Tuesday, March 10, 2015

The Big Decision

The BIG Decision

            It is now March of 2015 and I felt it was a good idea to recap a couple things in case I missed any important information. Since 2012, Melissa has been taking Azacol, Mercaptopurine, and occasionally Steroids.  From 2012-2015 she has had multiple flare ups and quite a few hospital visits. She had a situation where she was experiencing excruciating migraines. She was admitted to the hospital to figure things out and they weren’t giving her, her medicine on time. This caused her to have an even worse flare up and they suggested another colonoscopy thinking she might have CMV which is a bacterial infection in the colon. This was scary because for a time in the hospital she had short term memory loss and couldn’t even remember the name of her kids. We were blessed that everything returned and she was able to go back to being the sweet Melissa we know.
            
           She continued to struggle being out of remission and fighting so hard to get back to being healthy. She started on an infusion medicine called remicade. This is something that her GI doctor said was the last hope. She started receiving the infusions and actually showed signs of improvement for about a week. I had switched to part time for a while at this point and now that she had started feeling better I switched back to full time. This had happened once in the past and the curse continued. As soon as I switched to full time she started having blood in her stool again and started feeling very sick. She tried another infusion and it didn’t have the same affect. She had another colonoscopy done and her GI doctor said her colon was the worst he had ever seen with UC. As you could imagine, not exactly the news we were looking for. At this point he was pretty adamant that surgery was the only option left and suggested a couple of surgeons to go see. We met with a woman and went over the information and Melissa left feeling very nervous and scared. She wasn’t thinking surgery was going to be the option for her. We decided to meet with another surgeon and we had a much better experience. At this point surgery became a serious consideration.
            
              Melissa was putting a lot of thought into this and decided to reach out for some advice. She joined a Ulcerative Colitis Facebook group and found a lot of comfort in it. She asked a lot of questions about the surgery and advice. She received an overwhelming amount of comments and support. It actually gives me chills thinking about but she received probably 20 to 30 remarks from people who had done the surgery and not a single one advised against it. They were all so happy that they were able to be healthy and happy again. They didn’t have any more fear of the pain and the urgency to run to the restroom. Melissa always hated the fact that if we were going out somewhere she had to make sure she knew where the restroom was at all times. These are some of the little things that a lot of people probably don’t know goes on with someone with UC. Melissa is terrified that she might end up in a situation where she is out with the kids and has to run to the bathroom taking both with her. She doesn’t have the pleasure of eating the things that she enjoys because it makes her feel so much worse. She looks forward to the day she can eat a steak and a salad again. She loses sleep over the thought that she can’t be a good mother because she doesn’t always have the energy to play with the kids. These are some things that often bring her to tears but she always does so well not to show it. She fights through those thoughts and amazes us that she is still able to be the best mother.  Thinking that she would never have to worry about having an accident, or running to the bathroom 20 times a day, is just another check on the list which was making her consider surgery. She would be able to eat what she wanted and not have to take the 9-12 pills every day that are probably harming her body. 


 



 
(Here is a picture of the medicine she had to take every day and the exact alarms she had set for them. She is looking forward to when she doesn't have to do this anymore. )


These were some of the things that other people were pointing out to her and she started tosee the positive. Her biggest fear was that she was going to be stuck with a bag. If you aren’t familiar with how the surgery works, they remove the entire colon. They then make a stoma in the abdomen and attach the small intestine to it. They also create what is called a j-pouch. This is all done with the first surgery. The j-pouch is basically where they create a new rectum since the other was removed. After healed from the first surgery they then go back in and connect the small intestine to the j-pouch so it was working almost the same as before with a few differences of course. The small intestine connected to the abdomen was the part Melissa was terrified of. I’m sure that no person plans on having a bad attached to their stomach where their bowel movements move out of. The reason she was so concerned is there is a small chance that something goes wrong and you would have to have the bag for the remainder of your life. This is something that a lot of the supporters mentioned. They stated that even if they had to keep a bag for the rest of their life it still was worth it because they had their life back.

            
             February of 2015 Melissa made the decision that she was going to have the surgery. She wasn’t getting into remission, the remicade was not working, and this was her last resort to finally feel better. We prayed a ton to make sure this was the right step for our family and we gave Melissa blessings to help her better her decision. She scheduled the appointment with the doctor and we sorted out the plans for her recovery. 


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