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T minus 4 days and counting....till I will be recovering from my implant(AMS 700 Ultrex). I'm scheduled for friday afternoon and I'm having a range of emotions. My over riding feeling is that the right choice has been made by myself and my Urologist. I think I've asked the right questions from the Urologist and he seems skilled. He's done just over 150 of these implants...normally following a prostate operation. In my case it's diabetes that gets me to this point.

Last week I went in for my Pre-op at the hospital where the implant will take place. I'll call this the day from hell...as will become apparent. Did all the standard pre-op stuff till we got to the EKG.
The nurse that did it had a frown on her face. Bad sign. Another nurse later in the pre-op looks at the EKG report and decides I need another EKG. Bad sign #2. But the pre-op is done and all is well...or so it seems. I head back to my Uroloists office for another consult.
I've decided since we're going to be working around down there might as well get a vasectomy at the same time. So my wife and I head over to have the proceedure explained and the "final results"(no kids).
Knowing the end results I use the consult time to ask about the implant a bit more. How much pain can I expect to have? "Some of my patients never complain of pain and some complain a great deal" says the Urologist. Well that was helpful and about what I dshould have expected. Maybe he's had some John Wayne tough guy types and some real whiners. Tough to say where I'll fall in the group.To be on the safe side I asked about pain pills and made sure he knew to err on the side of reduced pain. Screw being a tough guy....gimmie the pain meds. I also asked about the failure rate of the implant. His experience was that the only failure out of 150 plus was a replacement of a 1991 implant done in another city by another doctor.
He feels very comfortable with the long life aspects of this implant.
His comfort makes me more comfortable. Ia sked about starting a round of oral antibiotics as I'd read about on the web. He assures me none is needed and I'll actually be in the hospital overnight (23 hours = outpatient) with IV antibiotics while I'm there. Had to do that before when I've had infections where oral antibiotics didn't work.
So far I'm feeling OK about the whole deal....and I go home.Last Tuesday comes to a close.

Wake up wed morning to find a large blister on my foot. Crap. This is been the lead off in the past to 3-8 months of taking all kinds of oral antibiotics and ending up spending a week in the hospital and having a toe removed. I can see the implant deal going straight down the drain. I'd spent months getting to this point. I'd seen the urologist and tried the pills (didn't work) and worked through the mental decision of going with the implant. And now...it's about to all fall apart. Hell no. I'm not going down without a fight. I call my foot doc for an emergency visit. I get in a few hours later and the blister isn't as bad as I feared but he works on it and starts me on oral antibiotics that run past the implant date. If nothing else that makes me feel a bit better over all. Weds closes.

Wake up thursday and hoping all is well with my foot.So far so good...till the phone call comes. The Urologists office calling...seem that EKG is going to require a cardiologist to sign off on me before the implant can take place. Just over a week and now I need a brand new doctor (never been to a cardiologist before) and I need one fast. No time to investigate who's best in the area....the urologists office will have to find someone fast. Not normally a good way to do things in my view but I'm desperate. Turns out top rated Urologists are friends with top rated cardiologists and I was able to get in the next afternoon(friday). Whew..a litle relief. Thursday closes.

Friday afternoon comes and I get another EKG. Less frowns this time.
I'm hopeful. Cardiologist comes in and seems like a nice guy. He orders up enough tests to sink a small insurance company. I go home with a good deal less blood and wearing a 24 heart monitor (holger test SP?)with a stress test and an echocardiogram scheduled for next thursday...the day before the implant.

Now it's monday night..er...early tuesday morning and here I sit...waiting till end of the week. Thursday will be an all day deal I was told....fun fun fun. Friday is implant day. All I can do now is
wait. I keep searching the web to see if I can find more info although I think I've investigated things well before now.

Something else that I didn't plan for.....a good cover story for why all this stuff is taking place. My wife is the only family member who knows exactly what I'm having done. I told my father it was some vague prostate issue knowing he really wouldn't ask too many detailed questions. My mother I've not even told I was having an operation at all...she's way too nosey and I figure I can avoid her for several days after tyhe implant...long enough that I'll be able to get around and can fake nothing being wrong. Other family members would be even more of a problem...they would assume any operation to be very bad and ask lots of questions. I really don't like the thought of talking about sexual stuff with my family....much less to this degree. So what I really needed was a good cover story. I needed a relatively simple operation that I could claim to need...that would account for my needing to be off my feet. My wife had suggested telling everyone I was getting the vasectomy but again even that's something I really don't want to discuss with family or friends.Just falls into a "none of their business" situation. I guess it's late for the cover story now...but I wish I'd had something worked up before all this started.
Now I have to keep the cardiologist visit and tests a secret as that would bring on lots of questions of why out of the blue did I need to see a cardiologist. All this hiding and avoiding the
truth/lying...maybe this is what cheating on your wife is like...just too much work it seems. I'm worn out from trying to keep my story straight for each person...and why I won't be available for the post- op period.

Now it's a waiting game...till thursday and friday's implant. Will the time pass slow...or will it go fast. I don't know yet.