Taking things in order, yesterday(Wednesday) was a reasonably quite one. The weather was rather poor but we did go to the beach at Yaverland which the Grandchildren all liked. It certainly helped entertain Harry the youngest family member.
Today though was the big day(Thursday). We went over to Southampton for the pre operation check and also to meet one of the anaesthetists. A number of cancer patients who live on the Island receive treatment in Southampton most notably those having Radiotherapy. Thanks to some excellent fund raising a minibus has been provided to take patients from the ferry terminal to the Hospital. We were able to hitch a ride on the minibus both ways. In passing the NHS has an arrangement that those who need daily doses of radio therapy can stay at the Jurys Inn Hotel in Central Southampton.
To come back to my own treatment, we saw various people and learned quite a lot. Firstly the operation itself involves the removal of the lower part of the Oesophagus. It will be replaced by part of my stomach. As a result my stomach will reduce in size. The Consultant uses key hole surgery in both the chest and belly. He also will be passing something down my throat because it is quite a delicate process to remove the offending part of the Oesophagus. This is why the operation itself though routine takes between 4 and 6 hours.
The process begins with some sedative. I then will have an epidural in the spine. The reason for this is to reduce the likelihood of pain. The work the Consultant does in the affected area can cause a lot of discomfort. If the epidural does not work they can use morphine but this slows the recovery. After the epidural I shall be put to sleep under General Anaesthetic. If all goes well I shall be woken up as soon as the operation is finished. If it does not the wake up may take a little longer. I shall have tubes in my nose, neck, both arms, one hand, belly and chest. Oh yes and a wretched catheter. For the first three or four days I shall be in a high dependency bed or in Intensive Care should there may be no HDP. This is because I shall need one to one nursing.
I have been told that the staff will get me out of bed the day after the operation even if it is only to sit in a chair. All being well I shall remain in High Dependency for 3 or 4 days during which most if not all the tubes will be removed. The total stay in Hospital will be between 10 and 14 days again assuming there are no complications.
The good news is that I am disgustingly healthy. Blood pressure and heart are doing fine. I have put on nearly a stone in weight but I was told this was a good sign in that the body is responding to nourishment.
Altogether there is a lot to take in but I remain confident that the staff at Southampton know what they are doing and that I shall get better.