Unexpectedly, a bit shy of my 45th birthday, I found myself in need of a colorectal specialist. Six months later, after finding Dr. Schultzel, all is well. Below is my story.
Experiencing a colloquial PIA, I first booked an appointment with my GP to figure out how to treat the symptoms. After an exam, my GP gave me two referrals for colorectal specialists. One referral, Dr Schultzel, happened to be right around the corner. Since this was Friday afternoon, their next available appointment was Wednesday so I booked it and left a bit unsure. The office was very busy and I was not very clear on the severity of my symptoms so I didn't push for something sooner.
On Saturday, with pain escalating, I tucked my tail and went to the ER where I experienced one of the most painful procedures I've lived through. With 3 excellent emergency medical professionals attending to my posterior, I felt like the subject of a low budget horror film, using my hand to bite on and pretending to be… tough while inside I shrieked in terror.
On Monday, per discharge instructions, I booked a follow-up with the 2nd referral who was able to see me prior to my Wednesday appointment with Dr. Shultzel. I found this surgeon highly professional and thought he explained my problem well and expressed hope it would resolve on its own. One month later, with no significant improvement I went back to the 2nd referral and he agreed that it wasn't healing on its own and I would need surgery. The way it was explained, it might be one surgery or it might be two and we wouldn't really know until the first one began. I also asked on multiple occasions if a colonoscopy would be needed and this surgeon did not consider it important or necessary. At the time these two specifics didn't bother me so much, but in hindsight I think I was searching for clarity and an definitive plan for my care.
At this point, since it seemed clear I was going under the knife, I re-booked Dr. Shultzel for a 2nd opinion. His office was just as crowded and busy as before which was still a noticeable contrast with my existing alternative. However, I wasn't sure accessibility really mattered that much to me anymore, this was no longer an acute problem. I also began to see this volume of activity as a positive, not only did other patients clearly trust Dr. Shultzel, but he also seemed like he was clearly getting his reps in on surgery days. What sold me on proceeding with his care was his suggestion that I get a colonoscopy done prior to any surgery, in clear contrast with his counterpart. He also seemed confident that it would take two surgeries rather than one and that I'd have to plan for that, with a period of 6-8 weeks in between. Still, it felt like a bit of a leap of faith. As a software developer, how can I properly evaluate and compare two surgeons and what if it could be one-and-done, isn't that better than two? It boiled down to a gut call, I picked Dr. Shultzel for the same reason I was sort of unimpressed in the first place, because he was super busy, so I hoped my odds of falling on the fairway would be maximized. I did consult with a family friend who convinced me that it really did not matter, any colorectal surgeon should be able to deal with my specific problem or they shouldn't be practicing at all.
So, the procedures themselves, I'd almost call them pleasant even though being a slab of meat on a table and wearing the equivalent of an adult diaper probably isn't on my list of favorite things to do on any given day. The hospital staff was great both times, I was not worried one bit before, during or after. I'm healing up quite well now, roughly 2 months after my 2nd surgery. The 2nd recovery was a bit rough 2-3 days out until the first week was over and based on what I know, a single surgery would have been similar in terms of recovery. Salt baths are very helpful, and it's also best to avoid your kids when they start throwing kicks and punches for a few days.
A note on Dr. Shultzel's office environment. Over the course of the last 6 months, Dr. Shultzel has changed to a new office which has more space and is less crowded. It's easier to get an appointment, and the staff is less swamped. The concerns I had on that first and second visit, they've clearly been addressed. It feels like a fairly well oiled machine now and I think I experienced some of his growing pains mid-cycle.
Oh, as for the colonoscopy itself, nothing turned up of significance, just one very small polyp removed. It sure is nice to have one less thing to worry about. I think my previous apprehension about colonoscopies was more of a foolish desire to keep my innards out of prying hands. Once I got past the step of letting someone else work on those parts of my anatomy, it started seeming closer to "normal". I'd imagine this is a very male-specific apprehension. Still, I do hope that the next six months will see a significant reduction in the number of times I'm on a table with my pants removed.
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