Date: Thu, 18 May 2006 11:58:18 -0400 From: Miguel Sanchez Subject: Escape from There Ch. 4 Disclaimer: This is a work of fiction and that of love. Any resemblance to actual places, events, or persons, living or dead, is purely coincidental. This story may contain erotic and/or sexually explicit behavior between consenting teens. If it is illegal for you to, or you find this sort of work offensive, don't download or read it! The people in this story do not use protection because diseases don't exist here. However, in our world they do so please use caution and protection. This story is protected by copyright. It may not be downloaded or copied for other than your private enjoyment and may not be changed in any way without the expressed written consent of the author. This story may not be put on any pay to view site. I reply to all emails, except flames. You may write me at miguel_sanchez55@hotmail.com I hope you enjoy this story. Miguel Sanchez Escape from There Chapter 4 I ate dinner and watched the telly for a bit and at 10 I called the hospital and had Bradley go and check on the boys. He reported that both boys were sleeping soundly and he would check them from time to time during the evening. I decided it was time for me get some sleep too but thought it best if I showered and shaved first. Once that was done, I slipped in between the sheets and quickly fell asleep. 4:30 came too early but I had a lot to do before Oliver's surgery at 7. I rolled out of bed and headed to the bathroom then down the hall to put the kettle on. While that was heating I went back to my room and got dressed. By the time that was done, the kettle was letting me know the water was hot. I fixed my morning Earl Grey then turned on the radio for the BBC's morning news. I started listening to the news when I looked and saw it was now 5:15. I made myself another cup of tea then began thinking about how to best proceed with Oliver. I was debating on going laparoscopic versus a traditional midline abdominal incision. I knew using the scope would require less healing time but depending on what we saw when we got there the possibility of needing a midline incision was still possible. I called the hospital and spoke with Bradley. I had him call the lab and get Oliver typed and cross matched for 3 units of blood just in case. It was now 5:45 and it was time to get on the road. I unplugged the kettle, shut off the radio then grabbed my keys and left. The drive was quiet and quick because of the early hour. I found a place out front then entered the hospital. I checked in letting them know I was in house then proceeded to Oliver's room. I looked in and the boys were still sleeping. Bradley was about to wake them and get each boy ready for their respective day. I went to look at Oliver's chart and saw that the lab had been up and taken a blood sample from him. I wrote and order for 5mgs of Valium and 2.5 of Versed IM to be given just before he is taken down to pre-op. I finished my orders and went into the room and both boys were awake and changed. Danny was finishing getting dressed when I had my little 16 year old in my arms. "Hi Dad," he said greeting me with a kiss. "Thanks for letting me sleep here with Oliver. We slept all night." I set Danny on his feet then went and kissed my other boy. "Hi son" I said. "Did you sleep alright?" "Like a baby Dad," he said. "Oh good," I said pointing to his arm. "The lab has already been here." "Bloody hell," Danny said. "When did they get here?" It was going on 6:30 and Bradley was in with Oliver's injection. He saw the needle and said, "Oh no Dad, please." "This will relax you son," I said. "It's given to all the patients before they go down to theatre." He rolled over and Bradley said, "This might sting just a little lad." Bradley undid the nappy and wiped his hip. With a quick poke, the needle went into Oliver's hip. Bradley quickly gave him the jab then removed the needle and massaged his hip. "That wasn't too bad Bradley," Oliver said as the transport team from theatre arrived. Danny and Oliver hugged and kissed each other then Oliver was placed on the gurney. Danny stayed with him until he reached the pre-op area then fell into my arms. "Please Dad don't let anything happen to him. I love him so much." I sat down and said, "I know you do son. I know you probably love him more than a brother. We're going to do everything we can to correct what's been done to him. You know we can't undo his castration, don't you?" "Yeah Dad," he said. "I know that." I hugged him once more then I had to get changed into my scrubs. I quickly changed then saw Oliver in the pre-op ward. He already had his IV started and he was sleepy and giddy at the same time. "How do you feel son," I asked rubbing his hair. "I feel fine Daddy," he said giggling. I leaned down then kissed him gently before saying, "I'll see you when you wake up son." I headed off to the scrub room and Ian was already there. I saw another man scrubbing I didn't recognize. "Ah Miles," Dr. Anderson said as he put a hat and facemask on. "This is Trevor Marsh, the micro surgeon I told you about." I was able to shake his hand before he started scrubbing. "Nice to meet you," I said putting on a hat and facemask. "I think you might be busy today." "Based on what Ian here says, I will," he said. "Sad thing what happened to the lad. Hope they catch the bloody blighters. I'll do everything I can to help him." "I was thinking on starting with the laparoscope then going to a midline incision if we need to," I said while scrubbing my hands. "Are you sure it just wouldn't be better if we opened him up?" Trevor said. "I mean you're assuming that it can be fixed through the scope. Remember mate, I do need a decent field to work." "I have to agree with Trevor," Ian said. "I don't want to have to keep the lad on the table any longer than is necessary." "Alright," I said. "A midline incision it is." We finished scrubbing then went into the operating theatre. A scrub nurse helped me on with my gown and tied it on me then held my gloves for me so I could put my hand in them. I then went over to Oliver and he was already under. Ian and I stood across from each other as a nurse was cleaning the boy's abdomen and genitals. "Alright ladies and gents, let's get started," Ian said. He took a scalpel and made an incision starting just above the pubis and ending just below his navel. Once all the internal organs had been moved out of the way, we could visualize the bladder. "Christ," Ian said. "It looks like the bundle of nerves that controls his bowel and bladder has been severed. Trevor, looks like you're up mate." Trevor positioned the microscope over the field and said, "This is gonna take a while mates. I'm going to have to carefully resect the nerves and blood vessels then reattach them properly. Miles, can you aid me?" I stood looking through the microscope telling Trevor which nerve was which so he could reattach them. It took him two hours to get just that done. "Superb job mate," I said as I widened my field of vision in the scope. Holy shit Trevor, look at the neck of the bladder." "What is it," Ian said. Ian stepped up to Trevor's side of the scope and looked. "See the neck how big around the bladder neck is?" "That's why he's bladder incontinent," Ian said. "I can try to put a small piece of tendon to draw it back closed." Trevor was listening to what was being said then asked, "Let me have another look Ian." He studied the area then said, "I have an idea. Miles, resect me a small piece of tendon about 5cm. I'm going to try to do some fancy needle work around the neck of the bladder. Nothing personal Ian, but I'm going to be using a smaller piece than you're used to working with." Trevor told us how to hook the microscope to the monitor so we could all watch as he fashioned a sphincter like structure at the end of the bladder. It took him 90 minutes to complete that. I asked the anesthesiologist, "How's he holding up?" "Doing fine guys," he said. "How much longer do you think you'll be?" The next thing was his rectum so I asked Ian, "We ready to close here?" "Let me finish irrigating him and I want to make sure the bladder isn't leaking," he said as he suctioned the antibiotic wash out of Oliver's abdomen. I looked into the field and it looked clean and dry. "Give me a sponge count nurse," I asked before we started closing. "We started with 50 doctor and all 50 are accounted for," the scrub nurse said. We closed Oliver's abdomen then positioned his legs into stirrups so we could work on his rectum. I made an incision in his perineum and I could immediately see what was done. "Look Ian," I said. "They're cut and stretched the anal muscle and held it open while it healed. Repairing this won't be too much of a problem but allowing it time to heal without it being torn again will be." "I hate to say this but we should probably give him a temporary colostomy," Ian said. "All things considered, that's probably the best thing," I said agreeing with Ian. "While I'm repairing this why don't you two start on the colostomy?" "Already doing that mate," Trevor said. "Just be sure to remove all the scar tissue before you start suturing the muscle. Just don't draw it too tight. Let me have a look before you close the perineum." He came around and looked and said, "Let me have a seat there mate. "I need to reattach some tendons. We don't want a chance of him leaking if he gets the runs." "By the way Ian," I asked. "I think we better put a catheter in him." "Agreed," Ian replied as he finished the colostomy. "But we only want it in him for as little time as possible." Trevor finished up on Oliver's rectum then closed the perineum. Oliver was taken off the anesthesia and allowed to start to wake up. I looked at the clock and it was now 3:30. We had been in there 8½ hours. Oliver was wheeled into recovery while the 3 of us removed out gowns and washed up. I went out of the theatre and there was Danny sitting there waiting patiently. He looked up and saw me and ran asking, "How is he Dad?" "Still sleeping at the moment," I said. "We tried to fix everything we could. Reattached nerves so he can feel to pee and poop, closed his rectum and tried to make him bladder continent again. He has a bag on his abdomen to catch his poop for a couple of weeks while his rectum heals. He has a cath in him for right now but that will be out as soon as he is fully awake." "When can I see him Dad?" He asked. I took him by the hand and headed towards the cafeteria. I got us something to eat and some tea then sat down to answer his question. "As soon as he wakes son," I started. "I have a feeling that he won't really know you're there until tomorrow." "Dad," Danny said through teary eyes. "I gotta see him." "You will son," I said sipping my tea. "He should be out of recovery soon." It was now after 4 so we walked quietly towards recovery and Danny sat while I went to see about Oliver. I checked the drainage from his incision then went to the nurse's area and found his chart. I knew with this type of procedure he would be in a lot of pain. I wrote orders that he be given his pain medication every four hours, weather he asked for it or not. I found the nurse assigned to him sitting behind the desk and said, "When will he be moved to his room?" "Haven't a clue Sir," she said. "You'd have to ask his doctor." I dropped his chart on the desk and said, "I am his doctor." She looked up startled saying, "I'll take care of it." I went beck to him and checked his vitals and then saw his eyes start to open. The nurse came with another person and started yanking on the bed jarring Oliver. He started moaning in pain then I said, "That's enough. It's obvious you don't know what you're doing. I'll get the head nurse and she can help move him." "What seems to be the problem," a young man asked carting Oliver's chart. "This nurse here can't seem to roll a bed without shaking and jarring a patient," I said looking at him. He walked over and released the brakes and said, "It's easier if you do that nurse." He then took a syringe out of his coat and injected it into Oliver's IV tubing. "I just medicated him Doctor. I'll move him to his room now. Orderly, will you assist me please?" The male nurse and orderly got Oliver back to his room and Danny was right there by his side. Oliver did manage to open his eyes a little but we weren't sure he recognized Danny. We stayed there about an hour then decided to go. "When will he wake up Dad?" Danny asked. "He should be awake when you see him tomorrow son," I replied as we stepped onto the lift. "Now he's going to be very sore for a few days so you can't get into bed with him. I've ordered pain medication for him so he can rest while he's healing." "Alright Dad," Danny said as we got off on the ground floor. That night Danny had a lot of work so his mind was occupied with that and not on Oliver. I watched the local news and there was a breaking report. The headline said, "Scotland Yard and local police raid village in valley." Danny was just getting ready for bed when I said, "Come here son, you might want to see this." "What is it Dad," he said just as the news came back on. The reported said, "Scotland Yard this afternoon raided a small village after a report that they had abused and mutilated a boy that lived there. Police arrested several women and placed all the children into protective custody with Social Services." Inspector Jeffery Morrison, with Scotland Yard said," We received a report from a child that he had lived in the village and had been abused. Upon examination by Doctors confirmed that the boy's body had in deed been mutilated." The reporter went on to say, "We are unable to learn what injuries the child received due to the fact he to, is in the care of Social Services." A woman who was led from one of the buildings said, "We love all the children here and they grow to lead happy and productive lives here. We give them the finest care, an education and job skills. No child is abused here." "That's great Dad," Danny said. "Oliver will be glad to hear that." The next day I went to see Oliver and he was awake but in a lot of discomfort. I was sitting beside him when he opened his eyes then said, "Hi Dad, how did everything go?" "It went pretty good son," I said leaning over and kissing his head. It will be a while until we know for sure how successful we were." He rubbed his stomach then said, "What's this bag were?" "That's something we did so your bum will have proper time to heal," I said trying to explain what it was without scaring him. We were able to fix your bum but if you try to poop now, it might tear everything, that's why we did what we did son." He asked about the catheter in his penis and since he was on the medication, I thought it best it be left in until he can stay awake better. He began to nod off so I didn't push talking with him at that point. I finished my rounds then went to have some lunch. I had just sat down when Evan came in. "There you are," he said smiling. "Mind if I join you?" "Not at all," I said as he headed to get some tea. He said down and said, "Have you heard the latest?" I swallowed a bite of my sandwich then said, "Saw it on the news last night. I can't believe the woman actually made a statement." "That was the last one's she's made," Evan said. "She wanted a lawyer and he's not letting her speak." "I think she's pretty much said it all," I said. "You have a good statement there and should use it against her." "That's for the lawyers to sort out," Evan said. "How's Oliver?" "As well as can be expected," I said. "He's in and out because I've ordered his pain medicine to be given to him every 4 hours so he rests." Over the next few days, Oliver's pain level started getting better. We removed the catheter and put him in some training pants with his jug right on his stand in easy reach. He did fairly well but did have a few accidents which isn't bad for someone how was never trained. He was getting only part of the signals the nerves were supposed to be sending him. We noticed that when he was up walking if he were to feel pain from his incision, he would wet. We decided to put him in a pull up style nappy that way he could drop them when he needed to pee. At one week post op his rectum was healing nicely. When I would touch his anus, it would contract like it was supposed to do. I wanted to know how the sphincter was healing but decided not to push things. That afternoon Evan came to visit Oliver then asked, "I know you're been through a lot mate and I know you have one more operation left. You know we went to the place you told us about and several people have been arrested. I have a series of photographs I would like you to look at then I want you to tell me if you recognize any of the people." Oliver looked at 3 different sets of pictures and pointed to once person in each set. He picked out the doctor, the nurse who changed him and the one who was with the doctor when he was masturbated. At two weeks, we decided he rectum had healed sufficiently enough for a little trial run. I told Oliver what I wanted to do and reluctantly he agreed. I put on a glove and then a dollop of lubricant and gently inserted my finger. I was satisfied the anus would open and close like it was supposed to so it was time for Oliver's last operation. Oliver was in hospital another week following the reversal of the colostomy. I never saw him as happy as he was they day we left to go home. The reunion between him and Danny was priceless. They stood and hugged each other for at least ten minutes before Danny needed a change. Oliver still had periodic accidents with his bladder and it was appearing that he wasn't feeling when he had to go. His bowel function had in deed returned to normal and we started training him to use the toilet. Oliver realized that he could not control his bladder so he accepted the fact that he would always have to wear nappies. He has been with us now for about 6 months and I have started proceedings to formally adopt him. Ian and I agreed it was also time for him to begin hormone therapy. He has had several injections and a few days ago came in showing me a little erection. The three of us went through the psychological evaluations and studies and the day came when we went to court so the adoption could be made permanent. The judge was amazed at how well he has recovered from his ordeal and commended both Danny and myself for our work. He signed to order then wished us a long and happy life together as a family. Oliver is almost 15 now and continues to wear nappies like his older brother. The two of them still share the same bed and I think that is something that will never change. Even though Oliver can't produce semen, he does manage to have dry orgasms at Danny's ministrations. I can't believe how much our lives have been enriched with Oliver's presence. I'm so glad Danny told me to stop when he saw the boy that escaped from there. The End