Sunday, September 17, 2017

Surgery tomorrow

So here I am - noon on Sunday Sept 17, 2017. If all goes well, this time tomorrow my surgery will be over and I may even be out of the recovery room and in my bed at NRGH.

What surgery? It's called a bowel resection and means that my surgeon will be removing a section of my large intestine to get rid of the strange "sigmoid mass" which has grown in the lower section (formerly I called it a polyp.) The colonoscopy showed that it was abnormal. the surgery will show what that actually means. If it's cancer I will have to have chemo. I sure do hope it's not.

In the meantime, my CT scan showed that I do not have any cancer anywhere else. This is a really good sign that all should be well. The CT itself included dye - which I had never had before. It was pretty benign - I could feel the warmth from the dye as I lay in the scanner. When I got home I ate some breakfast, went for a walk and then ate some lunch. After lunch I felt so tired, I decided to lie down in bed and I fell into a deep warm sleep. I got up for a few minutes, still felt tired and went back to sleep - same thing a couple of hours later. By dinner time the drug seemed to have worn off and I ate dinner and watched TV.  That was 2 Fridays ago.

Tuesday I had my appointment with my surgeon. He simply said I have to have surgery, showed me a diagram and said I wouldn't miss the section they cut out and that the two ends would be stapled together and then stuck back in. It will be done laproscopically which means no big incision like the one I had for my gallbladder almost 50 years ago. Just a few holes. The surgery should only be moderately painful and recovery should be much faster than my gallbladder. In fact recovery seems to be all about having your first fart - a sign that your bowels are getting back in action. This, in turn, can be speeded up by getting up at least 3 times a day and walking around. If I can. I will get up more than three times. Nausea and recovery can also be improved be chewing sugarless gum. There's also coughing to clear you lungs after the unaesthetic. That's about all I know.

I went to two appointments - one a pre-surgery with a nurse and one one with an anaesthesiologist. There are two other big things to do. One is to completely empty my bowels again. The other is to have a good wash with a special sponge the night before and the morning of. Also only clear liquids startitng the night before (last night.)

I just took my bowel purging preparation - pico salax. It didn't require any extra drinking and was only a small cup of orange flavoured liquid. Nothing has happened yet but I feel a bit gassy. I should have a few watery bowel movements soon. I hope - hope - hope I don't get nauseated again.

Tomorrow I check in at Admitting at 6 am. I just take my care card, glasses and symbicort. Mike will take my clothes home. Wne i am in my room Mike will bring me a bag with a few basic necessities including pulmicort, tooth brush, slippers. I'm expected to be in hospital for about 5 days - really until the first fart so could be sooner or later. Not much you can do to get that happening except get a bit active.

Ho do I feel? I'm basically pretty scared, pretty annoyed and pretty grateful that this mass was discovered before it got out hand (I hope). If Annilee hadn't sent me for an ultrasound and my DVT hadn't seen pink poops I would not have asked for a fit test and this could have gone undetected for a long time. I am sort of annoyed that the doctor I first called about the pink poops didn't alert me to fact that there could be a problem and I left it for 6 months before I asked my GP for a fit test. I am also a bit annoyed that it took more than 3 months for me to get my colonoscopy after the fit test came back positive. Hopefully the whole thing is so slow growing it won't make much difference.

I am so grateful to Mike and my kids and other relatives for being very supportive. Mike and I went to a jazz concert last night. When this is over I hope we do a lot more stuff like that - singing, skating, RVing, supporting Asthma Canada, going to the opera and visiting friends and relatives - PLUS getting back to painting in a serious way.   I am so grateful I don't have any nausea right now and hope it stays that way. Bring on the poops. There's no turning back and I just have to do it.

Thursday, September 7, 2017

CT scan tomorrow

My asthma is fine but I'm not sure about my gut. I have my CT scan tomorrow and now also have an appointment next Tuesday with my new specialist - a general surgeon here in Nanaimo. I am not consciously worried but kind of numb to the whole thing.

Tuesday was a sad day because we took Lexy to the vet to have her "put down." She had congestive heart failure and was so sick - coughing and coughing and swollen up like a water melon with fluid. On Saturday something had happened to one of her back legs and she could not put weight on it. She did adapt to this and could get around - but we knew she was suffering and would never get better. The vet was very kind and Lexy died very peacefully - but I miss her really a lot and could actually cry right now just thinking of her. We have cleaned up all her stuff - mats, dishes, leashes, etc and taken her special food to the SPCA. Now we are getting used to life without a dog.

I fear that my colon issues and Lexy's death have got mixed up in my mind. I hope I don't have anything awful and will try to be stoic about it.

Monday, September 4, 2017

Colonoscopy Part 2

It is now almost a week since I last posted about prepping for my colonoscopy. It turned out to be pretty horrible - not the colonoscopy itself (which wasn't that bad) but the remainder of the prepping.

I finished drinking the 3 litres of clear fluid and then started in on the CoLyte ( a more intense laxative that tasted like lavender flavoured plastic). At about the begining of the 3rd litre of CoLyte I started to feel nauseated. By then I had drunk 3 litres of clear fluids and 2 litres of CoLyte. Looking back I am sure this was too much.

Suddenly, as I started the 10th cupful of CoLyte, I vomited ... and vomited and vomited - fountains of pale orange clear fluid all over the kitchen. After every fountain I could hear myself say, "Oh dear."  I then determinedly tried to take my next cupful and it started again - in both directions this time. Mike called the nurse line and the nurse said to stop drinking the stuff. I should feel OK in an hour. Unfortunately this did not happen. I kept vomiting about every 45 minutes all night long.  Around 6 am Mike called the nurse line again and the nurse determined I was moderately to severely dehydrated, So much for getting hydrated by drinking all that clear fluid. It had actually had the opposite effect. We went to Emergency around 7 am and I got a saline drip and some anti-nausea drugs and felt much less nauseated. We went home and I finally got to bed and had a good sleep for about 3 hours. 

I didn't even get dressed to go back to the hospital for the procedure - just wore my pjs. Everything went pretty smoothly. I had another saline IV and around 2:30 I was wheeled into the procedure room and lightly sedated. I could see and hear what was going on. For example I could see what the scope was filming on the screen. It didn't hurt much or feel alarming. I don't know how long it took but when it was done Mike arrived and the doctor came to talk to both of us. He said they had found a polyp or mass that was too large to remove during the colonoscopy. It would be biopsied and I would have a CT scan. It would likely be non-cancerous or precancerous. I might need surgery. At least that is what I remember. He also said I could call his office any time. Hw seemed nice.

That night (Wednesday) I was still sedated but aware. I didn't sleep from about 12 to 3 but I wasn't alarmed. It was pretty hard to eat anything the next day because I still felt nauseated - but I did my best with toast and tea. My main activity was purging my closet of anything I hadn't worn for a year or two. The following night I had the best sleep in my life. The day after that I began to be able to eat normally and do normal stuff - like wash the outdoor furniture, (I seem to have purging into my system1) That evening my daughter and her family came for the night. They were taking our two oldest grandsons to a condo they had bought in Victoria. They were both going to U Vic this fall.

It is now Labour Day Monday. My daughter and her family have come and gone. I think I should be normal but I'm not as strong as I think I should be. It is pretty hot for Nanaimo - around 30. I have been doing some gardening but I find it quite tiring. Also I had a migraine aura without headache yesterday and another one today. I think they are caused by stress and may be what is zonking me out.

Our poor dog has taken a turn for the worse. She is suffering terminal congestive heart failure and has been coughing a lot for months. Despite all the drugs we give her she will not get better. On Saturday we took her for a 25 minute walk which seemed to go well. But when we got home, she had some kind of an episode and now cannot use one of her back legs.  It just hangs there limply and makes it hard for her to pee or poop because she doesn't have 2 hind legs to balance on. She has learned how to get around the house fairly well and still has a pretty good appetite but she is as zonked out as I am and I don't think she will ever go on another walk. We are thinking we may have to have her euthanized sooner than we had expected. Maybe even tomorrow.

The other thing that is happening tomorrow is I have an appointment with my optometrist to  see how my cataracts are doing. I feel my eyesight is pretty bad and find reading pretty difficult. So we'll see what tomorrow brings.


Tuesday, August 29, 2017

Colonoscopy - Part 1.

I had thought I would not write about my colonoscopy- but today I learned that, in BC, the government has funded a plan whereby everyone between the ages of 50 and 74 will have a colonoscopy. Realizing everyone will have to go through this and thinking that knowing what you're getting into is useful, I decided I would describe my colonoscopy process blow by blow.  Don't read it if you aren't interested.  The reason the government is funding this program is that  colon cancer is the second most common form of cancer. Finding precancerous polyps and removing them improves peoples' chances of not dying from cancer by 90%. I am a bit different from average because I had blood in my fit test. So, in my opinion, they are probably gong to find something. Hopefully it will be a benign polyp that they will cut off and suck out and that will be the end of it.

It is now3 pm on  the day before the screening test. Last night I took 3 ducolax tablet - these are modest laxatives that get you started on cleaning out  your colon. I have already had about 6 watery  BMs. I am also drinking an incredible amount of fluid today. First, 3 litres of clear fluids between this morning and 4:30 this afternoon. Right now I am drinking 250 ml (more than a cup) every half hour. It's a lot. I need all this fluid so that my body is thoroughly hydrated before I start taking the heavy-duty laxative at 5 pm. Once I start drinking that nasty stuff, all the moisture will be sucked out of my body and I could become severely dehydrated if  I don't increased my hydration level right now.

I have now drunk 2 litres of clear fluids and feel as if I am swelling up a bit. I didn't drink very much this morning due to being at the teaching session at NRGH and then shopping for a variety of clear fluids. Apple juice, which is what I had bought, will not replace all the nutrients I will loose. I am drinking apple juice, gingerale, broth, and jello. I also have popsicles. At 5 o'clock I start drinking 3 litres of a laxative called CoLyte - 250 ml every 20 minutes for the first 2 litres and than 250 ml every 30 minutes for the next litre. This will cause some watery bowel explosions and clean me out. The timing for this to start is different for everyone - could be in 15 minutes or not for a few hours. I hope mine is done soon. (Pause I am now off to drink 250 ml of gingerale. Done. So this is what I'm doing at 3 o'clock on a sunny but smokey (from forest fires) afternoon  at the end of August.