Well, I finally got released from the hospital Saturday night and I am still feeling pretty pathetic. I started not holding fluids Monday afternoon and it continued through the night with body wracking dry heaves that wouldn't stop. We called the doctor several times and they wanted us to come in Tues morning, thinking it was stomach flu because two weeks out is really early for a stricture. Tues they gave me a lot of fluids all day, still insisting it was stomach flu although I kept saying something more was wrong - I really think something is wrong. Finally Dr. Patel's RN told him he should really come see me, so he did and decided on an endoscope and maybe a small dilation.
When he did the endoscopy there was no stricture, but he could definitely see something was wrong farther down. So then I had an emergency exploratory surgery. What he found amazed him and he called 3 other bariatric surgeons that night, who also hadn't seen anything like what he described. I had three problems - the reason I was sick was a small bowel obstruction - my bowels were twisted and nothing was going through, so I was vomiting up from my intestines.
I had the obstruction because I had massive amounts of adhesions. That was the mystery part, he said I had amazing amounts of adhesions that were rock hard (and weren't there two weeks ago). The adhesions were what twisted and held the bowel down. He said he hasn't ever seen adhesions like that fresh from surgery, they were more like what you see 5 years out or so. So he cut through all the adhesions and then repaired my last problem(s).
I had two internal hernias - at both sites where you can get an internal hernia after RNY. He said they were packed more tightly than any hernias he's ever seen also. (I think the dry heaving might have something to do with it).
So that was surgery. Hospital stay was pretty awful but I'll save that story for another day - it involves a serious amount of ranting about my surgeon. I am doing ok, not great, but ok. I just really hope I don't have any more problems because I'm starting to really get worn out physically and mentally. A week with absolutely no nutrition doesn't help but so far all I can stand is water and sugar-free popsicles. I am taking it super-easy and am exhausted all the time. I had a ton of pain at first, much much worse than the first time around, but most of it has subsided. I now have pain just around the drain site mostly. He opened three of my previous incisions, so at least I didn't get new ones. I was severely dehydrated all week but I kept blowing IVs and wasn't allowed any water until Friday night. (which is lovely after puking your guts out for 24 hours and then having an endoscope shoved down your throat). They were only giving me 30ml/hr in the IV, just to maintain the line, and I wasn't peeing more than once a day just a small trickle. I was draining about 50ml/hr from the drain site, so I was just getting more and more dehydrated and that definitely didn't help with feeling better. He said nothing to drin****il I passed gas or pooped, but I was on morphine and nothing was moving. It was a catch-22, and even the nurses called him a stubborn ass about it. (I held down barium Wed so you'd think water would be worth a try..) Finally they talked him in to ice water and popsicles and eventually I did have a bowel movement.
I look like I was beaten up and down my arms with a bat from all the IV attempts and blood draw attempts. It took six nurses multiple tries to get enough blood wed morning. They eventually drew from my feet. The same Thurs. Friday he told them no more blood (thank goodness!) He wasn't willing to put in a central line because they'd have to knock me out again.
So that's the story. It was bad. I feel bad. I am also really emotional and just plain scared.
Thanks for the concern and messages. Sorry I wasn't up to responding earlier.