I’m not just being cute with the title, I seriously experienced both a primary and secondary spontaneous pneumothorax. The ‘secondary’ part means that some external factor triggered the collapse of my lung. I think you could also call it a “traumatic pneumothorax,” but this works too… and fits my blog titles better
While I was in the hospital in November, a CT scan revealed indications that my right lung was also showing early signs of an eventual collapse. I suppose at the time, nothing much could be done. But as a result, it was expected that I might experience a collapsed right lung at some point in the future.
That turned out to happen sooner than anyone expected. About seven or eight weeks after my first surgery, and less than a week into returning to work at the theater, I slipped on the ice on our front porch and fell on my right side. At first I was glad I hadn’t fallen on the left, but as it was later discovered, this most likely triggered my right lung into partially collapsing. I didn’t notice anything until the following night at a friend’s wedding on New Years Eve, when I felt a very familiar pain in my chest, of course this time on my right side. I worried that I might end up at the hospital, but then the pain went away and didn’t bother me the rest of the night. Nothing bothered me for another couple of days. Then while I was working that Sunday afternoon (January 2nd), I began to feel pains again that wouldn’t go away. I had to sit down frequently and honestly didn’t know if I was going to make it through my shift. I had a feeling I would be visiting the ER before the end of the night.
I did manage to make it through my shift and made it home, where I promptly laid down on the couch. The pain would come and go, and I was somewhat worried about overreacting. But as of the day before, I was once again insured, so my parents took me to the emergency room. Given the collapsed left lung two months earlier, I was given my now 18th chest x-ray (by this point I could go through the motions in my sleep, and sometimes did), which revealed my right lung to be about 30% collapsed. Medical journals vary on this point, but it is generally assumed that when under 22-30%, no chest tube need be inserted. It was a relief to know my body might be able to fight this one off on its own, as I didn’t want to experience a chest tube again, particularly the insertion of one.
I was discharged that night and had an appointment with the specialist the next morning (different doctor from November, but same office). He determined since I had a pneumothorax already, that they would just go ahead with the surgery the following morning. This was a bummer in that I’d have to be in the hospital again, but I’d rather go through the surgery than a chest tube on its own. Continue reading


