Sunday, April 1, 2012

This is Alden for the report after surgery.  The surgery is complete, and it could have gone better.  I am going to give the facts that I have, and try to be somewhat detailed for the people reading this that like to know exactly what is going on.  The overall news is that she has had multiple complications, and recovery time will be much longer than we had hoped for after the initial surgery.  It's hard to get doctors to put numbers out there, but one doctor mentioned it will be no less than 10 more days in the hospital.

The infection and problems were caused by a hole in the colon.  Based on the fever starting Saturday we guess that it has been leaking its contents into her abdomen since then.  The doctors reported that it was quite a rough situation in there, and they were very surprised Mom was not complaining more than she did was about her levels of pain.  There are multiple complications that can arise from the bacteria  in her abdomen, so pray that the complications are minimal.  The surgeon had to remove 2 ft of her colon because of the stool material in her abdomen. That 2 ft was in the area of the highest amount of visible foreign material.  Right now they have not reattached those sections. The nurse said it was probably clamped, but she has no more stool material in her system so that is fine.  They will hopefully be able to reattach it during the next surgery.

They worked hard to clean her up as much as possible, and will have to go back in to check on things, and potentially clean more, in 2 days.  Since they are going to go back in on Tuesday, they choose to use a "vacuum seal" to close her incision, instead of the typical sutures that would be used. 
Because of the way they have the incision closed, and because of the colon being clamped, or unattached, Mom is sedated and on a breathing tube.  She will be so until the next surgery/surgeries are complete, or potentially for a few days following the surgery planned for Tuesday.

Surgeons removed the port they planned to use to administer Chemo to her abdomen, to protect again further infection, and installed another port to administer fluids to her over the coming days. 

Only immediate family is to visit her until she is conscious again, and ready for visitors.  Unfortunately we have no idea when this will be, but I know someone will definitely post on this blog when she is ready for some friends and family to come help encourage her through this.  Doctors said her number one threat is still the cancer, and that this whole setback is unfortunate, but we will overcome it.  We know that Deb is a tough women, and she will handle her current set back as good as anyone in the world could do.

We still have no reports from the pathology lab about the spots and tumor removed during Thursdays surgery.    Hopefully that will come Thurs or Fri.

We have all confidence that she will continue to fight and that she is in good hands, but please continue to keep Deb in your thoughts and prayers.  We will update the blog as much as possible as we are now back in a constantly changing situation.



5 comments:

  1. Thanks Alden - appreciate so much taking the time for these updates when the family is so stressed. How upsetting that such an encouraging report from surgery #2 can so quickly move to Surgery #3 and such discouragement. BUT ~ agree totally with your assessment - your mom has climbed out of some deep valleys and we have hope that she can do it again. Be assured of our prayers. When words fail you, He hears your groanings and sees your tears. His love never fails.
    Love Linda Breen

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  2. Praying ...............Claudia M. (BBC)

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  3. Thanks Alden, Stan, Rumy, and Mieke and all the others in the family who are working to take care of Deb and keep us informed. I'm still thankful for the initial report from surgery #2, and praying that Deb's fighting spirit will get her through these most recent complications. Love to all! Miriam

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  4. Thanks for the detailed report, Alden. The nurse in me needs to hear all of the medical stuff to understand it fully. I worked 12 hour shifts both Saturday and Sunday so I am just now reading about all of the complications. I am glad Deb is sedated and "sleeping" through some of this difficult stuff. I'm sure the doctors told you that chemo can make the bowel friable and all of that manipulation during the surgery was just too much for her bowel to handle right now. I want to help if I can, so if you need someone to sit with her, even at night, please let me know. Love to all of you and whisper in Deb's ear, "FIGHT!" Praying and thinking of all of you. Love,
    Ellen J.

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  5. Keeping positive thoughts and prayers going here in Maryland. The Vanderwagens

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