Hemorrhoidectomy in 12 hours....
Posted , 9 users are following.
Hello all...
My story will be familiar to many of you. I've spent years reading these forums as I've dealt with extremely bad internal prolapsing hemorrhoids (grade 3) for the better part of a decade. Also like many of you, I tried just about everything possible and always swore that if it came to the surgery, I'd just live with it after reading all the horror stories.
Well... the time has come... The hemorrhoids are so large they're messing with my prostate and the pain/ blood loss has become unbearable. I'm barely able to leave my house anymore. So it's time to man up and crawl out of the tub and into the operating room... And then back into the tub....
About 5 years ago I reached a similar point and saw a colorectal surgeon who first tried banding (good lord was that unbearable) and then the THD (Halo) surgery. None of that worked and after 3 glorious weeks of no prolapsing post op they all just popped right back up. They where a little bit smaller than before surgery which bought me some time, but all present and accounted for...
Regarding THD: If you're considering it, I would think twice if you have a grade 3 (prolapsing every time you poop and needed to be reinserted manually) because I just don't think that procedure is up to the job. I think for grade 2 and below though, it's could maybe work. However, the "48 hour back at work" line they feed you is complete nonsense as many others have said. I'll obviously be able to make comparisons a bit more directly in about 12 hours, but to me it seemed a lot like the hemorrhoidectomy recovery stories I've read on here. Severe pain/ bleeding for 2 weeks, living in the tub, etc, etc.
I've been just dealing with my situation as best I can since then but over the last 3 years I developed Prostatitis. My GP would treat it with antibiotics for a month, it would go away and then it would come back like clockwork a year later, which is very bizarre for an other wise healthy 29 year old male. My working theory (not a doctor by any means, just a research freak) is that the hemorrhoids are somehow causing this. I wonder if I'm getting infected when the hemorrhoids are tearing and bleeding or if just the enormous size of them is pushing on my prostate. Either way, here's hoping the procedure fixes that problem too.
I'm also lucky enough to have gotten an IBS diagnosis in the last year, which has obviously aggravated things greatly. Ironically I think it was all the on again, off again antibiotic stints that really kicked it off for me. Generally it presents itself as violent diarrhea fits/ gas attacks. As a result of that, I lost quite a bit of weight, down from 190 lbs (I'm 6ft tall) to now 162 lbs pre-surgery. I had a gazziion tests with a GI specialist (colonoscopy, CT scan with contrast, every blood/urine/poop test imaginable) but all came back negative and I wound up with an IBS diagnosis and a surgery referral.
So... That all brings me to 11am tomorrow morning when I finally face my biggest fear and get the dreaded surgery.
Leading up to it, I've opted to purchase just about every single "tip and trick" I've seen on here. I've got a toilet sitz bath, a lifetime supply of stool softener, baby wipes, underwear liners, adult diapers, 8 pounds of epsom salt, a heating pad and a new obnoxiously large TV in my bedroom and another in the bathroom. I haven't had cable in years but if ever there was a time...
The one thing I'm doing a little differently is that while I've been taking stool softeners for about 3 weeks leading up to this (1 Collace a day then 2 a day starting 3 days before the op), I haven't been taking a fiber supplement like many others have. I'm going to very, very slowly introduce some (benefiber) in if I'm having trouble initially but with my IBS, I'm extremely sensitive to it. I remember after my 1st op passing gas was a nightmare for the first few days and fiber has a good chance for me of triggering a gas attack. I think for most people without this problem, ramping up the fiber for a few weeks before this and also starting stool softeners about a week early (I was on them longer just because of the pain I was already in) is a good plan.
I have another type of stool softener (I would take it in addition to Collace), miralax, milk of magnesia and gas-x ready to roll should they be needed as well.
Surgeon is prescribing Oxycotton and Valium for post op pain. I'll also be taking the max dose of IB proffin. I found that was a miracle drug for me last time around. The opioids help "take you out of it" but the IB proffin was the only thing able to directly touch the pain. Valium will help with spasms and will hopefully make me not worry as much about that first poop... I've also made some extremely potent marijuana edibles with a 50/50 ratio of CBD/ THC to use (I live in a legal state) I'll mix in as needed. I'd like to get off the painkillers and switch to those as soon as I can to avoid opioid constipation.
I ate a small PB&J this morning and have stuck to just water (lots of it) until the surgery about 24 hours later. Dr didn't recommend enema, laxative prep beforehand, so I'm going with her opinion on that one but also trying to make sure I'm going in with a fairly empty tank. After the procedure I'm planning on sticking with soups, chicken stock, yogurt for as long as I can take it (probably 2 days if I'm a gambling man) and then ramping up to some fruits (watermelon, pear, cantaloupe) and avocado toast/ sandwiches (no cheese). I've got a fantastic girlfriend who took 9 days off work to take care of me during the post op and while I work from home, I booked myself 2 weeks completely off the grid just in case as well.
I was dead set on getting a colo-rectal specialist, but the insurance I have (Kaiser) will only do the procedure with a General Surgeon. I'm a bit nervous about that part, but I like my Dr. a lot and I do trust her.
It's still a bit unknown what she'll actually do during the procedure. When I went in for the consult, I was in so much pain she was only able to do a rectal exam for a few seconds before making the recommendation for the OP (mostly based on my extensive history). She thinks the sharp pain I currently have is the result of a fissure but I think it might be a thrombosed hemorrhoid. I've "ok'ed" a botox injection fissure treatment (she doesn't want to do a sphinctorectamy at the same time) but we're sort of playing that one by ear after she gets in there and sees whats going on.
She's also very worried about stenosis (narrowing of the anal canal) if she does too much cutting at once, so she's mentioned leaving 1 in there (I have 3) and then going back in for a second procedure in a few months. That by far is I think my biggest fear going into this tomorrow, that I wake up and still have a prolapsing hemorrhoid. Prolapsing through the wound seems like the worst pain imaginable and I really hope that's not what happens! I trust her to make the right call for my well being though during this, which is really all I can do at this point.
I'll be posting updates as I go along here, so feel free to follow along. Without the countless hours I've spent reading on this forum, I don't know if I'd have had the courage to do this, so it's the least I can do to pay it forward.
If you have any questions or advice on what I'm planning post-op, I'd love to hear them.
Here's to better days (soon I hope....)
2 likes, 91 replies
pita123
Posted
Week 4 Update:
Ok technically 4 week 1 day update... I waited a day since I was seeing the surgeon today for my now 2nd follow up post op.
I'll start with the good: I'm in much less pain overall. Most pain that I have comes post BM and it's sorted out pretty quickly with a hot bath. I still haven't had an opiate pain killer since day 15 and IB proffin and the occasional tylenol is doing the trick. My infection seems to be contained as well. I have a bit of leakage after a bowel movement or more intense period of moving around but it's just a few drops of yellowy liquid. Still wearing a women's panty liner to deal with that. No more fevers or sweating incidents either, which is good. I'm also starting to resume a lot more regular activities. I had a few beers the other night, I was able to sit for 3 hours in an office chair, I had sex, I drove some where for about 20 min. I'm not back to normal life yet by any stretch but with every one of these things I'm able to do again I feel a little bit better.
"The Bad" is really just down to the continued swelling. I still have that little lump sticking out of me and while it's gone down a bit, it's still visibly swollen (I've been taking daily progress pics which I realize is super gross). This causes discomfort when sitting and when walking/ standing around. It's much less pain like you'd associate with week 1-2 of this, it just feels a lot like walking around with a hemorrhoid flare up. It's still bad enough for me at that after 3 hours sitting in a very comfortable office chair with a pillow I had to tap out and finish working laying down in my bed. I do feel that getting just a touch better though every day. If it's been 8+ hours since I last had to poop, I'm usually in pretty good shape and can sit/ walk around almost like I normally did pre-op.
From a VERY extensive research job (seriously if you've written something about this surgery on the internet, I've read it at this point), I'm still in the middle of the "swelling phase" of this operation that some people encounter. This is a super tough thing to navigate I've found as you'll see someone post asking about it and then they just disappear, never to respond again, probably because they got better and aren't thinking about a hemorrhoid forum anymore. The ones that I did see follow up though describe swelling for up to 8-9 weeks post op (a couple even longer) and they describe a very small, very slow gradual improvement of swelling, followed by a sort of "leap" where they jump to almost completely better. We'll see if that's the case for me. I'm really hoping that in the next 2 weeks I'll see some good improvement on that.
The biggest fear of mine in the last week or so has been stenosis. The swelling is still making it tough to pass stool and I'm essentially pooping out 1 and 1/2 ft snakes of very strangely shaped poo.... its very thin, maybe a couple 1/4inch wide but about an inch or more high. Like one giant ribbon of poo, lol. My theory was just that the swelling was forcing the poop to come around it in some crazy shapes (like a very gross playdoh machine) but I started to get really worried as I started having a harder time physically pushing out stool a couple times. There have been a few times where I've really had to bear down and push, only to pass something small, followed a few minutes later by something bigger. Particularly just this morning, it seriously felt like pooping out a mid sized car but was quite unimpressive...
That and the swelling where my top talking points with the surgeon today. She did a nightmarish rectal exam (finger.... in there) while I was stone cold sober and that was pretty brutal if I'm being honest. Not as bad as day 2 pain but it was close. Thankfully that faded after a few min and now I'm just a little more sore than normal. The good news was that I'm not stenosed. She was able to get "in there" fairly easily too, so that is another sign it's probably not stenosed. Beyond that, she reminded me that all the stuff she removed was at the very end of the anus, so it would be unlikely to get it there. She agreed that the swelling was making it feel like I had less room down there and making me feel like that. She was also confident that I'd continue to see improvement and hopefully be close to 100% in 2 or 3 weeks as swelling would go down. No new meds or advice really from her other than just keep trying to keep your stools soft and wait out the swelling.
Medicine wise it's just tylenol, IB proffin and 2 collace a day for me right now. The antibiotics kind of messed with me a bit as they always do. I've always been convinced my IBS was related to some overgrown bacteria, because very single time I go on an antibiotic it completely changes my digestion for the better. Pre op I would go through periods of "serving up soft serve" and then I'd take an antibiotic and become "invisible" to food. I could eat whatever I wanted and still have these perfectly formed little "no wipe" poops until eventually I had a few IBS episodes and the process would reset. That is pretty much exactly what's happened now, because still a week after antibiotics, I have these much more formed stools that are proving SO much harder to pass. Collace isn't doing anything anymore about that either, which is strange. Pre-op, I could take 1 in a day and have a fairly loose stool the next day. Now I take 2 or 3 in a day and end up with the exact same result every single day regardless. I even took a dose of Miralax one morning and then nothing happened other than my regular as clock work 2-3 normal morning movements the next day. It's very strange, I'm not constipated because I'm going every single day at the same exact times and I don't feel pressure at all, but for lack of a better term, it feels like I'm "s***ting bricks'.
Because of that, the one change I'm making is to try taking a half dose of mirilax tonight as I'm going to bed to see if that gets me a softer result tomorrow. I still very much don't want to push at all (even though I can without much pain) for fear of getting another hemorrhoid or a fissure.
So... That is pretty much it. Just in a holding pattern really until my swelling finally goes down. This recovery is really an endurance race!
jane16431 pita123
Posted
although I did not tell my story with quite as much detail as you, this incident is one I’ll never forget. I still come here to support anyone who is facing this or is in the post op. It was very appreciated by me. Now I try to pay it forward
pita123
Posted
Week 5 update:
Still not much improvement from week 4 unfortunately. The swelling has gone down a bit but is still there and still pretty annoying.
3 days ago I had one looser stool and then had some sharp pain up by my tailbone afterwards. That night I also wiped a little blood off. Not very much, just enough to show up on the TP. That was the only blood I've seen but that pain has stayed with me for almost 3 whole days now. I remember in week 1 and 2 feeling pain in this location, except instead of a sharp stinging it was much more intense. I'm hoping it's just my scar tissue breaking and reforming up there. The alternative is that I have a fissure, which would really suck. I think though that if it was a fissure it would hurt much worse during a BM and I'd be seeing some more blood. I'm not pushing/ straining and my stools are extremely consistent (formed but soft). I'm not constipated either. The pain of whatever it is going on up there though is still driving me right to the bath after a BM and several times throughout the day as well. I also notice the sharp stinging pain when I make certain movements and when I cough/ sneeze. I haven't experienced that since week 1 and 2.
Aside from that set back in pain, I'm doing pretty good. I'm eating mostly normally (still being very careful though) and I'm able to move around a bit more and sit for longer periods of time. I'm going to try going into work (been working from home this whole time) for the first time since the operation tomorrow. The swelling isn't quite as painful anymore or noticeable when I'm standing / sitting, but it was sort of replaced by this deeper stinging fissure-like pain up by my tailbone. That's what really drives you nuts while healing from this.... Just when you think you've got it beat, it changes the game on you and you have a new kind of pain you didn't even think about. Overall though, I'd say I feel like I'm at about 90%. I'm really, really, really hoping I see if a big improvement on that in the next couple weeks. I just want this swelling to go down so I have a normal looking butt again and to finally have a non-painful poop. My poop has gotten ever so slightly thicker (I had been worried about stenosis) but it still feels like I'm pooping out an entire house for what are actually pretty small logs...
I'm really hanging onto the handful of posts I've seen that reported similar swelling/ pain this far post op at this point. I think if I get to 8 or 9 weeks and I'm still feeling the same I will start to get very worried. It's entirely possible that I developed an external hemorrhoid (the swelling I've been talking about) and a fissure (the sharp stinging pain). I don't even want to think about that possibility yet though... That would be beyond depressing to go through all this and then end up in that condition afterwards.... Really just trying not to get depressed about this at this point....
jane16431 pita123
Posted
I relate to your comment about the roller coaster. Just when you think you have it beat it comes back, or manifests in a different way. That seems to be common.
Also on the standing comment. It took me a good two months before I could sit for prolonged periods of time without some discomfort or negative effect. Now, 3.5 months later I can sit normally.
Last weekend we had some visitors and one thing led to another. It turns out that one of our guests also had this procedure about 4 years ago. The story is extremely similar to yours and mine. Full recovery is measured in months, not days or weeks. There are the occasional exceptions and I am happy for those few. In the meantime hang in. There will be an end to this. I hope it comes soon!
pita123 jane16431
Posted
Hey Jane. Yup I saw the dr a week or so ago. She did an examination and said I'm still just healing and that she didn't see any signs of stenosis. With that said though, it still feels like giving birth on my 1st bm of the day and I've got pain stinging with BM's still pretty regularly. Swelling has gotten better but still is definitely there and sensitive. 6 weeks down, 6 weeks to go by the sounds of it! Lol. I just really hope I haven't developed a fissure or stenosis. I don't know if I could handle another surgery at this point...
jane16431 pita123
Posted
I had an off 3.5 week post op issue this week myself. I started itching in a bad way for about 2 days. Turns out it was regrowing hair over the wound. It did not hurt but it freaked me out!
The thought of another surgery....vomit!
pita123
Posted
Week 6 Update (ish, I'm a few days late)
Still having pain with BM's, still using the sitz bath attachment and then a larger sitz bath after and using a shower head to get clean instead of TP. About a week ago, I got a much more sharp pain that feels like it's "up there" in my canal a bit, sort of under my tailbone. I had a much worse version of this pain in the exact same spot 1-2 weeks post op, so I'm hoping it's just that wound opening/ closing while it continues to heal. It could of course also be a fissure... It feels like it's almost on the sphincter muscle itself because when I flex it or cough/ sneeze it hurts in that one spot. My stool has become a little wider, but still not like pre-op, and for some reason the first one every day hurts like crazy. I really have to push to get it out, which is quite painful. It feels like I'm passing something the size of a house and it just comes out not that large. After that, I'll have 1 or 2 smaller ones that don't hurt hardly at all and I'm fine the rest of the day. I haven't seen any blood at all during this. I'm still taking stool softener daily.
I'm also still dealing with the post op swelling, or bridge as some people call it. It's gone down a bit in size but is still visibly swollen.
Outside of that though, I'm finally able to sit for a full day at work and walking around is fine now as well mostly. I'm back to almost all my normal activities, I just still have a whole ordeal (sitz baths, etc) to go through in the morning every day with pooping still.
I see the surgeon again in 2 weeks for another post op appointment. She did a rectal exam last time I saw her a week or so ago and she didn't think I had any stenosis, just swelling still. Hopefully she still thinks that's the case and hopefully I don't have a fissure and it's just a surgical wound still healing... I'll be sure to update when that happens.
I can't wait to finally have a pain free poop again. This feels like an endless recovery!
pita123
Posted
Well, well... I am back again...
I had been holding out to make a final update until I was all better but sadly that hasn't really been the case. It's now Dec 3rd and I had my operation back on August 20th. Fortunately, except for the little lump that has gotten smaller but it still around, the hemerhoidectomy wounds seem to have mostly healed up.
What I'm dealing with now though is either a perianal abscess or a fistula right on my rectum at the operating site. About a month ago, I noticed I was feeling a lot better but every few days I would have a sort of flair up on pain. It was a sharp stabbing, right at the top of my rectum and felt a lot like what a fissure would feel like. It finally occurred to me to have a closer look, and with the help of an assistant (lol) I was able to pin point with my finger exactly where it hurt. What I saw was a little white bump that basically looked like a face zit about to pop. Against better judgement, I did exactly that and when it was squeezed, a whole bunch of puss and nastiness came out. I instantly felt complete relief from the pain which lasted a couple days before I felt the pain again, took a look and there it was again. This cycle has basically repeated since then. I generally have a BM in the morning, then it sort of builds up and starts hurting in the afternoon. After I drain it, I feel fine for the rest of the day and usually the next.
Based on how it's acting, how it feels, etc I'm pretty convinced it's a fistula. I followed up with my surgeon on this, who took at a look at it in an office visit and then had me to a CT scan with contrast die. The CT test came back negative, so hopefully that means if it is a fistula, it's shallow.
I was booked for basically exploratory surgery, where they are going to put me under general anesthesia again and try to pin down exactly where the fistula tract goes and what my options are. A fistula is basically a little tunnel that connects the inside of your rectum to the outside. If it's far enough away from any important muscles like the sphincter, they can "lay it open" meaning they just cut it open along the tunnel and leave it open to heal from the inside out. If it's too close to sphincter though, or if it goes through it, then the options become more limited. They can try to plug it with glue or a plug but more likely they'd insert a seton drain, which is designed to keep the tunnel open all the time so it can heal. That's left in for at least 6 weeks (some people have them in for months) and then they go back to take it out and potentially attempt to lay it open.
I think more than likely with what I feel, see mine is going to be right on that muscle unfortunately. I'm obviously terrified for the surgery and to be back in the operating room to go through all that pain (or more) again when I finally was starting to feel better is a worst nightmare come true. I'm using the same surgeon who did the hemorrhoid operation, same hospital. It's going to be an out patient procedure again and I go in for it at 4pm tomorrow. The crazy thing is that I really won't know the results until I wake up. It could go a lot of different ways! My previous prep routine for the 1st surgery was pretty comprehensive though, so I've just gone ahead and repeated that this time. The only difference is that this time they want me to do a fleet enema the morning of the surgery. Same diet for post op planned as well as last time. Supposedly it's "not as painful" but that's what they said last time too, so we'll see! I took a week off work to start with and can get more if I need it. I will also be back to update this daily with what the recovery looks like for whatever is done to me...
So that is pretty much it. If anyone is still reading this (hopefully not and you're all healed up and not thinking about this forum anymore) buckle up because here we go again!
pita123
Posted
Surgery Day/ Day 0 update: Surgery went pretty well. When became conscious again in the recovery room, I had a bit of soreness but nothing too crazy. I had a much better time waking up from the anesthesia this time, which was great.
Only downside is that my surgeon was gone by the time I woke up, so I didn't get to talk to her myself. She did explain things a bit to my girlfriend, but I'm still missing some pretty big pieces of what happened in the OR. They say I'll be able to talk to her on the phone tomorrow to get more info.
I did not wake up with a seton (thank god). It sounds like she was able to trace the source of the infection back to where she removed one of the hemorrhoids back in August. My girlfriend says she told her that she was able to open up the outside fistula opening a bit and then from the inside insert a plug where the infection had started. She also said it was pretty shallow, whatever that means. All pretty vague, so I'm hoping to get a lot more details tomorrow. It is sounding like at least initially that this is sort of a "one and done" procedure (knock on wood) vs something like a seton that I might have had for months before they'd remove it and then go in and do another procedure.
Pain-wise I am in seriously good shape here, at least initially. She used the same localized numbing meds down there, that should keep me pretty numb for a couple days. On the 0-10 scale I'm at about a 0 or 1 after taking some Oxycodone. I remember on the last surgery that even though I had that same numbing medicine, I still felt a pretty good amount of swelling/ pain right away and was maxing out on pain meds right away until about a week and a half later. We'll have to see what my pain looks like once this numbing medicine wears off but so far so good. I'm a bit afraid to move around in the meantime while I'm numb in case I overdo it or something because I can't feel pain down there. I already was able to pass some painless gas, which is a good sign as that took me a couple days to do last time and was a bit painful. Also no problems at all with peeing yet either so far.
I do have a fair amount of blood. Probably about the exact same amount as I had after the 1st operation so far. So it's back to adult diapers for a few days until that slows and I can go to pads...
I'm doing all the same stuff I did for hemorrhoidectomy prep-wise. Sitz bath attachment for the toilet followed by rinsing in the shower and full sitz bath in the tub after every BM is the plan at least initially. I'm eating the same exact pre-op / post op diet as well and that seems to be going ok. I'm not taking the max dose of Oxy (yet at least). Just doing 1 of those every 4-6 hours so far and IB proffin.
So.. That's what I've got for now. I'll be back to update this daily (again) until this nightmare is finally completely behind me. Really hoping this one won't be as bad as the 1st op. I was assured by the surgeon it wouldn't be and so far it does seem a bit better, at least initially. Tomorrow's update should have the full details of the operation/ prognosis if I'm able to chat with her. If last time is any indication, I might not have a BM for a couple days after the op. We'll have to see if that hurts or not. I sure hope it doesn't!
pita123
Posted
Ok, so surgery for the most part went pretty well. No more drama waking up from the GA like the first time thankfully. Overall a very smooth landing as I became conscious again. I was able to pee fairly quickly and within about an hour I was dressed and being wheeled out to the car.
I was injected with the same topical numbing thing I was given for the first surgery, which numbs the area for up to a few days. I noticed this working a lot better this time vs the 1st surgery. When I woke up the first time there was quite a bit of pain and I needed to be injected with several pain meds right away. This time was more of a dull ache / stinging. As with the first time, I woke up in basically a cloth diaper soaked in blood down to the sheets on the bed I was on. They said this was normal. When I got home the first night, I covered a female pad with blood pretty well but then it slowed down a bit. I woke up this morning (day 2) with a decent amount of dried blood down there, so a scab must have started to form and then disintegrated. I'd bet this will continue to happen as all the wounds where left open.
As for what was done: She ended up finding a fistula that connected to the abscess. It was originating from one of the stitch sites from where a hemmerhoid was removed on the first surgery. So from the inside, she stitched in a cellulose plug and then stitched around it to keep it place. Then the outside opening (which was like a pimple at first) was turned into basically a dime sized crater. She said that I'd continue to drain some puss and blood out of that external opening, but that it would then start to heal from the inside out. So far that's been very accurate. There is a ton of puss/ blood seeping out of the hole she made...
Painwise, even though it looks like a complete horror show down there, this is a walk in the park so far compared to the first surgery (knock on wood). I'm still taking Oxy for pain and IB proffin but I'm only doing 1 Oxy every 6 hours and I'll probably go off that completely in a day or two. It's really more of a "just in case" thing at the moment. Because of the opiates, I'm taking 2 stool softeners daily (coallace) and I took a dose of mirlax to get things moving today. I had two small, soft bowel movements today that really didn't hurt too badly at all. More of just a burning afterwards. Eating the same post surgery diet I was for round 1 so far.
Overall, I think this was a fairly good result. I was really afraid that I would end up with a Seton drain because of how close it was to the rectum. If this procedure works, this should solve the problem of the recurring abscess / fistula for me completely. I'm really, really, really hoping that is the case because after almost 4 months now of this, I'm just about at the end of rope financially, emotionally and physically! This new wound will likely continue to heal up over the next 6 weeks from what I've read (and based on what happened with my 1st set of surgery wounds). My only concern right now is it actually healing too quickly, trapping puss/ infection inside, which could cause another abscess.
Overall it's still unclear why I got the infection during the first surgery's recovery or why I ended up with this abscess/ fistula now. Infection is actually pretty rare for hemorrhoid surgery, despite the "natural dirtiness" of the area it's done in. Same thing with developing an abscess/ fistula. Best they can tell me so far is that I'm just extremely unlucky, because I'm doing everything I'm told to post and pre op. Several CT scans with contrast also didn't catch the fistula/ abscess prior to the surgery and it took her physically sticking a probe in there to find it, likely because they where closer to surface.
I'll continue to update as long as I'm still "going through it" but hopefully that's coming soon!!