He did have to do an exam I had never had done before. The purpose of the exam was to help insure that I had ulcerative colitis and not Crohn's. The exam involved putting a scope/speculum in the anus. The doctor explained that ulcerative colitis would not be on the actual anus tissue, but Crohn's would be. He further explained that the doctor from Idaho Falls, who diagnosed me with ulcerative colitis, had sent him a patient in the past with a diagnosis of ulcerative colitis, which was eventually proven to have Crohn's disease. If this were crohn's disease, I would not be a candidate for surgery, as the disease would just return someplace else. I understood the reason for the exam, but it was very uncomfortable. This was at a point in my life when I had poor bowel control, and putting something in that area made me nervous, and was very uncomfortable. Luckily the exam only lasted a few seconds.
I was confirmed to have ulcerative colitis. We further discussed the plan for surgery. I was to have my entire large intestines removed. He would then take the end of my small intestines, the distal ileum, and make a j-pouch. This would be stapled to my anus. Additionally he would bring part of the small intestines through the skin and create a temporary loop ileostomy. An ileostomy is like a colostomy, except that it is from the ileum instead of the colon. The plan was to have the ileostomy for 2.5 to 3 months while the anastomosis of the j-pouch to the anus had time to heal. The surgery was being done in phases to reduce the risk of infection. If the connection didn't heal right and began to leak into my gut, I could get really infected. Sepsis and death are real possibilities when stool leaks inside of you. The entire surgery was expected to last 6 to 8 hours.
I was excited. When could he do the surgery? I would gladly have gone in the next day. They weren't able to get me scheduled until the end of February. That was over a month away and that seemed like a really long time. I spent the next month and a half, mostly just lying on the couch at home and running to the bathroom. Such was my life now.
Two days before the surgery my wife took me out to one last good dinner. It would be awhile before I was able to eat real food. We went to my favorite Mexican restaurant in Idaho Falls, Idaho. I ate Mexican food and drank orchata until I was as stuffed as after Thanksgiving dinner. The day before the surgery we went from Idaho to Utah and stayed with my sister in a suburb of Salt Lake City. There I began one final bowel prep.
I drank the prep and then had to drink a gallon or more of a beverage of my choice. I chose a pineapple flavored soda. This was one of the few foods/drinks that still tasted good to me that was clear enough to drink for the prep. Over 5 years have passed and I still do not enjoy pineapple soda as much as I used to. I would recommend drinking something you can tolerate, but that isn't one of your favorites for all bowel preps. Even though I began the prep in mid-afternoon I was up most of the night going to the bathroom. By morning I felt famished. I was used to feeling weak, and a night of bowel prep only made things worse. Now it was off to the hospital.