Showing posts with label gall bladder. Show all posts
Showing posts with label gall bladder. Show all posts

Monday, June 3, 2013

Sadness and Miracles

I am so relieved to be home, but there is no getting back to normal as there is no normal left.

I had been in the hospital for three days while the options for surgery on my gall bladder were batted around.  That third day my surgeon, a local superstar wunderkind, previously all good cheer, came to me with an absolutely stricken look on his face.  An ultrasound, x-ray, MRI and CT scan, all done while testing the gall bladder, were showing a mass on my liver.  It did not look good, he told me.  In fact, it was probably a worst case scenario.  I was pretty stunned, but not as upset as I would have expected.  I didn’t cry or anything, I was just numb.  Fortunately, my friend Christine was with me the first time he broke this news and that made an enormous difference.  Thank goodness I was not alone.  He had already been concerned about doing gall bladder surgery because of my compromised breathing.  Now the surgery I needed for a liver tumor was so complicated and serious, I actually had to be transferred to a different hospital where he worked with another surgeon who specialized in liver surgery.  And there was no question of not doing it.

When I posted this on Facebook, the response was staggering, with comments and encouragement and support from almost one hundred people, some of whom I didn’t even know.  Father David, our wonderful Interim pastor, visited and prayed with me, but to be honest, my own prayers were hollow.  I was dazed.  I sent final messages to my children and funeral plans to my friend Louise, to be given to the kids as needed.

The night they transferred me I had a final CT scan before they organized the surgery.  The next morning the surgeon was in my room again, this time almost speechless.  He felt like an idiot, he said, because the CT scan from the night before showed no tumor on my liver anymore.  There was nothing there.  Nothing.

I did not believe the surgeon was an idiot, although I don’t think that was the most appropriate approach to the news he had.  I also do not believe several doctors could have misread multiple radiology studies.  On the other hand, I had had no expectations of miraculous healing.  I just wanted a peaceful death.  Full of self-loathing, which is cheerfully supported by the people I love most in my life, I never considered myself a miracle candidate.  But it seems that might be exactly what I got.

I have sign hanging on my bedroom wall that says “Count Your Blessings”.  I bought it long ago, before I got sick, when I was leading what I felt was a charmed life.  Four fantastic kids who were wonderful, fun company, a terrific, rewarding career, my little dream cottage, travel, back in school for my Master’s, there were almost too many blessings to count.  Then they started falling like domino’s when I was diagnosed with transverse myelitis and, ultimately, MS.  My family relationships are now in a shambles, with most of them not even speaking to me anymore.  My career is finished and I will lose my cottage anytime now.   Travel?  I cannot even travel to my back garden.  My friend Marc, the Wheelchair Kamikaze, likens a diagnosis of MS to a personal Hiroshima. (Read his moving post hereIt may seem like a histrionic and hyperbolic reference.  But the comparison is apt in that the destruction of your former, healthy life is complete.  Our lives are ultimately shattered as thoroughly as that city was by the atomic bomb. 

Despite what turned out to be incredibly good news about no tumor, it is very, very hard to keep positive.  It is a gorgeous spring day today here at the shore and my family just left for the beach and the Ocean Grove flea market.   In my previous life I would have been there already.   I long to sit in the sun and listen to the ocean, to stroll around the flea market and people watch.  But I can’t get there myself anymore and I wasn’t invited to join them.   I am too much trouble to take along.   The logistics of getting dressed, getting me and my wheelchair into the car and then getting onto the actual sand are overwhelming. 

I am simply so weary of being ill.  Anyone else would have had the simple gall bladder surgery already and would be on the road to recovery.  I sit here, a bundle of complications, with a tube in my abdomen, playing a waiting game until someone is brave enough to take me on.  I have already been told I can expect to wake up from surgery with a tracheotomy and on a vent (a hole in my throat and a machine breathing for me).  They anticipate that I will not be able to breathe on my own as I come out of the anesthesia.  The prospect of living on a ventilator makes me feel physically sick.  Yet I feel tremendous guilt for being so miserable, because I know there are people who are far worse off than I and I am still fortunate in many ways.  I still have many, many friends, each a blessing in themselves.  I suppose my ‘miracle’ is another blessing, put in my path to ponder.   I continue pondering…but mostly I ponder my lost son, how incredibly sad I am and how much I miss my old life.

____________________

To while away the idle hours I have been doing a lot of embroidery and some sewing. Whilst my familiar perches at my head. 



I loved these little sailboats from Sew and the City.  I had saved the pattern for my youngest grandson, but I think he has probably out grown them already.  So I stitched them up for the baby of a dear, dear friend who is coming to visit.  I stuffed them lightly, the easier for bitty hands to grip them, and I tied together a few bells and put them inside each.  If the little nipper managed to somehow open the toy, they are too big to choke on in a bunch like that.  My Resident Critic, my daughter, felt they are too girly.  But babies love primary colors, so I stuck with scraps from my Depression-era fabric patterns.  I think they are cute.





The only problem is it made me think of my precious little grandson, who I have only seen twice since he was born eighteen months ago.  I have lost so much, did I have to lose him too?  So I ended up crying the whole time I worked on them.  Tears are supposed to be cathartic.  They are not.  I simply feel worse than ever, bereft and utterly broken by the casual cruelty of this inexplicable estrangement.  






The birds and pansies came from a pattern that I got from an embroidery designer who is based in Cape Town, South Africa.  They were inspired by a Victorian gift book published in 1896.




Photobucket






Did you like what you read? Let others know. Thanks!

Sunday, May 19, 2013

Back in the Hospital (I could not think of a catchy title)

I started feeling crummy last week, with a pain in my side and no appetite.  I slowly got worse until finally the pain was so bad it was making me sick.  When Nicole, my home health aide, arrived on Thursday, she took one look at me and said “I am taking you to the ER.”

When we got there she peeled up and parked all crooked, as though I were a trauma victim bleeding to death.  We hadn’t brought my wheelchair because we figured there would be one at the ER.  But there wasn’t.  So my sweet Nicole, who takes such good care of me, had a Terms-of-Endearment-Shirley-Maclaine melt down, yelling “What kind of hospital doesn’t have wheelchairs?!?!”

Well they dug one up, registered me, realized I was a minor VIP (past director in the system and daughter and son-in-law both still working for the hospital) and the testing began.  They diagnosed exactly what I knew it was.

An inflamed gall bladder.  Cholecystitis.  Mundane, middle aged, ordinary.  Embarrassingly banal.  Minor surgery, admitted in the morning, home by evening.

Unless you have MS, lymphedema and a partially paralyzed diaphragm.  Then it is a medical emergency, a crisis that requires consults with a cast of thousands:  anesthesiologists, surgeons, pulmonologists and, I swear, passers-by on the street.  The consensus: the surgery to remove the gall bladder is simply too risky.  I was facing days in the ICU, prolonged intubation and a possible tracheotomy (an opening cut into my throat into which a tube would be inserted).  Not to mention a slow and horrifying death.

So now the plan is to do a less invasive procedure that will hopefully quiet down the gall bladder, prevent it from getting gangrenous and buy some time to figure out some more options.

In the meantime, a mass has been found on my liver.  Because all the other stuff was not enough.  So I had an MRI for that yesterday.  I had to leave the hospital because they had to use a special machine.  When the EMT’s arrived to transport me, the first guy took one look at me and, at the top of his voice, announced “No way is she going fit on our stretcher”.  I could feel my face get hot, I was so mortified.  The nurse and aide gasped.  Even his partner looked uncomfortable.  Trying to maintain some shred of dignity I told them I never had a problem “fitting” on a gurney before. How about I just try it?  He ignored me, went into the hall to call his dispatch and loudly asked how long it would take to get a bariatric stretcher.  Four hours.  I would not make my appointment.  But I knew I didn’t need it, that I would be ok on a regular gurney.  Finally he reluctantly agreed to let me try, all the while muttering dire warnings about hideous discomfort to my fat, fat, fat body.  And guess what?  I fit, as I knew I would, with room to spare, and was completely comfortable.

This guy is now my candidate for The Asshole Hall of Fame.

On the plus side, when I got to the MRI center, the tech was my old friend Nicky, who has been doing my MRI’s since I first got sick in 2005.  He is the most incredibly kind man.  After one MRI a few years ago, when I was in tears from so much pain, he actually got down on his knees, put on my socks and sneakers and tied them for me.    I had forgotten he told me he moonlighted at this place.  His sweet demeanor and constant concern for my comfort was a real gift.

Then when I got back to the hospital, the staff had a surprise for me.  They had been so upset over how the EMT had treated me, they moved me to a private room and presented it with a big “TA DA!!” like a Christmas present.  They are the best.  So, so kind.  It makes a huge difference.

My friends on Facebook have also overwhelmed me with their love and caring.  Message after message of support, encouragement, prayers and reassurance are like lifelines.  I am so lucky.

So now I am just hanging out, day four in the hospital, waiting for the results of the MRI to diagnose what is going on with my liver.  Tomorrow I should have the minor procedure.  My pain level is pretty high, so I am existing from shot to shot.  One doctor was just in and asked how I was doing.  I said my pain level was up there and the medicine just wasn’t helping as much anymore.  He didn’t respond, but asked a few more questions and then said, ok, glad you are doing well see you tomorrow.  Um, what about my pain? I ask.  Oh…well, make sure you ask for your medicine when it is due.  Smile.  Bye.

Sigh.


Photobucket





 Did you like what you read? Let others know. Thanks!