Showing posts with label strip. Show all posts
Showing posts with label strip. Show all posts

Monday, May 28, 2012

Jaxson Update and a Long Weekend

I have to report to the nurse (Terri...we love her) every week or so with the amounts that Jaxson is producing.  If there was some big change, I would have reported in more frequently, but we hovered around 50cc for three weeks.  Seriously, it became so predictable and SO depressing.  I usually sent this info via email.  

I had to call her to get a refill on my antibiotics last Wednesday, so she said, "I know you emailed, but give me your numbers again."  I reported the 50cc per day that it ALWAYS is.  I also mentioned that it had been five weeks, and they said the record for that office was seven weeks.  She said, "Yeah, it's been long enough I'd like for you to come in.  At lease let us check for infection, etc.  How about Friday?"

I went in Friday and the Doctor came in and checked me over and expressed that he wasn't happy with the fact that the drain had been in so long (infection can set in, or the drain itself can cause drainage to continue,) but taking it out too soon can cause the fluid to pool under the skin and require aspiration with a needle every day or two, which, obviously, would be a hassle, so it's a balancing act.  They have determined that the magic number is 30cc.  At 30cc, it is believed that your body can reabsorb the lymphatic fluid, which is why they try SO hard to get it down to 30cc or less, two days in a row.

Back to the doctor's visit:  He talked it out with Terri, checking me over while I was in various positions to see if there was fluid buildup under the skin, even with the drain.  He determined there was not.  He stripped the tube, and it immediately filled again.  I knew it would, because it does every time I strip it, but he looked at Terri and asked, "Did you see that?"  Then he told me that if the drainage was slowing down, it should stay empty for a while after being stripped.

The decision was made to try a different and tighter compression.  They think that will make me heal more quickly (by holding the parts together that need to heal together,) and therefore not produce so much more fluid than my body can handle.  The way they are having me do this is to roll up some Kerlix (very soft gauze) into a roll about 2" or so in diameter and put it in my arm pit on the surgical side.  Then, a 6" ACE bandage is wrapped around me tightly, and as high as it can be and still be under my arms.  It is tighter than the previous wrap, too.  

The next morning showed a 24 output of 80cc.  WHAT???  That's MORE!  I calmed down when I realized that the Dr. had messed with me a LOT, the drain had been stripped more than usual, etc.  Breathe in, breathe out, calm down.  I only empty once per day now, first thing in the morning, so I can officially report that Saturday and Sunday's output (based on Sunday and Monday morning's measurements) have been 40cc.  

I haven't reached the magic number 30 yet, but there is a decrease for the first time in three and a half weeks.  That is encouraging.  I am to call Terri tomorrow and report these amounts.  She'll talk to the doc and they'll decide what to do.  I need to have 30cc or less, two days in a row.  

I'm just hoping and praying that tomorrow morning's number is 30.  If so, then maybe they'll help me start my divorce proceedings from Jaxson.  I'm all done with having him in my life.  LOL  Especially since I'm returning to work tomorrow.  What a hassle it's going to be to have him with me.  I wonder if I should dress him in a little outfit?  Thanks for that suggestion, Shannon.  Now I can't picture him any other way.  Sheesh.  

NO, coworkers.  He will NOT be dressed.  In fact, he hides under MY clothing, so you will not even get to meet him.  It's for the best.  He'll hopefully be out of my life soon, and it's best if you don't get attached.  LOL  Get it?  Attached?  Never mind.  I'm just ready for him to be UN attached from me.

Now that this post has become WAY too long, I shall not rehash my Memorial Day weekend in detail.  Here are the Cliffs Notes:  Kevin's BFF Brian and his son Ty came up, I met a cool new family, we grilled, we ate, we saw my parents and my cousin, and, ummm, oh yeah, cut all my hair off.  If you aren't on Facebook, I'll post about that in my next post.  Both people who started reading this post are now sleeping.  Shh.  Don't WAKE them!

Saturday, April 28, 2012

A Disappointing Day

Yesterday was the follow-up appointment with my plastic surgeon.  I kind of expected to get one drain removed, although I knew that the other one would be staying.  The output has to be less than 30cc in 24 hours, and I have one that will do 30 cc in one draining.  The other, however, has been hovering right around that 30 cc area and I was pretty sure it would go.

So Dad offered to take me to Independence to meet Kevin, saving him 40 miles of driving to get me to this appointment.  He picked me up, stopped by Sonic for me (he's a good Daddy like that) and we met up with Kevin.  As I got out of Dad's car and into Kevin's truck, the air hit me (it was very blustery yesterday) and I thought, "Why does my side feel wet?"

We got all of my stuff transferred to the truck and Dad took off.  I asked Kevin to please look at my side as I raised up my jacket as high as my limited-motion arm will allow.  I was soaked from just under my armpit to the waistband of my jeans.  WTH????  I haven't had any issue like this since surgery.

So here we are in Independence, headed to Leawood, KS, and I'm soaked.  Kevin had requested that I bring his tennis shoes to him, and I had grabbed a T shirt, too, since he gets so dirty at work.  He had remembered a shirt, so I had a spare T shirt, although it was quite big.  The other problem was the bra being soaked, and not having an ace bandage (my typical undergarment lately) with me.

We find a CVS, and bought gauze and could NOT find a normal ACE bandage.  It's a PHARMACY for goodness sake!  The closest they had was the kind that sticks to itself.  It wasn't ideal, but it would work to get us there.  We paid and then went together into the ladies' room for him to wrap me to the best of his ability.  Have I mentioned Kevin's willingness to do whatever it takes?

So much for stopping for a nice dinner somewhere, since I was now in an ace bandage, well, you don't want to be seen that way for MANY reasons.  Not just the imbalance.  The drains have to go somewhere and, well, it was going to be a drive-through for dinner.  Period.  That resulted in us arriving at the plastic surgeon's office nearly two hours early.  Kevin saw our (amazingly wonderful) nurse, Terri, and explained the situation to her.  She got us back into a room super-fast, cut the stupid ACE thing off me and got me into a gown.  From there on, I didn't mind waiting.

When it was our turn, Terri showed me how to "strip" the drains, and one of them needed it, which was the reason for the small amount on the last log entry for that one.  Turns out, even the other (slower) one wasn't coming out yesterday.  I got sent home with both.  I wanted to cry.

Everything else was great news.  He (the surgeon) said that everything looked awesome and I was healing very well and he had no concerns.  He answered any questions that I had and said that drain one would probably come out on Monday.  We'll see.  LOL  Drain two will be a bit longer.  As aggravating as it is to have them, removing them too early can be catastrophic, and I understand that.  I just wanted to cry.

So we got in the truck, I took my overdue medication, and cried until falling asleep.  Poor Kevin.  LOL  We came home and I wanted to be alone, so I decided to try sleeping in my bed.  BAD choice.  I woke up this morning hurting quite a bit.  Getting a shower and a re-wrap helped a lot, but it's back to the recliner for me. I think it'll be a while before I can comfortably sleep in bed again.

The bottom line is:  I'm healing well.  I need to get over myself when there are little setbacks, and I need to be more thankful for my friends who care.  I also need to travel with spare clothing, but that's another issue all together.