The Trips You Don’t Plan On Taking
Posted on January 23, 2025 by Ching under Health, Life.
We had two exciting trips to the ER this week. About 10-15 years ago we made a few trips to the ER because of my health issues. This time it was Brian’s turn. Kansas Medical Center (KMC) is our “go to” ER hospital. My first experience with KMC was when I fainted while enjoying our anniversary dinner at YaYa’s in 2011. That’s where the ambulance took me. We’ve been going there ever since.
Now that I know it’s there, that’s where we go any time we have some kind of health emergency because it’s relatively close to our house and it’s on the East side (our preferred side of town).
Since Monday was a holiday, I took advantage of my day off to go with Brian to his IV hydration appointment. We had a nice leisurely day and we just hung out at home and watched a movie the rest of the afternoon. After watching Back In Action together, Brian decided he would go lay down in the bedroom because he was tired and not feeling great. Before he went to the bedroom, I asked him several times if we should call the doctor and ask for advice. He told me no and that he was just going to lay down and try to sleep it off. It was still early so I decided to watch Emilia Perez. About the time my movie is over, he comes back out and he’s still not feeling good. It’s around 8-ish so probably too late to call the doctor. I don’t know what to do so I suggest we go to the ER and get him checked out.
We arrived at the ER around 8:30 pm on Monday evening. He explained everything to the ER doctor (Rundell-Little). They do a CT scan of his abdomen and we had to wait a long time for the results. The tech who can read these leaves at 5 pm so they have to send it to another location for review. Depending on how busy the hospital is, it could take a while to get results back. Anyway, we finally got the results back and there was nothing wrong with his abdomen. Feeding tube area looked good. Doctor did note that he had stool that he needed to move (read: poop out) and that was likely causing the discomfort. While we were there waiting, Brian hacked up a bunch of mucus build up and expelling that stuff seemed to make him feel better. The congestion was probably contributing to the pain he was feeling so, not thinking anything more of it, we were released from the ER (with instructions for Brian to have a bowel movement) and got home around midnight.
Honestly, I don’t think I would have been as insistent about going to the ER if not for Brian’s blood clot that was diagnosed last week. He’s on Eliquis for it but blood clots can cause all sorts of problems including a stroke. I didn’t want to go to bed and wake up to something bad happening to Brian. He was in a lot of pain so he wasn’t going to be able to sleep either. We had to go to the ER to get a professional opinion. If anything, it gave me piece of mind that there was nothing seriously wrong with him so I could at least sleep easier (albeit not as long because we were up until midnight and I had work the next day).
Brian has been working from home a lot so he worked from home on Tuesday. I normally work in the office Tuesday through Thursday so I went to work as normal on Tuesday but checked on him throughout the day. On the way home I picked up some more Pedialyte for him because the doctor recommended he drink it instead of just plain water. I guess he still didn’t have a bowel movement on Tuesday. At this point it’s been over a month, nearly two, since his last poop.
Wednesday I go to work as normal. Called him around 10 am to make sure he was up and feeding and taking his medication. Here’s the how the rest of that morning went according to Brian. Around noon, he starts to get around because he was going to drop off a package for me at the post office. As he is leaving, he feels the urge to poop. So then he goes to the bathroom but he has been super constipated because of the chemo so he can’t poop. He tries for two hours and he didn’t call me because he didn’t want to bother me at work. Around 2-ish he sends me the following text: I’m sorry to bother. I’m in trouble.
I immediately call him to figure out what’s going on. He tells me he is in so much pain from trying to poop and he is cramping so bad that his right hand is in a fist and he cannot open it. He is afraid he is going to pass out. Not wanting an Elvis situation, I tell him I’m coming home to take him to the ER. I rush home and we make it to the ER around 2:45 pm. I contacted Sheila Hodson (my group exercise coordinator at the West YMCA) to tell her I put my 6:30 pm Zumba class on the sub board because I wasn’t sure how long we would be there. I tried to look for someone to sub and posted in the Zumba messenger chat but its too short notice and everyone teaches classes at different locations at the same time. Anyway, my thought was I did bring my Zumba clothes to work that day so I had them with me. Worst case scenario, I would drive from KMC to the West Y, teach my class, and then come back. If Brian got released before I got back, then he could get a ride home from his cousin Zach Hyatt who lives down the street. Sheila was super understanding and encouraged me to stay with Brian. She reassured me that, if we could not find a sub, we could just cancel class. I really appreciated it because, while I would have done it, that was a lot of driving back and forth from Andover to the West side of town. And, there’s no way I could have taught class last night because we did not get released until almost 9 pm.
At the ER, they did an x-ray of Brian’s stomach and confirmed fecal impaction. I have heard of this happening to people but have never experienced it personally. Well, we can now cross this off the list because I now have almost first hand knowledge of what this is like. Brian said many times, he felt like he was going to die. He felt so much pain every time he tried to poop and he had really bad cramping all over his body (including his legs and his right fist not wanting to open). The was no way he could move this stool without assistance.
I only took one photo last night (the one below) because I felt so bad for him. He was writhing in pain.
First the nurse gave him an enema and let it sit for 30-40 minutes to see if it would trigger some pooping action. Brian tried but only expelled the enema liquid and no poop. A little bit later, she have him a bigger enema — 1 whole liter of soapy water solution. She let that sit for a while and then had Brian try to poop again. Once again, Brian expelled the enema liquid but no poop. In the meantime, it smelled god-awful in that exam room. I was like, “Are you sure there is no poop coming out because it sure smells like it?”
Anyway, since the enemas were not working, the nurse decided it was time to go “digital” — yes, friends, she was going to dig it out of him. OMG. I cannot imagine. She was probably wondering how she got the short straw and hoping that she had called in sick to work that day. She was a good sport thought. At one point, we rang for her and another nurse came. We thought she gave up and ran away but she was just busy with other patients. The doc on duty (Tucker) did warn us that they are a very busy emergency room.
Nurse Shawna came back to check on us and asked Brian why he didn’t want X (I can’t remember the other nurse’s name) to do “the thing” (read: dig the poop out of his ass). Brian was like, “She has big fingers.” I could not stop laughing. As tiny as nurse Shawna’s fingers are, it was still super painful for Brian. He screamed every time. She would get some of it out before he couldn’t take anymore and they’d have to take a break. She would leave, come back, and they would try again. This pattern repeated 2-3 times and she would get little bits out each time. And then around 7 pm, I had to go home and take care of Saki. She had not been fed as we’d been at the ER since 3 pm that afternoon.
When I returned, it was pretty much done. Brian said I missed the most horrible and gross parts. They gave him another enema (third time’s the charm) while I was gone. I guess whatever the nurse was doing loosened it up enough to where the enema actually worked. Shit was gushing out of him. The nurse asked him if he wanted to move to the toilet but he couldn’t stop it. She could barely keep up with replacing one poop pad after another. It sounded disgusting and I’m glad I wasn’t in the room for that part. By the time I got back, they had him mostly cleaned up. He said his stomach was feeling burbly. I encouraged him to try and poop before we leave. I really didn’t want him feeling like has to poop on the drive home or, worse, poop in the car. This last attempt was a success. He managed to poop the rest of the nearly two months worth of shit in his colon out. I could tell that he felt better after that. Imagine having two months worth of poop in your belly. I actually think he’s down to 130 pounds after. It was a crap ton – literally.
We were discharged at 8:40 pm and home by 9-ish. I helped him get in the shower – he needed it! Anyway, we are going to have to stay on top of this poop thing, in additional to all the other things. This whole cancer journey has been quite a ride. For the first time ever we actually completely tapped out our HSA account. As in, there’s no more money in it. Not sure if it will have been replenished in time for when these ER bills come due but we will cross that bridge when we get there. I’m just really grateful that Brian is okay and we are finally past this poop thing.
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