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Here is my diary from the day before the operation, to the most recent entry. I will update this should events warrant.
17th March 2008
Arrived in the waiting suite at Worthing Hospital at 2.00pm, the stoma nurses, Cathy and Serena came and marked me with a big "x" - this mark is for the surgeon so he knows the site to place the stoma.
About 5.00pm, I was admitted to a ward - I was in an isolation room within the ward, which I thought was great until the real reason became apparent later. The nurse came along and gave me the required "Fleet" to clear me out. That's when I realised the need for a private room - I was rushing to the loo for the next couple of hours !
The Surgeon's assistant came for me to sign the consent forms - he explained that he will be removing my Large Intestine, a lot of my Small Intestine, and my Rectum and then form the Stoma from the remains, all which will be done by keyhole surgery, before finally sewing up my backside.
However, he did explain that there would be a 20% chance that keyhole surgery would not work, and that if so, they would need to open me up in the traditional way. He also explained that due to the area in which they are working, there would be a chance that I may lose the ability to obtain an erection in the future. Marvellous - fix one problem and create another I thought.
Good news though - I was scheduled to spend 14 days in hospital - he said that as I was fit and healthy (which was news to me!) - I would only need to spend around 5 to 7 days instead.
Midnight - my last drink of water.
18th March 2008
Once there, more questions. They also said that I would be having a tube down my throat to aid breathing - and would I mind if a medical student did it. I agreed to this - everyone has to learn sometime, but as I would be asleep, I would not know about it.
Just before they placed the mask over my face, I told the anaesthetist to do a good job as I wanted to be home by the end of the week.
19th March 2008
Note the day - I have been asleep for about 25 hours!. When I asked the time, they replied saying it was 9.15am , so even though I was very drowsy, I knew something had gone wrong.
20th March 2008
I am in the High Dependency Unit, and in great pain. I'm on a self-administered morphine drip, so when it all gets too much, I can simply press the button to give myself morphine. I am still so very tired.
The nurses get me out of bed, and into a chair. I'm aware that I have needles and drips everywhere, including a drip in my neck, which is irritating me, even though I cannot feel it.
Later that night, I get moved from the High Dependency ward onto a normal surgical ward - before I get moved, they remove the arterial needle in my neck. I'm shocked at the size of it! - no wonder the fluids poured into me so quickly.
I'm left alone for the rest of the night by the nurses who must have decided correctly that I have had enough of being pulled about for one day.
21st March 2008
I'm seen by the physiotherapist who has said that as a result of the operation, I will have a lot of phlegm on my chest that has got to be coughed up - and as much as I try, it is very painful to do so. Therefore the self-administered morphine takes a battering.
The surgeon came to see me, so I finally found out what went wrong with the operation.
It appears that the keyhole surgery was a success, but later in recovery, I developed an internal bleed, so I was rushed back into theatre, where 7 hours, and 8 pints of blood later, I come out sporting a 9" scar running down my chest. This I am told saved my life. What can I argue - I'm alive, but the strange thing is, I predicted complications before the operation took place.
Have my first ever bed bath - it's not all that I imagined it to be - and I blame the carry on films for that! - but I do feel sorry for the nurses. It can't be pleasant for them, although it's just part of the job for them. I feel a little humiliated, but I don't know why.
Mandi & John, work colleagues and good friends visit in the afternoon - I remember sitting in the chair at my bedside when they visit, but as I am so drugged up, I don't remember what we talked about, but I do remember looking forward to their visit.
I also had another two pints of blood transfused today.
22nd March 2008
Could not get out of bed today - I am so sore, in pain and very tired.
23rd March 2008
Managed to get out of bed today and sit in a chair, but only for ten minutes - the catheter is causing me discomfort. I'm also aware that when I press the button to inject the self-administered morphine, I break into an uncontrollable sweat that lasts a good 20 minutes. As I have to administer it every 5 minutes or so, this is not good news. I am continuing the physiotherapy on my chest, but cannot yet walk, thanks to the catheter.
I'm aware of the Ileostomy bag on my chest, and also the strange gurgling noises coming from it, so I guess my bowels, or what remains of them have started to work again. The nurse came along and changed my bag, so for the first time ever, I see my new stoma. I'm disgusted by it, and have to turn away. I don't know what disgusted me more, the smell or the look of it. It is huge, and very swollen.
24th March 2008
The surgeons make their rounds and say that I am making good progress, so I can start drinking fluids again. For some reason, this perks me up, and I manage to sit in the chair for a good few hours. I can't drink their tea though, (horrible stuff, hospital tea).
25th March 2008
The surgeons decide that the catheter and body drain cane come out today, and that I can also start eating solid food.
The catheter removal was uncomfortable, but the body drain removal bloody painful. They leave me sulking over an open wound which they decide is better left open than stitching.
I'm asked to drink as much fluid as I can to kick-start my bladder muscles again, but as they now need to monitor the output, I have to wee in tubs. I decide to walk to the toilet, but am shocked at how weak I am - this is the first time I have been able to walk in over a week - I am walking in great pain, and doubled over like a question mark. Typical though - get to the toilet, and can't wee!
The surgeons decide that I have some sort of chest problem, so I am sent for a CT scan, which means another needle. Lovely!
26th March 2008
I knew this would happen. I have drunk gallons during the day, and what goes in must come out - the result being a 44 year old wets the bed! - so very embarrassing.
I did it twice more in the night. I now have no bladder control at all - very frustrating. The nurse takes it all in her stride, and laughs with me.
The results of the CT scan show I have a post op infection, so I am put on a course of anti-biotics and am told I will have to remain in hospital for another week.
The plaster covering the large scar on my chest is removed. It's removal means I can walk without getting out of breath or doubling over in pain. It looks like the plaster was on too tight.
I managed to empty the bag myself this morning - felt really happy about it, especially considering how I felt a few days prior when I saw it for the first time.
Serena, the Stoma nurse came to talk to me and give me some supplies for a few weeks. She also changed my bag for me whilst I watched - I know that I will have to change it myself from now on.
27th March 2008
The surgeons are suitably impressed enough to tell me that I can go home either today or tomorrow (despite what they said yesterday) - I decide somehow it will be today.
I cannot go home however unless I have all the drugs prescribed to me. The head nurse must know how anxious I am to go home, so she pulls out all the stops to get the drugs released from the pharmacist in record time. The only thing now preventing me going home is the Stoma nurse. They will need to sign the discharge papers stating they are happy with my attitudes and stoma care so that I can cope with the stoma.
I spend a frantic 20 minutes or so on the mobile trying to track down either Cathy or Serena, but the office telephone kicks in - I must be patient and remember that they have other people to see besides me.
Within minutes of me putting the phone down, Serena came to see me anyway - I explain the situation to her, so we both quickly run to the loo where I change my bag for the first time ever in front of her. Serena patiently points out that I am rushing, and to use plenty of warm water to help peel the adhesive off.
At 4.00pm, I am allowed to go home. A very emotional time. It took me absolutely ages to walk from the ward to the car. Once home, I was sweating for a good half hour. I am so unfit!
As I seem to be producing a little blood from what remains of my backside (I have put this down to the stitches), I decide to have a shallow bath and soak things.
28th March 2008
Sat and rested all day - mostly with my eyes closed, but so good to be home. Had another bath in the evening.
29th March 2008
Had a shower today, but when I got into the bedroom I noticed I was bleeding quite a lot from my backside. I decide I have just broken a stitch.
30th March 2008
Continued to bleed, but a little more heavily. Doubt it's anything to worry about.
31st March 2008
The district nurse came this morning - he seems happy enough with the way things are. I call my doctor about the bleeding. She tells me it sounds like it's nothing to worry about - and that it is probably best to pad myself out to absorb the blood.
In the afternoon, I stood up, and although managed to get to the downstairs toilet, the blood poured out of me. - and I do mean pour!. A tap turned on full would not have produced as much fluid. Now I'm getting worried.
The blood continues to pour out, so I have to call an ambulance to take me to A & E.
After waiting for the surgeon to visit, I'm informed that what has happened was totally expected and that I should have known about it. Apparently, I have so many stitches inside me, and a big empty space where things used to be that my insides are constantly moving, and so will bleed a little.
With a drain installed, the blood flows into it, but as it was removed in the hospital (see diary entry dated 25th March), the blood has nowhere to go, so it simply collects. Eventually the blood has to come out under the effects of gravity. As it has not really bled much since the drain was removed, it looked quite dramatic when it happened.
I had some blood tests, and was put on a drip for the afternoon before being sent home with some padding to help mop up.
1st April 2008
Lazy day - I can't do much as it all aches - but I'm only bleeding a little now which is nice.
I found out that I will bleed if I sit on the loo to urinate - I'd rather not bleed at all, but I think it's best that I "let the blood out" so it does not collect like last time.
2nd April 2008
Still continue to be lazy at home as I don't want to "push my luck" and have a setback. Bleeding continues, but only spotting
5th April 2008
Have received a sample two piece Stoma bag through the post and quite like it.
I have some broken skin around the outside of the stoma, and when I remove a one piece bag, the adhesive flange pulls on the broken skin, so maybe the two piece could help for a while, because the flange would theoretically remain in place for a few days, but the bag removed whenever I want.
Manage to walk around some shopsbut I am paranoid that I will start bleeding in a shop I cut it short and return home.
Had another bad night - I woke up after a couple of hours in pain every night - it's not so much the bag, but the large scar I have running down me that is the problem. I know it will ease up eventually.
7th April 2008
Have called the Stoma Delivery company - they are to send me 60 of the two piece bags, so I can change them twice a day if I wish, plus some deodoriser (to put inside the bag), and some additional bits which may help me - they should be here tomorrow.
Have done a few bits around the house today, and managed to stay awake through the day, but I started wilting during the afternoon - guess I did too much again today - I must slow down and accept things the way they are.
8th April 2008
Had another bad night - this may be my fault as I have refused to take pain killers, but I just cannot get comfy in bed - it's either the scar pulling on me, or my entire tummy aching. As a new extra, my sewn up backside was itching like crazy as well!
9th April 2008
Have been using the two piece bags for a couple of days now - have found that though I can only wear each flange for about 2 days as they "unstick" themselves - it's heaven to be able to change the bag twice a day!
Still bleeding, but not by a great deal.
Have started to walk Mutley (my dog) a little way. I will give it another week, then see if I can walk him a little further.
11th April 2008
I go supermarket shopping and although I can only push the trolley, I feel fine, right up to the moment I cough, and can suddenly feel a rush of blood coming out of my backside. Decide that I have had enough of this - there is nothing I can do about it, but it's so annoying.
12th April 2008
I refuse to take the stoma bag off in the shower or bath just incase I "mess" myself whilst it's off. The problem with this is you never feel totally clean if you keep it on. I have found a company on the Internet that sells "Stoma Caps" - these allow you to remove your stoma bag whilst in the shower or bath, and have a cap covering the stoma to catch any waste. They are quite small, and will apparently last an hour or so before becoming saturated.
More samples arrived today.
13th April 2008
Managed to walk to the local shop today - not much to brag about, but as it's a mile each way, it's quite an achievement considering how I was this time last week.
16th April 2008
Strange problem has arisen - I'm no longer losing much blood (but it is still bleeding), but instead appear to be losing a lot of "mucous" from my backside - this started yesterday - but today seems to have got worse. I've spoken to the local chemist who says it sounds like some sort of fungal infection.
Think I will make an appointment with the doctor tomorrow - it's very irritating just to stand up and feel something running down your leg. The washing machine has never see so much action.!
18th April 2008
Saw the doctor. The scar running down my chest is getting very sore - and also my bottom is weeping buckets of mucous. The scar is not infected, but she has placed an iodine patch over it, then covered it with a dressing. I have been given instructions to change it every couple of days.
As for my bum - again, she says that this is totally expected - the stitches are now falling out, and so lots of sweat etc will be produced. This is something I will have to put up with for a while longer yet. So, hot baths seem to help, and I guess that is what I will be doing for the next week or so!
29th April 2008
The iodine patches have done the job - the scar has healed up nicely, so have decided to leave it uncovered from now on. However, the top of the scar is now weeping a mixture of blood and water - and weeping a fair bit! - as I will see the surgeon again soon, I will mention this to him.
Managed to go "Commando" in the shower today - it was heaven to let the shower completely soak myself "unclothed" - I have never felt so clean - wish I did this before!
1st May 2008
Saw the surgeon today. He says the weeping on the tummy scar is simply caused by a stitch that has broken off under the skin and is slightly protruding, causing the problems. He said it will heal in it's own good time.
As for the weeping from my backside, he said there is a small area that has not healed yet, and this is allowing the mucous to pass through. Because of where the tear is situated, it will be difficult for it to heal on it's own, so I have to be prepared for another couple of months of discomfort.
3rd May 2008
Shows how much the surgeon knows ..... it has stopped weeping already! Mandi & John came over to visit, so we all ended up walking Mutley down the beach. Again, not that far, but a major achievement for me.
5th May 2008
Spent all day out in the garden, tidying it up, planting some veg - that sort of thing. Don't know if the fact that I am drug free has something to do with it, but I feel on top of the world today. Never felt better.
6th May 2008
Still not weeping, so I can only assume that the tear has now healed. The output of my bag is very watery again - time to hit the Loperamide!
27th June 2008
No update for a while, as nothing really to report. I am using "thickeners" for the bag rather than Loperamide, as I want to remain as drug free as possible. Have seen the doctor, but am not allowed back to work yet. I am still to be signed off until the 15th July, but I have to see her again on the 10th July. If she says I cannot return to work, then I have to stay off for another month. - Fingers crossed
10th July 2008
The doctor agrees I can return to work on the 15th, so long as I promise to take things easy, and work part time for a while.
15th July 2008
Managed half a day at work before being totally exhausted. Everyone at work is pleased to see me, and that helps the morning speed along. My backside still aches now and again - some stitches are still there, but these are "heavy duty" ones, so maybe things are as they should be.
I'm used to the stoma now - my only problem is knowing which bag to use. I'm still torn between a one piece and a two piece bag. Both have advantages over each over. The two piece is better, but a git to clean after emptying - the one piece gives no problems, but requires changing more often.
15th March 2010
Nothing dramatic has happened since the last update. However, plenty has happened, and I'll try to list the highlights here.
Just slightly under the two year anniversary of my operation, and all scars have healed up nicely. I have "forgotten" how ill I was, and for the best part, my life carries on without much changing of lifestyle. I would lie if I said I had been unaffected by this - I have, but the secret is not letting it dictate my life.
It has helped in the last year or so that my friends can take the micky out of my bag, as this is their acceptance of it, and the look on their faces when my stoma makes a lovely farty noise is a picture to behold.
I have also started to get my social lives back.
I have learnt not to let the bag get too full. I know what foods for me turn my poo to liquid, and which ones are absorbed better. I know not to drink too much beer in the evening, because the bag fills with air to the size of zepplin proportions, and I know not to leave it too long before letting this air out before the bag blows up !
15th December 2010
Thought I would complete the year with a further update.
What remains of my backside still sometimes aches, which is a suprise to me as it's no longer there! I do sometimes get a little stressed with the Stoma - especially when it becomes at it's most active when being cleaned.
I'm enjoying eating foods that I could never previously dare eat, and have learnt the art of drinking alcohol again!
All in all, yes I still don't like the Stoma very much, but I am used to it. The creation saved my life, so I must not forget that. There is no reason why my life cannot continue as before, and in most cases, it's better than it ever was!
1st July 2012
It's been one and a half years since the last update - so here is a quick refresh.
I think I have a hernia around the Stoma itself. I will see the doctor about it. If it is a hernia, it could cause problems as it will create a "weak spot".
I still have to wear baggy style clothes, and an still very conscious of the Stoma "bulging" through my clothes, but no longer care if people stare. I would rather they asked me and I'd show them, just like the customs lady at the airport recently!.
I have created a "forum" for this Stoma Site.
23rd September 2012
The Forum has been live for a few months now, and is starting to take shape. All I need now are members to make it worth the while. Just myself and Tina are current members.
25th September 2013
A year on. I have today closed the forum. Although it was fun having one, it seemed to exist only for spammers. In the year and a half it was around, only myself and Tina were members, and that is despite Google trawling every day.
I had a telephone call the other day from BBC Radio 4 to request a radio interview regarding NHS care for Ostomates. I will upload the recording to the multimenia section when I receive it.
21st February 2015
I have decided the website needs a complete overhaul, and so have started to create the new template, which is more colourful, and more modern. The old one served its purpose, but it needs to be retired.
There are also several new appliances on the market which need reporting on, so I will take the opportunity to detail these with the updated site.
In summary, here are some advantages, and disadvantages I have discovered from having a Stoma ...
1st November 2017
Five and a half years after I mentioned that I would see the doctor over a possible hernia, I do so. He agrees that I have a large Persitomal Hernia, so he referred me to the local hospital. Regretfully, the date of the operation coincides with me starting a new job, so I have no choice but to postpone it for a year. I'm not happy about it, but I need to work.
11th November 2017
It seems that when I was first sent home after having the operation, I "did too much", and along with some lifting, I created the hernia myself. As detailed above, I'll have to leave it for a year or so due to me starting a new job.