#Lithotripsy For Kidney Stones

[alfakidneycare]

As ‘breaking’ and ‘stones’ are the meanings of the two Latin syllables of the word ‘Lithotripsy’, one can easily deduce from the knowledge of it being a medical procedure that lithotripsy is a technique for breaking down of stones in organs liver and gallbladder but particularly in kidneys.

[woundedheartwithin]

This motherfucker gets evicted on Wednesday

[unlimitedhorsepower]

I'm abnormally sensitive to pain like being hooked up to IV painkillers/sedatives does nothing to me and a routine day surgery operation made the anesthesiologist run to my side because my oxygen saturation dropped so low all the machines were beeping like we are under fucking attack!!!! from how it hurt so much I couldn't breathe anymore.

An observing doctor student walked in at some point and asked the nurses in a low tone if patients get any pain relief for this after staring at me in concern like he was witnessing a medieval torture chamber

No sir it was just all me. 8 billion people on this gay Earth... and meeeee :3

[thangampmrc]

Get Rid of Kidney Stones With The Best Laser Surgery

A kidney stone is a solid, crystalline mineral deposit that forms within the kidney or urinary tract. The size of these stones can vary, from tiny grains of sand to large ones comparable to a golf ball. They are typically composed of substances such as calcium, oxalate, uric acid, or cystine, which can crystallize and clump together, forming solid masses. Kidney stones can cause severe pain as they pass through the urinary tract and may lead to complications such as blockage of urine flow, urinary tract infections, or kidney damage if left untreated. Laser surgery is the best solution for people who seek.

Symptoms

The symptoms of kidney stones can vary depending on their size, location, and whether they are causing obstruction or irritation within the urinary tract. Common symptoms include:

The most distinctive symptom of kidney stones is severe pain, usually experienced in the back, side, lower abdomen, or groin.

Kidney stones can cause discomfort or a burning sensation during urination.

Individuals with kidney stones may feel the need to urinate more frequently, often in small amounts.

Few people will experience nausea and vomiting, especially if the pain is severe.

There may be a sudden and urgent need to urinate, even if the bladder is not full.

A common symptom of kidney stones is blood in the urine, which can cause the urine to appear pink, red, or brown.

Causes

Understanding these causes can help to take preventive measures to reduce their risk of developing kidney stones. The formation of kidney stones can be attributed to various factors, including:

Dehydration

Dietary Factors

Genetics

Medical Conditions

Obesity

Medications

Urinary Tract Obstruction

Environmental Factors

Why We Need Laser Treatment for Kidney Stones?

Specifically, kidney stone laser treatment may be required for the following reasons:

Precision: Laser technology allows for precise targeting of specific tissues or structures within the body, minimizing damage to surrounding healthy tissue.

Minimally Invasive: Compared to traditional surgical techniques, laser procedures are often less invasive, resulting in smaller incisions, less tissue damage, and faster recovery times for patients.

Reduced Risk: Laser treatment can reduce the risk of complications associated with traditional surgery, such as infection, bleeding, and scarring.

Versatility: Laser technology can be used to treat a wide range of medical conditions across various specialties, including urology, dermatology, ophthalmology, and dentistry.

Effective Tissue Ablation: In cases where precise tissue removal or ablation is necessary, such as tumour removal or stone fragmentation, laser treatment can be highly effective.

Improved Patient Outcomes: Laser procedures often result in better outcomes for patients, including reduced pain, shorter hospital stays, and faster recovery times, leading to improved overall quality of life.

Accessibility: Laser technology is becoming increasingly accessible and widely available, allowing more patients to benefit from its advantages.

What Is Laser Lithotripsy?

Laser lithotripsy is a minimally invasive surgical procedure used to treat kidney stones and stones in other parts of the urinary tract. During the procedure, a laser beam is directed at the kidney stone or stones to break them into smaller fragments, making them easier to pass through the urinary tract naturally. This process typically involves the insertion of a thin, flexible instrument called a ureteroscope through the urethra and into the urinary tract, allowing the surgeon to access and visualize the stones. The laser energy is then delivered through the ureteroscope to precisely target and fragment the stones.

Laser lithotripsy is often preferred for treating kidney stones that are too large to pass spontaneously or are causing significant pain and discomfort. Compared to traditional lithotripsy methods, such as shock wave lithotripsy, laser lithotripsy offers greater precision and effectiveness in breaking down stones, resulting in higher stone-free rates and lower complication rates. Laser lithotripsy can be used to treat a wider range of stone compositions, including harder stones that may be resistant to other treatment methods. Laser lithotripsy is a highly effective and safe option for treating kidney stones and other urinary tract stones.

Benefits of Laser Lithotripsy

Laser lithotripsy offers several benefits for the treatment of kidney stones and other urinary tract stones, including:

Laser technology allows for precise targeting of stones, minimizing damage to surrounding healthy tissue.

Laser lithotripsy effectively fragments stones of various sizes and compositions, including hard-to-treat stones that may be resistant to other treatment methods.

The procedure is minimally invasive, typically performed through a small incision or natural body opening, resulting in less trauma, reduced risk of complications, and faster recovery times for patients.

Patients undergoing laser lithotripsy often experience shorter hospital stays compared to more invasive surgical procedures, allowing for a quicker return to normal activities.

Laser lithotripsy causes minimal trauma to surrounding tissues, resulting in less postoperative pain and discomfort for patients.

Laser lithotripsy achieves high stone-free rates, meaning a greater likelihood of completely removing kidney stones or other urinary tract stones from the body.

Laser lithotripsy can be used to treat a wide range of stone compositions and sizes, making it a versatile treatment option for patients with different types of stones.

Compared to traditional lithotripsy methods, such as shock wave lithotripsy, laser lithotripsy has lower complication rates, including reduced risk of injury to surrounding organs or tissues.

Thangam Hospital is fully prepared to address all concerns related to kidney stones. If you’re experiencing any kidney problems, come to us for top-notch treatment. Our hospital is equipped with advanced technology and skilled medical professionals who specialize in managing kidney stone issues. Whether you’re dealing with pain, discomfort, or other symptoms, we’re here to help. Don’t hesitate to visit us for the best care and treatment tailored to your needs. Your health is our priority. It’s important to care for your body. Schedule an appointment today or give us a call at 0491 251 5717.

[monicascot]

تفتيت الحصوات بالليزر عن طريق المنظار المرن للحالب والكلى

استخدام المنظار لإزالة الحصوات. لإزالة حصوة صغيرة في #الحالب أو #الكلى، بإمكاننا أن نمرر أنبوبًا رفيعًا مضيئًا (#منظار #الحالب) مزودًا بكاميرا عبر الإحليل و#المثانة إلى الحالب.وبمجرد تحديد مكان #الحصوة، يمكن استخدام أدوات خاصة للإمساك بالحصوة أو تفتيتها بالليزر إلى أجزاء تخرج في البول. وبعد ذلك، نضع أنبوبًا صغيرًا (#دعامة) في الحالب لتخفيف التورم والألم وتعزيز عملية #الشفاء

[diseaseinfohub]

CAN YOU REFUSE A STENT AFTER KIDNEY STONE SURGERY?

Yes, it is possible to refuse a stent after kidney stone surgery. A stent, also known as a ureteral stent, is a thin tube that is placed in the ureter (the tube connecting the kidney to the bladder) to help urine drain properly. It is commonly used after certain kidney stone surgeries, such as ureteroscopy or lithotripsy, to promote healing and prevent complications.

However, the decision to have a stent placed or removed ultimately rests with the patient. If you have concerns or wish to refuse a stent, it is important to discuss your preferences with your urologist or surgeon. They can provide you with information about the potential risks and benefits of stent placement and alternative options, if available, based on your specific medical situation.

It is crucial to have an open and honest conversation with your healthcare provider to ensure that you make an informed decision that aligns with your preferences and overall health.

[orchidmedicalcentre2]

Kidney Stone Treatment in Ranchi, Jharkhand from Kidney Specialist

Get your Kidney Stone Treatment in Ranchi at the hands of the best kidney stone specialists in Ranchi, Jharkhand. Open stone surgery, lithotripsy, and ureteroscopy are available for kidney stone removal in our hospital in Ranchi.

[facts-i-just-made-up]

I passed my kidney stone, would not recommend. Had a teacher get surgery to have his smashed, he said he would not recommend that either. Maybe the answer is don’t have kidneys

It was all so simple all along, why did I get these things at all?

(Thank you to those who have written in btw, they get smashed next week, hopefully before they get too painful. It'll be laser but I do maintain "Shockwave Lithotripsy" would be a good prog band name.)

[unexpectedyarns]

I have a kidney stone that has been stuck for 8 days, no matter what I do.

Beer hasn't helped. Flomax hasn't helped. Climbing in and out of trucks at work hasn't helped.

I can't take much more of this pain, and as I get older, the pain is harder to bear.

But the last thing I need is to rack up a $20K bill for a lithotripsy, $4K of which the insurance won't pay.

[so-very-small]

one time i went to a medical muesum and they straight up had a jar of kidney stones and some of them were. so large. oh my god. even one the size of a grain of sand is so so painful and there were straight up baseballs in there. it WOULD suck to get a kidney stone as a borrower. you would just die i think

GENUINELY. my first time i had kidney stones i had SEVENTEEN of them and some were so big they had to do a lithotripsy (breaking them up with lasers). i’d be so fucked as a borrower. my god. borrowers don’t even have ibuprofen

[satyadevhospital]

Satyadev Superspeciality Hospital: The Best Hospital in Patna for Urological Care

When it comes to urological health, Satyadev Superspeciality Hospital stands as the Best Hospital in Patna, providing exceptional medical care under the leadership of Dr. Kumar Rajesh Ranjan, a renowned General Surgeon and urologist. The hospital is equipped with advanced technology and offers comprehensive services to diagnose and treat various urological conditions. With a team of highly skilled medical professionals, Satyadev Superspeciality Hospital ensures that patients receive top-quality care for a wide range of conditions, including Kidney Stones, Ureteric Stones, Bladder Stone, Prostate (BPH), and more.

Services They Offer

1. Kidney Stone Treatment

Kidney stones are a common issue that affects many individuals, causing severe pain and discomfort. At Satyadev Superspeciality Hospital, specialized treatment options are available to provide relief from this condition. The hospital utilizes advanced diagnostic techniques and minimally invasive procedures to manage kidney stones effectively. Whether it's through extracorporeal shock wave lithotripsy (ESWL) or endoscopic surgery, patients can trust that they are in the hands of the Best Hospital in Patna for kidney stone treatment. Dr. Kumar Rajesh Ranjan, the best urologist in Patna, ensures a swift diagnosis and effective treatment plan for every patient.

2. Ureteric Stone Removal

Ureteric stones, which form in the tubes that carry urine from the kidneys to the bladder, can cause excruciating pain and urinary complications. Satyadev Superspeciality Hospital offers advanced procedures like ureteroscopy and laser lithotripsy to remove ureteric stones safely and efficiently. With a high success rate and a patient-centered approach, the hospital guarantees fast recovery times and minimal discomfort. This commitment to patient care makes it a leading choice for those searching for the Best Hospital in Patna.

3. Bladder Stone Treatment

Bladder stones often develop due to a variety of underlying conditions, including urinary tract infections and an enlarged prostate. Satyadev Superspeciality Hospital offers state-of-the-art treatment for bladder stones which is a procedure that breaks down stones and removes them via the bladder. With the expertise of Dr. Kumar Rajesh Ranjan, the best urologist in Patna, patients can rest assured that they will receive top-tier care. The hospital's emphasis on accurate diagnosis and minimally invasive treatments reinforces its status as the Best Hospital in Patna for urological care.

4. Prostate (BPH) Management

Benign Prostatic Hyperplasia (BPH) is a common condition among older men that causes the prostate gland to enlarge, leading to urinary difficulties. Satyadev Superspeciality Hospital offers cutting-edge treatments, including medication, minimally invasive therapies, and surgical interventions like transurethral resection of the prostate (TURP). Dr. Kumar Rajesh Ranjan, a leading urologist in Patna City, ensures that patients receive personalized care tailored to their specific needs. The hospital's comprehensive approach to BPH management has made it the Best Hospital in Patna for treating this condition.

5. Laparoscopy

Laparoscopy is a minimally invasive surgical technique that offers numerous advantages over traditional open surgery, including reduced recovery times and less postoperative pain. Satyadev Superspeciality Hospital excels in laparoscopic procedures for various urological conditions, allowing patients to experience faster healing and shorter hospital stays. Dr. Kumar Rajesh Ranjan, a skilled urologist doctor in Patna, utilizes the latest laparoscopic techniques to ensure precise and effective treatment. This commitment to excellence has solidified the hospital's reputation as the Best Hospital in Patna for laparoscopic surgery.

6. Urology

As a dedicated urology center, Satyadev Superspeciality Hospital offers a wide range of services to address male and female urological issues. From urinary tract infections to incontinence, the hospital is equipped to handle both common and complex cases. Under the guidance of Dr Kumar Rajesh Ranjan, the best urologist in Patna, patients receive customized treatment plans that focus on long-term health and well-being. The hospital’s commitment to high-quality urological care makes it a standout choice for those seeking the Best Hospital in Patna.

7. Andrology

Andrology, the branch of medicine concerned with male reproductive health, is another area of expertise at Satyadev Superspeciality Hospital. Whether it’s erectile dysfunction, infertility, or hormonal imbalances, the hospital provides comprehensive care tailored to male patients' needs. Dr. Kumar Rajesh Ranjan, a leading urologist in Patna City, ensures that patients receive sensitive, personalized care for their andrological concerns. With a focus on privacy and compassion, the hospital has established itself as the Best Hospital in Patna for men’s health.

8. Urological Oncology

Urological cancers, including those affecting the bladder, prostate, and kidneys, require specialized care and early detection for optimal outcomes. Satyadev Superspeciality Hospital is a leader in the diagnosis and treatment of urological cancers. Using advanced imaging techniques and surgical options, the hospital ensures that patients receive the best possible care. Dr. Kumar Rajesh Ranjan, a highly experienced urologist doctor in Patna, works closely with oncology specialists to provide a multidisciplinary approach to cancer care. This comprehensive care model positions the hospital as the Best Hospital in Patna for urological oncology.

Why Satyadev Superspeciality Hospital is the Best Hospital in Patna

At Satyadev Superspeciality Hospital, the focus is always on patient care. With cutting-edge technology, a compassionate team of experts, and the leadership of Dr. Kumar Rajesh Ranjan, the best urologist in Patna, the hospital ensures that patients receive the highest level of medical care. Whether you are dealing with kidney stones, bladder issues, or prostate conditions, you can trust Satyadev Superspeciality Hospital to provide world-class treatment.

With its wide range of services, from general urology to specialized cancer care, Satyadev Superspeciality Hospital has earned its reputation as the Best Hospital in Patna. The hospital's dedication to innovation, patient comfort, and successful outcomes make it the top choice for those seeking a urologist in Patna City or a urologist doctor in Patna.

Whether you are facing a simple urological issue or a complex condition, Satyadev Superspeciality Hospital offers the best medical solutions, making it the undisputed Best Hospital in Patna for urological and general health care.

For More Info: https://www.satyadevurology.com/

[radioactiveradley]

PATHOLOGY OF THE URINARY SYSTEM (aka: STUFF WHAT GOES WRONG WITH YER PISS BEANS)

(AND YER PISS TUBES)

(and the pretty pictures I take of them)

[a warning: this post contains radiographic images and non-graphic description of serious kidney pathologies, including paediatric cancer]

Let's kick off with an old familiar friend! Yeah, I'm talking -

UROLITHIASIS (the humble kidney stone!)

Wanna know something horrific? The biggest kidney stone on record weighed over a kilogram. It was 17 cm across. Just. Imagine. Trying to piss that out…

Urolithiases are formed anywhere among your urinary tracts. They’re commonly found in the kidneys, giving rise to the more common term, renal calculi, or kidney stones.

Urolithiasis occurs when compounds within your urine crystallise. If your urine becomes too acidic, too base, contains too many of these compounds for them to remain in solution, or simply… sits around too long without flowing, it literally petrifies into a solid lump!

Some unlucky souls are just… predisposed to developing them. If you have had a kidney stone in the past, you are far more likely to get another one in the future. There also seems to be a genetic link – so if someone in your immediate family gets kidney stones, you have a higher risk.

Kidney stones typically hang out in the pelvis of your kidney and don’t cause an issue. Until you try to piss them out. Remember our kidney diagram (drawn on a conveniently shaped bean)?

You might notice that the ureters are significantly smaller than the renal pelvis. In other words…

Most renal calculi are made of CALCIUM (oxalate, usually). This is very, very good (for us. Less so for you) because calcium attenuates x-rays – meaning, it glows all pretty and shiny when we take a radiograph!

Here’s a kidney stone on an Abdominal X-Ray!

And a twinkly artefact caused by a kidney stone on Ultrasound!

But the best way to assess urolithiases, is, of course, with CT!

For realsies. We don’t need to inject contrast intravenously, because the kidney stones are (typically) shiny – which cuts down on time and worry, as it means you’re at no risk for having an adverse reaction! So a CT KUB (checking Kidneys, Ureters and Bladder for stones) is basically just a quick tumble in the washing machine (CT scanner), with a lovely clear picture as a result!

Look at these babies!! So sharp!!! So clear!!!!!! So shiny!!!!!!!!!!!! That’s a beautiful matching pair of renal calculi right there – and to make things better, they’re (currently) non-obstructive, so this patient isn’t in suffering The Agonies!

Speaking of The Agonies…

Most kidney stones are passable, albeit with extreme pain.

However, some ain’t going anywhere. Especially staghorn calculi, which, um. One, stags have antlers. Two…

more like a fuckin' MOOSE ANTLER amirite????

But yeah, those buggers aren’t coming out. That’s almost definitely going to require surgery!

Smaller calculi can still cause problems when they become obstructive – i.e., they block the passage of your peepee. They can lead to:

HYDRONEPHROSIS (dilation of the renal pelvis due to retained urine, seen here in the Left kidney [right side of image])

HYDROURETER (dilation of the ureter)

So, what do we do with bothersome calculi? How about some...

EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY (ECSWL, because we love a sexy little acronym here in medworld).

We blast the stone apart with shockwaves, from outside your body! Ultrasound turned up to 11! Unfortunately, it only works on certain densities of stone, and on small stones.

LASER LITHOTRIPSY

(same thing but…. ZIP ZAP LASERZZZZZ]

SURGERY – PERCUTANEOUS NEPHROLITHOTOMY (PCNL).

(I totally haven’t added to this diagram in any way. This is how it works. Trust me.)

LOADS of other stuff can go wrong with The Ol’ Piss Beans

We have:

RENAL CELL CARCINOMA

The most common form of kidney cancer.

For suspected malignancies, we do a CT Urogram that assesses the whole urinary tract. This takes significantly longer than a KUB, but is well worth the results. This is a three-phase scan. We do...

A regular KUB non-contrast scan to check for calculi and to get our baseline Hounsfield Units ('grayness' and densities) for the kidneys. Then we inject contrast in a 'split bolus' - one load immediately, and another roughly 8 minutes in, scanning roughly a minute after the second injection is given. We scan 80 secs after the first contrast bolus is administrered, for the 'nephographic' phase, which enhances the renal cortex & medulla, and makes neoplastic changes and renal masses obvious (see image above). Then we wait 10-ish minutes and scan for the 'excretory' phase, after the contrast has worked its way through your kidneys, to detect 'filling defects' (anything that stops contrast opacification of the ureters) and pathologies related to the urinary collection system.

NEPHROBLASTOMA

This is one of the more common cancers found in kids. Although paediatric cancer is never exactly a happy topic, this cancer is now curable in roughly 90% of cases, thanks to the early removal of kidneys and the possibility of transplants.

Autosomal Dominant (and Recessive) Polycystic Kidney Disease

An inherited renal disease that can cause you to go into End Stage Renal Failure due to the healthy tissue in your kidneys becoming completely overtaken by cysts. As a result, your kidneys can grow more and more, until they practically fill your whole abdomen. 45% of patients will be in ESRF and need dialysis by the age of 60. Thankfully, transplants are an option.

Other commonly encounutered renal pathologies include trauma, which I talked about in my first kidney ramble (linked here!), infections, and more.

I hope you enjoyed this whistle-stop tour of Stuff That Can Go Wrong With The Kidney, And How We Look At Them Gnarly Beans!

....And, um, I spent way too long making this and now need to pee. This is your reminder to go empty that bladder if you need to! Stop those stones!

[dollsonmain]

For anyone that's curious, these are the doctor's notes from surgery:

PATIENT NAME: REDACTED

MRN: REDACTED

DOB: REDACTED

DATE OF SERVICE: 9/27/2023

PREOPERATIVE DIAGNOSES:

Nephrolithiasis [N20.0]

POSTOPERATIVE DIAGNOSES:

Nephrolithiasis [N20.0]

NAME OF PROCEDURES:

right ureteroscopy with laser lithotripsy

right steerable ureteroscopic renal evacuation (C9761) (CPT 53899 crosswalked to 52001)

right retrograde pyelogram

right ureteral stent exchange

SURGEONS: Dr REDACTED

ANESTHESIA: General.

OPERATIVE FINDINGS:

Large right renal pelvis stone (Note from me: this is the 1.6cm stone)

SPECIMENS: Yes kidney stones

ESTIMATED BLOOD LOSS: Less than 5 mL.

COMPLICATIONS: None

CONDITION: Stable

DISPOSITION: PACU - hemodynamically stable.

INDICATIONS

Patient is a REDACTED y.o. female with nephrolithiasis.

DESCRIPTION OF OPERATION (Note from me: Added spacing to make it a little easier to read)

After obtaining proper consent, the patient was brought to the Operating Room and anesthesia was induced.

They were placed in the low-lithotomy position and prepped and draped in the standard sterile fashion.

A 21-French ACMI rigid cystoscope with a 30 degree lens was placed in the bladder without difficulty and the bladder was inspected.

No stones or lesions were seen and the right ureteral orifice was identified in its orthotopic position.

The previously placed stent was grasped and brought to the urethral meatus.

The ureter was intubated with a sensor wire through the previous stent and was advanced to the renal pelvis under fluoroscopic guidance.

The previously placed stent was then removed and discarded.

A ureteral access sheath was then placed over the wire without difficulty.

A flexible ureteroscope was then advanced up to the renal pelvis.

Extensive laser lithotripsy was then performed on this large stone until all residual fragments were 2 mm or less.

Vacuum Stone aspiration was then performed with the CVAC device.

Flouroscopy was performed to guide the aspiration of stones and stone fragments were captured for analysis in a trap used in the suction tubing.

Retrograde pyelogram was performed by injecting 6 cc of Omnipaque.

The patient had normal renal anatomy with some mild upper pole caliectasis.

A filling defect of stone fragments was noted in the renal pelvis.

All calyces were inspected for residual stones on repeat ureteroscopy.

A few residual pieces were removed by basket stone extraction.

No residual stone fragments over 1 mm were present on final inspection.

The flexible ureteroscope was then removed, leaving a wire in the renal pelvis, and the ureter was carefully inspected during withdrawal.

A 24 centimeter x 6-French Double-J ureteral stent was then placed over the wire.

Excellent positioning of the stent was confirmed by a curl in the renal pelvis and a curl in the bladder.

The bladder was then drained.

The patient tolerated the procedure well and was transferred to the Recovery Room in good condition at the conclusion of the operation.

[monitamon]

(11/7 update) Pardon my language but holy shit & am frustrated with this week...

Copy-paste for everyone again…

So, in a "this could have been an email" type visit, I am told, I have 3 kidney stones. Not JUST the 10mm one. I am not surprised, given how I know my body, & it's what I told the ER the other day- you now, I wanted them to check that. Well, ER only ever told me ONE, & I never got to see my Xrays at any point, nor did they ask me if I even wanted to.

Come to the urology, get another Xray to confirm; yes, I have a stone. We knew this, why are you asking me if I have a stone today? The thing my appointment is about? Someone then kindly tells me NOW I have 3. Which, the ER never bothered to say the entire time. I'm personally not surprised though, given my history. I just don't know how I am going to pay for it all, but that's another thing. Anyway. 10mm, 7mm, & 5mm. Bad, but 10mm is the priority; it caused the full blockage of my left side & my infection that put me in the ER in the first place. And it will kill me if it stays in & it gets infected again from the blockage given kidneys need to. You know. Do Kidney Things.

Urology says they're going to call me this week to schedule the first surgery, which will be a stint & yanking it out manually, from my understanding. I mentioned the other two stones & they sort of brushed it off as a "not our problem" with that, so I have VERY high hopes for all of this (sarcasm)! I will probably have to try & pass those or convince them to allow me to get lithotripsy since they are on BOTH sides of me.

Anyway. Today sucked! I trust no one! Nobody keeps telling me jack & every time I'm put in a room, I have to repeat my entire medical record that I just finished telling someone else because everyone has 0 reading/listening comprehension. It's like my medical records are never actually written down every time & they keep finding errors I have to correct the next person on. I honestly trust my life with a wild Chansey more than I do these people by this point, but I don't have a choice.

Soooo more waiting game! Yaaay. Hopefully I won't die with how great stuff's been going. Surgery before the end of THIS week, hopefully. AAAAAA. Please god y'all stay hydrated or I will come to your house & sic Devimon on you. MINE aren't caused by hydration issues, but yeah.

[jujuistrulyoutrageous]

so much has happened over the past week

went to the ED due to blinding pain in my left flank and yeah, kidney stone is bigger and badder than before (11 mm instead of 8.4 mm, which ... y'all, that's huge. not the biggest ever obvs but like ... I might want to keep the stone and frame it or something)

discovered I might have a pretty nasty infection bc of said kidney stone and am now on bactrim

went to Bonnaroo and had a blast (Foo Fighters, Sofi Tukker, and Lil Nas X were the best performers there imo) all the while dealing with the pain from said kidney stone except I spent good money on that festival and I'm not about to lose that experience. am now exhausted but I have some cool art, new fits, & a snazzy hemp hat

have surgery tomorrow to remove said kidney stone bc it's too big to do lithotripsy

found out the boyfriend is going to KOREA for like a month after he's been out of town the last month to Maryland but I can't just like drop $2k for a ticket to Korea alone so I can visit him

discovered that a friend of mine isn't really that great of a friend/person and I may have to limit the amount of time I spend with her, maybe even eliminating her completely

basically what I'm saying is I'm having a hard go of it, but by tomorrow afternoon, at least one of these issues is going to be resolved