Recovery

I’ve been home for a week and am recovering well. Thanks to all my friends far and near, IRL and on the internet who sent positive thoughts and prayers my way!

Surgery went as planned with no complications. The surgeon made only four small incisions to perform to a laparoscopic low anterior resection. The largest incision goes through my belly button and is just over an inch long. Through this vertical incision he was able to remove my sigmoid colon and a portion of the rectum: 10 inches in all. He also removed my appendix, which was a surprise to me since there were no issues with my healthy appendix. The surgeon explained that it was a prudent precaution since I had already had two abdominal surgeries and it would best for me not to have another anytime soon.

I was helped up to walk around the nurse’s station the evening of the surgery, and was encouraged to get up and walk with every daytime shift change. I only needed help the first couple times until all the anesthetic had worn off and I was steadier on my feet.

My pain from the surgery was not as bad as I expected. I was surprised that my abdominal muscles weren’t as sore as they were after my laparoscopic hysterectomy, and getting in and out of bed wasn’t as difficult as I remembered. It just felt like I had some average menstrual cramps. I did make use of the Dilaudid pain pump a few times that first day and evening, but discontinued it by the next day.

The main reason why I stopped using the Dilaudid was because I started having bad headaches and nausea. At first the nurses suggested that was caused by the anesthesia clearing by body, but as the headache and nausea persisted I started being told it may be side effects from the Dilaudid. Whatever the cause, I was regularly asking for the anti-nausea drugs and anything at all they could give me for the terrible headache. By Thursday night, I was sick a couple times and feeling my worst.

While it’s possible that the nurses were correct about the cause of my headache and nausea, I also suspect that my lack of any solid food contributed to my problems. I had been on clear liquids only the day before surgery. The day of surgery I was instructed to drink a small, clear Ensure at 3:30 AM, but was otherwise NPO (nothing by mouth); I wasn’t even allowed ice chips that evening.  On Thursday my meals were all clear liquids. Is it any wonder I was feeling so awful by that time? On Thursday night I dreamed about food: big, green salads, and toast with peanut butter. Nom!

Luckily they brought me solid food on my Friday breakfast tray. I was so happy to eat cream of wheat, scrambled eggs, and toast! Once I got real food, it seemed my recovery accelerated. I was walking the floor several times a day, my vitals were great, and my pain-killer use was orally administered Hydrocodone just a couple of times a day. The doctor even suggested that if I wanted to go home late Friday instead of waiting for Saturday that I could do so, but I declined. My arrangements for getting picked up had been made for Saturday and I just couldn’t switch them. I enjoyed a shower Friday afternoon and was packed up and ready to go Saturday morning.

My sister drove my car to pick me up late Saturday morning and I was back home by noon. Sister has been my care taker for the past week, and that deserves a whole different post.

The only bad experience I had in hospital was with a roommate who was brought in very early Thursday morning. I’m not sure why my room was chosen as the one to get a new admit sent up from the ER, but it was a bad decision for a couple of reasons. That was my first night post-op, and it was a decidedly unfun experience to be woken up at 1 AM as they readied the other bed.

The other patient was an elderly woman who had fallen and broken her hip. She was in a lot of pain and also very distressed, so she was quite vocal. I tried hard to remind myself to be compassionate, but I also regretted forgetting to bring my sleep mask. At least I could drown out most of her moaning and loud talk with my headphones. My doctor wasn’t happy to find out that I had such a loud roommate when he visited me on Thursday. I didn’t even have to say anything specific, just respond that I hadn’t slept well when he asked. He picked up immediately on the problem.

On Thursday afternoon they took the woman away to surgery and put her in the room next door when she was returned to the floor. I felt very bad for her discomfort and situation, but was glad I wasn’t going to have to deal with her or racist husband anymore. (The husband made pretty loud comments about the apparent race of the nurses and assistants more than once. Ugh!)