Surgery is a sure bet and so was an ER visit

Saw the surgeon the other day - was told surgery is in the cards for me.

Upon examination he indicated that due to the fact that the fistula is anterior and goes towards my vagina, that he has to go for the seton - a piece of material that essentially cuts out the tunnel and it fills in with scar tissue - we'll see how painful THAT one is!!!

I've been generally pain free for a about 2 weeks - but I have flare ups, especially if I'm too active. Bites me in the ass unexpectadly.

Home care discharged me from their services wed, said my wound was completely healed.

Thurs was a different story. Went for BM about 2200hrs and was a bit painful (sorry if TMI) and felt like I was getting another abcess or if the previous abcess was recurring and figured that I would just contact the surgeon in the AM to see if something could be done about it. Well by about 0400hrs, my pain became a 8/10 and I was crying. Off hubby and I go to the ER where I wait FIVE hours to be seen. Ugh it was rough! I sent hubby home at about 0600hrs figuring it was going to be quite some time before I saw a surgeon. Found a couple of sheets in the ER and laid on the waiting room floor - one sheet under me (protection against all the icky things on the floor that I would rather not have thought about) and one on top cuz I was cold! Plus a pillow out of my purse and my sweater and tried to not vomit everywhere from the amount of pain that I was in.

Finally saw the physician who kept interrupting me while I was giving him the background info (had he NOT ever heard of SBAR??!!) and told him why I was there. He asked a couple of questions, did a rectal exam and said he couldn't feel anything... UGH, just like the LAST ER doc who examined me almost 2 months ago and then gave me a surgeon consult who said that I DID have an abcess. This time around though, this doc ordered a CT scan which indicated that my abcess IS heal(ing)ed but that I have TWO fistulas and that CT scans are not good enough to visualize and that I should have an MRI scan done.

Doc explained that my pain was likely due to infection of the fistula(s) and gave me a loading dose of 2g Ancef IV at 1100hrs and ordered home care for the next 5 days for the antibiotic. Well home care couldn't get arranged in time so they gave me another loading dose of 2g of Ancef at 1700hrs hoping that I would get my AM dose on time. I didn't BTW, my supplies arrived at 1700hrs TODAY and so I hung my home dose by myself. I already had my SL in as the ER left it in for this purpose and I had no idea when the nurse was supposed to be by and so I did it all myself. When the nurse DID finally come around (I believe it was around 1900hrs) I just explained that I did it myself and her services wouldn't be required again unless the site went interstitial or the 5 days was up and she had to collect her stuff.

I have to contact the surgeon on monday and find out if this changes anything. Surgery is set for Sept. 04 but he said that he wants to do a sigmoidoscopy before hand. WE'll see how that changes now that we have the CT done.

Busy busy busy!!!

Things have been busy on my side of life - my BIL is getting married in approx. 2 weeks (which I don't even want to be a part of cuz I hate him so much but I'm being made to anyways -UGH) and the family has started to pour in, shopping trips ALL OVER are being done, dinners are getting prepped & cooked and LOTS of family time is being made. Not sure how much I'll be able to post in the next two weeks but I'll try.

Ramadan is coming to a close later this week - yay for everyone who is fasting!!! Truely exciting. This year I didn't have to fast because of what's going on with my tush. I should know more about what the avenue that we take will be on Thurs when i meet with the gen. surgeon (new one). I know surgery is in the cards, it's a matter of when.

I heard back from the university - they need me to prove that my immunizations were effective when I had them, OR have another shot of the MMR - plus because on their form there's no place for DTap BOOSTER (they just put DT and left out the pertussis part) now I have to have a pertussis shot - stupid university!!! Then I have to test out of the Interpersonal Communication course in two weeks and that should cover everything and THEN they'll send my acceptance letter to me. It has been SUCH a pain in the butt to get completely enrolled into this program. I hope it's smooth sailing once I'm in!

Normally I call my mom daily or every-other day and so tonight she spoke with hubby or MIL and was upset (from their end they said she sounded upset) and so when I returned the call she indicated that she WAS upset - she was worried cuz she hadn't heard from me in about a week. Good to know that if I DO go missing or something happens to me that I'll have someone looking for me!!!! I updated her about what's been going on in my life and tried to alleviate the distress. Seems that our phone jack has been on the fritz (not realizing it) and she's tried to call several times (she said that she had tried a dozen times - not sure I believe she tried THAT many times!) but didn't think to try me on my cell. HAHAHA - mothers for ya!

Not quite done yet

Had my follow-up appointment with the surgeon last week, was told that I good in regards to the abcess but now I need surgery for the fistula. But this surgeon is now sending me to ANOTHER surgeon to have this particular surgery done.

Now I'm waiting to hear from this other surgeon to find out WHEN I might have this surgery.

The downtime is helping me finish my course reading for the interpersonal comm'n course that I'm taking and need to have completed the exam by the end of August and I still have 4 more chapters to read. Boring stuff I may add!

I heard back from my uni who told me that there's outstanding things for my admission. I have to have ANOTHER dose of MMR & Tdap - which my family doc indicated that I don't need to.

Record of my flu shot - which I don't understand why I need to provide this at this point seeing as we aren't going to have clinicals til winter semester (Jan 2014) and by that point I'll have had ANOTHER flu shot.

The outstanding course which I'm working on.

They indicated that they need my highschool transcripts - which I sent 2yrs ago - and I even have paperwork to indicate this - so I sent off an email indicating this. ERG, it had better not be lost!!!!

Yay I'm healing

Been going everyday to get my packing done.

The nurse who did it the first day (almost a week ago) indicated that it has healed a bit, which is exciting. I'm glad that it isn't taking it's time healing. Hopefully only one more week til I'm healed up.

I think starting Sat or Sun I'll be starting every OTHER day to get the dressing changed so I'm going in the right direction.

Tried to go for a walk with hubby last night, it's an understatement to say I was in pain when we returned. It seems like the more I move, the more my butt ends up borthering me. GRRRRR

Hopefully soon I'll be back to normal :)

July 25th is a SUPER important day!!!!

That day several things will happen...

1. Most important - I have a job interview for a FT L&D position - WOOT WOOT!!!!! I am SUPER UBER stoked! I just found out Thursday, so considering what's been going on with me health wise, this has taken the back seat news wise. Plz send prayers and thoughts out as this day arrives, this is where my heart is leading me to go to deliver my nursing skills & vibes. I just hope that they see that I'm the best one for the job!

2. It's the day I follow up with the surgeon and have him poke & prode (though I hope less this time around!) and see if anything more needs to be done about my derrier. I still have a couple more days of Amox-clav antibiotic, I was nauseous for the first couple of days but that seems to have eased off. I'm still in pain intermittently, highly corrolated to how much walking or sitting on my buttock I do. Night before last, when fast was done, we met up with the in-laws friends at a restaurant and I had to bow out just after eating because I felt like I was going to pass out, hot and dizzy and nauseous does NOT a good evening make!!! Thankfully hubby was right by my side and led me out and even opened my car door for me! awww how sweet (would LOVE if this happened more often!)

3. I find out when I can go back to work - whether that be modified work duties or full scope. My back has been pretty good considering I've been resting more, but I certainly notice when I try to do stuff around the house and then it starts bothering me BIG time - had to take a nap today because the pain from my back and bumm hurt too much. Took a morphine and to sleep I went, when I woke up I felt a bit better - now I'm starting to feel it again. though the morphine has worn off and I've done a bit more around the house so who knows what exactly the culprit is. Time will tell!

I had my dressing changed yesterday and today - the woman has the same name as my auntie - funny since she's the one who's an absolute bitch! This woman is a Sweetheart!!! She puts xylocaine jelly in my wound before doing the packing!!!!!!!! Let me tell you, that has made ALLLLLL the difference!!! She and I have seemed to click which is nice. Hope I get her for the rest of the time that this dressing changes have to be done. She says it looks pretty good considering. She figures that it will take about 3 wks to fully heal. Hopefully I'm a fast healer. She says that my abcess is weird because it tunnels back towards my hip and only slightly towards my rectum - which is not usually how abcesses work. It's something that I'm going to have to bring up to the surgeon when I see him next.

Well I think it's bedtime for me - ciao for now!

I'm in so much pain!!!!!!!!

Had the follow up with the surgeon today - he did an incision & drainage - under local - HOLY SHIT DOES IT HURT!!!!!!!!!! He did the local and I STILL cried!

The first local hurt, but then he had to keep doing more and more becuase he didn't expect the abcess to be so deep - my response was "well if you thought it was that deep why didn't we do a twilight sedation or something" - he figured that it was more superficial and that abcess drainage isn't done in the OR. Which is something I wasn't getting at, that it could have been done in the ER where twilight sedation IS available and I could just stay around waiting for it to wear off.

When I got up from the stretcher there was a pile of blood on the stretcher and between my legs that the doc didn't give me anything to clean up with - good thing at least I brought wet wipes to clean myself up. And of course because of this all I have lost my fast (for Ramadan) which is irritating because I had been fasting since 4am. :( I can't fast for the next 10 days because he also put me on a different antibiotic - Amox-clav, which I haven't even heard about. Now I'll have to make this 11 days up after Ramadan is complete :(

He packed the wound and now I'm going to be having a wound care nurse come to the house daily to repack the wound - which is problaby going to hurt like a bitch. I'm certainly not looking forward to that. The doc gave me Statex but I'm not sure that that will be enough to cover the pain when they pack.

I'm off for another 2 weeks til I see him again. I'm not sure that the wound will be healed by then if he expected the abcess to be more superficial than it was. We'll see though. I just hope that the pain goes away quickly because it sucks having to lay down all the time.

A bit on the personal side

Well considering I'll never meet anyone who actually reads the stuff I post, I figured I would tell ya something a bit personal about myself... not to divulge personal information but to educate about different things that can happen - considering I'm experiencing it first hand

For a couple of months now I've been dealing with constipation - back when I was a teenager I was diagnosed with IBS (Inflammatory bowel syndrome - neither crohns or colitis definatively) and have swung from constipation to diarrhea and therefore can't try any of the meds that would help me because you have to be on one side or the other for the majority of time. Several weeks ago it became pretty bad that I developed a hemorrhoid and tried OTC stuff that never seemed to help so I sought out my family physician (FP) who gave me soemthing to try. I did so for about a week and then I developed this bump on my left buttock next to my rectum. I wait another day and a half and then it just became more and more painful. Being a nurse I *knew* that it was a rectal abcess so off I went to my FP walk-in clinic to ask for antibiotics - turns out that he figured that I also had a fistula and required an ER visit.

Off I go to my hospital (cuz I figured that if I had to be admitted or potentially have surgery) I would rather it be done at my own hospital and that way I wouldn't be stuck in a ward room. I was given a letter from the walk-in physician and waited about an hour to be triaged then another 30 min to see the nurse and have my vitals taken as well as a prelim history and then another 20 min to be registered then immediately brought to acute care in the emerge then I waited another 30ish minutes to see the ER doc and have him examine my tush who then said that he didn't feel anything (which made me flabbergasted cuz it felt huge to me!) and said that he would get a surgeon's consult and that took another 45 min who told me exactly what I already knew - I had a rectal abcess and his belief was that I also had a fistula - based on the fact that I had serosanginous fluid discharge from my rectum. He prescribed me antibiotics and I have to see him in 2 weeks.

He didn't tell me what the antibiotics were for (Cipro & Flagyl) because antibiotics can't treat an abcess (being that it's a local infection not a systemic infection) - so I figured that they're to treat any fecal infection I may have that I'm a carrier for and that that should indirectly help the fistula - who knows!

Being on the antibiotics has been rough. I have been severely nauseous, light-headed, dizzy, and weak - I feel like I have the flu. So hubby suggested that I go off them for one day and see how I feel... I listened to him and yet I still feel the same way 36+hrs later - so off I went back to the hospital cuz I can't very well stay this way. How the HELL am I supposed to take care of others when I feel like the room is spinning around me or that I very well may vomit all over them?! 8 hrs later, I'm no better really. No definitive answers either. ER doc told me to stop taking the meds and that my Sx should just stop all on their own - that although I have been taking these meds properly (BID & TID) that I have developed a UTI - like how the HELL did I develop that while being on antibiotics that TREAT that?! AND being a muslim I wash myself with water and make sure I'm EXTREMELY clean in the nether regions so WHAT THE HELL?????!!!! ER doc won't treat because I have no fever and I don't burn when I pee (told u it was a personal post!) and so he's just going to leave well enough alone - not that THAT makes sense to me but hey, I'm not a Dr!

Now I wait around, feeling useless (and everyone around this house telling me I am!) and wait til I see the surgeon later this week. Oh ya, did I mention that while being off the antibiotics that I feel like the abcess has gotten bigger and is producing more pus?! UGGGGGGGGGGHHHHHH