Anaesthesia Consent and DNR

We do  have some lovely conversations in this house…

I will, early this evening, light the metaphorical blue touch paper for tomorrows procedure. It will be ten years since I had my pT3N0M0 adenocarcinoma removed. 39 lymph nodes were extracted and pathologically examined. Since then I have had numerous colonoscopies. Tomorrow I will have general anaesthetic. I will have another endoscopy. I will be shitting my arse off, tonight and tomorrow morning.

There will be Bastille Day “fireworks” chez nous.

I have to give consent in French and nowhere am I asked if I fully understand. The assumption of comprehension is one of the clinically flawed approaches here, in my opinion. Nobody checks if you understand. It is the kind of detail which bugs me. There are a lot of assumptions in France…the process is trusted. Given the quality of healthcare it might be a good tweak to make it better.

A simple question….Do you {really} understand what I am saying?

In the unlikely event of an emergency I have said that I do not want to be resuscitated if there is a danger of paraplegia or brain death. I now have an anomaly in my ECG…

Karmically if it is time, it is time. DNR, do not resuscitate.

I am anticipating that they will find some polyps which will be excised and biopsied. If the polyps are benign my next day of joy will be scheduled five years hence. If there is a need for a follow up, I will see the chimney sweep again sooner.

This kind of thing reminds you of impermanence…

The best thing is that even with a buzz cut hair cut they make you wear a groovy hair net. I will be 24 hours with no food…having been on a white-bland no-residue diet for three days…

The diet recommendations in France speak of not eating escargot, not a problem for me. The UK ones say that you can have plain naan and chapatti…

I have manged to do a “white” curry without onion or garlic, which was passable…

Pizza is on the menu for tomorrow evening with crisps….to follow…

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