Ovarian Cyst

Onslaught
I had planned to spend my Saturday with my mom and sister, we were going to get pedicures before mom had her surgery. I got to my sisters house a bit before 11:30. My sister was complaining a bit about cramps, and I noticed that I seemed to be having them too, or at least pain in that region. I laughed it off - joking that I was having sympathy cramps with my sister. Half an hour later, I was not laughing anymore, I called the Fresno Women's Medical Group (Dr. Beinguesser's office) and was told the doctor on call would call me back. At 12:05 she called - after telling her my symptoms she told me to come straight to emergency.

Drive and ED
Boy was that an exciting drive down Temperance to Clovis Community Hospital. I think I yelled the whole way. In the ED waiting room I yelled the entire time - I was called back very quickly - likly because the doctor I spoke with had already gotten things started. When I was in with nurses to do a pain evaluation and gather information - who were  the same nurses from my appendicitis in September, I told them I had never felt pain like this. They recalled I was not nearly in this much pain when I was there in September. They didn't give me pain meds this time, they said I would be back soon and it would go right into my IV.

Into an ED room
I went back into a room within 15 mins (I think it was record time! Maybe it was all the screaming and yelling in pain). The nurse putting in the IV did a fabulous job - I didn't feel a thing - or maybe I was just in too much pain to notice. They gave me something they said was stronger then Vicodin. It didn't touch my pain. The doctor herself came in not long after (Dr. Kristin Kroeker - she was amazing!) after seeing the pain I was still in, she had them administer another dose - a double dose actually. This dulled the pain a tiny bit - but made me a little more loopy, so I didn't seem to care about the pain as much. She ordered imaging done. I was suppose to pee in a cup to make sure I wasn't pregnant. Problem was I didn't need to pee at all. I managed a tiny bit. My yelling (mostly me saying 'oh God, oh God!' loudly) was starting to freak out other patients so they kept my door closed.

A nurse was about to come cath me to get a urine sample for the pregnancy test (at least I think that was what was going on - but I was drugged up at the time) but the results from my tiny bit of urine earlier came back just in time and were negative. The Dr came to see me again, was worried that the imaging hadn't been done yet - she had the OR getting prepared for me. She decided I could just skip the imaging and go straight to the OR, she was certain what was going on - ovarian torsion. After she left a nurse came in to take me  to imaging after all.

Imaging
The imaging sucked, it hurt the entire time she pressed the wand thing to my abdomen. She wasn't getting a clear picture and had to go internally - which sucked even more. I just let the drugs take me to my happy place, I was in pain, but I tried not to care about it. The imaging nurse confirmed that there was no blood flow to the ovary.  Right as she finished Dr. Kroeker came in, she had been looking for me, the OR was ready and when I wasn't in the room where she expected me, she came to find me herself.

Off to surgery
She wheeled me down the hall at a fast pace - warning me  that she didn't usually drive these things (did I mention that she was awesome?) I told her no worries, I would just make sure to keep my hands and feet in! This time I wasn't scared, I was looking forward to not being in pain. I was glad this time when the anesthesiologist put the mask on and I went under.

Waking Up
I woke in recovery feeling pretty good. The absence of pain was amazing! The nurses said I was doing very well and could be discharged from recovery. My mom and sis came in. The Dr. had show sis a picture of my ovary. Apparently Helga (my cyst) twisted, tore my fallopian tube, and killed my ovary. She said the picture showed a big white cyst and my ovary and fallopian tube were black and dead.

Going Home
I was in much less pain than I was after the appendicitis. We went to Walgreens to pick up my prescriptions. I texted my manager to let him know I had yet another emergency surgery and I didn't think I would be in on Monday. I decided to sleep sitting up on my sisters couch while I recovered the first day. Nice comfy couch :)

Appendicitis surgery - yay

Onset of Pain
It started Thursday night with abdominal pain. Mostly I was uncomfortable all evening, then finally around 1am or so I decided it was not getting any better and that maybe I should go to the ER. My sister agreed - she wasn't able to go with me since she had a medical procedure scheduled herself early Friday morning. Good thing I had the car, I drove myself to Clovis Community.

To the ER
It was funny to  be checked into a hospital I worked for - gives me a whole new perspective. I waited in the waiting room for some time, in great discomfort but tolerable pain. They called me in to talk to the nurses. I described my pain and talked to the nurses. I was given a pain med and sent back out to await a blood draw. I called David, he had offered his company earlier on that night and I took him up on the offer. After being called back for blood work David showed up. We sat and waited and talked, then I tried to get some sleep. I was very tired, but the discomfort prevented me from getting any real rest.

MRI and IV
At some point I was called back again, this time for an MRI. For that they had to IV me, which meant my time in the waiting room was over. The nurse asked if I was ok to walk to the room, I told her I was. It was rather a long walk. In the room they put in my first adult IV (I am sure I had one when I was an infant and had surgery, but of course I have no memory of that).  I had to lay on a very narrow table and was wheeled into a white machine. It was all pretty fast and proved no more painful then what I had already been in. Then I was given a bed in the hallway - which proved much more comfortable then the waiting room. David was shown back to my hallway bed, and he took a seat in a chair. By this time the painkillers really started working and I was able to get some blessed sleep.

Diagnosis
At around 5 am Friday morning a doctor came to talk to me. Though I didn't have the classic rebound pain, my blood work showed an increased white blood cell count, which prompted the MRI, which showed my appendix was enlarged. It would have to come out. At the thought of surgery I started crying. The doctor assured me I would be ok, and encouraged me to inform them if I was in pain - after all, they had more pain medication then I had pain he said. Surprisingly I didn't really have pain. Sometime after 6 I called work and left messages about where  the project was that I had been working on and let them know that I wouldn't be in. i called my mother and let her know, and assured her via message that I was ok, even though I sounded like a blubbering mess.  Then I slept.

The Wait
Sleeping never felt so good. Mostly I slept all day. I woke up when my mom arrived with her laptop, I helped her get it connected to the employee internet (hehe!). Dad came too, he and mom sat by my bedside and waited. Tegmine came by too, but went home to sleep. First my surgery was to be around 9 am. Then sometime after noon. Then 5 pm. My coworkers texted me to check on how I was. The director of the ED stopped in, telling me Sipho (my manager) had told him one of his people was there and asked him what the hold up,  At one point Sipho, even stopped in - it was nice to see him. Finally they told me surgery would be near midnight for certain.

Surgery
At 11:55 it was time for surgery. I was really scared. Mom and David came up to the prep room with me. Dr. Holmes would be performing my surgery, he looked very young. I started crying again, which made me feel silly. The OR is very bright and cold. They had me shift over to the operating table which had rests to the sides for my arms. I remember feeling very unclothed and incredibly vulnerable. They put a warm blanked over me, and the anesthesiologist put the mask on and told me to count to 15. I remember struggling to breath with the mask, then I was out.

Recovery
I vaguely recall waking up in the recovery room and hurting. The nurses kept trying to talk to me, but I kept falling back asleep. Apparently the plan had been to release me right away so I could recover at home - they had asked me my preference earlier, and that had been my response. My body, however, was not cooperating and just wanted to stay asleep. I woke up fully in a private hospital room, to see my dad's face looking down at me, followed shortly by my mother. I felt pretty good, but darn sore. Mom and dad went home after being assured that I was good and on the road to recovery. David stayed, he had ordered my breakfast for me, which tasted wonderful!

I had an incredibly difficult time sitting up, my abdominal muscles were so so sore. I ended up having lunch in my room as well, which wasn't as wonderful as breakfast was, but that might have been because I was wanting to go home. By 2 pm I was released. We had to wait for a while for staff to bring a wheel chair and wheel me down to the parking lot.

Yaay home!

*written 6/22/2014