I went in for a routine colonoscopy (Happy 50th Birthday to me!) on Friday afternoon and within 24 hours I was in the Emergency Room. I was the 1 out of 5000 patients that came out of the procedure with a perforated bowel. Winner!
When I left the office I had no idea that anything was wrong. The doctor informed me that she had removed some polyps and that the pathology report would be back in about a week. She sent me on the way, resuming my regular diet and to call if I was experiencing anything other than the mild symptoms listed on the discharge paper.
By the morning I was feeling a little bloated and crampy. As this was my first colonoscopy I wasn't really sure what to expect so I thought it was normal. As the day went on my mobility decreased and the pain worsened. I was also very tired, so I went to take a nap. Bartee went out to run some errands. The pain was too intense for me to sleep, so I called the number on the discharge sheet and spoke with the on call GI doc from my practice (not the one who did the procedure). When I described the pain and he compared that with my chart, he recommended going to the ER to get a CT scan so we could see what exactly was going on inside. He would call ahead and speak with the doctors there.
I checked in to the ER, stopped briefly at triage and they sent me to the waiting room with about 3-4 other patients. By now the pain was unbearable. I was in a wheelchair squirming, crying, yelling out in pain and feeling weird that all these other people were having to watch this. We had overheard that one couple had been waiting an hour, so Bartee went to check if they could give us an estimate. There were no available beds and no estimated time could be given. I looked at him and said, "There's no way I can wait another hour".
A quick Google search revealed another nearby ER with a wait time of 14 mins, so we headed there. I now realize that Crown Crest Blvd is riddled with cracks. I felt every one of them.
This ER took me right in and as soon as possible hooked up an IV, drew some blood and pumped me with morphine. No visitors allowed here, so Bartee had to stay in the car. We communicated via text and he was relieved to hear how quickly they got me to a bed and started assessing the situation. Right away they sent me for a CT scan which revealed that air had leaked outside my colon. This was an indication that it had been punctured during the procedure. He said that I would very likely need surgery, but their main campus was better equipped with specialized doctors to do that. I was transported via ambulance to the other location and went straight to room 439 where I would stay for the next 5 days.
At the new hospital, I was allowed visitors but not until the morning (it was after 10pm when I arrived). The first few days are a blur as the pain was so intense that I was on morphine around the clock which left me a little out of it.
The surgeon immediately ordered another CT scan with contrast, this time to find out exactly where the hole was located. This might be TMI, but it was essentially a +100ml enema that was injected before the images were taken. While I was downstairs getting the procedure, the surgeon came to my room and talked to Bartee about the possible outcomes. The best scenario would be that the hole is small enough and my body would heal itself, given time. The next best scenario is that the hole is small enough to be repaired by surgery. The worst case scenario is that the hole is large and the surgery would end up leaving me, at least temporarily, with a colostomy bag. He was scared and I was glad I wasn't around to hear what the surgeon had to say. I knew the situation was serious and that was keeping me from Googling the possible outcomes. I wanted to just trust that I was in good hands with these docs and honestly I was in too much pain to really think of anything but that.
Very quickly we had the CT scan results. The surgeon explained that he was feeling optimistic. Bartee and I had a sigh of relief. Apparently the contrast solution hadn't leaked outside the colon at all, indicating that my body had already started the repair process. So he wanted to wait and see, but warned me that he would be watching very closely and if there were any signs, he would not hesitate to rush me into emergency surgery. They were closely monitoring my temperature, pain level and white blood cell count. He put me on "bowel rest" which means that I could not eat or drink anything including water. He said that it's safe to do this for up to 7 days. Of course, I stayed hydrated and medicated through IV while this was going on. So we waited...
Within a couple of days my white blood cell count was still a bit elevated, but lower than the level when I was admitted. The antibiotics were working! My pain level was decreasing although I still had isolated attacks. I continued to ask for morphine when it was available to me, but I was getting better. The surgeon saw this and moved me to a clear liquid diet (essentially broth and juice). If my body tolerated that without any negative changes, then we would move to Full Liquid and then Solids. Over the next 48 hours I went through those diet changes and my body didn't reject the food. On the final day I transitioned from the IV medications to oral and that would be everything needed to be ready for discharge.
I have been home a little more than 24 hours and the pain has significantly decreased. The first night at home was a little rough with the pain, but being here was better than being in the hospital bed. I feel so fortunate to have come out of this without surgery.
Looking back on my time at the hospital some of the best hours were spent with Priya by my side binge watching Clickbait. She has been slowly watching all her friends move off to college, a bit jealous of their adventures and impatient to get started on her own. It turns out that having her stick around here a bit longer was a blessing in disguise for me. She was there for me in so many ways while at the hospital and now at home. I'm really going to miss her!
My sister and I had coordinated a family night out at a Rockies game. It had been on the calendar for many weeks and the date fell during my hospital stay. They went ahead without me and we exchanged photos that night. It really lifted my spirits to receive all the texts from them. Hopefully my hospital selfie was as well-received. LOL
Thank you to everyone that checked in on me and stopped by to see me. I have great friends and family indeed. I appreciate you more than you know.