Saturday, December 22, 2007

Complex Case? But, of course!

Yesterday (Friday) was rough...especially for Ron. He was very frustrated and disappointed. But he is in much better spirits today. This verse is reflective of thoughts and feeling from yesterday.

"My God, my God! Why have you forsaken me? Why do you remain so distant? Why do you ignore my cries for help? Every day I call to You, my God, but You do not answer. Every night You hear my voice, but I find no relief. YET YOU ARE HOLY!...Our ancestors trusted in You and You rescued theml You heard their cries for help and saved them. They put their trust in You and were never disappointed....You have been my God from the moment I was born...O Lord, do not stay away! You are my strength; come quickly to my aid!...He has not ignored the suffering of the needy. He has not turned and walked away. He has listened to their cries for help...I will praise You among all the people...All who seek the Lord will praise Him...The whold earth will acknowledge the Lord and return to Him...Our children will hear about the wonders of the Lord. His righteous acts will be told to those yet unborn. They will hear about everything He has done."
Psalm 22:1-5, 10, 19, 24, 26-27, 30-31 NLT

We've all been pretty tired after a very, very late night waiting for Ron to be finished with CT scans and IR procedures. About an hour of that time was spent waiting for an available anesthesiologist. One of the drains was moved in order to help drain the stuff coming out of his incision site...the tissue can't fully heal until this area is dry; same thing with the leak in the colon (colonic fistula). When we spoke with Dr. Parikh (Interventional Radiologist) today he was disappointed to tell us that when they put the gastric tube into his stomach they had alot of trouble. He says he has done over 100 of these in the last year and he has never encountered one has complex as Ron's (surprise, surprise! this seems to be his style, doesn't it?) Evidently his stomach is higher and more to the left up underneath ribs than the average stomach anatomy and is surrounded by his colon. During the insertion of the gastric tube, they went through the colon...not a great thing, a little set back for healing but the hope is it will not cause too much trouble. Fortunately, there are already drainage tubes in place so the hope is they will also collect anything that comes from this new leak. Ron says he hates that that happened but getting the NG out of his nose was well worth the trouble this has caused. He is so much more comfortable and less restricted in movement because of this removal.

Our main concern remains getting all the different pockets of fluid to dry out so these cavities can collapse and healing can begin. Because of the leaks, tube feeding has been postponed indefinitely. Not a great thing, he's back to just the TPN (IV nutrition) which is not as good as being able to feed his gut thus allowing better healing. Sometime in the near future they will have to do a procedure, similar to a colonoscopy, to see if there are any more leaks anywhere in the colon before they will begin tube feeding again.

Good news is...they searched and searched and could not find any leaks in the duodenum which they have thought all along was one of the main problems. This is HUGE!!! Dr. Shires says this would have been a difficult problem to take care of whereas the colon leaks are much easier to treat.

So, for now; we are kind of back where we were a week ago (minus the NG tube discomfort! and thought of duodenum leak).

Thanks for your continued support and encouragement

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