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How About Surgery…Tomorrow?

About six weeks ago, the pain I’ve been having on and off in my groin for the past two years (the pain I’d hoped surgery would fix last spring), came back with a vengeance. It wasn’t bad enough to require emergency care, but it kept getting worse until I couldn’t even sleep on my side anymore, and I feared that my bowel had partially twisted, as the surgeon who took out my gallbladder and appendix in April said it probably would.

I’ve been pretty focused this year on finding and fixing the source of my groin pain, and I was not excited to go back and have half of my bowel removed, as the “spring surgeon” stated would be necessary. So when the pain started up again, I asked my primary what to do, she said to call general surgery again, and I did, only this time, I asked for the surgeon who had saved my appendix a couple years ago when I went to the emergency room for the same frickin’ pain. She declined to take my appendix at the time, and honestly, I wish I’d gone to her last spring too, because I’d probably still have it even now.

Anyways, an appointment with her happened to open up on Thursday, the 10th of August, and I went in expecting her to confirm the other surgeon’s findings and tell me I would be losing half my bowel. Instead, looked at my chart and asked some very pointed questions (two things the previous surgeon didn’t do), and then went out into the hall, got an ultrasound machine, and said she was looking for a hernia.

I told her I had one in the groin area, but that the other surgeon had said it was too small to cause problems, and that I shouldn’t worry about it. She scrunched up her nose, did the ultrasound, showed me the hernia, and said she’d bet that was the cause of my groin pain right there (she also said women should always have these hernias fixed, because they can cause bigger problems rather quickly and we don’t notice as fast as men do).

She did not think I had a twisted or even partially twisted bowel.

She did have a surgical opening the very next day, and offered to fix my hernia right away. She also offered to do a diagnostic to check out my entire pelvic area, and see if my bowel could even twist or not.

Tired of being in pain, knowing I had another 6 week recovery ahead, and just wanting it all over with, I said yes, and Friday the 11th, I went in for my second surgery this year.

When I came to, my sister came in with full color photos the surgeon had taken during surgery for me, pointing out the not one, but two hernias she’d fixed, as well as both sides of my bowel being adequately affixed (so, not twisted). Photos and a note telling me how the surgery went, what her findings were, that everything else looked good, and wishing me a smooth recovery.

I can’t tell you how relieved I was to *not* loose half of my bowel, and also that the pain I’ve been living with for the past two years hasn’t come back since the surgery. I think she was right, and the hernias were causing my pain. Something the other surgeon just told me “not to worry about”. Considering my bowel is attached properly, I’m guessing the other surgeon just used the “folded bowel” as an excuse to take my perfectly good appendix out, which is both annoying and infuriating. Aside from removing a perfectly good piece of me, it also caused me a great deal of stress and anxiety, wondering if or when I’d eventually end up in the emergency room with a completely twisted/blocked bowel. Shame on him!

Of course I couldn’t just have a smooth recovery this time either. About a week after surgery this time, I developed a reaction to the surgical prep that left me covered in hives all across my abdomen and itching like *crazy* for the entire second week. Fun times. That seems to be resolving, finally, and all that’s left is to let my body heal, and get on with my life. I have a final appointment with the surgeon later this week, and four more weeks of recovery, but things are looking up, and I have no intention of letting go of any more major organs, thank you very much.

How did I get the hernias? Well, two years ago, Apollo-dog jumped on me. He put one big paw straight in that groin area I’ve had all the pain in, with all his weight behind it. I dropped to the floor, it hurt so bad, and it pretty much hurt ever since then. So my guess is, at least one is his fault.

That makes him the most expensive dog I’ve ever owned (surpassing Gabriel, who caused me to need a root canal in college). Thank goodness for good insurance!

Now that the pain I’ve been dealing with is finally resolved, maybe I can actually focus on the things I want to do (like, say, blogging and writing, among other things), rather than being constantly distracted and anxious about what’s going on under my skin.

That is a serious relief.

I have to say, I’ve been thinking a lot about those people who have to live life with constant unresolved pain. I’ve always had sympathy for them, but I’m truly amazed at what so many of them are able to accomplish while dealing with that constant distraction and no real relief in sight. Hats off to you, if you’re one of them. I know I’ve been far less productive in the past few years just dealing with these issues.


Writing News

The writing has been on hold a bit while I deal with this whole hernia surgery thing. However, before all that happened, I did get MacKenzie Saves the World formatted for print. I’m quite pleased with how it turned out, and print copies are available to order now from any bookstore you care to order it from.

Ready for the bookstore!

My local bookstore (This House of Books– link below) will have a few copies soon as well (as soon as I get there – sometime today, I hope). I love this story, and whether you’re reading it for the first time in print, or if you’ve already read the ebook, I hope you’ll enjoy it too!

As for getting back to writing, Magpie Shiny is calling my name. And so are two drafts I’ve written, and not gotten around to editing. I think it might be time to pick one or the other up again and see what I can do with it. They’re both set in Meadowlark, which is my fictional Montana town just down the road/out of the valley from Magpie (my other fictional town). My goal is to create a whole little alternate world in that little fictional Montana area, and it’s coming together quite nicely in my head, though still a bit jumbled. Hopefully I can manage to put it out on the page in a more organized manner.

And of course I started something new last week. Ideally, it will be done for my horror alter-ego by Halloween, but we’ll see.


Recommendation(s)

My husband and I were looking for something to watch the other night, and decided to try The Diplomat on Netflix. It was totally not what I expected – it was much, much better. The dialogue between the characters is so, so, *so* good! The chemistry is right there too, but it’s the dialogue that makes everything work so well.

If you have a Netflix account and are looking for something to watch, I’d highly recommend this series. Not only for the entertainment value, but as a study in dialogue and interpersonal relationships, too.

That’s it for this week! If you have a favorite thing to share, or want to recommend a book, TV show, video or podcast, comment below, email me at jamie@jamiedebree.com, or catch up with me on Facebook or Instagram.


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Moving Forward into Spring

Bleeding Hearts

I’m happy to report that while I still have a long ways to go, I’m definitely on the mend. The deep itching that signifies healing has started, and I can eat a somewhat wider variety of food now, which is both helpful and a bit eye-opening. I always thought I was a mostly healthy eater with some junk food tendencies before, but considering what I’ve been craving, maybe not so much. I have been trying to make better choices, just because my stomach is on again, off again at best, so it’s day to day whether I’ll feel okay twelve hours after I eat something, or if I’ll be paying for it with a fair amount of gastric pain. I will be so relieved when this finally all just settles down (assuming it will, eventually).

I can’t tell you how badly I want a good stretch for my torso and back. I don’t dare, because stitches, but it’s incredibly hard to resist, and I have to catch myself mid-stretch and just…stop. I go in for a three week post-op checkup next Wednesday, and hopefully I’ll only have a week or two after that to keep myself quiet, so to speak.

I am managing a few flights of stairs daily at work, so that’s good. The dogs are incredibly confused as to why we can’t walk, with the weather so beautiful at the moment. Hopefully next week I’ll feel more comfortable risking short walks with them individually. I’m worried that we’ll miss the inevitably short spring and it’ll be hot by the time I’m finally up to walking them again. But Apollo is a heavy puller, so…. *sigh*

In the meantime, I’m also looking rather longingly at my yard. It desperately needs spring cleanup, and I may try to find a low stool to facilitate some of that this weekend. It’s been so warm already, and we’re supposed to get rain for the next few days, so everything’s ready to grow. I have buds on my roses, green blades coming up in the decorative grasses, and our bleeding hearts (pictured above) are already growing and blooming like crazy. It won’t be long before the hydrangeas bud out, and the rudbeckia start throwing new leaves, but the hibiscus should sleep awhile longer.

The urge to write…to get some words down while I’m driving back and forth from work is strong with the nicer weather too. I think I’ll start that up next week as well, and see if I can make some headway on my current WIPs (works in progress). I’ll have a bit of extra money from the dayjob soon (longevity check – yay!), and while some needs to go towards bills, some will go towards some much needed publishing tools, like another block of ISBNs. That will allow me to publish again, and work on getting some more of my stories into print format.

Spring is a time of rejuvenation and motivation, and I’m definitely feeling both at the moment. I wish I could seize the moment a little more firmly, since summer will be along to spoil the fun more quickly than I’d like, but I’ll do what I can, and hope the heat stays away for awhile longer.

Are you off and running with spring fever? What’s on your “want to” or “got to” lists before the hot summer sets in?


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A Personal Horror Story

Have you ever woke up in so much pain that you literally could not move a muscle – or even cry out for help?

That happened to me this past weekend. Twice.

You may recall that I was scheduled for gallbladder removal surgery last Monday, and I went into it with a pretty positive attitude. Every single person I spoke with including my family members said it was no big deal, I’d be back at work in a week, not much pain for recovery (they all know I have a high pain tolerance), and no more near-constant pain on the upper right side/right shoulder blade. It seemed like a good deal.

I also had been having some “mystery pain” in the lower right side of my abdomen that no amount of imaging could manage to figure out, so I asked the surgeon to take a look at that too, and see what he could find.

I went to sleep, they did their thing, I came to not feeling too shabby and the oddest thing that happened the whole time we were there was the nurse not being able to find my husband who was sitting in the waiting room the whole time (the surgeon found him just fine, so?).

All told, they ended up removing my gallbladder, my appendix, repositioning part of my bowel near my appendix to straighten out a fold in it, and they found a hernia while they were in there too, but didn’t fix it because the risk of infection was too high with everything else going on.

If you’re gonna take your car to the shop, might as well get a good tune-up, right?

I felt good the first night home. Made sure to drink lots of fluids and get up and move once an hour or so. Took Tylenol and Advil and didn’t feel any need to fill the oxycodone script they’d given me. I felt good the next day too, and reasonably well most of Wednesday, though by Weds afternoon, something definitely wasn’t feeling right.

I’d had issues getting in and out of bed – my bed is very high, and we have a thick mattress topper, so it’s very plush too. I’d had to do some gymnastics to get out before I gave up and started sleeping on the couch, and I had sore spots I was kind of worried shouldn’t be sore. The nurse I spoke to Weds encouraged me to definitely call the doc if any of the pains got worse.

By 4:30pm that day, I was doubled over with cramping waves of pain across my whole torso so bad I could barely move. I thought I’d done some sort of internal damage at that point, so I tried calling the surgeon’s office, and when I couldn’t get anyone there, I had my husband take me to the emergency room.

I laid in an ER bed, unable to get control of my breath while they pumped me full of morphine and IV fluids, and two docs told me that what I was experiencing was something called ileus, where the intestines don’t “wake back up” after they’re frozen during anesthesia. They said it normally goes away on its own in a few days, and chastised me for not taking the oxy that was prescribed, saying I wouldn’t be in pain if I was taking the right painkillers.

Opioid painkillers like oxy can cause constipation, so I wasn’t sure how taking those would be helpful if my gut wasn’t working right already, but I figured they’re the docs, so I’d get my prescription filled and see what happened. They gave me more painkillers and sent me home, still in pain.

The next day, I got the oxy prescription along with a stool softener script to go with, and took one of the oxy pills right away. As far as I could tell, it really wasn’t helping the pain at all, which was confusing. I got up and moved as much as I could, but it was hard even sitting down and standing up at that point. When I spent most of the night uncomfortable and getting no use from any of the drugs I was trying to take, I called the surgery department the next day.

The nurse was very kind and sympathetic, and she told me how to combine the oxy with Tylenol so it would work better. I felt okay after talking to her, and for awhile the pain was better managed. But I was getting more constipated by the day, unable to eat solid foods, and while it wasn’t so painful, it was clear nothing was actually helping the problem. During the day when I was up and about, I was okay. Saturday night, I woke up at 3:30am to some of the most intense pain I’ve ever felt, and after being stuck in my spot on the couch waiting for the wave to die down, I crawled on my hands and knees to the kitchen and pulled myself up to the counter just to get more painkillers.

No one I’d ever talked to had said anything about this. I didn’t go back to sleep that night – I couldn’t. And the next night, I tried sleeping in bed with my head wedged up at an incline, and woke up at 2:30am, writhing and panting and unable to either navigate the softer mattress to get up or call out to my husband just inches away. Finally he woke up and helped me get out of bed, and get drugs, and stayed with me until I was breathing normally. I went to the couch after that, but I was too uncomfortable to sleep at all.

Monday morning, I was at my wits end, and I sent a message through the clinic’s online portal explaining what I’d been going through, and that the painkillers really weren’t helping, and I really needed another option like, now, because I was almost out of pills and I didn’t know what to do. I wanted all that in writing, because sometimes, a “paper” trail is good.

The surgeon’s nurse called me back, and she basically said my insides were still frozen, and I needed to stop the oxy immediately *because it can also cause your intestines to freeze*, and buy some Citricul (powdered fiber) and Miralax (a powered laxative). She told me how she wanted me to dose them, and said I definitely had to get my intestines moving asap. I agreed, of course, and thanked her.

Then I hung up the phone, which I’d been using while bracing my forearms on my kitchen counter because I didn’t have the strength to stand up, and I broke down. Yes, I cried (it’s a very, very rare thing). I could not imagine doing even one more tiny thing like ordering the things I needed with Instacart, and I could not believe that for the past several days, on the advice of licensed medical personnel, I’d been contributing to my own suffering, and now I had to rally myself *again* in order to reverse the issue.

I did take one more oxy after my little breakdown, because I literally could not see how I was going to deal with the pain for another hour or two when I could get what I needed. I knew it was contributing, but by that time, I didn’t have any other way to cope.

So, I did what a lot of us do, popped a pill, and then got my stuff ordered and waited for the delivery.

I have to say, the turn around has been pretty amazing. Monday night, I felt better before I even went to bed (though I did lay on my left side, because that’s supposedly the best way to keep gas bubbles from forming in your chest, which is what I think has been waking me up at night). Naturally, getting out of bed once Monday night and twice Tuesday night was…well, I think I pulled one of my incisions a bit too hard getting out of bed.

But the point is, the distention in my stomach has been reducing ever since, and I finally feel better than I have in a week. No pain killers needed.

I am angry, though, that for an entire week, I tried to get help, and I tried to impress upon several different medical professionals that something wasn’t right or normal, and the majority just told me to take more pills (or take them better). What a truly bad and sad commentary on our medical system. I lost nearly a full second week of work to this problem, but more than that, when I was in all that pain, I couldn’t do or focus on anything except how much pain I was in, so I couldn’t even properly advocate for myself. I know my pain tolerance, and I know when something can’t possibly be normal. I did try to tell people that, but I had no real energy to fight with.

And sleep. I’m more than a little annoyed that now, when I go to bed, I’m afraid to go to sleep because I am deathly afraid of waking up to that torturous pain that I was just…stuck in. I do have a wedge pillow now that I can use until that stupid upper incision heals. It’s not doing so well at the moment, but honestly, I have no intention of asking a nurse or doctor about it at this point. It doesn’t look like there’s a hernia around it, so I’m just going to take care of it myself. I’m really not trusting medical professionals as a whole at the moment.

Last night, I slept mostly through the night for the first time in a week. I got up this morning, I was hungry and made breakfast, read a couple of comic books, got dressed, put some dog treats in the dehydrator, texted my mom to bring over the spare wedge pillow they had, and chatted with her for a bit. The nurse navigator called, and I caught her up on all the goings-on, and requested a work release for Friday. I just need one more day to get some decent nutrients in this beat-up body of mine so my brain can function like it needs to while the rest of me actually heals.

This afternoon I need to top off my aquariums and do the budgeting/bill paying I couldn’t get done last week because…issues. Tomorrow I’ll do a small load of laundry (don’t fret – I have a grabber-thingy to help), and see if I can get my earrings back in (my cartilage piercings haven’t ever been out this long).

Also…RIP to my dear, departed gourami – King Louie. I don’t even really know what happened, because…*waves hands everywhere*, but the poor guy didn’t survive while my attention was elsewhere. 🙁

Now…onward to more healing and hopefully far, far less medical intervention. I’ve had enough of that this year to last a lifetime.


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Planning for Temporary Incapacitation

I’m having surgery next week.

This is something I’d hoped to avoid indefinitely, but…best laid plans and bum genetics (with a little “boisterous young dog” thrown in for good measure) have made it inevitable. Much like everyone else in my family, my gallbladder has given up on our relationship early, so it has to go before it becomes any more toxic.

One of the cool things about being a writer is…this whole experience is story fodder. Not just the surgery, but everything leading up to it, everything that comes after, and all the different emotions and thoughts that are floating through my head right now (along with those that aren’t).

While I’m knocked out, the surgeon is also going to do some exploring to see if he can find the cause of the pain I’ve been having in my lower right abdomen as well. Appendix? Scarring? A twist in my intestine (which would be rather ironic, considering this all started with a big dog paw to the gut)? Hopefully he’ll figure that out too, and if he can fix it at the same time, all the better.

Needless to say, this has me thinking about Advance Directives and a will. Yes, I know this is a very routine procedure (well, the gallbladder removal is), and techniques are such these days that people rarely have issues with it, but letting a group of people I barely know knock me out and poke around in my insides warrants a bit of advanced planning, methinks.

Last time I was in the emergency room being evaluated for a potential appendectomy, they sent someone to give me an Advanced Directives packet, which at the time, I thought might be a little dramatic. But being only a week out from having one of my organs removed has me taking it a bit more seriously.

So, I’ve decided to fill out the paperwork, which consists of a Durable Power of Attorney for Health Care, and a Living Will Declaration. This will tell everyone what my wishes are if the unthinkable happens, and I end up unable to make end-of-life decisions for myself (Living Will Declaration) or assign my husband the power he needs to make decisions for me in the event that I can’t make treatment decisions for myself (DPOAH). It will also keep people I *don’t* want making those decisions from making them, which is almost more important, IMO.

I thought I should also write up a quick and dirty personal will, just because everyone should have one, regardless of where they’re at in life, but I’ll admit, I’m at a bit of a loss as to how I want to leave things. Most of my stuff just isn’t going to be important to anyone but me, and my dogs are the only things I care about making sure they’re taken care of if I were to suddenly die.

I’m sure I’ll think about it over the next week or more, and maybe eventually I’ll settle on something. It’s not as important to me as the other at the moment, simply because if I die, my husband will be there to take care of the dogs and keep or sell my stuff. But I suppose it would be less of a headache for him if I lined things out anyways.

I don’t think any of us want to think about our own mortality (I know I don’t). But the fact is, none of us are immortal, and things happen that we don’t expect.

Even if I don’t die from the unexpected (let’s hope not, anyways), I also have specific wishes about what happens to me while I’m under anesthesia or heavy medication, and it seems like a good idea to make sure that’s all spelled out and left with someone I trust, rather than leaving it all up to chance for family members to fight over at a time when no one should be fighting (I mean, we all know they will anyways, but no sense in making it worse by not leaving explicit instructions).

Do you have Advanced Medical Directives lined out and on file? What about a personal will? Are you a control freak like me, who wants to make sure people know what you want in the event you can’t speak for yourself, or are you more the “they’ll figure it out” type?

Any bets on whether I’ll see a “real bright light” on surgery day or not (yes, this is a trick question)?


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