Sunday, July 1, 2007

FREAKING OUT

YES I AM TOTALLY FREAKING OUT ABOUT THIS LAP. I know I shouldn't but I can't help it. I did not sleep last night at all even with Unisom. I know it's needed. You don't have to tell me. I know he'll fix what is wrong. I also know it will give me a greater chance in TTC. But still I am freaking. I don't want to go up and be on the 4th floor. I don't want my vacation to be spent on recuperating for surgery. It is NOT fair that I have to do this again. I should have gotten more time. I should NOT have had a cyst burst in May. How freaking unfair is it that I still ovulate on the pill???? I guess that gives me some good feeling that I am fertile myrtle. But it is just not fair. I had NO plans of being in my obgyn's office till NEXT year. NOT now. So not fair. I did get a 2 hour nap with S today. But it's just not fair. I know some have it worse. At least I can still have kids. Many who have this can't. Anyway, I just pray that he finds what is wrong and takes care of it. Please keep me in your thoughts......

Friday, June 29, 2007

4 more months till ttc

OMG what in the hell am I thinking about with ttc in FOUR MONTHS. In four months I can be pregnant again. OMG OMG OMG. Ok done with the little freak out session. But I can't believe how long I have waited to ttc again and in 4 months I will be. Then a whole new set of worries and stress will emerge. OMG OMG OMG.

Deep breath. It will be ok. You will be ok.

Preop Appt

Well I had my preop appt yesterday. It went surprisingly well. I had a zillion questions because I have been through this before. I wanted to make sure THOSE concerns were addressed. Last time I was concerned about procedural stuff - you know what he would do, how it would be done, etc. This time I was concerned with vomiting from anesthesia, infection, catheters. My dr took his time and answered all of them. It was a very comfortable conversation, which surprised me. I guess if you have had this before, you know the drill right. So this is what I asked:

I asked about antibiotics prophylatically because I tend to get uterine infections (had it after Kirsten, Sara, and the last lap). He absolutely agreed. In fact, he is going to have them start an iv on me before surgery (well I was going to have that anyway), but he said he would give me a really good strong antibiotic by iv. Yeah doc!!! Most docs are like ooohhh no we can't do that but because of my history, he had no problems with doing it. He said it would stay in my system for up to 10 hours after the surgery and kill anything that gets in there.

Nausea and vomiting. He assured me this time that he will make sure that I am given everything they can. The last time the nurse said I had all I could (Reglan, Zofran) and that was it. I spent the next two days puking. My dr said if he had known that I would have had to stay. So he said he will order some steroids by iv to help with that. Something about that has shown to help. I asked if I would have to stay if I threw up. He said if I was actively throwing up, he would not let me leave and I would have to stay. However if I was just nauseated, then he would see how I was doing and make a decision then. Please no nausea or vomiting vibes please. I don't wanna stay over on the 4th of July!!!!!!!

No catheter if I pee as much as I can beforehand.

Biopsying the adhesions won't show anything. He won't be able to tell if it was a cyst that burst in May either because it's too late. He said with cysts, you have to get it the day it happens or the day after. Otherwise it doesn't show up at all. The only thing it is going to show is the scar tissue (adhesions) and he would just take it down again.

I can eat and drink lightly up till 5am. He won't move my surgery up so that I can have something to eat. I am the first case. There is a 2pm case as well. I feel bad for the 2pm person. I thought 1pm was bad. But he has appts in the morning. So I guess Tuesday afternoons are his overflow day.I can keep taking motrin and can even take it the day of surgery as long as I take it by 5am.

Bleeding, it depends on where you are in your cycle. it is not all that unusual to bleed for a month after surgery. I bled for 5 weeks the last time. However he was very surprised that I had no bleeding with my knee surgery. I said yeah I was surprised too. But no a drop from there. My knee was another story. Maybe that's where all my blood went and there wasn't enough for the other areas. He does want me to continue the loestrin continuously. It would cause me much bigger problems if it were stopped.

Think that was enough questions for him. I forgot to ask him if he was going to check and see if my tubes are clear. But he will visit before I go down to the OR for last minute questions. I'll ask then. I also forgot to tell him that dh won't understand a word he says. He just wants to know if I am ok. My dh is not being very good with this because this is interfering with his sister's wedding (4 days after surgery and yes I intend to go. I can't miss my girls being flower girls!!!). I have to get it done now or else wait a couple of months (like October) because dh is going out of town for work for 5 weeks.

Please pray that he finds what is wrong. I am fairly certain it is adhesions again. Some days I am ok but need motrin. Other days like this week it has been bad and has required lortab. Thank god for it. At least this time I have been kept more comfortable by my pcp. She has been more helpful with pain relief. Since she gives me no problems with prescribing it, I asked her to replace the rx that my dh lost that I had not filled yet. No only did she replace it, she gave me enough till surgery day and to for post op. God Bless her. My ob knows that I have a Lortab rx and is ok with it. But his nurse can be a witch and treats you like a druggie. I only use it when it is really really bad and motrin is not working. So keep me in your prayers. I am so hoping that this works. I am trying to cool off my anxiety about this. The surgery doesn't bother me. The pain from the surgery and incisions don't bother me. BUT the thought of when I actually wake up from the surgery is the worst. I hate waking up not knowing the time, or feeling nauseated. Pray that I get a good compassionate understanding nurse. I had a sucky nurse for my lap last time who did not tell my dr that I was nauseated. She didn't have me pee or eat. She wouldn't give me anything to drink because I would puke. My dr said if he had known that I would have had something ordered and he would have kept me (would not have like this part).

Monday, June 11, 2007

Anxiety

So in about 3 weeks I am going to have another lap. I know that it is the only way. A million scans won't show what is going on. Only "direct visualization" can. Pain is better but is still bad. I still have to take 800mg of motrin every 6-8 hours. That is DEFINITELY not normal. There is a sharp stabbing pain on the right all the time that varies in intensity. I have occasional left sided pain as well. wierd.

I know what the procedure is. I'm not worried about whether or not he will find something and fix it. Well ok I am. A) what if he finds something? Can he fix it? Will I get to keep all my parts? What if it is something really bad? B) what if he doesn't find something? Does that make me a liar?? He already said if he couldn't find what was wrong then he is going to refer me to a general surgeon. So there is a next step. But I really don't want to get onto the surgery merry go round.

I really really hate thinking about how much I hate general anesthesia. I really detest it. I don't like losing control and when they put you out. It's like you are giving up that control. While I trust my dr. Its till doesn't make it any better. I also detest waking up. Both times before (knee and previous lap) were similar but very different. With the lap the last time, I woke up to a stinging pain to the right of the belly button and extremely nauseated. I woke up in the OR and remember EVERYTHING that happened from then on out. I remember the first thing I said was I am going to be sick. I heard the anesthesiologist tell my ob, I gave her a double dose of Zofran and Reglan. Even being totally out of it, being a smart aleck said it is not working and didn't work when I was pregnant either. I remember hearing my dr laugh and say something. I didn't realize that he was still there. I remember them moving me to the PACU. I remember the nurse (a friend) saying I wasn't nuts and that he had found adhesions and taken them out. Then it was up to the ob floor. Then the nurse pushing me out the door even though I hadn't eaten anything, couldn't pee, and couldn't drink for fear of puking. I went home about an hour after getting to the floor and puking the entire night. Lovely when you have just had stomach surgery. It hurts too.

When I had knee surgery, I had nausea again. But pain was ok (thanks to good ole dilaudid in the OR). I woke up in the pacu and them telling me that I was going to be there for awhile. That I had a lot done. Then going up to peds because the ambulatory surgery area was closed. This time I was insistent on going home and to my own bed. The nurse was really trying to convince me to stay. Finally she agreed to let me go. She turned around to take my iv out and bam I started puking. 20 mins later and I would have been sprung. They talked me into staying the night. I didn't want to, but dh was like remember last time. That was all it took.

I have several questions for the doc:
- anxiety, can he give me something for it before the surgery (like the night before, so I'll actually sleep).
- puking - please dear God, please let me not be nauseated from the anesthesia again. I really really hate puking.
- Infection - after both girls and the lap, I got a uterine infection. Let's just skip that dance and do antibiotics prophylatically and we'll both be happy campers. Me because I won't get an infection. He because he won't be getting a call at 2am saying that I am running a fever, have chills, WBC is above normal. Makes it easier on both of us. What do ya say??

Well off to bed again. Was woken up by dh when he came to bed and have been anxiety ridden over this. We'll be going on vacation in about 2 weeks and it is desparately needed. Camping, but not tent camping. I don't do that. We rented a trailer on a lake. I'll have wireless internet as well. I am so spoiled. We just need to get away and spend time with ourselves. Sil's wedding is driving us crazy. Work is driving us crazy. Upcoming surgery is driving us crazy. We just need to get away and be by ourselves. We have invited some friends to come and join us for the day on that Saturday. K's best friend and her parents. We have NOT however invited the inlaws, although I think they are inviting themselves (too bad they will have to pay to get in!) . We just need some space. They are kind of making us feel like a third wheel.

Friday, June 1, 2007

Onto My Second Lap

Ok, so now I have 2 ER drs, 1 pcp, and finally my obgyn agreeing that another looksie is in the plans. I saw my obgyn today. He says he doesn't think it was an ovarian cyst. Not sure of what is going on with me. It could be adhesions again because the lower incision from last year is driving me CRAZY. Along with that lower right pelvic pain, is the most irritating pinching, tugging, feeling at times like it is going to rip open sensation for that little teeny tiny incision. I KNOW that is adhered to something. But no one knows why for sure what is going on. The only way to find out is to go and "eyeball" it as my ob says. He totally agreed with absolutely no hesitation that I needed another lap. I know it is needed. If I didn't get it from him, I would have gone elsewhere to get relief. But it still doesn't make it any better. I still have all of the same old fears. He did say today that if he didn't find anything he may refer me to a general surgeon for a hernia eval or or a bowel something or other. He asked me if anyone said anything about the bowel. Ummm, nope. They all said ovarian cyst rupture but couldn't be confirmed because the US wasn't done until 11 days after the pain started. Ladies if you have this pain, get in and get it confirmed before the fluid absorbs in the body.

Anyone in the family with Crohn's disease. Um don't know exactly what that is but no. We have a history of preeclampsia and heart disease. Funny that every woman in my immediate family has had PE at term and mild (except my sis, she was anemic and went 5 days late!). Me- I got it bad, not once but twice. Lucky me! Oh and we also have diabetes and I am fortunate that my blood sugar has been good to go everytime it was checked. yeah for something right??? I also inherited all of the family women problems too. I remember my mom saying when I was a teen that her periods were light and lasted a day. Even as a teen, I remember thinking A DAY???? UGGGH, mine ALWAYS were heavy, cramping, and lasted at least a week. WTH??? My sister, well that lucky girl hasn't had one since my niece was born 3 years ago. Ok maybe one, but in her words, it wasn't that big of a deal. See I got it all folks. Lucky me.

So we scheduled the big day for 7/3. Had the mean nurse schedule it too. I don't know if there was some talking done or what. But accomodations were made to fit my schedule. Doc's schedule for the first week of July was full for his usual Mondays. So the nurse offered me 1pm on 7/3, Tuesday. My doc doesn't usually do surgery on Tuesdays. I was elated that I was able to still get in. With DH being gone from mid July on and June being swamped. I really wanted to be able to do this the first week of July. If it has to be done, I want to go and get it done and over with. Find out what is wrong and get on with my life. I was so happy when the lap worked last time and now this. This has been pretty disapppointing. You start to get everything back and bam. It gets taken away from you again.

Well here's hoping that this lap works. If it doesn't, after I get pregnant, my parts are a coming out. If I don't have any parts, then there won't be anything left to get stuck to each other. For now, I am sticking to the painkillers for the next month. I guess I am going to call my pcp and ask her for a refill soon. Not enough to get through to surgery. I thought about asking my ob, but he is kind of stingy with that stuff. Like I said mean nurse treats me as if I was a drug addict and a faker. She was beat red today as she had to schedule my surgery. It was pretty awkward as she told me I should just see my pcp and see what she says. hmph. She did go out of her way to accomodate me for the preop appts and everything today though. My pcp said call her anytime and has asked me several times if I needed refills. I have told her no several times, but that was before I discovered that dh LOST my rx's from the weekend. wonderful. I could beat him with a stick for that. That's it for now. At least I will get visualization of my tubes again. Make sure they are clear. Then we will be even more ready ttc in a few months. They say the first few months after a lap is the best time. Maybe this is God's will or something that means we were meant to do this. Send lots of prayers and postive thoughts my way please. I can use them.

Tuesday, May 29, 2007

Update to the woes.....

Saw my pcp today. Unfortunately she agrees that a lap is now warranted. I called and got an appt with her right away. She said hmmm, um I have to go back to my med school days for your gyn issues. You need to see Dr. E , but keep me informed. She said if it gets worse to call her and she will call something in stronger for me till I can get in to see him. She thinks there is now an adhesion and there and I think she is right. Today was easier on pain, but there is still quite a bit there. Enough to take meds around the clock. The lower incision from the lap in October has been pinching and pulling to the right. Unfortunately, there is pain and pressure on the right just like the old days. Except, in the old days it would let up. This is always there and has not really let up. It's not as bad as it was, but it is still pretty bad.

Called the ob's office for a followup appt and got mean nurse again. Turns out she is actually the office manager. Called for an appt and immediately the receptionist sends me back to the nurse. Grrr. She did NOT want to give me an appt. I didn't ask for it for the day he came back, just when he had an opening. I understand that he is a busy dr but I am busy too. Finally I convinced her to give me an appt. I actually had to tell her is there a reason that I don't know of, something going on with me not being able to make an appt???? She said ummm, no I am just checking his schedule. Finally she gave me an appt again at 145 on Friday. She said she will check with him and see if it was ok.

I was so steamed by this that I finally had had it and called the office back. Asked who the office manager was. Was told it was this nurse. Great, just my luck. I declined to hold. Then I decided that NO, this needed to be taken care of. So I called back. Got her on the phone and said you know this is the third time that you have tried to deny me an appt. Is there some issue I don't know about? Is there an office policy that I can't make appts? Is there something going on. Because everytime I try to make an appt you try to not give me one. Back in Aug, when I had an appt arranged to discuss surgery, you told me I didn't need that appt. We decided on surgery. Guess what, he found adhesions so I wasn't nuts! Then on Monday my pcp was soooo concerned she sent me to be evaluated for appendicitis. You told me to keep an eye on it and call back in a month. No way could I wait a month. Then you gave me a hard time about the follow up appt from the ER. What about today. I didn't ask to be seen immediately. Well patients from the ER need to follow up within 2-3 days. Ummm Ok, so that means I need to be followed up. Not that you will call me. Is there a problem I need to know about. No, everything is ok. Not a problem that I know of. Then why do you give me such a hard time? She went on to explain how he is really busy, etc. That they try to triage patients. That his schedule is jam packed even when he comes back from vacation. I said yes, but this is severe sudden onset of pain that started two weeks ago and has NOT let up. They say it is a ruptured cyst. We know that I am at risk for adhesions. The ER Drs are talking about that I need another lap. Not an appropriate conversation with a nurse!!! So if there are no problems, if I get pregnant at the end of the year and call and say hey, I got high bp, a headache that will not go away and gain 10lbs in 2 days. Are you with my history going to tell me to wait a month??? Oh no, we would NEVER do that. Then how would I know when you put me off all the time? Guess what I still have my appt and she better not change it. GRRRRRRRRR. She assured me that I could make appts.

So now it depends on what my ob says. He is pretty conservative. I don't know if this is something he will do. At first I was pretty shocked about needing another lap. But now, I am getting more used to the idea. A lap is not that bad. It just sucks for a few days. If he wants to get it done, I want to get it a move on it. Dh is going out of town for 5 weeks and I need to be able to function and chase after the girls. I can not deal with this pain for months on end. I am already scheduled off the first week of July for sil's wedding. This way I don't have to do any work that week. :) I either get it done before 7 July or I don't get it done till Sept/Oct. I don't want to wait that long if I have to. On one hand it's surgery with its own risks and benefits. On the other hand, we may be able to get an idea of what happened, they can get a look at my appendix and definitely rule that out, remove any adhesions that I may have, and take care of the issues. The other benefit means that he'll check my tubes and stuff for when we ttc. Get it all taken care of at once. I just hate the thought of a) infection - cause I got a uterine infection with the last one b) puking from general anesthesia - found out comapzene works well with this c) what if he finds nothing at all. I went into the last one on faith alone. Guess I will go on this one too.

Monday, May 28, 2007

A much better day!

Today was a much better day. Still have some pain, but easily managed with the meds they gave me in the ER. I am making an appt to see Dr. L tomorrow. Time for a heart to heart talk. I am really really worried about having another lap. I know that it is probably indicated. I can't can't can't go through what I went through last summer. I am really worried that I have developed an adhesion where the cyst burst. The nausea is gone. I was actually able to do something other than lay in bed today. I powerwashed the house and deck. Still waiting for the wood on the deck to dry out. Then I am going to paint the floorboards. They were in desparate need. I'll also call and make an appt with Dr. E. They better not give me any grief over it. I also worry about if I do a lap (which I have done before and is not nearly as bad as the fear from it), what if they don't find anything? So many decisions and so little time. Too much is going on this summer to be tied down to endo, cysts, and adhesions. My sil is getting married 7/7. I will be glad when that is done and over with. We have been avoiding the inlaws because they are driving us crazy. I'll have to update with what the docs say. I was hoping to have some quiet before ttc again.