Melodie is stoned

15 years 10 months ago #17453 by Melodie
Replied by Melodie on topic Melodie is stoned
Patricia,

I feel very blessed to have the doctor I have...he actually was/is the assitant doctor to Dr. Lange who was the head of Urology at UW...Dr. Lange was the doctor I first saw about the surgery but he was always so busy and never had the time for the personal attention that I need plus he is past retirement age, so I opted to have Dr. Wright for my follow-up care.

Dr. Wright's schedule is also always in a scrunch but he slows down enough for the more personal care...he is younger and wants compassion to be part of his relationship with patients. Anyway, Dr. Wright has all the qualities I seek in a good doctor, but when I was in last time, learned that he will be working in research for a year and so could only keep something like 15% of his patient load and will only be seeing patients on Tuesday. Anyway, I was on his list of patients to keep and I am very thankful. I think we both have things to learn from each other. :) And I think he feels the same way.

As for the lemon juice...well, my spouse is always telling me, "tell Bud to get over it"....so maybe I should try the warm water idea...I can handle oranges just fine. Maybe if I start with very tiny amounts and ease into it. Melodie

Melodie, Indy Pouch, U.W.Medical Center, Seattle, Dr. Paul H. Lange & Jonathan L. Wright

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15 years 10 months ago #17413 by Patricia
Replied by Patricia on topic Melodie is stoned
OK Melodie...its time to have a serious talk with Rosebud...explain that the lemon juice not only good for the bladder but really great for the liver and detoxifing it...drink it in warm water...maybe you can fake her out and make her think its tea?
I do understand however as Hal and I have certainly had our go-arounds especially on the subject of icecream....sorry Hal..but just get used to it!!...Stand your ground!!
Glad you got to see the actual scan and your doc so thorough in pointing it out...you have to realize that i encounter DRs. Curly , Larry and Moe around here so i have to be a bit more pro-active.
Hugs........Pat

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15 years 10 months ago #17412 by Melodie
Replied by Melodie on topic Melodie is stoned
Dear Pat & Hal,

I don't think I need a second opinion...my doctor showed me the CTscan and pointed out the various body parts and finally the bladder and the small white spot which he said was a stone...it was definitely something that I saw with my own eyes so unless they mixed up the scans, I have to trust the doctor knows what he is talking about. Of course I'm not anxious nor is Rosebud to have anyone messin' with us, but if it has to be, it's maybe better sooner while it's still 1 centimeter in size.

I drank lemon juice, a small amount in water on both Saturday and Sunday as suggested by the doctor. Bad idea! Rosebud, that rascal, did not appreciate it, nor the bladder, and they responded by being literally "pissed off". It has been quite awhile since I have had any leaking so I was surprised but I should have known better. Rosebud runs the show and I should know that by now. ::) Melodie

Melodie, Indy Pouch, U.W.Medical Center, Seattle, Dr. Paul H. Lange & Jonathan L. Wright

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15 years 10 months ago #17316 by Maria
Replied by Maria on topic Melodie is stoned
Melodie I love your sense of humor and that is why you have come so far on your journey. Sorry to hear that you have been 'stoned' but sounds like all is under control and you are in good hands. Best wishes for a good outcome.
Maria xx

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15 years 10 months ago #17303 by Patricia
Replied by Patricia on topic Melodie is stoned
Stones may form in the pouch as early as four to five months post-operative. The reported incidence of calculi in the Indiana pouch diversion is 2.9 to 12.9% [2],[6],[7]. Most of these stones are composed of struvite [magnesium ammonium phosphate] and are thought to be secondary to infection by urea splitting organisms. Small crystals and intestinal mucus that remain in the reservoir can act as the nidus for stone formation. Incidence of pouch calculi was noted to be higher in patients with lower 24- hour urine volume. Periodic urine culture and eradication of infection, proper emptying and irrigation of the pouch and a good water intake help prevent calculi formation in the pouch. Pouch calculi can be removed surgically or by using an endoscope. Trans-stomal management of calculi in the Indiana pouch is time consuming and may compromise the continence mechanism. A percutaneous surgical approach is therefore generally performed for removal of calculi in Indiana pouches
All you never wanted to know about bladder stones in the Indiana Pouch!!
Just a thought Melodie....have another radiologist look at the scans...second opinions count here also......remember my gallstones that really weren't there?
Hi to Rosebud!..Pat & Hal

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15 years 10 months ago #17296 by Gene Beane
Replied by Gene Beane on topic Melodie is stoned
Melodie,

Thinking about you and rosebud of course, hope these are all minor issues..

Take care Ginger

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