Just when it felt like the road was leveling out a little and things were getting a bit more predictable, we run into another pothole. Becky started having abdominal pain again early Saturday morning (June 8th). The pain got progressively worse during the day, and she started throwing up as well. By late afternoon we were headed to the emergency room. After a short stay at the ER and whole battery of tests, the diagnosis was another small bowel obstruction (SBO). So, there's the something old.
After the Seton medical team looped in the team from UTSW, they decided the best option would be to transfer Becky to Dallas for further evaluation and treatment. After a few hours, more than enough time to drive to Dallas, the logistics were in place to fly Becky from Austin to Dallas by AirMed. Yep, that's why I chose that picture for this post, and that's the something new. Becky was a little disappointed that she didn't get a helicopter ride, but I imagine the plane trip was more comfortable than riding 2-3 hours in the back of an ambulance.
By the time the team at UTSW ran some of their own tests, the obstruction was no longer there. It wasn't quite magic. It's likely that the tube that they placed in Becky's stomach at Seton to drain fluid did its job, and by relieving the pressure in her system, the obstruction was able to break free. I've learned a lot about the possible causes of SBOs and it turns out that they are much more likely after any abdominal surgery. Counting the recent transplant, and follow up surgeries, Becky has had at least eight surgeries in and around her abdomen. Each of those contribute scar tissue which is one of the leading causes of SBOs.
Becky and I hung out in Dallas for a couple more days while they monitored things to make sure the SBO was truly gone. She also received an infusion of iron and a blood transfusion, both of which we had been trying to coordinate the logistics of making happen in Georgetown/Austin. So, not a completely wasted trip. Becky got some needed medical care, and we learned a little more about what to look for the next time she's having stomach pain.
Onward we go.