Tag Archives: fistula

Emergency Surgery??

1 Reply

Hello everyone!  I wanted to continue with the last post as soon as possible because there is a lot of details to tell you about.  They are almost unbelievable!

I left off the last post telling you that the ER doctor had just told me he thought that I would need emergency surgery.  He also told me that they needed to transport me to another hospital because their hospital wasn’t equiped for that (it’s a small hospital).  They were just waiting to hear back from them at that time.  I waited and waited, still in the ER.  Sometime during the night, the doctors/nurses came in to tell me that the hospital, that is my home hospital that I had most of my surgeries at, turned me down saying that I was too complicated of a case.  The doctors should get a hold of Mayo.  So the doctors there at this small hospital called Mayo and Mayo wouldn’t except me saying that they were confident the other hospital could do it.  So now I felt like I was a hopeless case and nobody wanted me.  The other hospital in St. Louis refused again so Mayo agreed to take me then.  Let’s put it this way, if I was supposed to have emergency surgery, these hospitals weren’t getting in a hurry!  I spent the night in the ER.

Mark is at the hospital at 9:00am the next day to see what is going on.  I had texted him in the middle of the night letting him know that they are taking me to The Mayo Clinic now, the St. Louis hospital wouldn’t accept me.  The doctors at this hospital told me that they didn’t want me to ride in an ambulance for 8 hours so they were going to try and helicopter me out.  At this time, the hurricane was coming through our area so we had to watch the weather to find a time to get the helicopter going (my luck).  About 2:00 that afternoon, they told my husband that he could go ahead and leave for Mayo and I will be there shortly after him.  I was supposed to fly out around 4:00pm.  He took off and during this time, there is an update to the weather and I couldn’t fly out until 8:00pm now.  My husband called to let me know he arrived in Rochester around 9:30pm, I told him I was still waiting and they told me it would be around midnight now.

Believe it or not, I was still there at 8:00am the next day!  This is day 3 in the ER now.  My husband was in Rochester waiting on me and the nurse came in to ask me if I thought another St. Louis hospital could look at me.  I told him that my husband is waiting on me and Mayo does know me and my complications so I’d rather just go there.  They understood and I was finally helicoptered out around 2:00 that afternoon.  I was helicoptered from the hospital to Lambert airport in St. Louis, then placed into a Lear jet at Lambert and flown to Rochester, MN.  From there, I was placed in an ambulance and traveled to The Mayo Clinic.  What a day!  I arrived around 4:30pm. with my husband waiting on me.  While I was in the ambulance, I threw up because somewhere down the line, I developed a migraine.  The nurse was pumping zofran in one arm as I was puking.  When I got to the hospital, I puked again and the nurse there gave me compazine in my PICC line during then.

In case you didn’t know, both Zofran and Compazine are anti-nausea medications that make you drowsy.  I had received both of them in my PICC line about an hour apart.  They kicked my butt!  I was dozing off every minute I could.  The nurse was asking me all these questions and I don’t know what I told her, if anything!  I do know they wanted to do another CT scan with contrast while I was there that night.  That meant I had to drink 2 glasses of the contrast before going into the scan.  I was knocked out!  I would wake up, take a drink, pass back out and Mark would yell at me to wake up and drink more!  I managed to get my scan over with (not sure how) and slept for the rest of the night, kinda.  The nurse tried her best to wake me up to get my vitals 3 times in the middle of the night and it was like wrestling with a sloth!  I could here her yelling at me, but couldn’t figure out how to get my arm where she needed it.  That continued until about 10:00 the next morning.  I am not like that at all, the least little noise, I’m up and looking for what it was.  I had been drugged!

Friday morning came about and the doctors came in to visit.  They said the CT scan showed the loop and abcess, however, with the contrast, they could see that there wasn’t a hole in my intestine.  The intestinal lining was thinning at that place, however they couldn’t do anything for it at the time.  So I guess I’ll just wait until it gets thin enough to develop a hole…I’m not sure I like that either.  They’re plan of attack was to just give me copious amount of antibiotics and let it run it’s course.  They also told me finally that I could eat.  I hadn’t been able to eat or drink anything the whole week leading up to this moment. I ordered that biggest breakfast I could and ate every bit of it!  The doctors did mention that I should be able to leave the hospital the next day, that made my day also!  That night rolled around and I had a new nurse.  She changed out my antibiotics and such and then I thought I heard her ask me if I wanted a back massage!!  I said, “Hell yeah” but then I knew that I couldn’t have heard her correctly and was panicking just thinking about what I agreed to!  She was looking all over the room for something and when I asked her, she told me she was looking for the lotion, then I really panicked, LOL!  After the 5 minute awkward back massage, I texted my husband, friend and daughter and told them that never I have ever received a back massage at any hospital!  Of course they laughed with me!

Saturday morning rolled around and the head of the Gastroenterology department came in to talk to me to see how it was going.  She was really nice and gave me some information and told me that I could go home!  About noonish I was all packed, dressed and ready to go!  Mark and I was on our way and ready for that 8 hour drive back home!  We rested that night and the next day, we went to see our new grandson that was born the week all this was happening.

What a week!  I was so ready to settle down get back to normal.  I’m not a fan of the hospitals because I always end up staying and feel as if I have so much other stuff to do.  It feels like a big interruption of my life and I have to play catch-up when I get home.  I really should learn to relax a bit and I’m trying.  Let me know if any of you have had a similiar experience or would like tell me something that happened out of the ordinary within a hospital setting.  Every experience is unique – never the same!  Just remember to take one day at a time with this disease and we’ll get through it together!

Chow for now,

Kelly

 

 

Update 2024

3 Replies

Hello everyone!

I hope this post finds you in good health and spirits!  The only excuse I have that I haven’t written in a while is because, yes, I am out of remission and doing okay, just not terrific.  I would like to let you in on an overview of what has been happening to me during this time.

Going back to the last update that I posted, I had felt an all too familiar sign that my fistula may be coming back.  It did.  The Entyvio had stopped working for me around August 2023.  My doctor had taken me off the medicine and replaced it with 15mg Rinvoq, still along with my 90mg Stelara I was already taken also.  During that time, my Crohn’s Disease spiriled out of control because I had to wait at least a good month for the insurance to approve it.  Imagine that.  When I finally got the approval, the Rinvoq took a few months for me to notice a slight change for the better.  When my Crohn’s wasn’t doing as well, I was in a lot of pain on my right side of my abdomen and I was extremely gassy.  With this 15mg Rinvoq, the pain was relieved, however, I had still remained really gassy.  This has gone on every since then.

In February, my GI doctor told me during an office visit that she was leaving to go to another hospital affiliation.  I was devestated.  She had been my GI doctor for years and now I would have to find another and start over, so I thought.  So, back in 2017ish, I left my GI doctor from one hospital to change to another because of personal reasons.  I had asked my primary doctor to refer me to another great one and she did.  I really liked this doctor, however, it came to note that she was out of my network with my insurance so I had to be referred to another GI doctor, the one that left me recently.  Now, many years later, this doctor that was out of my network decided to leave her practice where she was at and join forces with the doctor I most recently had.  Long story short, when my doctor told me she was leaving me recently, she suggested I take on the doctor I had many years ago that is now in her practice.  I did.

I had my first appointment with her a few months back and she remembered me!  She suggested that I take the 45mg Rinvoq so that we can get this fistula to close back up.  I loved the idea because this fistula has really been giving me a lot of problems.  When I left her office, I felt confident that this thing would heal after receiving the 45mg. Rinvoq because I knew the 15mg Rinvoq helped me some.  It took the insurance a while again to approve the 45mg medicine, so the doctor told me I could come every two weeks to her office and pick up some office samples of the 45mg Rinvoq they had.

During this time, I am noticing that the Rinvoq samples are not digesting properly because I can see it coming through my colostomy bag as I am draining it.  This concerns me because I also don’t feel any better with the 45mg Rinvoq than I did with the 15mg Rinvoq and I fact, I believe I am getting worse!  My symptoms/notices are – 1) the Rinvoq isn’t working the way it should because this is a time-released drug and by the time it gets where it should be on a normal person, it leaves my short gut before absorbing. 2)  I have been having severe pain on the right side of my  abdomen.  3) multiple UTI’s because I am seeing mucus/feces while urinating in the toilet and a lot of gas that also passes through my fistula now and 4) I am also feeling a lot of pressure underneath that I have to relieve with warm sitz baths.  With these symptoms, I called my doctor to let her know what was going on.  She suggested I keep on the Rinvoq for now because studies have shown that even though the medicine may not absorb completely, the patient still gets some benefits from taking the drug.  I’m not sure if I agree with this totally or not.  Also, she suggested doing a steroid taper of Prednisone to combat the flare that I am having.  I agreed and believed she was on her way to ordering the taper.  Believe it or not, it took me several phone calls, several emails and a week just to get her or anyone in her office to respond to me.  I wasn’t a happy camper because I was in severe pain.

I’m going to leave off here because I have a whole other story to tell ya’ll about my annual trip to The Mayo Clinic.  Oh boy!!  I have a Zoom appointment on May 9th with my doctor from Mayo so I want to give ya’ll the full report on that when I have all the information.  I do want to let ya’ll know that we have had some serious sicknesses and deaths in our family, including our dog Jasey, since I last posted and don’t by no means want anyone to think I am wanting to take presidence over what has happened.  I love ya’ll deeply, you know who you are.

Chow for now,

Kelly

Complications from Last Surgery

2 Replies

Hello everyone!  I’m sorry it has taken so long for another post.  I have had a few technical difficulties, so to say.  When we left off the last post, I was just getting another PICC line inserted to receive TPN.  In this post, I will give you a recap of what happened during the lapse of time.

I felt so much better after receiving the TPN, no more running to the ER all the time.  In January of 2021, my Urologist told me he thought my bladder had healed from the hole I had in it, so he took the catheter out and sent me on my way.  All was going good until around August of that year.  I was running fevers and I was urinating blood.  I went to the hospital for a week’s stay.  During the stay, they pumped me full of antibiotics.  Afterwards, I was sent home with oral antibiotics.

All was well until February 2022 when all hell broke loose.  I ran a fever constantly and this time I was urinating feces!  I was back in the hospital for another week.  During this week, an incident happened.  So I had to collect my urine in what they call a hat.  I was urinating 50% urine, 50% feces.  It was shocking and alarming when I went to urinate and seen a lot of feces also.  So, housekeeping came along and was cleaning the bathroom.  One lady was overheard, by me, telling another lady in the hall that the patient has pooped in her hat and asked if they expect her to clean it up.  They were dogging me about it and I heard every bit of it.  I was hurt because I couldn’t help it and that’s why I was in the hospital in the first place.  I couldn’t help it.  The nurse came in and I told him what had happened.  I’m not sure, but I don’t think he took me seriously.  Luckily, the nursing supervisor just happened to come in and check on me.  I told her the situation and she asked me lots of questions about it.  She left and later came in and told me she talked to their supervisor and they were being disiplined.  Next time they talk about a patient, they should look around the corner!

It was determined that I still had a hole in my bladder and a fistula.  The Urologist took the catheter out when the hole wasn’t closed completely.  The doctors decided to put a drain in my bladder and the surgeon told me he didn’t want me to eat AT ALL!  Just rely on the TPN for the nutrients and calories I need.  P.S.– Anyone who knows me knows I love food!  They tweeked my TPN up alot to compensate for not eating.

I am going to stop right here and tell you the rest on the next post.  There are as much surprises as this post was.  Never a dull moment around here!  Remember to take one day at a time with this disease and don’t let it overwelm you.  If you would like to ask me something or make a comment, I am here to answer!

 

chow for now!