Tag Archives | mayo
3
Mar

JPouch Surgery/Takedown: 1 Year Later

Some of you who are new around here probably aren’t too familiar with my journey with Ulcerative Colitis.  Let me sum it up for you: I was super sick with a chronic form of IBD (the twin sister disease to Crohns) for nearly 4 years, couldn’t get off of the satanic drug Prednisone, and went to Mayo hoping for a magic bullet cure. That cure happened to be a two-part surgery to remove my entire colon, which meant a 3 month vacation with an ileostomy bag, and subsequent surgery to remove the bag and restore internal plumbing.  That’s the short of it; if you prefer the long version, you can check it out here.

The first week of March marks the one-year anniversary of my takedown surgery at Mayo Clinic.  What is takedown?  Loosely, takedown is when they get rid of your bag and put your small intestine back inside of you where it belongs (that’s what the ileostomy is – a small part of your small intestine that sticks out through your tummy.  WEIRD!).  Then, since I no longer have a colon, they had to create a miniature version for me out of my own small intestine. It’s really miraculous.

So now, a year later, I’ve had my ups and downs, but I have never been happier. I am so glad I chose to have this surgery. I eat almost anything I want, and I have more energy than I can remember having in years. The fear of illness is greatly diminished, meaning my anxiety is so much better than it used to be. Before, I was always so concerned with making sure there was a bathroom in the (very) near vicitinity. I never felt like going anywhere or doing anything. Life was kinda grey and blah.

Many people come to this blog because they’ve googled UC or UC blogs, or the like.  I’ve had the marvelous opportunity to build relationships with some awesome women who have been in the same boat as I; the ability to bond with other girls who are suffering with the same disease, and sometimes the same surgery, has been so uplifting and so helpful through all of this.  If you ever have questions, please feel free to comment here, send me an email, or do it anonymously via Formspring.

Let's Chit-Chat { 8 }
2
Mar

Minnesota: the final chapter

Now isn’t THAT a dramatic title?

But it is true. We’re outta here today! It’s the last trip to Minnesota and I cannot wait. Well, I take that back. I’m not looking forward to leaving Jude, or dealing with post-surgery discomfort. But. I am SO glad that in just a few more days, I can bid farewell to my delightful (constant) companion, the ileostomy. See these leftover supplies that have taken up residence in the powder bath? I’m not gonna need ‘em anymore! Woo hoo!
See ya, ostomy supplies!

In all honesty, after I got past the first 3 or 4 weeks, having the ostomy was okay. It wasn’t great, and there were definitely days when I was really sad about it all, but if I had to do it forever, I could. I could do it.

More than anything, I can’t begin to tell you how great I feel.  I haven’t had this much energy in years, probably in our entire marriage (5 years this summer!). That, my friends, is amazing. And to not be on steroids anymore? A miracle! Every day, I still have this automatic reflex, like, oh, did I take my medicine this morning? And then I laugh to myself. It’s all over.

I got a photo in the mail just after my first surgery. It was of us, at Thanksgiving, the week before my surgery. When I look at that girl in the picture, I think to myself that I just don’t think that looks like me. My poor body had been through too much. Oh, and we’re posing with Spiderman – isn’t that hilarious? (brief side story: We had gone to hang out with Simon’s sister’s in-laws on Thanksgiving Day. They have this lifesize Spiderman that they won in a contest, and they have any guest who comes to the house pose with Spiderman, and they make 2 copies of the picture: one for the guest to take home, and the other to put in a giant binder of every Spiderman photo they have. Isn’t that awesome?)
At Thanksgiving. One week before surgery #1.

So now, for my own personal comparison, this is me the week before surgery #2.
R. One week before surgery #2
and
Photo on 2010-02-17 at 14.03

YAY.  I’m just so much HAPPIER now. And at the same token, I remember talking to Simon in the first weeks after Surgery #1. I was crying because I was feeling really unsure, really doubting whether or not I’d made the right decision. Those first few weeks after were hard. I was sobbing, “I just want to talk to Future Me to know that everything is going to work out!!!”  He grabbed me and hugged me tight. “You do get to decide what Future Me tells you, you know,” he said in my ear. “You get to decide how this is all going to play out, how you’re going to respond, react.”

Hmm. I remember sitting up, sniffling. You know, I think he’s right. And now, if I could go back and talk to Post-Surgery-Me, I’d say, “You know what, you CAN DO THIS. And you will come through with flying colors.”

I reminded S of this conversation the other day, and he has absolutely no memory of it. But I wanted him to know that I heard what he said, and I know he was right.

Let's Chit-Chat { 9 }
14
Dec

I’m Home!

Apologies in advance for how long this is.

I have never in my life been so glad to be home. Ever. It was as good and smooth a trip as it could’ve been, but man. There is truly no place like home.

First of all, I’d like to say how much everybody’s comments, prayers, notes on Facebook, emails, letters, you-name-it, have meant to my ENTIRE family. No really – you have NO idea. The power of prayer and encouragement is HUGE. I have been greatly encouraged, and I know it’s because as the Bible says, we were surrounded by “so great a cloud of witnesses.”

Let’s see, where did we leave off in this great tale of The Great Colonic Purge of ’09? If you’re a Twitter follower, some of this might be old hat, but I want to document this for myself and any other family members who might be reading. Don’t worry – I’m not one of those people who needs to post gory photos of the aftermath. I like pretty — and trust me, none of this is exactly pretty. So who wants to look at that?  ::shudders:: not me!

My surgery was on Wednesday, December 2nd. The day before we were scheduled to meet with the surgeon. I was in a pretty dark, stormy moody for those few days ahead of time. I think I was pretty mean to everyone, Simon and my parents. My anxiety level was pretty high and frankly, I just didn’t want to be there. We got to see the Aunt Cheryl lady from last time, and that was really nice. She’s so calming. Everyone there is, come to think of it. She put us at ease and was so kind. Our meeting with the surgeon was fine, if a little … cool? Well, maybe just not super personable. And then we met with the WOC nurse (wound/ostomy care) whose name was Lisa. Praise Jesus for Lisa – she was AMAZING. But that’s when I really lost it. She was showing me all the pieces to my ostomy appliance, and marking my belly for surgery with a Sharpie, and I just started sobbing like a baby.

“I don’t think I can do this. I just really don’t think I can,” I said.

“I know,” Lisa soothed. “Nobody does. But the fact is, you CAN do it. I see teenagers — cheerleaders and wrestlers — that do this every day permamently. But for you, it’s only temporary. Nobody likes it at first. YOu have to give yourself the right to cry, scream, and get out all those feelings. And then you’re going to be okay.”

So I sobbed it all out right there, and then it really was okay. We could move on with the presentation. As we walked out, we were all pretty somber. Mom was crying  a lot, and I was just really angry. I told Dad that if there was ever a time in my life that I wanted a stiff drink, it was now.  Now, if you know my family at all, we are not the drinking kind. Ever. So you KNOW that I was feeling a little rough around the edges! I can totally see (although not condone) why people want to use drugs or alcohol to deal with ugly feelings. Sometimes they suck. THey’re ugly, they don’t feel good. This was one of those times. We were ALL fearful.

That night, I had to do a delightful bowel prep, much like preparing for a colonoscopy. We watched a silly movie to get our minds off things, had another terrible cry, and then went to bed. At 8:30 the next morning, we reported for duty. I was taken into a room, given the typical gown and ugly socks, and we just sat there and waited for them to take me to pre-op.

Finally a nurse came with a gurney around 10:30, and wheeled me back to pre-op. I said goodbye to everyone and went to sit with all the other surgery candidates. I really didn’t like the idea of being alone already. But this is where I feel really strongly about the power of prayer. Because I know that we had SO many people praying for us, my fear began to melt. I was calmer than I have ever been, maybe ever in my life. The Bible talks about how Jesus can give us a peace that passes all understanding, and I am here to tell you today that it is real. I can hardly sit here and type this without feeling emotional about it. I have no doubt – no doubt at all – that Jesus was right there next to me in that little curtained nook, comforting me, calming me, and giving me the peace that He promised to His people. Jesus keeps his promises; He is faithful, especially in our greatest hour of need. He was totally there. At some point after surgery, I remember in my drugged stupor trying to tell Simon and my folks about it and I think I scared my mom to death that I was looking into “the Light” or something. No, hahaha, it wasn’t some kind of weird drugged-out experience; I was IV and drug-free at this point. :)  And no, there wans’t any kind of shining light or longhaired man in a robe and Jesus sandals. It was just a simple quiet, a calm amidst the storm of pre-op preparations.

I’ve been a Christian since I was 15. It was a life-changing experience then and it has continued to shape my life as I try to follow HIs unique plan for me. But HE continues to amaze me with HIs love and faithfulness, now nearly 14 years later. Jesus is as real to me today as if He were standing here next to me while I type this. He gave me the ability to change my circumstances in regard to my health, and the strength and power in which to do it  in. Neither were things that I could do on my own. oh, how I wish I could let each and every one of you know personally just how deeply I feel about it. It’s almost the kind of thing that I can’t really begin to speak of; it’s something that is felt, very deeply.

So surgery lasted several hours. I, of course, was in lala land. As a vivid dreamer, I fully expected to have some crazy technicolor dream, but none of that was to be had. Finally after a few hours of recovery, they took me on up to my room.

Looking back, I have next to no recollection of the first two days after surgery. THat’s probably a good thing. Pain meds are also a good thing – Morphine, I’m lookin’ at you, sister. As far as pain goes, it really was similar to having a c-section. Incision was similar, size-wise.

The nursing staff at Mayo were incredible. If you’ve ever been in the hospital, you know that there are good nurses, and then there are bad nurses. There was not a bad one in the bunch at Mayo.It was like they were all the cream of the crop and took great care of me.

The only one that kinda threw me for a loop was a younger nurse. If you’ve ever had surgery (or childbirth) they’re really concerned about your bowels waking up after surgery. So they’re always asking you about the state of your bowels, if you’ve (ahem) gone yet, etc. This one poor nurse came in — I think she just wasn’t up to speed on my case yet, because after introducing herself, she says, “And I also wanted to check: have you had a bowel movement yet?”

Now, me being colon-free, this just wasn’t going to happen obviously. “Um, no,” I said. “And I probably won’t, either. I just had my colon removed.”

“OH,” she gulped. The look on the poor girl’s face – it was priceless. I kinda wondered if the other nurses had put her up to it, like it was some kind of new-nurse hazing or something.

I was released on Sunday and we went back to our hotel and made arrangements to prolong our stay. I just had no energy to get back on a plane and travel. It was an emotional few days. And to top it off, a blizzard hit. An honest-to-goodness blizzard. The hotel also had a convention coming into town and needed our rooms, os they ended up making us a deal and putting us in the hotel’s presidential suite (because otherwise, there was no room for us in the inn  hahaha). This was truly the biggest blessing because we could all be together.

The real heroes of this story are my parents and my precious Simon. I could NOT have done any of this without their support. No way, no how. Their emotional and spiritual support is unparalleled. Simon is my rock, entirely. I don’t know what I’ve done to deserve him, but I know that I got the last good man on planet earth. He is incredible. We’ve had a crazy year, and there are plenty of people who would’ve jumped ship a long time ago. He’s just not that way; he’s amazing.

So how ’bout since coming home? Being home is another huge blessing. We’re staying with my parents because Simon’s gone back to work and I need help with Jude. I’m not going to lie – it’s been a really hard recovery. REALLY hard. I think I was prepared for the physical pain, but it’s the emotional toll of it that I was not fully prepared for. I have cried every single day and I have a general feeling of, well, hating the stupid ileostomy bag. I feel icky, tired, sad. I feel totally useless right now with Jude because I can’t lift anything over 10lbs for 6 weeks, and that’s a lifetime in toddler time. UGH. Jude is so busy and he’s also so snuggly. That’s where I’m struggling — I just want to be able to pick up my baby when he wants to be comforted. I want to pick him up out of his bed if he needs to be comforted in the middle of the night. Heck, I want to change his DIAPERS!

The silver lining in all of this? I can’t go grocery shopping for 6 weeks. :)  The cart’s simply too heavy to push! I might get a hernia! darn!  ;)

Today we went to visit the local ostomy nurse at the big hospital here. WOw. What a drastically different experience from Mayo. It was not a bad experience, per se, but as we walked out, I had this very distinct feeling of gratitude for our experience in Minnesota. I don’t know if it’s something in the water up there, but it is just different. Better. More personal. More relaxed. Sharper & more focused. I really am thankful that my parents made it possible for us to go up there.

Friends, once again, thank you for all of your prayers, notes, phone calls, etc. We can only begin to express how thankful we are. Please continue to pray as we are all adjusting and settling into a new normal. Pray for me as I’m struggling emotionally and am seeking a good attitude, realizing that all of these hardships are temporary. Pray for my mom, that she has enough strength to help keep up with a precious but precocious toddler. And for Simon as he goes back to work and for Dad as he is supporting all of us as we need it. I love each one of them so very, very much.

Ok, and a gold medal to YOU if you’ve made it this far on this post! Whew! Long!

xoxxo, Rach

Let's Chit-Chat { 10 }
29
Nov

This Week

Well, kiddies, the time is upon us! Tomorrow morning, I’m off to the Mayo Clinic in Rochester, MN, and Wednesday I roll on in for surgery.

I can’t believe it’s been a month since we were up there. In some ways, it’s been a blink of an eye; in others ways, it’s like it’s been three years. I’m not going to lie – it’s kinda been a hard month. I really wish that I could’ve just gotten it over with when we were up there a month ago. Having four weeks to second guess my decision hasn’t really been fun. About two weeks after we got home, I had my big meltdown about it all. I sobbed on the phone to Simon that I just didn’t know if I could really do it, and he told me that I really needed to stop googling the heck out of things. He knows me so well – in my ever-present desire to be on top of information and well-informed, I was driving myself insane by googling the surgery and reading everybody’s random horror stories. I just couldn’t take it anymore. So I have taken a google hiatus! And it was the best thing I could’ve done for myself.

The other thing that I did for myself was go talk to a counselor about what I was thinking and feeling. When I was pregnant with Jude, I was struggling with anxiety big time.  My OB gave me the name of a counselor to go talk to, and it was the best thing I could’ve ever done for myself. I went to see her several times after Jude was born, and occasionally from time to time when I need a neutral third party to bounce some ideas off of. I called her up and made an appointment, post-meltdown. I was struggling with having to be the one to make a decision about surgery – I mean, isn’t this just something that someone else should make the call on? I thought the only time someone actually wanted surgery was when they’re getting a tummy tuck. Or a nose job. In no way is this the same thing!

Anyway, my counselor asked me about how I felt about myself when I’m sick. I told her that I hate being on steroids, that I hate looking at pictures of myself when I’ve been on them, that I feel totally out of control of my body. And do you know what she said? It was golden, totally priceless — “Rachel, this disease is stealing your joy. And you have the opportunity to take it back.”

Whoah. That was totally worth the hourly fee right there! And she was so right! So even though I really didn’t want to be the one to make the decision to make surgery, I am the one making the decision. I am stepping up and taking my life back. And in that moment, I felt a joy about the entire situation that I had not felt before. My time of mourning about it was over. It was time to find the joy in the situation, and look forward to all the good changes coming.

The other awesome thing that happened was when I found Daniel over at the Real Estate Zebra. A few years ago, Daniel went to the Mayo Clinic because he had ulcerative colitis, and he ended up having the same surgery as I will. He was so encouraging – he called me up on the phone and was more than willing to share his experience with me. I can’t tell you how much it meant to me. He struck me as a very charismatic, upbeat person, and the thing he kept saying was, “You will not regret this. You are going to feel so much better, you won’t even believe it.” Whew. Daniel, I am grateful for your input and how open you were in your experience! Thank you!

Finally, more than anything, I have a peace about this entire experience because I know that God is in control. I felt His presence when I sat in the office at the Mayo last month and told the doctor that I wanted the surgery. In my Bible study this semester, we were talking about Jesus when he heals the lame man at the Pool of Bethesda. He asks the man, “Do you want to be well?” What a question! I mean, wouldn’t you think that someone who had been sick for 38 years would want to be healed? But when you think about it, sometimes when you’ve been sick for so long, it’s just easier to stay in your sickness. You can’t remember what it was like to be normal, so it’s just easier to be how you are. Stuck. Because being well requires work, and taking on a whole new set of responsibility. But Jesus knew that – and He also wants us to take action. It means we have faith.

So there you have it. This week, I’m taking that step. I’m choosing to be well. I’m stepping out on faith. It doesn’t mean I’m not nervous or not scared. I am. But it’s going to be okay.

Now we just have to decide what The Last Supper is going to be. :)

I’m sure I’m going to pop back in and out over here and give updates as the week goes on. We fly out tomorrow, have a consult with the surgeon on Tuesday, and then go in Wednesday morning for the surgery. As of now, we’ll fly back home on the following Monday.

Thanks so much to everyone who’s followed us on this journey! Your thoughts, prayers, and well wishes here have meant the world to both Simon and I.

xoxo, R.

Let's Chit-Chat { 9 }
29
Oct

Mayo, Day 4

This morning at 9:00, we were bright-eyed and bushy-tailed and on our way over to the hospital for my CT scan of the good ol’ pancreas. The thing about doing a CT is that you have to drink a bunch of dye/goo that tastes kinda milky and kinda like … sweet chalk. I can’t think of any other way to describe it. It’s not something good, I can assure you.  At no point would you want to, say, chug a gallon of it when you’ve just gone for a run. Nor would you just want to reach into the fridge and drink it up with a chocolate chip cookie.

So there we sat, and after receiving an IV port (because not only do you have to drink all that goo, but you also get iodine injected into your veins too), the nurse brought me my three bottles, labeled with 15-minute intervals. Chug chug chug!

Then at 10:15, they called me in and I went to lay down on the table for the CT. I was feeling reeeeeeaaaaallly waterlogged. And slushy. I mean, I drank a lot. Then they hooked the IV up and gave me the iodine stuff and told me that I was going to feel really warm and like I peed my pants. Seriously?? Within 5 minutes, the CT was done, and then I promptly sat up and threw up everything I had just drank. Yeah like that’s not totally embarrassing. So then I was done and on my way.

We came back up to the room and just laid around until my appointment with my GI to discuss everything at 1:00. When we showed up to the digestive floor, a rather dapper elderly man in a wheelchair was sitting there next to us. He rolled on over and decided that we looked like nice people and needed to talk to us. He was 92 years old and had been married for over 60 years. He started telling us how he immigrated from Scotland and how his  mother was a midwife, and actually that was rather a fortuitous thing because as it turns out he got involved in the sales of a new invention at the time, a device called the diaphragm that really changed birth control….

Just when things were about to get interesting, we were called into the doctor’s office, and left poor Mom sitting there with Mr. Diaphragm. Turns out, he then went on about how he was a salesman and tried to get her to become a part of his sales team, selling a special kind of face cream! He also told her all about how he and his wife have come to the Mayo clinic since they were young, and now they’re here for a few days. But when they come, they always get separate hotel rooms because apparently he snores. A lot. Poor Mom got quite the earful!

Meanwhile, we went back and met with Dr. Pardi. He definitely had good news for me. My Bone Density scan came back better than normal which means that the past 3 years of off-and-on prednisone haven’t done any permanent damage to my bones. That is awesome! The second bit of good news was that he thought that my pancreas looked good, that the spot they had previously seen was nothing to worry about, and that if I ever had issues with pancreatitis again, to let them know. Pancreatitis can be a side-effect of medications for UC, but it can also just spontaneously pop up in UC as well. He thought that the gallbladder could’ve been involved, but if this ever happened again, to let him know before they just decide to start taking random parts out of me.

Which led into our next discussion about what to do about my ulcerative colitis. What will my plan be? Well, as of today, I am scheduled to come back to the Mayo Clinic the week after Thanksgiving to have my colon removed in the first of two surgeries. I will have a temporary ostomy (um, fun, right? blah) and then 3 months later once everything has healed, I will come back in February or March and have the second surgery that will allow me to have normal poops just like everybody else. They basically create a new bowel.  Everything is done by laparoscope.  And in the end, 92% of people who have this surgery done are thrilled. That’s pretty amazing.

The more I thought and prayed, the more I realized — why wouldn’t I take the opportunity to be cured of this disease? To put an end to the past 3 1/2 years of a rollercoaster ride that have really really sucked? To not be sick every other month? Why wouldn’t I take that opportunity? Can I be brave enough to endure a few months of discomfort, of inconvenience and ickiness, only to have a chance to have a normal life again? Can I trust that God has a great plan for my life and that He has known all along that this day would come? Yes. I can. I can do all of this. And I can do this with a happy spirit and with joy in my heart.

Despite my initial feelings of being overwhelmed and saddened that this is, in a way, my only choice,  I feel like I’ve been given a whole new chance at life. I’m never going to have to take all those meds ever again! No more immunity-hindering, serious drugs! No more Prednisone that makes me bloated, puffy, irritable, and crazy moody!   Heck, I figure that at Thanksgiving, we are going to PARTY! I’m gettin’ rid of this nasty ol’ colon and moving on to bigger and better things!

The doctor looked me squarely in the eye. “You seem really at peace with this decision,” he stated. And the answer is, yes. I do. I’m not going to say that I’m not going to experience moments of doubt and panic, wondering if I have made the right decision.

But in some ways, we’ve been down this road before. A few months ago, I watched Simon struggle with a decision. He had to decide that he had done as much as he could for the company he was working for and he had to make the toughest decision ever – to leave. It wasn’t a decision he wanted to make for himself; he really did want it made for him, in some ways, much like I wished that this decision would’ve been made for me. And while he knew that while the next few months of unemployment weren’t going to be easy, he knew that there was light at the end of the tunnel and that soon things were going to be okay. I can so relate.  And now, at the other end of that tunnel, now that he is gainfully employed and loving what he is doing, I can say praise God – there was a plan and we are going to make it.

It’s been an emotional week here at Mayo, for each and every one of us. THANK GOD for my parents and for Simon. I would be lost without them. Their support has been HUGE. Also, I thank each and every one of you for sticking around and following my journey here. Every comment left has meant SO MUCH TO US. I know it’s not the typical fun, design-related stuff, but like I’ve said before, this is my life. And I can’t tell you how good it feels to sit here and write all this out, and get it off my chest. I promise that I’ll be back with more fun stuff next week. :)

xoxoxo,
Rachel

Let's Chit-Chat { 12 }