A Time To Heal

Remember last week's five pound gain and the frustration that went along with it? Yesterday I was finally able to get to the office for my unfill.

If you'll remember, I got a 1.0 cc fill a little over two weeks ago (on April 6th) wherein I couldn't even get water down for most of that weekend. Five days later, I went in for a slight unfill of 0.5 cc. I was afraid to take the whole 1.0 cc out because I didn't want to have paid for nothing, and I felt like I truly needed a fill at the time. 

Suffice it to say that 0.5 cc was not enough. I was PBing at almost every meal. I was unable to eat any sort of meat. I could get down liquids and most soft/mushy foods, but I'm not a person who can live like that for extended periods of time (And you shouldn't have to with the band. That's not how it's supposed to work.) So I would keep trying the meat - small bites, chewchewchew, eat slowly, and still get stuck and PB. Almost every time. So what was happening is that my band/stomach/pouch/esophagus were constantly inflamed and angry with me because they were never getting a chance to heal from all the PBing I was doing. 

So like I said in my previous post, I went into this appointment yesterday with a plan: unfill A LOT and stay that way for a month to allow my body to heal. Fortunately, Kim wholeheartedly agreed with my plan. Unfortunately, Kim was the one who was going to perform my unfill. 

OH. MY. JEEBUS. 

But I'll get to that in a second. 

According to their numbers (which I don't agree with) I had 8.75 cc in my band. My calculation is that I actually had 10 cc yesterday before the unfill. But anyway, we were going off of her numbers, so I told her that I'd be okay with her taking half out. She agreed to take 4 cc out of my band and thought it was a very good idea to give myself a month to heal at that level. 

And then, out came the needle(s). 

Kim's first several fills with me were painless. One stick and in and out in a matter of seconds. Then something happened and she just wasn't getting it right. Several sticks and lots of mini pokes while the needle was in my stomach, but not in my port. And lots of alarm-raising scraping of the plastic sides of my port. Trust me, that feeling is NOT something I wish to repeat. And yet, every time I see Kim, I get to repeat it. 

For my first unfill (on 4/10), she had to stick me twice, and did the zillion-little-sticks thing and scraping-the-plastic thing for a bit before she was finally able to get in my port.

I noticed afterward that she was sticking me right above my port scar each time that she was having difficulty. Previously, when she (and Kristina) were able to get my port in one stick, the spot was right under my port scar. So, hoping to not have to go through this un-fun process, I mentioned this to her. Luckily, she's a nice, fun lady and didn't take this as me trying to tell her how to do her job. She seemed really surprised and felt around for my port again. She kept saying that it felt like it was right above the scar, and I kept telling her that all I knew was that when they're successful, the sticks are right under the scar. 

She stuck me once - and got nothing. A zillion little sticks and scrapes later, and she told me I could put my feet down (they have you lift your legs a couple inches to make the port easier to find) and rest for a minute. Raising your feet a few inches off the table for a sustained period of time is a surprisingly tough workout! 

She stuck me twice - and got nothing. Rinse and repeat. Rinse and repeat. At one point, she told me to relax and we were talking, and I didn't realize that she hadn't actually taken the needle out of my stomach. I looked down as we were chatting away, and there it was, just poking out of my body (with her holding on to it, of course). Strange. After resting for another minute or so, she tried again. Still nothing. 

She stuck me three times - and got something. Unfortunately, the something that she got was the plastic side of my port. She jammed the needle right into the damn thing! After pulling on the syringe and not getting any liquid, she realized that it wasn't in the right spot and went back to her usual practice of a zillion little sticks and a zillion little scrapes. 

Eventually, she found the damn thing and I (very literally) breathed a sigh of relief. She took out 4 cc, and all of a sudden I started feeling a really painful pinch in the area. I kept saying "Ow! Ouch! What are you doing?!" and she looked at me like I was crazy. Turns out, what she was doing was pulling the needle out of my port and stomach. The BENT needle. Ask me how it feels to have a bent needle pulled out of you. Go ahead. 

IT FUCKING HURTS. 

Apparently, when she jammed the damn thing into the side of my port, she did it hard enough to bend about a quarter of an inch of the tip of the needle. After she pulled it out, she kind of looked at it, then looked at me, and gave me this sheepish little "oopsie!" kind of smile. 

Oopsie, my ass. 

She did have one small shard of brilliance, though. After she shredded my insides pulled out the needle, she circled the blood spot with a pen and asked me for my phone so she could take a picture of the "successful" spot. Successful here is a VERY relative term. But at least she'll have a picture to go off of if she ever touches my port again. Which I'm very doubtful of, since I think I'd have better success if I gave my two-year-old a syringe and said, "go at it!"

 

You can see two teeny tiny pokes very close to each other at the top, which are from 10 days ago. Then the three other pokes are from her blindly playing pin the tail on the port yesterday. You can see how the one on the bottom is bigger than the others - that's because of the bent needle. And the redness to the right is what happens when you give me a band aid. Is anyone else "allergic" to the adhesive?

And as a side note - I'm so glad I'm a good healer! Look at that pretty scar! :-)

In any event, I feel so much better after having 4 cc taken out. I haven't had any trouble eating or drinking, and it almost felt "weird" to me to not get stuck. It's amazing how, even though it's so uncomfortable and unpleasant, you can get used to a feeling like that so easily. 

For now, I'm taking a month off of fills and weigh-ins. And I'm feeling very good about that.  

Over it.

Last Week: 239.6 lb
This Week: 244.6 lb
Gain: 5.0 lb

And I'm over it.

Especially over it when I gained back five freaking pounds and yet, I'm still PBing at almost every fucking meal.

I can't eat "normal" foods. I can't live on protein shakes.

I'm calling for a serious unfill today. I want it out. Everything I just got and more. 2cc, 3cc, I don't care at this point. I just want to get to a point where I know for sure that I'm not going to be PBing on anything.

And I am going to stay that way for a month. And during that month, I'm not going to weigh in. The weigh ins have just become something I dread, and something that makes me feel like crap. So I'm not going to do them for a while.

This sucks.

Unfill

I decided yesterday to see how lunch went before I made any unfill decisions. So when I couldn't get down more than four bites of some chili, my decision was pretty much made for me. 

Luckily, someone had cancelled their 3 pm appointment, so I was able to get it. I noticed as I left work and was driving there that I was starting to feel some uncomfortable tightness in my chest. Not quite the same feeling as being stuck - I'm guessing what I was feeling was my esophagus/stomach feeling swollen and inflamed from everything that has been going on. Yet another sign that an unfill was necessary. 

I ended up seeing Kim yesterday. She's the nurse I originally liked going to, but not the nurse who did my fill on Saturday. We discussed what was going on and she mentioned that she would probably take 0.5cc out. I said that I was thinking more along the lines of 0.3cc because I didn't want to just end up paying for more in a couple weeks, but I also conceded that I've never been in this position before so I don't know what kind of relief I would get for 0.3cc vs 0.5cc. 

Kim said that we would see "what her syringe told her" and make a decision as to how much to take from there. I gave her a really puzzled look and she explained that if you're really irritated, as soon as she gets the syringe in the port, the saline will start coming out on its own because of the pressure from the swelling and irritation. So she said that she could gauge how irritated I was by how much and how fast saline pushes up into the syringe. 

Huh. Who knew?

If you'll remember, last time Kim did my fill, she ended up sticking me three times and jabbing at the side of my port a lot. It was not the most comfortable fill experience. On Saturday, Kristina got my port in one single, quick stick, which was wonderful. Well, I don't know what's up with Kim, but she ended up doing the same thing this time! It is so painful! She does the initial stick, and then a zillion tiny sticks while she's in there, hitting the side of my port and trying to get in the right spot. I'm not sure if I want to keep going through that with her, even though our personalities mesh. 

Once she actually got the needle in the right spot, she said, "Yeah, you're really irritated in there. It's coming right out." I had over 1.5cc push its way out into the syringe on its own, which I guess is a bad sign. Kim struggled for a bit, trying to figure out how much to take out - she even said at one point that she wanted to take the whole 1.0cc out, which I had to practically beg her not to do. 

In the end, she took out 0.5cc and I'm on liquids/soft & mushies through today, plus an ibuprofen regimen to reduce the swelling. 

I think it's going to be a few days before I'm going to be able to get a true read on where I'm at because of all the swelling and irritation. Right now, I feel much better because the general tightness in my chest is gone, and I'm doing fine with liquids - they're going through like nothing. I'm just going to baby things for a few days and then start paying really close attention. 

I'm glad I got the unfill, but I'm sad to think about how the weight loss isn't going to be so stellar. But in the end, it's more important to keep the band & my body healthy than it is to have quick, awesome weight loss, so I feel like I did the right thing.