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May 26, 2011

Going into the hospital for TPN and surgery

This topic is about a person who is preparing for a hospital stay to address severe malnutrition and undergo surgery related to abdominal issues and stoma relocation. Here’s a breakdown of the situation and some helpful advice:

- After a long period of feeling malnourished and not being heard by doctors, the person finally found a new gastroenterologist who quickly recognized the malnutrition.
- They are scheduled to be admitted to the hospital for 7 to 10 days to receive Total Parenteral Nutrition (TPN), which will continue at home. The goal is to gain weight and build strength before surgery.
- The planned surgery involves cutting through abdominal scar tissue to relieve a blockage. If that doesn’t work, the surgeon will remove the affected section and reconnect the bowel. The stoma will be moved from the right to the left side due to a hernia on the right.
- There is frustration about previous doctors not acknowledging the malnutrition and hernia issues.
- The person is looking forward to a quiet summer of recovery with support from their children and hopes to have internet access in the hospital to use their laptop.

Additional insights include:

- The person had TPN 20 years ago and gained about 20 pounds, and they are eager to start again to improve their appearance and feel better.
- They have experienced hurtful comments from an ex-friend who accused them of being ill on purpose, and they often feel cold and weak.

Advice and insights from others:

1. There is confidence in the new GI specialist, with reassurance that the person is now in good hands.
2. TPN guidance includes:
- Many have had successful experiences with TPN over the years.
- It’s important to maintain meticulous hygiene with the TPN line to prevent infections. Once the routine is learned, TPN can be manageable and effective for gaining weight and energy.
3. For the hospital stay and recovery, it’s advised to maintain a positive attitude, get plenty of rest, and look forward to feeling stronger.
4. Regarding stoma relocation, someone who had a similar procedure shared that while it adds extra scarring, it is manageable and offered encouragement.
5. Emotional support is crucial: ignore rumors or insensitive remarks and focus on healing while surrounding yourself with supportive people.
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