Expect the Unexpected

As you all know I've been trying to get Greysen's surgery scheduled in Seattle for the last month and a half. I had a good chat with my friend Kara last Sunday after church and explained how I was feeling stressed and overwhelmed and wished that Seattle would hurry up so I could at least have a surgery date. She told me that she would be praying for us that this week would be the week I would get answers. Well I did get answers but not in the way I expected. After some back and forth with the Seattle scheduling department and nurses, I got a message from a friend on facebook. She asked me which Doctor we were seeing in Seattle and then explained their terrible experience with this same doctor. She hated telling me because, let's face it, who wants to be that person? But honestly I am forever grateful that she did because she probably saved us a lot of money and stress! Her experience was just more confirmation that Seattle was not to be where Greysen would have his next surgery. I got a message later that day from this doctor and first and foremost she sounded very rude and arrogant. Second, she told me that I would HAVE to make two separate trips to Seattle and that it was IMPOSSIBLE to do everything in one trip. Third, she told me in the first visit they would run some tests then SHE would decide if Greysen even needed to come back for a cecostomy. I immediately emailed our doctor's in Billings and in Denver and said we wanted to switch and have the surgery in Denver now. Within hours our referral was sent and Denver called me that day! It wasn't a nurse or a scheduling person that called me back, it was a DOCTOR! This was my first sign that we made the right decision. After she spoke with me she said she would talk with the team and then decide what the plan was going to be. The Doctor's in Denver had already decided that Greysen would need the cecostomy so this wasn't a matter of getting a second opinion. In fact, we have already have two doctors agree this is our next step. This was my main frustration with Seattle because we don't need to know IF he needs it we need to know WHEN. I'm not going to put my sons life in the hands of a doctor that is arrogant and having a power struggle. I need a doctor that has Greysen's best interest at heart and after this last week Denver Children's has my complete loyalty for the rest of my life.

Dr. Jacobson called me back on Friday after speaking with the head of bowel surgery. The plan has changed quite a bit from our original plan but I will explain why:

Greysen needs to come to Denver in the next few weeks to:

#1-Have a full bowel clean-out in the hospital 

• The full bowel cleanout is terrible. He cried and cried when I told him about it. For about 12 hours he has to drink this terrible tasting stuff called Golytely. Its like salted apple juice. YUCK! I tried to tell him that an NG tube would be a better option but he doesn't like that either. If he can't drink the juice and keep it down then he will have no choice but to get the tube down his nose. Last time he spent all day drinking the awful stuff only to throw it all up and end up with the NG tube anyways. Thinking about this makes me wanna cry. He was 6 then and now he is almost 8. 

#2- Get a new biopsy taken from his colon. 

• The Doctor wants Greysen to have another biopsy taken from his colon to be sure there are still nerves present. Hirschsprung's disease is caused by a lack of nerves within the colon or entire intestines. It's possible that not all of the diseased portion was removed during his first surgery so they want to be sure this isn't the case. It's also possible for nerves that WERE there during the surgery to die causing lack of function again. Once you have hirschsprungs you are never "cured". In fact, some of the nerves that ARE present may not function or fire correctly so removing the section without nerves does not mean you are healed after surgery. Such is Greysen's case.

#3 Get the Anal manometry testing at the same time he is under anesthesia.

• The anal manometry testing will be performed before the biopsy. This will test the:

• Strength of the anal sphincter muscles
• Sensation of stooling in the rectum
• Reflexes that govern bowel
• Movements of the rectal and anal muscles

All of this information will then tell us what surgery will look like in June. Our Doctor agreed that we could do all of this in one visit but that we would have to be there for about 2 weeks. The deciding factor in making two trips is this: If the biopsy comes back negative for ganglion nerves then Greysen will not be getting a cecostomy. He would be getting another pull-thru surgery instead. This would be another major operation and set us back a year and a half. More bowel would need to be removed which in turn causes more problems BUT could also help him. Again, it would be like his first pull-thru where we wait months after surgery to see how his body responds. We don't want this BUT a second pull-thru also has the chance of completely fixing him if all of his issues since surgery were due to lack of nerves. It's a gamble and it's one I don't wanna have to make again. Lastly, if his biopsy comes back normal the Doctor will then be able to schedule us for the cecostomy in June. The cecostomy would mean (more convenient) nightly washouts with no set date of reversal. It's not ideal but its the most predictable way for him to have a bowel movement, no accidents, and try to be a normal kid.

Kyle and I (and Greysen) need your prayers more than ever! We are going to expect the unexpected because we have no idea how all of this is going to turn out. Today we both agreed that we don't even know what or how to pray! Neither of these outcomes are what we want for Greysen but we have no choice. I feel comfort in knowing that God knows Greysen better than Kyle or I. He knows every detail of his body and he can use the doctors to heal him! Please pray for us, and with us, that #1 we would know WHAT to pray and #2 that God would guide the doctors thru all of this and that all tests would be definitive and bring answers and solutions and #3 that God would go before us and work out all of the details! As you are praying, if anyone feels led to share what God has asked you to pray for specifically I would absolutely love for you to share it with us! Thank you all for praying! Our family,church, and friends are what make this bearable!