POSTCARD#277: Delhi: The story so far: I went to see a well-known anaesthesiologist lady doctor, professor in a government university hospital, down-town Bangkok, about the 24/7 headache I’ve had since September 2015. To cut a long story short, she performed the PRF microsurgery on the nerve, 25 July 2017 and when I woke up the next morning, the headache was significantly gone.
Unbelievable… only a tingling sensation in the place where the pain used to be. No time to ponder on that, I had a flight to Delhi in the afternoon. So I sent an email to the Doc saying, the pain has gone, treatment successful. Thank you so much. Bye, packed my bags, taxi to the airport, checked my phone and the Doc had replied; possibly three pain-free months like this, no headache, and after that, when it returns (because this is not a cure), the pain will be noticeably less than it was before. Feels like a gift, I’m amazed, monks and other holy people have induced karmic intrusion, prasada.
On the plane over to Delhi there was this special consciousness of having been blessed, I felt like dancing in the aisle. “These are the days of miracle and wonder. This is the long distance call. The way the camera follows us in slo-mo. The way we look to us all, oh yeah”.
Sit back in my seat and review the experience of it through notes made just after: Here I am, back in the white room with the doc, my fairy godmother, dressed in white. Residents and other persons in white too… getting kinda crowded in this small room. More of her assistants squeeze in… there’s not enough space for me, the patient… claustrophobic, and a moment of panic. It passes. I stay calm. They get me to sit on a chair, lean over, face-down with head on the edge of a pillow placed on a gurney. It takes a bit of organizing, small hands in green cotton cuffs gently shifting the pillow until it’s comfortable, and I’m looking down at the floor, darkness, people’s feet in black, overshoe, rubber boots.
I’m in the operating room, OMG I’m not anaesthetized, hey! somebody! you forgot to give me a shot! After a while, as if they’d forgotten then been reminded, a surgical assistant, miniature lady in green cloth gown squats down close into my space . A chair is pushed in where she puts her stainless steel tray. Wearing rubber gloves, shower cap and face mask, she heaves my arm, like the branch of a tree, around and on to the chair, ties tourniquet, smack, smack, smack on the back of my hand, finds a vein and sticks a needle in. I’m taped up with a hard plastic valve set in place, ready to go. She plugs me into a relaxing woozy cotton-woolly sedative, and nothing matters anymore.
Cloths and plastic sheeting placed over my back and neck, and I can’t see anything but floor tiles. Darkness and the sounds of quiet voices chatting, somebody makes a joke, they laugh, another joke, more laughing. I’m thinking, hey what’s so funny? Sounds of shifting chairs scrape clunk! And I can see sideways they’re carefully wheeling in a large machine on a trolley with rubber wheels. A small hand comes down, seeks out the electric socket, plugs it in, switch on the switch… is it going? Yes. This must be the unit that generates the radio frequency pulse to stun the nerve.
More people coming in and out, I feel them brush against me… someone says ‘sorree.’ Trying to picture what’s happening out there and above my head. Thais are small in stature and used to this kind of closeness with each other. I’m the big foreigner one step removed, but with head leaning over and surgical cloths spread over my upper back, it’s as if I’ve disappeared.
It was over in 45 minutes, the central event was, after the deep probing needle to find the nerve, the PRF itself. Doc says, now I’m going to send the pulse, okay, are you ready? And it started; an awareness of the huge intrusive spike. An electric shock obviously, sustained, intense, deep hard pressure. As if it were penetrating the bone itself. More like a deafening sound than an agonized experience almost unbearable, it felt like I was being permanently bonded to the metal and concrete of the floor.
Then it stopped and that was it. I’m allowed to sit up, look around, people everywhere. Surprised to see the doc wearing a green gown and shower cap to cover her hair. Facemask removed from smiling face; how are you feeling? And I was just fine.