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Total Colectomy Part 7

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Posted Yesterday 10:36 PM (GMT 0)
Hi everyone,

Work went alright. I was there about 3 hours, but I felt like I was there all day. I had planned to bake chicken for dinner and I was so tired that I heated up an instant dinner for the family. It sucks to be them. It wasn't quite as busy as I had figured at the clinic yesterday after the long weekend. He could be getting killed today!?! I slept well afterwards though. Today, I had a couple of errands to run and I'm already tired.

I know that diet wise, I am fortunate that right now I can eat whatever and it just comes out through the ileostomy, once reconnected I'm going to have to pay more attention to diet and elimination. Now stool passes through all day long and all night long- ugh. I'm up at least twice each night. I hope it doesn't get worse than that.

I try to imagine life after "eating and pooping". Some of you ladies are already there, but I can only still imagine it. Even after all that has happened, I too, am still glad I had the surgery. I'm not glad that I had the complications, but everything happens for a reason. But I do go and go and go, unlike before.

Enough melancholy, love to all,
Cathy
Posted Today 12:33 AM (GMT 0)
Hi Cathy,

  I am 28 years old and I had a colectomy on the 17th. They also had to remove my gall bladder, as the doctor said it could not have fit any more stones. I'm just wondering how long before you were pain free, and able to move freely. Its only been about a week and a half for me, but Im miserable, I can only sleep on my back, and I am getting very restless. I also have a 3 year old who requires alot of my time as well, Im so sore I have difficulty changing diapers. I have Crohn's and I fell better in that aspect, no more flares anyways, but do you have any advice on what I can do to feel better, physically and emotionally?Im going crazy sitting in the same spot all day long, my bum is getting sore!!!      Kathleen

Posted Today 5:17 AM (GMT 0)
Hi everyone,

 

I am new to the forum.  I am 37 and have been diagnosed with colonic inertia and hypo motility. I have been referred to a surgeon for total abdominal colectomy.  MY appointment with the surgeon is Feb. 9, 2006.  My first diagnosis in 1999 was IBS.  Ihave been through living heck.  So much pain, so many tests, so much medicine that did absolutely nothing but cause alot of gas and bloating.  I have been to so many drs that either treated me like I was crazy or kept telling me this is the life i have to learn to live with.

 

A co worker of mine finally told me to go to a specialist DR.  He has been a god send to me.  I seen him when I was hospitalized for a week early this year.  I was told he would coordinate my care through my primary care Dr that was a Internal Medicine Dr.  All I was getting from my Primary care Dr. was there is nothing we can do.  I finally took my co workers advice and made a appointment with him.  He said he has heard nothing from or about me since I left the hospital.  The first test he ordered was a sitz marker study that showed my true problems.  He put me on a high Fiber Diet with 2 doses of Benefiber, 2 doses of muralax, and 6 mg of zelnorm twice a day.  I took all this for two weeks with no results.  He said he is not playing with this anymore to use bowel prep every two to three days to clean my system out until my appointment with the surgeon in Tampa Fl.

I have been online researching the surgery when I ran across this forum. I am sure glad to hear from others that is going through what I am going through.  You feel like your alone and nobody understands. I am so glad to hear that so many has a better life after the surgery and my heart goes out to those who are still suffering after their surgery.

I have so many questions about the surgery and the recovery process.  What is the diet and Medicine after surgery?

Any info is extremely appreciated.

Mary J  

Posted Today 5:44 AM (GMT 0)

I'm with you Somer, I was so depressed before the surgery.  Now, I'm off everything, all the laxatives, and the Wellbutrin (anti-depressant).  It's amazing what chronic pain and discomfort will do to your psyche.  I felt emotionally better and physically lighter immediately after the surgery, and that thankfully hasn't changed.  Glad to hear you just had a bug.  You've been my inspiration since day one!

Welcome Mary J, finally it seems that your on the right road to recovery.  First, I think the surgery you need to research is called a subtotal colectomy, not a total.  A total colectomy leaves you with a bag and I'm sure you don't want that.  I would suggest you review previous post (Total colectomy parts 1 thru 7 -- it's a lot of reading with good information).  Also, if you need someone to talk to, I'll be more than happy to give you my e-mail or phone number.

Mary J, the magic number is 6 weeks.  You will feel better with each passing week, but at week 6, you'll almost forget you ever had the surgery.

Take care All,

Amira

Posted Today 5:58 AM (GMT 0)
I'm not sure they told me total abdominal colectomy. Removal of the entire large Intestines and connecting the small to the rectum. What surgery is that?
Posted Today 1:57 PM (GMT 0)

Welcome Mary and Kathleen! 

I agree with Amira, reading all of the previous posts will provide you with a wealth of information starting from the beginning, through the surgery and post-op.  It's always helpful to know there is someone else out there who is experiencing the same problems you are.  No, we are far from crazy, and I think this forum proves that.  Everyone here has had there own unique issues with the whole process, and everyone has had there own unique recoveries.  In the end, we know what we have been going through and suffering with for all of these years.  I am a firm believer that you just have to find the right specialist and the right surgeon that will listen to you from the getgo. 

I had my surgery in February of this year and can't believe how fabulous I feel.  My magic number was 2 weeks.  I was in the hospital for 6 days, I stayed at home to "rest" for 2 weeks, then it was back to work (as a nurse).  I did not have complications from surgery (so far), thank goodness.

Mary, my surgeon called my surgery a Total Colectomy with ileorectal anastamosis (removing the large intesting and connecting the end of the small intestine, the ileum to the rectum).  I think the terminology is really up to the surgeon b/c a surgeon at the same office as my doc, called it a subtotal colectomy.  To me, as long as they fixed the problem, who cares what they call it, ya know?  I've been lucky after surgery, not on any meds, just an occasional gas-x type med or an antacid.

~~ Somer

Posted Today 2:53 PM (GMT 0)

Thank you to all for your support.  I have been up all night reading posts from all the past total colectomy.  I am up to part 4.  Everyone has inspired me so much.  I see that some of you ladies has had some complications but not bad enough for me to change my mind.  My husband sat and read some with me this morning before he left for work and he says the same thing.  We loooking forward for the appointment with the surgeon. My husband is taking the day off to go with me to make sure the surgeon doesn't try to talk us out of it.  There isn't many surgeons in the area that does this type of surgeries.  The digestive specialist says the surgeon that I will see is the best in the area and he could of got me a appointment sooner with a doctor that has been this type of surgery for about years but since it needs to be done that my best bet is to wait the extra few weeks and go with the best.  He said the outcome will be better with the chance for few to no complications.  He said there is no gaurntee that there will be no complications but going with a doctor that has done this for so many years is better than a Dr. new to the procedure. 

I haven't had as many tests as some of you but have had my share.  I have had the barium enema, ct scan, colonsocopy, sitz marker study.  Hopefully not to many more tests will be ordered after I see this surgeon.  I have been dealing with this for seven years and ready to have the outcome that most of you ladies have. 

I just wish I was having my appt with the surgeon soon.  I will be following this forum until my time comes.  I will be following along with how everyone is doing and cheering everyone on waiting for my turn.  By time my time comes up some of you will be a year out so I will be able to see how everyone is fairing long after there surgeries.

enough babbling for now.  I have another 7 weeks to vent and applaud everyone

Later

Mary J 

Posted Today 2:56 PM (GMT 0)
one other question maybe someone can answer. I was told by the GI I would not be able to take time release capsules or coated capsules because they digest in the large colon and that would no longer be there.
Anyone know this to be true?
Posted Today 3:50 PM (GMT 0)
Mary,

My surgeon was a specialized Colorectal Surgeon.  His office consists of 3 or 4 colorectal surgeons.  This is the only group of surgeons that specialize in this field around where I live.  He was absolutely fabulous.  He had performed the surgery numerous times before, he listened to me and never once told me I was crazy, or it was all in my head.  I had seen a general surgeon first for a consult, and that is basically what she told me, that I needed to see a psychiatrist.  Gosh, I was SOOO offended. mad

I did not have any dietary restrictions or medication restrictions after I was discharged from the hospital.  When he discharged me, he told me that I could eat whatever I want, but if I found something that I ate gave me trouble, don't eat it.  Common sense really.  As far as the enteric coated meds go, if I'm not mistaken, they remain coated in the stomach and are soluble in the small intestine.  So I don't see why you couldn't take them.

~Somer

 

Posted Today 8:42 PM (GMT 0)

Hi Mary J, your attitude is great.  Do the research and get this fixed.  It's well worth it.  My surgery was August 3rd and, like Somer, I eat anything I want without even thinking about it.  It's amazing.  The only thing that I stay away from (when I remember) is extra spicy/hot foods.  They burn on the way out.  And since I've always loved spicy foods, I sometimes take the chance and eat it anyway.  I've only wished I hadn't twice so far; I keep testing my limits.

Florida is great.  We got here last night.  I only wish my car, which has my summer wardrope in the trunk, was here as well.  They are late in delivering it.  Hopefully it will be here tomorrow.

Love to All,

Amira

Posted Today 9:35 PM (GMT 0)
Welcome Mary and Kathleen,

Hi everybody,

Kathleen, I don't think that anyone has addressed your questions yet. I had to lay on my back too after surgery for a long time. Little by little I started tilting side to side and built my self up to rolling on my side. I took Ibuprofen 800mg for normal pain and oxycontin for spasms in my back that nothing else would touch. My belly didn't hurt much. Jiggles hurt a little like bouncing in the car or walking joyfully. I made sure that I took something for pain before bedtime so that I was more comfortable while in bed. I also had to change positions frequently because sitting for too long in one position began to hurt or be uncomfortable. My mom thought I had ants in my pants. I took frequent hot showers and let the hot water hit my back because thats where the majority of pain was. Emotionally, I went on antidepressants, but my surgery was a little more complicated. I herniated after surgery and perforated my anastamosis. I got an ileus (my small intestines shut down) and was readmitted to the hospital. It took the 17days to figure out what happened while I was slowly getting sicker and sicker. My husband, out of desperation after sitting with me all night in ICU and thinking that I was going to die before days end, grabbed the best intensivist (ICU specialist) who looked at my CT scans and found free fluid in my abdomen which indicated the perforation. I was taken back to surgery and ended up with an ileostomy. I was in ICU for almost 3 weeks and in the hosp. for almost 6 weeks. I can't remember almost 3 weeks of my stay in the hosp. when I was so sick. Depression wasn't a far stretch. Now, I'm fine but I still am on the antidepressant Lexapro. I figure I'll stay on it until my reconnection surgery on Feb. 6th.

In general concensus, about 6 weeks is the golden time that most of us have felt better or almost back to normal. If you haven't read back through total colectomy parts 1-7, you should. There are stories of a dozen or more women who have gone through this same surgery. I'm the only one with the ileostomy. I learned alot reading back. My first surgery was Sept 8th, and the second surgery was Sept 25th. So now I wait for Feb.

Hope this helps,
Cathy
Posted Today 11:15 PM (GMT 0)

Hi Mary and Kathleen, welcome to the club.  Amira and Somer are right. Six weeks is the magic number for most of us.  I went back to work after six weeks at home and just overdid it.  But that's me.  I got sick, took another week and a half off and was doing okay until I developed the scar tissue that set me back a bit.  Everyone heals at their own pace.  I think age has a lot to do with it.  I turned 56 this month and even though I was in pretty good shape before the surgery (exercise and diet wise) I was still thin and lost way too much weight after the surgery.  I think that is my big problem now.  I'm just weak and tire easily.  I told my husband that I will not start exercising until I get back up to 100 lbs.  It's tough.  Every time I walk past the treadmill, I want to jump on.  It is an incentive to eat because I love running.  If you are small, you might want to put on a few extra pounds before the surgery, just for a little insurance.

Love to all

Zoe

Posted 12/1/2005 11:47 AM (GMT 0)
I just finally finished reading all the other parts and caught up to date.

Cathy,

How are you feeling? You really had a rough go of this. You sound like you are feeling much better. You are not only a SUPER MOM your a Super Woman. After all you have been through your on here rooting on those of us contiplating the same surgery and offering encouraging words to everyone else. All I can say is "WOW".

Mary
Posted 12/1/2005 12:03 PM (GMT 0)
I have a question for Emma and Amira,

I'm still in the process of doing my pre req for RN I would not like to take a semister of off school. I have my appt with the colon and rec surgeon on Feb. 9, 2006 and not sure how soon after he will schedule surgery. Should I start school for the semister in Jan or would it be better to take the semester off. My husband says take the semester off, I would like to take a light semester and keep going. The two classes I would like to take is Micro Biology and Anatomy& Physiology. Any thoughts and insights would be greatly appreciated.

Emma your doing exactly what I am trying to reach. My ultimate goal is NP.

Thank you to all for listening.
Posted 12/1/2005 1:23 PM (GMT 0)
Mary,

When I was in nursing school, I took microbiology as a short session through the Summer.  If I remember right, It only lasted for 4 or 5 weeks.  But those weeks were all day, 8-3 or so.  Just to be safe, knowing that there can be so many levels of heaing and complications, I may take the semester off.  Where I went to school, they offered online courses even for Micro and A&P.  Maybe that would be an option for you, that way you can sort of do the work while your resting. 

I was able to get my surgery scheduled a week or two after my consult, but I opted to wait for a month, just to get my ducks in a row. 

~Somer

Posted 12/1/2005 3:49 PM (GMT 0)

Somer - you are right about the enteric coated medicine, they actually dissolved slowly in the small intestine.  The only people that should not take them are people with shortened small intestines or some people with hypermotility problems.  I think what they were talking about was if you have hypermotility (the big D) they wont have the time to time release.  Glad to hear you are doing well!

Mary - welcome, welcome, welcome.  I was the food obsessed freak after surgery... and I also had some complications but nothing too major.  Personally, here is my opinion... would you have classes to take in the summer?  Because if not I would wait until the summer to have the surgery.  That way you are not worrying about any complications or forcing yourself to do things that you do not have the energy to do.  Otherwise if you cannot do that... then I would take the semester off.

about your appointment with the surgeon... word of advice here... dont go in saying "I want surgery"  Doctors are trained to purposely not do anything that you want... LOL.  JUst go in and explain your problem... what you have done about it... the severity, etc.  Let the surgeon bring the idea of surgery up to you... if he doesnt... then bring it up...trust me it will work better.  Otherwise you will be labelled as an internet reading freak!  You have one more major test that you will have to have prior to surgery called the defacotography which is a study to see your ability to poop if your stool were significantly softer.  It is very, very important.  Although most of us have not had major complications, you must be prepared that there are some serious complications that can results from this surgery.  I know Cathy, Saramarie, and Zoe have all had some complications, ranging from the kinda serious to the very serious.  The developement of adhesions and problems down the road with bowel obstructions is another thing that you have to consider.  Also, any good surgeon will tell you there is a 2% chance of coming out with an ostomy.  I did some research prior to surgery and just made sure that I could live with that if it happened.  NOT that I wanted it by any means... but I could LIVE with it if it happened.  Does that make sense!

Ack, I teach nursing students for a living... so you can tell that educations just flows out of me!

I have clinical today... long day for me!  After today though, 2 weeks and 1 day of the semester left.  This weekend I will be doing alot of reading and research, I think only 2 of my finals will be bad, but I will be spending probably more time with the students helping them prepare for finals then I will be spending studying for my own.  Just the way it works.  Last week I think I had influenza... because I was VERY sick... but I am FINALLY starting to feel better about one week later.

Ok rambling... I will type more later.  Mary, if you have any specific questions, just ask!  BTW my magic week was 4 I believe.  I was in the hospital for 9 days due to an ileus, one more week and 5 days later I started driving... so at about 3 weeks I was functionable, but not great.  Actually at 1 1/2 weeks I started cleaning out the bedroom (remember I had the 100 or so items on ebay) and was obsessed with that.  That was a great activity because it made me get up.. but I took a million breaks.  I would only be up for like 10 minutes at a time, or just a commercial break... yes I was tired... but I pushed through it!

Alright... gotta run... love you guys,

Emma

Posted 12/1/2005 6:22 PM (GMT 0)
 Hopefully I won't have to say to much at all.  Hopefully my medical records will say it all. I Just got a letter from USF Physician Group with a paper to fill out about my medical history.  Also it says for me to bring copies of all my medical records that are pertinet to my visit. It also says to Include the Actual films for all X-Rays, MRIS, CT Scans, Mammograms, EKG's, and any other test results.

 

I don't mean to sound like a idiot here but could use some help. I know some of the names of tests I had.  When I was hospitalized in March of this year they ran so many x-rays and tests I have no idea of the names and how many different machines I was on because half the time I was out of it.  How do I find out what all tests were done.  Do I go to the hospital and request my whole file for the week I was there to be copied and ask medical records how Xrays and Cat scans were run and request all those be copied? How far back do I go? I had so many cat scans runs over the past couple of years for this problem?

 

 

 

Posted 12/2/2005 4:33 AM (GMT 0)

Wow Emma, your semester seems to be lasting forever...hang in there; it's got to fly by now.

Mary J, I'm so glad I didn't take a class until 6 weeks after my surgery, not even an on-line class.  I couldn't sit up without either experiencing pain or dizziness for a good month after my procedure, if not longer.  Plus, I'm a wimp and needed my pain medication.  So my recommendation is to relax and recover and take your courses next semester!

about your tests and X-rays, just call the doctor who prescribed them and have his/her office send copies to your new physician.  Or if you remember where they were done, call there and they can send the copies for you.  I guess it's up to you how far you go back. I don't see a problem with starting at the beginning if you can.

Later All, Amira

Posted 12/2/2005 5:32 AM (GMT 0)
Amira - thats just because you were a wuss :)  LOL thanks for the support!

Mary - Just call the hospital and ask for a release all either all original films or all original firlms for a certain amount of years... Personally... I would only ask for the last 2-3 years because anything more than that is rediculous.  Also, really the major tests that he needs to see is a colonoscopy film, one abdominal xray, and the Sitz marker test.  If you had the defectography (which I dont think you had yet) that would also be important.  If you had any tests of the nerve... EMG... that would also be important.  Anything else is not important... I never had a CT scan or MRI done and I still got the surgery.  The first 3 test I mentioned are the hallmark tests for diagnosing this condition.

Hugs,

Emma

Posted 12/2/2005 2:50 PM (GMT 0)
Emma,

I am a wuss, and proud of it!  That natural ---- is for the birds.  I have no problem being drugged, not in the least.  I don't know what I was thinking when I listened to you and asked the surgeon for that fake pain reliever stuff you used.  That taught me two things: Never listen to Emma again, and drugs are my friend tongue

Later,

Amira

Posted 12/2/2005 4:20 PM (GMT 0)

Emma is a tough cookie, and HATES drugs!  LOL LOL LOL your post made my morning I laughed out loud and DBF is like what is so funny, which of course he didnt get it.  Thanks for the comic relief.  And BTW that drug was NOT fake... just wasnt a narcotic :)

Hugs my friend and thanks for the laugh,

Emma

Posted 12/2/2005 7:38 PM (GMT 0)
You guys crack me up. I'll have to admit that once I got control of my pain with narcotics it went away. Then I switched to Ibuprofen which worked fine.

I'm in need of venting. I found out yesterday that while in the hospital they tapped my belly for 2 1/2 liters of fluid due to third spacing of fluid. The nurses will understand- that's fluid leaking from the venous system into the tissues. I hate not remembering what all happened in the hospital. I still can't remember 2 1/2 weeks. Not that I'm a control freak or anything, but I don't like not knowing. Everyday I learn something new. I can't help thinking what's else? Did I say or do something that I shouldn't have?

My friend asked me "You know you almost died, right?" Well, to be honest, NO I don't know! I can't remember.

Ok that's enough. I feel better now.

I'm going in to work again today for a couple of hours. It's the beginning of the month and Friday so the afternoon will be busy. Maybe I can help some.

I hope everyone has a good weekend. Stay healthy. Talk to ya'll later.
Cathy
Posted 12/2/2005 10:31 PM (GMT 0)
Cathy, that wasn't really venting; venting takes at least a full page!  After my first surgery, I couldn't remember a lot, and it really bothered me.  So, I tried my best to remember this time around; apparently, I made promises to friends that I'd remember our conversations.  I didn't and now I decided I don't care what I said to whom or how I looked (I had eyebrow issues).  As far as I'm concerned, if I don't remember it, it didn't happen.  There is a reason why I was born on denial or is the Nile eyes

Emma, happy to be of assistance -- miss you!

Amira

Posted 12/3/2005 3:58 AM (GMT 0)

Cathy - hate to sounds blunt, but you have 2 choices.  Either you can obsess about it all and get your records and just read all about it, or you can just let it go because its over and knowing isnt going to impact your life anymore.  I choose the second one!

After surgery I no pain with my incision, but I had TERRIBLE pain on the left side, specifically the upper quadrant.  None of the nurses said anything about it and acted like it was normal, but I knew it wasnt.  I also was confused because I signed a consent for a lap procedure, but I ended up with an open.  I found out after the office nurse let it slip 2 weeks later that they had a terrible time with my spleen and that its wrapped in mesh now and thats why they had to convert to an open procedure.  Now, why wouldnt anyone tell me that... and to this day I still dont know the whole story... but I decided that I would just let it go.  I dont remember anything from the first about 2 days (except overdosing on the PCA and not breathing and the nurse staring at me and freaking and me being perfectly calm ... I remember that) What I have learned is pieced together from friends and family, but even then I have lost big chunks.

But, the moral of the story... it doesnt matter, really does it.  I know the spleen thing is true because I used to have an enlarged spleen from mono... and now my spleen is normal sized!  But, it shouldnt impact my life.

Ok dont rambling... need some insurance advice... anyone an expert.  I would like to drop my VERY good insurance at the college (for teaching) because I cant keep up my schedule like this... BUT I have to have insurance... and every private insurance says this "preexsiting condition will only be covered after being insured for 12 months... unless they are disclosed on application" I dont get it... if that is all you have to do why would someone not disclose it... will my insurance costs be more... anyone have any good ideas for private pay insurance?

Back to homework... my to do list is 102 items this weekend

Hugs,

Emma

Posted 12/3/2005 6:32 PM (GMT 0)
Emma,

I'm not a expert but I did check into private insurance companies here in florida. I called the insurance companies and explained my medical conditions and had them explain there pre existing conditions to me. Some told me that it would not be covered for a year and some said it would be covered but it was at a ungodly rate.

Heres another thought. Are you also working at the hospital? If so are you elgible for insurance there? If so heres another way to get around the pre existing clause. Group health insurances through employers can not hold pre existing conditions against you as long as you can prove you had continues coverage with no lapses for the previous year. heres where it can get tricky. Sounds like you will be loosing your coverage because your resigning from teaching. If so you will need to check with your benefits department and ask if I resign from my other job where I carry my health coverage will that make me eligiable for coverage here without waiting for the open enrollment period. Each state makes there own little laws. some states loss coverage only pertains to being terminated from a job or being laid off. other states it is just as it states - loss of coverage for any reason. And it only pertains to if you have two full time jobs or if you have a full time job and your spouse has a full time job.

Let me try to explain this in a way thats easy to understand. say your working at the college full time and you carry the insurance through them. you also work at the hospital full time. If your state recognizes loss of coverage for any reason you can turn in your resignation to the college. you will need to work until around the 20th of the month. there would be enough money paid for your insurance that would pay your premiums through the end of the month. you then go fill out the insurance papers at the hospital after your resignation is completed. the benefits department will tell you your insurance will not go into effect until the first of the next month. Which is ok because the insurance at the college will be paid until Dec. 31 and the insurance at the hospital will go into effect Jan 1st. The hospital insurance will probable ask you for proof of continous coverage to beat the pre existing clause. all insurance will send you cobra coverage which you will not need. Some insurance companies will send you too other letters. one will be proof of loss of coverage and the other will be proof of continuance of coverage. If your insurance doesn't do this you can call the customer service department listed on your insurance card and request it. I would call customer service at the beginning of the month of Jan. That is one way to beat pre existing conditions. It is perfectly legal.

If your husband has a full time job and insurance is offered it would work the same as what was explained above except he needs to fill out for insurance. you will still need the two letters. Proof of loss of insurance, and proof of continous coverage. If he covers just himself it still works the same way except instead of filling out for both of you he will fill out papers to add you. you will still need the same two letters.

The second way to beat it is if you only work part time or PRN at the hospital if there is anyway you can go full time at the hospital in the same month of december. If you can get your status changed to full time before dec.31 it will automatically make you eligiable for coverage Jan.1. It works the same wayas above and the only letter you will need is the proof of continuance coverage.

If your open enrollment at your job or your husbands is say in January your insurance will not go in effect until feb 1. you must pay the cobra coverage for the month of January to keep continuous coverage. If your going to do any of the above put it in hypothethical circumstances to whatever employer you will picking insurance up with. they will give you the nitty gritty of it all.

on private insurance call them if they allow pre existing look at there cost monthly wise plus your deductables because it may run you more than your cobra insurance or right around the same price. If it is more or right around the same price your best bet is stay with cobra because you already know that insurance. Also look at what it covers and doesn't cover. Private insurances will still want proof of continuance coverage and proof of loss of coverage.

need to go lay down worked 16 hours last night and have to be back to work in 5 hours. been up since 5am (EST) friday morning.

If you need anymore info you can email me at [email protected]
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