Tonight...

Well the doctor just left the room:
WOW everyone knows that Jenn is unique...
Now the people at Virginia Mason know so...
Over the years Jenn has received several different opinions by the greatest minds as to what is up with her pancreas. - a couple of the thoughts...
(a). 2 pancreases (humans should have one) sharing a common wall,
(b). pancreas divisum (spelling?) where the ducts just aim the wrong way (in laymans terms)
(c). don't have a clue... do you?
So the reason that Jenn was in the procedure so long was that the doc couldn't figure out what he was seeing... He spent two and a half hours playing with the pancreas. (it's not that big, so he was really trying to figure it out. She has a duct that doesn't seem to go anywhere...(an obstruction) He can't figure out if it is supposed to go though to the main duct (is it constricted or does it go anywhere). He put the camera up there and injected a hormone into the pancreas to jump start it's secretion process to see what happened... Secretions actually came out of it... And I don't know the meaning behind that, but it really confused him? So he couldn't really figure out where the main duct is draining, his guess is somewhere in the "roux en y" (the re-plumbing Jenn underwent when they removed the cyst at age 6). But couldn't figure where if it was...
I hope I am not totally butchering what he was trying to say.
So the big WOW I guess... The doc is going to have the entire radiology staff review all the scans and all of the reports from everything she has ever had done. Also, he is meeting with a pancreas surgeon, who may come to see us tomorrow morning.
I'm starting to forget all the mumbo-jumbo he was speaking... He did say that in all his years he hasn't seen this before... and did emphasize that he has a lot of gray hairs, and has been doing this a long time.
So the short story... He's calling for the best of the best around to look at the case... He is putting a board of surgeons, radiologists, specialists together to try to figure it out. Also, he is taking everything home tonight to go over everything again.
He did give a look at what MAY happen next... An E.U.S. an endoscopic ultra sound. They will put the contraption down into the stomach, fill the stomach with fluid, and take an ultrasound of the pancrease through the stomach to see what the main duct is doing. The will then inject a dye, and see where it goes... If it backs up, they will send a wire down through where the obstruction is, possibly balloon the passage, wherever the wire goes, they may add a shunt to keep it open.
OK that's what I recall, hope at least part of it is correct...
Maybe more in the morning after we meet with the doc again...
Jenn is doing pretty well right now...
She voided twice (I learned that term from the nurses... ie. puked). A little medication, and all is better.

Later all