Julie Hemker, author of

I had to have a second emergency surgery after the primary surgery last month due to a seroma (fluid build up below and around the incision). This was causing me pain and I had a reoccurrence of neurological symptoms. I had made it through the first surgery as planned and was ready to recover and get on with life as planned then I became very ill from the pain and all the fluid pushing on the surgery site from within.

Surgery is not new to me because I was born with sacral agenesis. I mean this was my 49th surgery, how could it be that different? But I feel changed somehow.


The emergency

It was all so fast. I saw the surgeon on a Tuesday, had many blood cultures, underwent a very painful MRI where I laid for 38 minutes on my back in the machine (normally they don’t bother me), followed by the drive home from that hospital. It was too much. The MRI showed massive fluid buildup with no knowledge of whether it was infected or not. I had fevers, chills, very fatigued and just exhausted – and I looked it. By Wednesday, the next day, I was admitted – and Thursday was emergency surgery. Infectious disease was called in to manage the antibiotics which would be used.

Then, within an instant, something changed in me. I was told they would insert a PICC line which is used for long term medication use and was told I would probably go home from the hospital with it for a couple weeks. I don’t know what happened. It was like a scene from a movie. Suddenly I saw all that I try to keep in a neat little box, in my mind, filled with memories of the children’s hospital where I grew up having so many surgeries. All my memories flooded out.

Back when I was a child we didn’t have separate wards at the hospital, so I roomed with many children with cancer, Cystic Fibrosis, and more. I began to hear the children cry from one specific night when my cancer-stricken roommate was very ill and taken to ICU. I remember how sick she was and the desperation in her parents’ eyes.

She had a PICC line, I thought. I began crying. I don’t really do that in the medical setting because it keeps me from being focused on what’s next, but I really was so deathly afraid of this PICC line. I equated it to all the suffering I saw at the children’s hospital and I wasn’t prepared to go there in my mind. But that Pandora’s Box was opened with one word.

In the world of medicine, a PICC line is not a big deal. I know that now after the nurse educated me. I thought it was something else and pictured awful things. However, my surgeon had them insert it when I was under anesthetic because I just couldn’t stop reacting to that word and talking about my memories of the children’s hospital. They replayed over and over in my mind. I was so eternally afraid. I felt like a helpless 7-year-old child just observing what was going on around me. My whole life seemed to flash in front of my eyes. I just felt so scared and lonely. I forever thank my surgeon for having the PICC line inserted while under anesthetic.



I am home now, feeling safe with my family and loved ones. Even now, I know how delicate our memories are. We hold them close and tight. I learned that it was having people around me to help deal with the flood of memories that helped me the most – and an incredible surgeon who refused to have me confront such memories. He knows what they are, as he also performs surgeries at that children’s hospital. Now there are separate wards and it is more disjointed but he can only imagine what I saw growing up. He protected me.

I am forever thankful to those who helped me deal with those memories and listened to me and handed me Kleenex as I cried. I hit my wall and was too tired to be so brave. I know it’s still brave to cry and confront memories which are painful but I sure like to get through hospitalizations with no tears. My tears made me stronger because I was able to say why I was afraid. This gave me control over my situation because I had the right people in place listening and being gentle with me. So…I am a fragile piece of glass that needs to be taken care of, sometimes more than others.

This is part of an ongoing series of posts by Julie Hemker, a young woman born with sacral agenesis, and her Mom, Charlotte Schild. In this latest piece, Julie writes about terrifying emotional and physical circumstances she recently overcame in the midst of her 49th surgery. In a very touching and poignant way, Julie describes experiences that most of us can hardly imagine. If you would like to read the whole series, you will find them here.


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