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Daniel Rosehill Blog Daniel Rosehill Blog Linux, Writing, and More 7/6/2020 My Gallbladder Surgery Story. And: The Water Party Project | Daniel Rosehill Blog Daniel Rosehill Blog Linux, writing, and more M E N U 4 ADAR 5780 EDIT My Gallbladder Surgery Story. And: The Water Party Project Topics: alcohol Part One: My Gallbladder Surgery A lile more than seven months ago I underwent one of the most common surgical procedures in the world: a laparoscopic cholecystectomy. Or in normal person English: I had my gallbladder removed (using “minimally invasive” keyhole surgery). What prompted a surgeon to extricate this apparently non-essenal organ from an otherwise relavely healthy 30 year old you might be wondering? Let me tell you the story. And aer I’m done, I’ll explain why, as a result of the operaon, I’m now asking people to meet me for glasses of water rather than pints of beer. Warning: I’ve tried to minimize some of the detail required to explain my recovery from the surgery. But at mes what I have wrien here probably qualifies, for many readers, as ‘too much informaon’. My Journey Towards Surgery For years, I had been having a recurrent ache in my right hand side that would come and go — but seemed to always return to the same place. Aer this happened several mes, I decided to see a family doctor. https://www.danielrosehill.co.il/myblog/my-gallbladder-surgery-story-and-the-water-party-project/ 1/20 7/6/2020 My Gallbladder Surgery Story. And: The Water Party Project | Daniel Rosehill Blog The family doctor did a lile bit of prodding and pushing but one parcular prod elicited a sharp pain (I later learned that this is called a posive Murphy’s sign). Success, the doctor had found something. Or so I thought! “That’s your gallbladder,” he said, nonchalantly — and then quickly wrote me up a referral for an abdominal ultrasound. The doctor informed me that my gallbladder was inflamed and gave me a referral for emergency surgery just in case I had an acute aack and the organ suddenly decided to fall apart at the seams while I was abroad (did you know that bad gallbladders can turn gangrenous?). A week later I had the ultrasound done — which mysteriously showed nothing amiss in my gallbladder. I thought he was exaggerang about possibly needing surgery and didn’t think too much of it — expecng that, as the scan had been negave, whatever inflammaon might have prompted the symptoms would hopefully die down on its own. Unfortunately, the pain returned a few more mes — always to the same place more or less. (It should be pointed out that I had been doing lile to maintain the health of my gallbladder for some years at this point including subsisng on a diet of primarily falafel!) This me, however, the scan found the gallstones that had presumably been the cause of my symptoms all along. The line from the report, in Hebrew, is below. It translates as “ the gallbladder contains stones, up to 3mm in diameter.” “ The gallbladder contains stones, up to 3mm in diameter.” r so the technician thought. You might be wondering why, even if I indeed had gallstones (spoiler alert: none were ever found!), they wouldn’t try to … you know … give me a pill to take. The very strange thing about gallbladder surgery is that the medical community has essenally given up on pharmacological treatment (pharmacotherapy). Although, at first glance, it might seem strangely macabre to be in a rush to excise organs, there are good reasons why this state of affairs has developed. https://www.danielrosehill.co.il/myblog/my-gallbladder-surgery-story-and-the-water-party-project/ 2/20 7/6/2020 My Gallbladder Surgery Story. And: The Water Party Project | Daniel Rosehill Blog Although there are sll a couple of drugs in the pharmacopoeia that are supposed to dissolve gallstones — ursodiol and chenodiol — the drugs take months or years to work, if they do at all, and their effecveness is, in general, relavely hit and miss. But there’s a much stronger raonale at play. And that’s that healthy gallbladders, by definion, do not make gallstones. Or sludge (a viscous buildup of fluids including bile and cholesterol which oen preempts the formaon of stones). Thus, even if the gallstones are successfully dissolved, the likelihood — some would say near certainty — is that they will invariably return. And as gallstone-included cholecyss, in the worst case scenario, can lead to life- threatening complicaons — there is a strong raonale to remove the malfunconing organ enrely rather than hold on to it and be forced to commit to possibly a a lifeme of ultrasounds and monitoring. This is because while the efficacy of pharmacological treatments is uncertain, what doctors do know is that humans can live just fine without a gallbladder (at least in theory!). Thus, since the advent of laparoscopic surgery — first performed early last century but only really perfected in the past 50 years — surgical removal of gallbladders that make stones, or that are found to have sludge in them, has somewhat incongruously become the first-line, gold standard treatment for gallstone disease. And given that the now universally available laparoscopic surgery involves shorter recovery mes than open surgery — and is less risky — the impetus to avoid it has been lessened even further. And, as I was about to find out, the criteria to meet is not very exacng. Meeting with Surgeons Aer the second ultrasound showed various small stones up to 3mm in diameter I was referred to a surgeon working with my health maintenance organizaon (HMO) who advised me that my best course of acon was to have my gallbladder removed. (HMOs provide basic https://www.danielrosehill.co.il/myblog/my-gallbladder-surgery-story-and-the-water-party-project/ 3/20 7/6/2020 My Gallbladder Surgery Story. And: The Water Party Project | Daniel Rosehill Blog medical services in Israel. There are four of them and, by law, every cizen needs to be subscribed to one). The consultaon couldn’t have lasted more than five minutes and he assured me — decisively — that I could be back at work the day aer the surgery if I so pleased (if your surgeon tells you this then you have my permission to not listen to him!). The health fund surgeon, in turn, referred me to a surgeon at the hospital — the one who actually performed my surgery. The hospital surgeon more or less repeated the same thing as the health fund surgeon and informed me that while there was no way of knowing for certain if the small gallstones found on the scan were the cause of my symptoms he sll recommended that I had the organ out. A definite and I believe misguided “well, you don’t need it so it won’t hurt to have it out,” line of thinking seems to prevail among surgeons regarding all things gallbladder-related. And so, without much further a-do, I was booked in for surgery. The surgery day came about quite a lot sooner than I expected. Out of the blue one morning, while working on an arcle for a client, I received a call from the hospital. I could either have the surgery in two weeks me — or not for another few months. I asked if I could get back to the hospital tomorrow with my answer? No way I was told — I would lose the slot. How about by the end of the day? No such luck. The receponist demanded an answer right now. It was the ulmate case of being put on the spot about a prey drasc life decision. With the adrenaline coursing through my veins I decided to do something that I rarely do: I was brave and resisted the urge to do my own research online. (Which, in retrospect, was either a very good or a very bad thing depending upon how you look at it — Facebook groups are internet fora are flooded with people just like me who have been saddled with health problems arising from the surgery that far exceed the gravity of the problem that prompted the surgery in the first place.) And so the day of the surgery finally rolled around. https://www.danielrosehill.co.il/myblog/my-gallbladder-surgery-story-and-the-water-party-project/ 4/20 7/6/2020 My Gallbladder Surgery Story. And: The Water Party Project | Daniel Rosehill Blog Stage one of the journey was complete. Oh, and the pathology report, which I received two a month later: my gallbladder didn’t contain any stones! My pathology report from Hadassah a few months aer the ultrasound. In Hebrew: “[gall]stones were not found.” Above: my pathology report from Hadassah. In Hebrew: “[gall]stones were not found.” And Then: The “Difõculties” Began Immediately post surgery in Hadassah Ein Karem. If I look weird, it is because I was heavily medicated with painkillers when this photo was taken. I can’t make the same excuse for my haircut, though! Unfortunately this marked the beginning, rather than the end, of something of a much bigger health saga. A saga that I am sll dealing with as a I type this. Immediately post surgery in Hadassah Aer the typical post-op pain finally died down, the first untoward Ein Karem. If I look symptom was a very bier taste in my mouth. weird, it is because I was heavily I didn’t make the connecon between that taste and gastris at the medicated with me. But I have come to know that it serves as an early warning for a painkillers when flare up.
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