Looks like a child leaving for her treasure hunt
Patients with cystic fibrosis often develop cholelithiasis. Subsequently, many will suffer from symptoms of their gallstones and develop cholecystitis. Because of the high risks associated with induction of anesthesia in patients whose pulmonary status is compromised, surgery is sometimes delayed or avoided.
And thats what THE PREVIOUS BLOG was about.
Well Since I had all the understanding of my surgery by now and was mentally ready to go for my Gallbladder removal, I got admitted on 22nd of May 2018 and the surgery was due for 23rd morning at 9am. Faraz was all by my side- talking to me how easy its gonna be and how I will get my present after the surgery is done. Yes! You got it right. For every major treatment, I get bribed by my sister and him. ( heheheh)
It was mixed feeling. I didn’t know what exactly to expect but I was happy that my surgeon and the team understood my condition and were in touch with my CF team and their Pulmonology department continuously.
Things to make sure before you go in for the surgery:
- Take nebulization that morning or two hour prior.
- Take your Inhalors- Asthalin/Seroflo.
- Do your breathing exercises before going in.
- Keep your stomach empty for 12 hours at least.
- And please make sure you have washed your hair and taken good bath before getting in for the surgery.
As soon as they took me in, my saturation levels were down. They had to stabilize me with O2 and once I was stabilized, they made sure I inhale two more puffs of Asthalin and Seroflo again.
Thoughts running through my mind: How would it be after the surgery? Am I going to cough bad? I hope I wont have any other issue after this is done? Would General anesthesia suit me? How long will the surgery take place? But with a beautiful smile and brave face- I went in smiling.
This surgery nowadays is often done via laparoscopy, a procedure in which only a few small incisions are made in the abdomen. This type of surgery is relatively simple, typically performed on and outpatient basis. And thats what I had to go through, though they admitted for 48 hours. Removal of the gall bladder will not impair digestion. The only difference is that your body will no longer be able to store bile between meals. Once the gall bladder is removed, bile will move directly from the liver to the bile duct and into the small intestine hoping to improve the digestion in us or if not improving atleast not making it worse.
Well the surgery is actually for 45 minutes and within one and half hours the process is done and you are out of OT. But it took almost 6 hours for them to complete the whole process as they needed to maintain my oxygen levels through out. I was told while I was being unconscious I was still coughing and throwing out a lot of expectorant with blood which is normal in our case and this is how my gall bladder was removed.
Operative findings were:
- Diagnostic laparoscopy was done and findings were noted:
- Mental adhesions were present and gallbladder was tense with bile and thin walled. Gall stone was single and large.
Once I was back and to my room, I could feel my sore throat. Chest congestion was on top. I wasn’t able to breathe well- which was not the most difficult part but I could feel my whole body congested as well.
Post-operative medications apart from my daily medicines were:
- Tab Zocef 500 mg- twice a day- 7 days
- Tab Pantodoc 40mg- once a day- 7 days
- Cap Darolac- twice a day – 5 days
The surgical team was happy with the successful surgery and I was their first CF patient for a surgical process.
But my Pulmonolgy team was still taking precautions and there it happened. I had developed chest infections as soon as I was asked for gram stain and sputum culture.
- Many PMN, Scanty Squamous epithelial cells, many GNB admixed with URt flora seen
- Pseudomonas aeroginosa and S. Aureus
I was given strong oral antibiotics like Ceftum 500 thrice a day for 14 days along with an increased dosage of nebulization and miraculously I responded to the anti-biotocs and didnt have the need for IV’s.
Its the gall bladder- Looks like a fried piece of meat.
I was discharged and since then I am on compete rest with slight activities here and there. My nebulization thrice a day is going on along with my other medications. Healing is better and I am continuously doing my breathing exercises and massages as well.
A retrospective study, “On the basis of a proper surgical timing and adequate preoperative physiokinesis therapy, laparoscopic cholecystectomy is a safe and indicated procedure in patients with cystic fibrosis and symptomatic cholelithiasis and it is able to significantly improve the quality of life. Quality of life of these patients if not worsened while symptoms and risks of biliary gallstones are removed.”
So, those out there- If you think its not a good idea to go for surgery and keep delaying the process, trust me its not. Its bit painful from those who have compromised respiratory system but I am sure with proper guidance- you shall be able to make it.
I will again start back my classes from next month, Inshallah. Will keep updating about my health and other advance techniques.
And yes, I did get one of the gifts. Its the Gramophone in this picture.
My relationship with my body has changed. I used to consider it as a servant who I can control. In sickness, you realise that you are not the boss. It is the other way around. Accept your condition and be friends with it. there is no point of running away- the moment you accept it, it gets easier to take care of it. I think life is beautiful and we should just explore it more and ore everyday.
#cysticfibrosis #gallbladderstone #gallstone @postoperative #healing #recovering
:-) A seeking one.
By profession, a Wellness Coach for Physical and Mental Health, Certified Yoga and Pilates Therapist, Grand Master in Meditation, Traveller and a Blogger