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	<title>Sean Hynes &#187; Motorbike Crash</title>
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		<title>Summary of my Crash in Bali</title>
		<link>http://www.seanhynes.com/summary-of-my-crash-in-bali/</link>
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		<pubDate>Thu, 23 Feb 2006 08:51:03 +0000</pubDate>
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				<category><![CDATA[Motorbike Crash]]></category>

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		<description><![CDATA[December 24th, 2004Bali, around 3:00 in the morning: I rode my motorbike at high speed into a ricefield. A few minutes later, I pick myself up, grab a taxi and head over to Bali International Medical Clinic. The clinic is &#8230; <a href="http://www.seanhynes.com/summary-of-my-crash-in-bali/">Continue reading <span class="meta-nav">&#8594;</span></a>]]></description>
			<content:encoded><![CDATA[<p><img align="right" title="a picture of me after the crash" alt="a picture of me after the crash" src="http://bali-belly.com/images/whole_story.jpg" />December 24th, 2004Bali, around 3:00 in the morning: I rode my motorbike at high speed into a ricefield. A few minutes later, I pick myself up, grab a taxi and head over to Bali International Medical Clinic. The clinic is a popular place for ex-pats and tourists in Bali, if you can describe a clinic as &#8220;popular&#8221;; however you describe it, BIMC is a hell of lot less scary than Sanglah Public Hospital.</p>
<p>Next, I lose consciousness.</p>
<p>My friend Steve is called. He shoots over to BIMC (I think) and then, the BIMC staff send me to Sanglah Public Hospital &#8212; this is the medical equivalent of being rushed at high speed from the best frying pan in a good modern restaurant to a tenament block (American for housing estate) fire in the bad part of town&#8230;<span id="more-17"></span></p>
<p><em><strong>Anyhow, this is the first near death experience:</strong></em> I arrived at Sanglah around 5:00 or 6:00 in the morning with:</p>
<ul>
<li>a ruptured spleen</li>
<li>a fist-sized hole in the left part of my diaprhagm</li>
<li>damage to my small bowel</li>
<li>damage to my colon</li>
<li>half of my stomach pushed back against my kidney and liver</li>
<li>half of my stomach pushed up against my lungs and heart</li>
<li>my kidney slightly turned around</li>
<li>both my lungs  bruised and messed up</li>
<li>open book injury of the pelvis (pubis symphysis disstosis) and soft tissues</li>
<li>my arm and pinky finger  fractured</li>
<li>one of my vertebrae lightly fractured &#8212; an &#8220;L5 lumbar vertebra transverse process fracture &#8220;</li>
<li>75% of my blood (3 litres) already lost &#8212; if I were a car, I&#8217;d be &#8220;running on fumes&#8221; .</li>
</ul>
<p>Also, I don&#8217;t know the time or much else &#8212; the records have been thrown away &#8212; but I do know that I underwent 6 hours of work (Richard Pryor would&#8217;ve called it, &#8220;Woyk&#8221;); that my stomach was opened up by a bunch of fellas I like to call the Sanglah Surgeons&#8230; sound a little like Keystone Cops, don&#8217;t they?</p>
<p>They worked for hours &#8212; I&#8217;ve been told six hours but I&#8217;ve also been told six surgeons so I&#8217;m a little fuzzy on the details there &#8212; was it six guys for six hours or six guys working together for one hour, or six guys working for one hour, one by one?</p>
<p>I wanna know.</p>
<p>The Sanglah Surgeons pronounce the operation a success and say I&#8217;ll be out of hospital (or intensive care) in ten days. The BIMC contact, Lisa, disagrees and recommends to Steve that I be immediately medivac&#8217;d out to Singapore.</p>
<p>But, before we say &#8220;goodbye&#8221; to our Keystone Cop Sanglah Surgeons, I need to acknowledge that these chaps did, in fact, save my life. Well done fellas. Pardon me if I don&#8217;t come to visit or even send flowers and a thank you card.</p>
<p>The Medivac folks ask Steve to &#8220;guarantee&#8221; the flight with cash&#8230; something to the tune of forty grand&#8230; wait, let&#8217;s focus on that figure for a moment: <em><strong>forty grand</strong></em> &#8212; wahoo, someone&#8217;s making money in the medivac biz.</p>
<p>In the end, my medical insurance company steps up to the plate and does me proud by guaranteeing the medivac flight without bankrupting Steve&#8230; thanks fellas. Side Note: Medivac only costs the Insurance Company <em><strong>twenty grand </strong></em> &#8212; half price compared with the rest of us&#8230; someone&#8217;s a scumbag.</p>
<p>December 25th, 2004</p>
<p>Medivac. Damn, I&#8217;m a little pissed off that I missed this &#8212; a big-assed Jet flies me and Steve into Singapore at high speed. According to Steve, very high speed: he says he never saw a landing like it. Whoosh, screech, slam and on the street. No messing around whatsover. Having said that, I doubt anyone&#8217;s going to recommend medivac as a way of journeying to Singapore&#8230;</p>
<p>Oh, and one important note: If Steve &#038; Lisa had not been there for me, I would have not gotten that flight to Singapore.</p>
<p>If I hadn&#8217;t gotten that flight to Singapore, I would have died in Sanglah Public Hospital.</p>
<p>Thank you Steve. Thank you Lisa.</p>
<p>Next stop: C.C.U. Everywhere else in the world, as far as I know, this is called ICU for Intensive Care Unit. Mine was called the Critical Care Unit. Go figure. ICU is probably a registered trademark&#8230; who knows?</p>
<p>The surgeons in Singapore do not in anyway resemble the Keystone Cops&#8230;</p>
<p>&#8230;and, by the way, Medicine in Singapore is big business. Education &#038; Facilities are top of the line but if you&#8217;re not insured, don&#8217;t go. Nothing&#8217;s cheap in Singapore but the life saving biz is probably the most expensive of all. That and cars. Cars are very expensive in Singapore. And housing. Of course, there&#8217;s also the famous brand name products. So, Lifesaving, Cars, Housing &#038; Famous Brand Name Products. In other words, everything&#8217;s expensive in Singapore &#8212; medicine is no exception.</p>
<p>So, I&#8217;ve arrived at Mount Elizabeth Medical Centre, Singapore. My medical condition is noted as stable but critical. I&#8217;m admitted to CCU and treated with ventilatory support (a machine to help me breathe), invasive monitoring (they make holes and stick pipes in me to get my vital readings) and antibiotics for sepsis. Actually, I&#8217;m not sure if I had sepsis at this time or if the antibiotics were to prevent sepsis. I think preventative simply because sepsis was not yet mentioned in the reports.</p>
<p>Merry Christmas.</p>
<p>December 26th, 2004</p>
<p>I develop a &#8220;left massive pleural effusion&#8221; &#8212; this means I&#8217;ve accumulated a bunch of excess fluid my pleural cavity &#8212; the space between my lungs and chest and the other layer lining the chest wall. Thus, they insert a chest tube to drain the liquid.</p>
<p>Happy Boxing Day.</p>
<p>December 29th, 2004</p>
<p>I have no records of anything happening for a couple of days but on the 29th, the surgeons are worried about a continuing abdominal (stomach) infection and decide to open me up again.</p>
<p>The 29th turns out to be a very, very busy day.</p>
<p>This is my second laparotomy; which is, by the way, the medical name for a surgical exploration of the stomach. From the scar I see, the doctor cut me open from just under the ribs down to just over the pubis. This is one of those messy operations operations you&#8217;ll occasionally see on TV (usually at dinner time), where the doctor will look, poke and grope around inside the patient. Yup, they&#8217;re up to their elbows in me &#8212; no turning back now.</p>
<p>The surgeons discover:</p>
<ul>
<li>the tail of my pancreas is damaged (dead / necrotic tissue)</li>
<li>dead tissue in the place where my spleen used to be</li>
<li>dead tissue behind my left kidney and my colon</li>
<li>the Sanglah Surgeons&#8217; stitching in my diaphragm had broken open (the medical or technical term is dehiscence), re-stitched in Singapore</li>
<li>the Sanglah Surgeons&#8217; stitching in my lower stomach had broken open, re-stitched in Singapore</li>
<li>my arm and pinky finger fractures were pinned.</li>
</ul>
<p>My friend Steve says that it was so dirty inside me, it was like the Sanglah Surgeons hadn&#8217;t bothered cleaning out the rice field&#8230;</p>
<p>So, now you know that between the 25th and the 29th of December <em><strong>I had my second near death experience.</strong></em> Without that second laparotomy and the subsequent repairs, I&#8217;d be dead. &#8216;Nuff said.</p>
<p>December 30th, 2004</p>
<p>It&#8217;s time for my tracheostomy. Lovely. For those of you who don&#8217;t know or who are unsure as to what I mean by a tracheostomy, it&#8217;s when they cut a hole at the bottom of your throat and shove into the trachea (windpipe) a short stationary tube. This tube keeps my airway open.</p>
<p>Later, when I was conscious, this hole in my windpipe would also allow the insertion of a smaller, more flexible tube with a suction device to be pushed down into my bronchial tubes and lungs in order to drain and clean them out. Some people reading this might not have noticed the pain. That flexible-tube-lung-draining thing hurts. Hurts like a motherfucker. I&#8217;ll take the crash. Lose the spleen. Have my stomach slit open from ribs to balls but no fucking way am I doing that draining tube shit again. Fuck it. Scary, Gross &#038; Painful. I was unconscious for most of what happened. But among my memories of pain (and I have a few), I remember the flexible tube&#8230; mainly because you have to be awake and coughing for it to work. Talk about torture.</p>
<p>As I said, that pain is later. Right now, I&#8217;ve got other problems:</p>
<ul>
<li>I require total parenteral nutrition &#8212; meaning food by tube.</li>
<li>Pneumonia</li>
<li>Pleurisy (liquid in the lungs)</li>
<li>Transient Renal Impairment (meaning my kidneys are temporarily on the fritz) caused by hypotension (abnormally low blood pressure).</li>
<li>Sepsis</li>
<li>Acute tubular necrosis (sounds like an album by Dire Straits) &#8212; dead or dying tissue probably also in the kidney area.</li>
</ul>
<p>Sepsis, ah, sepsis. Never heard of it before. Heard the word for the first time after I woke up. Sepsis. Sounds like septic. Can it be so bad?</p>
<p>Short Answer: yes!</p>
<p>Long Answer: bacteria enters the bloodstream from an infected area of the body or after an injury or surgical procedure. Once in the bloodstream, the bacteria begin to multiply rapidly, spreading toxins throughout the circulatory system. Now, you&#8217;re developing chills, fever, tachycardia (rapid heart rate), tachypnea (rapid breathing), and a high white-blood-cell count. Then, if you don&#8217;t respond to treatment (or, worse, if you&#8217;re left untreated, you can look forward to septic shock or sepsis syndrome &#8212; a potentially fatal condition characterized by a dramatic drop in blood pressure and damage to or failure of various organs, particularly the kidneys, heart, and lungs.</p>
<p><em><strong>This is the third, last and most dangerous near death experience. </strong></em>In more personal terms, on this day my infection is spreading like wildfire and I&#8217;m in the process of dying. I&#8217;m not brushing with death. Or courting death. It&#8217;s not that death has become my constant companion. At this point, I&#8217;m dying. Hoohah. In fact, of all people that suffer sepsis while in hospital care (ICU), one-third die. Sepsis is a stone cold killer.</p>
<p>There is, however, a drug treatment that may improve your survival chances. It&#8217;s a brand name drug called Xigris (manufactured by Eli Lilly &#038; Co. &#8212; the same guys that gave us Prozac). In the US and UK, you can only get it once you&#8217;re diagnosed with &#8220;acute sepsis&#8221; &#8212; acute is when 3 major organs have failed. In the UK, you can only get it if that particular hospital had the budget for the drug and no-one got it before you. A &#8220;Survive While Stocks Last!&#8221; kind of deal. On its own the drug is interesting and controversial enough for a whole bunch of pages which is why I gave it a page to itself.</p>
<p>At this time, it&#8217;s enough to know that Steve was told about the drug and then asked to decide if it should be administered with the warning that it would cost around twenty thousand dollars and that Steve himself would need to come up with that amount in cash.</p>
<p>Twenty thousand dollars. Cash. Wahoo, someone&#8217;s making money in the medicine biz.</p>
<p>Steve told them to go ahead but, once again, my Insurance Company stepped up to the plate, guaranteed the treatment and I got my drugs without Steve being bankrupted.</p>
<p>Thank you Steve. Thank you Insurance Company. Thank you Eli Lilly &#038; Co.</p>
<p>Treatment with Xigris, by the way, does not guarantee survival. And, according to Steve my chances for survival <em><strong>with</strong></em> the drug were one in three. (Can I get a whoop, whoop? Alrighty then.)</p>
<p>January 17, 2004</p>
<p>I leave CCU by the front door (as opposed to thrown out the rubbish chute in a body bag) and head up to the General Ward. I&#8217;m on wheels, by the way, not under my own steam. The worst is behind me and I&#8217;m home free, except for the following few hiccups:</p>
<ul>
<li>pneumonia</li>
<li>coagulase negative staphylococcus &#8212; a type of round, parasitic bacteria known to cause pneumonia and septicemia</li>
<li>diarrhea</li>
<li>infection around the hole for my lines</li>
<li>pleurisy, right lungAll said and done, it was easy&#8230; a relative walk in the park.</li>
</ul>


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		<title>Part 1 &#8212; Crash and burn in Bali</title>
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		<pubDate>Wed, 22 Feb 2006 03:41:17 +0000</pubDate>
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				<category><![CDATA[Motorbike Crash]]></category>

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		<description><![CDATA[December 23rd and except for a couple of guys from the office, just about everyone I know has headed off the island for the holidays. It&#8217;s Wednesday night and even though Christmas and New Year are around the corner, today &#8230; <a href="http://www.seanhynes.com/crash-and-burn-in-bali/">Continue reading <span class="meta-nav">&#8594;</span></a>]]></description>
			<content:encoded><![CDATA[<p>December 23rd and except for a couple of guys from the office, just about everyone I know has headed off the island for the holidays. It&#8217;s Wednesday night and even though Christmas and New Year are around the corner, today is just as slow as any other Wednesday.</p>
<p>Paddy&#8217;s Bar (or is it &#8220;Pub&#8221;?) for a few minutes. The five dancing surfers are less entertaining than they think and everyone else seems fairly miserable.</p>
<p>By Midnight, we&#8217;re all bored, tired and fading fast &#8212; by 1 o&#8217;clock, the three of us agree it&#8217;s time to go home and save our energy for a better night.</p>
<p>Were we drunk? I&#8217;ve been asked this question plenty of times. I&#8217;d have to answer we were not. I had the same number of beers as the boys, Heppy &#038; Arie. We drank small bottles of beer spread out over many hours. A very quiet night.<span id="more-14"></span></p>
<p>Close. Humid. Wet. The small hours of Christmas Eve in Bali.</p>
<p>I&#8217;m happy it&#8217;s warm on the bike. The hot air is a comfort and then a rush. I&#8217;m enjoying myself too much. Closer to home, the road is narrow but more countryside style. I crouch down low over the gas tank, pull back on the accelerator as hard as I can and open the bike up.</p>
<p>I&#8217;m no bike rider. I don&#8217;t have the reflexes or the instincts for good control. As the road sweeps left, then right, then left again &#8212; I&#8217;m gently leaning the bike over.</p>
<p>The bike&#8217;s moving fast but I&#8217;m in slow motion. Too slow. Not leaning deeply enough, I&#8217;m using the whole width of the road, from side-to-side, to make my turns.</p>
<p>And on the next curve, I&#8217;m off a degree. Not much. If you were watching from the roadside, you wouldn&#8217;t even have noticed. But, I&#8217;ve been using the whole road and that one degree, that hair, has taken me from hard road surface down a couple of inches into the wet rice field muck that lines the roads around my home.</p>
<p>No fanfare or flashing lights or screech of brakes but, of course, I know I&#8217;m in big trouble. Can&#8217;t pretend I&#8217;m steering the damn thing. It&#8217;s official: I&#8217;m the passenger not the pilot and the bike now has control.</p>
<p>And there it is: the Moment of Grace. I believe just about everybody understands that moment. It&#8217;s not life passing or &#8220;flashing&#8221; before our eyes&#8230; I&#8217;ve never actually experienced <em><strong>that</strong></em> moment. No. This was more your quiet, calm, stuck-in-the-moment, slow time. It&#8217;s that life altering pocket of time between feeling your heel slide on the banana peel and watching your feet flying straight up in the air towards your ears. Christ, it really can&#8217;t take more than half a second but you&#8217;ve already had time to say, &#8220;Damn. This is going to hurt and, oh shit, there are so many people watching.&#8221;</p>
<p>It&#8217;s the Moment of Grace &#8212; a passage of time where you sit out the normal scheme of things. A quiet place where you have the enough leisure to ponder how truly screwed you are.</p>
<p><img align="right" alt="Loony Tunes - Porky Pig - I hope it's legal to use this." title="Loony Tunes - Porky Pig - I hope it's legal to use this." src="http://bali-belly.com/images/porky.jpg" />It&#8217;s the <a href="http://localhost/bali-belly/html/www.looneytunes.com"><strong>Loony TunesÂ®</strong></a> moment &#8212; those folks really knew what they were doing: their characters don&#8217;t hang around over the cliff edge reviewing their lives. No. They just hang. Legs uselessly scrambling for purchase. One long mournful look at the camera. And then they plunge.</p>
<p>Or, in my case, the bike shoots off the road and into the rice field.</p>
<p>Then the bike&#8217;s sinking. And I mean really sinking, like a boat, which is weird but, thankfully, also slowing. And I&#8217;m wide awake but happily detached and weightless until a giant fist belts me in the stomach and I&#8217;m lying in the mud.</p>
<p>I can&#8217;t breathe; feels like my chest has caved in. I&#8217;m already in a great deal of pain. I try to breathe through it but that isn&#8217;t working.</p>
<p>I get up. And, though it may not seem so wild, weird or wonderful to anyone else, it still blows my mind: I get up.</p>
<p>I get up, hurting like hell. And there&#8217;s a taxi. In sight. Practically within reach. How lucky is that? Think about it.</p>
<p>I ask one of the guys around me (there are people now) to get my bag. And I ask the taxi to take me to the clinic.</p>
<p>A few hours later, doctors will be opening my stomach; cutting, stitching and draining me to save my life. A day or two later, in Singapore,they&#8217;ll open me up again, cut, stitch and drain me again and then I&#8217;ll be dying of Sepsis. They&#8217;ll stick a pipe in my throat, more in my belly. They&#8217;ll tie my wrists to the side of my bed to stop me struggling and pulling out the wires. Then, they will pump me full of Morphine &#8217;till I don&#8217;t know night from day, truth from delusion.</p>
<p>But, for now, in this moment, I&#8217;m walking to a white taxi in the middle of nowhere in the middle of the night, asking for my backpack, telling him to get me to the clinic, in perfect agony. Not quite deranged with pain but on the way.</p>
<p>By the time I get to the clinic, all I can do is expel the word &#8216;pain&#8217;. That&#8217;s how I breathe. &#8220;Pain&#8230; pain&#8230; pain.&#8221; It&#8217;s the only sound I make. All I can think of. It&#8217;s every thing around me.</p>
<p>After that, I&#8217;m unconscious for two weeks and know nothing&#8230; or, as Porky might say, &#8220;A giddiga, giddiga, giddiga, that&#8217;s all folks&#8221;.</p>


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		<title>Part 2 &#8212; Being Unconscious</title>
		<link>http://www.seanhynes.com/being-unconscious/</link>
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		<pubDate>Sun, 12 Feb 2006 08:12:50 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Motorbike Crash]]></category>

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		<description><![CDATA[Chapter 2 Being Unconsious Here&#8217;s a definition of unconsciousness from Microsoft Encarta&#8217;s 2004 Encyclopaedia&#8230; &#8220;Unconsciousness&#8230; [is a] state in which a person has reduced awareness of his or her surroundings, is without deliberate thoughts, and is less than normally responsive &#8230; <a href="http://www.seanhynes.com/being-unconscious/">Continue reading <span class="meta-nav">&#8594;</span></a>]]></description>
			<content:encoded><![CDATA[<div class="storytitle">Chapter 2    Being Unconsious</div>
<p><img align="right" alt="what do you see in this picture" title="what do you see in this picture" src="http://bali-belly.com/images/rorschach.jpg" />Here&#8217;s a definition of unconsciousness  from Microsoft Encarta&#8217;s 2004 Encyclopaedia&#8230;</p>
<p><span class="quote">&#8220;Unconsciousness&#8230; [is a] state in which a person has reduced awareness     of his or her surroundings, is without deliberate thoughts, and is less than normally responsive     to stimuli such as light and sound.&#8221;</span></p>
<p>Thanks chaps: I&#8217;m as much in the dark after reading that as I was in the two weeks following the crash, thank you very much. You see, although I&#8217;ve been told I was unconscious for two weeks, I really don&#8217;t know what &#8220;unconscious&#8221; means. It turns out that I&#8217;ve never known the meaning of the word &#8212; I only thought I understood.<span id="more-13"></span></p>
<p>Apparently, I wasn&#8217;t asleep and, before anyone objects, sleeping is in fact a form of unconsciousness; you might call it &#8220;normal unconsciousness&#8221;.</p>
<p>And, according to everyone I&#8217;ve asked, I was not in a coma. This is good; I&#8217;m glad I was not in a coma even though it would have added drama points and increased the bona fides of the whole story: &#8220;Hey, you know, I nearly died three times and I was in a coma for two weeks.&#8221; Comas, let&#8217;s face it, are the epitome of cool; well, they are if you wake up from them.</p>
<p>Steve&#8217;s full description of the period between the morning of December 24th and the afternoon of January 7th has been, &#8220;the lights were on but no-one was home.&#8221; Meaning, that if you squeezed my hand, I&#8217;d squeeze it back. I might even occasionally open my eyes. But I wasn&#8217;t thinking or responding to what was happening around me.</p>
<p>Actually, that was probably mostly the second week of unconsciousness. During the first week of unconsciousness, I&#8217;d guess that no-one was home and the lights were switched off also. There may have been a note saying, &#8220;No milk today, thank you.&#8221;</p>
<p>It all goes to show, you can only push a metaphor so far before it shoves you back.</p>


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		<title>Part 3 &#8212; While I was out&#8230;</title>
		<link>http://www.seanhynes.com/while-i-was-out/</link>
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		<pubDate>Sat, 11 Feb 2006 08:11:49 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Motorbike Crash]]></category>

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		<description><![CDATA[Okay, I&#8217;ve crashed, picked myself up, found a taxi and taken it to Bali International Medical Clinic. The clinic is a popular place for ex-pats and tourists in Bali, if you can describe a clinic as &#8220;popular&#8221;; however you describe &#8230; <a href="http://www.seanhynes.com/while-i-was-out/">Continue reading <span class="meta-nav">&#8594;</span></a>]]></description>
			<content:encoded><![CDATA[<p><img align="right" alt="different bones and such that i mostly broke" title="different bones and such that i mostly broke" src="http://bali-belly.com/images/arm.jpg" />Okay, I&#8217;ve crashed, picked myself up, found a taxi and taken it to Bali International Medical Clinic. The clinic is a popular place for ex-pats and tourists in Bali, if you can describe a clinic as &#8220;popular&#8221;; however you describe it, BIMC is a hell of lot less scary than Sanglah Public Hospital. Next, I make that short, quick trip from consciousness to that other place.</p>
<p>My friend Steve is called by BIMC and informed of my condition and then, the BIMC staff send me to Sanglah Public Hospital &#8212; this is the medical equivalent of being rushed at high speed from the best frying pan in a good modern restaurant to a tenament block (American for housing estate) fire in the bad part of town&#8230;<span id="more-12"></span></p>
<p><img align="right" alt="another bone bit that i bust or tried to" title="another bone bit that i bust or tried to" src="http://bali-belly.com/images/spine.jpg" /><em><strong>Anyhow, this is the first near death experience:</strong></em> I arrived at Sanglah around 5:00 or 6:00 in the morning with:</p>
<ul>
<li>a ruptured spleen</li>
<li>a fist-sized rip in the left part of my diaprhagm</li>
<li>damage to my small bowel</li>
<li>damage to my colon</li>
<li>half of my stomach pushed back against my kidney and liver</li>
<li>half of my stomach pushed up against my lungs and heart</li>
<li>my kidney slightly turned around</li>
<li>both my lungs  bruised and messed up</li>
<li>open book injury of the pelvis (pubis symphysis disstosis) and soft tissues</li>
<li>my left arm (both radius &#038; ulna) and pinky finger  fractured</li>
<li>one of my vertebrae lightly fractured &#8212; an &#8220;L5 lumbar vertebra transverse process fracture &#8220;</li>
<li>75% of my blood (3 litres) already lost &#8212; if I were a car, I&#8217;d be &#8220;running on fumes&#8221; .</li>
</ul>
<p>Also, I don&#8217;t know the time or much else &#8212; the records have been thrown away &#8212; but I do know that I underwent 6 hours of work (Richard Pryor would&#8217;ve called it, &#8220;Woyk&#8221;); that my stomach was opened up by a bunch of fellas I like to call the Sanglah Surgeons&#8230; sound a little like Keystone Cops, don&#8217;t they?</p>
<p>They worked for hours &#8212; I&#8217;ve been told six hours but I&#8217;ve also been told six surgeons so I&#8217;m a little fuzzy on the details there &#8212; was it six guys for six hours or six guys working together for one hour, or six guys working for one hour, one by one?</p>
<p>I wanna know.</p>
<p>The Sanglah Surgeons pronounce the operation a success and say I&#8217;ll be out of hospital (or intensive care) in ten days. The BIMC contact, Lisa, disagrees and recommends to Steve that I be immediately medivac&#8217;d out to Singapore.</p>
<p>But, before we say &#8220;goodbye&#8221; to our Keystone Cop Sanglah Surgeons, I need to acknowledge that these chaps did, in fact, save my life. Well done fellas. Pardon me if I don&#8217;t come to visit or even send flowers and a thank you card.</p>
<p>The Medivac folks ask Steve to &#8220;guarantee&#8221; the flight with cash&#8230; something to the tune of forty grand&#8230; wait, let&#8217;s focus on that figure for a moment: <em><strong>forty grand</strong></em> &#8212; wahoo, someone&#8217;s making money in the medivac biz.</p>
<p>In the end, my medical insurance company, represented by a fine lady named Vivian, steps up to the plate and does me proud by guaranteeing the medivac flight without bankrupting Steve&#8230; thanks fellas. Side Note: Medivac only costs the Insurance Company <em><strong>twenty grand </strong></em> &#8212; half price compared with the rest of us&#8230; someone&#8217;s a scumbag.</p>
<p>December 25th, 2004</p>
<p>Medivac. Damn, I&#8217;m a little pissed off that I missed this &#8212; a big-assed Jet flies me and Steve into Singapore at high speed. According to Steve, very high speed: he says he never saw a landing like it. Whoosh, screech, slam and on the street. No messing around whatsover. Having said that, I doubt anyone&#8217;s going to recommend medivac as a way of journeying to Singapore&#8230;</p>
<p>Oh, and one important note: If Steve &#038; Lisa had not been there for me, I would have not gotten that flight to Singapore.</p>
<p>If I hadn&#8217;t gotten that flight to Singapore, I would have died in Sanglah Public Hospital.</p>
<p>Thank you Steve. Thank you Lisa.</p>
<p>Next stop: C.C.U. Everywhere else in the world, as far as I know, this is called ICU for Intensive Care Unit. Mine was called the Critical Care Unit. Go figure. ICU is probably a registered trademark&#8230; who knows?</p>
<p>The surgeons in Singapore do not in anyway resemble the Keystone Cops&#8230;</p>
<p>&#8230;and, by the way, Medicine in Singapore is big business. Education &#038; Facilities are top of the line but if you&#8217;re not insured, don&#8217;t go. Nothing&#8217;s cheap in Singapore but the life saving biz is probably the most expensive of all. That and cars. Cars are very expensive in Singapore. And housing. Of course, there&#8217;s also the famous brand name products. So, Lifesaving, Cars, Housing &#038; Famous Brand Name Products. In other words, everything&#8217;s expensive in Singapore &#8212; medicine is no exception.</p>
<p>So, I&#8217;ve arrived at Mount Elizabeth Medical Centre, Singapore. My medical condition is noted as stable but critical. I&#8217;m admitted to CCU and treated with ventilatory support (a machine to help me breathe), invasive monitoring (they make holes and stick pipes in me to get my vital readings) and antibiotics for sepsis. Actually, I&#8217;m not sure if I had sepsis at this time or if the antibiotics were to prevent sepsis. I think preventative simply because sepsis was not yet mentioned in the reports.</p>
<p>Merry Christmas.</p>
<p>December 26th, 2004</p>
<p>I develop a &#8220;left massive pleural effusion&#8221; &#8212; this means I&#8217;ve accumulated a bunch of excess fluid my pleural cavity &#8212; the space between my lungs and chest and the other layer lining the chest wall. Thus, they insert a chest tube to drain the liquid.</p>
<p>Happy Boxing Day.</p>
<p>December 29th, 2004</p>
<p>I have no records of anything happening for a couple of days but on the 29th, the surgeons are worried about a continuing abdominal (stomach) infection and decide to open me up again.</p>
<p>The 29th turns out to be a very, very busy day.</p>
<p>This is my second laparotomy; which is, by the way, the medical name for a surgical exploration of the stomach. From the scar I see, the doctor cut me open from just under the ribs down to just over the pubis. This is one of those messy operations operations you&#8217;ll occasionally see on TV (usually at dinner time), where the doctor will look, poke and grope around inside the patient. Yup, they&#8217;re up to their elbows in me &#8212; no turning back now.</p>
<p>The surgeons discover:</p>
<ul>
<li>the tail of my pancreas is damaged (dead / necrotic tissue)</li>
<li>dead tissue in the place where my spleen used to be</li>
<li>dead tissue behind my left kidney and my colon</li>
<li>the Sanglah Surgeons&#8217; stitching in my diaphragm had broken open (the medical or technical term is dehiscence), re-stitched in Singapore</li>
<li>the Sanglah Surgeons&#8217; stitching in my lower stomach had broken open, re-stitched in Singapore</li>
<li>my arm and pinky finger fractures were pinned on this day.</li>
</ul>
<p>Note: Steve says that it was so dirty inside me, it was like the Sanglah Surgeons hadn&#8217;t bothered cleaning out the rice field&#8230; cat hair, trash, grass, etc.</p>
<p>So, now you know that between the 25th and the 29th of December <em><strong>I had my second near death experience.</strong></em> Without that second laparotomy and the subsequent repairs, I&#8217;d be dead. &#8216;Nuff said. Also, the Indonesian word &#8220;lapar&#8221; means hungry.</p>
<p>December 30th, 2004</p>
<p>It&#8217;s time for my tracheostomy. Lovely. For those of you who don&#8217;t know or who are unsure as to what I mean by a tracheostomy, it&#8217;s when they cut a hole at the bottom of your throat and shove into the trachea (windpipe) a short stationary tube. This tube keeps my airway open.</p>
<p>Later, when I was conscious, this hole in my windpipe would also allow the insertion of a smaller, more flexible tube with a suction device to be pushed down into my bronchial tubes and lungs in order to drain and clean them out. Some people reading this might not have noticed the pain. That flexible-tube-lung-draining thing hurts. Hurts like a motherfucker. I&#8217;ll take the crash. Lose the spleen. Have my stomach slit open from ribs to balls but no fucking way am I doing that draining tube shit again. Fuck it. Scary, Gross &#038; Painful. I was unconscious for most of what happened. But among my memories of pain (and I have a few), I remember the flexible tube&#8230; mainly because you have to be awake and coughing for it to work. Talk about torture.</p>
<p>As I said, that pain is later. Right now, I&#8217;ve got other problems:</p>
<ul>
<li>I require total parenteral nutrition &#8212; meaning food by tube.</li>
<li>Pneumonia</li>
<li>Pleurisy (liquid in the lungs)</li>
<li>Transient Renal Impairment (meaning my kidneys are temporarily on the fritz) caused by hypotension (abnormally low blood pressure).</li>
<li>Sepsis</li>
<li>Acute tubular necrosis (sounds like an album by Dire Straits) &#8212; dead or dying tissue probably also in the kidney area.</li>
</ul>
<p>Sepsis, ah, sepsis. Never heard of it before. Heard the word for the first time after I woke up. Sepsis. Sounds like septic. Can it be so bad?</p>
<p>Short Answer: yes!</p>
<p>Long Answer: bacteria enters the bloodstream from an infected area of the body or after an injury or surgical procedure. Once in the bloodstream, the bacteria begin to multiply rapidly, spreading toxins throughout the circulatory system. Now, you&#8217;re developing chills, fever, tachycardia (rapid heart rate), tachypnea (rapid breathing), and a high white-blood-cell count. Then, if you don&#8217;t respond to treatment (or, worse, if you&#8217;re left untreated, you can look forward to septic shock or sepsis syndrome &#8212; a potentially fatal condition characterized by a dramatic drop in blood pressure and damage to or failure of various organs, particularly the kidneys, heart, and lungs.</p>
<p><em><strong>This is the third, last and most dangerous near death experience. </strong></em>In more personal terms, on this day my infection is spreading like wildfire and I&#8217;m in the process of dying. I&#8217;m not brushing with death. Or courting death. It&#8217;s not that death has become my constant companion. At this point, I&#8217;m dying. Hoohah. In fact, of all people that suffer sepsis while in hospital care (ICU), one-third die. Sepsis is a stone cold killer.</p>
<p>There is, however, a drug treatment that may improve your survival chances. It&#8217;s a brand name drug called Xigris (manufactured by Eli Lilly &#038; Co. &#8212; the same guys that gave us Prozac). In the US and UK, you can only get it once you&#8217;re diagnosed with &#8220;acute sepsis&#8221; &#8212; acute is when 3 major organs have failed. In the UK, you can only get it if that particular hospital had the budget for the drug and no-one got it before you. A &#8220;Survive While Stocks Last!&#8221; kind of deal. On its own the drug is interesting and controversial enough for a whole bunch of pages &#8212; I suggest you go google it if you want to know more.</p>
<p>At this time, it&#8217;s enough to know that Steve was told about the drug and then asked to decide if it should be administered with the warning that it would cost around twenty thousand dollars and that Steve himself would need to come up with that amount in cash.</p>
<p>Twenty thousand dollars. Cash. Wahoo, someone&#8217;s making money in the medicine biz.</p>
<p>Steve told them to go ahead but, once again, my Insurance Company stepped up to the plate, guaranteed the treatment and I got my drugs without Steve being bankrupted.</p>
<p>Thank you Steve. Thank you Insurance Company. Thank you Eli Lilly &#038; Co.</p>
<p>Treatment with Xigris, by the way, does not guarantee survival. And, according to Steve my chances for survival <em><strong>with</strong></em> the drug were one in three. (Can I get a whoop, whoop? Alrighty then.)</p>
<p>January 17, 2004</p>
<p>I leave CCU by the front door (as opposed to thrown out the rubbish chute in a body bag) and head up to the General Ward. I&#8217;m on wheels, by the way, not under my own steam. The worst is behind me and I&#8217;m home free, except for the following few hiccups:</p>
<ul>
<li>pneumonia</li>
<li>coagulase negative staphylococcus &#8212; a type of round, parasitic bacteria known to cause pneumonia and septicemia</li>
<li>diarrhea</li>
<li>infection around the hole for my lines</li>
<li>pleurisy, right lungAll said and done, it was easy&#8230; a relative walk in the park.</li>
</ul>


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		<title>Part 4 &#8212; Delusions of Grandeur</title>
		<link>http://www.seanhynes.com/part-4-delusions-of-grandeur/</link>
		<comments>http://www.seanhynes.com/part-4-delusions-of-grandeur/#comments</comments>
		<pubDate>Fri, 10 Feb 2006 08:10:49 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Motorbike Crash]]></category>

		<guid isPermaLink="false">http://www.seanhynes.com/part-4-delusions-of-grandeur/</guid>
		<description><![CDATA[In many respects, the crash didn&#8217;t happen for me at all. I missed it. Slept through most of it and, today, I still don&#8217;t really get it.I&#8217;m not sure anyone understands this because I&#8217;m pretty sure I wouldn&#8217;t have got &#8230; <a href="http://www.seanhynes.com/part-4-delusions-of-grandeur/">Continue reading <span class="meta-nav">&#8594;</span></a>]]></description>
			<content:encoded><![CDATA[<p>In many respects, the crash didn&#8217;t happen for me at all. I missed it. Slept through most of it and, today, I still don&#8217;t really get it.I&#8217;m not sure anyone understands this because I&#8217;m pretty sure I wouldn&#8217;t have got it before the crash (in case you hadn&#8217;t realised, I can be fairly damned dense at times).</p>
<p>Have you ever learned that you snore (possibly like a diesel truck or worse) and, if so, do you remember the first time you were told?</p>
<p>My response was amused disbelief.</p>
<p>Have you ever gotten so drunk you have ZERO memory of what you did the night before and only learn about it from another person?</p>
<p>Oh yes &#8212; been there, done that, got the t-shirt. First time it happened though, I really didn&#8217;t believe what I was hearing.</p>
<p>If you understand either of those situations, if you&#8217;ve experienced them yourself, then you might understand why I&#8217;ve kept back 1 or 2 percentage points for disbelief. In other words, I don&#8217;t think I&#8217;m nuts for not believing; I think it&#8217;s a fairly standard response&#8230; that small, hard kernel of self-righteousness or denial that mutters and growls, &#8220;Nah. Me? No. Uh-uhh, baby. No way.&#8221;</p>
<p>Anyway, from time to time, I still feel this way about the crash. Disbelieving. Although I&#8217;ve got a ton of witnesses telling me about it. Photographs. X-Rays. Medical Reports. Invoices for work (&#8220;Woyk&#8221;) done.</p>
<p>&#8220;Nah. Me? No. Uh-uhh, baby. No way.&#8221;</p>
<p>And, there&#8217;s another good reason why believing in the crash and the operations is difficult for me.</p>
<p>The delusions.</p>


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