Laparascopic conversion

Tuesday 27th November 12:00
Was admitted to hospital around midday. The last couple of days have been somewhat eventful : Sunday our 3yr old was sick several times and again Monday morning,then Monday night my wife had the same so was unable to take me to hospital as planned. I also came down with a cold, and while relaying all of this to my surgeon I can clearly see him rethinking whether or not we should go ahead today. Even got to the point of me texting my wife at 1:30pm to say I might be about to come home, when the anaesthetist came to see me, did a quick assessment, said “you’ve got a cold, come on let’s get this cancer out of you!”

Half an hour later I’m walking to theatre. As I have a cold there is a chance my metabolism has slowed meaning my stomach may not be empty, and coupled with the fact my family have been ill there is an increased of me vomiting so the anaesthetist is going to do a Rapid Sequence Induction (glad I didn’t have time to read up about that beforehand!) which may leave me with very sore and tense muscles for a couple of days after. She spelt it out very clearly for me,maying that over the next 48 hours I’d feel like S.H.I.T. Still, better out than in….

Tuesday 27th November around 5:30pm
I wake a few hours later in a recovery room to a familiar face – the bearded man who removed my oxygen tubes following my colonoscopy is hooking me up to various things. I’m a bit more aware this time of my surroundings, and very quickly I find myself in a lot of pain. Pain like I’ve never felt before.

I learn that bearded man is called Barry, and there isn’t a nicer bloke you want to be looking after you in a recovery room. A very gentle reassuring hand on my shoulder, he tells me has just hooked me up with morphine and is giving me as much as he safely can as frequently as he can. I’m told I’m doing very well and it will ease in time.

The order of events are a little uncertain, but at some point I am wheeled back to my room, and I learn that he was not able to do the surgery laparoscopically. He started off that way, but hit a blood vessel and that combined with my size was making it difficult so he had to cut me open and compete the surgery open. Even then he said it was difficult, but he was able to remove everything he needed to.

Wednesday 28th November
Amazingly, I only sleep about two hours that night, and Wednesday daytime is only a marginal improvement, although the feeing that I’ve been stabbed repeatedly slowly subsides to a feeling that I’ve been pelted in the stomach with a sledge hammer.

My dressing is changed and I decide to look at my stomach. I expect to see a few inches of stitches but instead I see about 8inches of oozing metal staples. A little shock, but I’m able to look again in just a few seconds.

The physiotherapist comes to visit today and despite my protestations after about twenty minutes I am standing and half taken two very small steps forward and backward. My stomach feels likewise been stabbed again.

Drugs are bad, mmm’kay?
I hope no one is offended by any if this but I guess I should warn I get into some mild but blunt medical stuff here.
I’m hooked up to saline, two types of antibiotics, am having regular anti clotting injections, intravenous paracetamol, anti-nausea and patient controlled morphine. I also have an oxygen tube just to keep my oxygen levels up, compression stockings and some automatically inflating cushions strapped around my legs to keep my circulation going – these constantly inflate and deflate and are noisy and uncomfortable – a catheter, blood pressure cuff which goes automatically every hour waking me up if I’m not already, an oxygen saturation monitor and a nasogastric tube connected to a bag to keep my stomach empty. This last one is unusual as every few hours they aspirate my stomach through this tube. I can’t feel a thing, but they effectively suck the contents of my stomach out through the tube into a syringe and discard it. This is because my bowels aren’t yet functioning so prevents me from being sick because the small amounts of water I’m having are just sitting in my stomach.

I sleep about three hours straight tonight and manage to doze a fair bit for the remainder of the night. The staff are making my stay very very comfortable, are looking after me well and xplaiing as much as they can.

Thursday 29th November
I feel better again this morning. Through Wednesday and most of last night I was taking my morphine every five minutes (the most frequent it will let me take any) for much of the time but as dawn breaks I’m lowering this to about once every half a hour, if I haven’t moved.

I have physio again this morning and this time I walk across the room and sit in a chair for about a hour. I have my saline drip removed and so need to drink more water, and am offered a coffee but find the smell very slightly nauseating. After I’m back in bed, sitting a little upright, I have a few visitor and after lunchtime (no food, but still drinking water) this leaves me feeling very drowsy. I have the best two hour nap since Monday night.

I wake having not had morphine for a couple of hours and feel ok. I have my stomach aspirated again and then have the bag removed. The nasogastric tube remains just in case they need to aspirate again but the hope is to leave my stomach with something in it to see if any things starts moving. I haven’t noticed any movement – apparently the first thing I’m looking for should be mild wind – and am feeling mildly sick on and off so it sure how it’s going to go. I am hoping to get some good rest, and am relying less and less on the morphine so things are definitely moving in the right direction.

There is a different consensus of opinion as to when I’ll be coming home – the surgeon this morning felt I was making good progress and while he didn’t want to give any false hope did suggest I may be going home at the end of the weekend rather than Tuesday as originally planned. The nurses, my wife and I the other hand think it may be a few days beyond Tuesday! No point rushing these things and I’m not exactly bouncing off the walls!

One amusing thing this evening – while looking at my dressing this evening I noticed that the left side of my abdomen is considerably flatter now than the right! Obvious really, but seeing the evidence for the first time that a significant part of my digestive system has been removed was quite strange! Until next time…


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5 Responses to Laparascopic conversion

  1. legalalien06 says:

    I wish I could hurt for you

    • dansz77 says:

      There is no response to that and so many at the same time. That is extremely sweet and I know you mean it, but deep down I’m ok. I feel as though I’m getting better and the support of friends and family is such a help.

  2. So pleased you are starting to feel better. xxxxxxxxxxxxxx

  3. Ali says:

    Dan, so glad things are starting to feel a lot better, keep going xxx

  4. Mark S says:

    Wow – that all sounds pretty brutal! Hope the morphine is taking the edge off the pain, and hope your recovery continues, your blog is awesome.

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