New Here, Coping With Leak/abscess

[4ALongerLife 329]

I had the gastric sleeve surgery on 03/05/12. On my pre-admissions form for the VSG, there was a question about anesthesia - whenever I had my son in 2004 I had to have more than the norm as my body didn't 'go to sleep' equally on the left and the right. Based on this response, the anesthesiologists gave me more than usual for the VSG. After the VSG surgery I was passed out, very lethargic, slept alot. I would try to do my IS (breathing exercises) and couldn't barely do them. Then I'd pass out to sleep again. I had a slight temp in the hospital so they kept me an extra day. I was d/c'd 3/7/12.

On 3/9/12, I went back to the hospital. I was spiking a temp and my pulse was rising. Slowly, I couldn't do my I.S. (breathing exercises) as well as I had been doing them. I went back to the ER and they admitted me for aspiration pneumonia. I stayed in the hospital 6 days, on I.V. antibiotics. I was d/c'd 3/14/12, taking levaquin by mouth. I followed my diet, did my breathing exercises, moved as much as I could .... but my temp would spike now and again. I went to the ER that weekend twice, as my temp at home would be 101-102, but once I got to the ER it went to 99 or normal. The ER said that getting out in the 'nite air' sometimes does that (no idea why but ok). Then that Sunday, 3/19/12, about 330 in the morning, I could no longer sleep in the bed. I felt short of breath (very shallow breathing, couldn't inhale deeply) and I had a pain in my left shoulder and mid back. I tried to wait until the dr's office opened at 9 that Monday morning, however by 845 I couldn't take it anymore, the pain was excruciating. They told me to go back to the ER. I did and they did xrays and cat scans, I had a leak in my stomach and an abscess in my diaphragm.

So hospital readmission 3/19 to 3/29. They wanted to rush me to revision surgery that night. I went into a slight shock I think, teeth chattering, scared, wishing I had never done this..... but the electricity kept kicking in and out all day at the hospital (first someone hit a pole and caused the electricity issues that day, but that night severe storms developed and the lights flickered quite a few times). My dr. said let's not take any further chances, we'll do your revision first thing in the morning. I had revision surgery 3/20, early. The dr. found the leak and saw where part of my stomach line was necroting so he cleaned that all out, restitched and reglued the line and cleaned out as much as he could. Then they did XRays to see how it looked, more barium swallows and then a cat scan .... they wanted to see the abscess and if I had any other leaks, which I do, now in a different part of my tummy. The radiologist placed what is called a piggyback drain (it looks like a long bag with an "accordian" at the top) into my left flank (right under your bra line/where the diaphragm is located). I have a JP drain in my stomach (it's right above my spleen per the dr.) .

I got worried about the cost of my stay and spoke with my dr. on this as he was thinking that I could go home on home TPN (total proper nutrition - it's a bag of nutrition that they mix up especially for each patient, based on the blood draw, which tells them what you are missing in your system. It's high in amino acids, which encourages quicker healing of leaks). I didn't have this coverage in my stinky insurance plan (I work as a contractor, which means great pay/lousy insurance.... well according to the option I chose). Dr. did an endoscopy on 3/27 to see where any leaks were and how big .... there's still one about the size of a pencil eraser. Social work/case mgmt became involved, trying then to put me in a nursing home (hello, i'm 38 years young) or on home iv antibiotics/tpn. That's where things got really bad - social work consulted me mid walking activity and told me of the nursing home option. Next time I saw them as I was doing laps in the hall, she told me maybe my dr. could do a feeding tube and send me home. Either way, I thought that was inappropriate and it brought me to tears.

My dr. came in and said we can do a dobhoff tube (in your nose) and you can do Protein Shakes at home through that OR we can not put a tube in and see how you progress. I have been IV'd so much (each time they gave me vancomyocin, I would swell up and hurt at the IV site and they'd have to move it), they put in a PICC line (iv that goes into your arterial vein/a more 'direct' route). Tired of being a pin cushion and hooked up to so much, I opted for the no tube. But I am worried. The dr. said this will deplete some of your muscle mass, but I was very active in the gym before and used to weight lift so I have more muscle mass than most. But I am worried on healing, worried on paying the dr's bills and trying to figure how I'm going to pay the lessor rate that the hospital has generously given to me (payment plan probably for 36 months).

I started out 254 originally in my dr's office. I am 215 right now. Do I regret the surgery? At this time I do... yes, I do. I am worried and scared and I am praying so much that God has to be pestered by me. But I came here to see what experiences or thoughts perhaps anyone can share..... please no negativity... I can't take it. Thanks for your time reading my long diatribe of a story.

[gramaof4 58]

I had my surgery done in Mexico....so no insr...came into play for me. I was blessed not to have any complications....So I'm not much help in this department....

But what I can say is you will be added to my personal time with the Lord and I will keep you in my prayers. I pray the Lord will bring his healing hand down on you and heal you from the inside out....

Good Luck, and welcome to the Losers bench...

[Carly 56]

O my goodness. I am so sorry for your suffering, and I have no experience, so I offer no advice. Sorry. Just support. My thoughts and prayers are with you. Best wishes for a speedy recovery. Keep us updated if you can.

[4ALongerLife 329]

Thank you both for the support, I truly do appreciate it. I will keep you guys updated. I am supposed to go to see my dr. Monday afternoon.

[daniellec 10]

OMG poor thing, I am so sorry for you complications. I pray you get better soon !!!!

[ChaChaBurch 60]

You will be added to my prayers as well! I am so sorry you are having to go through this. Please, Please, Please, keep us updated! Also, I see you're in Dallas. I moved FROM Dallas in 2009 after living there my whole life - family reasons. Would you mind sharing who your Doctor is? If you don't feel comfortable with that, I can certainly respect that.

[andkel30 57]

I had the gastric sleeve surgery on 03/05/12. On my pre-admissions form for the VSG' date=' there was a question about anesthesia - whenever I had my son in 2004 I had to have more than the norm as my body didn't 'go to sleep' equally on the left and the right. Based on this response, the anesthesiologists gave me more than usual for the VSG. After the VSG surgery I was passed out, very lethargic, slept alot. I would try to do my IS (breathing exercises) and couldn't barely do them. Then I'd pass out to sleep again. I had a slight temp in the hospital so they kept me an extra day. I was d/c'd 3/7/12.

On 3/9/12, I went back to the hospital. I was spiking a temp and my pulse was rising. Slowly, I couldn't do my I.S. (breathing exercises) as well as I had been doing them. I went back to the ER and they admitted me for aspiration pneumonia. I stayed in the hospital 6 days, on I.V. antibiotics. I was d/c'd 3/14/12, taking levaquin by mouth. I followed my diet, did my breathing exercises, moved as much as I could .... but my temp would spike now and again. I went to the ER that weekend twice, as my temp at home would be 101-102, but once I got to the ER it went to 99 or normal. The ER said that getting out in the 'nite air' sometimes does that (no idea why but ok). Then that Sunday, 3/19/12, about 330 in the morning, I could no longer sleep in the bed. I felt short of breath (very shallow breathing, couldn't inhale deeply) and I had a pain in my left shoulder and mid back. I tried to wait until the dr's office opened at 9 that Monday morning, however by 845 I couldn't take it anymore, the pain was excruciating. They told me to go back to the ER. I did and they did xrays and cat scans, I had a leak in my stomach and an abscess in my diaphragm.

So hospital readmission 3/19 to 3/29. They wanted to rush me to revision surgery that night. I went into a slight shock I think, teeth chattering, scared, wishing I had never done this..... but the electricity kept kicking in and out all day at the hospital (first someone hit a pole and caused the electricity issues that day, but that night severe storms developed and the lights flickered quite a few times). My dr. said let's not take any further chances, we'll do your revision first thing in the morning. I had revision surgery 3/20, early. The dr. found the leak and saw where part of my stomach line was necroting so he cleaned that all out, restitched and reglued the line and cleaned out as much as he could. Then they did XRays to see how it looked, more barium swallows and then a cat scan .... they wanted to see the abscess and if I had any other leaks, which I do, now in a different part of my tummy. The radiologist placed what is called a piggyback drain (it looks like a long bag with an "accordian" at the top) into my left flank (right under your bra line/where the diaphragm is located). I have a JP drain in my stomach (it's right above my spleen per the dr.) .

I got worried about the cost of my stay and spoke with my dr. on this as he was thinking that I could go home on home TPN (total proper nutrition - it's a bag of nutrition that they mix up especially for each patient, based on the blood draw, which tells them what you are missing in your system. It's high in amino acids, which encourages quicker healing of leaks). I didn't have this coverage in my stinky insurance plan (I work as a contractor, which means great pay/lousy insurance.... well according to the option I chose). Dr. did an endoscopy on 3/27 to see where any leaks were and how big .... there's still one about the size of a pencil eraser. Social work/case mgmt became involved, trying then to put me in a nursing home (hello, i'm 38 years young) or on home iv antibiotics/tpn. That's where things got really bad - social work consulted me mid walking activity and told me of the nursing home option. Next time I saw them as I was doing laps in the hall, she told me maybe my dr. could do a feeding tube and send me home. Either way, I thought that was inappropriate and it brought me to tears.

My dr. came in and said we can do a dobhoff tube (in your nose) and you can do Protein shakes at home through that OR we can not put a tube in and see how you progress. I have been IV'd so much (each time they gave me vancomyocin, I would swell up and hurt at the IV site and they'd have to move it), they put in a PICC line (iv that goes into your arterial vein/a more 'direct' route). Tired of being a pin cushion and hooked up to so much, I opted for the no tube. But I am worried. The dr. said this will deplete some of your muscle mass, but I was very active in the gym before and used to weight lift so I have more muscle mass than most. But I am worried on healing, worried on paying the dr's bills and trying to figure how I'm going to pay the lessor rate that the hospital has generously given to me (payment plan probably for 36 months).

I started out 254 originally in my dr's office. I am 215 right now. Do I regret the surgery? At this time I do... yes, I do. I am worried and scared and I am praying so much that God has to be pestered by me. But I came here to see what experiences or thoughts perhaps anyone can share..... please no negativity... I can't take it. Thanks for your time reading my long diatribe of a story.[/quote']

I don't have an answer but read your story my heart goes out to you I will say a prayer for you.....I pray that things get better soon.......

Sent from my iPhone using VST

[Darla5060 68]

You've been through so much!!! I'll be praying for a quick recover. Bless you!!

[wannabb08 17]

I'm sorry for all the complications you're experiencing. You will be in my thoughts and prayers.

Best wishes for a speedy recovery.

[Liberated Sleeve 148]

I will be praying for you to become stronger physically and emotionally! I am so sorry you are having to go through all of this! Do you have family supporting you?

[aliandrews 98]

There are many on this forum that had or still have a leak. You should do a search in the search box and put in "Leak. It will show all the topics with leak in it. I know of one that went through this problem. Her name is Jasleeve. She had a rough time also. I am sorry you have to go through this. Maybe this will help.

[baseballmom02 13]

I will be saying lots of prayers for you !!! As I know many are !! You will overcome this !!

[Seannie 42]

I was trying not to cry at reading your post!

While I haven't experienced any type of complication that you speak of, please know, just like all the others, that I will be thinking of you and praying for a speedy, physical and emotional recovery. I am part of a women's group at my church and they take prayer requests... you will be on my list..

Please keep us updated as to your progress. Sending Guardian Angels and prayers your way..

[CowgirlJane 14,261]

You have had happen what is everybody's worst fear. i am so sorry you have gone through this! I hope you can find some confort in knowing that you WILL get better and down the road when you are thin and healthy, this will just be a really bad distant memory.

{{{{Hugs}}}}

[mamasez 9]

I am praying for you. Hope you get better soon. I don't have experience with what you are going thru, but wanted you to know you are being thought of. Leah