Surgery consult

Kerissa • October 28, 2017

Hello friends,

I recently had a long appointment with my urology surgeon at Doernbecher’s.  She explained how this is a very major bladder surgery….and I was so shocked to hear her say that this surgery can last up to 12 hours….(for example, it could start at around 7:30 AM but not end until 7:30 at night)…! :O  It’s so scary to think about, but this surgery is so needed to protect my kidneys/bladder long-term.  I never really described the surgery or even told you what it’s called, but I will try explaining it now.

This surgery is called a Mitrofanoff.  My surgeon will reconstruct areas in my abdomen so that a tract can be made from my bladder to the surface of my abdomen.  Usually, the appendix is used as the tract, but we recently found out some not so good news from my GI specialist.  He looked at a past CT scan that I had done and measured my appendix.  My appendix is only 1.5 cm (just half an inch). In normal people, it measures from 9-20 cm.  This once again shows how rare I am..

This means that my appendix is too short to be used solely as a tract.  My surgeon did say that she won’t know for sure what she’ll do until I’m “opened up.”  Most likely, though, she will try to use my appendix but also use my small intestine.  She’ll form a tract from the intestine and connect it to the appendix.  She said this will mean a much longer surgery time.  At first, she thought it would take an average of 6 hours only, but now it looks like the surgery will be longer than that..

With this newly made tract, I will be able to insert a catheter through it and empty my bladder that way.

My potential surgery date is December 13th, but she’s first working on getting clearance from all my other doctors.  It’s a long process.  And I will need to be admitted the day before surgery to get “cleaned out.”  In other kids, they’re usually inpatient from 5-7 days after surgery, but it will probably be much longer for me because of mito. I really hope I’ll be home for Christmas, though!!

My doctor said I need to be the healthiest possible because this surgery is really hard to go through.. So many complications can happen which is why I need a lot of prayer going into this!  I will share prayer requests down the road as I learn more..

There have been many other medical issues going on and even recent problems with part of my care team….it’s really hard and long to explain, but I will say this—please pray that my whole medical team will be on the same page with me!  Communication between my doctors (including me as well) hasn’t been that great lately.  This has been really stressful with lots of tears. If all can be coordinated, some of my doctors will be meeting with me (called a care conference) to talk about these issues..

Thank you so much for continuing to pray for me!  It means the world!

 

By Kerissa Lee March 31, 2026
Dear Dr. Phillips, There aren’t enough words to express how thankful I am to have had such an amazing GI doctor like you these past 13 years. I think of all the hard challenges that have happened starting at age 20 and beyond: experiencing GI dysmotility, not being able to eat “normal” foods without terrible abdominal pain/distention, only tolerating soft consistencies like baby food pouches (which was not fun as a 22 year old!), needing an NJ tube placed down my nose, having a jejunostomy tube surgically placed, then no longer tolerating tube feeds, dropping down to 77 pounds, getting admitted the day after Christmas to start TPN, being surprised by the extremely high copper levels on my liver biopsy and starting treatment for that, going through septic shock which caused ischemic hepatitis (remember when my liver function test was 1674!), having sepsis 5 other times from multiple central lines and ports, requiring urgent surgery to remove my gallbladder, needing D10 added to my IV fluids for numerous mitochondrial crashes, and much more. Through all the highs and lows, you were there for me, and I truly feel like I hit the “doctor jackpot” to have had a GI specialist as caring, compassionate, knowledgeable, and kind as you. I shed quite a few tears to my chagrin at my last in-person appointment with you in February 2026, and I still do as I reminisce and write this letter. But, they aren’t just tears of sadness. They are also tears of gratitude—I know this journey would have been much more difficult if I didn’t have your wonderful care and support all these years. I’m so happy that I was able to get off of TPN back then after 5 years of being on it. Not only that, but I’m so thankful that I can eat orally to my heart’s content without pain and abdominal distention. I know that’s in part due to you, so thank you. From the bottom of my heart, thank you so very much for caring for me. I will never forget you, and I wish you all the best as you start your retirement. :’) With immense gratitude, Kerissa
By Kerissa Lee March 17, 2026
"God is always doing more than we know, working toward a good we will one day rejoice in." -Lysa Terkeurst
By Kerissa Lee March 7, 2026
Hi, friends, I would really appreciate prayer. Some of you already know this, but at the end of January, I started dealing with an abdominal abscess right next to my j-tube. I looked back through my records, and that was my 6th abscess. :( Since then, it’s sadly been one issue after another. I won’t go into all that has happened, but I’d especially love prayer for my j-tube site. After the abscess, I had my tube changed to a new one on 2/27. The surgery nurse practitioner decided to try the next size up to see if it could possibly decrease some of the leakage, but unfortunately, that was the wrong decision. It’s too large, so now the site is leaking tenfold compared to my previous size. The small intestinal fluid that keeps leaking out around the tube is full of acid which is burning my skin and making it raw. 😭 If you want to know what it feels like, imagine having a bad burn on your skin…then, on top of that, imagine acid being poured onto the burn every hour continuously. That’s how much pain I’ve been in, and I haven’t been able to sleep very well until after 6:30-7 AM each night because the burn is so intense! :’( I could cry, and I have—that’s how bad the pain is… I would show you a picture of the site but it’s not pleasant. 🥺 I’ve been emailing the nurse practitioner every single day, asking to have the tube changed back to the previous size. She hasn’t been helpful. I’ve tried all of her recommendations, but they aren’t fixing the root cause. I had to get an x-ray with contrast earlier today to check tube placement. If she does eventually agree to have the tube changed, I don’t know how I’ll bear the pain of the procedure… Remember, they don’t use sedation for these procedures (my GI specialist is shocked they don’t!), and even though I’ve been asking for lidocaine to be injected for past tube replacements, how do I bear to have needles pushed into such raw tissue?! 😭 Please pray that I will be courageous and strong in the Lord. I think of the verse from Philippians 4:19, and it’s comforting: “And my God will supply every need of yours according to his riches in glory in Christ Jesus.” He will grant me the peace and strength I need to be brave. His grace is sufficient. ❤️