Archive for the '[Medicine&Pharma]' category

The government doesn't pay for contraception just deception

Mar 08 2012 Published by under [Medicine&Pharma]

The Weer One is once again trying to destroy us via sleep deprivation after lulling us into to thinking we had turned the corner. Rather than write incoherent blabber, go check out this excellent post at White Coat Underground on the politicization of contraception.

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Tweeting a vasectomy

Dec 14 2011 Published by under [Life Trajectories], [Medicine&Pharma]

As should be clear by now, I was a bit busy yesterday afternoon having my vas deferens cut and cauterized. In an attempt to use my experience as a way to educate folks about the experience, I live tweeted the whole process, but since twitter is a fleeting medium, I thought I should summarize here as well.

Twitter reads from the bottom up in the images below, except in the "conversations" that read top down. Hey, I'm just the messenger.

My first appointment was about two weeks ago. The doctor briefly described the procedure and how he does it. I had specifically opted for the "no scalpel vasectomy" because the incision is small and recovery is supposed to be less. He told me that he had been doing the procedure for 16 years, which seemed like a decent amount of time to me. Then he told me to shave before my next appointment. After reading Abel's description of a dry shave, I was already ahead of the curve on this one. Having experienced the aftermath of the disposable razor quick shave after my tattoos, I knew that was not going to be a good thing.

But this is not an area I commonly shave and I was a bit worried about irritation. I didn't need razor burn to compound my post-op issues, so I thought about alternatives. CoR suggested waxing, but hell no. I decided to try Nair.

Having solved that problem, I was ready.

One thing I hate is being late. Seriously, I can't do it. The flip side to that, however, is that I often arrive too early for things. This happened yesterday when I got to the office 30 minutes before my appointment. Maybe not the best move when you're a little anxious about something.

I got called in about 5 minutes late and brought to the room, where I was unceremoniously given a paper sheet and told to undress. I assumed that the sheet was for covering me, but checked with the nurse to make sure. I didn't want her to come back in and be horrified that I was on a table covered by a glorified napkin when her intention was something entirely different. My assumption was correct.

With the doctor's blessing (although he said it was a first), I kept my phone with me for the procedure. The sheet was pulled aside and the nurse went to work on my member with a liberal dose of betadine. They slapped a grounding pad on my side for the cauterizing and off we went.

And then shit got real. Much like any procedure that is routine for the doctor, but not for the patient, it seemed like they got to work in a hurry. With the no scalpel procedure, they use an anesthetic "gun" instead of a needle for the local, which resembles an oversized stainless steel pen. The nurse fired it once so I knew what it would sound like and the noise was like a small cap gun. Braced for that, I was ready. The doctor said it would feel like being snapped with a rubber band, and that was basically the feeling.

After about 6 snaps on either side the doctor went to work, starting on the left. It was a very odd feeling, with some pulling that extended a bit up into my lower abdomen, but it wasn't painful. He finished up the left in a couple of minutes and then broke out the cauterizer.

Not even 4 minutes in and half done. No pain to this point either. In fact, there was very little pain throughout, even post-op. "Discomfort" is about the worst of it. Except...

At some point during the pulling and cutting on the right side they hit a patch that was not so numb. I think when my whole body jerked the doctor figured that out. However, I will say that it was more surprise and the reaction to "that sharp poke" I was nervously anticipating than actual pain. All additional local (and there was certainly some needed) was done by needle, but I never felt that at all. Then, back to work.

And as quickly as it started, it was over.

Laying on the tray were two 1cm section of vas, which the nurse placed in a jar for whatever reason. That might have been the strangest moment. I was given a bag with instructions and two "sample cups" and told to get dressed again. I did so gingerly, but only because I was concerned about pain, not because I was in any.

I was given a script for Oxy and an antibiotic, but haven't taken either. I settled on the couch with some ice and had a couple of beers, but that was it. I was getting around fine last night and even did the early morning feeding of the baby at 5:00am. After a shower and a bit more ice this morning I didn't see any reason not to go to work. Drop the Wee One off at daycare this morning and have been at my desk without incident.

The whole thing took about ten minutes. Yeah, it's a little nerve wracking and there is some discomfort, but there was almost no pain and I don't see any sign of complications at this point, nearly 24h post-op. I have no regrets and I would recommend the procedure to any guy thinking about it. I do not consider myself a tough guy by any stretch and the vasectomy was very straight-forward and easy.

I'm glad it's done, but I am more happy that we no longer (in a month or two) have to worry about an accidental pregnancy. I'm happy to have my wife get off The Pill, which she has taken for about half her life. I'm excited that I could do this for us and I encourage anyone who knows they are not going to have another child to sack up and get this done.

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