My Jtube Broke...Going To The Hospital
One of the scary things about having a Jtube is that when it breaks, there is no great care system set up for getting it repaired quickly, it’s just treated like any other procedure. It is the same with a PICC line (a permanent IV sewn into my shoulder that goes to a big vein near my heart and can be left in, unlike an IV that goes into a small vein and only lasts a day). But if my Jtube breaks and cannot deliver anything to my stomach or Jejunum, it means I can’t get any meds or food until it is repaired. And if my PICC line broke, it would mean no fluids until it got fixed.
And the way the system works, they require me to make an appointment to come in, there is no urgency or sense of emergency. So if it breaks on Friday or Saturday, I have to wait until at least Tuesday before I can get an appointment to have a new one put in. I can’t go to the ER because they have no idea how to put either one in and I’d wind up just waiting for an appointment in the ER instead of waiting here at home.
Our medical care system is not setup for bedridden or homebound people living with long term illness.
So far I have been lucky. But this time it broke on Saturday morning. The balloon in the Jtube they inflate with saline that holds the jtube inside me broke, and the entire jtube just fell right out of me! Leaving a hole in my stomach and me holding the jtube hanging in my hand like an organ I had ripped out of myself.
Luckily, the last time I was at the hospital I had the surgeon show me the new Jtube before he put it in, and show me how the part inside of me works. The tube is actually 2 tubes in one, with a divider running down the middle to keep them separate, and there’s a port for each of these tubes. One goes to my Jejunum or large intestine (Jtube) and the other goes to my stomach (G tube [gastric]). So I had an idea what I was looking at when it fell out. I can’t reconnect the Jtube part because it has to be set with an ultrasound or some such device. But the G tube part is rather simple. It’s just 4 holes in the part of the G tube section where it runs through my stomach on the way to my large intestine/Jejunum. And there is a block in that part of the tube after the 4 holes, so that anything put into the G tube is forced out through the 4 holes, spreading the contents out into my stomach.
So I MacGyver’ed the tube and cut it after this block, removing the part of the tube that goes to my Jejunum so it wouldn’t be moving around free hitting the sides of my stomach. And then I put some oil on the hole in my stomach to lubricate it, and I just inserted the tube back into the hole in my belly and taped it on so it wouldn’t come out.
And I thought "Really? Is my body that simple and mechanical that I can just stick a tube into a hole in my stomach, and then pump food into it and it will go into my stomach and feed me??" It feels so mechanical, like fixing a car. I feel like a science project.
But it seems to have worked. I usually pump all my Peptamen whey food formula (mixed with a ton of supplements) and inject meds in syringes into my Jtube (large intestine), but now my only choice was to have it pump into my stomach. Would that be ok? Would it permanently worsen my stomach?
It seems to have been ok so far, though uncomfortable and nauseating.
Right now I am waiting for the ambulance to come pick me up and take me to the hospital to have a new Jtube put in. These trips to the hospital are bittersweet. It’s partly really exciting to get to see the sky and trees with their leaves and branches moving in the wind. It’s the real world! And it’s so so beautiful. And I see a world full of people just buzzing with energy. Walking all around, talking, texting, joking, laughing, working. They all have full lives of some sort - families, loved ones, friends, careers, independence. And they all burn energy like it’s free! They have no regard for energy use, they’re all just buzzing with energy, throwing it away seemingly. Energy that is so so sacred to me and which I spend almost all my time thinking about how to use and how to carefully doll out in tiny little bits; These people just gobble it up without a thought. It’s reallly nuts to watch. Why doesn’t my body work like that? I’m tired of dolling out bits of energy like crumbs of stale bread. I want a loaf of fresh German brown bread like all these people!
It’s a real marvel to witness the world after closing it off in my mind for the sake of self preservation and survival. if I don’t think about the world, I don’t long for it constantly. So I don’t think about it except as an abstract concept.
So the world is truly incredible to witness. But when it is all done, i have to return to my prison cell. I open my mind up to the world and then I have to spend days closing it back down and limiting my thoughts to this tiny room again. It’s so devastating watching the top of the door frame slide over the sky as I am wheeled back into my room.
It takes me days to re-calibrate my mind.
And there is also the fear of getting worse from the outing. I take a huge dose of Ativan right before getting in the ambulance and I also get Fentanyl and Versed during the procedure which also calms my nervous system and then I take a second dose of Ativan when I get home. And all of that has in the past protected me from getting worse despite all the stimulation. I’m also very lucky to go to a wonderful hospital full of nurses who know me and I get a private room, so I’m not stuck listening to people talking while I wait, which is sometimes hours.
I am always so stressed waiting to go to the Hospital. I like my routine. I mean I also hate it, I want to be free of it so badly, but given what ME/CFS does to me, I really like sticking to my routine and being able to have moments of mental activity to write things like this. The hospital trip is such a deviation from my whole existence it is scary. The drugs help, but it is still such a crazy experience that I wish I didn’t have to deal with.
Please say a prayer for me today that I don’t get hurt or get worse and that I can find peace again returning to my prison cell after seeing the buzzing, beautiful world.
Love,
Whitney
And the way the system works, they require me to make an appointment to come in, there is no urgency or sense of emergency. So if it breaks on Friday or Saturday, I have to wait until at least Tuesday before I can get an appointment to have a new one put in. I can’t go to the ER because they have no idea how to put either one in and I’d wind up just waiting for an appointment in the ER instead of waiting here at home.
Our medical care system is not setup for bedridden or homebound people living with long term illness.
So far I have been lucky. But this time it broke on Saturday morning. The balloon in the Jtube they inflate with saline that holds the jtube inside me broke, and the entire jtube just fell right out of me! Leaving a hole in my stomach and me holding the jtube hanging in my hand like an organ I had ripped out of myself.
Luckily, the last time I was at the hospital I had the surgeon show me the new Jtube before he put it in, and show me how the part inside of me works. The tube is actually 2 tubes in one, with a divider running down the middle to keep them separate, and there’s a port for each of these tubes. One goes to my Jejunum or large intestine (Jtube) and the other goes to my stomach (G tube [gastric]). So I had an idea what I was looking at when it fell out. I can’t reconnect the Jtube part because it has to be set with an ultrasound or some such device. But the G tube part is rather simple. It’s just 4 holes in the part of the G tube section where it runs through my stomach on the way to my large intestine/Jejunum. And there is a block in that part of the tube after the 4 holes, so that anything put into the G tube is forced out through the 4 holes, spreading the contents out into my stomach.
So I MacGyver’ed the tube and cut it after this block, removing the part of the tube that goes to my Jejunum so it wouldn’t be moving around free hitting the sides of my stomach. And then I put some oil on the hole in my stomach to lubricate it, and I just inserted the tube back into the hole in my belly and taped it on so it wouldn’t come out.
And I thought "Really? Is my body that simple and mechanical that I can just stick a tube into a hole in my stomach, and then pump food into it and it will go into my stomach and feed me??" It feels so mechanical, like fixing a car. I feel like a science project.
But it seems to have worked. I usually pump all my Peptamen whey food formula (mixed with a ton of supplements) and inject meds in syringes into my Jtube (large intestine), but now my only choice was to have it pump into my stomach. Would that be ok? Would it permanently worsen my stomach?
It seems to have been ok so far, though uncomfortable and nauseating.
Right now I am waiting for the ambulance to come pick me up and take me to the hospital to have a new Jtube put in. These trips to the hospital are bittersweet. It’s partly really exciting to get to see the sky and trees with their leaves and branches moving in the wind. It’s the real world! And it’s so so beautiful. And I see a world full of people just buzzing with energy. Walking all around, talking, texting, joking, laughing, working. They all have full lives of some sort - families, loved ones, friends, careers, independence. And they all burn energy like it’s free! They have no regard for energy use, they’re all just buzzing with energy, throwing it away seemingly. Energy that is so so sacred to me and which I spend almost all my time thinking about how to use and how to carefully doll out in tiny little bits; These people just gobble it up without a thought. It’s reallly nuts to watch. Why doesn’t my body work like that? I’m tired of dolling out bits of energy like crumbs of stale bread. I want a loaf of fresh German brown bread like all these people!
It’s a real marvel to witness the world after closing it off in my mind for the sake of self preservation and survival. if I don’t think about the world, I don’t long for it constantly. So I don’t think about it except as an abstract concept.
So the world is truly incredible to witness. But when it is all done, i have to return to my prison cell. I open my mind up to the world and then I have to spend days closing it back down and limiting my thoughts to this tiny room again. It’s so devastating watching the top of the door frame slide over the sky as I am wheeled back into my room.
It takes me days to re-calibrate my mind.
And there is also the fear of getting worse from the outing. I take a huge dose of Ativan right before getting in the ambulance and I also get Fentanyl and Versed during the procedure which also calms my nervous system and then I take a second dose of Ativan when I get home. And all of that has in the past protected me from getting worse despite all the stimulation. I’m also very lucky to go to a wonderful hospital full of nurses who know me and I get a private room, so I’m not stuck listening to people talking while I wait, which is sometimes hours.
I am always so stressed waiting to go to the Hospital. I like my routine. I mean I also hate it, I want to be free of it so badly, but given what ME/CFS does to me, I really like sticking to my routine and being able to have moments of mental activity to write things like this. The hospital trip is such a deviation from my whole existence it is scary. The drugs help, but it is still such a crazy experience that I wish I didn’t have to deal with.
Please say a prayer for me today that I don’t get hurt or get worse and that I can find peace again returning to my prison cell after seeing the buzzing, beautiful world.
Love,
Whitney