Showing posts with label botox bladder. Show all posts
Showing posts with label botox bladder. Show all posts

Wednesday, January 8, 2014

Diary of a mad IC patient.

I have so much to say… I don’t even know where to start. I keep planning on writing blogs that are going to be so helpful for my IC sisters but then this crazy stuff happens and I just have to tell you all that is going on. I can’t help it. I’m a blogger now, it’s what I do. So as a compromise to myself I thought I would write a quick little update (as I’m rereading this I realize it is not quick or little, terribly sorry) on all that’s going on for my dear friends and family who are just seeing my random venting on facebook but aren’t entirely sure all that’s going on. Then I swear I will write a helpful, positive blog. Or maybe just a helpful blog. Okay maybe I will just write a blog. We’ll see.

Over the last few years my interstims have really been giving me the business… After I had Titus they just wouldn’t stay put from all the weight fluctuations, lifting, and general lack of care for my own body. So for the last year and a half both of my interstims have been off.

I picture them as junky, dead cars parked in my lawn. Except they’re ridiculously expensive, medical machinery and they’re in my lower back.

So I wanted them out.

I was also due for my Cystoscopy with hydrodistention and botox that I get every 4 months so I figured what the heck! Let’s just do them at the same time while I’m under general anesthesia anyway.

Bad idea. One of my worst actually. And I’ve had some bad ideas… Okay, I was just trying to think of an example of one of my bad ideas and I literally couldn’t think of any… I texted my dear sister who usually happily points out these things but she couldn’t think of any. She said: “I would say you think too much to have a bad idea.” So I of course I took that a compliment but then she followed it up with, “but sometimes you think too much to not even let yourself have a good idea in case it turns into a bad idea.” Jeny the Llama… (Did anyone get that? Like Dalai Lama… because it was deep… But Llama because they’re funny and ironically she wrote a very catchy tune about a llama once. We also really like the Emperor’s New Groove that featured a Llama. What was I saying?)

Moving on.

But this time I had a really bad idea… apparently I didn’t do enough over thinking…  

It all started when some whippersnapper of an anesthesiologist decided that my severe allergy of ALL anti nausea drugs was not accurate and decided to give me some new medication that I had never heard of despite my concern. THEN she proceeded to tell me she was going to do a spinal instead of general anesthetic. This was my 5th botox surgery and my 13th surgery on my interstims. So I kind of knew what I was talking about when I told her I wasn’t comfortable with that. Once again I protested and expressed my concern and she was basically like, “fine we’ll do the general but have fun throwing up after!”

Meanwhile the OR is prepped and my doctor is in there waiting for me so everyone was rushing this whole conversation so finally I just said “fine but just know that I am anxious. I have had 26 surgeries and I never get anxious before surgery anymore but now I’m anxious.” Her answer to that was to give 4 times the amount of Versed (which is like hardcore valium).

Nighty night Deni.

Then there was some good news.

I woke up from surgery and was not nauseous and had zero pain. I was feeling real cocky about the whole thing and told the nurse in the recovery room I was feeling great so he should send me to post-op and get me some Tom Toast. (My all time favorite nurse is Tom, he works in post-op and makes the most amazing toast. I would pay an exurbanite amount to have Tom live with me and make me toast as needed. Now that I think about it, it might be cheaper to just ask what kind of bread they buy…) Then all of a sudden the pain hit me like a tidal wave.

The nurse was literally on the phone with post-op telling them we were on our way and I said something like “oh weird it’s starting to hurt” then literally within a minute the pain was at a 10! So the nurse hung up the phone and hurriedly filled my IV with pain meds.

Eventually I got to post-op even though I still had tears streaming down my face from the pain. My body from the waist down was buzzing as it woke from the spinal and the pain continued to rip through me. They continued to give me meds but nothing was touching the crazy pain. My back had four big incisions, my bladder was sore from the stretching and injections and my urethra killed from the scope.

I was pretty drugged so I was slipping in and out of consciousness. I do know I ate some Tom Toast and was happy about that and my husband was by my side but that’s all I remember until I woke up suddenly announcing I had to pee!  So the nurse came and got my IV all untangled and I confidently stood up. Then I sat. My legs were noodles. Literally couldn’t put any weight on them at all.

I decided I didn’t really have to pee that bad.

I slept for a while but then I woke up and the pain of my bladder being full of urine after being stretched, poked and prodded was too much.  So with the help of a nurse and my husband I got to the toilet. I sat down with a sigh ready for the painful relief of emptying my sore bladder. But nothing happened…

I waited.

And waited.

But still not even a drip came out.

I sat on that toilet until I was catching my drugged self falling asleep.

The nurse did a bladder scan and found out I had over a liter of urine in my recently harassed bladder.

No wonder I was still in tears from the pain.

They consulted with my doctor and she said I needed to be admitted because she didn’t think I could control the pain at home and they would cath me until the retention let up.

I heard the word catheter and I was ready to make a break for it. Anyone who has IC knows the horror of catheters when you have IC. Pure hell.  I was especially nervous this time because I couldn’t lie on my back.  But my husband and the hard working nurse worked together to get the catheter in while I was on my side. I believe my husband held a flashlight… Thankfully after all the meds they’d been pumping into my IV it didn’t hurt as bad as it has other times.

Then a new nurse came on duty. She was super sweet but for whatever reason she didn’t want me to have to spend the night at the hospital… Which I appreciate but now looking back I think it would have been best for me to stay.

Instead I went home with a foley catheter, the kind that has the bag attached, then they loaded me in my husband’s tiny car and we started our hour and a half trek home. I slept on and off and was always disappointed when I opened my eyes and we were still far from home.

I’m sure a lot of other things happened and my husband could probably fill you in on a lot more but that’s all I remember. I do know that my doctor said the actually surgery went well, I did have some hunners ulcers which she cauterized and it took quite a bit of work to pry the interstims and all of the leads out of my body after all these years.

Then I slept for 2 days. Seriously. I ate crackers every time I woke up to take meds, my husband emptied my catheter bag, and I snuggled with my son a couple times but other than that I slept.

Then 3 days after my surgery my husband removed the catheter as the doctor had directed. It hurt so, so bad. I can’t even tell you how bad. Six hours later I still had only released a few dribbles but it looked like there was more blood than pee. I was still fully in retention. Then my friend called me and told me to put clothes on because she was taking me to my doctor.

They ending up having to put in another catheter.

For whatever reason that catheter hurt from the very beginning, they think it’s because I had already had the trauma from the surgery, the first cath, and the removal but either way it hurt so bad. I couldn’t move without the pain exploding.

So the next day I went to the local ER. There was nothing they could really do except give me a shot of dilaudid to try to get out of the pain cycle.

Any amount of movement moved my catheter and hurt so bad so I safety pinned the cath bag to the side of my bed and I just stayed there. I felt like a prisoner chained to a bed.

I almost made it to the suggested 5 days but the pain was just too much so 4 days after I got the second catheter my husband removed it. Once again blinding pain!

BUT! Five hours after he removed it I was able to pee!!! Hooray! I was more excited that when my son peed on the toilet for the first time.

The pain of peeing after all that trauma to my urethra and bladder was indescribable. It made me shiver and instantly brought tears to my eyes but I think those tears were 90% caused by pain and 10% relief. I was so very glad to get that catheter out of me. 

The next day I woke up still in unbelievable pain and with a horrible cold. My throat killed so I looked in there and my mouth and throat were a concerning red color and covered in sores. Awesome. I couldn’t handle that one last thing so I went to my primary care and found out I had some weird virus that causes ulcers in your throat. Sure. Why not. The doctor informed me they were very painful. Gee thanks, I hadn't noticed. They hurt and it was frustrating but after the week I had leading up to this these throat ulcers felt like fluttering fairy wings.

So that’s been my week.

Oh and… The day after my surgery my Dad got admitted into the hospital with Pneumonia and was there for 2 days. Then when they got home my Mom caught the horrible cold that had started my Dad’s Pneumonia. Then I caught it and for whatever reason it presented itself for me as the dumb ulcers. Now my husband has them. I swear we weren’t playing tonsil hockey (is that seriously a saying? That is so dumb. I take it back.) but I may have used his toothbrush…

Add some drama, pain, heavy medication, a two year old, a holiday, the end of the holidays and general frustration.

It hasn’t been a great week in fact I would easily say it’s on the list of top 10 worst weeks and fairly high on the list too… But seriously it hasn’t been all bad (I’m telling this to myself more than you) some awesome friends have been bringing us dinners, entertainment and smiles amongst the hardships. It has forced us to stick together and just do what we can. Plus I got to catch up on some reading…

I’m really hoping the botox and interstim removals really do help my pain, symptoms and quality of life. PLUS! I’m hoping having those dang boxes out of my back will allow me to wear my super cute new jeans!
Sorry this is so jumbled and my ramblings are so random but if you’ve read any of my blogs you know to expect me to just write because that’s what I need to do.  

Now you’re really excited for my next totally helpful and totally unofficially and inaccurate blog! I really should have gone in to marketing… Thanks for reading my ramblings. Maybe I should get a diary instead... 

Friday, November 15, 2013

If it's not one thing...

September 2011- Cesarean Section to deliver my son
October 2011- Mastitis
November 2011- Interstim revised.
December 2011- Mastitis
January 2012- Mastitis
February 2012- Diagnosed with severe postpartum depression
March 2012- Shingles
April 2012- Double interstim revision
June 2012- Cystoscopy with hydrodistention and Botox
September 2012- First horrible Urinary Tract Infection of many
November 2012- Cystoscopy with hydrodistention and Botox
December 2012- Anaphylactic reaction to a mix of Nucynta and Zofran
January 2013- Anaphylactic reaction to a mix of Vicodin and Zofran
February 2013- Laparoscopy to laser off endometriosis
March 2013- Cystoscopy with hydrodistention and Botox
May 2013- Got off birth control to start trying to get pregnant, Endo not happy!
June 2013- Started hormones to induce period to get pregnant
August 2013- Dystonic reaction to Tigan, in the ICU for 5 days
August 2013- Unable to walk for almost a month after the dystonia
August 2013- Finally started the period I had been waiting for... too late. 
August 2013- Cystoscopy with hydrodistention and Botox
September 2013- Full hysterectomy
October 2013- Recovering from surgery and adjusting to new hormones
November 2013- Endoscopy with several biopsies

Those are just the things that stick out in my mind… There have also been run of the mill colds and other normal life dramas… Oh and also chronic UTI’s, chronic nausea, occasional vomiting, endometriosis and Interstitial Cystitis.

Just typing those things it seems ridiculous that I could have experienced these things in the last 2 years… 

Like seriously, if I read a book and the main character had all these things happen I would be rolling my eyes at the absurdity and over exaggeration… I wish I could say that was the case.

These are just straight up facts.

I was just saying to my Mom the other day as she drove me to my Endoscopy how true that saying is for me, "if it’s not one thing, it’s another". The problem is all of these things I highlighted are horrible but the days in between are really hard too. So even if I’m not dealing with shingles, an infection, or recovering from surgery I am still dealing with chronic, unrelenting pain!

I hate saying this. It’s my most hated statement in the English language but… It is not fair. I’m sorry. I hate to say it but seeing all that I've gone through typed out...  it’s really not fair.

I feel like I deserve a break. Like a month long vacation on some tropical island where they bring me food and delicious drinks while I lay by the pool or on the beach reading good books.

But that’s not the case.

You might not believe me when I say this but really I don’t get like this very often… this “Poor me, pity me” attitude. Usually I’m a pretty positive “take each new day as it comes” kind of girl but sometimes I need to just write down all the horrible things that I have gone through and feel bad for myself for a minute.

So I did. I’m over it now.

It has been a hard couple of years, no doubt about it!

BUT! My son, bless his sweet heart, is very much like his Mommy and he feeds off of my emotions a lot. So we are happy to stay in jammies and read or watch movies all day, eating snacks on Daddy’s side of the bed (so we don’t get crumbs on my side)! Plus my Mom is my understudy in life. On days when it hurts too bad or I’m too drugged to even do that my Mom happily takes Titus and they go about their day.

Having a snack on Daddy's side of the bed! (We love you Daddy!)

Unfortunately my son is very much like me in not so great ways too… He doesn’t like change and he gets overwhelmed really easily. So now that I’m recovered from my hysterectomy and trying to start living some semblance of a normal life… he’s sort of panicking! He loves playing outside and going on some outings but new things like going to our Kindermusik class are so scary… He didn’t leave my lap until the last 5 minutes of class. Although nothing is worse than me trying to pawn him off on some kind volunteer in the toddler class at my new MOPS (Mother of Preschoolers) group or at Church. He clings to me like a baby monkey the minute we walk into either building and starts to cry the minute we walk down the hallway towards his class… Last Sunday was his first church service he made it in class the whole time! (He sat on one of the teachers laps and cried on and off the whole time but hey, it’s progress!)

Titus getting a stamp after Kindermusik class... Maybe it's not so bad? 
So anyway… We’re adjusting. I am still battling daily pain from my IC and my chronic nausea but my endometriosis is gone! Praise. The. Lord! So each week we are trying to do a little bit, even if I end up in bed for two days after every busy day. But, it’s worth it! (Or so my Mom tells me…)

We’re entering into a world of change… New classes, groups, friends and this toddler business isn’t coming as easy as infanthood did for me. The big three (moving Titus to a toddler bed, potty training, and taking away his precious goody (pacifier)) are staring me in the face wondering when, how, why but I’m trying to just relax and enjoy these last three lingering babyhood things. Plus like his mommy, he likes to take things slow…

So we’re going to MOPS every other week, kindermusik when we can and church every Sunday. Then resting in between. It’s good. It’s progress. It will take time to adjust but I’m praying that we’ll have somewhat of a break and can get into a good routine before the next storm hits! 

Today I go in to see my urologist. The day is finally here. I am hopeful. Believe it or not, after all these years I still get my hopes up each time. I'll post an update if anything newsworthy comes of it! 

Thanks again for reading! Can't believe people have come to my blog almost 18,000 times just to read my random mutterings! Very humbling! Love to you all! 

Tuesday, June 26, 2012

The most unwrinkled bladder in the west...


Well I did it… Yesterday I had the Botox injected into my bladder. It was quite the day, not at all what I expected.

I set the alarm the night before but kept saying it was pointless because Titus was going to wake up before then anyway. I took some pretty strong meds to ease the pain and help me sleep before the big day so when Titus woke up an hour after I fell asleep I was useless. I called my Mom on my cell phone and some how managed to communicate that Titus was awake and I… was not. She came into our room and must have realized how drugged I was so she took the monitor after the got Titus back to sleep.

Next thing I knew she and Titus were in our room in the daylight and it was 6:30… the time we were suppose to be leaving (turns out I said it for 5:45 PM… oops). I quickly nursed Titus then showered… accidentally shampooing my hair twice and forgetting conditioner. I threw on some clothes while I glared jealously at Zach eating cereal. I, of course, couldn’t eat before the procedure.

We got in the car and mapped out the best way to miss traffic and I was feeling a little apprehensive when Zach reassured me, “babe, I’m a do-er!” Sure enough… we got to the hospital with one minute to spare!

I got all settled in with my IV and every thing was ready to go! The pleasant anesthesiologist gave me some lovely drugs and the last thing I remember I was laying on a hard bed shivering in the big, white operating room.

The next thing I knew I was sobbing because the pain was so intense. I was in the recovery room surrounded by other post-op patients and nurses. There was a nurse perched on a stool next to me and quickly injected fentanyl into my IV… the pain eased but was still an 8 or 9. She had to give me two more doses before I finally stopped crying and could breathe normally. My throat hurt from the tube that was down it during surgery, I was itchy from head to toe, my bladder ached, and worst of all… my urethra burned so bad. It hurt to have any weight on it or even my legs closed together.

Finally my favorite nurse Tom came and moved me to Day Surgery where I would spend the rest of my time at the hospital. We picked up Zach on the way and he squeezed my hand which made things seem a bit easier. Tom gave me some toast, benadryl for the itching, and vicodin for the pain. I was feeling pretty good and Zach told me he had talked to the doctor who said it went well and they actually stretched my bladder because it was only half the size as it should have been.

I knew it was coming… my bladder was full from all the IV fluids and the water I had drunk for my scratchy throat. I had to go to the bathroom. I cautiously sat down on the toilet and the pain ripped through my body as the bloody urine drained from my body. I started crying again and my body was so tense but I still managed to empty my bladder.
Tom directed me to a reclining chair where I had to tilt my bottom to the side so no pressure was on my sad urethra and he gave me a half a dose of fentanyl. After a while all the pain meds kicked in and I slipped in and out of pain.

After about an hour my bladder refilled with IV fluids and I had to empty it again. Zach carried my IV bags while I held my gown shut and gloomily shuffled to the bathroom. Once again the pain was extreme… No matter what I did the pee just kept coming until my bladder was satisfied that it was empty enough.

My pal Tom was on standby with the rest of the drugs and I told him I was ready to go while the pain meds were working. So I quickly (as quickly as you can that loaded with drugs) dressed in my hospital issued underwear and clothes while Zach signed all the release forms. He left to bring the car up while Tom drove my wheelchair to the exit. We loaded up and were on our way. I fell asleep after we argued about which way to take home and didn’t wake up until we were pulling into the neighborhood.

I got home, got straight into bed and slept for a few more hours. When I woke up the familiar fullness was telling me what I had to do again… I waddled to the bathroom (trying not to let my legs touch my sensitive areas) and sat begrudgingly on the toilet doing the same old song and dance. This time was a little bit easier because I got to get in the shower to ease the pain right after.

The rest of the night I watched the clock waiting for time to take more meds like a bird watcher wanting to see a rare species. I went to bed around 10 but spent more time reading The Hunger Games than actually sleeping. (I know… I’m just now reading it… so un-hip.)

My bladder is so sore from all the shenanigans of stretching and injecting it. My urethra feels like they used a blade rather than a stealthy scope. The pain hasn’t eased up at all and I am taking vicodin on the hour, every 4 hours. I’m sleeping on and off, only eating when I have to eat with the medicine so I don’t vomit, and I’m either laying with a heating pad delicately placed or sitting on my side in the shower.

They said we won’t know if it helped or not OR if it caused retention or not for at least a week… Zach picked up a nice supply of self catheters just in case. Hopefully the pain and soreness from the procedure eases soon and the benefits start at the earliest possible moment.

I promised when I started this blog I would be honest and 100% me… so I hope this wasn’t way too much for some of you. My aunt Claudia specifically… she doesn’t like details…

When I was researching Botox for IC I couldn’t find any thing about the procedure so I hope this enlightens some of my fellow IC patients who are contemplating this. I don’t want to scare you, just inform you. I am actually feeling pretty hopeful that it will help and if not, I will still be glad I did it because it’s better than always wondering if it would have done the trick!