WARNING! I AM AN OLD PERSON AND I MUST TELL YOU ABOUT MY MEDICAL PROCEDURE.
But first, a little background since I am an old person and we are required to inform you of every trivial aspect of a story, particularly one medical in nature. ("It was on a Tuesday, no, make that a Thursday because Wednesday we made sweet love and then we watched Johnny Carson who had Chevy Chase (1)on who used to be on "Saturday Night Live"...wait, come back here.")
It began late last summer. We have a little natural island in our front yard, and it has trees with low-hanging branches.
One day, while I was out spraying the hostas ("Spraying The Hostas" would be a great name for a 90s rock band) with deer repellent, I either 1) ran into a branch or 2) a branch poked me in the ear. Either way, I got a gash on my ear ("Gash On My Ear" would be the hit song by "Spraying The Hostas").
I didn't think that much about it. It developed a scab and I picked at it because I was newly retired and needed a hobby. I know that is gross and I have prayed about it.
Two months later, my ear was still scabby. I had my yearly physical with my PCP (2) who said, "You better get a dermatologist to look at it." As soon as I walked out of the doctor's office, I forgot about it.
About three months later, I woke up with blood stains on my pillow. For some reason, my wife didn't like this. I must have picked at it in my sleep. So I came up with a brilliant idea after I washed my pillow case and my pillow. I had my wife put a Band-Aid over my scab so I wouldn't pick at it.
Well, it never got better so my wife told me to call my PCP. The PCP was out so I saw the Nurse Practitioner who prescribed an ointment and advised me to go and see a dermatologist.
By this time, this very ugly scab in my ear was even uglier and even MY SON noticed it. So I went to the dermatologist. That's when things began to get interesting. Well, at least as interesting as it can get at the dermatologist's office.
The first thing you notice at the dermatologist's office is that it has many older people wearing thick bandages.
The second thing you notice is the office staff who were born during the George W. Bush administration.
Due to my age, the dermatology PA (3) did a "skin check" on me to see if I had any other complaints. I wear socks older than this PA. She took a biopsy of a place on my neck, my back, and the reason I came to the office, my ear.
The results: I had a basal cell carcinoma (4) on my neck, a squamous cell carcinoma (5) on my back, and another basal cell carcinoma in my ear that was caused by the whacking of the tree branch. (6)
My wife had breast cancer. My college roommate/best man died from pancreatic cancer. My brother-in-law died from leukemia. I did not want to make a big deal of the skin cancers I had. After all, if you are going to have cancer, skin cancer is the best to get. Most skin cancers are not aggressive. Yes, I know Nellie Fox, Jimmy Buffett,(7) and Freddie Freeman's mother died of skin cancer, but compared to some other cancers, skin cancer does not require you to have chemotherapy and lose your hair.
Both the cancers on my neck and back were carved out by the PA and I had a stitch pattern that looked like a railroad track. It was uncomfortable and I tried to be a big boy and not scream during the procedures.
The one in my ear (oh yeah, remember?) had to be removed by a procedure called "Mohs Surgery" and it was named for the physician who developed it, Frederic Mohs. (8) In the history of medicine, this was a big deal. Dermatologists were always made fun of by the other doctors. ( Random Doctor:"Well, Dr. Mohs, what's new in the pimple popping world?" Dr. Mohs: "I have developed a new procedure and named it after myself. Have you done anything like that, Dr. Bypass?")
According to Healthline.com, "Mohs surgery is a painstaking procedure. It requires microscopic analysis of tissue cells while the surgery is taking place. The borders of each thin layer of tissue are analyzed for potential malignancy as they are removed horizontally. This technique is designed to remove the entire tumor with minimal amounts of healthy tissue. This results in less disfigurement."
It is not a day at the beach because the microscopic analysis takes a while, and believe it or not, I wasn't the only Mohs patient that day. But I was the youngest.
The actual removal of the tumor wasn't too bad. I have to give praise to the doctor because, as we say down here, they done numbed me real good.
It was the skin graft that hurt.
They took a piece of skin from a fatty part of my body, which I have plenty of. Then they sewed the skin into my ear where the tumor was located. I had a doctor on one side of me, a PA on the other, and their nurse assisting both of them.
The only problem was that the numbing agent, Lidocaine, causes "the shakes".
I was shaking so much I thought they would have to tie me down.
Soon, it was over. I arrived at the doctor's office at 11:00 am and I left at 6:00 pm.
The doctor prescribed an awesome painkiller that made me sleep. He told me to take it easy for the next day or so. Which I did, and I've managed to stretch it out, taking it easy for the rest of the week.
They bandaged my ear, as we say down here, in a big old bandage. My wife explained to the most important man in our lives, the owner of the Chick-fil-A that we go to, that I had Mohs surgery. I still had to pay for our meal.
The ear still hurts, but it is getting better. Pretty soon, it will be a distant memory. Until the next tree branch pokes me.
Footnotes
1. My son's father-in-law is a retired pilot for American Airlines. One of his passengers during his working years was Chevy Chase, who he said was a very nice guy.
2. Primary Care Physician.
3. Physician's Assistant. I'm not sure where Physician's Assistants rank in the medical world, although there seems to be a lot of them.
4. The most common form of skin cancer. You probably have several on you right now.
5. A little more serious than basal cell, but definitely harder to spell or pronounce.
6. I didn't know this. So don't pick at it.
7. Jimmy Buffett died of Merkle Cell Carcinoma which has nothing to do with stepping on a pop top.
8. The picture at the end of the post is Dr. Mohs. You'd think they would have given him a bigger plaque.