Monday was a tough, yet wonderful day. It was great to have all of our family together, but we all knew what was coming the next day. My facebook status summed it up:
"If tomorrow goes as fast as today has, we'll be in good shape."
We made the decision to drive down on Tuesday morning as opposed to Monday night. (we live about 3.5 hrs from Minneapolis) Cassidy didn't have to check in until 11:30am and couldn't eat or drink before then so I figured it would be easier to just get up and hope she slept most of the way. Plus it was nice to go to bed in our own beds for one more night.
She could eat up until 3:30 am. Here is my facebook status LATER that night...
"Makin my baby eggs and sausage at 11:30pm. I'm pretty sure she could ask me for the moon and I'd get it for her... lol Good thing she can eat up until 3:30 am. Her appetite came back today!"
We got up and left by 7:30am. The big kids rode with my parents so that they could stop and eat on the way down. DH, Cassie and I would drive straight thru. She slept a little more than half way. When she woke at around 9:45 she needed to use the bathroom so we stopped at a convenience store. After getting back on the road she wondered where we were going. Then it got tough. We hadn't told her too much, as she just plain FREAKS out when you mention hospitals or docs and I had wanted her Bday weekend to be a good one. Plus there was NO WAY I was going to explain a surgery to her. So I simply told her that the Dr.'s needed to look in her tummy with a special camera (which they did - lol).
She did better with this than I thought. She wasn't thrilled with the idea, but kept her worrying to a whimper. I let her crawl in the back with me and just get belted in and we watched Scooby Doo the rest of the way.
Once we got there and checked in it was very close to 11:30 - we planned that just right - The less waiting the better. They took DH, Cassie and I into the surgery prep area. They were very good back there. They let her keep her clothes on - the idea of a gown was stressing her out.
She was alternating between being just fine and being very agitated. All in all, it wasn't too traumatic. We did end up waiting a bit longer than the scheduled 1pm surgery, but nothing horrible. As it was getting closer they gave her some Versed - HILARIOUS! It was like giving her a shot of whiskey. All of a sudden the nurse was her best friend. They came in to draw some blood from her finger and she could have cared less. What was funnier was after they put the Band-Aid on her finger, she looked at it and said "how did I get this? and why is it there?" She never even knew they drew the blood! (which if you knew Cassidy you wouldn't believe it!)
Finally it was time. I got to carry her into the OR and actually lay her on the operating table. HARDEST THING I HAVE EVER DONE. Hands Down. I still can't believe that my feet actually worked to walk that walk. She sat on my lap while they masked her till she was out, then I laid her on the ACTUAL operating table. Talk about weird. I had just turned to walk out and the Dr. said "mom, come give her a kiss on the fore-head" Oh, my goodness, I lost it! I had kept it together until then.
What followed was a VERY long wait. Right away, since I knew that my parents were in the waiting room, I went out to the car for a bit. I just needed to sit somewhere where I could be alone. (DH was out having a million cigarettes - lol) After a half hour or so, I went back in for the rest of the surgery. They would come out and update every 45 mins or so.
Big Bro waiting....
The first call came out and we were told that the laparoscopic part was over and they were moving onto the actual surgery. They also let us know that her vitals were strong and she was doing well. Some weight lifted off....
Here is my FB status from then :
"Update: her vitals are stable they have moved on from the cameras to the actual surgery. But things are well so far. No update on actual prognosis, but my baby is doing well."
It wasn't too much longer and a nurse came out to let us know that they were closing her up and the surgery went well. She was so happy and positive that we were all expecting the best news. I'm SO glad she came out first, because when the surgeon himself came out, I would have panicked because he had such a dejected look on his face. (I have since found out the difference between surgeons and regular Drs. -- lol) He very point blank told us: I couldn't get it all. It WAS what we thought, but it's located in the very worst possible spot. He drew us a few pics of the location that it is in and showed us some actual pictures of the cyst and surrounding area.
Long story short: he told us that the area it is located in is called the mesentery. The mesentery proper (i.e. the original definition) refers to the peritoneum responsible for connecting the jejunum and ileum (parts of the small intestine) to the back wall of the abdomen. Between the two sheets of peritoneum are blood vessels, lymph vessels, and nerves. So basically, this area is hard to get to, is filled with blood vessels and involves the small bowel. His hope was to remove the bowel the cysts were attached to, but you can't remove small intestine. To quote the surgeon "that is incompatible with life". NOT words you want mentioned by a surgeon.
So he explained to us that he marsupialized the cysts. *Wikipedia* The marsupialization is the surgical technique of cutting a slit into an abscess or cyst and suturing the edges of the slit to form a continuous surface from the exterior surface to the interior surface of the cyst or abscess. Sutured in this fashion, the site remains open and can drain freely. This technique is used to treat a cyst or abscess when a single draining would not be effective and complete removal of the surrounding structure would not be desirable.
He told us that we had some more options down the line, but none sounded that desirable - that is IF they grow back. There is about a 45% that they will grow back. Hindsight it's so funny to think back to this conversation. We were on such a high from the nurse coming out to tell us that everything went great and she did fine. Then the surgeon comes out and is kind of talking gloom and doom. It was such a roller coaster. Since then and talking to the other docs - that is kind of how surgeons are. He reminded me of a little boy who just lost his best marble - lol. He was bummed because it wasn't the best out come - he wasn't able to do what he had hoped and so he wasn't happy.
Don't get me wrong - I LOVED this Dr. I felt so confident in what he was telling us and he really was the best in this field. He just wasn't happy that he couldn't get them all. I'll be honest though, it was such a downer and until we talked to the Dr. who would be following her, I was a bit worried.