When one has an attack of acute pancreatitis (especially, if there is no infection present), the protocol is to give intravenous fluids, analgesics and to give the digestive system rest (i.e. starve the patient). Not that I was interested in eating, but after about 12 hours of nothing to drink, I was excited to be offered ice chips. A few hours later, when they brought me chicken broth and frozen gelato, I savored very sip and swallow.
Okay, nevermind the chicken broth was pretty tasteless, the important thing was it stayed down. And the cold gelato only made me hurt a little. Though, I was unsure how to parse out the different discomforts since I was on morphine. Even on morphine, the pancreatic pain was still there, but by this time it merely felt "sore" or tender, instead of angrily gripping my whole middle. The next meal was more broth and gelato (and jello if I wanted it, which I didn't), and the next meal... more of the same. And the next day... more of the same.
By Sunday night, my stomach was gnawing with hunger, but the idea of eating still held no appeal. After asking a number of times how long this process took, and getting no clear answer, I came to accept there is no clear answer.
When a patient can tolerate clear liquids, s/he is moved to semi-solids (puddings, and I don't remember what else I was told). Then, finally, the patient is given solids, and when s/he can tolerate solids, s/he can be discharged and finish recovering at home.
The liquid diet went on through Monday morning, until the hospitalist's nurse came into my room, and started a conversation with me about going home. As confusing as this was, physically, I knew I was capable of managing at home, and I would get better more quickly there. So... without actually saying we were skipping the middle step, that is what we did. I was allowed to order something simple off the menu and eat solid food for the first time in 2 1/2 days. It might be worth mentioning, one of the reasons they wanted me to go home quicker than they were planning, was because flu patients were quickly filling up the floor, and they didn't want me catching it. I didn't need the motivation, but that kicked me into high gear to order lunch, get packed, and be ready to leave as soon as they could make it happen.
Nothing else dramatic happened in the few hours it took to eat, pack, and for them get my discharge orders completed. It was cold - I think below zero outside - but I was so happy to be in the frigid air, set free from my hospital room.
Instructions were for me to slowly introduce new solids - preferably just one food group a week. That seemed incredibly slow, and maybe it was too cautious, but I did my best to abide by that for the first week - and really through most of this past week. Up until just a couple of days ago food has made my innards hurt (some times more than other times), but one ibuprofen and one tylenol practically made me feel normal on those early days. And as of this weekend, I've felt pretty good.
I hope I never have this happen to me again, and I'm prepared to never really understand why it did happen. I have some suspicions that something autoimmune has been going on since summertime, and the high-dose flu shot I got four days prior to the attack may factor in. And depending on what is determined about my thyroid, that could factor in (or not).
I'm trying to live by Matthew 6:34. "So do not worry about tomorrow; for tomorrow will care for itself. Each day has enough trouble of its own." ~ Jesus (NASB)
Okay... so, practically speaking, that means I'm going to refrain from writing here what I already know from an ultrasound done on Friday. Hopefully, I'll hear from a doctor early this week to learn next steps. And maybe in another week or so, I'll be able to write with some knowledge about what's up with my thyroid.
Prayers are appreciated - of course, for best outcomes, but also for peace of heart and mind to prevail - both in the waiting and in the outcome.
I appreciate the thoughts and prayers and such kind comments on these posts. I imagine most bloggers feel this way about their readers, but I definitely feel I have the best people imaginable following along here - willing to encourage and pray.
Thank you so much.
It's funny how the town I've lived in for over 27 years, and a road I've driven at least a thousand times looks like a different world when viewed from a third-floor hospital room.