Hello There!
I'm back with all the details from my surgery, hospital stay, and recovery.......plus some amazing news! So....consider yourself warned....this could be a fairly lengthy post! :)
Where to begin.....
As you already know, if you've been keeping up with my recent updates, I was admitted to the hospital on Monday, November 4th with dehydration and malnutrition due to my J tube having complication and having to be removed (thus removing my only avenue of nutrition).
I had surgery to place a J tube on Friday, November 8th. They were originally hoping to reopen my previous stoma (hole for tube) and place the J tube, but due to complications with that stoma, they had to make a new site. As some may remember, a few weeks after my first J tube surgery, I bent over and felt like someone had kicked me in the gut.... Well, that was most likely some of the stitches snapping that were holding the intestine to the abdominal wall. Unbeknownst to me, this placed me in quite a bit of danger. This "malfunction" can allow the J tube to twist, causing life threatening complications. No one seemed to know this until they went in to place this new tube and found how messed up it was. So, they tacked this one farther, going all the way through to the skin, and I am determined to follow rules no matter how horribly difficult to avoid causing the same complications. Those rules?....no lifting more than 15lbs, gentle bending, and limited exertion for 8 weeks post op! Yeah, that is torture when you have little nieces coming in for the holidays! The littlest is right at 15lbs now so I can still carry her, but the adorable nearly 3 year old is way over my limit and it kills this auntie's heart when she comes up with outstretched arms saying "hold you? hold you?" wanting me to pick her up! :'( Probably by Christmas the little 5 month old will be over my limit, too. But I do NOT want to mess this tube up after all I've been through the past couple weeks!!
When I came out from surgery, I was itching terribly! I kept telling my mom and sister that I was just SO itchy....upon investigation, they realized I was covered in hives. Both myself and the hospital made a mistake. I react to the hospital linens (probably what they launder everything in) so I always bring my own sheets, pillow cases, covers, gowns, towels, etc. I made the mistake of putting a white sheet on my bed and the hospital OR staff didn't realize the sheet was mine. So they did as they always do...they switched my bed out and put me on a fresh one after surgery. Only the fresh one was the hospital's sheets so I was breaking out in hives from being on the wrong sheets. NOT fun because they had to roll me to change my sheets back to some of my own. If you've ever had gut surgery you will know just how much you do NOT want to even be touched after surgery let alone rolled around! Then they gave me a little milk to drink after I had gotten settled in with the right bedding. Only I fell back asleep from the combination of pain meds and leftover anesthesia, pouring it all down my front which meant having to get my gown changed. By this time I was bawling my eyes out because I just wanted left alone. But, after all was settled and done I wasn't much worse for the wear.
Fast forward to a couple days later... There is this one brand of chicken broth I can tolerate (it comes straight back out via my stomach drain like everything else). My sister went to Whole Foods but all they had in stock was the low sodium kind. I figured I would just add some salt. I poured some, added salt only to realize it still needed more, so I added even more salt. I then tasted it and it was way too salty so I went to shake the broth before adding more only I forgot I hadn't put the lid back on the broth....yup, I showered myself in chicken broth! My hair was stuck together like lard and my eyelashes were dripping! I must say, chicken broth never was a good hair product and definitely smells much different when you are wearing it! My sister happened to be on the phone with a nurse when it happened and couldn't talk because she was laughing so hard! We got a BIG laugh which wasn't the best idea in the world for me at the time! On top of laughing so hard with a very painful gut, I had to get my hair washed which ended in tears for a while, but I felt much better after some pain relief! It does make for a very funny story now, though, and will make a fun memory when remembering this whole ordeal in the future! ;)
I was in the hospital until Friday, November 15th. I had originally been told that my feeding rate had to be at 65ml/hr in order for me to go home, however, they changed it the next day to 100ml! Talk about crushing someone! I had worked so hard and had it to 65 by the next morning only to be told I still couldn't go home because it had to be at 100. I was thankful that they decided that I could go home Friday afternoon as long as I was continuing to up my rate since they could see I was no longer malnourished.
The first couple days at home were rough just with having the bumpy ride home, moving around more, and not having the access to much pain relief, but as time passed, things started improving. As of now, my incisions are healed and free of pain. My tube site is still rather tender and is my main source of pain. I'm still having some spasming in the muscle they had to put the tube and stitches through, but they are slowly improving and becoming fewer and farther between as the muscle gets used to having those things there. Healing from J tube surgery is a very prolonged process. It may sound strange, but I'm grateful that I have been through it before so at least I know what to expect and I can keep encouraged knowing even though it takes a while, it gets better and is worth the struggle!
Now.....for the AMAZING news that I mentioned above.........
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| Nap time snuggles with my little niece, Valerie :) |
I officially have a new formula that I tolerate!!!! It is called Real Food Blends and is actually JUST real food pureed into a super smooth and thin formula specifically for tube feeding! I have to dilute it some so as not to clog my J tube and add salt to get the appropriate level of sodium for my body, but I am SO grateful that the Lord provided some good nutritionists in the hospital while I was inpatient who actually searched and found something for me to try....and it WORKED! I'm on my second day and not only have I not had even the slightest hint of a reaction to it (I was miserable within the first 2 hours with the previous formulas that I reacted to), but I'm actually feeling better!
I'm not completely out of the woods yet. I still have some pain from surgery, limitation for a while longer due to the new tube, have to build my formula intake to the amount I need, and easily overdo it, but I am so, so, so grateful for the leaps and bounds I've made in the right direction! I can't thank you enough for your many prayers on my behalf...He is listening and I am seeing lots of "yes" answers!
My struggles that could use some prayer right now...
Feeling better makes it very easy to over do it! I get carried away with doing everything I've wanted to do for a while now and I forget to pace myself and pay attention to what my body is trying to tell me which makes for misery when everything comes crashing down on me all at once.
My body has rediscovered the desire to eat. Don't get me wrong... I am SO grateful not to be constantly nauseated and miserable (and I have no desire to return)! However, it is difficult when your brain greatly desires the pleasure of eating, but it's impossible for your body to accomplish the task! Especially with Thanksgiving right around the corner. I have been on a liquids diet for a while now since it drains the fastest due to the state my stomach has been in. It is going to be VERY hard at Thanksgiving to restrict myself to only foods that will drain. My stomach is worse this year than it was last year so anything that won't drain is pretty destined to cause vomiting. Honestly, I probably shouldn't do any of it. I have decided it only comes once a year so I will let myself have some, but I will definitely be forced to leave out some favorites. It's pretty guaranteed that I will suffer consequences, yes, but I have deemed it worth it as long as I use a lot of self control in my choices....I'm afraid I would no longer think it was worth it if my Thanksgiving ended with vomiting!
Please continue to pray as my journey continues! I'm thrilled beyond words to get to write this update....there is nothing quite like getting to share such exciting news! :)
Taking Life One Happy Update at a Time...
Allison