An author of no particular popularity

Jay Lake
Date: 2011-07-19 05:19
Subject: [cancer] Surgery
Security: Public
Tags:cancer, health, personal
I'm going in this morning to have a right hepatic resectioning. That is to say, my surgical oncologist will be removing segment six of my liver. Thanks to my prior left hepatic resectioning, my liver has a rather atypical morphology. Loosely speaking, they're taking about 25% of the existing tissue.

This resectioning will excise a malignant metastatic tumor about the size of a golf ball. This is of course a continuation of the colon cancer with which I was diagnosed in April of 2008. The procedure tomorrow is my fourth round of major surgery, and accompanies my second round of chemotherapy.

I expect to be in the hospital six to eight days. This is a bit longer than normal for post-operative recovery, but we're dealing with my idiosyncratic lower GI problems in responses to anaesthesia. After last year's surgery, I had to be readmitted to the hospital for constipation, having gone eleven days with no movement.

Let me assure you that being admitted to the hospital for that particular complaint leads to some deeply unpleasant procedures.

So I was on a liquid diet yesterday preparatory to an evening bowel purge. They're not tapping my lower GI in this surgery, they just want me clean and empty. I'll be on IV feeding for some days post-operatively, then I'll be on a liquid diet again until my lower GI is properly functioning. This likely represents close to ten days without actual solid food. I am overjoyed.

Also due to my lower GI responses, we're going on a significantly different pain management regimen this time, with the intention of minimizing my opiate intake. It appears to be the opiates that cause such a nigh catastrophic lower GI shutdown for me. I believe I'll be on intravenous Tylenol among other interesting things. We'll see... the opiates are quite successful at pain management for me, as I respond well to them (other than Oxycontin, which makes me high as a kite and sweat rivers).

I'll be going in to pre-operative prep around 6:30 or 7:00 am this morning, and be out in recovery probably a bit before noon. From there I'll be transferred to ICU for a day. Assuming no complications or other issues, I'll move to a regular ward Wednesday afternoon. Prior experience strongly suggests I'll be looped within an inch of my life the first day or so, with a gradual return to awareness and some species of mental acuity in the days following.

The surgical plan is for open incision in my upper right abdomen and some relocation of my lower right ribs. Having previously experienced rib issues in surgery (my partial left thoracectomy of November, 2009) I anticipate than any nerve damage or rib pain will be the hardest thing to recover from.

My sister will update my blogs and Facebook and Twitter with surgical outcomes or any other important news. I don't expect to be back online for at least a few days, and likely when I re-emerge I won't make a whole lot of sense.

As I've commented before, I find myself oddly cheerful about the surgery. I figure at some point I'll start feeling more overwhelmed, but it's not like I haven't done this before.

So, well, here we go again.

I may be some time.

Post A Comment | 22 Comments | | Flag | Link

User: fjm
Date: 2011-07-19 12:40 (UTC)
Subject: (no subject)
Sending you love
Reply | Thread | Link

User: mikandra
Date: 2011-07-19 12:41 (UTC)
Subject: (no subject)
I feel for you, Jay. Hope you recover as quickly as can be expected.
Reply | Thread | Link

Kelly Green
User: saycestsay
Date: 2011-07-19 12:43 (UTC)
Subject: (no subject)
hey sweetie. loving thoughts. your vacations are always such adventures!
Reply | Thread | Link

User: dionysus1999
Date: 2011-07-19 13:08 (UTC)
Subject: (no subject)
Hoping for the best possible outcome.
Reply | Thread | Link

User: debmats
Date: 2011-07-19 13:27 (UTC)
Subject: (no subject)
Best wishes for an uneventful surgery and a speedy recovery.
Reply | Thread | Link

User: mlerules
Date: 2011-07-19 13:36 (UTC)
Subject: (no subject)
Best wishes for fast and full healing from this. *love*
Reply | Thread | Link

User: joycemocha
Date: 2011-07-19 14:07 (UTC)
Subject: (no subject)
Best wishes for an uneventful surgery and quick recovery.
Reply | Thread | Link

User: martyn44
Date: 2011-07-19 14:14 (UTC)
Subject: (no subject)
Thinking of you, Jay. Wishing you the strength you need to emerge ready to give the world a right shellacking.
Reply | Thread | Link

scarlettina: Hug
User: scarlettina
Date: 2011-07-19 14:30 (UTC)
Subject: (no subject)
Thinking of you, babe. Rest. Do what they tell you. We'll be here when you're back. ::hug::
Reply | Thread | Link

Twilight: Bright Outlook
User: twilight2000
Date: 2011-07-19 14:31 (UTC)
Subject: (no subject)
Keyword:Bright Outlook
Bright Blessings on you and your surgeon! A quick recovery as well!
Reply | Thread | Link

llcoolvad: hair
User: llcoolvad
Date: 2011-07-19 14:37 (UTC)
Subject: (no subject)
Best wishes for a speedy recovery!
Reply | Thread | Link

User: lil_shepherd
Date: 2011-07-19 14:43 (UTC)
Subject: (no subject)
Best wishes for all going well and for you being back on LJ very soon.

May this be the last time... with a full recovery.

Edited at 2011-07-19 02:44 pm (UTC)
Reply | Thread | Link

User: cuddlycthulhu
Date: 2011-07-19 15:36 (UTC)
Subject: (no subject)
*frown* Be well, Jay. My thoughts are with you.
Reply | Thread | Link

Michael Curry: alton
User: mcurry
Date: 2011-07-19 15:44 (UTC)
Subject: (no subject)
I hope the surgery goes swiftly and smoothly, and everyone in the hospital is shocked by how rapid your post-op recovery is.
Reply | Thread | Link

Christopher Kastensmidt
User: ckastens
Date: 2011-07-19 15:45 (UTC)
Subject: (no subject)
Good luck, Jay!
Reply | Thread | Link

User: quaero_verum
Date: 2011-07-19 15:55 (UTC)
Subject: (no subject)
You are probably still in surgery now.

Much love, good thoughts and prayers heading your way.
Reply | Thread | Link

User: kellymccullough
Date: 2011-07-19 16:20 (UTC)
Subject: (no subject)
Wishing you luck and a speedy recovery.
Reply | Thread | Link

Kari Sperring
User: la_marquise_de_
Date: 2011-07-19 17:39 (UTC)
Subject: (no subject)
Very best wishes.
Kari xx
Reply | Thread | Link

User: suzan_h
Date: 2011-07-19 18:26 (UTC)
Subject: (no subject)
Thinking good thoughts for a swift recovery, Jay!
Reply | Thread | Link

User: threeoutside
Date: 2011-07-19 19:12 (UTC)
Subject: (no subject)
Here's to a smooth and rapid and complete recovery and VICTORY!
Reply | Thread | Link

User: anghara
Date: 2011-07-19 19:59 (UTC)
Subject: (no subject)
Hope it all goes as well and as quickly as it can possibly go, Jay. Sending good thoughts.
Reply | Thread | Link

Brent "Chip" Edwards
User: chipuni
Date: 2011-07-20 03:09 (UTC)
Subject: (no subject)
I'm glad to read the (later) post that you made it through the surgery safely.

And... in ten days... I'll crunch a Dorito (if that's still the symbol) for you!
Reply | Thread | Link

my journal
January 2014
2012 appearances