The Yeast Infection and the Black Eye

Denise

The Yeast Infection and the Black Eye

Denise
the-eleventh-hour-758726_640(1)My parents and I went to my dad's oncologist on Friday for his annual check-up. We received good news--no sign of cancer and my dad gained four pounds.

The bad news, unfortunately, overshadowed the good.

His appointment begins with a nurse removing his ostomy bag so she can take a urine sample. When the nurse removed his bag, his stoma was surrouned by a large, red rash. On Monday, when I changed my dad's bag, the area around his stoma looked soooo much better. (I noticed my dad's rash on Christmas Day and had been working to clear it up.)

The red rash set off quite the alarm.

The questions started: How often do you changes his bag? When did his rash start?

The nurse called for the ostomy nurse and a resident came in to look. He asked my dad if he's eating well and drinking lots of water. He kept telling my dad they were going to fix him up. My dad just looked at him in utter confusion.

The nurse returned to take my dad's urine sample and then looked at my mom. "What happened to your cheek," she asked.

"I fell," my said. Her sunglasses don't quite cover her black eye from the fall she took 10 days earlier.

Honestly, it kinda looked like I hit my mom and neglect my dad.

I did try to explain all that happened since Christmas but my explanations made it sound like I wasn't attending to the rash. (After noticing the rash, I had asked for help from my parents' nurse practitioner and the community's nurse.)

The oncologist arrived and took a look at my dad's rash and said, "It's angry." He showed me a few areas around the stoma that indicate chronic moisture. It seems I'm not fitting the wafer close enough around the stoma. The wafer is like a round wax donut which goes around the stoma and which holds the bag in place. I warm the wafer in my hands and then stretch it to fit around the stoma, eyeballing how much to stretch. Apparently, my eye is bigger than the stoma.

The ostomy nurse arrived and sounded a louder alarm. "The concern is that he'll lose the skin around the stoma," she explained. Without any skin, we have no where to adhere his bag to collect the urine.

"These situations can flare up quickly and get worse fast."

She ordered a medicated powder for the rash (which is a yeast infection) and an antibiotic. We have to change the bag every two days in order to apply the powder to the infected area. If my dad spikes a fever or has abdominal pain, we are to call her immediately. My dad asked if she has written instructions. "I don't," she said. "But you know what you're doing."

He also asked her for a visiting nurse. "We can do that," she said, immediately reaching out to the social worker, who had our first visit organized before we left.

Shell-shocked, we headed out to get the car. By this time, I was trying to collect myself. I was completely freaked out.

"We've cleared this up before," I said to my parents. "We can clear it up again."

On the way home, I remembered the good news. "Dad, you don't have cancer," I said. "And, a yeast infection won't kill you."

That lightened the mood for a few moments. By the time we got back to their apartment, my parents were bickering, with my dad calling my mom, "Mother," in his sternest voice possible. We had been gone for four hours but honestly it felt like forever.

We did go on with the rest of our day -- my parents played pinochle after eating lunch in the dining room. (Thank God for where they live.) I went back to work and then went to my nephews' track meet that night.

And, yesterday, the visiting nurse stopped. I did a much better job explaining all that happened since Christmas. I also shared that my dad had an infection on the top of his head, the very area where he had plastic surgery after having skin cancer removed, for which he had been using a topical antibiotic.

"An antibiotic can cause a yeast infection," she said.

OHHHHHH! The three of us had the same response at the same time. In that small doctor's office on Friday, I just couldn't find the room to share everything and had completely forgotten about the topical antibiotic, which my dad had stopped using a day or so before Friday's appointment.

The visiting nurse watched as I applied the wafer and bag and confirmed I was doing everything right. My dad's rash already looked much better.

I really began to doubt myself during the doctor's appointment and began to say out loud what I could have done differently. "Don't go down that road," my dad quietly said, lying on the exam table, red rash flaming.

Onward.