It’s been three weeks since John’s ileostomy and we are adjusting to his new (hopefully temporary) lifestyle. As the stoma nurse put it, his colon has been put on holiday for awhile (she guessed about six months) until his rectum heals from the two surgeries. That means that for now, all his food is passing through his small intestine then exiting his body through an opening in his right side called a stoma. There is a sealed bag around his stoma that has to be emptied several times a day. He must add extra sodium and potassium to his diet and drink lots of water to make up for what is not being absorbed by his colon. For the time being, he also has to avoid certain foods that might increase the risk of a blockage which could land him back in the hospital.
He doesn’t have a lot of energy these days but he manages to make it up and down the stairs at least once (sometimes twice) a day and he is able to walk to the bathroom and kitchen table for most meals. He has even been able to sit at his desk for short periods of time, allowing him to catch up on some work. He has a post-op appointment with the surgeon next Friday, so hopefully by then he will be ready to be out and about.
He definitely lost weight in the hospital; he’s about 20 lbs. thinner than he was before the surgery. He has not lost his sense of humour though. This morning one of the kids did something that made him laugh so hard it made his incision hurt. He’s glad to be home, glad to be alive. He asked me to write this update just to let you all know that he’s doing ok and to thank you once again for your prayers and support!
John is back! He came home from the hospital this afternoon.
His body still has lots of healing to do, but I’m glad he can do it in the comfort of our own home now.
Somehow we survived the past two weeks, but I couldn’t have done it alone. To all the people who brought us meals, babysat our kids, or visited John in the hospital, I want to say an extra special thank you! The words of Matthew 25:34-40 ring true: “I was sick and you visited Me [with help and ministering care]” (The Amplified Bible).
This blog has readers from far and wide who faithfully pray for us and send us encouraging messages. God often used your words to speak comfort and hope to me when I needed it the most. So thank you.
Our journey isn’t over yet, but tonight I am filled with gratitude as I look back at how far we have come.
“The Lord is good, a stronghold in the day of trouble; He knows those who take refuge in Him.” Nahum 1:7 ESV
Today was John’s eleventh day in hospital. Since the last time I wrote, he has been slowly recovering in the surgical ward. He is still working on strengthening his lungs with the spirometer. He still hasn’t been able to produce a real, strong cough yet, which is concerning. He also had a mild fever at one point last night. Because of these concerns, they are going to do another CT scan on him tomorrow (Sunday).
On the positive side, his ostomy started working so he was allowed to start eating again on Wednesday. After not being permitted to eat for a full week (since 11 am on October 29, to be exact) he is slowly regaining his strength. His hemoglobin levels have improved but are still on the low side. He feels quite exhausted but the pain is manageable. He’s no longer on intravenous drugs for that but is able to take oral painkillers as needed (which hasn’t been very often the past couple days).
Obviously, recovery will take some time. Unfortunately, no one can tell us exactly how long it will be until he can come home. Aside from the above-mentioned concerns, they also want him to regain a little more mobility before he goes home. He is able to get up and sit in a chair for his meals but hasn’t had the strength to go for a walk yet. The physiotherapist was hoping maybe by Monday he will have improved enough to attempt that.
John’s sister told me that her kids were asking when Uncle John will be able to come home. When she said we don’t know yet, one of them stated confidently, “God knows!”
I couldn’t have said it better myself.
“Are not five sparrows sold for two pennies? And not one of them is forgotten before God. Why, even the hairs of your head are all numbered. Fear not; you are of more value than many sparrows.” Luke 12:6-7 ESV
The past couple days have brought a few small changes. John has been working with the physiotherapists on sitting up in a chair again. It gets a little bit easier and he’s able to tolerate it a little bit longer everyday. Today they removed his nasogastric tube. Late this afternoon they moved him up to the surgical ward, so he is no longer in the ICU. That’s progress!
The only concern the doctor had was with his lungs. Due to the pain and tenderness from having two surgeries, he is having trouble taking deep breaths from the bottom of his lungs. It hurts too much. Breathing only from the top of his lungs puts him at risk for pneumonia so he really needs to get those lungs working at full capacity again.
The ICU doctor brought this fun little game for him to play (a spirometer). The goal for him is to keep the balls up by inhaling nice deep breaths.
Other than the breathing issue (please pray for that), the surgeon said he is doing fine when he checked his incision. John still isn’t allowed to eat or drink yet (ice chips are the highlight of his day) but maybe tomorrow he will be given the ok.
“The Lord gives His people strength. The Lord blesses them with peace.” Psalm 29:11 NLT
This morning I found out that John was going under the knife again. His condition had not improved and they suspected there was some intestinal leakage. I know many of you were praying at church this morning while the operation was happening. What perfect timing! I am so grateful for the outpouring of support.
The surgery went as well as expected. There was definitely some leakage and old blood from previous bleeding that needed to be drained. The surgeon de-functioned his rectum and gave him an ostomy. There is the possibility that an abscess could form so they will need to watch out for that. He’s back in his room in ICU B. He now has a PCA pump that allows him to control his pain medication with the push of a button.
The remainder of the day he was able to catch up on some much needed sleep now that the pain was finally under control. In between naps, his mom, sister and I were able to talk to him a little bit. His responses and joke cracking were slightly sluggish from the painkillers though. He asked for ice chips a lot.
I have nothing else to report, but I guess that’s a good thing. Watching him sleep peacefully and uneventfully was greatly comforting!
On the way to the hospital I was listening to the Newsboys. This song came up and I thought the words were so fitting:
When hope is lost, I’ll call You Saviour.
When pain surrounds, I’ll call You Healer.
When silence falls, You’ll be the song within my heart.
– “When the Tears Fall” by Tim Hughes
Last night (around 4 am Saturday) John had a bit of a fever so they moved him to ICU B in the morning. This is a unit for patients who are not as critical as those in ICU A, where he was before. They just wanted to be able to monitor him very closely.
After they removed his epidural Saturday morning he was in a lot of pain (he described it as an 8 out of 10). They started giving him hydromorphone but it did not improve much.
Saturday afternoon his temperature spiked again and the doctors were worried he had developed an infection. They did a CT scan and an X-ray in the evening. His Mom was with him while this happened and kept me up to date. I came back to the hospital after tucking the kids into bed, leaving my parents to sleep on the couches in our living room. (Thanks Mom and Dad!)
After reviewing the scans, the doctor said he is stable enough to avoid doing surgery tonight. He will remain in ICU B overnight and they will continue giving him antibiotics for the infection as well as hydromorphone for the pain. Another complication shown on the CT scan was an ileus in his small bowel, meaning a buildup of material that has stopped moving through his intestines, leading to swelling, pain, and potential blockage.
The other unpleasant thing he had to endure tonight was the insertion of a nasogastric tube through his nose to his stomach. This was to help drain some of the stomach juices and relieve some of the painful pressure in his abdomen.
I should also mention that the good news is, he has started having bowel movements again, but there was a little bit of blood in his stool. Not enough to make them rush him to the operating table but enough that they want to keep an eye on his hemoglobin to make sure it’s not dropping. The CT scan showed that this blood was coming from the same site that was bleeding before, but thankfully it is not bleeding as profusely. Hopefully it starts to heal on its own.
The nurse sent me home to get some rest so that is what I am going to do. Please keep praying.
Today John was deemed well enough to be moved from the ICU to the surgical floor. Praise God! He was able to sit up in a chair for a couple hours and started on a clear fluids (and jello) diet. No more bleeding. It sounds like he will continue his recovery there until he meets the criteria to go home. Basically he needs to be able to walk, eat, drink and go to the bathroom on his own.
They removed the catheter from his neck as it was no longer needed for quick intravenous access and blood monitoring. I missed the removal procedure but apparently the nurse satisfied his curiosity and let him admire the 5-inch long object that had been in his jugular.
After doing an ultrasound to check for blood clots in his legs, they gave him compression stockings to wear as a routine precaution. Once he gets up and walking again this risk will be reduced.
He is also supposed to chew gum several times a day to help get his digestive system working again. Fun!
The kids and I miss him a lot and can’t wait till he can come home. We visited him this afternoon and then he called to say goodnight before they went to bed. It’s good to see him looking better everyday. To each person who reads this blog I want to say: Thank you for praying along with us and for reminding me we’re not alone! I hope that you are as encouraged as I am to see how our powerful and loving God is answering our prayers.
Dear Readers, I need to thank you once again for praying for us. John is still in intensive care but he has not had another bleeding episode since early this morning. Around 3am, his blood pressure began to drop significantly and the ICU team rushed to give him the blood, platelets, and medications needed to stabilize him. After that, they continued all day (and will continue overnight) to monitor his hemoglobin every two hours to make sure it stays out of the danger zone.
To summarize what the surgeon and intensivist (ICU doctor) said today, they want to avoid operating on him again if at all possible, as it is risky to do so. The site of the excessive bleeding was where the tumour and part of his rectum were removed and the severed parts of his digestive tract were reattached. The blood from this wound was actually gushing out his rectum. Thankfully, that stopped early Thursday morning. However, there could still be more internal bleeding they don’t know about. For now it’s a matter of waiting to see whether his blood tests show any signs of more bleeding.
From what I saw, he seemed better today than when I left him Wednesday night. He was more talkative, more himself. He was even able to sit up on the side of the bed for a bit with the nurse’s help. I brought the kids in to see him in the evening which made them and him very happy.
I don’t know what tomorrow will bring, but thank you all for your continued prayers!
“Let the morning bring me word of Your unfailing love, for I have put my trust in You.” Psalm 143:8