48 Hours After Surgery Update

As Jonathan wrote in his blog post earlier today, his recovery is going well. His surgeon, Dr Liu, visited yesterday to touch base. Dr Liu examined the incision and the ostomy bag and reported that everything looks fine so far. The bloodwork and other test results look good. So that’s encouraging.

A visit from Dorje

While the first 24 hours after surgery were a little challenging, Jonathan is doing much better today. His fever is gone, he’s no longer connected to the IV, and he’s graduated from a liquid diet to a low fiber diet which includes solid foods. He also slept much better last night and woke up feeling energized today.

Jonathan’s first time walking with the walker, sporting a fancy new robe (thanks Sarabeth!)

Yesterday we also got to meet Jonathan’s physical therapist. She showed Jonathan how to sit up using a “log roll” motion which avoids putting pressure on the incision. He walked around the floor of the medical wing twice using a walker. The physical therapist showed Jonathan stretches to help ease the pain in his calf.

His calf remains sore but is better today. How did Jonathan end up with a painfully sore calf after a surgery on his rectum, you might ask? The medical staff believe it is due to how he was positioned during the procedure. After running some tests, they believe it’s essentially a really bad charlie horse.

Thank you for the lovely flowers Aunt Donna, Cathey, Earl, Wolf & Kacie!

Today was a relatively quiet one. His roommate was discharged yesterday so Jonathan had the room to himself and got to look out the window. He’s enjoyed a few visits from family and friends and a special flower delivery. He’s gone on more walks around the floor and listened to an audiobook. He’s getting used to the reality of having an ostomy bag and beginning to learn how to care for it.

Tomorrow is a big day. We are expecting visits from the surgeon, the ostomy team, the urologist and the physical therapist. These folks will all assess Jonathan’s progress and ensure he is ready to handle life at home. Once they give the all-clear, then he will be ready for discharge.

So… fingers crossed he’ll get to come home soon!

Thank you all for the well wishes, love and support.

Nap time for Jonathan!

Recovery going well

Huge thanks to my sis for her updates on my surgery day! Just wanted to let you all know I am doing ok, recovering at the hospital after surgery. That fever from Friday night went away and the medical team like what they are seeing in terms of recovery (I’ve had a healthy appetite, incision sites look good, etc).

I’ll be in the hospital at least through tomorrow, as there are still meetings I need to have, most notably with the ostomy team.

I’ll write more in a few days, but just wanted to let you know I am doing good. 🙂

Surgery Day: Evening Update (aka the charlie demon stallion)

Jonathan is now out of surgery and doing fine in a room at the hospital. The good news is that the surgical team successfully removed the section of his rectum with the tumor and installed the ileostomy. The bad news is that they accidentally nicked a hole in his bladder in the process.

It turns out that the radiation treatment weakened the tissue separating Jonathan’s rectum and bladder. So, it was more fragile than anticipated. The hole has now been stitched up but it means that Jonathan now needs to heal from the bladder injury as well as the LAR surgery and ileostomy.

The initial plan was for Jonathan to have a catheter for only 1-2 days; however, now they want him to have it in for 2 weeks. So he’ll go home with the catheter. He’ll need to come back in a couple of weeks to get his bladder checked before they’ll confirm if it can be removed.

Jonathan is in good spirits about the bladder injury as he recognizes that these things happen sometimes.

During the surgery recovery period, Jonathan experienced a lot of pain in his left calf. He said it felt like the world’s worst charlie horse, or a “charlie demon stallion” to quote Jonathan when he was on a lot of pain meds.

Later in the evening, he developed a fever of 99.9 which caused a bit of concern from the nursing staff. They were worried he might develop sepsis which can be quite dangerous.

Suddenly, Jonathan’s room was full of medical staff running various tests – from an X-ray to blood and urine tests to an EKG. It was all a bit overwhelming and stressful. The staff is monitoring the situation and they gave Jonathan some medicine to help him feel calm.

When I left for the evening, Jonathan was feeling calmer. We are now waiting on the results of the blood and urine samples to see if he has an infection.

Cheers,

Katy

Surgery Day: Mid-Day Update

Just a quick note to let y’all know that Jonathan is still in surgery. I’ve been getting periodic phone calls throughout the day from the surgery team to touch base. So far, so good.

So, for now, we continue to wait.

In the pre-op room this morning before surgery
Jonathan in the pre-op room with a warming air blanket

I’m in the surgery waiting room, which is a comfortable space with a nice view with a few other families. We’ve been nervously chatting and comparing notes about how long we anticipate being here today.

Today I’m keeping myself occupied by listening to an audiobook and knitting… and keeping my phone close at hand so I don’t miss a phone call. Earlier today, I missed a call from the surgery team due to a fire alarm which caused this wing of the building to be evacuated. Luckily, the incident didn’t impact the wing where Jonathan’s surgery is taking place and the alarm didn’t last very long.  Now I have the volume of my ringer turned on high and I’ve got my phone in my hands so I don’t miss another call.

Will post another update when I have news to share!

The waiting room at UW Medical Center

Today is Surgery Day

Good morning, readers of Jonathan’s blog!

Hi! My name is Katy and I’m Jonathan’s sister. It is 5:30 am here in Seattle. We just arrived for Jonathan’s surgery at the UW Medical Center. The hospital is pretty quiet at this time of day, except for here at the admitting clinic which is bustling with patients and their family members.

I drove to Seattle yesterday from my home in Eugene, Oregon. I’m an alumna from the University of Washington, so I’m familiar with the campus. I’m grateful that Jonathan lives so close to the hospital and we only had a 12-minute drive this morning.

Jonathan is all checked in and resting comfortably under a heated blanket while we wait for the surgery to begin. 

I’ll be sharing updates here as I learn more information about how the surgery is progressing.

Stay tuned!

On the walk from the parking garage to the UW Medical Center

A nice respite

Happy new year!

December was really enjoyable, a very relaxing time. It’s been great to be able to enjoy the holidays, post-chemo (and pre-surgery). Currently I’m gearing up for surgery; this has involved a daily prescribed immunonutrition regimen — basically these guidelines, but tweaked slightly to accommodate my dairy allergy. For me, that’s involved mixing Ripple vegan protein shakes, Ensure plant-based shakes, arginine powder, walnuts, bananas and other fruit blended into a smoothie (which I consume in portions, throughout the day) … along with five of these per day.

Tomorrow: no more food, basically the same regimen as colonoscopy prep, along with some extra guidelines. And then on Friday, I check in at 5:30am(!) at UW Montlake for surgery. I’ll likely be pretty out of it this weekend, recovering from surgery in the hospital. I’ve given my sister Katy access to this blog, so she can post updates on my behalf during that time. She’ll be coming up from Eugene tomorrow and helping out during the surgery process (thanks Katy!).

A more positive take

I met with the surgeon (and team) this past Monday. The day started off bright and early with a sigmoidoscopy, and I feel like that gave a more positive perspective on what chemo + radiation has accomplished inside my body. I should start by saying that being wide awake for a sigmoidoscopy is …. an unsettling experience (just google it). But after the camera went in, I was surprised to see … no tumor. Way, way different from how it looked in the past sigmoidoscopy, back in May (before I started treatment). That initial procedure described “a fungating and polypoid partially obstructing mass.” By contrast, in this week’s sigmoidoscopy, that scary-looking mass was gone, replaced by white scar tissue. This was honestly encouraging for me. I get that there is still some tumor remaining (embedded in the layers of tissue that surround the rectum), hence the “moderate response” terminology in the recent MRI summary. Next month’s surgery will take care of that. It was just encouraging to see that visual contrast in the sigmoidoscopy results.

All in all, very positive meeting that day with the surgeon and the nurses who work with him. The nurses provided me with a binder of information (like a 100 pages) on preparing for the surgery, and life after surgery, etc. A week before the surgery, they advised me to start adding Immunonutrition shakes to my daily diet. My dairy allergy doesn’t allow me to take the Ensure Surgery product they recommended, but they’ve worked with me to determine how to get what I need via alternate means: additional protein, fish oil supplements, arginine powder. Just ordered the arginine powder on amazon, it’s apparently a product favored by body-builder types. This photo was in the amazon listing for the arginine powder I ordered, so I fully expect it to make my arms look like this:

The next nurse I met with is an ostomy nurse; a very helpful and informative session about preparing for life with a temporary ileostomy. This surprised me: she had me lift up my shirt, she pulled out a marker and made a couple marks on my belly where they’ll do the ostomy incision. She put stickers over those — the plan is to keep those marks on me until 1/3 — kind of strange. And she gave me an Ostomy Home Skills Set© (yes, it has the copyright symbol) — which includes another marker that I can use to re-do the marks on my belly.

The surgery itself will have me in the hospital 3-5 days. Jan 2 (the day before the surgery) will basically be the same process as prep for a colonoscopy, along with a few other minor elements. I’ll be taking the entire month of January off (FMLA + short-term disability) to allow sufficient time for recovery. I’ve been in the process of sharing this information at work.

For now, I’m continuing to enjoy the month of December — post-chemo, pre-surgery — a nice respite.