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TOTAL COLECTOMY PART 24

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Posted 8/2/2009 8:37 PM (GMT 0)

Tracy, you know what? i asked my surgeon on his forum about how the loop ileostomy works and i asked another surgeon who also has a forum, and i didn't understand their exsplanation either, but i found this drawing which shows perfectly clear what a loop ileostomy is all about, only by seeing these drawing, could i really understand it. and now i finally understand what's going on with you Lizzie.

VIEW IMAGE

VIEW IMAGE

Posted 8/2/2009 11:09 PM (GMT 0)
Hodaya, thanks for the pictures. That really helps me to understand better too. But, I wonder how this would work for us with anismus? I don't want an ileostomy and have to worry about how I am going to get the poop out of my rectum too.
Posted 8/3/2009 3:12 AM (GMT 0)
Hi everyone. I am feeling better tonight. I am only taking pain meds every 6-7 hours which is much better than yesterday. I have been out of the bed and on the couch most of the day which is an improvement. Tomorrow, I will try to get a shower. It's ridiculous when that has become a chore!! Ha!Ha! Maybe one day soon this will be a fleeting memory!!
Posted 8/3/2009 3:26 AM (GMT 0)
YAY Christy! one step at a time and you'll get there :o) !!

Tracy, i understand your concerns, and it's hard to know what it'll be like for you. it's so hard to decide since it's an extreme measure. i don't know, i guess you can't know till you try it. gosh i hate hard decisions :o(
Posted 8/3/2009 5:51 PM (GMT 0)
Guess what everyone? I am much better!!!! I went 15 hours with no pain meds!!! I also got up this morning and took my first real bath (not a shower!!) and then walked a half of a mile. I am finally over whatever was going on. I am still not going but a very tiny bit. Is there any foods that will make me go but not cause gas and pain at the same time? Thanks for all of your prayers!!!

Hisgal
Christy
Posted 8/3/2009 8:06 PM (GMT 0)
Hi guys...

Quick update. I spoke to Cleveland Clinic and Dr. Zutshi today and she said the report of my defecography looked good and I was able to rid of all of the barium. She has not sen the vidoe, but will see it on Wednesday. She said the report looked great from her standpoint. I am going to do some biofeedback to reensure the mucle tone and my PT here is actually very excited to see me next Wednesday for our first session. She said she cannot understand how any of this is happening and how I have no anismus. She could barely get her finger in my rectum before without it absolutely strangling her finger...so it should be interesting. After Wednesday all the reports will be sent to my surgeon and then we will go from there....I feel positive, but I cannot wait to just get a surgery date if that is was is in the future for me.

Anyways...

Just an update

Lizzie

Posted 8/3/2009 8:13 PM (GMT 0)
that's great Christy! yes you're in my prayers and i hope with G-D's will that it'll only keep getting better for you! Judy posted this link before about a low residu diet to follow post op, so i saved it in my favorites:

http://www.gastroconsultantsqc.com/diet/diet_LRDNA.html

hope this helps you. good luck!! let us know how it goes.

ooo.kkkk you guys, i met with the surgeon today and i'm going for surgery on the week of the 16th of this month, i'm not sure yet about the exact day, i'll be able to know tomorrow. i have only 2 weeks to prepare everything. i'm just so amazed it's happening so fast, just the way i wanted - for it to be in the summer. i'm overwhelmed a bit that it's so close, but it's good cuz i definately can't wait nono    i just feel so weak from all the anxiaty, but i'll get over it.

he said i don't need to do ANY prep.... shocked   that TOTALLY surprized me! but i sure am relieved i don't have to, i so dreaded the thought of it. i WILL have to be on a liquid diet for few days, but no nasty stuff for me to drink yeah !!! he said they'll do me a couple of enemas, hosp style i guess, and that's it!! i'm SO happy i don't have to deal with the prep   smilewinkgrin   yeah   turn   cool   tongue   

he said surgery should take 2-3 hrs.. well i don't know, i've read that for all of you it took a lot longer. hosp stay 7-10 days. he'll order me the adept for preventing scar tissue.

i'll wake up with the ng tube. that's a rutine procedure they do with every patient.  i'll have a thing for pain.. i think you guys call it pump? like i'll have a botton that i can push every time i have pain. i hope it works cuz i'm not good with pain, i can't stand the slightest pain.

anyway, he said if i have any further questions i should feel free to call him. i have his cel phone and he's almost always available, so that helps A LOT!

i'd be happy if you all can help me with what i should take to the hosp with me? i'd really appreciate it. thank you!

well that's it for now, i'll let y'all know tomorrow what's the exact day. love y'all!

Posted 8/3/2009 8:17 PM (GMT 0)
Lizzie, i didn't see you posted. well it all sounds really good, girl!!! i just keep praying so hard for you, honey, and it makes me SO happy to see that you have a whole new hope!!!! love you!!!!! now i'm sheding tears of happiness.
Posted 8/3/2009 10:36 PM (GMT 0)
Oh Hodaya....crying for you, pure tears of thanks, prayer and happiness......SOOOOOOO happy for you love.

Things to bring:

Slippers/flipflops

Oversized comfy clothes

wipes or own toilet paper

computer/ipod

magazines

lots of undies (comfy)

phone

robe

own blanket/pillow

chapstick

shampoo.conditioner.razor.facewash, deoderant etc. ( I am anal though and alwyas showered)

book

I brought a lot of tanktops, but thats just me ( bigger cotton ones)

I cannot think of anything else right now....so happy for you

Posted 8/4/2009 1:31 AM (GMT 0)
Hodaya I am so happy for you, that is great news. You will have to keep us posted.

Lizzie it sounds like things are turning around for you, that is great, I hope a surgery date is in your near future.

Christy I am glad you are feeling better.

Well I had my barium enema test today. It was very uncomfortable, and I never want to have it again. The test according to the radiologist was what I was expecting, the ascending colon has fallen down into my pelvis down to my rectum. The surgeon is supposed to call me tomorrow with his interpretation. I did get all my x-rays on film and disc today to take with me to UNC GI and Motility Clinic. So now it is a waiting game unless I was to decide not to get a second opinion, but I guess a second opinion won't hurt. What is two months of waiting when I have been dealing with this for 9 years.

To everyone else hang in there and everyone is always in my prayers.
Jen
Posted 8/4/2009 1:39 AM (GMT 0)
Hey everyone, Just catching up on you all. I am so happy for you Hodaya and Lizzie!! This has been such a long time coming for the both of you. I wish you two the very best and quick recoveries. You two were so sweet to me and gave me such great advice on everything when I was getting ready for surgery. I will forever be greatful to you. I have been feeling pretty well. I have been able to get out and go camping and am going to try to go dirtbike riding this coming weekend. It is so great to finally be able to resume my normal activities.

Jen, how did your barium enema go? Isnt just the most glamourous thing youve done? I decided you just do not have a shred of dignity left when you suffer with these illnesses. I dont even care anymore who is looking or proding at my ass. Its just like a normal thing to me now.

Oh and Judy, I had a doc that was going to put me on cipro for a suppossed bladder infection. Are we not suppossed to take this kind of antibiotic? I couldnt remember what you had said in your past posts. I never did take it because I was petrified of your situation. That was you that had the cdiff, right?

Well, congrats on you all who are getting good news. And I hope those who are recovering are doing well. It does get better each week. I am eight week post op now and really feeling pretty good. There were many times though when I thought I was never going to feel well again.

Christy, I had that same gas pain and totally feel for you. The only thing that helped was the walking. I would also stay on the low residue diet like potatoes, rice, jello, kinda like the stuff you had to eat a few days prior to surgery. I sure hope you are feeling better!

Love and thinking of you all, Marisa
Posted 8/4/2009 1:46 AM (GMT 0)
Hey Jen I think we were posting at the same time. I hope your bum is feeling ok after that terrible test. I have to tell you that I was so hoping for female techs when I had mine. And I was sitting in the waiting room and this older man came and got me. I was thinking, Oh man you have got to be kinding me. Then I got back and there was a male student in the room and a male radiologist. I seriously wanted to die on the spot. But, Ya know if you go through the surgery you just get used to people hoovering around there. I had a lot of rectal bleeding after my surgery and most my nurses were male. And they have to clean you up alot if your bleeding. So I had really hot guys wiping my ass all the time. It was so embarrassing!! Oh well, Im sure its just the job to them. Anyway just had to fill you in on that little tid bit!

Marisa
Posted 8/4/2009 8:02 AM (GMT 0)
o.k i have a date, it's on the 16th August at 6 p.m. it will like sunday morning for you all. well i would much rather it to be in the morning, i think the surgeon should be most concentrate in the morning, but there's no way, cuz in the mornings my surgeon is working in the public hosp, oh well, never mind.

thank you all for the well wishes. thank you for the list Lizzie, that's really helpful, you know my mind is running so many ways it's hard to think, so it helps a lot to get an organized list.

Marisa, you're so sweet, and you're more than welcome, honey, i'm just really glad i could help, nothing can make me more happy than being able to help others. i'm glad you feel better :o) gosh just promise me you'll be careful with that dirtbike riding.... did you ask your dr if you can....? pls be careful, o.k?
lol you're SO funny, about that little tid bit.... :D i'm SO dreading the thought of being in this situation..... YIKES!!!! oooohhhhh but what can we do..? G-D help me...
Posted 8/4/2009 12:13 PM (GMT 0)
Wow - there has been some good news post here!

Hodaya, I am so happy you go your date!! I am so surprised that they will schedule a night time surgery - I don't think they would do that here in the US! It usually is early mornings or afternoon. Anyway - i' m happy for you!

Jen, glad your test is over! Gosh they are awful aren't they!? I wold hate the wait - the surgery I had 4 -1/2 months ago (hysterectomy and sacral colpopexy) I had to wait 3-1/2 months. That was really the hardest part! Now I am waiting till October, but thankfully I am busy and I think the time will be here before I know it!

Marisa, my first defecography test was with an older man.. I was embarrassed, but my last one was with 2 YOUNG men, and I think that was even worse! I just hope I never have to have another one of those test! It's so encouraging to hear you're feeling good and resuming activities!

Christy, woohoo - another good report from you as well! Glad you're feeling better too! Hope your road to recovery continues with no more bumps!

Lizzy, hope everything stays so positive! It all sounds VERY encouraging! I know you must be absolutely thrilled!

Tracy, what's going on with you now? I take it the Botox never did help any, so what is the plan from here?

My news.. is NO NEWS! Nothing... I really expected that the surgeon would call yesterday, but he didn't. I am really so annoyed that my doctor screwed up my appointment by not forwarding the CD's and reports. I plan on calling the office this AM to see if the reports and CD's have made it there. I have copies.. and wonder if I should mail them certified mail... Then, it all seems weird that we will discuss surgery by phone instead of in person.. which we should have done last week! This whole situation is driving me nuts..
Posted 8/4/2009 4:34 PM (GMT 0)
YEAH!! Hodaya, I honestly never thought you would ever get a date for surgery. I am so happy for you. So what exactly will they be doing? Are you having an open or lap surgery? Just remember that when you come out of surgery you are going to feel like crap. But, I promise it gets better. Just try to get up and walk asap. That helps so much. I could only stand up beside my bed at day 3, but by day 7 I was walking the entire hospital hallway. And the pain pump is great. My advice is to take the eating very very slow after they let you start. I would only eat a couple of spoons of jello and see how it settled and each day do a little more. That way you do not overwelm your belly. And just sleep as much as possible. I had requested no visitors just so I wouldnt feel obligated to visit. You will do great!! Its going to be here before you know it.

Tinkerbell, gee dont you just love those docs. I hate waiting on them. I am sure they are busy but come on. Sometimes you just need to be pushy and bug the hell out of them. I have finally learned that. I hope you get a response soon.

Marisa
Posted 8/4/2009 7:26 PM (GMT 0)
Hey everyone I just thought I would share my good news. My original appointment with an attending was at UNC for October 5th. I just got a call from UNC and they had a cancellation, and now I have an appointment with the head of the department Dr. Sandler. The appointment is tomorrow at 9:20. :) I am so excited to have my appointment so quickly and will be glad to get my second opinion about surgery. I just thought I would share my good news.
Jen
Posted 8/4/2009 7:51 PM (GMT 0)
Jen - that's GREAT news!!! I'll be waiting to see what you say about your second opinion!

I DID hear from the surgeon's office today :) still, no news - but they called to let me know that they now have all the reports and CD images, and that the doctor will be reviewing them in detail, and I hopefully will hear from him on Thursday. If I don't hear from him on Thursday/Friday - I'll have to wait till the following week as we are going away on on vacation (no cell phone service - cruise!)

Hope all the good news here continues!
Posted 8/4/2009 8:35 PM (GMT 0)
that's awesome Jen!! you just saved youfself a TWO MONS WAITHING!! i'm so happy for you things are moving forward. you said your surgeon is supposed to call too, so did he call?
my colon has also collappsed, but it's my traseverse colon and it is in my pelvic too. i guess our colons are dying ha?

well good luck tomorrow! i hope this second opinion helps you with your decision. thinking of you.

thanks so much tinker :o) i should have had the surgery in the public hosp, and that way i would have had it in the morning, but the waiting there is much longer, they could only give me Sep 15 and i cant wait till then, cuz it's too close to the winter, so i have to have it in a private hosp but i have like an extra cover program at the social med care and i only have to participate with about 1000$ for the surgery and hosp stay etc, so it's worth to save me the waiting. so anyway, over here all surgeons work in the public hosps in the mornings and in the afternoons they go to their private clinic and do surgeries in the private hosp.

i'm so sorry you have to wait till october, the waiting is the worse by all means! believe me.. do i know! but hang in there, it'll happen for you, just like it FINALLY did for me!

haha Marisa, you're SO right! it seemed to me also like i'll never get a date, i was starting to give up on these drs, but then they surprised me all of the sudden with the approval! it was all SOOO stressful thinking "are they going to help me or not? what do they want from me? what are they trying to do?" i mean they SO confused me :o(

anywaaaay, thankfully it's all behind me now. so they're going to remove the colon, just leaving the rectum and some of the sigmoid colon, which is about 10'' :o( i don't know... i think they're leaving too much colon than i'd like them to, i have a feeling this sigmoid colon is only gonna cause me so much trouble, i just know it, i'll be constipated with that part still in me, i'll have to talk to my surgeon again about this. gosh i'm so worried.. how much '' do all of you who had surgery have left? isn't 10'' TOO MUCH????? if it's much more than what all of you have left, then i sure am gonna have to talk to him again. all of this stress is too much for me, ya know..!!!!

anyway, it's going to be lap and they will take the colon out from a cut in i think my bikini line. thanks SO much for all the advice, Marisa, you have no idea how much it helps me, cuz my mind is really numb right now, so it's most neaded! thank you!
Posted 8/4/2009 10:33 PM (GMT 0)
tinker, i don't know what's wrong with me, i didn't notice your last post.. it's great the surgeon got all the tests and can review them now, and it's so nice of them to make the effort to call you and let you know so you won't have to worry about this anymore. i can't wait to thursday to hear what the surgeon sais, and for you to have good news to tell us too! keep us posted.
Posted 8/4/2009 10:57 PM (GMT 0)
Wow, I'm away for a few days and now everyone's got news!!

Lizzie, fantastic sweetie!!  I hope and pray things finally work out for you; you certainly deserve it.

Hodaya,

Yipee....did you ever think you'd be so happy with the thought of having surgery?  Your date will be here before you know it!  I would absolutely talk to your doctor about not leaving 10" though...my doctor didn't leave any and you know some of the problems I've had.  Even though you may go so much at first, it definitely slows down (or at least it did for me) and I don't think I'd want to have to go back and have the rest removed.  Everything I've read, and my doctor said the same thing....leaving even a few inches of the sigmoid can have a huge impact on continuing constipation.  I would definitely talk to your doctor about that!

Tinker,

Have a great time on your cruise and enjoy all that good food! When you get back, then you can deal with all this crap (no pun intended).

Jen,

Good luck with your appt. tomorrow.  That's great that you're able to get in sooner; hope you have a good appointment and come out with a plan.

Marissa,

How are you doing now?  How's the pooping??  You gave Hodaya great advice....eat slowly after surgery because for me at least, eveything came out quickly and continuously for a few days!  I didn't eat anything for 5 days because I had the NG tube in that long, but as soon as I started eating, I started pooping like crazy!!

I'm having my first biofeedback treatment next week.  I've been ok; still have some trouble going, some days are definitely better than others.  I do ok during the day as long as I don't eat much, but after dinner is when I get really uncomfortable.  I'm taking metamucil again (only 1 tsp a day) and that seems to help some.  If I feel totally backed up, I can drink grape or prune juice or give myself an enema.  At least these things work now, they NEVER worked before surgery.

I was reading my local newspaper today and in the health question and answer section someone wrote that they had been taking laxatives for years and never had a bm without them; they tried various things and nothing worked.  Of course the answer was something like "work with your health care provider to break the addiction and try eating fiber, exercise more and drink lots of liquids".  I just laughed, because I know all of us have been told that same thing....probably by several people.  It's a shame the answer couldn't have been to have some advanced testing to see if there was an underlying problem, but most people don't understand.  You would think a Dr. would though, although I sure met enough over the years that didn't have a clue!

Hope everyone else is doing well....I get my puppy on Thursday and I'm so excited!

Janie

 

Posted 8/5/2009 12:34 AM (GMT 0)
Hello all again....thanks for all your responses.

To my suprise, Cleveland Clinic and dr. Zutshi called me today while I was at work and she had already watched the video of my defecography. She said that the report was right on and she felt that I could be ready for a reversal in about a month at most. She said that she wants me to start biofeedback and that when the PT thinks I am good then that is enough. She also wants me to do a water enema every 2 days to train my rectum to be full again. She said I will always be at risk for obstruction and that those who are connected due to constipation are always at higher risks and esp someone like me with all of my complications. She faxed all hte reports to my surgeon this afternoon, but who knows when I will hear from them. I called his nurse and she was awful to me again with her condesending tone and lack of empathy. Anyways....still will be much happier when I hear it from my surgeon himself. How long should I give his office to get back in touch with me?

Janie....So happy for your puppy!!!! and glad you are feeling "ok" and can find means to give yourself relief when its not happening naturally. I wish you the best with biofeedback....I will be going through it again too!!!! Thinking of you always.

Marisa....so glad you continue to do so well!!!!

Jen- Good luck at your appt tomorrow....I wish you the best and hope that you get a surgery date soon. October is so close yet so far away. I think mine will be more towards October, but it would be nice to get ot all over with. Thinking of you and keep us posted.

Hodaya- August 16!!! Its going to be a great day and I will pray for your quick recovery....thinking of you and so so so so happy for you.

Love to you all.

Lizzie

Posted 8/5/2009 2:36 AM (GMT 0)
Lizzie - So happy to hear your good news! Why is there always someone on the other end of the phone that just has to be unconcerned!! Just let it roll off of your back. Your just going through her to get to the doctor anyway. I do feel for you having to do the enemas. The only way I have been able to go until surgery a few weeks ago for two years was with enemas.

Janie - can you explain what the biofeedback is to me? I have never heard of it until this forum? I hope it works for you.

Tinker - Please eat some fried shrimp and steak for me!!! Have fun and enjoy your freedom!!!

Hodaya - I am SO HAPPY for you! Don't be nervous, just think you are getting better by doing this. It may feel worse for the first few days, but then it gets better!!
I'm glad they are giving you the NG tube, it will be very helpful. I don't have any of the large intestine left at all. I think that's the best way to go. I'll be praying for you!

Marisa - I am now walking a half mile a day. I am just so weak, I can't do anything for the rest of the day. Were you like that?

Has anyone heard from Amanda? I am worried about her.

CHristy

Jen- Let us know what happens tomorrow. That is awesome you got that appointment!!
Posted 8/5/2009 3:04 AM (GMT 0)
Hi all- Jen- that is great about your appt. tomorrow. Hopefully you will get some good info and be able to make a decision soon on your surgery. Good Luck!!

Hodaya- they left about 2 in of my colon. My doc said that people do continue to have problems with leaving more than that. And you definetly do not want that. I think that 10 in is way too much to leave, but I guess you would have to hear his reasoning for that.

Janie-I am pooping 3-4 times a day. Which sometimes I think is not enough. I really get nervous when I cant go until the afternoon. I drink the grape juice and apple juice to get me going again. What is biofeedback? How many times do you go a day? Oh and i am so excited for you about the new puppy. I have a teacup poodle and just love him!!

Christy im so glad to here you are walking. How long has it been since surgery? I think you are doing better than I was. I would just walk a few laps around my house and was plain exhausted afterward. Then I would sleep almost all day. Went back to work after six weeks but after 3 hours was too tired and had to go home. Now I can take a whole day with taking three pain pills throughout the day. turn

Amanda, where are you? We all miss you and want to know how you are doing. Hope your ok.
Hope you all have a great day tomorrow!!!!!! Marisa yeah

Post Edited (evans18) : 8/4/2009 9:09:25 PM (GMT-6)

Posted 8/5/2009 4:51 AM (GMT 0)
Christy and Marissa,
Biofeedback is basically a treatment to help me learn how to use my muscles to poop! I have pelvic floor dysfunction,which means that when I try to push the poop out, I'm actually using my muscles the wrong way and am really holding it in. It is so strange because sometimes I go so much, and other times, especially after eating dinner, I feel like food is just sitting in my rectum and I can't get it out. Even if I go 6-8 times after dinner, just small amounts come out and I feel like I'm still full (which I am). I had biofeedback before surgery, but it didn't do any good because my colon wasn't getting the food to the rectum. I'm hoping it works better now.

I actually have a sensor, which is like a little probe I stick in my rear, and it connects with a wire to a computer. The therapist tells you to push as though you're trying to have a bm, and you can actually see on the computer screen what your muscles are doing. You go through various instructions--push, hold, release, rest, etc. Since you can see on the screen by various lines what you're doing, you can try different ways of pushing until the screen shows you're doing it correctly. Then you just keep trying to do it that way. It takes several sessions and I have to practice at home. I'm hoping it will help! I also have a small rectocele but my surgeon doesn't want to do surgery on it for at least another 6 months, if at all. We'll see how biofeedback works. The rectocele could make me feel full too.

It's crazy how much I can go...and still feel full. I'm 4 1/2 months out from surgery, and during the day I normally go 3-4 times, depending on how much I eat. I try not to eat much at work, because I can either go alot and feel ok, or I'll be completely full and can't get it out and be miserable. Days I don't work and can be home I tend to eat more during the day. I've been taking metamucil at night, and then in the morning if I drink an iced coffee, not hot (go figure) I usually go one good time, and then a couple other small times.

After dinner is when I have problems. I may go 3 times, or I may go 10 or more times. If I don't feel like things are moving well, I drink grape juice and go all night...with a really sore sore rear. I had a brief period around 8 weeks out f rom surgery when I went about 5 times a day and it was great. That lasted only about 3 weeks and then I started having trouble going at all. Since I've found grape and prune juice, at least I can get things moving.

I'm not sure how much I should be going. The thing is some days I can go 10 times naturally and feel ok, and the next day I'll eat basically the same exact thing and have trouble getting things moving at all. Iced coffee definitely helps me go in the mornings, but if I don't drink juice later in the day, I never know if I'll be able to go or not. My rear stays sore though. I'm hoping I'm just a slow healer inside. Things aren't like I hoped they'd be by now, but I just remember back to the days and nights of laxatives, enemas, suppositories and still not being able to go. I'll take the way I am now!

Janie
Posted 8/5/2009 9:32 AM (GMT 0)
thank you all for the well wishes.. not much time left and i have lots to prepare, i wish they gave me the approval sooner, so i could had more time to prepare.

Janie, when i was told for the first time 2 yrs ago that i should have my whole colon removed, i thought my life is ending. i took it so hard and thought it's the end of the world. anyway this surgeon said he can't help me cause he's scared to do anything.

it was only after i found my current surgeon and this forum that i learned there's life after a colectomy, and was so happy to see how many good stories there are here! this place really helped me tremendously knowing the colectomy can really give me my life back. well i sure hope so. so yes, now i'm totally happy to do it!

good luck with the biofeedback! i'm praying it works for you this time. oh and give that puppy a kiss for me, so happy for you!

Lizzie, i'm so happy for you, good luck to you too with the biofeedback. praying for more good news from you!

Marisa, i'm a little confused.. when you say they left 2'', you mean besides the rectum, right? i mean for me when i said 10'', i meant including the rectum, cause the rectum it self is about 6-7'', so what's left is just maybe 3''. then i'm not sure, cause if he's leaving only 3'' just obove the rectum so maybe it's o.k? what do you think? i need your help quick cause i don't have much time and i need to decide what to do and be able to meet the surgeon again before surgery if there's need to. this is too stressing.

Christy, thanks so much for your prayers and support, it means a lot to me! i hope you keep getting better. Amanda is doing good, i havn't talked to her in a long time, but i see her a lot on facebook and she said she's doing really great. lets hope it stays that way.

tinker, hope you have a great time on that cruise, take your time to relax.

Jen, i'm anxious to hear your update.

have a great day everyone!
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