2 years ago I was on TPN for a few months after I initially was diagnosed with gastroparesis (partially paralyzed stomach) The TPN which I received through a PICC line in my arm did what it needed to do and I was able to successfully put weight back on. TPN and the PICC comes with so many risks that I really didn't want to ever have to go back on it. I did pretty good eating on my own for over a year but last November my stomach stopped working as it should again. I saw the surgeon who ran me through more tests, revealing grossly abnormal results and a surgery for a jejunostomy tube (j-tube) was scheduled. A j-tube is surgically inserted into the small bowel and then you are connected to a pump and fed formula (similar to Ensure...not baby formula) for 24 hours. I was told that I would stay overnight just to make sure everything was working well before leaving. The original plan was to have the surgery and that night they would put water through to make sure it worked and then start on the formula. By morning, I could go home. I ended up hanging out in the recovery room for my usual 5 hours instead of the 1-2 they told Anthony and then I was moved to a room where we would begin our vacation. After not eating anything for 46 hours we finally started the feeds the next day and it was decided at that point I needed to stay another night to make sure it was working. The goal was to be at 60ml per hour, starting at 20ml and increasing by 10ml each day. I never got above 30ml before I needed to start decreasing and eventually stayed at 10ml. My tummy wasn't loving it. Big shock, I know.
That chocolate milk you see is what I mostly eat now. I will still be able to eat real food but this formula will help me put weight back on and supplement what I can't get in orally. As of right now, not much is going in orally or via the tube causing further weight loss.
Anthony and I have been trying to get away for years on a little overnighter so this 3 day trip to the hospital took care of that. There is no way I would be doing as well as I am or have that smile on my face if it weren't for him. He has been an incredible caretaker, never complaining about anything at all. Not even when I woke him up every 30 minutes to help me go to the bathroom. And now that we are home he is taking care of everything like a champ. I am forever grateful and can't even express the love and gratitude I have for him. I hit the jackpot.
I showed the kids the tube and Alexis made a comment about how small it was. I asked what she thought it was going to look like and she put her hands together making a large circle saying that she thought the hole would be that big and I would have a tube connected that looked like a vacuum hose. I was shocked. I told her that must have been so scary to think that was what it would look like. Her eyes welled up as she smiled and said, ya. What our kids have been put through their entire lives doesn't seem fair sometimes but then I step back and think they are the luckiest kids in the world to have two parents who love each other more than love itself, a supportive family and virtually, a stress-free life. We have it so darn good that I sometimes forget that having a sick mom might be frightening and suck sometimes.
Last night my healing came to a screeching halt. I could feel my intestines filling up over the past few days and not emptying, my abdomen was becoming distended and I just wasn't feeling great. I decided to take a shower so I unhooked from the IV pole, flushed my tube and while pushing the water through with the syringe, the syringe popped out along with water and then the tube filled with bile. I immediately sent a message to a friend who has a ton of knowledge and has given me so much support and as we were writing back and forth, I started really not feeling well. I got to the bathroom with Anthony and all hell broke loose, literally. The incision area is still so painful so you can imagine the pain as my body was heaving but all I could think of was 1) I needed the paramedics and because I was getting ready to take a shower, they were going to show up and find me naked with bodily fluids all over and 2) I really really wanted that shower before going back in the hospital. As those thoughts passed, I just prayed for the Lord to please stop the pain. I was saturated in my own sweat, shaking from chills and feeling horrible. Anyone that knows me knows that vomiting is close to death. I really thought I was dying. I called my surgeon and he had me stop the feeds and give my gut rest. We both felt that not tolerating it was a result from trying to recover from surgery which is already a difficult task, plus not going to the bathroom in so many days so basically, all the formula going in had to come out and it pretty much exploded out. Naturally, things like this happen on Friday evenings so the doctor wanted me going to the ER if I got sick again, my belly became distended again, or I developed a fever. Thankfully, I felt so much better throughout the night and have realized this process is going to be even slower than I thought. I really need it to work. At this point, it's my only hope for obtaining proper nutrition which is pretty important when it comes to surviving.
Here is my new tummy. I am really looking forward to being recovered from this surgery, having a working tube, getting proper nutrition, and being back on my feet soon.
2 Corinthians 1:3-4
Praise be to the God and Father of our Lord Jesus Christ, the Father of compassion and the God of all comfort, who comforts us in all our troubles, so that we can comfort those in any trouble with the comfort we ourselves receive from God.
My friend Allyson (the one I mentioned above who has been so informative and randomly we were introduced through another friend and she happens to be one of Anthony's best friends cousin) posted this beautiful song and it touched me so much. I hope you enjoy it as well.
https://m.youtube.com/watch?v=1spkhp41ig4
continued prayers for you and your family Karen
ReplyDeleteKaren, I love how you describe your family. We are as strong as the love that surrounds us. And you have much.
ReplyDeleteKaren, I love how you describe your family. We are as strong as the love that surrounds us. And you have much.
ReplyDelete