Ileostomy Surgery

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Hi Everyone,
I had my surgery on 4-15-10 as planned from 9am to about 2pm. I wanted to give you all an update finally.

I ended up needing 4 units of blood - that surprised me a bit. Dr Bauer (the surgeon) said it was a bit tricky, probably from all the nasty inflammation. I had a Proctocolectomy, so my entire colon an rectum and removed. And the anus sewn shut. I hope my experience will help someone else down the road.

So how did it go you ask? I would say very well. The Doctors say that too. As you may know, I was afraid of the post surgery pain, and they did not disappoint me. When I woke up, I had no pain and was really groggy. I think they really loaded me up with pain meds! I had an epidural too.

I was in the recovery room from about 2-3pm until 10pm. It was only extended because they had to wait for my room to become available. I did not mind when I was loaded up with meds, but it got a bit annoying later on when my head was clearing up. The Mt Sinai recovery room is big and noisy.

When I finally got to my room at 10pm I could not sleep anyway. It was due to a bunch of things, itchy from the fentanyl, hot, the leg pressure cuffs, and the loud beeping from my neighbor's pump. But it was still much better than the recovery room. I think I finally fell asleep around 6am. The nurses and techs started coming by at 4am for blood, vitals, etc.

What a difference a day makes. The first half of the day was miserable. My pain was not well controlled the nurse wanted me sitting up in the chair. Pretty aggressive stuff! I felt like a got hit by a truck. I did get into the chair from 8am to 10am, but it was horrible. I had pain from my bottom incision and a touch of nausea. Can you believe they wanted me to walk and get cleaned up? I could not. So finally I crawled back into bed feeling very painful and tired.

One nice thing I noticed was that they have a pain management team. That resident came by and loaded my epidural up with some cocktail that removed the pain. So I was finally happy with the world.

My roommate and I are getting along great, which makes a big difference to me. We seem like old friends already. With spirits improved, I wanted to try for that walk. But, the pain was coming back and I wanted something more permanent for pain relief.

I think my epidural dose was too low and the fentanyl was not agreeing with me. My roommate was on a Dilauded self administered pump. So my mission was to convince the docs to switch me. They did, but they are stingy with it compared to my last emergency surgery. But, I think that will be a good thing. Getting hooked on it last time was not fun!!

The Dilauded PCA pump was set to .2 mg and I could hit the button every 8 minutes. When I had my last surgery, I was getting 2mg every 2 hours. This dose took a while to build up in my bloodstream, and I was finally ready to try for that walk. They are really big on that here.

Just getting on my feet and starting the walk was difficult. But, by the end of 2 laps, I was actually feeling better. When I got back to my room, I started unpacking all my toys, you know, laptop, Ipod, Blackberry, etc. Of course I ended up overdoing it. The Dilauded was wearing off and I could not hit that button fast enough.

So I had some pain, but my mental state had improved greatly. My bottom incision stopped hurting and now the belly incision was hurting. But that is better because I was worried about sitting on that painful bottom incision. With that not hurting, it was another mental boost.

My stoma started producing noisy output sometime today, and I was happy to see that. It looks like a good stoma to me, from what I have read. It is big and fat and protrudes about an inch. I know that it will shrink over the next few months. It seems higher that where my stoma nurse marking, but I guess the surgeon just get as close as he can.

It's now almost midnight on the 16th, and I'm feeling pretty darn good. I know this may seem obvious, but I have not had to use the toilet!!! Of course not, my anus is closed for business. My stoma has been noisy and I write this so maybe I'll get some soft food tomorrow.

Sorry for this long post, but it really helps to post my experience, and hopefully it helps someone. My fellow ostimates out there have really helped me (you know who you are) , and maybe it’s the drugs talking, I this stoma is not bothering me "mentally" at all.

I think every day will get better and better and I will let you know. My ostomy bag training is not until Monday, so I get a free weekend not having to deal with emptying it.

The nurses here are first rate. I'm definitely having a better experience than at my local hospital.

I'll try to get some more sleep now. One thing that is a life saver is my Bose noise reduction headphones. Yes, they are pricey, but so worth it. And you can buy used on eBay. I like the Quiet comfort 15 model. Previously the QC2 model. I use them with my Ipod and a "Ping noise" sound track I purchased cheaply on line. It's actually called the "PINK NOISE ALBUM" and I just checked and it’s still available, just search on Google. I would be so frustrated without this little system.

Bye for now.
 
CD dad, thanks for sharing your experience with us. Too bad the epidural could not have worked longer term. You have had a big operation and hopefully now your recovery will be minimal and you can get back to life. I am so happy you are finally done this ordeal. Now rest, as others say it is vital that you do! Hugs!
 
I'm glad your surgery went so well! And cherish the time when the nurses change your bag for you....lol Doing it yourself isn't a big deal, but having them do it is better!

Heres to a speedy recovery! :)
 
Lovely to hear how well you are doing Joe. Bet you're looking forward to getting home and getting on with life!
Gail
x
 
Congrats on the surgery, Joe, and thanks for posting so soon to update us! You sound in good spirits - keep it up!

Get plenty of rest and don't try to push your recovery too fast! You've had a lot of verbs going on down there - cutting, sewing, stapling etc - it takes a LONG time to heal and for your insides to settle into thier new places!

Try to take it easy. Best wishes for an easy recovery. Please let us know of your progress.

- Amy
 
Good for you Joe, hang in there buddy and don't go rushing into life thinking you are as fit as you were, just because you don't need to go to the bathroom every fifteen minutes or thereabouts.

I now find i don't buy as many newspapers anymore, . . . . haha.

Enjoy your healthier life my friend

Bruscar
 
Thanks for the encouragement everyone. My 2nd post op day is coming to a close. Overall, I'm doing really well so far. The pain (of course) has been the worst thing. One forgets what's it is like when you can't even put on those cute hospital socks. In fact, just trying to sit up and swing my legs over is some challenge. When I'm just lying in bed, the pain is fine, almost not there. But when I try to summon the will to take a walk, it is grit my teeth painful. They did raise my pain killer dose, so that is helping. But I am trying to balance taking too much with just enough (since I do control it). My dose is now .4mg dilaudid every 8 min. But, now I can press the button less often. I also still have the epidural with Bupivacaine. I'm not sure what that is doing for me.

I was put on soft foods today, and that was nice. And the thing I like the best so far? Not running to the bathroom at all. Maybe my feelings will change once I'm home with my ostomy. Plus, the thought of going home at all is a bit scary. The nurses here are great and have been a huge help. I'm not sure what I'll do at home when I don't have that nurse call button! (and the motorized bed).
 
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Joe, you are my new hero! I had no idea it was possible to remove the entire large intestine! Your positive attitude is refreshing and inspiring! I hope you continue to do well and have a speedy recovery. Take care of yourself. I look forward to keeping up with your progress :)
 
I guess your stoma making noise is as good a sign as passing gas. That is great! It sounds like you are off to a really good recovery :D

You sound very positive and accepting of the situation and I think it is great for people to see how it feels. Perhaps all the fear and anxiety we feel is just our minds playing tricks because when I had my resection I was also pretty concerned going in. But once you are in there and things happen I found you just deal with what you got going on and the angst is gone.

Here's to you're Speedy and clean recovery!:beerchug:
 
aw its lovely to hear how well the surgery went, and how well you're doing! your spirits seem to be up, which is fantastic, and will go a long way to helping you accept the changes...

don't be too hasty to do too much, the more rest you can give your body just now, the better, along with a little walking when you can manage it..

i also remember that exact fear of going home where there would be no nurse-call button, but you'll be fine.. it's amazing how self-sufficient you'll become very quickly, & before you know it you'll be dealing with the stoma changes and everything else like you've been doing it for years. all you need to do now is give your stoma a name! :D
 
Hi Joe
Way to go!

so happy for you, things can only get better now! Here's to a happy pain free life!
Lots of R & R now, take it slowly, plenty of time, but keep moving so you don't seize your abs up! that was what I was told after my hysterectomy, but I was terrified of busting my staples open! they don't of course,
Bet you can't wait to get home!
Lotsa luv
Joan xxx
 
Hi Everyone from Day 3 (Sunday). So I'm finally human and depressed this morning. I could not sleep last night (even with the fancy headphones). The epidural was bugging me, the foley cath was bugging me, the JP drain, well you get the idea. I was also doing too much Dilaudid and hallucinating a bit. Anyway, when morning rolled around, I was pretty down. The surgical residents stopped by to offer nothing helpful. Then finally one of my surgeons stopped by and said I could remove the epidural and foley cath! Oh happy day. The smallest change for the better can make you feel so good. Oh yeah, the pain management Dr. put 24 hours worth of Morphine in the epidural before removing it. Gee, I guess that is helping.
And I am taking all your advice and resting! :)
 
Hey Joe, when I had my second surgery I was on a Morphine pump and I hated it because of halucinations. I honestly don't understand how druggies like that feeling, I dont, I hate coming out of anaethesia! Makes me feel sick.

You are right tho, any kind of relief is a good one. Good you are resting. Hope you feel like back to your ol' self again!
 
That's great Joe...glad you're feeling better! I hated when they took my catheter out! I was on TPN at the time, and that just went right through me! I was going pee every hour on the hour. I guess they really wanted me to get out of that damn bed!! lol In the end, it helped speed my recovery up, but it was torture at the time (lugging 2 IV poles to the tiny bathroom was a pain!!). It was heaven when I didn't have to get up at all to go to the bathroom...lol

When do you get out? Don't worry about going home. As dingbat said, you'll get used to your stoma soon enough and be back to normal :) And yes, you definitely need to name it! I actually have people asking me now how Oscar is...it's great!

I hope your recovery continues to go smoothly....take care!
 
I'm glad you are doing better Joe! You are giving me hope for my own colostomy which I go to see my surgeon tomorrow about. When did they put the catheter in you? I'm worried about that I think more than the actual surgery, sorry I don't want to take up your thread so I'll just ask it in my thread.

I'm praying for you my friend
 
Dr Bauer?

Hey Joe, I am glad to hear that you are doing better. How was your experience with Dr Bauer ? and Dr Marion? I love your positive outlook, it is inspiring.
Rest as much as possible and I pray for your quick recovery.
 
Hi Everyone,
Hello from Day 7 (Thursday). I haven't posted in a few days because I've been feeling so lousy. It started on Monday, when I progressed to liquids and then a soft GI diet. After eating, I just felt full and really exhausted. That pattern continued day after day to now.

The docs put me back on nothing by month, and then liquids, but the feeling of just not wanted to drink continued. Today, the docs said to try a soft diet again, and I did for lunch, but ever since, I feel full and bloated. And I only ate maybe 1/3 of the lunch. My stomach seems to be telling me not to eat.

I feel very frustrated. I want to get out of the hospital, but I have a feeling that something is wrong. The docs think that maybe I just need more time, or that there is some bowel distension. But, to me the feeling is in my stomach. Or this could be some leftover Dilaudid withdrawal. I just don’t know. Besides not eating, I also have a feeling of total exhaustion all the time.

So, tomorrow will be decision day. Stay, maybe do a CT scan, or go home. I am feeling lousy here and can feel lousy at home too. I’m just not sure. Dinner is coming soon, and I can tell I have no desire to eat it. But I’ll try. They basically want to make sure I don’t throw up. I have been feeling a bit better today, and walking a lot today. But, each walk is just will power and then I crash after.

Just a note, after my surgery last year, when I returned home, I had the big Dilaudid withdrawal problem. I could not eat or drink, had chemical smell sensitively and recurring nightmares. I ended up back in the ER mainly to get fluids.

I did not have as much Dilaudid this time as last, but there were a few heavy usage days, then I started going way down in usage. Yesterday, just 2mg by pill and today none at all. I did have the chemical smell thing a few days ago. And last night I had an unpleasant dream that I have had before.

But, I have some really top docs here, and they must know best. Dr Bauer gives a real feeling of confidence. Dr Marion only did my Chromoendoscopy, but he seemed nice for the few minutes I met him.
 
Jeff - About the Foley catheter - they put it in during surgery. It is unpleasant to have after, but not terrible. Sometimes you forget it is there.
 
Thanks Joe for the info.

I'm sorry you are not feeling too well. I'm keeping you in my prayers my friend.
 
Oh Joe, sorry you haven't been feeling too well these last few days. Hope you start to see some improvement soon. Recovery is always feels a bit like one step forwards then two back!
Gail
xx
 
Hi Joe...sorry you're not feeling better. I found that I was exhausted after every bit of exertion for about 3 weeks after my surgery. Even after I got home I tired easily. But, take heart, it does get better. And I'm sure once your insides settle, you'll feel like eating again. I'd say that about 5 weeks after my surgery I was back to 'normal' eating habits and 'normal' bowel habits as well.

Hope you start to feel better soon!!
 
Dilaudid

Hey Joe, sorry you haven't been feeling well these last few days. I am sure you will start to see an improvement soon.

Similar to your experience with Dilaudid, I also had a Dilaudid withdrawal problem after being on it for 4 weeks at 2mg every 4 hours.

So this could defiantly be some lingering leftover symptoms of the Dilaudid withdrawal. Dilaudid could be a blessing and a curse. Its like a miracle drug in removing pain but it could be challenging to get off it. I found that the Dilaudid pill did not work for me other than making me tired and cut my appetite to zero!
Listen to your body when it comes to eating but keep in mind that your intestine are realigning itself in the 'new space' and as Cindy, the queen of positive energy and thoughts said, it will take few weeks to get into a routine – and in a short while you will be fine. In the meantime you need the calories and proteins to build your energy up.
Hang in there buddy, and keep fighting all will work out and thanks for the input regarding Dr. Bauer.
 
Cheers for posting on your surgery CDdad, I am due to have my 2nd surgery to remove 15cm of small bowel within the next few weeks..

Im also very worried about the Foley catheter, I hated the last one i had in, feels awful as it doesnt feel naturual to pee down one and the feeling when they finally remove it, Wow,, now thats a weird sensation.. :eek2:

Not sure if ill need a stoma yet, was lucky 1st op not to have one but my nurse keeps telling me to prepare for the worst and if i dont get one its a bonus..

Cant remember how long i was in last time, about 7 days i think, then the staples were removed after about 9 days.

Not sure if they will do keyhole this time or open me up like a fish again.

Good luck to ypu tho mate, you have been thro the worst bit now and you just need to try and get some normality again, good luck dude..
 
Hi Joe - Sorry you're not feeling so great. But I think the exhaustion is normal after such a major surgery. I've had 3 surgeries and after each one I was SOOOOOO tired and it seemed like it took 6 weeks or so to shake the groggy feeling. Plus, your body just went thru a major trauma! There are lots of verbs that you just went through - cutting, splicing, sewing, etc. Takes a lot to recover from that. After my j-pouch construction, I couldn't get out of bed for 5 full days!

So I say hang in there and give it some more time. Try to take it easy and don't rush so much to get out of the hospital. You are safe there "just in case."

Take care of yourself!!! - Amy
 
Joe-Ames is right, hang in there. It is alot to go through both physically and emotionally. Perfectly normal to feel depressed. You will swing back. I hope you are just experiencing minor surgery set backs. Keep us posted. Sue
 
Hi Joe

concur with Amy

sorry you're not feeling so good at the mo! Your body has had quite a trauma so it's gonna take time, and you've got all the time in the world! don't rush major surgery, and rush getting home, you're in the best place.
I was off work for 6 months after my hysterectomy and felt rotten for the first 2 months, thought I'd never feel normal again, so I know how you feel, and the depression can quite overwhelm you at times, just take your time, and think of the future, pain free, at last.
sending big hug your way
xx
 
Hi CDDad

I hope that you are feeling a bit better. Recovery is a hard thing to get through at times. It is more than understandable to feel frustrated. When you go through that much trauma it is a very emotional struggle that you have to cope with. It is not easy. As far as the food and not having an appetite, I would give it some time and also the mount sinai food is the worst for hospital food that I have ever seen. Most of the time when I was in there I was not able to eat because of the restrictions but the few times I was allowed to I had family bring me food.
I remember the days and weeks at times at Mount Sinai. They do pull you out of the bed in the morning even if you say no no no please I cannot move right now! Well thats how I was when the cathdr came out! But when I started to do laps I would go around most of Mount Sinai. I even one time went down the elevator to the area where people wait for their families to come out of surgery because they had computers in that area. I think the best nurse that is there for the night is Tatianna. I hope that she has been able to take care of you if she still works there. In my opinion she was the most empathetic person at Mount Sinai. When I had my emergency second suregry and was really depressed she stayed with me in my room for most of the night just talking to me. She really did help and I will never forget.

Take care and I hope you start to feel well again soon :)
 
Hi Everyone,
I'm here at home now. I did go home on Friday (day 8). Today is Monday (day 11). I haven't posted mostly because of the mind numbing fatigue. I was just reading your posts on my Blackberry and it made me smile and get my butt up and write this post. Thanks everyone for your helpful and positive comments.

As I was being discharged from the hospital, I noticed my perianal incision had opened up. It probably happened a few days prior, but I only noticed it right before leaving. The surgical resident was around and just said to pack it. She did not seem too concerned. I’ll create a new thread for tips on how to deal with this complication.

The same 1st year resident removed my abdominal staples right before I left too. I had a hole open up there too. It’s about the size of a dime now, maybe 2 inch below what is left of my navel. Both of these complications drain a lot of fluid. I just called my local colorectal surgeon who did my last emergency surgery and he agreed to see me to check out these incisions. This will be so helpful. Running back to NYC is a big hassle. I did have thoughts of doing this surgery local, but friends and family thought Mt Sinai was the best choice. A Protocolectomy is complicated, so they are probably right.

When I got home, my appetite problem seemed to resolve and I’ve been eating. So now I’m just resting, listening to my body, and learning to deal with “the bag”. I’m not on any pain killer except acetaminophen. I hope to never take Dilaudid again in my life! Strange thing is, that is the script they sent me home with.
 
welcome back!

hey joe!!! its so great hearing that you are ok back home recovering. I think you made the right choice by going to mt. sinai for your Protocolectomy.
I pray that you will never have to take Dilaudid again.
Have you named your Stoma yet?
 
Hey Everyone,
Today is two weeks since my surgery and I'm doing well. I'm just getting into the routine of resting at home. I'm eating fine and my ileostomy is working well.

I have not named my stoma. I guess he's too new. So far he's a bit noisy at times but at least reliable.
 
Are you getting any follow up care at home? I was so pleased to have a nurse come check on me and I was also given the option to have physiotherapy and a nutrition councilor come visit. I am about an hour drive from the main hospital where my operation was done so they arranged for a bit of home-care. It really made me feel more confident and kept me on the right course to recovery. Are you having to change your dressings and do wound care yourself? That can be tough.

I found with the food thing I just had to keep at it a little at time and the limited choices got really boring. It is amazing how much energy it takes just to get up and make a cup of soup isn't it! Never mind trying to make pudding or something. Hope it all goes well and I hope you get some good advice with adjusting to some lifestyle changes that are bound to happen.
 
hey Joe, how are you feeling buddy? did you have a chance to look at the video web site regarding the ostomy?
best wishes
 
Hey Everyone,
Things are going well. Today is 3 weeks since my surgery and I definitely have more energy lately. My open perianal wound seems to be healing nicely. It seems to be about half the size compared to when it first opened. I have been having spasms of pain from that incision. They last only a few seconds and happens periodically throughout the day.

I'm getting used to my stoma. I did notice some tiny red marks on my skin near the stoma when I changed my flange today. Also, I changed to a Coloplast SenSura sample, so I can compare to the New Image system I had been using. I think people like me who were at the end of their rope with the bathroom before probably adapt easier to having an ostomy. If anything, its better than what I was going through pre-surgery.

Also, I did check out the UCVlog site - I think thats the one you're referring to. Very informative but there's nothing like actually doing it yourself!

I did have the option of home nursing care. But I started seeing a very local colorectal surgeon for follow up care. I feel more comfortable having him care for my incisions. And I'm lucky my poor wife has been doing the packing and dressing of my incisions.
 
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Glad to hear you're doing well Joe :) I use the SenSura appliances too and they're wonderful. The best ones I found for getting wet (if you like swimming, bathing rather than showering, or hot tubbing). I found that dealing with the ostomy is much, much better than what I was going through before. Glad you're finding that too.

Hope you continue to heal well and quickly...for your wife's sake as much as your own...lol
 
Hey Joe, I am so glad to hear that you are doing better and most importantly that your energy is coming back.
Can you sleep through the night?
best wishes
 
Hi CDDad! Sorry I haven't written to you yet.

I went through a lot of the same things you have with my surgery (just a little over three weeks for me now). The worst was the exhaustion. It made me really depressed. I felt like I would never feel better again.

I have been back to the hospital two times since my surgery, once for dehydration and pain, and once for pain caused by other complications. I am doing much better after my last hospital visit and am very hopeful that i wont be back again.

Take care of yourself and rest as much as you can! I am finally starting to feel like myself again, and I definitely feel that the stoma was worth it and the right thing to do. My crohns symptoms are simply gone.

Going off pain meds has been hard for me too, but I am working on it. I think going off of them was adding to my depression.

Hope all is well for you and you will be feeling as good as I am soon. I have been, and i will be, thinking of you surgery buddy!
 
Hi Nicole,
Thanks for the good wishes and I just posted in your thread too.

Acq - I am able to sleep through the night. My doc prescribed some Ambien because I was haing trouble falling asleep. It really worked for me. When I tried the Coloplast bag a few days ago, I started waking at 5am with a full bag. It seems smaller than the Hollister bag. Anyway, I'm gonna post my nubie review of Holliser vs Coloplast in a few days.

Hey Cindy - I'm finally limber enough to change my own dressing, so my wife is off the hook! What a sight, me with a mirror stuffing gauze. :)
 
Hi Everyone,
Today is 4 weeks since my surgery and here is my update. I've been having pain from my butt incision for the past few days. Sometimes its intense and has been getting me down. If I remember to take tylenol around the clock, it kind of knocks it down.

If not for the butt incision, I would be good to go. The abdominal incision is good and I am eating well. My stoma is working well but I think it will take some more time to get used to living with the whole process.

The docs think the pain is normal and keep treating the wound with silver nitrate. In fact, he just wrote me a script for silver nitrate sticks. CVS could not fill it, but another pharmacy is working on it. Has anyone used these sticks?

Also, lately I've been waking at about 4am and having trouble falling back asleep. I've been taking Ambien for about 10 days and wonder if I'm getting dependant on it. I like the tipsy feeling it gives right before I go to sleep. While I brush my teeth, etc, I'm stumbling around a little and it feels nice - weird.
 
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Joe, its so great hearing that you are doing so much better. It is amazing how time flies, and here we are 4 weeks after your surgery.
I have knowledge of the silver nitrate sticks through business not from using it. It is considered to be one of the most effective Antimicrobial antiseptic compounds and used very successfully in various applications in combination with antibiotics. I am not sure how they will expect you to actually use it on your wound. One can get also silver nitrate gauze pads, bed covering…. Almost everything you can imagine as an antimicrobial.
BTW, did you consider a J pouch? Is it an option for you?
Best wishes and please keep us updated
acg
 
Wow! I can't believe it's been four weeks. I'm sorry you are having pain in your butt incision but you give me hope for how fast stomach will heal. I'm still praying for you to heal up quickly.
 
Thanks Jeff!

Acq - No J pouch for me. Everything was removed - colon, rectum, anus. I don't have the silver nitrate sticks yet, but as far as I know, I just rub them on the wound and edges. My surgeon used the term cauterizing. My local surgeon never used that term so maybe there are different strenths?
 
Hey Joe, How are you today?
Yes, your surgeon is right that Silver nitrate can be used as a cauterizing method. At hight concentration of the silver nitrate (over 70%) the silver nitrate contacts with water in the blood it forms a strong antiseptic AND becomes nitric acid. subsequently it is the acid is responsible for the cautery effect. Keep in mind and dont get scared if the skin there becomes little black. It will go away with time.
Can you sleep at night?
How is your energy level?
best warm wishes
get all well soon
acg
 
Hi Joe..glad to hear you're doing well!! I have to have my rectum and other parts removed soon, so it's good to hear about your experience! (I've already warned my bf that he might have to pack my ass...lol). About the silver nitrate, I've used it on animals (it's very popular in veterinary medicine) and it's fabulous for sealing wounds...and very easy to use. Just make sure you wear latex gloves when applying it (it stains your skin).

Keep us posted on your progress :)
 
CDDad said:
Thanks Jeff!

Acq - No J pouch for me. Everything was removed - colon, rectum, anus. I don't have the silver nitrate sticks yet, but as far as I know, I just rub them on the wound and edges. My surgeon used the term cauterizing. My local surgeon never used that term so maybe there are different strenths?


hey Joe, how have you been? its been a month since your surgery... Have you been using the silver nitrate sticks?
best wishes
acg
 
Hi Acq,
Been pretty good. I used the sticks once. They seemed to work - turned the wound all grey and black. But that thin layer of tissue then comes off later.

On another note, I had an appt with a local WOC nurse yesterday. I was not having a big problem with my stoma, but just wanted to make a local contact and have her check my stoma.

She is having me try the Hollister Adapt barrier rings - anyone use them? She also gave me samples of the Hollister lock N roll bags which I had not tried yet. These have the filter too, which seemed to work pretty well last night. I still work up at 4am (which is my pattern lately), but the bag was not inflated.
She also gave me samples of Adapt lubricating deodorant. Seems to work well so far.
 
I didn't like the lock N roll bags at all...had one pop open on me..not good!!! Thank goodness my bag was empty at the time. I use Coloplast SenSura. I like their locking system both to the flange and for the opening. Haven't had any accidents with them at all.
 
Hi Cindy,
I tried one sample of the Sensura and I agree it does seem like a more secure lock with the velcro tabs. The locking flange is also secure but makes it really hard to "burp" the bag. As you can see, I'm still in the trial phase! But if the lock n roll opened up, that would be a small disaster! I feel lucky - not one leak so far.

How often do you have to empty your colostomy? The ileostomy is constant - at least it seems that way (ok, maybe every few hours). I'm eating alot to make up all the weight I lost. That is good news, but makes for a lot of output.

So I'm still looking for the best, easiest way to clean the bag opening. Short of rubber gloves, seems like hands will always be too close to the mess.
 
I was wondering the same Joe. What's the easiest way to clean the bag? Do you use toilet paper like usual? Do you take off thebag part and rinse it in the sink?
 
ostomy bag

Hi Ostomy users, I was wondering if you had a wish list how to improve these ostomy bags, and you had a magic wand and you were granted 3 wishes, what that 3 wishes be?
best
acg
 
Hey all, thought I'd chime in on this tread. It's been two weeks since step one of my jpouch surgery. As far as ostomy supplies, I have only used Hollister brand so far. The hospital gave me a bunch of one piece clip style bags that I cut to fit. I can usually get 3-4 days out of them. I have tried the barrier ring once and it didn't seem to make too much of a difference. Just lately I was able to obtain Hollister's two piece new image bag and flange, and so far I like it. The flange is convex and huge and the bag is a lot more flexible and easy to work with, it also has a filter. I am on day two with it now and it looks pretty good. I have not taken off the bag to rinse it, I'm not sure if it is necessary. Also I have used the adapt lubricating deodorant, it works pretty well, I just need to find more. The only other thing I wish they gave me was a belt. I see the WOC nurse next week so maybe she can give me one.

Good luck!
 
I do use toilet paper to clean the bag opening. I like to wet the paper, which is easy in my house. Not sure when I'll be out and about more. I have not yet emptied in a public bathroom. I keep a water bottle in one bathroom at home and lately i've been pouring water in the bag opening. This really cleans it out very well. But, maybe I'm being too "anal" about the whole cleaning thing (ha ha).

I don't rinse in the sink - I don't want to get that area "dirty", but I have rinsed in the shower.
The adapt deodorant also is working well for me. I just have the individual one use pouches now, but I'll probably order the 8oz bottle. One application in the morning seems to last most of the day.

Also, I recieved some Convatec samples yesterday. Now I have products from the 3 major vendors to try. Probably too much choice, but I just went online to order the samples.
 
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It depends on the day, but I usually empty my bag between one and three times a day. I just take it off, empty the poop in the toilet, rinse it out, and put a new bag on (I always have 2 or 3 bags drying on a towel on the towel rack in my bathroom...lol). When I'm out in public, I just open the bottom and empty it into the toilet. I just use toilet paper to clean the opening...but because my stool is so hard I don't usually have too much of a mess to contend with. When I first got Oscar my stool was really loose and they gave me a big syringe in the hospital that I filled with water and shot that into the bag from the bottom to clean it. That worked really well with dealing with the mess and kept my hands clean too. After swishing the water around and emptying the bag, I just used toilet paper to clean the opening. But now, I just find it easier to just change the whole bag rather than trying to keep one on all day. But again, I don't need to change that much anyway..My output is pretty minimal all things considered.

@sickranchero...ask your local drugstore if they carry ostomy supplies...that's where I get all my stuff from. They have a separate section in the back for all that kind of stuff (like wheelchairs, ostomy supplies, nursing supplies etc.). Mine has everything you can think of...bags, flanges, deodorants, belts, and all the different brands too. Very handy.
 
ostomy bag wishes

few questions: If you could control the size of the bag, and for intstant for the night time, would a larger/more capacity bags work better?
Also, if the cost was not an issue, would you use a 'throw away' bag?
best
acg
 
Just an update on me..
I had a follow up appt in NYC today with my surgeon. I drove into NYC and parked, hoofed it to the subway, took the wrong one, so then hoofed it across Central Park. It was hot, so when I arrived I was sweating bullets. My bag was filling a bit during the 1 mile walk, but was not a problem, just noticeable to me.

The surgeon said I am doing very well, and checked out my still open butt incision. It's small now, but still an open wound. Maybe 2 inches long by 1/2 inch wide and 1/4 deep. When I was first released, I think my wife could fit her hand in there (not that she would want to). After my appt, I messed up the subway transfer again, and ended up walking another mile back to my car (Which I did enjoy).

Anyway, I asked the surgeon if I could start running and training. I don't want to irritate the wound and keep this thing open any longer than I have to. But, he said I had no restrictions on activity.

A few days ago, I recieved an email from CCFA about a half marathon in las Vegas. I mentioned it to my friend (my local mr fitness), and he was into it. I told him I would check with the doc, so now I guess I gotta do it. It's on Dec 5th, so I have time to train, but I am starting from couch potato status. I used to run 5k's 5 years ago, but not since and nothing this long.

I'm feeling better every day and I think I could train and do it, it's just a bit scary to commit after being used to being sick.
 
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Hey Joe - CONGRATULATIONS!!! You are a role model for many of us here. Did you see Bauer? I was there today also (14th floor).
With your determination, I am sure you can do the marathon if you set your mind to do it.
Your recovery inspired me and I am following your foot steps (seeing Beverly next week)
Best wishes
 
Hey Joe! So glad you are feeling up and peppy. I definitely encourage you to train for the Las Vegas half marathon. I just did the Napa Team Challenge half marathon yesterday and it was an absolutely phenomenal experience from beginning to end! I was a TOTAL couch potato; parking two blocks away from my destination could seem too far! The Team Challenge folks have a fantastic training program and the greatest encouragement and support in the world. I was just diagnosed with Crohn's in October, so for the first half of training I was missing about every other week due to nausea/flares. I was pretty discouraged and thought I must be crazy to think I could do this. But my coach and the mentors and my teammates just kept me plugging away. And I'm not even a runner; I walked and every week my teammates would wait until I got in so we could take a team photo together. They were amazing. I'm proud to say that 550 of us were in the Napa race and raised $2.2 million for IBD research! I'm also proud to say that out of a total field of 3,000 racers, I was the very last person to cross the finish line. Yay for me! My slogan was 'Walking for a cure so no more running for the bathroom!'

Lilly
 
That's awesome Lily! Thanks for the inspiration. I just signed up for a team challenge meeting so I am really getting myself into this. Hummm, I have this new Ileostomy and I have no idea how it or my pouching system will perform under training. I get really sweaty when I work out so we'll see how my flange holds up.
 
Few post up questions:
I am now 10 days post op. I went home after 5 days and making progress every day.

I am dealing with considerable draining post op. They sent me home with a JP drain which fills up very fast - is this to be expected?
My bottom incision hurts like hell - and drains
My stoma shrunk 50% and is protruding 1/2"

Whats your experience been?
 
Joe--

My mentor coach had a j-pouch and I'm sure she would have tips. I'm guessing there will be folks in your area too. It's a great thing to do! If you need help with anything where I can support you from a distance (like the fundraising), I'm here for you!

Lilly
 
Thanks Lilly.

Dan - They removed my JP while I was still in the hospital. I think they want the output to slow down before they remove it. Sorry you still need it - I know it's a hassle.

My butt was numb for a while right after surgery, but then started to hurt about 2 weeks after and lasted for about 3 weeks. Those were difficult weeks. I lived on tylenol around the clock. The pain was not constant, but would come in waves and was a dull throbing pain. One day, it just stopped.

Do you have stitches down there or is the incision open?
My ostomy protrudes about 1/2" too. It is kind of oval, about 1" by 7/8". Mine only shrunk a little, it was never much larger as far as I can remember.
 
My stoma is very big (about 2" by 2") and sticks out about 1". It shrank for a bit, but then got bigger and is now the size it's been for about 3 months. The problem I'm having is that the left side of my stomach sticks out much further than the right. It's very noticeable. There's like a mound beneath my stoma. I'm hoping it will flatten out once my scar softens.
 
Thanks Lilly.

Dan - They removed my JP while I was still in the hospital. I think they want the output to slow down before they remove it. Sorry you still need it - I know it's a hassle.

My butt was numb for a while right after surgery, but then started to hurt about 2 weeks after and lasted for about 3 weeks. Those were difficult weeks. I lived on tylenol around the clock. The pain was not constant, but would come in waves and was a dull throbing pain. One day, it just stopped.

Do you have stitches down there or is the incision open?
My ostomy protrudes about 1/2" too. It is kind of oval, about 1" by 7/8". Mine only shrunk a little, it was never much larger as far as I can remember.

Joe- I have stiches down there but some got streached . I cant get comfortable sitting and I try not to take too many percs. I switched today to regular tylanol but its not enough.
REgarding the drainage, I had considerable adhesion damage in both in my lower left sigmoid and rectum so they did lots of cutting down there. I was realeased after 5 days which is ithin the lower end of the Laparoscopic 'release window' so they left the JP for two weeks post op.

My stoma initially protruded 1" but now its 1/2" so I was wondering - thanks
 
Yes, Thanks Dan. I'm just not sure I want to call and maybe have to go in for an appt.

I know it's hard now, but just try and imagine yourself 2 months from now feeling great and the surgery behind you!

Nyx - that is a big one. Your ostomy would definately win in a fight with mine :). I have just a bit of a mound under my stoma, but I think it probably looks bigger because I'm looking down at it. I guess it's the way they arrange the intestines underneath?
 
Joe - I am imagining and listening to your experiences. I have to go in and meet with a Urologist which put a dent in my recovery, otherwise I am doing fine.
If you call Present he will want to see you... call Marion instead , the same number, and ask to speak with him for 5 minutes.
Nyx - you definatley win here . I also have a mount under my stoma

I need help with adhesive remover around the stoma - any suggestions?
 
@Dan...I don't use remover, I just soak in the tub for 20min or so and mine comes right off. If there's any left on my skin, it's pretty easy to get off with just a damp face cloth. Mind you, I don't have hair there to contend with either (not sure if you do or not, but since you're a man I assume you do....lol).
 
For me I go in the shower and let the hot water soak through the wafer. Once that happens I take it off in the shower and wash the area with dial soap to get the area clean of all residue. Most of the time I have no residue left.
 
I think we better leave removing in the tub to the colo's. If we Ileo's do that, that could be some muddy water!
 
Haha, yeah but it seems every time I change my appliance I end up shooting stool around the bathroom so I rather it be contained to my tub which is easier to clean. Plus, I go and pre-cut everything so as soon as I get the stuff off I can dry up and put everything on. It takes much less time and my skin gets much less irritated from the adhesive removal.
 
I think we better leave removing in the tub to the colo's. If we Ileo's do that, that could be some muddy water!


I leave my entire appliance on in the tub...I don't want any floaters!!! I take the bag and flange off as soon as I get out, so it's still wet.
 
I had a set back today. :( as it turnjured ns out, the rectal surgeon injured my bladder area during surgery and I had urine seeping into the body cavity.
Met with a Urologist which scopped my bladder (by far the most painfull procedure I've ever had) and now I have a foley for 2 weeks to see if the body will repair itself.

Thanks on the input how to remove the adhesive
 
Hey Dan,
Sorry to hear this. I had Ureteral stents placed by a Urologist during my surgery. I've since read up on the purpose and they are to help the colon surgeon avoid damaging the Ureters during surgery.

For anyone interested here is a study about this practice:
http://jkms.org/Synapse/Data/PDFData/0063JKMS/jkms-17-633.pdf

Dan - did you have these placed? Also, did they use a flex scope when they viewed your bladder? I read the rigid ones are very painful.
 
Hey Joe - Yes they did place spoke with them pre-op and it was agreed upon. The injury was to the Urethra pass the bladder and it presented itself as a leakage into the JP drain and through the bottom sutures. The inserted yesterday a foley and we hope the body heals itself otherwise it can be fixed with surgery.
They did use a flex scope to view the bladder and it was more painfull than the proctocolectomy surgery. I've heard the rigid one is even more painful.
I did not have time to check up on the The Urologist at Mt Sinai, and he turned to be a big jerk, horrible bed-side manners and I will not let him EVER touch me again.

@ Jeff Thanks for the wishes
 
I just wanted to post a final update that 4 months & 9 days after my Proctocolectomy, my perianal incision is finally completely closed.

I remember very vividly that day in the hospital when I discovered my stiches had broken open and the wound was so huge. I just wanted to go home and did that day.

My wife was packing the wound for the first weeks and I remember thinking I was in hell - I could not believe it would ever close. The wonderful local surgeon who took over my wound care assured me it would.

It has not bothered me much the last few months, but having an open wound is disconcerting. Just nice to write the final chapter. Thanks for all your support!
 
Oh wow Joe that is so great hear! How wonderful to have that support at home. Best of luck to you and your gorgeous family!

Take care, :)
Dusty
 
Joe, that's wonderful news...I am so happy for you.

I was reading your post above, and you were so right assuring me that two months post op all will be fine. So here we are, . Today its two months post op and my perianal sutures almost totally healed, don’t bother me and I am exercising at close to full capacity. My healing process is also going well and I am doing GREAT!

Thanks Joe. Nyx, Jeff and Jer's and others that supported me throoghtout the process.
 
HA - I just re-read my posts 3 up, and yes it did close for a short time, but now going on 8 months and I'm still dealing with two open spots about 4 inches apart. The surgeon thinks I might have to reopen the scar between because there is a tunnel underneath. how wonderful. The good news is that it does not bother me much.
 
The real reason I wanted to re-post here is to say that I feel like I have come full circle.
After my Proctocolectomy surgery, I was in the pits of dispair. Felt horrible, weak, thin, and pale, with a huge gapping open perianal wound.

But, two days ago, I completed the Las Vegas Half Marathon. I did this with Team Challenge (for CCFA). The program is so great. If you feel the urge, go for it. It's fund raising for CCFA, and team training. Some people walk, some run. One of the most enjoyable experiences I've had.

I raised $3,444 - sure I had a decent story, but if I can do that, I think anyone can!
 
Congrats on the Marathon Joe! I couldn't run if my life depended on it...lol
 
That's amazing Joe! Thank you for showing the world what a person with an ostomy can do! You are wonderful and such an inspiration.
 
Thanks Nicole. and Dan, and Cindy.

Well, I'm back on Humira. I was supposed to be on it the last few months but let it slide due to my training. I tried it during but started getting a bunch of colds and felt kind of run down on it. But now that the race is behind me, I really want to avoid future problems even know now I feel fine.

It's weird taking it with absolutely no symptoms, obviously can't tell if it's "working". Kind of like some bizaare insurance I suppose - best not to think about it too much.
 
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