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 January 21, 2025
Hi, friends, First off, the piece of art above was hand lettered by me last year before all “this” happened. I’m sad to say that I only have 3 or 4 pieces left to share until I run out.. 😢 I went to see my neuromuscular neurologist in Seattle on January 8th. My neck weakness continues to progress which has been so scary. He said I need to get a neck MRI and some specific blood tests to check for polymyositis. If it is normal, though, his opinion is that this is mitochondrial disease progression. 😔 I haven’t seen my mitochondrial specialist in San Diego in more than 3 years (I started seeing him in 2014!), so I’m sadly no longer considered his patient. The neurologist sent a new referral to him, but I’m not sure if it will be accepted.. He’s almost 80 years old (one of the pioneers of “mitochondrial medicine”). And I don’t know if he’s cutting back on “new” patients.. Even if he did accept my case again, I’m currently not physically well enough to fly down from Oregon.. 😞 My quality of life continues to worsen ever since this unusual neck weakness started this past October. I know I’ve said this before, but I truly miss doing all of my favorite things (like hand lettering art) or even simple tasks (setting up my own IV infusions, vacuuming, washing hair, etc.). 🥺 Before October, I was even starting to drive to physical therapy or the grocery store. Yes, I’m 32 and still don’t have my driver’s license due to being preoccupied fighting mitochondrial disease for almost 15 years now. I never shared the exciting news that I was able to get my driver’s permit over 2 years ago, and it was so fun to drive myself to appointments close to home. Now, I can’t do any of the above which has been difficult to process. I shed tears every now and then just thinking about all that has changed. 😢 I’m having to go to bed around 6:30 PM to lie down and rest my neck. But I’m so uncomfortable from the pain, and I don’t fall asleep until after 3 AM every night. So my pain dr. referred me to palliative care. 😢I know it’s not hospice, but I’m still sad we’re at the point where I even need palliative care. Unfortunately, they’re most likely going to deny the referral (if they haven’t already) because we were told they only see cancer or heart transplant patients. I even checked if there’s palliative outside of OHSU, but they, too, see only oncology. It’s so hard that cancer gets a lot of funding, research, and support, and those with rare diseases are left “on their own.” It’s isolating and lonely. 🥺 I saw my PCP again, and he is just the best and full of compassion. ❤️ He placed the neck MRI as urgent and also ordered more labs to keep pursuing answers since all this is such an atypical picture if it was mito progression.. In case palliative turns my case down, my dr. told me that the internal medicine clinic has a complex and chronic pain management clinic (different from the pain center that I’ve been going to since 2011). He referred me to them to try and help me get more comfortable. I have a wonderful team of doctors and an amazing naturopath, but I’m even going to see a functional medicine doctor for the first time on the 23rd. Praying he could maybe have some additional insight on everything and will offer some fresh ideas for treatment as well.. I also have an appointment with the metabolic geneticist on the 28th.. I’ve read through the Bible more than once, but it’s amazing how the Lord points us to specific verses at just the right time. I don’t know about you, but sometimes I think, “I don’t remember reading this before!” Paul David Tripp’s newest devotional Everyday Gospel has been so very encouraging. He shared 2 verses from the book of Genesis where Jacob said that God “answers me in the day of my distress and has been with me wherever I have gone” (35:3). Several chapters later, Jacob also said that God “has been my shepherd all my life long to this day” (48:15). When I read that, I felt such peace. God spoke to my heart to remind me that He is with me and for me….in every circumstance no matter how hard. ❤️ Could you please pray that I can have the MRI completed this month and not have to wait many weeks? Pray that all of my doctors will have wisdom as my case is so complex. Lastly, could you pray that I will persevere and keep walking by faith? I feel so weary, not only physically but also mentally and spiritually. 😥 Thank you so much for praying for me all these years. ❤️
By Kerissa Lee December 13, 2024
"He alone is my rock and my salvation, my fortress; I shall not be greatly shaken." Psalm 62:2
By Kerissa Lee November 9, 2024
“Be still, and know that I am God.” -Psalm 46:10 
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