The Last Of The Big 3

Two sleeps. That’s all.




In two sleeps Ben will be emancipated from his colostomy bag and for the first time in 16 months we’ll actually be changing dirty nappies! (Well, that’s the plan!)

The closure of a stoma is a relatively straight forward procedure, and we should expect the recovery process to be reasonably quick. Perhaps only two nights stay in hospital if all goes well, and then a little bit of caution whilst the wound heals on Ben’s stomach.

I am more nervous about this surgery than I thought I would be. In September Ben had is Endorectal Soave Pull Through procedure, which by rights is the one that we should have been most concerned about. Around 12cm of his diseased bowel was removed. This week’s surgery is like ‘pulling off a band aid.’ This is the procedure which will test his bowel function and truly show us how successful the September operation was.

We can now understand how parents feel frightened and concerned about their children needing a stoma and colostomy bag. There are so many aspects to looking after a child with a special need, and a stoma is no different. You have to learn to manage the bags, work out which appliances, creams and pastes work best for your child and in older children you have to council them through the social aspects of having a bag.

It is only now though that I understand why people feel ‘attached’ to their bags. I’ve heard people refer to them as their little ‘security bag’ and that too is understandable. In Ben’s case it provides almost certain safety against bowel infection and eliminates any previous discomfort he had.

Without the colostomy bag we’re stepping into relatively ‘unknown territory’. Ben is possibly now more at risk of getting Enterocolitis again, and more susceptible to tummy bugs than his peers. Some parents choose not to put their kids with Hirschsprung’s into any shared care facility until they’re a little older and stronger. Then there’s the diet. Some kids need a high fibre diet, some need a low fibre diet and some can eat anything they like within reason... All these new scenarios we need to consider. So bring it on! Let’s do this... Without risk there is no gain, and Benjamin has a lot to gain!


For those who are curious about what a stoma & colostomy bag might look like, we have attached a small picture below. Some people are alarmed at the look of a stoma as it's quite red, looking a little like a wound.  Stoma's are much like the dermis on your lips and feel as such. The word stoma is Greek  for 'mouth'.

Pulled Through - Like A Champ!

Who would think this happy little man sitting in my lounge room had surgery which took over 4 hours just 3 days ago?  Not I.   He handled the whole process like a true champ - including fasting for over 24 hours and then only being allowed a little taste of milk 24 hours after surgery. I can proudly admit that I would have been crying blue murder had I been subjected to the same treatment. Ben was more interested in the foreign toys in the waiting area, the television at the end of his cot and the myriad of goings on around him.

Ben was quite settled through the first night until around 2am, which is when I suspect he had his catheter pull through his urethra because the tape used to secure it to his thigh had come adrift during one of the four bedding changes in the night.  Poor little man was understandably uncomfortable after that.  At 8am the next morning Mr Kirby promptly relieved Ben my removing the drain, and so started the day.

Day 1 after surgery was hard on Ben to say the least. He was exhausted, running a temperature and sore. His wound was internal, so it's hard to know what exactly might of been causing the bulk of the discomfort - but we have an idea that some of it may have been from the wayward catheter. Pain relief was via an IV drip and also orally, interestingly we could note when he was about half an hour away from the orals being due because he became increasingly irritable. I suppose you could say it was validation that  all the medications were needed, and not surplus to requirement.

Ben was allowed a little bit of milk (around 40ml every three hours) for the first 24 hours, it was then increased to 120ml and then 180ml.   Finally on Friday evening (the 18th) he was allowed some solids. A banana of all things!  The holy grail in a yellow peel - we're still not sure that fruit has ever been accepted with such happy anticipation!  

Ben's temperature subsided, and his pain seemed to be less than the day before so his Fentanyl IV was turned off. A great step in the right direction (which is North if anyone is asking, as in home is North from Adelaide!) and it meant that he could be freed from the tether of the IV pump which now only had to be connected for intermittant doses of antibiotics.

Friday did bring some fun and happiness though, a visit from Ben's Aunty and his little cousin Emma - but that's not all. Captain Starlight!!!   Puppets, stickers and balloons were the order of the day, and how wonderful that those people are!!!

Cousin Emma with Captain Starlight

On Saturday morning the 19th, Ben showed good signs of hunger and thirst. So much so that he drank himself to overflow (which was promptly deposited all over Daddy's new t-shirt in the foyer of the Newland Ward) but he then felt and looked better directly after.  Simon took a phone call from Mr Kirby - if there was no temperature, if he was eating and drinking, then he'd be happy for Ben to go home! So after a coffee and a trip to the hospital's deck playground for gorgeous and patient Miss 3, we all happily piled into the car and tootled home!  Hooray for own beds and surroundings!

Ben's now home 3 days post Soave Endorectal Pull Through surgery, and whilst he's very tired and still a little slow on the eating, he looks very well!  

All hail the surgical team at WCH!!!!   All hail the nursing staff at WCH!!!!  All hail the love and support from friends and family!!!!

It's A Date

I'm constantly amazed at how raising children can bring such stark contrasts in emotions in such quick time lapses.  Yesterday my mobile phone rang, and when I saw the calling number listed as 'Unknown Private' I felt a lump in my throat. I knew it would be Meg from admissions at the WCH arranging Ben's next hospital stay.   Not two hours later, Ben took his first steps!  

Ben's next operation, the Soave Pull Through, has been set for September 16.  We're hoping for a 5 night stay in hospital, but have been told to expect more.

As one would expect, we're quite nervous about the outcome of the procedure.  This will be Ben's 5th visit to theatre with Mr Kirby, and each time carries a certain amount of anxiety. Because of the nature of this next procedure, and the higher risk of post operative complications, the level of anxiety is understandably increased.

We have friends in the HD community that have paused their children's journey at the stoma stage. That is, they have decided to keep the colostomy bag and not go on to have Pull Through surgery to avoid the risk of post-op complications.  And lets face it, life is good with the stoma.  Ben eats, he's not at risk of enterocolitis, his weight gain has been great and he's happy.  With the help of his amazing Stomal Therapy Nurse (STN) Lisa Kimpton we've learnt to manage the stoma and his appliances with little fuss.

So why proceed?

• To offer Ben the best chance at a 'socially normal' life.
• Because we have confidence that Ben's surgeon is superior to his peers in the surgical treatment of bowel conditions.
• Because you have to have faith sometimes that a little luck is on your side!