A Colonoscopy and a Fistula Sighting!

My colonoscopy was originally scheduled for Tuesday, October 24th. After being on a clear liquid diet and drinking a gallon of prescription laxatives (GoLytely) on the 23rd, my bowels were not cleaned out. I only pooped a handful of times. My doc had me go in to see if they could proceed with the colonoscopy. We couldn't do the colonoscopy, so we rescheduled for today, the 25th. They sent me home with a different laxative (Prepopkit) that I did yesterday, the 24th. The prep still didn't clean me out like it should have, but they decided to proceed with the colonoscopy today anyway.

The first prep, the gallon from Hell, made me nauseous, yet somehow I managed to only vomit once throughout the course of the night. Even when I mixed it with Crystal Light, it was still absolutely disgusting. It was supposed to make me shit my brains out, but I only had about 4 or 5 bowel movements. None of which broke the water line.  It was supposed to make me have three watery and clear bowel movements.  It only turned my turds into what I call dip n dots (my nurse calls them rabbit turds). My poop was still formed, still brown, and still not falling out of my ass at the correct rate. My belly felt bloated and sore.

The second prep was a lot easier. I drank one 5oz. shot of laxatives at 5PM and another 5oz. shot of laxatives at 10:30PM. Before, during, and after, I guzzled lots of water. This one gave me a lot of gas and gas cramps. I had about 8 bowel movements, but each of them contained very little stool. The dip n dots lost a little form with each movement. My poop was still very brown and still not falling out of my ass at the correct rate. When I woke up this morning, my stomach was in knots. By this point, the last time I had solid food was on Sunday. I was hungry, irritable, and frustrated.

When I had my colonoscopy in 2012, I remember that I was not a very nice patient. I was also younger, weaker, and sicker back then. Not being able to pee in cup was a huge issue before my colonoscopy in 2012. I yelled at my nurse in 2012 about not having to go. This time around, my nurse gave me the option to sign a waiver as soon as she took me back stating I wasn't pregnant in lieu of peeing in a cup! It was a huge relief! Another issue in 2012 was that I yelled at my nurse when she couldn't start my IV.  When my nurse could not start my IV today, I did not yell at her. I politely asked if there was someone else that could try.  Diego, a fit, Hawaiian suffer looking nurse came to start my IV. He got it on his first try! Later, Kelly and I laughed about the fact that I remembered his name, but I didn't remember the name of the nurse that failed to start my IV (her name was Carol, btw). My hand still fucking hurts where she missed my vein.

I have come a long way since 2012.  I did not yell at anyone today. I did not curse at anyone today. I think I am mentally and physically stronger than I was in 2012. Sure, the double prep wasn't any fun, but I managed not to lose my temper.  Despite my strictures, fistula, and my upcoming bowel resection surgery, I think I am healthier today than I was back then! It's weird, but that's how well I feel compared to how I've felt in the past.

Our theory as to why the prep didn't work properly is that stool could not pass through one of my strictures, so it was being retained at that point. My doc was able to get the scope through my first stricture in my rectosigmoid junction. However, above the first stricture, my doc encountered an inflamed sigmoid area that would not allow the scope to pass. This is where my second stricture is located. A small fistula was seen in this area. Yes, we finally had a visual of the fistula! We even got a picture of it! My doc changed to a smaller scope, but it still could not pass without risking further intestinal damage. The colonoscopy was aborted at that point. (My old gastro also had to abort my colonoscopy in 2012 because he could not pass the second strictured area either.) Biopsies were taken and the results will be sent to my surgeon.  My gastro mentioned that he did not see any active disease!!! This is huge in confirming that I really have been feeling well aside from the other issues. The strictures appear to be scar tissue.

I feel like shit, but I'm glad this part of my pre-op do-to list is behind me!

An Exciting Crack-Patch Adventure

I woke up Tuesday morning pumped and ready to do my fleet enema to finish prepping for surgery. Once I was done washing my disastrous crack, I flexed my muscles in the mirror to remind myself to be strong before I got dressed in some comfortable clothes, and then my mom drove me to the surgery center. Upon arriving I didn't even hesitate to jump out of the car and make my way toward this exciting crack-patch adventure. It took thirty minutes to fill out paperwork, sign my life away, and charge such a ridiculous amount for the procedure on my shiny credit card that it brought a tear to my eye.  They let my mom come back with me where we were placed in a curtained off room and I was immediately told to strip. Normally, I would at least expect a conversation first or to be wined and dined, but since I was fasting for the procedure I can understand why they rushed right into getting me naked.  They can't get enough of me... they keep scheduling me for more appointments so that I can take off my clothes.

While I could hear my doctor/surgeon making her rounds with other patients a nurse came in and asked if I wanted to do a urine sample or sign a paper stating I'm not pregnant. By some miracle I actually had to pee, so I climbed out of the hospital bed in my butt-flap gown and "poop" socks with turd emojis all over them and proudly offered to give her a sample of my urine.   She tried to hook me up to the IV, but after rolling the needle a few times with no success, she called in the anesthesia specialist in to help her. I didn't yell at anyone because I know one of my callings is to be a pin cushion.  Gosh darn it, I was the best damn pin cushion I could be. A little while later I was informed I wasn't pregnant. Someone throw me a party to celebrate not being pregnant!!! My doctor came in to give us the break down of what she planed to do. She said it's common for the rubber seton she'll place in the fistula to have to stay for up to 20 weeks for Crohn's patients to completely heal. blah, blah, yeah, do whatever you think is best. I trust my ass in your small, cold hands.

Someone injected something special into my IV line and I started feeling dazed as they rolled me to a different room. I remember thinking this is a very cluttered operating room before they had me roll onto a different table onto my belly with my arms above my head... and that's the last thing I remember before waking up to my mom and a nurse rushing me to wake up to get dressed. My doctor came in wearing her surgeon outfit. Great news: she searched for the fistula she saw last week, but there was no sign of it. No drainage seton was needed! She finally removed a skin tag that had been bugging her for two years. She flexed a stricture for the sigmoidoscopy and found another stricture further up with active disease. Since there wasn't a fistula, I think recovery will be easy. I'm just sore from the flex and bleeding from where the skin tag was removed. I'm on orders to limit activity for two weeks until my follow up appointment on the 29th.

I shouldn't be shocked, but I am. I'm just not accustomed to getting good news regarding these kinds of things.

P.S. I completely lost my voice afterwards.

Visits with My Gastro and Colorectal Specialist

My gastroenterologist visit on Thursday went well. I weighed in at 148lbs, which made me super happy! I've come a long way since December/January. The doc quizzed me about my bowel movements, which I had no real complaints about. I'm been pooping without pain, I typically have been going about 4 times a day, and the stool has been formed. He then asked about my stricture. The thing about my stricture is that the only reasons I know I have it are because my stool is super thin and because they tell me it's something we need to keep an eye on. In my experience, I have learned that I cannot accurately tell you "how my stricture is doing" because I do not put my finger or anything else up my ass to see how tight the stricture is and I'm not good at observing my stool getting thinner over time. I only feel it when my colon and rectal specialist uses her finger to loosen the stricture. Anyways, I told my gastro that I didn't think the stricture had gotten any worse. He said I looked healthy, but went on to say, "Since you have a history of severe Crohn's disease we need to make sure you are seeing Dr. M. regularly." Dr. M. is my colon and rectal specialist. My gastro only looks at my ass if I have a colonoscopy, so he sends me to Dr. M. for regular ass observation. I really only use my gastro to get prescriptions even though Dr. M. has given me prescriptions in the past. I talked with my gastro about my lack of energy and possible depression and he ordered me to get some lab work done to see if I'm anemic.  He thinks that's most likely wants causing the lack of energy and even plays a role in leading to depression. I'll likely have to start taking iron pills or get an iron infusion to help with the anemia.

My colon and rectal specialist visit on Friday was pretty much a visit from Hell. Again, I weighed in at 148lbs. It had been a year since my last visit and I'm supposed to be going every 3 months. Every visit the doc loosens my stricture with her finger and sure it's uncomfortable, but I would never have described it as painful before. Well, this time I was in so much pain as she was loosening it that I had to have her stop. Then I had decide if she was going to try again or if I wanted anesthesia. Of course, I wanted anesthesia, but that's expensive so I held my breath and told her to try again. The pain I felt can't be put into words. My mom was in the room and it almost brought her to tears for her to see me in so much pain. My doc was able to loosen it, but she said that she wasn't going to use the scope because that would likely hurt and certainly make me sore the next day. She lectured me about seeing her every 3 months because my rectum is in "bad shape." That scares me. In the back of mind, I know I'll likely be pooping in a bag at some point in my life and as much as I joke about it I really don't want that to happen. Hopefully, when I go back in 3 months, my rectum will be big enough for the scope so we can see what the disease is doing.

If I was a good patient, I would research the heck out Crohn's and strictures, but I can't bring myself to do it. The few times I have tried to find information I soon stopped because I don't want those other patients' stories to be my future. My Crohn's isn't that bad, right? I'm sure that makes me an idiot because that also means that I'm solely in the hands of my doctors with no real opinion on what to do about my condition of my own. Perhaps I should care more, but I don't... I can't. That absolutely makes me a guinea pig because I just do whatever my doctors tell me to do most of the time. I had a friend ask me if "they are blowing [...the stricture] up with a balloon?" I might get around to looking up what that means one day, but at the moment I'm content not knowing. I'm in chronic denial.