What’s it like to have umbilical hernia repair surgery?

It’s 11 days after my surgery for umbilical hernia repair and I feel just about back to normal, though I’m still not supposed to lift anything over 20 pounds for another few weeks. In a nutshell, the surgery was a breeze; the recovery not so much, but I have no major complaints. Here’s the long story about how I got here.

I’ll spare you the narrative of my ENTIRE life since my own birth, but I know having an umbilical hernia for me at least goes all the way back to 2004, when I gave birth to our wonderful girl. I had occasionally noticed in the years post-partum that I had a small lump above my belly button. Sometimes. Usually not while lying down, but more prominent while standing. I just guessed it was one of the many ways my body has been touched by the pregnancy experience. It never bothered me.

Until Tuesday, May 1, 2012 (MAY DAY). I had a typical workout in the afternoon which included some basic abdominal crunches. I didn’t notice anything at first, but while I was driving home I was in sudden, throbbing abdominal pain which came in waves and caused me to remember childbirth and breathing exercises. At first I thought it was yet another strike of the norovirus and that I was about to vomit — but the pain stayed constant and I did not, in fact, vomit.

By the time I reached home, I felt and looked at my belly and noticed a larger protrusion than ever before above my belly button, and I knew I was destined for the emergency room. Had I thought about icing in advance, I might have saved myself that trip, but I don’t think I would have had such a fast plan to action had I not visited the ER.

alienIn the lovely Davies ER, the doctor tried to palpate to see if he could press my Sigourney Weaver lump back in (ok, maybe it wasn’t THAT big), but it was way way too tender for him to get near. I was given Dilaudid for the pain, and an ice pack over my belly. When the doctor returned a bit later to see if he could press the protrusion back in, surprise: it had already slipped back in. This made the essential difference, I believe, between having a “strangulated hernia” (a medical emergency requiring immediate surgery) and an “incarcerated hernia” (for which repair can be scheduled at leisure). Fortunately my body opted for the latter. I went home (I walked! Carefully. I felt too nauseated for a car) about two hours later.

I got to meet with the surgeon, Dr. Robert Murray, the next day. He was great, and came quickly to the point. He determined that it was a relatively small tear, that he could stitch it up instead of having to use mesh, and that there was no rush but that I was not to lift anything heavier than 20 pounds until 4-6 weeks after getting it repaired. Since I have been trying to exercise regularly, and since I LOVE holding my 50-lb 7-year-old girl, I opted for as soon as possible. Miraculously and with much aligning of stars, surgery was scheduled for the following Monday, May 7, at (the also lovely) St. Mary’s Medical Center.

I spent Friday getting a blood panel and EKG as preparation for surgery, didn’t eat anything Sunday night, and arrived at St. Mary’s at 8am on Monday morning.

There was very little waiting around — it was my first time at St. Marys and I found it pleasant overall. The rooms were private, the nurses and attendants responsive, and everything seemed efficient. By 9a my IV was in (first try — with much relief and thanks to nurse Debbie), and I was down in the prep area. I met with Dr. Murray and consulted with the anesthesiologist – who then rattled off an intriguing cocktail of complicated sounding drugs that would soon be flowing into my veins.

I was wheeled into the operating room, which was pleasantly chilly and decorated all over with blue tile, as if we were in a bathtub. On the gurney, arms out to sides, the anesthesiologist said “it will be about 10 seconds.” I looked at the clock — 9:30 — and that was that.

Suddenly, I was told to breathe in through a mask (oxygen?) and was back in the post-op room – the same room as the pre-op room. The clock said 10:30.

I was asked my name – several times through the process – was asked about pain (none at that time) and waited around being generally out of it for a bit. I looked at my belly, which was patched with gauze and a 4″x4″ plastic adhesive. I was told not to scratch my eyes. Suddenly it was 11:15. I was wheeled back up to my room, where my lovely wife Leanne was waiting for me.

That’s all it took — I eschewed Vicodin as a pain-killer since it depresses me, and favored Percocet, which I had not tried before. I was back home by 1p. The first day was fine — almost pleasant.

I felt a bit sea-sick lying down to sleep and had a disturbed rest. I kept feeling like I was biting my tongue (a ramification of pain killers?) and started to experience significant pain. I took Percocet and Zofran at least every four hours. The next day was not so great. I awoke to find my gauze pad completely bloody, and was in a lot of pain as if there were a knife in my stomach. It was hard to sit up from lying down. I felt like I really needed to roll over, then stand from being sideways. I must have had about 8 Percocet in the first day post-op and didn’t feel like it had any effect. I called the doctor about the bloody gauze – I was afraid I would never stop bleeding – and got an appointment for Thursday.

Dr. Murray changed the bandage on Thursday and assured me it was going well, but that I should remove the bandage on Saturday because I was evidently allergic to the plastic cover. He also told me I needed to be taking Ibuprofen together with the Percocet — something I was not told before. I’m not sure if doing this for the next couple of days or if just the passage of time made the pain start to ease.

It was after that that I noticed the hives all over my belly. Still not sure if this was because of the Percocet or the plastic. And my bowels hadn’t worked for – well – days, despite Colace.

Things started to get better on Saturday and I pitched the Percocet and was excited to take off the bandage, having fully forgotten about steristrips. The steristrips came off by Monday, and I used a little antibiotic and a bandaid for the next week.

The area looked bloody and spotted with rash for the first few days, but today I just have a slightly swollen red line around the rim of my navel where the surgeon inserted the tiny tools. I don’t see any trace of infection, which I had been worried about.

The really unpleasant part of post-op included my bowels, as a side-effect of the pain medication. I had never had such pain getting started again … The Colace seemed to do nothing. I tried some laxatives upon the advice of my mom, which worked fine — a couple days later. It seemed to take my body awhile to react to these medications. If I were to do this over again, I would have asked if I could have started the stool-softener process in advance of surgery.

Which brings us today, 11 days post-op. I probably won’t wear a bandaid by tomorrow and I only feel the smallest bit of a twinge — a little tiny pinch, really — on my navel. One disconcerting thing is a bit of swelling and hardness around my whole navel, almost as if I still have a hernia and in fact as if it has grown. I gather this is normal post-op and is a sort of swelling and healing that will eventually subside. I have a checkup with the surgeon in 10 days and after that I’m expecting the go-or-no-go for lifting and carrying things and generally exercising back to normal again.

So my key recommendations for you, dear readers, are these:

  1. Feeling a hernia? Try ice first. But of course, also go to the emergency room if you need to.
  2. Talk in advance with your surgeon about pain medications. Be clear not only on what you want, if you have a preference, but how to use it and with what other medications.
  3. Ask in advance what to expect from the bandaging — bleeding OK?
  4. Plan for constipation: is it OK to take stool softeners in advance? I don’t know the answer…
  5. Uber is a great way to get to and from your surgeries. Costs a bit more, but worth it.
  6. Have amazing friends lined up to drive and deliver things (Leanne, Liz, Rob, David… hugs).

Things really went well as a whole, and I’m looking forward to being stronger than ever in a few weeks when I can start exercising again. Thanks for witnessing this part of my life story and I hope it brings some comfort if you are facing the same experience.

Update — May 2013:  I’ve been amazed and gratified at the dozens and dozens of comments here and the generosity of sharing of experiences. It’s now a year post-surgery, and I’m as strong as ever if not stronger.

Update — September 2014: Still going strong.  Thanks all for sharing your own experiences in the comments!

 

 

5 unstoppable trends from the Web 2.0 Summit stage, personified

The theme of this year’s Web 2.0 Summit 2011 officially was “The Data Frame.” But take it from me — the unofficially real themes are these five unstoppable trends that, were they a person (taking a cue from Genevieve Bell’s talk “The secret life of data” — “Who is data and if it were a person what would it be like?”) would look exactly like: “You, as a Platform, Friending Your Social Car and its Music, and Thereby Completely Transforming How We Buy Things.” I will explain … in this fully subjective list of five of the top tech trends that are unstoppable disruptions at the Web 2.0 Summit 2011.

facebook business

facebook business by Sean MacEntee, on Flickr

FACEBOOK

Trend One.  It’s nothing new.  But Facebook continues to be a top trend at the Web 2.0 Summit. Chatter about being “friends” with Facebook was in the background of many of the sessions – and *everybody* – except maybe Google – is friends with Facebook (and now Facebook doesn’t even have to friend you back).  This is not a surprise — as KPCB’s Mary Meeker put it in her always fabulous Internet Trends report, “There are as many people using social networking sites now as there were Internet users in 2006.” From what I could tell from my seat in the third row back at the Palace Hotel, at least in the US, Facebook is still winning the social game — despite Google taking pains to talk about how great Google+ is doing and even trotting Sergey Brin out in a surprise appearance together with Vic Gundotra to say so.

The balance of power in social seems to be between the “caution to the wind” nature of existing social tell-alls, and Google — which is taking a specifically cautious approach to social — contending that this is what people want. Google is not only trying to win on these more conservative terms (“There’s a reason why every thought in your head does not come out of your mouth,” said Vic Gundotra, and maintaining somewhat vehemently that Google is “taking a cautious approach to releasing an API”) but also could be preparing to bet the farm on tying Google’s offerings together with Google+, at least by later in the year, if I caught the hints.

But the Facebook party is full-swing. Everyone from Microsoft (“Facebook defines the word social and we work with them closely — combined with Bing” — Steve Ballmer) to eBay (“We’re bringing the open graph into the eBay experience, and bring the eBay experience into the Facebook environment” — John Donahoe) to Salesforce (“Facebook is eating the Web. People are spending much more time on Facebook than on the Internet.  It’s a social revolution” — Marc Benioff) to beyond reports that Facebook is hot.

For Facebook’s part, Bret Taylor, Chief Technology Officer, didn’t just rest there: “Google+ to me is validating to what we at Facebook have convinced the world of: Products are better when they’re social,” he said.

It continues to be a virtual Facebook lovefest.

Saving the world one email at a time

Saving the world one email at a time by Ryan Vaarsi, on Flickr

PERSON AS PLATFORM

But “the problem is that my data is somewhere else…” was a common refrain during the data frame discussions, and Facebook and Google got no free pass here.

“When are you guys and Google gonna get over it and start sharing,” sparred John Battelle to Bret Taylor, to audience applause. “Why can’t I use Facebook Connect to populate my circles or lists? Isn’t that data that is ours and should be simple to move?”  Although Battelle meant this as a serious question, there was no serious response to be heard. The fact is, data — our data, data about us and from us — is still what’s worth the bank to social companies.

Many speakers however echoed a fresh refrain about data and your personal identity — and whether your personal data belongs to you or at a minimum can be portable to whatever (social) network you want.  Chris Poole of 4chan/Canvas kicked off this identity crisis with an excellent talk, concluding that as far as online identity goes, “Facebook & Google do it wrong; Twitter does it better; I want to think about a world that does it right.”

Beyond straight social networking technology, personal identity took a stunning turn with Anne Wojcicki’s talk about 23andMe — the “retail DNA testing service providing information and tools for consumers to learn about and explore their DNA.” 23andMe straddles biotech and Web 2.0 with the powers of a huge genetic dataset that can, in combination with its growing passionate community, go beyond straight ancestry queries to help identify individuals that have variants and prevent disease or identify genes that look like modifiers – just for a couple of examples. “The community has been so successful that in such a short time we found something that could be a modifier that leads to a druggable target,” said Wojcicki.

One big question this begs is whose data is this genetic information? Is this owned by the pharmaceutical companies? The community itself? Individuals – in so far as you “own” pieces of yourself?

It was Mitchell Baker (Mozilla Foundation) that took the next step that started to put a finger on the actual idea of person as platform:

We create data online but we have little control. We can turn privacy up and down but that’s it. We have essentially giant data factories — it is at heart an industrial era process. The core process of my data footprint lives as part of the data factory’s process. The customization all lives within a single model. Let’s think differently about data for a moment – what could data be? In that world, I am the platform for my data, and you are the platform for your data.

Baker’s bottom line: “If I become the platform, that allows the big data providers to continue to operate at scale (provide experiences we like with customization at edges but not core) and allows economic generation.”

Do we have this yet? “We don’t have all this infrastructure today but at Mozilla we’re building blocks of where I can be the center of my life.” Brilliant future, with Baker as our guide and person at the center.

Buy More Stuff, Black Friday 2009

Buy More Stuff, Black Friday 2009 by Michael Holden, on Flickr

HOW WE BUY

We’re still buying.  People can log on to 23andme.com and start exploring their DNA today, for example. We keep buying more and more stuff — but the message was clear at the Summit: the way we buy is undergoing massive disruption.  Analogous to what was happening outside a few blocks away with the Occupy Wall Street movement hitting San Francisco streets with #OccupySF, and referenced obliquely by Benioff as the “Corporate Spring,” I think it’s the disruption of the way we buy, right down to the very the payment itself.

During the conference, John Battelle made sure to ask most speakers what they thought of the Occupy movement. For their part, Visa president John Partridge and American Express group president Dan Schulman echoed that there’s “a concern for what’s transpired around the world economically… and significant pent-up anger about how did we end up in this situation” — but seemed eager to allocate blame towards the federal government or elsewhere for the debt crisis, rather than, of course, looking inward. And to John Battelle’s question whether Visa and AMEX are afraid of eBay now that merchants, frustrated with transaction fees, are is implementing direct payments, we of course heard non-answers.

But there were dramatic backdrops to that perspective, with not only eBay (and the demonstrations themselves), but with  Alex Rampell’s TrialPay — which makes the excellent point that there is so much to be gained from the data in online payments that it makes no sense whatsoever to charge consumers a transaction fee just to pay. “At TrialPay, we think payments should be free” — because the underlying data that happens in a transaction is worth more, is the disruptive point behind the service.

It makes it look like credit card companies, despite their protesting otherwise, have to be worried about going the way of the record industry.

Mary Meeker also echoed an impression of Occupy that was equally affirming yet implicated:

I think people are angry — everybody’s angry and deserves to be angry. Finger-pointing is not good. I look at it in a holistic way. Over last 40 years, government has been pretty loose with spending and interest rates have been at low-level, so people were looking for places to invest and went to houses. Credit was easy.  Government sets up a situation where it’s easy to borrow. Wall Street was giving instruments to trade and they traded it like crazy.    … The way out? We all have a problem and we all have to sacrifice.

(Spending five minutes a day on (the hugely hyped) One Kings Lane five days a week, as Meeker admitted to doing, seems a bit like a strange sacrifice.)

If you are making sacrifices, you can look forward to what can be known in the future as “Web 3.0” — and we don’t mean the Semantic Web.   As Tim O’Reilly said in the conference introduction, “Now we know what Web 3 will be — Web 3 will be whatever pulls us out of the economy now” (since Web 2.0 is what pulled us out before).

Tenha medo

Tenha medo by jampa, on Flickr

SOUND

This leads me to two more fairly unconventional top tech trends to personify. Did you know Sound is the Next Big Thing? “Sound is going to be bigger than video. Record is bigger than QWERTY,” said Mary Meeker, quoting Alexander Ljung from SoundCloud, and then she rattled off a number of sound technologies from bluetooth devices, headsets, SoundCloud, Spotify (“which changed way I listen to music”), connected car audio, sound recognition — all ready for and undergoing massive disruption.

Both Pandora and Spotify were there to speak at the Summit, though “Pandora doesn’t compete with Spotify,” Tim Westergren insisted, “It competes with radio — and radio is where people just want to turn it on and play.”

Sound will be big not only on our devices but in our cars.  Says Westergren, “One half of radio listening happens in the car. The smartphone is your modem, bringing it into car. The car hijacks controls of Pandora into the dashboard.”

Driving into the Andes

Driving into the Andes by Stuck in Customs, on Flickr

CARS

Which leads me to the last big trend to notice.  Cars — clean fuel cars, electric cars, social cars, apps for cars, connected cars — Google cars.  Cars are big.

On the apps side, from Waze — with which 7 million users in Israel beat traffic — to Pandora to many other apps, lots of lonely commuters driving solo in cars aren’t so much a plague for sustainability, but create in fact a huge whitespace.

Part of the reason cars are such a rich whitespace for applications right now is because of this Data Frame. We’re realizing that there is much data to be harvested from cars themselves in the Big Data Frame view.  From David Hornik at August Capital:

We figured out about six years ago there lots of systems creating data exhaust. If we harness it, that’s big value… Cars are reporting a lot of things — from how fast the car is going, to the temperature outside (is the road about to ice over?), to exactly where they go (so maps can be way more accurate), to whether the windshield wipers are on – are they high or low? This allows our cars of the future to say “here’s the right driving route for you today based on all this factual data.”

It seems to me that one of the biggest future disruptors of the Data Frame just might be the coming of broadband in cars.

On the side of the cars as platforms themselves, we see a trend towards both social cars — as Marc Benioff wants a car he can friend — to electric vehicles with ventures such as Fisker, Tesla, and GE building factories here in the US.

As if that’s not enough going on, Sergey Brin said Google is building an “autonomous car” – a self-driving car that he says will be cool. “There is a tremendous opportunity to improve the world with advanced research projects like this,” said Sir Google.

This led Battelle to say: “I’m going to start a conference about cars.”  I believe it, too. And if he does, I hope to be there to write way too much about it yet again.

Maybe I’ll ride there in my all-electric Tesla while listening to Pandora, connecting with friends online, and talking with my car (let’s call her “Sira”), about the latest deals on One Kings Lane.  Or maybe, like the fact that we predicted the flying car but not the Internet, the future will look a lot different than any of us know now.

Because trends may be unstoppable, but data is feral, says Genevieve Bell. “Data keeps it real — physical objects resist being digitized. There’s something about data that will resist being incessantly digitized.”

The wildcard is the person in the platform.

Dear Charles Cooper: We could be friends

Dear Charles Cooper;

I think I started to like you when Leanne pointed out your cuff links at yesterday’s trial.   To watch the trial, I was sitting in the overflow room behind a personal hero of mine, Kate Kendell, executive director at National Center for Lesbian Rights, and I know she has been known to sport some pretty excellent cuff links as well. I, too, like cuff links. It’s really silly, I know, but I get excited when I think: This is something we all have in common!

Sitting behind Kate Kendell and Melanie Rowan of NCLR

Sitting behind Kate Kendell and Melanie Rowan of NCLR

When we left the overflow room shortly after the hearing ended at noon, we walked up the hallway to the real trial room to just peek inside.  At that exact moment you were walking out of the room. You looked tired – you had obviously been working hard.  We ran away to sort of hide – then we were concerned we might be in the same elevator as you on the way down.  You instead went to the Men’s room first so we were spared that situation.

My view of Charles Cooper on the video from the overflow room

My view of Charles Cooper on the video from the overflow room - terrible phone picture I know

Afterward I felt guilty:  running away is silly.  I wonder what it would be like to talk with you.   I would have tried to shake your hand and I would have asked about your cuff links and probably found some nice things to say.  Maybe we’d later have a drink together.  I could show you San Francisco from some of my favorite views. You’d meet our beautiful daughter…

I’ve dreamed this sort of thing before.  I just wanted to dream it out loud a little longer.  For the sake of my daughter’s future — our future. It could happen.

Thank you,

-m

PS: Here are the rulings from the trial, out today (the following day). You lost on both counts. How I wish I could help you know it’s going to be OK.