My band was removed
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After almost 18 months of being a successful bandster, I have been de-banded. My band was starting to erode. Here's my experience:
Saturday (June 3rd):
Woke up at 3:30 AM in a lot of pain around my bellybutton. It was excruciating to move at all. Waited 2.5 hours and called my mom to figure out what to do. I knew I needed to see a doctor - the question was which doctor and which hospital. I didn't suspect the band, which would make me go to my primary doctor, who has privileges at Methodist Hospital. But I knew that if they even suspended the band, they'd send me to him at Creighton Hospital. Erroring on the side of caution, we went to Creighton where my surgeon is.
We got to the ER about 7:00 AM where I was seen by an ER doc. The pain was about a 6, but as long as I sat/lay down in a certain position, it was totally tolerable. They ordered a bunch of x-rays (chest and abdomen). They could tell that my small intestines were inflamed, which was the cause of the pain, but they couldn't tell why.
I did an upper GI and the band looked great -- the Fluid went through the band as it should have and none leaked out into the abdominal cavity. They decided to admit me for 23 hours to do more testing. My surgeon's fellow was called in and neither he nor the ER doc suspected the band. They did suspect either an ovarian cyst or the beginning of appendicitis. Because they suspected appendicitis, they didn't want to put me on pain meds so that the pain meds wouldn't mask any changes in pain levels or location. The pain was tolerable at that point anyway.
Sunday (June 4th)
They wanted to do a CT Scan because the pain wasn't really getting any better and wasn't moving towards looking like appendicitis. I had to drink the nasty contrast stuff (that stuff really is nasty and gross and hard to tolerate), and then they did the CT Scan. This is when the pain started getting pretty bad-- it was getting tough to find a good location to sit/lay down where the pain was tolerable.
At any rate, they wanted to do surgery on Monday: either to fix whatever the CT Scan would show or exploratory surgery to see if they could find out more information. The CT Scan showed them what they needed -- there was a large area of "infected" fluid in my abdomen, which was causing the small intestines to be inflamed. My ovaries looked fine as well as my appendix. At this point, they started talking about the band needing to come out because it looked like the tubing from the band to the port was infected causing the pain. I couldn't just take antibiotics to cure the infection because it won't remove infection from a non-organic (plastic) piece.
They ordered an EGD based on these results. They emptied my band first (the least of my worries) and moved me in. They sedate you, so I don't remember a thing. When I woke up, they told me the bad news: it was the band and it was starting to erode into my stomach in one little area. It was enough such that it needed to be removed.
Monday (June 5th)
Now that I was on morphine, the pain was much better. The surgery was scheduled for that evening when the first OR opening was available. Surgery didn't actually start until 8:30 PM and was finished a little before midnight. My band was gone! They removed the band and "cleaned up" the infected liquids that were pooling in my abdomen. Unlike my original band surgery, I woke up feeling so much better. The pain wasn't bad at all. The 103-degree fever I had been running was gone, my abdomen wasn't even that sore. This time, I also had a drain to collect the fluid in my abdomen and I had a NG tube to collect the fluid in my stomach.
Mom slept on a sleeper bed type of thing in my room this night rather than moving me to ICU since surgery was finished so late.
Tuesday (June 6th)
The difference having surgery 100 pounds lighter makes! The pain was easily managed with Morphine, but that NG tube was a serious pain. I wasn't on oxygen anymore, and my oxygenation levels were where they needed to be. After my banding 18 months ago, I was on oxygen for a while and even then, my oxygenation levels weren't where they should've been.
Wednesday (June 7th)
The catheter was taken out in the morning and the NG tube in the afternoon. I came off Morphine, as I didn't really need it for the pain levels I was having.
Thursday (June 8th)
First day of liquids - Water, a little Crystal Light, and some Jell-O. Tolerated it all fine. Took Tylenol a couple of times for a headache (maybe due to morphine withdrawal).
Friday (June 9th)
Knew I'd be dismissed today, but needed to get the IV out, the drain out, and possibly the staples. They wanted to make sure I could get a Protein drink down, so I had a Carnation Instant Breakfast for lunch - no problem. Seemed to take forever, but eventually the IV came out, then the drain. They decided to leave the staples in until Monday, when I'll go see the surgeon and get them out in his office. Dismissed at 4:00 PM!
Of course, one of the first things that I did when I came home was to weigh myself -- it was a little higher than when I went in a week ago. A week of no eating and my weight basically stayed the same!?!? Goes to show you that the liquids they pump into you do make a difference. I am not worried about it at all.
That night I slept in my own bed. In my own house. With my own pillow. After taking a shower in my own bathroom. That's luxury!
Going Forward:
I've lost my band, but I have no plans to get another one. I was self-pay to begin with and insurance won't cover the band for anyone, much less someone with a BMI of 30.1. I will kind of have to re-train myself on how to eat...I am sure I can tolerate breads again! But I stand here a person who exercises 6 times a week, who hasn't had a single soda (or carbonated anything) in 18 months and who knows that it is possible to lose weight. I have 30 pounds to go and I will get there. It will take some work (but hey...banding took work too), but I am willing to put in the time and effort.
Good luck to all of you!
Jayme