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Linda's journey started in January of 2014, she was diagnosed with stage 4b rectal cancer, which progressed after the cancer metastasized to her colon and 18 inches had to be removed. She underwent, surgery, chemotherapy and radiation, due to the size of her tumor and it metastasizing locally during radiation.
Since then she has had 33 surgeries to date: to include multiple abdominal, a completed hysterectomy, parathyroidectomy and colon/ rectal surgeries with complications due to radiation damage to the stomach, causing bowel obstructions.
A synopsis of her surgeries summarized by her head surgeon "Ms. Bozeman is a 53-year-old female that had colon cancer and had a colon resection; had multiple complications with this including obstructions around the parastomal hernia and a loop ostomy that was converted to an end ostomy. She has finished her workup with Dr. Pickron and they have decided due to her colonic motility issues that her ostomy will be permanent and so, now, she follows up with me after being admitted to the hospital with a partial small bowel obstruction for operative planning of repair of her ventral incisional hernia and her parastomal hernia.
Since going home, she says she has done well, although she is still quite symptomatic. She has maintained her weight. Prealbumin drawn at the outside clinic was 26. She is able to tolerate at least 2 protein supplement drinks a day and is ready for the operation. I discussed with her the risks and benefits of open ventral incisional hernia repair and parastomal hernia repair. We will likely need to resite her colostomy, if possible.
That will be the best case scenario in terms of getting her parastomal hernia repaired. Also discussed her VP shunt with our Neurosurgery colleagues and while they initially thought that it may be best to exteriorize the shunt if there is no significant contamination or spillage of intestinal contents in the abdomen during the hernia repair, then they feel confident that it will be safe to leave it in situ.
She presents, parastomal and ventral incisional hernias. Flexible sigmoidoscopy was performed to evaluate the colorectal mucosa. Findings include an intact anastomosis approximately 8 cm from anal verge. There is no dehiscence or stenosis. The mucosa appears generally healthy with mild changes likely related to radiation and or diversion colitis. She has maintained a healthy weight and gotten nutritionally repleted since being admitted to the hospital for partial small bowel obstruction. I believe it is safe to schedule her for an operation, which we will do on Wednesday, 08/25/2021. I will be in contact with Dr. Pickron and Dr. Ramesh Grandhi.
Dr. Pickron was available to assist with the colostomy if necessary and Dr. Grandhi's team is available to assist if there were any issues with VP shunt. I have also contacted our ostomy wound care nurses that will mark Ms. Bozeman on the day of surgery for potential colostomy site superior to her present one so that we can hopefully re-site
I believe that the above doctors notes summarize completely, what is going on,, and due to radiation damages we are not sure what to expect at this time. Last time I had repair done, I was in the hospital for six weeks, with many complications.
I thank everyone for their prayers and support of hope and love, while I journey once again on reconstruction of intestine and stomach lines.
Remember, God's plan is always bigger for our lives, and no matter what His GRACE will cover me.
Please pray specifically for:
1. , God's will be done is my utmost priority,
2. Tim's stay at Hill AFB in our motorhome (currently approved for two weeks, but may need longer and to petition base Commanding Officer, for an extension at FamCamp.
3. Safe Travels to University of Utah on the 24th of August.
4. Doctors wisdom
5. Healing here on earth of in heaven.
2 Corinthians 5: For we know that when this earthly tent we live in is taken down (that is, when we die and leave this earthly body), we will have a house in heaven, an eternal body made for us by God himself and not by human hands. 2 We grow weary in our present bodies, and we long to put on our heavenly bodies like new clothing. 3 For we will put on heavenly bodies; we will not be spirits without bodies.a]">[a (https://www.biblegateway.com/passage/?search=2%20Corinthians%205&version=NLT#fen-NLT-28841a
)] 4 While we live in these earthly bodies, we groan and sigh, but it’s not that we want to die and get rid of these bodies that clothe us. Rather, we want to put on our new bodies so that these dying bodies will be swallowed up by life. 5 God himself has prepared us for this, and as a guarantee he has given us his Holy Spirit.