Today is 15 February 2022, I thought I might give you all a little update, if you're interested read on, if not that’s ok too.
12 days a go I went into surgery at 7am in Sydney Westmead hospital, after a barrage of tests and appointments and educational stuff completed the week prior.
I had multiple teams doing their part in this very well oiled machine the TP-IAT surgery.
Firstly they put me off to sleep and then they removed the pancreas which had been previously been butterflied onto the bowel wall, during a surgery in Dec 2018 called a pancreaticojejunostomy (puestow procedure) which was done at the same time as a hepaticojejunonostomy (roux enY procedure).
Due to the fact that I have a rare birth defect called an annular pancreas (when my pancreas developed instead of forming into a leaf shape under the stomach), the pancreatic tissue has encapsulated the duodenum, causing a multitude of issues from chronic pancreatitis to blockages, also not limited to the above mentioned.
The duodenum is the part of the body that connects the stomach to the bowel.
My duodenum and all pancreatic tissue was removed, along with any adhesions or scar tissue, to remove the duodenum part of my stomach was removed and joined to the bowel, creating part of my recovery to be similar to that of a patient with a bariatric sleeve surgery (meaning a raw new wound in the stomach) as my pancreas was smaller than expected initially the docs assumed I might not have sufficient islet cells to transplant, however to their surprise there were sufficient cells.
The pancreatic tissue was then taken to a lab where the islet cells were extracted and returned to the hospital - this was about a four-hour process.
The islet cells were transplanted into my liver, well I was still under general anesthetic my body tolerated the cells well and was able to take all of them.
After the surgery I went ICU. The plan was that I would stay there overnight and then head for the transplant ward following day, however due to complications I was put in an induced coma and on a ventilator until they brought me out of the coma and I was still on the ventilator. For anyone who feels that the Covid jab is rubbish let me tell you, there is nothing worse than being on a ventilator tube so wide it fills your throat from left to right. You can’t talk, you feel like you can’t breathe, you can’t cough, you can’t communicate, your body is constantly gagging because of its reflex with having the solid tube down your throat. Eventually I asked nurse for some tissues so that I could write to her to say that I felt like I needed to cough and that even though I’ve been in this position before but it never felt this bad.
After resting I came out well in with the ventilator out I was due to head back to the ward and unfortunately this was delayed again due to low blood pressure. On about day 6 I ended up on the ward.
I ended up with a kidney Infection/inflammation, well that’s initially presented on the left during an examination we discovered that it was on the right as well. I went down for an ultrasound which showed inflammation on the kidneys, I am on antibiotics now for this.
The kidney pain is probably been the worst for me. I have not struggled with the incision site nor have I struggled with support of the catheter sites and it just feels as if wolves have been digging out my flesh and guts with sharp sharp claws in my back between ribs and hips firstly on the left now on both sides. I struggle a little bit with pain and nausea after I eat and the surgeon has told me that’s due to the stomach having to be cut and reattach to the bowel so it’s like a freshen session my body just needs to heal and get used to.
I’ve moved from a soft fluid diet to a soft solid diet if that makes sense which I seem to be tolerating well, after a few days of that I am back on solids.
Learning to live with Diabetes.. Hummm initially it was all about finger pricks and what my sugar levels were at what they were doing I have progressed to giving myself insulin and learning to work out carb levels in food.
I’m just trying to find a balance as to where my body can cope with the changes that are being made and still allow me to eat which is most of you know I’ve struggled with for the last 4-5 years.
Next I need to master carb counting so that I can adjust my insulin according to what I eat and how I feel and hopefully that this will be easy enough for me to manage on my own, my body is showing good signs of the islet cells producing insulin which is the whole purpose of this procedure.
I feel like the luckiest person on earth to have the support that I have had especially over the last six months that have been so tough. The support from my husband, I think Craig showed me a whole different side of himself: you’re so sweet and kind and patient and tolerable and understanding and I could just go on all day long. Mom and Rod, my days would never be the same without your support your love and your general interest I love you guys so much. My family, Sam Justin and Dad and friends in South Africa the messages and phone calls keep me going, sometimes it’s really tough to see the wood through the trees, that I’m getting there and I think it’s all because of the support that I’ve had from you amazing people family and friends in South Africa, England, New Zealand, Australia and worldwide.
I’m blessed to have such amazing people in my life I hope you enjoyed my little update and I will do another one soon.