I realize that with age health issues may arise. I just expected that I would be the first to go down with something...not my wife! We both had colonoscopies at the recommended ages. Mine was clear but she had polyps. We were informed by the doctor that there are two types of polyps. The normal polyp grows outward from the colon wall and is generally benign. He removed them easily with the endoscope. He called these "tree" polyps. The other polyp grows laterally within the wall of the colon and because of this, he called it a "flat" polyp. These are more difficult to detect and remove than the others. My precious wife had one flat polyp and a couple of tree polyps. The first time, the flat polyp was small enough that he was able to remove it somehow with the scope. I was told to have another scope when my insurance allowed, but, because of the flat polyp, my wife needed to be checked in a couple of years.
Time passes quickly and my wife goes in for her second colonoscopy. This time the doctor finds more tree polyps and wants to see her again in a year. I remember my wife saying, "I must be growing a forest in my colon!". We are concerned , but, the doctor assures us that all is well and she just needs to be checked within the next year. Ok...it is what it is.
The third colonoscopy revealed that she had two almost nothing tree polyps and another flat one. While waking up from the anesthesia, she overhears one of the nurses say "She'll need to see a surgeon." This scares my wife to death even though she's still not completely coherent from the anesthesia. While she's waking up, the doctor comes and informs me that she has one "unusually large" flat polyp that has grown so deep in the wall of her colon that he could not remove it with his instrument safely, so he marked it with blue dye and a gold marker. He assured me that it didn't look cancerous but he biopsied it just in case. At this point we get a medical term for her condition..."tubular adenoma". "I want to see her in two weeks." he said. Two weeks pass..two weeks!...and her doctor knew the day of her colonoscopy what we would be up against. Why he did not inform us that day is beyond me...makes a body wonder if he simply didn't think it urgent enough or knowing we were at his mercy, maybe he wanted a little more money before he turned us over to the next guy! Surely it was the former...still? *scratchin my head*.
Again at this visit, the news almost blows my wife away. The doctor tells her that he must refer her to a surgeon for a colon resection operation. This is startling news as she has no symptoms whatsoever! He explains to her that the polyp has grown deep into her colon wall and removing it by surgery is the only way. He then told her that the biopsy showed the polyp benign at the moment but it was precancerous and had to be dealt with. Six inches to a foot of colon would have to be removed. I suppose he saw the shocked, frightened and then despondent look on her face, then he told her, "Don't worry...Don't worry! You have plenty of colon. You won't even miss it!". If he thought this would calm her down he was badly mistaken! Now I'm scared too!
Another couple of weeks before we see the surgeon gives us time to research the operation. We find that most are done with a scope and hospital stay is from 3 to 7 days. This is a MAJOR surgery. A section of the colon is removed with instruments that reach through small incisions rather than a single large incision. Because of this, recuperation time is much shorter...supposedly. We proceed to the surgeon's office for the initial visit and he begins to explain the operation. He says he plans to start with the scope, but, it might be necessary to open her up. It would depend on what he found when he got in. An x-ray had been sent to his office showing the location of the polyp in her transverse colon, but he had not looked at it yet, so, his explanation as to what he would do was not explicit at all. He told us that if the adenoma was left of her center line, he would take a 6 to 8 inch section out. If the adenoma was right of her center line, he would take her entire colon from the spot down to her appendix, then stretch the two sections together attaching the small duct at the head of the small intestine to the large intestine. The only other option was to plug out the spot, but, this would risk having to go back in with a much more invasive procedure should the polyp show cancer. Well?...what can you do? We set the date for her surgery on December 28 with the assurance of the surgeon that he would do whatever was necessary to make sure all areas that could be cancerous are removed. He tells us not to worry, he has done thousands of these operations, he is confident that he can fix her completely with no leaks. His confidence that all will go well gives us some peace of mind. He tells us that 3 to 4 days in the hospital after surgery is the normal because it takes a while for the colon to "wake up" after such trauma. Still, you can't help but worry.
During the time till surgery date, my gritty wife develops the "Well...the thing has to come out, so, let's get it over with!" attitude and I assure you that many prayers were offered by each of us and our immediate family. As the word got out to her friends and the community, she began to hear from some of them that they had undergone the same surgery. This eased her mind greatly that everything would be alright...mine too. Our church family gave us great support and encouragement and their prayers were truly felt. Now it's just count the days till the 28th. One bottle of magnesium citrate and a light dose of laxative is all the prep required on the 27th and she's good to go.
The day of the surgery arrived and we were to be at the hospital at 6AM. We park in the parking garage and walk down to admissions pulling and carrying luggage enough for a 3 or 4 day stay. We spend the next 20 minutes or so standing in line waiting to be admitted. A wristband is applied and we're off to the same day surgery center of the hospital. The nurse at the desk takes her papers and whisks us off to a room where we are told to wait till the surgeon and operating room is ready. She gets her hospital robe on and climbs up in the bed. Shortly a nurse comes in and after several questions about previous surgeries and medicine allergies etc, my wife is given a saline drip for hydration purposes. We are told that it shouldn't be long, so, the wait begins. Next comes the anesthesiologist who explains how she would be put under. He was impressive with his plan and we were satisfied that he knew his business. About 45 minutes later and after we had dragged her drip line and bag to the bathroom about a dozen times, *whew*, she is given two valium tablets. I know now that it won't be too long before they take her back. Within ten minutes she is really...I mean REALLY relaxed. She thinks that she can't open her eyes, so she jabbers with her eyes closed. She tells everyone that speaks that she loves them..even total strangers! My two daughters who were there with us told her afterward, "Mama, We've seen you on drugs now!".
Soon she is wheeled back to the operating room and I am told to wait by the phone to be updated as needed. About 30 minutes pass and at 10:35AM, the nurse calls and tells me they are about to start. She also tells me to expect an hour to hour and a half operation. I spend the next 20 minutes or so notifying friends and family via text message that the operation has begun. An hour passes and no word yet. I'm a little worried, but there's still a half hour to play with. Another 30 minutes pass and still no word...now I'm getting scared. "Something must be wrong!...What if they can't stop a leak?...What if he has to take the entire colon and build a colostomy? (He had assured us that no ostomy would be needed unless something went wrong)...What if she died!" are things that run through a semi-panicked mind. Finally within the next few minutes I get the call that they are finishing up and it went well. I am relieved of course but still wonder why it took so long. After several minutes the doctor comes in and tells me that he removed about 6 inches of the transverse colon. He said that it took longer because in the time since the last colonoscopy, the blue dye and marker had been lost, so he had to use the x-ray and pinpoint the lesion by measurement. Once the position was located, he found it difficult to reach due to scar tissue from previous hysterectomy and tubal ligation surgeries. He said he had to move a "lot of stuff around" to get to it and finally could not get the section out with his instruments. He explained that he had to expand the primary incision just slightly so that he could get his fingers inside her enough that he could get the section out. Once that was done, he said the rest was a "piece of cake" and that the polyp did not look cancerous to him or his associates at all. I asked if he had removed lymph nodes also. He said there might be two or three along the section removed, but he deemed it unnecessary to remove any others as he was confident that there was no cancer. The section would be sent to pathology for testing to make sure and we should hear from them in a few days. Great news!
A few minutes later a nurse tells me to gather my bags and report to room 336 in the hospital and wait about an hour for her to come out of recovery. I tell all our folks who are waiting in the lobby and proceed to the room. Finally after two solid hours they bring her up to the room. She is still under the effects of the anesthesia and pain medicines, so, she still loves everybody! I'm so glad the operation is over that I just about can't stand it! She shows us the incisions and I count 4 staples just under her breast bone, 16 holding together the larger incision from just above her navel to a couple inches below and small taped puncture wounds on either side of the center line of her abdomen. She says nothing hurts and she thinks this won't be as bad as the hysterectomy. The first afternoon and night were good. She slept from the medicines she had been given. I tried to sleep on a cot provided but wound up just sitting in a very uncomfortable chair thinking what in the world would I do if I had lost her.
The next day she began to hurt...not so much a continuous pain, but sharp pain when she tried to move. Moving from one side to the other hurt her, the process of sitting up on the side of the bed hurt her etc. A morphine pain pump had been supplied for her to use as needed but she determined that she would not because she was afraid it would make her gag and heave. That would really hurt. She bore the pain till the end of that day. Finally her nurse asked her about pain and she explained that she feared the morphine. The nurse said "We can give you Norco ( hydrocodein) tablets for the pain. This was great because she had used them before through the years with no side effects. Also her mouth was dry as a desert because of the nausea patch that had been applied on surgery day. The nurse removed it and promised to bring some kind of lemon flavored swab to help the dryness. Things like this are available to surgery patients, but, the average person(like us) wouldn't know to ask! Not long after the pain pills, she sleeps all night. I am exhausted by now and the body reaches a point where it has to rest, so, even on the most uncomfortable cot in the world, I slept most all night too. During the rest of our stay, short naps were all we could do.
Her doctor checked on her promptly at 8AM each day and told us everything looked good. All she needed to do to go home was have a bowel movement. Finally on the 4th day, New Years eve, we are allowed to come home. Yesterday we heard that the pathology was clear and no cancer was present. The cells tested precancerous as they had before. We still have a follow up visit to attend, but she's now on the mend. Perhaps this story will help prepare someone who is about to undergo a colon resection surgery. There will be some scary moments, but, the choice of not seeing a gastro specialist for a colonoscopy and winding up with colon cancer is much scarier! Get your colon checked..it saved my wife from the horrible experience of cancer treatment. It can save your life!
Praise the Lord who watches over us all!
