More surgery in a week. Wish me luck. (long and possible TMI)

A few of you more pathetic losers out there who have nothing better to do with your lives than follow The Fates of Norinew may remember that last February (yep, almost a year ago), I had a total abdominal hysterectomy.

For about six weeks afterwards, the incision was, ummmm, draining (sorry!) and I understood this was pretty much par for the course. After about two months, only one small part of the incision was still draining. So I called the doc who did the surgery and she had me come in. She looked around, poked and prodded (ouch!) and said, well, give it another six weeks or so. It should be fine.

So I give it another six weeks. Still have an open wound where there should (by now) be none. So I go back. She refers me to a surgeon, who orders a CTScan. Surgeon (local doc) looks at the scan and says “well, it looks like you may have a fistual; that’s very tricky to fix. I won’t do it here. You’ll have to find a doctor at a bigger hospital”. Fortunately, I know a surgeon in Baltimore, so I go to see him. He orders something called a fistulagram, which specifically checks for fistulas (fistulae?). There’s no fistula (which would mean the wound opens into the lower bowel; a very complex and risky surgery). Well, thank goodness for that!

So, Baltimore doc tells me to “give it two more months” and call back if it still isn’t healed. Two months later; we’re into mid-summer now. Still no healing. I call him back. He tells me that I need to go to a wound-care clinic. The fates are with me, there’s one right here in my rinky-dink little town! So I get a referral from my PCP, and am off to the wound clinic! My physical therapist, Jim, who is also certified in wound care, pokes, prods, cleans, disinfects the wound. By the third visit (thank God for good insurance!) he removes an abscess! In the wound! :eek: “There!” he says, as if something is settled. “That should fix it!” But two visits later, it’s not healing. He pokes, prods and disinfects some more. Every visit, just for fun, he gives me different instructions: “Only shower on the days you’re coming to see me; otherwise, it’s sponge baths” or “Shower every day and squirt this powdered colloidal silver in the wound and redress it” or “Dance outside naked with the full moon and celebrate your womanhood” (OK, that last was hyperbole; seriously, though, it got to a point where I had to freakin’ take notes!)

Over the next several visits, he manages to remove two bits of suture that have become infected. Both times, he’s convinced this is the “root of the problem” and that I’m more than halfway to being all better. Both times he’s wrong. He says there are at least two more sutures up there that are beyond where he can reach them, and maybe it’s time for surgery. I tell him I’ve already seen Dr. B, the local surgeon, and she says there’s nothing she can do. He says “I know Dr. B. Lemme call her” (it doesn’t hurt that Jim is quite the charmer and looks like Ray Liotta). He calls with me still in the room, on the gurney. He mumbles into the phone, hangs up and says “Call her tomorrow to make an appointment”.

So, the following Thursday (a week ago tomorrow), I go to see her. She takes a look, prods and pokes around, and says “Well, we’re gonna have to open you up to take a look”.

Meantime, she schedules a CT Scan with both oral (Ugh! Yuck!) and IV contrast, just to make sure there’s nothing going on but the stray sutures (I’m sure this was a CYA gesture for her; previous CT Scan and fistulagram have shown nothing complex). She also schedules me for surgery, Wednesday Jan. 28th.

IF it’s only sutures (which we believe it is), it’s same-day surgery. In that morning, out that evening, holding a 'script for a bottle of happy-meds in my hot little hand.

I’ve had lots and lots (way more than most people my age) of surgeries and surgical procedures. Still, it’s a little overwhelming and frightening.

So, if you’ve got any good wishes/prayers/good vibes to spare, I’d appreciate them.

Best Wishes for a safe and easy procedure.

Every good wish for the best possible outcome.

Oh boy, Norine. I know you’ve been through a lot already. It’s too bad you have to still go through some more. You have my best wishes for the best outcome of this latest problem.

Ever since my computer died last spring I’ve had only sporadic access to the internet but you’re always one of the people I always look for when I get a chance to come to the Dope. Even though you might not hear from me for a while, you’ll be in my thoughts. Hugs!

I’ll keep good thoughts for you. I hope this is the end of the problem and that healing is swift and uneventful.

Awwww, thanks!

And thanks for all the good wishes, guys. It really helps calm my nerves!

No fun! Wishing you a safe trip through the OR.

Good luck! That’s a horrid story and reeks of malpractice. Just not sure where or by whom, exactly…

Well, I’ve asked lots of questions pointedly designed to demonstrate whether the initial surgeon is at fault, and the general consensus is ‘no’. Then again, if I wanted to put on my tinfoil hat, I could say that all the medical-types circle their wagons, and none of them are going to tell me if the doc did something wrong.

My physical therapist tells me that, every once in a while, for no discernible reason, the body just rejects some of the sutures.

Oh, and just to complicate matters a little more. . .a few months after my hysto, my OB/GYN took a year’s hiatus because her malpractice insurance had grown so huge that it was either that, or start running her office in the red. :frowning:

Holy crap! You’ve been dealing with this for almost a year?

Sending good healing vibes your way…everybody now…CLOSE THE WOUND! CLOSE THE WOUND! CLOSE THE WOUND!

close! close! close!

Why does this remind me of all the TokyoPlayer threads reading:
sticky, sticky, sticky?!?!?

Yeah, Ivylass, almost a year. If you can imagine how sick I am of dealing with it, maybe you can imagine how my hubby feels!! Pre-hyst, I always slept in ‘God’s Pajamas’ (also known as ‘nothing at all’), but with a draining wound, I always feel compelled to sleep with at least underpants on. It is seriously affecting our lives!

So yeah, let’s hope this wound closes! (As Jim promises it will, based on his past experience).

Cuz it’s a technique that has proven effective?

Close! Close! Close!

Hope everything goes really well. Lots of good thoughts and prayers headed your way.

Sending vibes:

Close Close Close Close Close Close Close Close Close.

Will repeat.

Have you been given antibiotics at all?

I had a uterectomy and luckily had no complications.

Still sending good vibes.

close! close! close!!!
(I suspect the charm of this adventure wore off a while ago now :()

norinew, I just wanted to add that my sister did develop a fistula following her uterectomy. (Jali, thank you for the use of that term.) She was totally freaked out by the prospect of a second surgery, but it went very well. IANAD, but I’ve gotta believe that, if you had a fistula, it would have manifested itself in other ways by now.

Good luck! Sending “closing” thoughts your way.

Good thoughts headed your way!

Sending healing and closing thoughts your way!

Close! Close! Close!

Good luck! I hope everything goes well. :slight_smile:

freckafree, the fistulagram revealed no fistula, so that’s been ruled out (thank goodness!) I really don’t expect anything more serious than the infected sutures that need to be removed. I think the scan was just a CYA move for the doctor.

Jali, in the past year, I’ve been on multiple antibiotics for various kidney infections, plus the wound has been swabbed to check for infection, and it doesn’t seem to be infected. But the surgeon hasn’t given me antibiotics this time, and I guess I’m gonna trust that she knows what she’s doing.

Mama Zappa, you mean that at one point in time I was supposed to be having fun with this? :wink: The only ‘fun’ will come post-op when I get good drugs!

Thanks, everyone, for the good wishes!