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Tuesday, March 20, 2018

Catching Up, and May I introduce you to Stella Stoma



I thought it might be time to get caught up on what’s happening on the health front at our house since I haven’t posted any health-related news in six and a half months. There is plenty of news to report.

The day after my post of August 24 I had an appointment with my colorectal surgeon who decided it was time to do surgery on the primary tumor. I had one more chemotherapy treatment scheduled before surgery, and surgery was scheduled for October 10.

The doctor had explained to me that if everything went as planned he would be doing laparoscopic, robotic assisted surgery.  Everything went well and I had an abdominoperineal resection, which completely removes the distal colon, rectum, and anal sphincter resulting in a permanent colostomy. So now I have a stoma, which means that the end of my remaining intestine was brought out through an incision in my abdomen, and now resides a few inches from my navel and wears a pouch to catch anything spewed out. I have named the stoma Stella. Even wrote a little rhyme to welcome her to the outside world:
            I have a little stoma
            Her name is Stella Sue
            She sits next to my navel
           And spews out stinky poo.
All right, I didn’t say it was great poetry- and it may be a little gross to some sensibilities, but that IS what she does, and she does it well.

One of the interesting things about this surgery is that even though certain body parts have been removed, there is often the sensation that they are still there- sort of like the phantom limbs people describe after an amputation. So I may also make Stella the heroine of a book I might write one day:  Stella Stoma and the Mystery of the Phantom Rectum.

I was in the hospital for three days, where I was shown how to handle the stoma and apply the colostomy pouch, etc. So far everything has gone pretty well.   There is a learning curve involved as you try to find the pouching system that works best for you.  There are problems such as ballooning, pancaking, and blowouts, none of which are pleasant, but after a time, one learns how to prevent those problems for the most part, and how to deal with them effectively when they can’t be prevented.

The surgeon said he got clear margins when he removed the tumor, and the pathology report verifies clear margins, so that’s a very good thing.  My oncologist recommended that I remain on maintenance chemo to prevent a relapse, so I resumed chemo treatment with irinotecan and Erbitux on November 8. My last CT scan on January 5 shows that everything is stable and there is no new metastatic disease, so that’s a good thing.

I go in on Thursday this week for another chemo treatment and will have another CT scan in April.  I hope the next scan shows good results

More drama entered our lives in December, when Mr. G. began to feel ill.  He went to our family doctor, on December 4. After listening to his symptoms and running some tests the doctor thought he might have a kidney infection and started him on Cipro.   He got worse, with some back pains and numbness in his legs. We thought he might be having a reaction to the Cipro so back to the doctor on December 13, who scheduled him for an MRI.

 I had a chemo treatment on December 14, and when our son brought me home, Mr. G couldn’t walk at all, so   off they went to the ER.  He was admitted, and after some tests, including a spinal tap, he was diagnosed with Guillaine-BarrĂ© syndrome.            He was in the hospital for two weeks, and then was discharged to Lakeshore rehab facility for therapy.  After two weeks of rather intense therapy he was transferred to a nursing home/rehab facility for less intense therapy for three weeks, then back to Lakeshore for   another three weeks before being discharged home on February 28.

He was able to come home with a walker rather than a wheelchair. Physical and occupational therapists come to the house several times a week and he has been making slow but steady progress.  He is now able to walk short distances without the walker, and we’re hoping he’ll make a full recovery in time.

 And that just about catches us up.  Today is the first day of spring, and I’m looking forward to   some nice warm gardening weather!
                                                                                                                                   

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