Tag: colon-removal surgery

Part four in a series: I am thankful for my surgeon

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I am thankful for my surgeon, Dr. Craig Brown

How could I possibly be laughing? I had just been wheeled into the sterile operating room, had scooted over onto the operating table and was now gazing at the big round lights looming above with doctors and nurses in masks poised over me. Wouldn’t anxiousness have been a more appropriate reaction to this scenario than this sudden case of the giggles? And no, it wasn’t medication or nervousness causing me to crack up; it was Dr. Brown’s sense of humor. The room was freezing and he had just said something hilarious about this being my third surgery and how it was supposed to earn me a free cup of soup. Dr. Brown could always tell the funniest story or joke at exactly the perfect time to make me smile and erase my worries for at least a few minutes. And when you are feeling awful and terrified, even small moments of laughter are a big deal.

Dr. Brown’s sense of humor was just one of the many things that made him the best doctor I have ever had. Anyone with a medical worry can relate to the unbelievable sense of relief that comes with simply hearing your doctor’s voice on the phone advising you on what to do next when you are anxious about something. Dr. Brown was always there to help me out with concerns and is the most accessible doctor I have ever worked with. When I had problems, I didn’t talk to his nurse– I talked to him. He called often to check in both at the hospital and when I was back at home… sometimes even on the weekends. The speed at which he returned calls was unbelievable. He even squeezed me in for quick office visits at the last minute when I was concerned about something. I know he had many other patients, so I am still not sure how he did it. Maybe he is really a superhero?

Dr. Brown is most definitely a surgical one. His knowledge and skills are impeccable and I developed absolute trust in his judgment. A month out of surgery, I was having some issues and Dr. Brown sent me over to the ER to get a CT scan. After I had the test, other doctors came in and told Doug and me about the next steps. They did a fine job, but I still couldn’t wait for Dr. Brown to stop back to discuss the results and plan. Somehow it put me at ease to hear about it all from the doctor that I trusted the most.

Much of that trust came from Dr. Brown’s amazing bedside manner. He had the exceptional ability to be both direct and honest in his communication, but also compassionate and kind. He took the time to get to know both Doug and me, and treated us as friends. One day he called up to my hospital room just to recommend that I stroll to a nearby park because it was nice outside.

What do you think?  That was one of the things Dr. Brown said often. He really took the time to listen and get our opinions. He empowered Doug to be a partner in my care and spent just as much time answering Doug’s questions as my own. I can remember sitting on the couch and hearing the two of them talking on the phone about how to carefully pack gauze into a small tunnel that had developed in my abdominal wound. I loved it because Doug had never done anything like that before, but really wanted to do the best job possible. Dr. Brown was always so encouraging and confidence-inspiring.

When I was in the hospital with my final UC flare, my GI doctor told me that if I wanted to pursue surgery, she wanted me to have my operation with the best. I will forever be grateful that the referral sheet she gave me had Dr. Craig Brown’s name on it.

Part three in a series: I am thankful for my family

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I am thankful for my Family

“I think it is going to bust open,” I cried in a panicked voice. A small gap in my incision had formed the day before, and I had just lifted up a dressing to discover that it was now twice as long, much deeper, and oozing copious amounts of drainage. As always seemed to be the case when things went awry for me post-surgery,  it was the weekend which meant I had to wait a couple of days to get in to see my surgeon. Fortunately, my mom, who had flown in from Washington to help me out, was there to keep me from going crazy with worry.

There is nothing like having your mom close by when you are hurting, and her presence comforted me to no end. My mom and I have always been close, and during her visit, it felt just like the old days when we spent a lot of time together. In the two weeks she was here, we managed to have lots of those mother-daughter chats that I miss so much. We also took trips to the mall so I could get my post-surgery exercise and try on fun clothes to help me feel confident about my brand new ostomy. She cooked for Doug and I, and even made a just-out-of-surgery-safe Thanksgiving dinner. Even though I felt poorly, I have the fondest memories of her visit. When she left, I cried because I missed having her here.

My mom and I right before she headed back to WA after helping me out for two weeks post-surgery.

I know my dad wanted to be here too, but he was not able to make the trip out from Washington state with my mom. That was okay… his love was with me. I also knew he was sitting back there worrying about me every second like dads always do. He called every day to check in and let me know he was thinking about me. I was grateful for the sacrifice he made in being without Mom to keep him company for two weeks. I know it must have been a very difficult and lonely period, especially the timing being right over Thanksgiving which is normally a time to be close to your loved-ones.

Still, my family is used to being spread out over great distances. Not only do my parents live all the way out in Washington, but my older brother lives in New York City and at the time of my surgery, my younger brother was living in B.C., Canada. He now lives in New York City too. Though they couldn’t be near, my brothers called often to give me support when I was making tough decisions about surgery and to cheer me up after the operation. It was fun explaining to them what it was like to have an ostomy. I am sad that I hardly ever get to see them, but I feel their love with me all the time. Usually when my brothers and I finally meet up again, even if a year or two has gone by since we last saw each other, we start talking and hanging out like barely a day has gone by. I love that.

Doug’s parents were there for me as well. When I was in the hospital with my UC flare, my doctors would allow me to go for walks outside as long as I was with someone and it was during the daylight hours. Doug couldn’t always get off from work during those times, so his parents would come visit often and take me on strolls outside. Those days in the hospital were so long and monotonous, and I appreciated their visits so much. Once I could start eating regular foods again, they brought gluten-free pretzels and cookie treats to my  hospital room to help me start gaining the 25 pounds I had lost. While I was later recovering from surgery, Doug and I would go up to his parent’s house in Fort Collins on the weekends where I could rest while also getting a change of scenery. In between short walks outside, I would curl up on the couch and watch football games with Doug and his dad, usually dozing off until a loud HOORAY would wake me up and alert me to changes in the score. To this day, whenever I am up at their house, it feels like a place of refuge. I look at those couches and just want to cuddle up in a blanket. So much healing happened there and I am so thankful for the love and support of Doug’s family.

When the incision I mentioned did end up opening due to my body being uncooperative in its healing, I found myself heading back to surgery to have it repaired. The hospital had signs posted that only a couple of family members were allowed in the pre-op area at once, but due to the evening hour and things being slow, the staff made an exception. There around my bed were Doug, my mom and Doug’s parents all cheering me on. I knew my dad and brothers were thinking of me too. At that moment, I felt the incredible love of my family so strongly. They were there for me then and always are.

Part one in a series: I am thankful for the small moments

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Going through the challenges of the past 18 months has really changed the lens through which I view my life. If I was to describe my new outlook with a single word, it would be gratefulness. With Thanksgiving fast approaching, I have decided to feature a series of posts over the next week on some of the things I am most appreciative of (in no particular order). Starting off the list:

The small moments
I love those little things and moments that remind me that life is absolutely breathtaking and fun. Here are a few that come to mind for this year:

  • A donkey lives at a farm along one of my favorite running routes. It had been a while since I had seen him, but last week I finally made it far enough to reach his pasture. I have probably passed by him around a hundred times since he first showed up in the green field as a baby. I never stop hoping he is close to the fence when I reach that point on my run. He was far away this time, but that didn’t stop me from trying to lure him closer with bundles of grass and my own donkey calls. Though these measures didn’t work, I could still see his spiky mane and light muzzle in the distance and they made me smile.
  • The aspen trees were particularly gorgeous in Colorado this fall. One evening when visiting with some vacationing friends in Fairplay, I stole away from the house alone and strolled across the crunchy forest floor in a nearby grove. The setting sun shone through the semi-transparent golden leaves and made them glow. As I gazed up at their shapes against the blue sky, it reminded me of looking through the most beautifully illuminated stained glass. I leaned against one of the trees and closed my eyes, listening to the sound of the leaves dancing on the branches and smelling the intoxicating aroma of the ones resting on the ground. At that moment, I was purely alive.

  • Last February Doug and I sat in the second row at the Wailin Jenny’s concert– one of our favorite bands. The harmonies gave me goosebumps and the sound of the violin put a lump in my throat. I held Doug’s hand, rested my head on his shoulder and was pretty sure there was no better place on earth to be at that moment than right there.

Little things like this are hiding in each and every day, just waiting to be noticed. Not only am I thankful for the small moments themselves, but also for my ability to see them. I know my life was full of such moments before, they just shine so much more vividly now.

Check in tomorrow for the next post in the series on the things I am thankful for.

When to be patient? When to push?

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It is obvious when reading my blog that I am happy with my ostomy and super thankful for the surgery. However, there are still days on which the fears capture me. This morning when I woke up, my abdomen was unusually sore to the touch in about about a 3-inch perimeter around my stoma. It has been a while since I have had ostomy-related pain of any sort, but I was instantly taken back to those days after surgery when I was desperately trying to sort out what was normal pain and what might be something serious. I had a short period of intense anxiety issues after my surgery due to some complications (I hope to write a little more about this in a future post), and this morning I was back in that place for a moment.

My stomach clenched up and my head spun in a storm of worry thinking about all the things that the pain could be from. I knew the pain had nothing to do with a blockage, my output was completely normal in consistency and quantity. In a moment of rational thought, I remembered all the exercise I had done during the week. Two nights ago, I had upped my workout at the climbing gym. It was the first time I had ventured onto more vertical routes– still easy but slightly more strenuous than the slabby ones I had been doing. This week I also went from running every few days to running 30-45 minutes each evening. The runs I had been doing previously were short mileage-wise and slow, but last night, I felt carefree and energetic, and I ran faster than at any time since surgery. It was invigorating to fly down the trail at a brisk pace and with no rests. I couldn’t wait to go again today.

But now this pain. I really hope I didn’t overdo anything and cause injury. Tomorrow is my appliance-changing day, and I will get to take a better look around the area. In the meantime, I am actually relieved that the muscles on the other side of my abdomen are starting to hurt as are my calves. That means that the pains around my stoma are likely nothing more than sore muscles too. I am going to guess that they just came on sooner and fiercer because that side is much weaker. I canceled my run for the day and went for a speedy walk instead.

One would think that a year after surgery, especially with all the hiking I have done, that my body would be ready for such a workout. When I am feeling so well and healthy, it is incredibly difficult to know how hard I can safely push myself. The little pieces of colored tape marking even the 5.7 rated routes (an easy-to-moderate grade) at the climbing gym keep tempting me, as do the steeper trail runs. How will I ever know when I am ready for these? I wish that there was some kind of manual that said 365 days after surgery you should be able to do A, B and C. Seeing that there is a much higher likelihood of going downstairs and finding a sloth sitting at my dinner table holding a fork in his three toes than acquiring such a publication, I will have to continue to proceed through trial and error.

I hope tomorrow when I poke around my stoma that everything feels great, and that I can slip on my running shoes once again and hit the trails… albeit with the pace turned down a notch. Patience, Heidi, patience.

Another view of Heidi’s story

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My name is Doug, and I’m the lucky one who is married to Heidi, the champion of the effort called Ostomy Outdoors.

When Heidi started this blog six months ago, I didn’t imagine that I would be writing in it myself. You see, I’m not an ostomate. But I live with an ostomate, and I’ve become intimately familiar with a whole new world of experiences, vocabulary, and feelings related to ostomies, surgeries, and recoveries.

We digitally recorded a happy moment between a painful wound-packing session and a slow recovery walk last winter.

I found out from Heidi that it’s not just people considering ostomy surgery who are reading this blog and watching the videos. Some readers are people like me: intestinally healthy friends, family, and acquaintances of those who have IBD, Crohn’s, ulcerative colitis, and/or ostomies. So, I figured it was time to diversify the writing a bit on Ostomy Outdoors, and try to provide not only a different perspective for this readership, but possibly serve as a sounding board for the “others” who are in the lives of readership.

Continue reading “Another view of Heidi’s story” →

Celebrating my first year as an ostomate

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Today is the one-year anniversary of my ileostomy surgery. I thought about climbing a mountain to honor the 0ccasion, but decided to celebrate by enjoying a normal day. After all, as much as I love getting outside to challenge myself, it was the simple everyday things in life such as being able to go to work, eating a regular diet, and hanging out with friends and loved ones that I most longed to do when I was sick and then recovering from surgery. So, today I woke up and enjoyed my drive up to the park where I work. On the way, I could see the freshly snow-dusted mountains of the Continental Divide in the distance and was grateful for such a spectacular commute. At my job, I contentedly worked on an kid’s owl night hike that I will be presenting soon. After work, Doug and I had dinner with some friends. We joked that we should have a party with stoma-shaped cookies and a commemorative all-liquid dinner, but we opted for pizza and beers instead. It was a wonderful day, and it was the perfect way to top off my challenging yet life-renewing first year with my ostomy.

Enjoying pizza and beer on the 1-year anniversary of my surgery.

Last year, the day of my surgery was full of much different experiences, but was also a celebration of sorts. I remember waking up in the morning and breathing a huge sigh of relief. As we drove to the hospital at 5:15 a.m., I was scared and nervous, but also felt a profound sense of peace as I rested my head against the window and gazed up at the stars, pondering what my life without the sickness and pain of ulcerative colitis was going to be like. I checked into the hospital and made my way to pre-op, finally feeling secure that nothing was going to get in the way of my surgery.

Continue reading “Celebrating my first year as an ostomate” →

A dot marks the spot

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It was a gorgeously sunny October day last year when I packed up my harness and backpack and headed out the door. No, I wasn’t going on a hike or climb. In fact, the place I was traveling to wasn’t even outside. As I arrived at my destination, I walked down the sidewalk and through the double sliding door of the building. I made my way to the check-in line by the front desk and felt somewhat self-conscious with my huge backpack sticking out of a bag slung over my shoulder. A few moments later, I entered the crowded elevator, where people gave me quizzical glances. Such gear would be expected at a trailhead, but it was not the norm here. However, today, having my pack and harness was as important as it would have been on any hike or climb. As the elevator door opened on the ninth floor, I nervously walked to the department down the hall to meet my wound, ostomy and continence (WOC) nurse for the first time. It was time to have the site of my stoma marked.

I had been told to wear my favorite pants to the meeting so that the location would match with my clothing. However, I also decided to bring my harness and backpack. With outdoor activities being a huge passion in my life, I wanted to make sure that my stoma location would work as well as possible with my gear.

The paper cut-out shows where my stoma is. The location between the waist belt and leg loops prevents the harness from rubbing on my stoma. My belly button sits right under the waist belt.

At the meeting, the nurse shared important information about what to expect with output, eating, activities etc. Finally it was time to get the location marked. I felt a little funny explaining to her that along with making sure the spot worked with my belly and with my clothing, I also wanted to test it out with my harness and pack. Fortunately, she didn’t make me feel silly about my request at all, and soon I had a big blue dot on my abdomen about two inches to the right of my belly button and two inches below. This was a good location because it was below my belt line. This meant that gear or clothing waistbands would not rest on my stoma or prevent output from reaching the bottom of my pouch.

When I got home, I stood in front of the mirror and looked at the mark. I tried to picture what it would look like with a stoma there instead. Suddenly, my decision to have the surgery seemed very real, and I felt excited and nervous at the same time. To further discover how my new stoma spot worked with my clothing and gear, I filled up the ostomy appliance my nurse had given me with applesauce and taped it on top of the blue dot on my belly. I then went out to the garage to dig out every backpack I owned. The one I had taken to my nurse visit was my favorite overnight one, but there was also the brand new day pack I had just bought before I got sick again. I had only used it once. And then there was the large load-monster of a pack that I took on very long trips. Would that one work with the ostomy? One by one, I tried on the packs and they all seemed to rest well above my stoma. I was encouraged.

Continue reading “A dot marks the spot” →

Permanent ileostomy or j-pouch: that was the question

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One of the questions I get most often from readers of my blog is why I chose to have a permanent ileostomy instead of trying j-pouch surgery. Though I have mentioned a few of the reasons in other posts, I decided to address this topic in a little more detail. The point of this post isn’t to tell you that one surgery type is better than the other. They are both very good options. My goal in this writing is to share the thought process I went through to make my choice.

In the course of my illness, all my symptoms, colonoscopies, and genetic testing pointed to Ulcerative Colitis and not Crohn’s. This made me made me a candidate for either surgery type. At age 38 during the time of my surgery, why would I choose to live with a “bag” for the rest of my life?

It wasn’t a decision I took lightly, and I gathered all the information I could. This began when I was still in the hospital, facing the possibility of emergency surgery. The very kind and helpful general surgeon who would have done my surgery had I continued to decline, visited my room almost every day to check in and patiently answer my seemingly endless questions. He introduced me to the words “ileostomy” and “j-pouch” and gave me a great foundation of information to build on.

Continue reading “Permanent ileostomy or j-pouch: that was the question” →

The long haul (feat. new video)

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When I first got out of the hospital around Thanksgiving in 2010, I was overwhelmed with my ostomy appliance. I remember calling Doug on the phone in tears the first time I tried to change it on my own. Output had gotten all over the place, there was way too much skin showing around my stoma, and I had put the one-piece pouch on quite crooked. Doug had gone to the airport to pick up my Mom so that she could help take care of me during my recovery and wondered why I hadn’t waited until they got home so that they could assist with the change. I didn’t have a good answer. I have a fierce independent streak, and I wanted to prove to myself that I could do it on my own. However, after that disaster I quickly realized that I wasn’t ready. I needed their help, and Doug or Mom assisted me with every single change in those initial weeks.

Though I was feeling better about my appliance after a few weeks, I still wasn’t all that efficient or confident at changing. So I went back to my stoma nurse for a refresher. She gave me some more tips which helped and soon I could change my appliances by myself. Still, it was the one thing ostomy-related that made me cry out of frustration time and time again. My stoma always created output during the change, making things take a long time, and I struggled to get my pattern cut to the right size. I constantly worried that I wasn’t getting things perfect and that I was either going to strangle my poor stoma or that my skin was going to get eaten away from cutting the wafer too big. It was at these times that I had my biggest moments of doubt about backpacking. If I couldn’t even handle doing the changes in my house, with hot running water and oodles of washcloths at my fingertips, how would I possibly do it out in the wilderness? No matter how I tried, I couldn’t picture it as a reality.

The problem was, I was jumping to step 20 when I should have been concentrating on getting the basics down. I realized this was causing undue stress and anxiety, and I began to focus more on the moment and tasks at hand. I could figure out the backpacking part later.

Continue reading “The long haul (feat. new video)” →

From keeping track of BMs to logging the running miles

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Snow is soon to fly in the mountains, and my peak ascending opportunities are going to be more limited for a while. I have turned my attention to getting back into running, something I have been neglecting while preparing for and carrying out all of our backpacking and summit trips this summer.

I have decided I want to begin training for the 2012 Crohn’s & Colitis Foundation’s Team Challenge half marathon. I know I won’t be ready by this December, so I plan to work up my strength and endurance and then join the organization’s formal training group next fall. I am super excited. I did several 5K and 10K runs, including one trail running race in my pre-surgery days, but never a half marathon.

In the past, some of my worst ulcerative colitis flares happened when I was training for races. I believe running aggravated my colon. I knew where all the restrooms were on my running routes. Sometimes on routes where no bathrooms were available, I can remember speeding up on the last mile, bursting through my front door and barely making it to the bathroom on time. On trail runs, I used to bring toilet paper and supplies in my waist pack to dig an emergency hole in case I really had to go. Gone are those days! My appliance adheres really well through exercise with no leaking issues to date. As long as I empty before I head out on runs, I will be good to go for hours.

I was looking through a little spiral-bound book that I kept my journal entries and notes in during my hospital stays. I thought it was interesting that last year around this time I was keeping a log of my bowel movements in it to report to the doctors and nurses in the hospital during my final flare. Now I am starting up a running log. What a change!

A log entry in my notebook on day nine of my hospital stay in the fall of 2010.
Keeping track of my running distances and miles as I begin training again in the fall of 2011.