The Beat Goes On, the beat goes on, drums keep pounding a rhythm to the brain, la-di-la-di-dah, la-di-la-di-di! (It’s the Dilaudid, must be.) So, it is now appearing most likely that I’ve got a fistula involving my small intestine, my surgical incision, and surprise! my navel. Though, the the stuff coming from my navel is most likely just coming from another part of the surgical incision and may just be a sub-dermal pathway between the main fistula and the outside world.
Tomorrow morning (today, really, since it’s about 2:30 am right now) I’m going to have a CT scan. After that, they’ll decide what to do next. Probably surgery. Tomorrow — the surgery would probably be tomorrow, too, but who knows.
They’ve started me on IV antibiotics but, thank goodness, I don’t seem to have any kind of major infection going on.
Obviously, I am no longer scheduled to go home on Tuesday. Bummer. I’m awfully glad I’m at such a good hospital, though. One of the many very cool things about being at NIH is that, because there’s no insurance company involved, the doctors don’t have to feel rushed to get you out the door. If they think you need to stay inpatient longer, you just get to stay. Same sort of thing with tests of various sorts. They don’t need to justify them to anyone (except for their fellow medical higher-ups), so you get pretty much whatever might be useful.
They’ve got my (two now) wounds covered by these very helpful drainage pouches now, so that’s reducing the mess by quite a bit.
I’m so glad that all of this stuff has pretty much been happening sequentially, instead of simultaneously. Can you imagine if I’d still been in the severe nausea phase and was having the fistula at the same time, for example? That would have been awful. At least, by having one thing happen after another, I get a little pause for a mental re-set with each new problem.