i went for the eswl procedure to remove the kidney stones 2 days ago.
to recap, 2 kidneys stones were found in my right kidney after i underwent the ct scan last month and i agreed to the doctor's suggestion to have them removed. and to manage my fear of the pain (as experienced in my previous eswl procedure) and hopefully to allow me a better eswl experience this time round, the doctor told me he would administer painkillers before the procedure. and so, with this assurance, i agreed to proceed with it.
time passed fast and i soon found myself walking into the ward for the procedure 2 days ago. everything was smoothly done - registration, admission, allocation of the bed, inserting the plug (ouch!), administering the painkiller, etc. and before i knew it, i was wheeled into the room where the dreaded machine was located (in the radiology department). the radiographer and a doctor (i think) was on site to locate the stone and that was when i was told - mr sim, one of the stone had moved. it is now about 2 (spinal) disc space down into the ureter. the other is still in the kidney. this didn't sound good to me. wtf. does it mean i will have to be zapped twice? i asked. yes, the doctor said. we will try to break the one in the ureter first and see if we can go for the one in the kidney after that. it will not make sense to target the one in the kidney first cos the fragments will be blocked by the one in the ureter. we'll see how, you might have to come back a second time for the one located in the kidney if the one in the ureter takes a longer time than expected...
my mind didn't register anything after this last sentence. wtf, wtf, wtf... have to come back again!? it would be nightmare all over again. and this was certainly not what i had bargained for, i thought. in my mind, the excruciating painful experience came back and it dreaded me to have to do this all over again. arghhh... anyway, a staff came in and plugged me to a machine (containing the sedative) and i was given the control to administer the sedative. press it if you cannot stand the pain, she said and left. and the procedure started soon. the all-so-familiar snapping sound of rubber band followed by the piercing sensation on my skin started. i winced at the first snap but got used to it quickly. for some reasons, this time round, the pain that swell inside the body did not occur. the snapping and zapping continued for about 20min and i was still waiting for the excruciating pain to start when the machine stopped. we have cleared the one in the ureter, the radiographer said, much to my pleasant surprise. we'll go for the one in the kidney now...
before long, and after readjusting the machine, the zapping started again... and whooooooohhh, the whole sensation of pain that swell from inside the body started about 5 minutes into the procedure. i began to have cold sweat and i started wincing. when i finally decided i could not take the pain any further, i pressed onto the control. sedative, sedative, my mind went. whether it was administered or not, i didn't know. all i knew was that i was going through hell, and my eyes kept looking at the timer that was ticking. a minute later, i pressed onto the sedative control again. and again. and again... i didn't care if there was a timer that controlled the administration of the sedative, all i wanted was to relieve myself of the pain. the 5-10minutes seemed to last forever before the pain began to subside. i was sweating profusely by then.
i was totally spend when the procedure ended and i was wheeled back to the ward. i was given a jug of water. you need to drink as much as you can and pee, before we can discharge you, the nurse said. obediently, i down everything and before long, i needed to pee. i made my way to the toilet and i was half afraid to see what i peed out. the last time i did the eswl, it was pure thick blood that came out and i almost freaked out. i looked up when i felt the piss coming out and it was after a split second before i looked into the toilet bowl. this time round, it was bloodied urine that i discharged and not pure blood. hmmm... and certainly, i felt a wee bit of sandy sensation as i peed. yup, that must be the broken fragments of the stones, i told myself.
i was discharged soon and given hospitalisation leave till the end of the week. i am now resting at home and i have been drinking like a buffalo for the last 2 days. certainly felt good to be rid of kidney stones. the review will be in mid-sep. hopefully, i'll be given an all clear and there's no requirement to head back again.

