I vaguely remember waking from the surgery. Valium and Demerol
do make it hard to remember much. The surgeon was saying something about a hole
in my esophagus and Barium leaking into my chest cavity, setting up a nasty
infection. He said I had twelve to twenty-four hours to live unless he operated
immediately. I hazily signed a consent for surgery, suggested the hospital
staff call my wife, who was six hundred miles away in a small Inupiaq village
north of Nome, then I went back to sleep.
A month earlier Pat and I had moved to the village of
Teller, a small hamlet of about 300 souls located on a spit of land between
Port Clarence of the Bering Sea and Grantley Harbor, where the river which
drained Imuruk Basin backed up before entering the port. Teller sat in a wind
swept, isolated, starkly gorgeous place, with thousands of square miles of
rolling tundra and jagged mountains in every direction separating it from the
rest of the world. There was a gravel road, open five to six months of the
year, leading south seventy-five miles to Nome. Fourteen miles to the west was
a lonely US Coast Guard LORAN station, manned by thirty sailors. Across the river
channel along the other side of the spit was Brevig Mission, an even smaller
village. Outside of Teller, Brevig, and the Coast Guard station you could
travel a long way by snow machine, foot or boat and not find any other people.
After the second day of school that August of 1990, I was
eating some stew in our tiny apartment and looking out the window at the
amazing view of the harbor. Suddenly I realized I couldn't swallow. I could
breathe, but there was a piece of food in my throat that wouldn't go down. I
tried drinking some water and it came right back up. I went to the bathroom,
stuck my finger down my throat and retched over and over, but the blockage
wouldn't budge. I was worried. Pat was out visiting friends and of course
in the pre cell phone era I didn't have a way to call her. I walked to the
large padded chair in our living room and threw my torso across the back of it,
hoping to perform a self induced Heimlich maneuver. It didn't work. I tried
again, then again.
By now it was mid-evening and I was spitting constantly,
as I couldn't swallow my own saliva, but I was breathing fine. Pat was still
out and I didn't know how to reach her. I decided to call the village health
clinic on the chance that someone might be there after hours. The health aide
answered. When I explained the situation she said there was an EMT at the
clinic. He had come in on a medivac plane to pick up a village elder who was
ill and she said that I could talk with the EMT.
I walked the couple of hundred yards to the clinic and
talked with the EMT. He suggested I fly to Nome with them and let a doc take a
look at me. I agreed.
The twin engine Beechcraft made quick work of the short
flight to Nome and I rode in the ambulance with the EMTs and the sick old man
to the small regional hospital in town. I waited several hours in the ER and
finally, near midnight a young doctor came in. He explained that he had
finished medical school a couple of months earlier and was paying off student
loans by working in rural Alaska.
The doctor checked me over, decided to try to push the
blockage out with a nasal-gastric tube. Now, if you've never had a small
plastic tube passed up your nose and down the back of your throat you'll just
have to trust my word that it's an odd sensation. The tube got to the blockage
and despite a couple of attempts it wouldn't push the chunk of stew meat out of
my throat. Next the doctor had me try a Barium swallow while making an X-ray of
the blockage. Barium is quite thick and heavy; so it seemed that maybe this
would push the lump on down into my stomach. It didn't. I threw up pink Barium
allover myself, and the X-ray machine. So all we got was a picture of a lump in
my esophagus.
The hospital folks said they couldn't do anything more for
me; so they offered to book me on a commuter flight the next morning to
Anchorage and to let me sleep on a spare bed until it was time to go to the
airstrip.
I arrived at Providence Hospital in Anchorage feeling
pretty dehydrated and looking forward to having the upper endoscopy preformed
to push out the blockage, I figured after the procedure I'd get a hotel room
for the night and fly back to Nome and Teller the next day.
After waking from the endoscopy and being told that my
life was in jeopardy things got pretty fuzzy. That Valium and Demerol mixture
does make you relax. The next thing I recall from the first few days at
Providence was the intensive care unit. My mom was there and Pat was there.
After several days when it seemed that I would live, I was moved to a room on
the surgical recovery floor. I had tubes coming out of six parts of my body and
was told to push a button whenever I felt the need for pain relief. That first
week is still lost to the haze of morphine and pain.
Dr. Fredrick Hood, the talented chief of surgery at
Providence explained that the nasal gastric tube had torn a hole in my
esophagus and unknown to anyone in Nome, some of the Barium I'd tried to
swallow had leaked through the hole, surrounded the organs in my chest and set
up an infection. Repairing the tear had been simple. Just a single stitch was
needed to close the hole and let the esophagus start to heal. Flushing out the
Barium, however, had required the surgeon to open my chest up. He cut out one
rib and broke a couple of others. The team had to flush my chest with water for
more than four hours to get all of the Barium out. Then they pumped me full of
antibiotics and waited to see if I'd make it. I had two large tubes coming out
of my lower back, which allowed fluids to drain from my chest into two gallon
size jugs under my bed. I had a drain tube from my stomach protruding from my
abdomen, another one low on the front of my abdomen and a feeding line running
under my collarbone into my stomach. Of course there was also an IV or two
leading into my arms for fluids and medication.
The second week at the hospital saw me improving. When I
began to go for walks around the halls I had to have someone pushing my IV tree
and carrying the drain jugs. I must have looked like something from a horror
movie.
After a couple of weeks the feeding line was removed and I
got to eat some real food. I was starting to feel restless and there was snow
on the peaks outside the hospital window. Fall was coming and I wanted to get
home. I began wearing blue jeans under my hospital gown, keeping my tennis shoes
on all the time and going for longer and longer walks. I was determined that I
was going to get better and get out of that hospital. The staff had been great.
The nurses had cooked some of my favorite foods and brought them to me. A
couple of them had entertained my mother, while she’d been in Anchorage. I'd
been given wonderful care. Friends from Georgia sent cards, money, books and
crossword puzzles, but my birthday was coming up and I wanted to celebrate it
back in the village.
When the doctors told me the impact of the surgery on my
body was like being thrown through the windshield of a car at sixty-five miles
per hour and that it would be a year before I felt ok again, I nodded and said
fine. Secretly, I thought since I was young and strong I'd be back to normal in
a few weeks, maybe a couple of months. The docs were right of course. The
flight back to Nome and the bumpy small plane flight to Teller were exhausting.
Before the injury I'd been able to lift more than 360 pounds over my head. When
I got home I couldn't raise my left arm over my head nor reach out and pick up
a cup with that hand. But twenty days after flying to Nome and four days before
my birthday I'd made it home.
Slowly, over months, I regained strength, but it was a year
or more before I felt somewhat normal again. I would never be as strong, or as
healthy, again.
I’d quickly realized that to survive in Bush Alaska you
needed to be well prepared and self-reliant. I beefed up our first aid kit,
adding a dental kit, IV needles and lines, saline and a set of army field
surgery tools. I added pain meds and antibiotics to the kit and a couple of
manuals on emergency medicine. Thankfully we never needed most of the stuff.
Today I still keep a pretty good first aid kit, minus the meds and dental supplies.
However, as I wish the young doc in Nome had known, I'll always keep some meat
tenderizer ready to mix with water and gargle - just in case.