Gut Reactions

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JUL 15, 2006

THE HOLE STORY

There is very little satisfaction in being right about being sick.  That is to say, if you think there’s something seriously amiss with your health – you’re in pain, or there’s suddenly an extra hole in your body, for example – but the doctor assures you all is well, there’s not much pleasure in later learning that you were, in fact, correct. 

Sure, you can join the jokesters who have the epitaph “See, I told you I was sick” on their tombstones.  But I always say it’s far better to be alive than to be right.  (See also: “No, I don’t think it would be a good idea for us to pet that alligator . . . but I will if you will.”)

As it turns out, I was right about the lump mentioned in the last post.  Mind you, I’m alive, and I fully intend to stay that way for a good long while.  But it wasn’t just the adorable little benign bulge I was led to believe.  No sir, it was – is – an abscess plus a fistula. 

When I last posted, the doctor said it’d go away with a regimen of potent drugs and long baths.  So, hopped up on pills and shriveled to a prune from all the soaking, I went about my life, assuming Ye Olde Lumpe would wither and shrink and go away.  For about three days, this seemed to be happening, and I was happy to have been wrong in my earlier contention that a big ol’ lump anywhere on the body, is never anything less than cause for serious frickin’ alarm. 

And then day four came, and the swelling resumed, and the pain came back with renewed vigor.  Back to the doctor’s office I went, where there were still no copies of that issue of the Smithsonian magazine that I’ve been trying to find, but where I did encounter a doctor who looked exactly like your archetypal comic book mad scientist – bushy moustache, perfectly round head with Krusty the Clown-worthy tufts of grey hair bursting from either side of the otherwise-bald dome – and his sidekick, the World’s Largest Hypodermic Needle, which the gregarious and charming Dr. Mad Scientist proceeded to poke into my tush.  In went the needle, out came the, er, contents of the lump, in what I’m sure was a dramatic sucking sound, but frankly I was too busy gritting my teeth and trying to keep the cursing to a minimum to notice. 

“It’ll drain for a few more days,” said the good doc as he placed an enormous wad of gauze over my new opening. 

Indeed.  And how.  Because it turned out there was a reason this lump got so big.  This little, disgusting reservoir-o-crap had a tributary, a fistula starting the lowest part of my colon.  

In other words, I had a second asshole.  Make that present tense: have.  Have had for the last three or so weeks. 

On the plus side, I can now fart in two-harmony.  Fifty bucks says you don’t know anyone else who can do that. 

The bad news is . . . well, you can guess.  It ain’t pretty.  It’s not quite as foul as it could be, I suppose, and as long as I don’t move around too much, I can go about my daily life without too much, shall we say, drainage.  But “too much movement” can mean a trip to the grocery store down the block, I have learned.  I was never really one for the sedentary lifestyle, and I usually find that exercise makes me heal faster and feel better.  But my exercise of choice, in-line skating, seems like a horrible idea right now, to say nothing of jumping jacks.  

Worse, Dr. Suave says that these things don’t usually heal by themselves, at least not for those with Crohn’s.  There is a surgical solution, a procedure that closes it up, but again, it’s not usually useful for those with Crohn’s.  This discussion with Dr. Suave led, as so many do, to mention of the one thing that would probably clear up all my problems, but which I cannot fathom doing.  You know the one.  The bag.  Can’t have problems with your rectum if you don’t have one.  And this time, unlike last time, it wouldn’t just be a three-month detour, a time-out for my colon while it works out its issues and thinks about all the pain it’s caused me.  This time would be for real.  Forever.  

In ten years, we can talk; maybe even in five.  Right now, no.  

These last few weeks have been rough, dealing with the drip and the pain and the uncertainty of it all, all the while haunted by Dr. Suave’s words.  These things don’t heal, almost never.  You might need to start thinking about . . . 



There are a lot of jokes in this blog, some funny, some perhaps not, but I can never really bring myself to make fun of a dire situation if I’m still in it, still haunted by the pain, the pills, and pessimism about what will happen next week or next month. 

But last week, I called my gastroenterologist’s office to give them an update and see if they had the results from some blood work I’d had done.  It didn’t hurt anymore, and the drainage had slowed down to an occasional drop, a flow far less alarming than the previously never-ending stream.  The nurse talked to the doctor and called me back.  

“She says it sounds like it’s starting to heal.”


OH, AND ALSO  . . .
OK, now that you've read that, here's a special bonus piece that I couldn't bring myself to post without providing some context.  But  with the above in mind, perhaps you might enjoy reading this.  Or not.