Saturday, April 19, 2008

Fever is gone

The fever broke last night, even before taking my first antibiotic, so that is good. It means I have a bit of an appetite back today.

But, just for balance, it looks like my internal stent got blocked off last night because the external flow of bile greatly increased, but I am cautiously optimistic that it stopped within the last hour... we'll see. There was quite a bit of confusion after leaving Vancouver as to exactly what plumbing they had left inside me. It turned out that I have an internal stent on the left side of the liver, which is really doing nothing, since that side (more like 1/4) has basically stopped working. That was clearly visible during the HIDA Scan I had a few weeks back. The right side has an external drain connected to a tube that is perforated to allow the bile to enter, connected down below to another stent which sticks out of the liver into the duodenum. So, it is the bottom part of this right-side plumbing that usually does the bulk of the drainage. Before the procedure, just before leaving BC, I only had the external drain, and that was producing something like 1.2L/day - roughly, but my observations over the last few weeks of having this external bag attached again have always shown between 50 and 400mL. It may be that the bile is also draining around outside of the stent, especially if the pressure builds up, as can happen when the external bag's tube gets kinked as I move around.

So, in conclusion: be thankful your plumping is internal and just works, it is a major pain to do it manually.