Gateway of India

Sunday, June 30, 2013

Broken Badger in Bombay

We arrived in India on April 15.  Those days were full of jet lag, overwhelming traffic, amazing food, and the most intense sights, sounds, and smells we had ever experienced.  The thrill of relocating half way across the world was exhilarating and terrifying and exhilarating.  In those heady days right after our arrival, we soaked up as much as we could, and woke up ready for more.
And then exactly one week after we arrived, after going for MONTHS without any back issues at all (Todd really thought his sciatica had completely resolved), while Todd was getting ready for his first Monday at work, he reached down to pick up a towel from the floor in the bathroom, felt something pop in his back, saw stars, and literally dropped to his knees in pain.  And from that moment forward, we’ve added another aspect to our experience here in India that we couldn’t have anticipated: navigating the Indian medical system.

After that moment, I saw Todd experience what I’m pretty sure was the most excruciating pain he’s ever experienced.  Keep in mind that this is a guy who’s endured his fair share of pain: he played ice hockey through college, had a man hole cover get dropped on his toe when he was kid, has had a few surgeries over the years, and has an ER file that he’s more proud of than his school transcripts.  And also keep in mind that this husband of mine downplays ever ache and pain he has, believes in “mind over matter” when it comes to any ailment, and goes to work no matter how much I may protest.  And ALSO keep in mind that we had just relocated to India SPECIFICALLY for this amazing job opportunity at Reliance.  One week in, and he was NOT about to take even a moment off of work if he could avoid it.  So, after that moment, Todd grinned and bared it, and headed to the office, and has every day since.

Meanwhile, I did the only thing I could do, and got busy with trying to figure out who to call, where to go, and how to proceed with getting him fixed!  At this point, a random connection through an email forum with another expat led me to contact Hiranandani Hospital here in Mumbai.  I anxiously called their appointment desk with the intention of trying/hoping to get an appointment with one of their pain specialists.

This is the point where I need to explain that while English is spoken widely here in Mumbai, that doesn’t always mean that it is easily-understood-English, especially to my virgin ears at that point with only one week of boots on the ground.  Through some miracle and with an abundance of patience on both ends, the kind receptionist comprehended my request and secured Todd an appointment....for that SAME DAY, as opposed to weeks down the road that would have been the case in the States!  AND I received a very helpful SMS (text) message on my mobile (cell phone) to boot confirming the particulars right after hanging up.

And so began our journey through the complex landscape of hospitals, doctors, pharmacies, and procedures in this new home of ours.  Along the way, we’ve had the most astonishing experiences that have literally stopped us in our tracks, especially when compared to our experiences in the States.
  • As I mentioned, it is commonplace to secure same and next day appointments with specialists, and most often those appointments are later in the day (late afternoon/early evening) so as to avoid conflicting with most people’s work schedules.
  • The cost of services is miraculous, especially being accustomed to the US health care system and its accompanying costs.  Here, we have paid:
    • $12 for a consultation with not one, but two, advanced pain management specialists;
    • $20 for a consultation with a leading orthopedic spine surgeon;
    • $110 for an aMRI; and 
    • $275 for a full blood chemistry, 3 ultrasounds, an EKG, a 2D carotid doppler, and 2 x-rays (thorough investigations are completed in order to clear a patient for surgery).
  • We have been met at the front door of the hospital by Todd’s pain doctors, as well as called and SMS’d physicians personal cell phones.
None of these experiences have been because we are expats.  These experiences  are universal to the system in a country that has deemed it appropriate to provide more accessible healthcare to its citizens.

So, as “temporary” citizens of India, we find ourselves gearing up for a surgery that we hope will address Todd’s pain.  Yes, I said surgery, that Todd will have here, in India.

Essentially, what Todd has are degenerative disks in his spine which have led to sciatica pain - shooting/stabbing/burning/tingling sensations that radiate down his leg into his foot.  Because the disks are bulging, the canals where his nerves travel are compressed,  thus causing the issues.  We imagine that something back there slipped on that day in April, shifting the pieces and parts around in such a way that his body just could not handle.  Prior to that, the previous discectomy he had in 2000 had completely fixed the sciatica pain he had at that point, and the more recent sciatica pain had been very manageable with an occasional steroid injection over the last couple of years.  In fact, after consulting with a surgeon in the US just six months ago while living in Maryland, he was told that his condition was not severe enough to even warrant surgery at that time.  So, imagine our surprise when the MRI here in April showed a much different story, one where the disks had degenerated significantly enough in that short period of time to require surgery in order to address the pain.

After consulting with three top surgeons here in India, however, we were stumped.  While all three recommended surgery, they all suggested different procedures.  In what I fully realize is a feeble attempt now at making a long story short, we finally settled on Dr. Bhojraj at Lilavati Hospital in Mumbai who will perform a lumbar laminectomy with discectomy.  From what I can gather in my internet research and in talking with various people here, Lilavati is one of the best hospitals, and Dr. Bhojraj is likely the best spinal surgeon in the city.  Ultimately, we knew we found a winner when we discovered during our first appointment with him that his son is a graduate student at UW-Madison.  We’ll take all the Badger love we can get, even if it is once-removed!

So, Todd is scheduled for surgery this Tuesday, 2-July.  He’ll get admitted to the hospital on Sunday, we assume to control all the in- and out-puts prior to going under the knife.  Unlike his surgery in 2000 which was a minimally invasive keyhole procedure where he went home the same day, this will be an “open surgery,” requiring a week-long hospital stay.  He’ll recuperate at home then for 2-3 weeks, and then will hopefully be able to return to the office at the end of July, with a 3-4 month total recovery time before he’s completely back to normal.

I’m not going to lie, we’re both pretty scared.  Todd’s had a few surgeries over the years, but this one seems...well, different: it’s an open surgery with more chances for infection and a bigger incision, the hospital stay is longer, the recovery more intense, and it’s happening so very far away from home.  Overall, the stakes just seem...bigger.

I’m confident that Todd is in great hands with Dr. Bhojraj, and we’ve got a great support system here with our friends at Beverly Park where we live and Reliance where Todd works.  More importantly, Todd wants to feel better and be able to live this adventure to its fullest, so I’m certain that this motivation will drive a successful surgery and his recovery forward.  With that said, we certainly could use all the positive thoughts and prayers we can get our hands on.

While we don’t usually post about our aches/pains/ailments on Facebook, I’ll probably put up a few status updates in the coming week since it’s the most efficient way to get word out to our family and friends about how he’s doing.  As a bonus, I hope to capture and pass along some good zingers he’s likely to utter coming out of anesthesia.  No matter what, we’re going to keep things positive and look on the bright side of life until “the surgery in India” is nothing but a distant memory on our journey.

~Todd & Mel

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