Back in the Hospital already

After just getting out of the hospital on Friday I had to return early Sunday morning. After supper Saturday evening I began having pain and nausea. Despite treating it with multiple doses of Dilaudid the pain became so great that I had to get to the ER and be treated with IV meds. Cindy called her brother and soon Kyle, Lynn and Hunter were at our house to watch our kids while we drove to PHB. After a two hour wait I finally got 2mg of IV Dilaudid and began to return to normal again. The ER Doc had spoken with the Oncologist on call and I was to be admitted. Dr. McElveen was on vacation this weekend and would be back at work on Tuesday. Until then I was to receive IV fluids, rest up and treat my pains as they came along. Tuesday I am scheduled to get the last of the first seven treatments of Gemzar. I don't know at this point whether I will get that here at PHB or be released in time to get it at SCOA.
There are a couple of theories on what the cause of my pain might be. One is that since the pseudocyst is sealed and there is no place for the alamase and lipase to go that pressure is building up in the pancreas and is causing pancreatitis type pain. Another is that there is adhesions that is causing the pain. And I have also postulated that I am dehydrating down to the point that there isn't enough fluids left in my gut and I am getting constipated. I like the last on best and will be asking Dr. McElveen about running a liter of saline every day for three days following my Chemo sessions. I have also noticed that I have pain following a meal, so I will begin premedicating myself before a meal to help avoid this.
Well, it is Monday evening and I hope to be home tomorrow. Dr. Mac will decide what time I get out of here, but I am more interested in how we will be handling my pain. I think between Dr. McElveen and I we can come up with a good plan that will keep me out of the hospital.

Your brother in Christ,
Mack