have felt like 12 years it seems.
First, Miss Addy will be TWO in 1 week! Can you believe it? That bittersweet day has rolled back around. I'm not sure how to feel. Again, I feel torn with emotion over the whole ordeal. It's a partially sad time, but in the same token it's one of the most blessed days. My girls came into my life that day, what a miraculous thing! But, then I stop and miss my sweet Reagan a bit more. A piece of me is forever gone, yet I feel so blessed to have known her for those short 87 minutes. Yet, then I look at Addy. Dear Addison...wow, what a miracle SHE is! My 29 weeker is an amazing little girl. She can recite her ABCs, loved to sing several songs ("Twinkle Twinkle little Star," "Rock-a-bye Baby," and "Pat-a-Cake.") She goes to bed singing and wakes up singing. She is the most active nearly 2 year old I know! Literally, she rises out of bed with more energy than the energizer bunny and doesn't stop until you basically make her stop. She loves Dora, Disney Princess, and babies and books. The little girl that needed oxygen to breathe when she was born and dropped to a weight of 2lbs 12oz...is now a nearly 24lb girl who helped our hearts heal a little.
She went from this:

To this...
I'll share more of our girls next week...after their birthday celebration! We're headed to the splash park. Please RSVP as soon as possible! :) We need to make sure we have enough food and cake for everyone. It'll be loads of fun, we promise! :)
As for the job front? I don't really want to get into it.. let's just say prayers for all this to work out are much appreciated and leave it at that for now. If something comes along, I'll be sure to share, for now, things and emotions are difficult.
As for me? Well, if you are on facebook, you are well aware of my "adventure" over the last week. It's obvious that the stress from the last 12 days has affected my disease. Yes, must I even type the word "flare?" But, it seems that is where things have gone. On Saturday (a week ago Saturday), after a normal day, I fell asleep in the recliner (pretty typical actually). At 1am, I was awoken by sharp painful cramps. At which point, I tried to work through them, thinking it's just gas or it'll pass, or what have you. Well, after about 30 or so minutes of the pain not going anywhere, I went to the bathroom. Sorry to give you TMI, but after an ostomy surgery, you still have a rectum that produces mucous. Sometimes, you have phantom pains that sitting on a toilet help ease the pain and the gas... don't ask me why, I just know it does! Anyway, that didn't work and I ended up turning around and puking my guts out. I had no idea I had puked so hard until the following day when my entire abdomen hurt. The pain was still there and extreme, at which point I had decided this might be a blockage and I became increasingly concerned, so Charley called 911, and I was taken by ambulance to the ER. As the medics were putting an IV in my hand to start some nausea meds my colostomy bag (which I had just changed moments before they got there as it had filled with normal stool) burst full of diarrhea. (Thank God I changed it!) That was yet another sign of a blockage. I got to the ER and they started all the basics. The doc came in..ordered me pain meds (at that point I wanted it) and nausea meds. By the time the pain meds came around, I declined it. I had suddenly started to feel better and felt like half an idiot because the pain was gone and maybe this was just a stomach flu. They ordered an xray to reassure all of us, at which point they saw nothing. So, they discharged me. I got home, got a good shower and changed my bag (you'll see why that's important).
They urged me to follow-up with my docs. Now, after surgery, I needed to go back to St. Louis and see Dr. Stone to re-establish things since I was in remission. I was putting it off until August, but the ER visit prompted that I do things sooner rather than later. So, we got in to see the nurse practioner on Wednesday at 2pm. Worked out great. We left around 10am on Wednesday morning. Got there just in time and saw Connie. We discussed what we should do. She sort of thought the weekend could of been a stomach bug too, but was disappointed they only did an xray and not a CT, as was I, but an xray was better than nothing. So, we discussed that right now, the best option would be to go back onto Cipro and Flagyl. These are 2 antibiotics. Now, I know I've said I can't take antibiotics, this is true, but Cipro and Flagyl are bacteria antibiotics that basically are aimed towards bacterial infections and not other type of infections. These two work best together and get rid of the "bad" bacteria in my gut. I'm not necessarily thrilled with them, but they are the lesser of the evils. I could still end up on Tsyabri after all of this...or even Methotrexate..both of which I'm trying to avoid. They decided we'd go this route and schedule a colonoscopy by Dr. Stone for 6 months post-partial colectomy, which is 4 months from now. We left with the new prescriptions and off we went. I did discuss that I hadn't had a bowel movement at all (bag was dry) since Sunday at 1am. I told her I knew I could take up to 2 doses of miralax a day, at which point she said you can actually take 12! Holy toledo batman!!! 12? I hate choking down 2 doses of that junk, but 12? So, anyway...we sort of discussed I'd do 3 doses, eat dinner, and drink more after that. The more I drank, the faster things would move. She also told me to try a few colace and I could use dulcolax laxatives too.
We left, hit the pharmacy, checked into the hotel, called our cousin to meet for dinner, and let Addy burn off a little energy.
I mixed my cocktail on the way to dinner. Took my cocktail to dinner. Drank it before dinner came and ate a few things while drinking it. I could feel/hear my gut moving. I thought, "Yes, this is working and fast!" Well, as dinner progressed and our meal came...I started to hurt, and I mean really hurt. I took 2 pain pills...pain pills constipate, but I was drinking laxative..it really shouldn't be an issue. Well, uhm, ya, it all went south from that point. Midway through the main course we had to throw our food into boxes and leave. Thank God our cousin was with us!
We called the emergency doc and after I repeated to I think 3 people my story and then they asked me.. "Are you sure it's Crohn's and not Ulcerative Colitis?" I think my mom and cousin had a nice chuckle to that one.. I instantly spat back "Yes, it's Crohn's - I have had fistulas, fissures, and abscesses." At which point, he said.. "Oh, ok, you have Crohn's Colitis." Me.."Yes." (They call it Crohn's colitis because it just means your Crohn's is in your colon..they've yet to find it in my small intestines.) He directs me to Barnes Jewish ER. Lovely, I'm NOT looking forward to this. Our cousin warns us, this is within the city and may not be good. Dr. Stone is at Wash U which is connected to Barnes Jewish, so we went.
Yes, bad idea... in fact, we called it a nightmare. They checked me in fast. Sent me to a nurse who asked me a slew of questions and took my info..at which point she asked my pain level.. I answered an honest 9 out of 10 (only because I truly have felt worse pain!) We asked how long this would take until I received pain medication and she could not answer that..she simply said "I'm only a nurse and we've ordered an xray, everything else will need to come from the doctor." LOVELY, the GI on the emergency line JUST TOLD ME I NEEDED A CT!!! NOT AN XRAY! I started balling in the triage room.. I mean down right sobbing to the point they had to pull me out of the chair and I was crying that I just wanted to go home. We found a spot in the overly crowded ER room. Not to mention, Addy fell asleep on the way and had a poopy diaper that they had to disinfect the bathroom to change her. (God Bless you Rene!!!) When she came out, I just started sobbing some more...and I just could NOT sit there for what was going to be HOURS. My mom asked our cousin.. "Is there anywhere else we can go?" Rene, our kind cousin, directed us to a hospital about 30 minutes away. It was a LONG ride. But, we arrived at Missouri Baptist..and WOW..what a difference. First of all, they were SLOW (God's perfect timing, eh?) I was the ONLY patient in the waiting room (this would be a first!) and they took me right back and at this hospital, the DOCTOR checks you in and immediately orders medications. They wheeled me back to a room within minutes and I had an IV not short after, and they were giving me pain meds and nausea meds I'd say within 15 minutes of my first foot into the door.
Well, they decided on a CT after I told them what doc. It was so funny because about 10 minutes after I got pain medicine, a new doctor came in and said.. "Well, I see back in February.." And, I looked at him puzzled... "I've never been here before, how do you know about February?" At which point, they informed me all the hospitals in the St. Louis area are linked together!! YEAH! This came in handy. So, they were dosing me with Dilaudid and Zofran pretty regularly. I was still rocking in pain...trying to choke down the nasty CT liquid and finding that the only way I got any relief was by sitting upright. Nice...
I can't remember if this was before the CT or after the CT, but at one point, they basically put me on a high dose of pain relievers and had to put me on a pulse ox to measure my breathing because they were afraid I might stop breathing based on the amount of pain meds I was on. For the record, I know way too much about pulse oxes from Addy's NICU days. That said, if you know what the pulse ox reading means.. most people are between 98-100. I, was dipping to the 93s. I think in adults they worry once you hit 88. NICU babies is 92. (Hence why 93 bothered me)
So, the CT came back.. no strictures, no blockages, no nothing! WHAT?!?!?!? I just looked at him stunned. At which point he told me.. "This could just be constipation." I was again stunned. I know constipation is NOT comfortable, but for God's sake.. can it really cause THAT much pain? Apparently it can.
I wasn't even aware of it for a few hours, we were just waiting on the CT results but they had already gotten me a bed.. they were admitting me and didn't tell me until about an hour later. They wanted to attempt to irrigate me in the ER first to see if that would help. Basically a soaps suds enema. Well, ya, that works just a tad different when you have a stoma protruding from your abdomen. I don't think the ER nurse (who at one point that I was lying about the pain and got a tad snippy about me asking for more pain meds) was too enthused, but oh well! He didn't do a very good job, but he also didn't have the right kit.. I think what he did basically just helped to loosen things up. I put a new bag back on at that point. (Good thing I brought several!)
At taht point, they wheeled me up to my floor. In the meantime (well before this), we had basically coordinated what to do with Addy. Well, not really.. just thanks to our cousin Rene who worked with her sister Chely (mom of twins as well - who's names are Abby & Reagan - no joke - never knew when we named our girls! - they are all close in age too) to drive and get Rene and they put the carseat into Chelys car and Rene went back to the hotel to stay with Addy (who did great with her!) At this point mom was with me, trying to console me as I was bawling again. I wasn't quite sure what we were going to do with Addy, I was worried about my mom, here I am in a strange hospital with NOTHING and they are admitting me? It was scary..very scary.
I was wheeled up to the floor at around 3am...at which point they gave me pain meds.. I was in and out most the night. On IV fluids only.. no ice chips, no water. There were orders to irrigate in the morning. It was a LONG night.. my roommate was up in pain all night too.. so if I wasn't moaning, she was.. and all I had was my cell phone and my ostomy bag (thank goodness for the facebook apps on Blackberry..as my tvs sound didn't work at all) Around 7am, the shift changed happened and I was inundated with nurses and doctors trying to find out why a girl from Newburgh had a GI in St. Louis at Barnes and ended up at Missouri Baptist. At which point I had to recollect my 3 1/2 years of Crohn's....plus my other ailments. I think I repeated it 3 or 4 times between the pain meds. Finally, at around 11am, they were ready to irrigate. Two nurses came in, and it was a hoot. I asked them if this was "Cocktail Hour in the bathroom." They were impressed with my sense of humour, but heck, what else am I supposed to do? So, they have this awesome irrigation kit from Convatec, which makes my ostomy supplies. Basically, I had to change the wafer and they hooked this bag that is about 5x the size of a regular ostomy bag up. They used this soaps suds stuff and put warm water into a large IV type bag. Held it up and let it flow into my intestines. It looked as though it was going to take some time to irrigate, so we decided to cap the end off and let me rest in bed until it was finished. I dozed in and out of sleep about about an hour later.. I had a clear gut. We still aren't exactly sure if it was constipation or what, but whatever it was, the irrigating WORKED... I instantly was pain free (now I was really sore, but that's a WHOLE other thing..) At around 4pm, they discharged me. At which point, my mom had already worked a plan to get Addy home. Thanks to my brother and sister-in-law for driving over to St. Louis to get her. Charley was supposed to start a new job (basically temporary) at 4pm, and there was now way he could get to St. Louis and back by the time we decided she needed to go home. It was the best thing for her because once she hit the car, she crashed. Poor girl had a rough few days...very interrupted sleep..I don't think she went to bed until nearly 1am the night I was in the ER. But, regardless, she got home ok and got some sleep..bless her heart!
We decided to stay an extra night in St. Louis...because my mom and I had only had about 1-3 hours sleep max. (So did Rene actually!) After I was discharged, we grabbed a bit to eat with Rene and went back to the hotel.. at which point.. I slept for 14 hours and mom slept I think 10 or 12. WOW! We were SOOOOO tired! I was still so sore, but I was hungry.
We got up on Friday and drove home. I have needed random pain pills here and there, nothing strong, just enough to knock the edge off of the discomfort. I'm on the Flagyl and Cipro and I have a slew of phone calls to make tomorrow.. I'm thinkign I need to learn to irrigate to prevent constipation (if this was that), I need to probably call the surgeon and see what they say, need to call Dr. Stone and find out what my SED/inflammation rate was because according to ER it was up..which indicates I'm flaring.. NOT good. There is a chance we've caught it early, but I'm terrified of a flare, to say the least!
Well, that is one LONG story and update, but that is the last 12 days in a nutshell...I need to head to bed...it's 1am and I have to get up at 7, and I'm flat exhausted, but can't sleep.. I'll pay for it tomorrow...well, today.
I'll keep you all posted....let's just hope it's nothing.. a girl can hope, right?