That a Total Pancreatectomy with Islet Autocell Transplantation and it’s happening on the 19th.
Compared to most people, the time I’ve had Chornic Pancreatitis has been pretty short, only two years. For me, it’s been the longest two years of my life. I’m a different person than who I was before all of this started. I used to be active, running 3-4 times a week, rock climbing, hiking, camping…going to school full-time, working full-time, keeping the house clean (jokingly OCD-ish). And being social on top of all of that.
Now making it through a week of work is really hard for me. I sleep an easy 12 hours every night, and when I’m awake most of it is spent on the couch, and that’s on a good day. Sometimes I just sleep for days. I physically can’t exercise, it hurts and I’m just so exhausted. Although sometimes I do okay. Maintaining weight is so hard for me. I keep losing it and there’s nothing I can do. I’ve lost about 40lbs. I’m down to 103 lbs, I’m 5.08. I think it’s disgusting. Most clothes don’t fit. I take Viokase 16 (5 horse pills with every meal) to digest my food and try to help me “gain” weight. The Viokase works in the sense of not getting diarrea and helping to reduce pain when I eat. As for gaining weight thought…pfft. I used to be a healthy size 8, now I’m lucky if I fit in a 00. You can see my ribs in my chest.
Even on Reglan and Compazine, I still have to be careful about what I eat. French fries are only a dream, no matter how many pain killers and anti-naseau pills I take. I’m pretty much down to meal-replacement drinks, and fresh fruits and veggies. Anything else is almost guaranteed to cause me more pain. Every now and again I get the goofy idea to try something fun. It’s always a bad idea. But I’m only 25. Living this way is really hard.
A few weeks ago U of MN - Fairview did a Pancreatic Function Test while doing an Endoscopic Ultrasound (or right after since I was put under anyways). We found out my pancreas no longer produces the enzymes I need to break down and digest food. Since the MRCP only shows 4 or 5 of the 9 criteria for CP, the PFT was pretty difinitive. The day after the test I coughed up blood all day. Another day in the ER. All the doctors and nurses around where I live know me because I’m there so often. Thank god for good insurance.
Right now I’m not diabetic. This past Monday I had my first fasting mixed meal tolerance test. I’m curious as to how that came back. I think I’ll call about it later this week if I don’t see anything in the mail.
So that’s kinda where I’m at.
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I think my last medical post on here said I was doing pretty good. Last year I started a medication for chronic pain, Cymbalta, and it’s worked really well for me. CP (Chronic Pancreatitis) just keeps getting worse and worse though. So the pain and the exhaustion and just gotten slowly worse and worse. Although not as bad as it could be. I’m on relatively low doses of narcotics, and I’m still able to work full time (my job doesn’t require me to move around).
In June I started rapidly losing weight again, almost 10 lbs in two weeks. I found that by stopping sugar I could basically control the cramping and diarrea I was having. (And I used to have cronic constipation. I stopped Miralax and Amitza- given for IBS.) There was no reason this started, other than the CP. Since June I’ve only lost 4 more pounds, and it seems to have evened out now by cutting sugar and further restricting my diet.
When I saw my GI, Dr. Freeman at U of MN - Fairview in July, he mentioned further testing and TP-IAT. The hospital boards/GI surgical team immediately approved me. I’ve had pancreatitis, I’ve had my gallbladder and appendix removed, I’ve had dual spincterotomies with stent placement twice…all with no lasting improvement. I had testing through August and met with with Dr. Beilman at the beginning of September. He also approved me. My insurance company immediately approved me with no problems. Now I’ve had immunizations for surgery, and I just have one? more doctor appt before the big day.
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I’m going to spend 12 to 14 hours in surgery. Three days in ICU. Three weeks in the hospital. I’ll wake up with oxygen, possibly a stomach tube through my nose for nausea (either that or directly in my stomach), I’ll have a central line IV (running insulin, pain medication, and fluids), heart monitors, blood pressure monitors, 02 monitor, a feeding tube, drainage tube, cathader, and those fun massaging things on my legs for clots.
I’m guessing they don’t have mirrors in ICU.
The day after surgery they say to expect the lowest of a 5/10 on the pain scale and that’s with all of the pain medication they can give me. My goal is to be able to sit up with help. By the end of the first week my goal will be to be able to stand.
I have so much floating around in my head right now, it’s hard to end this post. But I’m going to try. I’m going to try to start writing again, not for me, but for anyone else who may find this blog who has CP or who might be thinking of having a TP-IAT. This is my story.
p.s. I’m excited, I’m scared shitless.