Showing posts with label reconstructive surgery. Show all posts
Showing posts with label reconstructive surgery. Show all posts

Thursday, 19 May 2016

Thursday, or Thereabouts - May 19, 2016

And I'm back!



None of the envisioned "what ifs" came to pass, not even close. As with all scheduled major life events, it's been the unexpected, unplanned for, realities that have caused the most consternation.

I made a point last Tuesday before leaving for the hospital of weighing myself. I wanted the evidence based satisfaction of weight loss (things are being take out you know!) this surgery would surely bring. Friday morning I stepped on the scales again to get a measure of the good news. I nearly fainted. Eleven pounds - in the WRONG direction! Now if I had truly thought about it, the weight gain would have made sense – inflammation + IV infusions (of which I know of 5 litres) all add up! I’m happy to report that I’ve now lost all of those 11 pounds plus 2 more. Progress!

I packed my going home wardrobe into my backpack last Monday including a favourite t-shirt and the sloppy "Saturday morning" sweat pants, the ones that all but fall off me. I didn't want a snug waistband to put any pressure on the incisions. Well weight gain = size gain. In the hospital, I got the pants on but it was a struggle. I peeled them off the moment I got home and found one, just one, PJ pants that had a little more room. My husband and daughter, bless them, made a Walmart run to get some 3X (really??? – yes) PJ/lounging pants. As a friend quipped, "All I need now is really bad hair, some tattoos, a tube top and chipped mis-matched nail polish on every digit and I can join the ranks of Wal-Martians."  I'm still wearing the big loose PJ's, but not much longer. Progress!



In anticipation of post-op low energy and limited mobility, I planned suitable activities to keep me occupied: scanning cases of ancient slides to digital photos - a totally mindless, repetitive activity; editing the vast collection of travel images; and working on the memoir writing.

It seemed to me that all of these so called activities are more sedentary than energetic, yet each would yield a highly satisfactory sense of accomplishment. The only demand being my backside in a chair at the computer in my favourite room of the house, the kitchen, airy and bright with sunshine.

Except that until yesterday, my body would not bend to the required 90° angle. Not only that but my nether parts, where bruising and stitches abound, could not take the weight of sitting upright. Happily I can report that now I can sit upright in a chair - but only for about 20 minutes at a time. This blog post is going to take a while to keyboard, but it is happening. Progress!





These have been the worst of my problems – no issues with pain or bleeding or any other possible complications – so no true grounds for complaint. This is especially remarkable in light of the fact that the surgeons encountered a bigger job inside me than they thought or have ever seen before. Such was the degree of prolapse that none of my pelvic organs were where they were supposed to be! Nevertheless they got the job done and here I am 9 days post-op, home, carefully mobile and tapping out a blogpost. Progress!


And just what I been doing these days? I've been lounging on the sofa, napping, reading, napping, watching TV and napping, with an occasional "outing" for a stroll along the driveway and back, followed by napping. And because my camera weighs less than 5 pounds (2.2kg) I've increased the digital photo inventory.


From my perch in the living room I've watched the birds clamouring for seed at the feeders.




I've delighted in the bouquets of flowers, plants and fruit that have come my way.






But mostly I've been quietly grateful: for the skill and care of the medical team (primary surgeon - the secondary I only briefly saw just before going under, anaesthetist, and nurses) and most especially for the care, visits and thoughtfulness of my family and friends.

Thank you all.
Bless you all.

Slow and steady wins the race!





©2016 April Hoeller

Thursday, 5 May 2016

Thursday, or Thereabouts - May 5, 2016

Another great Adventure


As usual, the planning began months ago; as usual the preparations have been underway for some weeks already; and as usual there is both eager anticipation and a little anxiety. Stepping out into the new and unknown is always a dynamic mixture of positives and negatives. That's what makes it truly exciting!




I have my lists, To Do's and To Pack, which change almost daily as expectations collide with reality and time runs out. I had a hair cut yesterday and the shopping is mostly done. Over the weekend I'll finish up the housecleaning and take time out to celebrate Mother's Day, leaving Monday to tie up any loose ends and do the final packing.






Come Tuesday, I'll be ready for my next destination...



Ah, there's the rub! Turns out there's nothing usual about this adventure after all. But let me quickly add that there is nothing sinister about it either, no cancer, no cardiac issues. Age plus the birthing of two (TWO!!) 9-1/2lb (4300g) babies 29 and 31 years ago have caught up with me. Ladies - when going over 60, it's not only our boobs that sag! So do our pelvic organs. Mother did not tell me about this part! Then again she didn't have babies who looked more like three month-olds than newborns.

Ordinarily pelvic organ prolapse doesn't require a major surgical reconstruction project, but apparently I'm not most women. My pelvic organs have sort of collapsed in on each other resulting a plumbing system that does not clear the pipes as it should. There are other issues, like bulges where there shouldn't be bulges, and sudden bouts of incontinence leading to sock-soaking bladder accidents. Yet it is the frequent urinary tract infections, (7 in the last eight months) that have taken the most out of me.





I'm fed up with feeling so wretched so often. One of the things I have learned, up close and personal, is how beastly it is to suffer a chronic yet invisible illness. It's lonely. I've also learned what it feels like to experience even a mild cognitive impairment. UTI's often come with this "feature," and in the frail elderly such confusion is often the only symptom. It's downright scary to encounter episodes of brain fog, an inability to focus. It's creepy to watch powerlessly as my thoughts run adrift, and then it's hard work to bring them back in line and keep them there.






Bring on the surgical solution!
And so it will be on Tuesday that surgeons will take out the bits I no longer need (ie. a complete hysterectomy) and use a belt and suspenders approach to haul up the rest to their more usual position. This shoring up and reconstruction project will take two surgeons about three hours to complete.


"No big deal," the anaesthesiologist quipped at last week's pre-op appointment. Except of course it is still major surgery, however minimally invasive the technique, and it comes with a 6 week recovery.

I have not been spared a tyranny of "what - ifs." What if something more is found inside me, something sinister? What if my 63 year old heart and circulatory system is not up to the challenge of general anaesthetic? What if it's not infection brain fog but rather the long tentacles of dementia that have invaded the deep spaces of my mind? And God knows I hold the air, sea and land speed records for the fastest leap to the worst possible conclusions.


Fortunately, these dismal fugues of thought dissipate in the face of reality and logic - I have passed all the pre-op tests and workups. So the best thing I can do is acknowledge the questions, the doubts, the fears. I bless them for being the normal accompaniments to the prospect of major surgery that they are. And I refuse to dwell in their particular cloud of unknowing.

Let's just get this surgery done with and then see what's what.

"...all shall be well, and all manner of thing, shall be well."
Julian of Norwich (ca 1342 - ca 1416)





©2016 April Hoeller