SBOs. (Careful ordering here, that’s S-B-O).

Today is Tuesday, i.e. #tbt’s dejected brother, #tossbacktuesday. So here’s the toss:

Let’s Talk Small Bowel Obstructions…

As I struggled free from the passenger seat I already knew it was too late. I had been in this parking garage hundreds of times. I looked around desperately as I tried to mask my panic. I’m going to puke. I didn’t wait for him –I knew he’d catch up before I made it across the lot. I heard him shuffle for the keys and jog over. He grabbed my hand. I grabbed my side. I’m going to puke. We made it out of the parking garage. I crouched next to a bush just outside the lot. To my surprise I only mustered a gargle. Huh, maybe I’m going to make it. Out of the corner of my eye I saw the hill that awaited us. Why. Why is the entrance to the ER on a hill? I wanted to lay down there and give up. Okay, I’m good. This is close enough right? Go on without me. I imagined sinking into the cold concrete; for a moment the air felt, nice. *Heaves* we didn’t make it –but at least I hit the bush.

He grabbed my hand, and we continued on. Onward and upward, right? I paused halfway up the hill and started to giggle. I winced. I look 5-months pregnant, in my pajamas, no makeup, and dry heaving on the sidewalk. I cocked my head to the side in between heaves; “I’m the sexiest person EVER right now. You’re such a lucky guy.” He chuckled and we finished out our journey up the hill. I had avoided coming in the night before. Weekends. The ER on the weekend is like lines at Disneyland –you know you’re supposed to be having fun, but you’re caught on the other side, just watching. I braced myself for the crowded room. Empty? I stopped for a second and scanned the room. I half expected a mob to jump out from behind the chairs and yell, JUST KIDDING! I snapped back. It’s really EMPTY. I know the ER doesn’t exactly trigger feelings of joy, but holy cow, IT’S EMPTY. I winced again.

I handed the registrar my insurance card and ID. She stared at me. “Um, I think I have a bowel obstruction.” She continued to stare.

A few belly taps and one CT scan later confirmed, your insides hate you –I mean, you have a small bowel obstruction. The nurse approached with a nasal-gastric tube. Oh man. I was already mentally preparing myself. “You done this before?”

So we meet again (my arch-nemesis).

After you’ve had a large plastic tube shoved up your nose, down your sinus cavity and into your stomach, you feel like anything is possible. “Swallow, swallow, swallow,” the nurse continued her mantra. Blood flowed down my face. Didn’t quite fit. Onto the next one, or rather, nostril. Luckily a downgrade in tube size did the trick and my gastric juices were flowing out of my nose within minutes. Sorry for the visual… I know, didn’t think this could get any sexier, right?

I closed my eyes and waited. Flashing call lights, morphine, emesis bags… before I knew it, Sunday came and went and Monday had arrived.

Let’s get surgical, shall we? I felt an odd sense of relief in the holding room. I needed relief. I was like a giant water balloon that the kid next door had filled up too far, and well, I was just waiting to fall and POP. At this point popping sounded nice. The obstruction almost got the last word. I laid down on the OR table and felt something creeping its way into my throat. “I think I’m going to be sick.” I winced again. Luckily for me I’ve got some pretty amazing doctors and before that feeling could make its way out, I was under.

I woke up relieved. And then quickly snapped to…as I stretched I felt my abdomen. Staples.

Two thumbs up for deflated and stapled.

Just as I started projecting my recovery time my nurse walked in. The NG tube was coming out. HALLELUJAH. Okay, I’m so ready for this… I sat back and waited. I was ecstatic. She turned to me; “actually it’s easier if you pull it out.” Wait. What? “Um, are you sure?” Something about putting yourself through physical discomfort… I can handle an external pain source, because I can focus on blurring the pain. But it sends conflicting messages when I’m the one causing the discomfort. It’s like smothering a tiny voice in your head that’s screaming, “STOP STUPID, WHY, WHY ARE YOU DOING THAT?!?”

I took a deep breath, closed my eyes, and pulled. The pressure wasn’t too bad, until I realized I was also holding my breath. I could hear little alarm bells going off in my head. BREATHE. No, no, not yet. I pulled faster… I felt like gaging. No, no, no, just pull it out. How long is this thing?! Finally I felt the end travel up passed my throat and slide out my nostril.

A few days later I was home, hobbling around –you know, that post-surgical swagger. It’s been a little over a month since the obstruction and I’m back to “normal.” I mean as normal as you can get with an ileostomy and stoma named Dot. But, bloated bowel humor aside; I’m extremely lucky to have such amazing people by my side. Thank you to the boy who held my hand; my parents, whose dedication frequently goes above and beyond the call of duty; my friends and coworkers, you guys are the bomb –who else would keep you company at 2AM in the hospital?

Until next time…

Cheers,

Kate & Dot

Life and Leaks

Luckily, my first experience with an ostomy leak was small. It happened in my apartment and I had all the necessary supplies at my disposal to fix it. No problem. After that, I read up on tips for adhering the bag and developed my own foolproof application technique. Or so I thought.

My first major leak happened during class. I was taking an evening MCAT prep course and had rushed home from work to make the session on time. That day, I deviated from my normal “meh” routine and decided I would try to be a presentable human. So I changed out of my scrubs and kicked the yoga pants to the side. Instead I grabbed my favorite pair of jeans. I hadn’t worn these babies since surgery, and honestly I wasn’t quite sure how it was going to work out. But hey, what could go wrong? After I put on my jeans I realized the ostomy didn’t quite fit. The base of the wafer sat just above the waistband. But I was too tired to change, so I opted to leave the bag outside the waistband and throw on a sweatshirt. Without much more thought, I ran out the door and headed to class.

The lecture was on PCR. This was my jam. I love the topic and was extremely focused on the lecture. So much so that I didn’t realize I was developing an issue. About an hour into the class I felt a small droplet roll down the side of my stomach. I dropped my pencil, and placed my hand over my ostomy. Crap. Suddenly the lecture just sounded like a bad Charlie Brown episode, “Waah wah waahhh.” I must have been a little dramatic, because my friend leaned over and asked if everything was okay. I brushed it off and said I was fine. I quickly got up and headed for the restroom down the hall.

Mistake #1. I left my bag with all my supplies in the classroom (good job Kate). I suppose I wasn’t expecting it to be that bad. When I finally made it into the stall I lifted up my shirt to find a disaster.

My first thought wasn’t, how are you going to fix this… it was more along the lines of, how in the… did you not notice this. But what happened next takes the cake. I stared in disbelief at the bag oozing from the bottom of the compromised wafer. As I went for a tissue the bag and wafer completely disconnected and fell onto the floor. SPLAT.

Bravo, you’ve unlocked a level 2 disaster.

“IS THIS REAL LIFE?!?” Just as I threw my question out into the universe, someone walked into the restroom. Cool. I totally wanted company. I actually started chuckling at this point, because well, it was kind of funny. I placed the bag and wafer on some tissues and proceeded to clean up the stoma and my pants. I realized the waistband of my jeans had pushed upon the wafer while I was sitting in class. So much so that it dislodged the bag. After I had everything nearly in order I grabbed the bag, cleaned it as much as possible and well, stuck it back on. YES, I can hear you *eww*-ing, but I didn’t have any other options. Without supplies and a phone I was pretty much out SOL (no pun intended). I held my hand over the bag, walked very carefully back to class, grabbed my stuff and went home an hour early. So much for PCR…

And if you’re wondering, the sweatshirt was thick enough that the leak didn’t show, and long enough to cover the disaster on my pants. I knew I loved sweats for a reason…

My next challenge: getting home. I felt like I was on a bad reality TV show. My apartment was a little over a mile away, and I wasn’t about to try and walk home. At first I tried calling my roommate, unfortunately he was still at work. Next up, Uber.

Uber I am sorry, that was an awkward ride home.

In the end I survived. And honestly, looking back it was pretty hilarious. I’ve been a little more wary about jeans since the incident, but it hasn’t prevented me from rocking a pair from time to time. Now I go for that high-waisted mom-jean look. Which, thanks to strange fashion trends, is back in style (please don’t break my mom-jean dream). Not to mention pretty comfortable over the stoma.

In the grand scheme of things a leak is not the end of the world. Sure it’s an inconvenience, but it’s just a leak. Life happens. Pick up; keep going (and rock them mom-jeans). Good times.

Okay, now that we’ve got that out of the way, let’s talk some practical solutions. Since this lovely incident, I now carry a “bare minimum stoma kit” around with me. My everyday bag is already pretty packed, so I don’t to add a lot of excess. Instead I keep the following items in a small ziplock bag:

• 1 spare ostomy bag
• 1 wafer
• 2 adhesive remover wipes
• pocket sized scissors
• 1 moldable ring
• tissues
• optional *compact mirror*

Now if you’re a girl this is no big deal –just toss the supplies into your purse. I know it sounds like a lot, but I’ve managed to fit this kit into my smallest bag. If you’re a guy and you don’t carry a backpack this can be a little more challenging. I would just suggest taking the bag and precut wafer, folding them up and sticking them in your back pocket or jacket. Most of the time you can remedy a leak without changing the whole system. Moldable rings or stoma paste is awesome for this… but if you’re like me and you somehow let the situation go “code brown” then you might want to have a little more on hand. If you drive, or have a desk at work you can just keep the kit in an accessible location (that way you’re not forced to lug it around with you… is that a stoma kit in your pants or you just happy to see me? I swear that’s the last terrible line I’ve got for this post).

I’ll follow this post up with some pictures on the ostomy supplies I keep in my bag (a bag-ception of sorts).

Thanks for reading!

Have you experienced leaks? How did you deal with the situation? Do you have any tips or tricks for dealing with small leaks?

I would love to hear from you all!

-Kate