I must make a confession: though I am a nursing student, I am not always fond of Dan being cared for by nursing students. I know, I know...hypocritical. However, some SNs just aren't on their game and let mistakes happen. Accordingly, I have become a wee bit more watchful tonight, as Dan has a SN again. This one is graduating in May like me, but has fought with this IV pump multiple times tonight and if I chewed gum like her, I think one of my preceptors would have smacked me. Oh well. We all have to learn. Dan is her easy patient, so I'm pulling for no mistakes this time around.
By the way, Dan is doing alright. (He was supposed to blog in exchange for taking the computer away from me, but he thought checking sports stats would take priority.) The NG tube came out this morning, freeing him from one more tube. His heart rate stayed up for most of the day until McGreeky came in. After he left, Dan and I went for a walk. When I hooked him back up to the pulse ox (measures oxygen and heart rate), his pulse was barely high. Now, it's back to the normal range. Yay! He still has a teeny fever, but that's better, too. His new wound looks good--like a football, Dan says. The staples will probably come out sometime next week, so long as everything goes well. His pain is under control, and he is much less sleepy since they changed the medication today. He still has a pain that the doctor cannot explain, but Dan said it is getting better.
Tomorrow, we're hoping for gas! That would mean a clear diet finally, and some progression toward the true test: solid food. Accordingly, we'll keep walking around the unit and staying out of bed as much as possible.
Keep praying. We're both tired of this hospital business. Dan wants to eat and go home. Seems pretty simple, right? Oy.
I'm off to sleep, too. I need to be alert when the nursing student comes in...maybe I should crawl in bed with Dan and freak her out again! Ha. Don't worry, we'll be nice.
Prayer Requests:
* Passing of gas tomorrow!
* No infections or other complications
* Ability for Dan to eat normal food without any pain or recurrence of obstruction
* Resolution of weird pain...and all pain very soon
* Energy and endurance
* Ability for Dan to come home with me soon...this is getting very old :(
* NO MORE COMPLICATIONS EVER EVER EVER AGAIN
* Encouraging news and events tomorrow
Loving each other while standing on the Rock!
Monday, April 5, 2010
Sunday, April 4, 2010
Easter in the Hospital
Unless you are a little kid, holidays in the hospital can be pretty boring. People feel sorry for children missing Santa Claus or the Easter bunny, but adults get to fend for themselves. Accordingly, if we didn't have a calendar in the room, we wouldn't know it's Easter today! Though it is a bummer to not be with our families or finding hidden eggs (yes, we still do that), we hope that this is one of the last holidays spent in here. Well, we hope it's one of the last days spent in here period!
Dan is doing alright today. He's still having considerable pain, but it's better than last night. Oddly, his pain is on the opposite side of where the biggest band was, but the surgeon isn't concerned about it as of yet. The NG tube has to stay until tomorrow since it was still draining quite a bit. Though, the foley got to come out this morning. Dan has some post-anesthesia affects still (low fever, high heart rate), but they will be considered normal as long they resolve by tomorrow.
The goal for the day is to get Dan out of bed, get walking, and wean off the oxygen. So far we have been successful. Dan got out of bed by himself (for the most part), went for a teeny walk and sat in a chair for a couple of hours. He is now as clean as is possible without the possibility of a shower. Apparently, that wore him out, as he is now asleep again.
Long term goals are similar to before surgery: bowel sounds, pass gas and be able to eat. Dan will be NPO (no food or drink) until he can pass gas, which could be anywhere from 2-5 days from surgery. At that point, he'll start with clears and work his way up to solid food. God willing, Dan could squeeze out of this joint by next weekend eating happily again. (McGreeky does NOT think that's going to happen, but you can't blame us for hoping).
Enjoy Resurrection Day, as that is what today should be about...Jesus and the price He paid for us to receive salvation. Dan and I certainly missed going to church to celebrate, so if anyone knows of a good webcast of an Easter sermon, let us know. For now, here is one of my favorite musical reminders of God's grace and mercy for us. (The Power of the Cross by Keith Getty)
Prayer Requests:
* Safe, complete, uncomplicated recovery
* No infections, no internal bleeding, no bowel damage, etc.
* "Awakening" of bowels (bowel sounds, gas, etc.)
* Control and continued improvement of pain
* Ability for Dan to get moving, get eating and get out within a week (that's the normal recovery time for this type of surgery)
* Ability for Dan to come home with me soon
* Good health and endurance for me (I don't want to get Dan sick)
Dan is doing alright today. He's still having considerable pain, but it's better than last night. Oddly, his pain is on the opposite side of where the biggest band was, but the surgeon isn't concerned about it as of yet. The NG tube has to stay until tomorrow since it was still draining quite a bit. Though, the foley got to come out this morning. Dan has some post-anesthesia affects still (low fever, high heart rate), but they will be considered normal as long they resolve by tomorrow.
The goal for the day is to get Dan out of bed, get walking, and wean off the oxygen. So far we have been successful. Dan got out of bed by himself (for the most part), went for a teeny walk and sat in a chair for a couple of hours. He is now as clean as is possible without the possibility of a shower. Apparently, that wore him out, as he is now asleep again.
Long term goals are similar to before surgery: bowel sounds, pass gas and be able to eat. Dan will be NPO (no food or drink) until he can pass gas, which could be anywhere from 2-5 days from surgery. At that point, he'll start with clears and work his way up to solid food. God willing, Dan could squeeze out of this joint by next weekend eating happily again. (McGreeky does NOT think that's going to happen, but you can't blame us for hoping).
Enjoy Resurrection Day, as that is what today should be about...Jesus and the price He paid for us to receive salvation. Dan and I certainly missed going to church to celebrate, so if anyone knows of a good webcast of an Easter sermon, let us know. For now, here is one of my favorite musical reminders of God's grace and mercy for us. (The Power of the Cross by Keith Getty)
Oh, to see the dawn
Of the darkest day:
Christ on the road to Calvary.
Tried by sinful men,
Torn and beaten, then
Nailed to a cross of wood.
This, the pow'r of the cross:
Christ became sin for us;
Took the blame, bore the wrath—
We stand forgiven at the cross.
Oh, to see the pain
Written on Your face,
Bearing the awesome weight of sin.
Ev'ry bitter thought,
Ev'ry evil deed
Crowning Your bloodstained brow.
Now the daylight flees;
Now the ground beneath
Quakes as its Maker bows His head.
Curtain torn in two,
Dead are raised to life;
"Finished!" the vict'ry cry.
Oh, to see my name
Written in the wounds,
For through Your suffering I am free.
Death is crushed to death;
Life is mine to live,
Won through Your selfless love.
This, the pow'r of the cross:
Son of God—slain for us.
What a love! What a cost!
We stand forgiven at the cross.
Of the darkest day:
Christ on the road to Calvary.
Tried by sinful men,
Torn and beaten, then
Nailed to a cross of wood.
This, the pow'r of the cross:
Christ became sin for us;
Took the blame, bore the wrath—
We stand forgiven at the cross.
Oh, to see the pain
Written on Your face,
Bearing the awesome weight of sin.
Ev'ry bitter thought,
Ev'ry evil deed
Crowning Your bloodstained brow.
Now the daylight flees;
Now the ground beneath
Quakes as its Maker bows His head.
Curtain torn in two,
Dead are raised to life;
"Finished!" the vict'ry cry.
Oh, to see my name
Written in the wounds,
For through Your suffering I am free.
Death is crushed to death;
Life is mine to live,
Won through Your selfless love.
This, the pow'r of the cross:
Son of God—slain for us.
What a love! What a cost!
We stand forgiven at the cross.
Prayer Requests:
* Safe, complete, uncomplicated recovery
* No infections, no internal bleeding, no bowel damage, etc.
* "Awakening" of bowels (bowel sounds, gas, etc.)
* Control and continued improvement of pain
* Ability for Dan to get moving, get eating and get out within a week (that's the normal recovery time for this type of surgery)
* Ability for Dan to come home with me soon
* Good health and endurance for me (I don't want to get Dan sick)
Saturday, April 3, 2010
Night One
Dan made it back to his room accompanied by lots of tubing, though not as many as after his last surgery. After the nurses got everything situated, I could finally say hello to my hubby after a few hours of waiting. He is still in a good deal of pain, though the PCA (pain button) has helped considerably. I have yet to see the incision, as Dan is tucked in and cozy for now. The NG tube is still in, but draining only a small amount.
Dan wanted to know how the surgery went, so I told him, but I bet I'll have to remind him tomorrow. He wants the surgeon to explain it, too. Hopefully, morning will find him feeling better and more alert. Of course, there is probably a long road of healing up ahead. Our prayer is that the recovery goes as smoothly as the surgery did.
Pray for no complications (no infection, no internal bleeding, etc.) and a cooperative digestive system. Also, pray for easing of the pain so Dan can sleep and regain strength.
Dan wanted to know how the surgery went, so I told him, but I bet I'll have to remind him tomorrow. He wants the surgeon to explain it, too. Hopefully, morning will find him feeling better and more alert. Of course, there is probably a long road of healing up ahead. Our prayer is that the recovery goes as smoothly as the surgery did.
Pray for no complications (no infection, no internal bleeding, etc.) and a cooperative digestive system. Also, pray for easing of the pain so Dan can sleep and regain strength.
Recovery Room
Dan got out of surgery after only a couple of hours.
McGreeky said they found 3 thick bands of scar tissue wrapped around his bowel, which were causing Dan the pain when he ate. The surgeons had to make a large incision to check all of Dan's bowels for adhesions. Luckily, he didn't have many adhesions elsewhere in his bowels, but these bands were causing some serious problems. McGreeky said they took care of those bands, checked everything out and closed him up. There was very little blood loss and the open surgery time was very short.
So, the surgery was definitely necessary, though there was no way to see this for sure on the CTs. Tomorrow, they should be able to remove the NG again (which will thrill Dan). They will wait until there are bowel sounds and passing of gas before letting Dan try eating again. Hopefully, eating will go much better, though this is still a concern.
For now, we are waiting for Dan to get out of the recovery room and go back to his room. As McGreeky said, "we aren't victorious until Dan is out of the hospital." Keep praying.
Prayer Requests:
* Quick and uncomplicated recovery
* No infection, no problems
* Successful eating trial...completely successful!
* Ability to get out of the hospital and go home within the week
* NO COMPLICATIONS AND NO MORE OBSTRUCTIONS
McGreeky said they found 3 thick bands of scar tissue wrapped around his bowel, which were causing Dan the pain when he ate. The surgeons had to make a large incision to check all of Dan's bowels for adhesions. Luckily, he didn't have many adhesions elsewhere in his bowels, but these bands were causing some serious problems. McGreeky said they took care of those bands, checked everything out and closed him up. There was very little blood loss and the open surgery time was very short.
So, the surgery was definitely necessary, though there was no way to see this for sure on the CTs. Tomorrow, they should be able to remove the NG again (which will thrill Dan). They will wait until there are bowel sounds and passing of gas before letting Dan try eating again. Hopefully, eating will go much better, though this is still a concern.
For now, we are waiting for Dan to get out of the recovery room and go back to his room. As McGreeky said, "we aren't victorious until Dan is out of the hospital." Keep praying.
Prayer Requests:
* Quick and uncomplicated recovery
* No infection, no problems
* Successful eating trial...completely successful!
* Ability to get out of the hospital and go home within the week
* NO COMPLICATIONS AND NO MORE OBSTRUCTIONS
Waiting Rooms
The doctor officially decided to do surgery to get rid of the bowel obstruction. He will be doing a lysis of adhesions (cutting the scar tissue that is holding the bowel up). McGreeky said he would try to do this through a scope (laparoscopically) first, though there is a high chance he will need to make a larger incision. If they simply find adhesions, they can take care of them and close Dan up. If they find that his bowels are "very sticky" (lots of adhesions), the surgery could take quite a while longer. Additionally, they are hoping to not find a need to resect any of Dan's bowel. That would potentially create more problems and longer healing.
Basically, McGreeky doesn't know what he is going to find when he takes Dan into surgery. He gave us a time estimate only because I asked: 2-6 hours. Lovely.
Currently, Dan and I are waiting in his room for transport to pick him up for surgery. He was supposed to go at 2, but a trauma surgery took precedence. So, we wait. Unfortunately, Dan has to wait with another NG tube until surgery. Bummer.
His parents, my parents and his aunt and uncle are waiting in the surgical waiting room. I'll join them as soon as Dan is actually taken back to the OR. Hopefully, we won't be waiting more than a few hours this time.
I will update as I can. Keep praying.
Prayer Requests:
* Successful, short, simple surgery
* No complications whatsoever (no infection, extra bowel obstructions)
* No bad surprises
* Peace for those of us in the waiting room
* Quick and unremarkable recovery for Dan
* Ability for Dan to eat comfortably and go home within the week :)
Basically, McGreeky doesn't know what he is going to find when he takes Dan into surgery. He gave us a time estimate only because I asked: 2-6 hours. Lovely.
Currently, Dan and I are waiting in his room for transport to pick him up for surgery. He was supposed to go at 2, but a trauma surgery took precedence. So, we wait. Unfortunately, Dan has to wait with another NG tube until surgery. Bummer.
His parents, my parents and his aunt and uncle are waiting in the surgical waiting room. I'll join them as soon as Dan is actually taken back to the OR. Hopefully, we won't be waiting more than a few hours this time.
I will update as I can. Keep praying.
Prayer Requests:
* Successful, short, simple surgery
* No complications whatsoever (no infection, extra bowel obstructions)
* No bad surprises
* Peace for those of us in the waiting room
* Quick and unremarkable recovery for Dan
* Ability for Dan to eat comfortably and go home within the week :)
Friday, April 2, 2010
Good Friday?
As a kid, I never really understood why Good Friday is called Good Friday. I mean, Jesus was beaten, betrayed and killed. What is so good about that? Now, with a little more Biblical and theological understanding, I know that what happened on Good Friday was the best thing to happen to humanity since...ever. Still, meditating on the events of the Crucifixion does not leave one in a joyous mood. Our sins put Christ on the Cross. He was innocent, yet paid the price on our behalf. It wasn't fair, but it saved our souls. Wow.
In a much much much less severe way, Dan's Good Friday wasn't all that good either. His diet was moved up to solids, but that didn't work very well. By noon time, he was in pain and vomiting. McGreeky got finished with his surgery early and told Dan he'd have a CT to make sure there was an obstruction and then be scheduled for surgery tomorrow.
By the time I arrived from LA (a nice, easy drive for once), Dan was headed to CT. Results showed...nothing. The CT was normal except for a very small amount of dilation of the same bowel that has been problematic. McGreeky called and said this was definitely not something to operate on. In fact, he said this CT looks even better than the one done last week. The other surgeon who came in agreed, put Dan on a clear liquid diet again and apologized repeatedly for how frustrating this must be for Dan. After banking on surgery tomorrow, we just had to take this change in stride. McGreeky told us that if Dan's symptoms persisted through the weekend, he'd have surgery on Monday. Sound familiar?
About half an hour later, McGreeky called back (he and Dan are on cell phone basis now). He had spent some time thinking about the situation and wasn't comfortable leaving Dan in pain all weekend. So, he was actually leaning more toward surgery tomorrow after all. He wanted Dan to keep drinking tonight to see how he felt and they would discuss things in the morning. He also put Dan on the surgery schedule for tomorrow just in case. The interesting thing is that McGreeky feels Dan is now a better candidate for a laparoscopic surgery, meaning he would not need to make a large incision to open Dan all the way up. Thanks to the improvement shown on the CT, it is possible for this type of surgery to be successful with less risk of missing something. (Of course, there is always the possibility that they will not find what they need to find and Dan will be opened up a little bit into the surgery.)
We tried to take this turn of events in stride, discussing what to say to McGreeky in the morning to get something done. Dan's pain seemed to go away, he was in good spirits, and he ate most of the clear liquid on the tray. It began to look like Dan wouldn't be in enough pain to convince the doc he needed surgery! Of course, another hour told a different story. Even the clears caused Dan pain and cramping. As he is now drugged and sleepy, we're pretty sure Dan will have a date in the OR tomorrow.
As the disciples must have felt scared and disappointed and doubtful in the day between the Crucifixion and the Resurrection, Dan and I (and family) are having a hard time grasping what God is doing here. Yet, the pain and sorrow for the disciples and believers of Jesus was replaced with rejoicing in that glorious morning when Christ conquered death. Wouldn't it be spectacular for Dan to have a glorious morning of healing and renewal on Resurrection Sunday?
Prayer Requests:
* Wisdom for the doctors in making the 'final' decision
* Safe, effective, simple surgery done laparoscopically
* Swift and uncomplicated recovery time (this has to be possible for Dan)
* Peace and comfort for those in the waiting room
* Resolution of this bowel obstruction once and for all
* Rest and comfort for Dan as he sleeps tonight
* A 'glorious morning' for Dan very soon
In a much much much less severe way, Dan's Good Friday wasn't all that good either. His diet was moved up to solids, but that didn't work very well. By noon time, he was in pain and vomiting. McGreeky got finished with his surgery early and told Dan he'd have a CT to make sure there was an obstruction and then be scheduled for surgery tomorrow.
By the time I arrived from LA (a nice, easy drive for once), Dan was headed to CT. Results showed...nothing. The CT was normal except for a very small amount of dilation of the same bowel that has been problematic. McGreeky called and said this was definitely not something to operate on. In fact, he said this CT looks even better than the one done last week. The other surgeon who came in agreed, put Dan on a clear liquid diet again and apologized repeatedly for how frustrating this must be for Dan. After banking on surgery tomorrow, we just had to take this change in stride. McGreeky told us that if Dan's symptoms persisted through the weekend, he'd have surgery on Monday. Sound familiar?
About half an hour later, McGreeky called back (he and Dan are on cell phone basis now). He had spent some time thinking about the situation and wasn't comfortable leaving Dan in pain all weekend. So, he was actually leaning more toward surgery tomorrow after all. He wanted Dan to keep drinking tonight to see how he felt and they would discuss things in the morning. He also put Dan on the surgery schedule for tomorrow just in case. The interesting thing is that McGreeky feels Dan is now a better candidate for a laparoscopic surgery, meaning he would not need to make a large incision to open Dan all the way up. Thanks to the improvement shown on the CT, it is possible for this type of surgery to be successful with less risk of missing something. (Of course, there is always the possibility that they will not find what they need to find and Dan will be opened up a little bit into the surgery.)
We tried to take this turn of events in stride, discussing what to say to McGreeky in the morning to get something done. Dan's pain seemed to go away, he was in good spirits, and he ate most of the clear liquid on the tray. It began to look like Dan wouldn't be in enough pain to convince the doc he needed surgery! Of course, another hour told a different story. Even the clears caused Dan pain and cramping. As he is now drugged and sleepy, we're pretty sure Dan will have a date in the OR tomorrow.
As the disciples must have felt scared and disappointed and doubtful in the day between the Crucifixion and the Resurrection, Dan and I (and family) are having a hard time grasping what God is doing here. Yet, the pain and sorrow for the disciples and believers of Jesus was replaced with rejoicing in that glorious morning when Christ conquered death. Wouldn't it be spectacular for Dan to have a glorious morning of healing and renewal on Resurrection Sunday?
Prayer Requests:
* Wisdom for the doctors in making the 'final' decision
* Safe, effective, simple surgery done laparoscopically
* Swift and uncomplicated recovery time (this has to be possible for Dan)
* Peace and comfort for those in the waiting room
* Resolution of this bowel obstruction once and for all
* Rest and comfort for Dan as he sleeps tonight
* A 'glorious morning' for Dan very soon
Thursday, April 1, 2010
Eating
So it's update time; sorry for not blogging yesterday. I tend to forget when Ash isn't around; she's more motivated than I am.
Yesterday and today were very similar. My mom came both days, we did the cryptoquip and crossword, I walked, watched TV and movies, and perused facebook more than the average day. The main difference was that yesterday I ate broth and jello, and today I had more milky products like cream of wheat and what may become a dietary staple in the coming weeks, Ensure (or other protein supplement to gain weight). Once again, they're working me up to solid food and seeing how my bowels respond. So far, everything's moving through. (yayyyyyy)
But here's the rub: this exact thing happened last time, and at the end of the solid food day, I was in some nasty pain and eventually threw up, restarting this process. I really want this food trial to work, but at this point, I can't say what I think will happen.
Ashley has been working her gluteus maximus off back at school these past two days, and for that I am really proud of her. She's going to make an excellent nurse one day. But for now, nursing school still makes her life pretty stressful. Tomorrow, she'll drive up and actually be on a break! Praise the Lord.
Insurance has been really weird. They kept trying to shirk payment of my bills by claiming I had an accident I didn't report. Yes, I had an accident that meant I needed a Whipple surgery. April Fools! If Obamacare makes health insurance worse, I'll really need God's healing! (not that I don't need it now...)
Anyway, please pray for one thing: that this works and we can go home together (and maybe even go to Easter with our extended family!).
Thanks friends. More to come later.
Dan
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