Thursday, May 29, 2008

What Is a Whipple Procedure, Anyway?


I am often asked this question so I thought I'd take the time on the 6-month anniversary of my Whipple procedure to explain what it is.

The Whipple Procedure (aka pancreaticoduodenectomy) is the worst surgery to ever have (even worse than something we generally consider to be serious like open-heart) and is most commonly given to people who have pancreatic cancer. Not that long ago, a Whipple procedure had a very low survival rate because most patientts either died from the procedure itself or from complications post-surgery.  I am so very blessed to not have had pancreatic cancer and am so thankful that I had a doctor who was able to be proactive which enables me to still here today.

In my case, I had a "Classic Whipple" which means that I lost a portion of my stomach (5% which includes my pyloric valve), my entire duodenum (1st 12-18 inches of small intestines; it absorbs most of the vitamins and nutrients your body needs), my gall bladder (the gall bladder duct plugs into the duodenum and if they just hooked the gall bladder straight back to the small intestines, gall stones would develop and it would have to be removed in 6-12 months anyway), my pancreatic duct (where the pancreas plugs into the duodenum), and the tip of my pancreas (because it had become hardened or something like that because I'd been having acute attacks of pancreatitis but didn't know it).  After that, they cut a hole in the pancreas in order to pull the jejunum (the portion of the small intestines after the duodenum) through the pancreas so it can still do its job. They then hooked up what's left of the small intestines to the remainder of the stomach so that it can empty as food is digested.  And, BAM! there you go...a new life with a whole new learning curve and with always finding and adjusting to the “new normal” in life because it can change frequently.  So, right there, that's at least 6 surgeries plus a lot of other things that have to do with rerouting blood vessels and all kinds of technical and complicated little things like that. (The operative report is like SEVEN pages long.)

So, after surgery, you get to spend at least a day in ICU so they can closely monitor you, blah, blah, blah, blah, blah. I'm not trying to make light of the situation, but it really is quite complicated so if you want more info and a real education on the GI system and anatomy, you can check out the following links: http://en.wikipedia.org/wiki/Pancreaticoduodenectomywww.surgery.usc.edu/divisions/tumor/pancreasdiseases/web%20pages/pancreas%20resection/whipple%20operation.htmlwww.pancan.org/section_facing_pancreatic_cancer/learn_about_pan_cancer/treatment/surgery/Whipple_procedure.php

During my recovery from the Whipple, I lost 20lbs in less than a month...and I didn't have 20lbs to lose to begin with. Thankfully, I never went below 100 lbs which is the "magic number".  Once you go below a 100 lbs, things get even more tricky/complicated.  Anyway, I just barely hung and avoided a whole bunch of new issues.

Every day was a struggle, but I was able to keep my focus on Christ, and He enable me to get through each moment as it came and has used it to make me who I am.

I am so thankful that medical technology has made such great strides in the success rate of a Whipple Procedure.  I am also indebted to those Whipple pioneers who did not survive the surgery and to the families that lost their loved ones to the horrendous surgery.  They enabled more and more of us to survive and live longer lives as Whipple Warriors.

Tuesday, May 20, 2008

On the Upswing!

Hi, All…

I just wanted to post a quick update to let you know that I’ve pretty much recovered from my surgery. All of the weird problems I had after surgery like short attention span (along with inability to focus & read; lack of desire to type), fine motor problems (like inability to write legibly, slow typing), extreme fatigue, digestive issues, depression, insomnia, blah, blah, blah, have gone away. Tomorrow (Wednesday) is our 14th anniversary. We are going out Friday night for a movie & dinner to celebrate. I can remember a time just a few weeks ago where the thought of eating out for our anniversary was quite inconceivable. When I think back to how I was before I started to heal, I must have looked like a zombie. It’s amazing that once I started healing, things progressed very quickly. I still don’t have the feeling of being hungry very often, but I am eating whatever I want, whenever I want pretty much without any problems. As far as I know, my iron is still low, but that should be on the upswing soon. I weighed myself this morning & was 103.6 which is an improvement. I am very grateful & thankful.

Prior to my surgery, we thought we’d be moving to Camp LeJeune this summer; however, after all the post-op problems I was having, we decided that it wouldn’t be very smart to move…especially to a remote place like Jacksonville, NC. At the time, we didn’t know that the Lord would have me healed way before Matt’s graduation. However, I really believe that He used this entire situation to have us stay here in Quantico. Everything has truly worked together for the good of our family…even having to put the children in a DOD school. They have made leaps & bounds. Cassidy is excelling in math & is reading way beyond her grade level. They both enjoy their art classes, & their teacher has told me how creative & talented they both are. Caelan is doing well in his special ed reading class & has really started clicking on a lot of things lately…including his SRI & DRA tests that show he is reading at grade level (but still below his age level). Reading is still a chore for him, & he has to work very hard at it, but it’s amazing to see him doing it. I am quite confident that with another year of assistance, he’ll be sailing through & ready to return to homeschool. Of course, that will be another major change in our family, & I’ll have to cut back on my volunteering, but hopefully & prayerfully, I’ll be ready when the time comes.

On another note, Matt graduated from EWS 2 weeks from this Thursday. To celebrate, we took a short trip up to NY to visit our friends from Cherry Point (the Bells). We had a blast going around NYC. I ate at a couple of restaurants & didn’t even worry about what I was going to eat. It was very nice. It was great picking up where we left off with our friendship…of course, it wasn’t enough time, but it was delightful. (On a side note, my 2 were enthralled with the Bells’ new “toy”, aka their adopted baby Sam. They wanted to hold him all the time.) After such a short visit, we were sad to have to come back home & not be able to hang out & catch up longer; however, the kids had to return to school & Matt had to start his new summer job at OCS.

Anyway, I just want to offer thanks & praises to the Lord for His provisions & healing hands. I also want to thank you for all of your concern, support & prayers. I wouldn’t have made it through all of this without them.

Love,
Stephanie<><