Wednesday, July 04, 2007
Tuesday, July 03, 2007
Well, I guess this is the sign of a good day adventure out. Vacation was good. I started back on July 1st for my fifth and last year of residency. We are very excited about that. I have written boards in September (hurdle one) Night Float (night shift) in October (Hurdle two) and winter (hurdle three) and then oral boards in June (hurdle four will be the studying up to then and then actually taking them) and then the big move home to California. We are excited but just trying to enjoy what Michigan has to offer this last year. Below you will find many pictures and some info about life here for us the past several months. It has been hectic to say the least. I will once again try to be more current so I son;t spend 4 hours in one night updating this madness. Hope this finds you and yours well. Things are on the up and up here in Grand Rapids!
Donald
Here is me on my 34th birthday. Angel food cake, yum, my favorite. Not only did Sheila make me a cake, she also made all this little cupcake type ones which are soo good because you get extra parts of the semi-crunchy really sweet crust...yumm. I would like to say I didn't eat all that cake, but I probably ate most of it. I am a Decker, what can I say...
Sooo, an intersting story about my Miss Sarah. First some background. Sheila's sibling are quite voiciferous belchers, and are quite proud of this. Sarah seems to have inherited this skill and so we are working on making sure she always says excuse me. Well, we were driving home, I think from the store, the other day and Sarah decided she wanted to say a prayer. We said great and off she goes with this lovely prayer about how greatful she is for the nice day and getting to play outside, and asks that she and daddy and Joshua can get better from their allergies, and that Heavenly Father will take away her cough and sore through and runny nose "but not my burps" and I had to stifle my laughter so much. Her Aunt Brenda and Uncle Wayne would have been so proud.
When Joshua isn't sick or teething he is one HAPPY little boy. He loved playing with grandpa, especially when they would go to the park. Sleep is better for Joshua, as he sleeps though the night, usually. HE still likes to go to bed late and get up early, which we are not sure what that is about. It is getting better all the time though.
Sarah and Joshua loved having Grandma and Grandpa here. Sarah got VERY spoiled by her Grandma who I think let her get away with murder, but Sarah came through all Sheila's hospitalizations like a champ, especially concerning the tightness that she and Sheila have. Sarah had to spend the night at a friends house one night when Sheila was gone because poor Joshua had a flair of his asthma that was not getting better and he was making me very nervous. Even when was working VERY hard to breathe, he was charming everyone there with his smiles and cooperability. He was playing with the antibiotic hand gel when the doctor came in (who incidentally was the same one we had the night before for Sheila's appendicitis admission) and Joshua made him put the gel on his hands. It was pretty funny. We are really blessed with good kids.
If you are reading top down in the blog, go to the posting below this to start the Sheila update, then come back here...Welcome back. So Sheila goes out to eat real food AT A RESTAURANT (after the okay from her doctor) with me, the kids and her parents, and eats a little, but is not feeling great. Goes home to rest while her parents and I and the kids go to the zoo. Next morning her parents take off for a trip to Niagara Falls thinking Sheila is on the mend, only to have Sheila wake up in constant excruciating pain deep down low on her right hand side, around where they did the surgery. SO back to the ER we go, her surgeon comes in right away to see her but is not convinced it is her surgery because everything had gone so well and looked so good at the end and we were several weeks out at this time. SO they get another ultrasound and another CT scan and they found this, which I think really speaks for itself...unless you don't have four years of radiology training I guess. Anyway, the wavy thing in the middle is Sheila's Uterus (Hello uterus!) and all the stuff around it is fluid, and if you look at the bottom you will see that darker fluid becomes somewhat whiter, which is some blood in the fluid. After a day and a half in the hospital on IV pain meds, an OB/GYN doctor comes to see her and says she thinks her surgeon was right, that it is not related to her surgery, but is likely a large ruptured hemorrhagic cyst. Poor Sheila could just not catch a break. So after several days on IV narcotics, she transitioned to oral pain meds, and then was able to finally come home again. Since that time she has made steady improvement and is probably back to normal. My sister (Amanda) was kind enough to rearrange her whole final schedule at school so we could fly her out here to help out as Sheila's parents were leaving (her mom had already been watching my kids for over a month and I think Grandma was ready for the break! :) ) Sheila was recovering well by then, but it was nice to have Amanda visit and to make all our dinners!!!!
So to tell the summary of the past few months, I really wanted a picture of Sheila in a hospital gown, but she wouldn't do it, so instead you get to see what I see all the time, a CT scan of SHEILA! So, this will be the long brief summary of Sheila's experience with being a patient.
On April 21, Sheila was experiencing some abdominal pain, which over the day became worse and that night became much worse. We thought it was the flu or something so I was sleeping on the couch. IN the middle of the night I hear this pathetic cry from her and she is laying on the floor in the hallway between our bedroom and the bathroom, unable to walk with a raging fever, just uncontrollably shaking. We got her cooled off with tylenol and a tepid bath and she felt somewhat better. Next day she seemed mildly better, but then came the shakes again. Even I knew that was not good so we got our friend to come watch the kids and I took Sheila to the ER in town. Long story short ( I know, too late) they did a CT scan and found Sheila had appendicitis, with this long appendix tracking back by her psoas muscle, causing all sorts of back pain too. (Look on the left side of the picture near the bottom and you will see a small little round thing with a rim of whote next to a big long white thing which is her appendix cut in cross section next to her iliac bone) Sooo, Sheila gets to go to Surgery to get her appendix out. The surgeon was great, did an open appednectomy but left like a 3 cm incision was all. Sheila woke up from anesthesia very disoriented but very cute. (Some perks of being a doctor at the hospital is I got to go to the PACU when others just aren't allowed in there) She remembered kissing me goodbye and then waking up (the wonders of modern pharmacology). She had to pull up her sheet and gown to see they had really done anything. She had little pain and recovered quickly and came home after two days I think. Sheila's mom (Doris) was Soooooo kind to change her schedule to come out here to help with Sheila and the kids and was here shortly after the surgery.
So about a week and half after the surgery Sheila went into the surgeon for a post-op check, and they chat and then he says one more thing...There was a small cancer in the tip of your appendix (a carcinoid tumor) and it has spread a little bit so we will have to do another little surgery. She got to see another surgeon and the next day is back in the hospital have a laparoscopic right hemicolectomy performed, which if you don't know (some on folks common knowledge here) means they took out the entire right side of her colon, part of her small bowel and then reattached it. They took out all the lymph nodes next to this bowel and also took a small section of her liver to make sure a little nodule they found on the surface was not a metastasis. Needless to say this was a MUCH bigger surgery even though they did it through several tiny holes in her belly and she had much more pain after this. Clear liquids for like two weeks and then full liquids after that and she was just starting to get out and do something when...(please see next post please)
On April 21, Sheila was experiencing some abdominal pain, which over the day became worse and that night became much worse. We thought it was the flu or something so I was sleeping on the couch. IN the middle of the night I hear this pathetic cry from her and she is laying on the floor in the hallway between our bedroom and the bathroom, unable to walk with a raging fever, just uncontrollably shaking. We got her cooled off with tylenol and a tepid bath and she felt somewhat better. Next day she seemed mildly better, but then came the shakes again. Even I knew that was not good so we got our friend to come watch the kids and I took Sheila to the ER in town. Long story short ( I know, too late) they did a CT scan and found Sheila had appendicitis, with this long appendix tracking back by her psoas muscle, causing all sorts of back pain too. (Look on the left side of the picture near the bottom and you will see a small little round thing with a rim of whote next to a big long white thing which is her appendix cut in cross section next to her iliac bone) Sooo, Sheila gets to go to Surgery to get her appendix out. The surgeon was great, did an open appednectomy but left like a 3 cm incision was all. Sheila woke up from anesthesia very disoriented but very cute. (Some perks of being a doctor at the hospital is I got to go to the PACU when others just aren't allowed in there) She remembered kissing me goodbye and then waking up (the wonders of modern pharmacology). She had to pull up her sheet and gown to see they had really done anything. She had little pain and recovered quickly and came home after two days I think. Sheila's mom (Doris) was Soooooo kind to change her schedule to come out here to help with Sheila and the kids and was here shortly after the surgery.
So about a week and half after the surgery Sheila went into the surgeon for a post-op check, and they chat and then he says one more thing...There was a small cancer in the tip of your appendix (a carcinoid tumor) and it has spread a little bit so we will have to do another little surgery. She got to see another surgeon and the next day is back in the hospital have a laparoscopic right hemicolectomy performed, which if you don't know (some on folks common knowledge here) means they took out the entire right side of her colon, part of her small bowel and then reattached it. They took out all the lymph nodes next to this bowel and also took a small section of her liver to make sure a little nodule they found on the surface was not a metastasis. Needless to say this was a MUCH bigger surgery even though they did it through several tiny holes in her belly and she had much more pain after this. Clear liquids for like two weeks and then full liquids after that and she was just starting to get out and do something when...(please see next post please)
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