The Big Surgery

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My big sister humors me when I decide to strike a power pose. So ready to get this thing over with, and SO in love with my ninja pants. These things are ridiculously soft and comfortable and everyone should buy a pair. (pimovement.ninja)

I think I woke up in recovery smiling, and I vaguely remember waking up happy. I now know that can be attributed to the epidural. The blessed nerve block that denied my body the pain it should have felt kept me somewhat numb and blissfully ignorant of what would come 3 days later. Dr. Skibber and his Fellow Jordan walked in as I was opening my eyes and the first thing I saw was his very pleased smile. Obviously things had gone well.

“Left or right?” I asked.

“Right.”

One simple word began a celebratory day in recovery as I phoned, texted and communicated with friends and family in a highly drugged post-anesthesia delirium. The surgery resulted in the best possible outcome they had ever presented: temporary ileostomy in my preferred location, J-pouch, no plastic surgery consult needed, in and out in 4 hours. The questions of the last 4 months were finally answered, and I had come through swimmingly.

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A picture is worth a thousand words.

All this being said, even with the epidural numbing the pain I became well aware that things were going to be tough for a while. A catheter and the ileostomy bag allowed me freedom from bed pans or excess movement, but I had IV’s in both hands, and the epidural line coming from my back. Rolling left and right initiated a sharp increase in pain, and with the bedrails I was only able to pull myself less than halfway. As I slid toward the foot of the bed due to my head being slightly elevated, I found that trying to push myself upward was near impossible. My abdominal muscles were sliced from below my pubic bone to 3 inches above my belly button, and I found that I could raise my head off the pillows but low neck and shoulders were glued. I was helpless and thankfully at the hands of spectacularly nurturing caregivers.

The days a blur, but I can read through text to see my communications and I’ve been told I actually made a couple of phone calls. Those must have been impressive. I have vague memories of my family, my surgeon and that odd sense of happiness. They took me to my permanent room around 9:30 that night where I insisted on sitting at the edge of the bed, standing, and walking about 10’ to my bathroom and back, and then laid down for the impossible hospital sleep of vital signs every hour, the frequent loud alerts of O2 monitors, and the nurse encouraging me to breathe deeper. My dad slept next to me in the worlds most uncomfortable chair bed and snored. Everything was going to be okay.

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Finally in my room with a fancy pants side pony. I insisted on taking steps and standing. Scared the pants off my daddy who spent the evening sleeping in the most uncomfortable chair in the world. He’s the best.

The following morning, epidural still firmly in place, I rolled over to sit on the edge of the bed winding my arms through the IV’s and my legs around the catheter bag. I didn’t feel great but it wasn’t that bad. I kept checking out my long incision and empty ileostomy bag thinking neither one was as bad as it should be. My spirits were still high, much like myself, as I listened to my father insist that I sit back down on the bed and wait for the nurse; he had gone to get coffee and came back to find me standing on the side of my bed trying to unplug my IV pole so I could walk. He almost fainted. And that’s how the day went, I struggled to adjust myself in the hospital bed, occasionally sat on the side, took a few walks, ate jello, sipped water, watched my mother hang luau decorations on the wall at the insistence of a friend, and tried to watch tv despite the world seeming like a very strange and distant place. I was killing it.

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Karen Kelly is a brilliant, ridiculous unicorn. This sounded like such a strange idea and brought me immense joy.

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Orchids from my besties.

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Roses from my bestie.

For the next 2 days my parents traded places, doctors and nurses came and went, and I waited with dread for the day they would remove my epidural.The ostomy nurses instructed me on the basics of my ileostomy while I nodded off, Dr. Skibber called me his All Star patient, the pain management team continued to marvel at my low pain levels and response to the epidural, and the nursing staff expressed gratitude that I was emptying my own bag, walking myself regularly, and chatting amiably with friends and family. Bear in mind I was in a post-anesthesia, pain med fueled, under slept haze, and because I always say that “perception is reality,” I perceived that I was having a fine time.

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Look at me! Walking without a care in the world. Everything hurts and I can’t stand up straight. Woohoo!

On the down side, I hate sleeping on my back and it was painful to try rolling to my side or attempt to lay there, so for 4 nights I hardly slept. The third day post-op my IV tower tipped while I was walking and I had to grab it to stop it from falling over; I felt a sharp pull on my stomach and was terrified I had given myself a hernia or torn something inside (my doctors assessed and I had not). My abdomen, things, buttocks and low back were swollen to epic proportions, and I found myself cradling my belly like a pregnant woman. I feel now, between my experience with the epidural, abdominal incision, undercarriage pain during radiation, and large swollen abdominal area, that I can truly relate to all my child bearing friends. Instead of giving birth to a bouncing baby boy or girl, however, I gave birth to the freedom from the evil oppression of my cancer.

Then came Friday and they told me two things I didn’t want to hear. They were removing the epidural later that day and I was going to be sent home with a blood thinner requiring me to give myself a shot in the stomach everyday for 25 days. I couldn’t tell you which one horrified me more. At this point, to be perfectly honest, I had become pretty nonchalant about my pain levels. I was told to expect pain after the epidural was removed, but so far I was a walking medical miracle of sorts, or so I thought. They removed the epidural, fed me some oral pain meds, and within 2 hours I was shocked to find myself not only experiencing a normal human pain response, but one that far exceeded my every expectation of what white, hot, blinding pain looks like. Thankfully, the hospital is a place with loads and loads of super duper pain meds and people who are happy to supply them. With some norco every 4 hrs, IV morphine for break through pain, and tramadol, I was able to make it through the night, eyes twitching and speech slurred.

Luckily for me, that same day they removed my catheter and I was able to take my first shower. Don’t ever let anyone ever tell you the first post surgical shower is anything but heavenly. Even with the pain, I smelled clean and felt like a million bucks…for 2 seconds. My sister drove in from Austin to spend the night, and spent the evening slathering my face with different creams, ordering from the hospital cafeteria, and indulging my love of hospital pudding. She made one of the most difficult nights of my existence one of the most memorable. I love her. She’s perfect.

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This isn’t my sister, but she made this. Nothing makes me happier than my niece. We ate lots of pudding together.

The next day I was discharged to a hotel. I was slightly overmedicated, and a little nauseated. My father and sister were driving back to Austin, and I was left in the care of my mother, in a hotel with minimal room service, only a small refrigerator and an ileostomy I vaguely understood to recuperate momentarily from a surgery that was complicated and complex. I had enough trouble sitting up with the use of my hospital bed. What if I couldn’t get out of bed? Would my mother know how to help me? What if my pain was uncontrolled? What if my bag leaked? How would I eat? These should have been the thoughts going through my head. Instead I was ready to blow that nurturing pop stand and get on with things. Despite an impressively short hospital stay for the surgery I had, 4 days instead of 5-7, the doctors thought I was ready and so did I. Time. To. Go.

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