost more than twelve pounds since she's been staying with us because she's eating much better thanks to my wife's cooking and not munching on all the chocolate she has lying around her house.

I don't know what the hell my excuse is.

Where she used to walk up our driveway so she didn't have to climb four steps, she, well, she still walks up the driveway. Except when I'm with her I make her walk the steps. She's a bit set in her ways and severely exercise resistant. Going up the steps is good for her. And of course, making an 85 year old woman work harder is just one of life's great joys.

My living room couch is her bed, and she has everything she needs pretty much within arm's reach - the good arm. And while I can't parade around half-dressed as I'm prone to do, I can still watch the flat-screen late into the night because Grandma drifts off fairly early and her hearing isn't what it used to be.

She'll have her driving privileges back soon, and then I imagine she'll be moving back to her house which she visits once a week after church to pick up a bag full of an obscene amount of junk mail I can only hope for the sake of our forests not all seniors are getting.(Yes, that sentence had 54 words - let's see you do it.)

Every once in awhile Grandma complains about the unfamiliar ache in her arm. Having had a steel plate and five screws in my arm from an auto accident years ago, I completely understand the feeling. It's a unique kind of pain, only made worse when the weather gets chilly or it rains. But it does have its benefits. I used to love setting off the metal detector at the airport. In a pre-9/11 world it was a lot of fun.

Anyway, I make a point of cutting off her complaining at the pass, because it doesn't help us or her in the long run. Instead, what I do is remind her she's not the first person to have a broken arm and she won't be the last (although this is the first broken bone she's ever had).

What I should do is tell her about the great racehorse Barbaro, and the 27 screws he had to endure. And then tell her in that gentle, compassionate, caring way anyone who knows me knows I have, the four little words that would make it all better.

You got off easy.

A shot in the dark

If you know anything about me, and really, shouldn't you know something about me by now, you know that I do loves me a good game of craps every once in awhile.

Well, come to find out that thrill of rolling the bones and not knowing exactly if my number's going to come up apparently extends well beyond Vegas.

In fact, all the way to my doctor's office.

Every flu season, my doctor offers me a flu shot. It's an offer usually met with cynicism and a polite refusal. I rarely get the flu, and the ones I have gotten haven't been that bad.

Until now.

I remember the great flu panics of years past: Swine flu. Avian flu. Hong Kong flu. I also remember everyone in the media getting the message out, telling people to get their flu shots.

This time, I wish I'd listened.

I've just spent ten days down - way down - with the flu. This was no lightweight virus. This was a wicked, ass-kicking, anti-Semetic, vindictive, petty, vengeful flu that was relentless in making me feel as bad as it possibly could for no reason at all.

I'm not sure what its official name is. I call it the Creative Director flu.

Fortunately it didn't come with some of the messier symptoms that can sometimes accompany the flu. It was mostly fever after fever, 24/7 aching from head to toe, and a fatigue that would necessitate three hour naps after a walk from the bedroom to the bathroom.

The good news is I lost my appetite as well as a little weight, and now have a newfound appreciation for mango juice from Trader Joe's.

As a result of this latest bout, I'm now even more of a hand-washing fanatic than before. On the hand-washing scale, I'm way north of my kids and just slightly south of Howard Hughes.

I've learned my lesson. Next year, I'm rolling the dice on the flu shot.

Even if it only lessens the misery, I'll consider that a win.