Month: February 2018

2/11/2018 – Six Weeks Post Total Gastrectomy

Six Weeks! I can start working out again…. hopefully.
I was told by Dr. Yoon I can run six weeks post-op.  My incision area is still a bit sore and tight so I’m not sure how running will go, but I would like to give it a try. I have been walking a good bit. My best walks thus far were one for 4 miles at a 19min/mile pace and one for 2 miles at a 16min/mile pace. Major napping needed after.
I’ll also start some light weights. I have lost a lot of muscles and do I don’t want to overdo it.
Here is what’s new:
  1. Low blood sugar: I had my first low blood sugar moment. I ate a poached egg, gluten free toast, butter and a strawberry. 1.5 hours later I notice I’m feeling weak.. Like I’m getting the flu. Then I start sweating. So I stand up and realize I’m super dizzy.  I checked my blood sugar and it was 59. The lowest it’s ever been. I called a family member who has T1D and she explained I needed about 15-20 carbs and it should last only 15 minutes. The problem was, I already had poweraid and some crackers and was at about 35 carbs.  The feeling did go away after 15-20 minutes but it wasn’t fun. Then, I got super hungry. Like – pre-surgery hungry. I couldn’t stop eating. I have no idea how I kept going. Eventually, I stopped. Good thing too because I did get some mild cramps.. I assume from eating too much/too fast.  I heard that living stomachless can cause random drops in Blood Sugar (BS), so I’m glad I bought a kit and was aware of that. Knowledge is power yall.
  2. Reflux – ugh.. I still get random reflux. Especially if I lay down or if I eat something that gets stuck. Microwaved leftovers are the worst. The microwave dry’s out the food and it get’s stuck in my esophagus. It’s a bad feeling. It feels like your chocking on air.. then – you get reflux.  It’s like foamy spit that doesn’t end for 30min – 3 hours depending on who knows what.  Lastly, after it’s over, you have heartburn from the whole thing. I’m trying to figure out what’s causing it but I’m not a fan.
  3. Running – I ran a mile. Yay! 10:30 pace.  Felt pretty good. I walked 20 min to warm up. I later needed a nap.. very badly. Also – I’m sore. Already.

2/4/2018 – Five Weeks Post Total Gastrectomy

Things are going pretty well. Here is what’s new:
  1. My back finally doesn’t hurt anymore. I suspect it was because I couldn’t use my abdominal muscles much in the beginning because I had open surgery.  Now that I’m healing, I have more strength and my back has less stress.
  2. If I eat late at night, I risk getting reflex when I sleep. I’m still sleeping sitting up because I get reflex if I lay down. It’s hard not to snack at night because I struggle with falling asleep and eating snacks seems to help pass the time. I’m trying to leave a 1-2 hour gap before I go to bed but it’s not easy. Work to do I guess.
  3. Protein shacks are finally going down well, which has helped stabilize my weight. I weigh 175 which is 22 lbs. from surgery day. Getting gluten-free protein is a little more expensive.
  4. Feeling a bit better each day. Energy levels spike and dive to near zero without notice, but that doesn’t bother me too much.
  5. Espresso. So – I used to drink 12 cups of coffee which was a habit I formed studying for my MBA. I slowly stopped drinking coffee before surgery to help with recovery.  I still have no desire for coffee and more importantly, I do not have space. Instead of coffee, I sip on espresso. That has been a lot of fun and I like it. It has given me heartburn a few times, but nothing crazy. It’s nice to have something to counter my energy levels when they crash at home. Sometimes the kids want to play and I have to push through. So – Espresso helps.

1/28/2018 Four Weeks Post Total Gastrectomy

Week 4:
Wow – 4 weeks feels good.

I started walking more again. As I approach 6-weeks post op and plan to run somehow. I started Monday with walking 1 mile at a 20min/mile pace. My belly felt a bit strange after one mile so I stopped.

Tuesday, it was beautiful outside so I walked 4 miles at a 20min/mile pace. Honesty, it felt good and time got away from me. I was actually sore at the end (in my legs and hips). After a stretch and a protein shake, I feel fine. After an hour, I needed a major nap.

I feel good enough to invest a lot of time reading. That has been sweet.

Here is what is new:

1. Mornings are still rough. Sore and just don’t feel like eating or drinking because of the soreness. I drink 8 oz of water (takes about an hour), then eat breakfast around 9:30am. I had two small gluten-free pancakes (they are very small) and a poached egg. It was great!
2. Eating is getting better but there are still no rules. The trick is to go extremely slow and chew more than you ever thought. I had gluten free quesadilla (a small triangle) and gluten-free hibachi with quinoa. It was great. Also – my taste buds are getting sore. Not sure why, but with keeping food in your mouth for a lot longer than I’m used to, my taste buds get sore and it hurts to eat.
3. I can sip up to an ounce of espresso. I like it and the caffeine boost is something I have only dreamt of! (Insert excited emoji)
4. Gatorade endurance has low sugar and doesn’t upset my belly. I can drink plain water but I can still see that Gatorade goes down better. The water feels like it gets stuck. Crazy.
5. Protein shakes are going down much better now. At first, they made me crampy within minutes. I tried to sip slowly and push through but now I know that I was trying too much.
6. I have to remind myself. Go slow, Chew more than I think I should, and stay patient. Food that didn’t work yesterday, might work today. There are really no rules as I adjust to the new life. But, my fellow CDH1 friends from around the US have encouraged me that the days get better and the beginning is hard.
7. Energy levels are getting better, slowly. But I still get hit with fatigue out of the blue. And it’s severe. Like – it feels like my eyelids weigh too much to keep my eyes open.

Pretty much eating any type of food now. Since I have Celiac disease, it has to be Gluten-free and I have not tried meat like steak and pork.

1/21/2018 Three Weeks Post Total Gastrectomy

Week 3:

This week has been good. Few things to add:

  1. I have to sleep sitting up to start the night or I’ll get bile reflux.. feels like stomach acid just comes in your mouth. It’s yucky.
  2. Morning times – my belly is very sore. Still healing I guess.
  3. Back still sore.
  4. Energy Levels are still very low and I’ll just get hit with fatigue out of nowhere.

Same foods but adding chicken noodle soup. I even had a few bites of my wife’s fajita nachos. It was amazing and I limited it to like 5 bites.

1/14/2018 Two Weeks Post Total Gastrectomy

Week 2:

Things are going pretty well. I feel really blessed by all the support from my friends and family.  The pathology report came back and it showed cancer had already formed in my stomach.  Stage one and the tumor was “poorly differentiated” which means it was very aggressive and unpredictable.  I can’t really explain how grateful I am. The tumor didn’t go through the stomach wall, so that is a huge blessing and I will not need further treatment. God is good.

Regarding the recovery, here are few things that I didn’t know about which are important to note:

  1. My back is very sore. Because my abdomen muscles have been cut in half (open surgery) I mostly rely on my back to sit up straight and walk and whatnot. So my back constantly hurts. A heating pad and frequent breaks help a lot.
  2. Food and drink require much planning and it’s very involved. Things like a protein shake make me bloated and gassy but I try and push through because protein helps the healing process.
  3. If I forget to chew the smallest bit of food, it gets stuck somewhere in my esophagus/intestines. That is painful and scary. It feels like I can’t breathe. It lasts for around 15 minutes.
  4. Don’t eat too fast and don’t try sugar in the beginning. I ate my oatmeal too fast and had a tablespoon of brown sugar and I had dumping syndrome for 3 hours. Really bad cramps. Never felt anything like it. Nearly went to the ER.
  5. Sip your liquids. Do not take a big drink or gulp. (also results in dumping. Horrible cramps).

 

Favorite foods (everyone is different):

Peanut butter

Eggs (poached or scrambled)

Potato soup (just go slow). Heat ¼ cup at a time so you don’t overeat and it doesn’t get cold.

Gluten-free mac and cheese

Gluten-free Oatmeal

Gluten-free pancake with Nutella

Pure Protein Shake

1/7/2018 – One week Post Total Gastrectomy

Sunday
7:30am
They are switching my epidural medication because I’m still in a lot of pain. Hopeful they can manage the pain without making me dizzy.

8:30am
Finally starting to feel better. Praise the Lord. Last night sucked so much.

9am
With help of an amazing Nurse Tech (Jaunito), I was able to get out of bed. As soon as I stood up I coughed up something awful. That hurt but I feel like I can breathe again. I made it 1/4 a lap before nearly passing out. They used a wheelchair to get me back to my room. Feel pretty bad and weak.

10am
No water until Wednesday so I just chew on ice chips then spit them out. It’s kind of strange.

3pm
I made it four laps! Felt good.

8pm
The family left and I did another 4 laps. So 1/2 mile total. Feeling good and tired.

10pm
They gave me some extra medication for a headache and I think I might actually sleep a bit.

Monday
5:30am
Slept pretty decent. New meds are working much better. Also – the night nurse was awesome.

8pm
Same old thing. Made it 20 laps today total and progressing on schedule.

Tuesday
5:30am
Sleep was ok. I’m realizing the hospital bed is not helpful for my back.

10pm
25 laps total today. Things are a bit boring, to be honest. I can’t eat or drink and walking is only so cool. Plus – It’s hard to walk because I’m on the cancer floor and a lot of the patients are in much worse shape than me and they have to talk too. So it gets crowded fast and sometimes it hard to see all the struggling patients and their families. Breaks my heart. I’ll try and do laps early morning while the traffic is clear.

Wednesday
9am
Leak test day!

They immediately thought I had a leak, which was devastating news. However, after waiting to speak with the doctors for four hours, it turns out that I had a partial collapse lung which caused the images to be inconclusive. Phew. That was a rough 4 hours of waiting.

I get to take sips of water. I literally took a sip every 15 minutes for the rest of the day. Feels weird and I feel full.

They took the epidural out and the new pain meds didn’t come for a while. So – I was hurting pretty bad for a few hours. They dialed it in around 10pm and I slept like a baby.

Thursday:
Poweraid, chicken broth, and jello. All went pretty well. Jello tasted amazing.

Friday:
Discharge day!
I had some eggs this morning and I took 9 bites in about 30 minutes. Decided to stop and not overdo it. Felt good! I chewed more than I have ever chewed.

Discharged around 6pm.

The entire team at Memorial Sloan Kettering was amazing. Dr. Yoon, Dr. Bartlet (his fellow), and special thanks to the following nurses: Nicole, Shirley, Juanito, Martin, Love, and the others who I can’t remember. They were amazing and made the hospital stay much better.

Saturday:
It’s freezing in NYC. Like 12 degrees with 20 mph winds. After walking a few blocks to get food I needed a nap. Following the nap, I told my wife we are leaving tomorrow (Sunday). We were supposed to stay until Wednesday but I don’t think I could. We were so bored and we miss our three kiddos.

1/6/2018 Surgery Day

Arrived at the hospital (Sloan Kettering) at 5:30am and things went rather quickly. Everyone has been sweet so far. The Doctor gave me some medication to take at mid-night which helped me relax and it sure did. I felt really tired and relaxed.

Saturday
6am
Epidural. I was worried about this. I nearly passed out when my wife got the epidural for the birth of our first child, but the medication helps a lot. I remember leaning forward on the table, and that’s it. ?

11am
Surgery went well and lasted a little over 3 hours. I don’t really remember talking to my family but I suspect my jokes were still great.

1pm
Recovery. Strange feeling looking under the gown and seeing my new wound and other things that go on during surgery. Pain meds seem to work well. I have a bit of a sore throat my chest hurts from where they did surgery. I’ll try and rest.

6pm

Chiefs lost in the playoff. They played a horrible 2nd half. 3rd year in a row we lose like this.. bummer.

6:30pm
I really want to talk but I tried to sit up and it hurt very bad and almost made me sick. I’ll try tomorrow.

7pm
Feel nauseous so they decreased my epidural by 1/2 (found out the next morning).

10pm -7am
Spent all night trying to figure out how to sleep. I was in a lot of pain and not comfortable. I don’t know what to do….. I pray this gets better.

 

1/4/2018 – Travel to NYC

Today is the travel day to NYC from SC.

Welp – Charleston South Carolina received a rare 6-8 inches of snow yesterday. Bridges nearly everywhere have been closed. The Airport is also closed and looks to be closed for several days due to the lack of equipment to de-snow the runway. All flights out of Charleston have been cancelled through Monday.

10am
I’m having my brother-in-law take us over a bridge in his truck (he has a medical pass to help transport people in poor weather) and we are going to take my father-in-law’s truck to Charlotte and catch a flight tonight to NYC.

12pm
NYC is having Blizzard conditions. Many flights have been canceled.

2pm
Arrive in Charlotte and our NYC flight was cancelled. Rescheduled for tomorrow morning at 9am. I’m going to call the Doctor and see if we can have a later pre-opp meeting tomorrow.

2:15pm
Flights canceled tomorrow! Reschedule for Sunday. That will not work as surgery is Saturday. Dr. Yoon called me to do his Q&A over the phone so I can arrive later tomorrow for pre-op. (4:30pm appt).

2:30pm
Leaving our Hotel that we just paid for (I later called and got a refund) to drive to Charlotte Airport and speak with Delta about options. Thinking of flying to Philly then take a later train. Never done this before but hope to figure it out.

3:30pm
A very nice lady at Delta switched all our flights and we are heading to Cincinnati, then to DC in hopes to catch a train to NYC.

10:30pm
We made it to DC without issues! It’s like 2 degrees with 15 mph winds. Much different than Charleston weather.

10:45pm
Made it to the train station. Just missed the last train. Darn. Next train is 3:15am with a 6:45 arrival. I guess we are doing to stay at the train station and wait for our train. Tickets for 4 people was just under $500. 3 other trains have been canceled so praying we are not canceled.

12:00am
It’s cold in this train station. I have on all my winter clothes and I’m still a bit cold. This is my first train experience and it’s different than I imagined. So far – no canceled train but there are no employees around to get updates. I really pray we make it to NYC in time. Rescheduling this surgery would be very hard for everyone. We are going to one of the best Doctors who are very busy (Dr. Yoon) and my wife did a great job figuring who will keep our kids while we are away. Having to change or extend the trip would be very difficult.

1:00am
Running out of snacks and there are not many options Gluten free at 1am. I choose to go to MCD and get a bacon egg biscuit, but hold the biscuit. Tasted like MCD.

3:20am
Very strange experience, but we are on the train! They made us line up then once they opened the door, we had to talk like 200 yards to our train and it’s a big free for all. We are at the front of a section that has 4 seats. I’m getting excited!

6:am
Almost to NYC. This train is freezing and we sat by a light that is very bright. Also, I have no idea how people are sleeping on this thing.

6:45am
WE MADE IT! Wow. NYC is busy. First time to NYC and it’s living up to what I imagined. I saw a few things in the train station that I’ll keep to myself. (insert surprised look emoji) Let’s just say I’m dying to catch an UBER and get to the hotel.

7:30am
At the hotel! 22 hours of traveling. Boy am I tired! Going to take a nap before the pre-op at 4:30.

3pm
Awake and just got some Thai Food from Lucious Thai (Upper East Side). This is the best Thai Food I have ever eaten. Amazing. Also very hot.

7pm
Pre-opp took a while, but we are done. Now I’ll spend some time with family before arriving at 5:30am for surgery. Hope I sleep well. They gave me medicine to take at 12am to help me relax in the morning.