Thursday, January 11, 2024

Surgery and Recovery Summaries

This is a picture of some scarves I made for my children. Facebook is going to choose a pic for the preview and it's usually the first one I upload so I wanted something that wouldn't offend the uncurious. Though, I suppose my knitting skills are pretty offensive, but that's what happens when you only knit once every 17 years.

Alright. I’m back. Sans ovaries and fallopian tubes. Nothing else has changed.

Mom picked me up at the butt crack of dawn on the day of surgery and we trudged in with a long line of people checking in for procedures.  Everything was very easy and went smoothly. Nurses and doctors were friendly and professional and downright relieved at my lack of allergies and diabetes. They made me feel like a unicorn. ‘This one has no problems!’ Well, let me tell you about my stomachaches, Janice.

I am very pragmatic about these situations if you haven’t already gotten that. I had an increased chance of getting ovarian cancer so I removed the organ that gets that cancer. This is logical to me and worth doing without question. Because of that logic, I didn’t really allow myself to get nervous about the procedure. There are many reasons for this. First, it wouldn’t help the situation. Second, it certainly wouldn’t help my kids. Third, it just wasn’t a high-risk operation. I am (apparently) the most boring patient in the world, I have been under anesthesia before so they weren’t worried about that and it’s not like heart surgery or brain surgery, right? Like, I hate to say there’s room for error because I’d rather there be no errors, but if someone gets bumped while performing a procedure I think the oophorectomy is the better choice. I still can’t spell that word, by the way.

Unfortunately, not even my stubborn-ass brain could entirely ignore the fact that I was having surgery. I did start to get nervous just as they rolled me back to the operating room, but I think they expect that because everything happened so freaking fast from that point on. Out the room, wheely, wheely, wheely, OUCH (see #2 below), wheely wheely, wheely, hop onto the table and BAM. I was out.

There were 2 things I hated about preop:

1. The sterilizing wipes you need to wipe your entire body down with at home. They were very, very cold. This would have been a great activity for July or August. The ones they gave me in the hospital were warmed up and that was much better.

2. The… um… knock out juice? I don’t know. The crap they put into my IV kind of got held up in the vein in my hand and then when it finally broke through it really hurt. Like, really, really hurt. I legit yelled. Their response? ‘Sorry, sometimes that happens.’ Okay. Fine. Occasionally I still feel a similar pain in the same location, though not nearly as strong, and that is annoying. Not sure what/if that’s a problem or not. I’m assuming not.

My mom said the surgery went pretty quickly. I certainly thought it went super quick, but that’s anesthesia for you. I think I woke up to the anesthesiologist asking me what I like to do in the summer. I have no idea what I said. I wonder if these people keep a list of crazy things people say. I for sure would.

There were thankfully no bumps or complications and the doctor had no uncommon concerns post-procedure, just normal post-op care. They wheeled me out of the hospital about an hour later, but walking wasn’t a challenge, just a liability. I was left with 3 incisions, as expected. The belly button one was the bleeder, the other two were hardly noticeable. White sweatpants were a bad choice though and the blood from my belly button bled through the bandage and saturated the top of my pants. So, I treated the spot when I got home but then balled it up and forgot about it and then the stain transferred to other parts of the pants. Anyway, that blood somehow stained green after all was said and done those are called my ‘blood pants’ now.

For those of you on the edge of your seat with anticipation, no they did not let me see the things removed from my body. She DID however, take a bunch of pictures for me INSIDE MY BODY. Muahahahahahahahhaa. How cool is that?! I find this awesome and incredible. Dan was not necessarily a fan. They are available at the bottom of this post if you are interested. The very, very bottom. Just keep scrolling.

Post-surgery medicine included alternating Tylenol and Ibuprofen every 4 hours. I took them, but only for about 2 days. It just wasn’t painful. They prescribed oxycodone as well, but that has made me sick in the past so I didn’t take it (also, I didn’t need it). I also had to take a stool softener, which is apparently common aftercare of general anesthesia.

Nothing about the surgery really hurt. My abdomen and insides felt really loose and wobbly when I switched sides when lying down, but thankfully I have a friend who thought of this and bought me a special tummy pillow. So yeah, the incisions were fine. Occasionally my belly button bothered me, but so do papercuts. It just wasn’t a big deal. The pain of the gas trapped in my body and building up at my collar bones, however, was excruciating. Listen, I’ve been in pain before. I can deal with it. Just breathe through it, right? Well, what the hell do you do when breathing takes your breath away because it’s so freaking painful? Hm? What then? YOU SUFFER. Ugh. I hated it. And they want you to walk around as part of your rehab and I will tell you right now that that didn’t really happen because the pain was so bad from the gas rising in my body and me trying to breathe. Anyway, that lasted about 4 days. 6 days? I don’t know. Time was not really a thing that was relevant to me.

Monday after surgery a nurse called me and checked on me. That was appreciated. They give you a lot of information after the surgery and I had a couple things I needed clarified.

Post-surgery exhaustion is real and powerful. That was definitely what required the 10 days off work. I also decided that if I didn’t need a job, I probably wouldn’t have one. I’m really good at sitting and doing nothing.

Alright. Let’s talk hormone replacement. Easy peasy lemon squeezy. Surgery was on a Thursday. Doc said to apply the first estrogen patch on Saturday. I did that. No hot flashes. No problems. No side effects. No skin irritation. Nothing. It was alarmingly mundane. She was so proud of me. I tell you what though, I thought this patch was going to be huge. Like a 2” band-aid colored square. Nope. It’s a tiny circle. I have 2 alarms set on my phone for this now. Wednesday morning and Saturday night. I am not allowed to turn these alarms off until I change my patch because I definitely know that I will forget to do it. So far, delays in patch changing have had no side effects, but I’ve never been later than an hour or two. One annoying thing is that there are only 10 in a box, so every 5 weeks I need to refill. Oh well. Cancer would be much more annoying.

Lingering things- I have 3 scars. They are tiny. The belly button BY FAR took the longest to heal. The other two were healed by my post-op appt 13 days later, possibly sooner, but the bandage was on so I couldn’t see them. That belly button? Um… 2 months? I don’t know. Maybe only 7 weeks. Whatever it was, it was ridiculous and annoying and a little gross at times.

The Q-Tip is for scale. The scar is the tiny red line under it. I have two of these, one near each hip. The estrogen patch is the clear circle on the left. I can put it anywhere on my lower abdomen, but it kind of just travels back and forth between my scars. They recommend changing it up to give the skin a break.

On the left I'm stretching it out to show the whole scar. The right is how it looks normally.
Yes, my belly button is still pierced. This is because piercings are fairly permanent. Yes, I thought it would close up when I was pregnant. Both times. But it didn't. Don't worry about it. It's not your belly button. (Can you tell I've been given some crap about this? Lol.)

One thing I’ve noticed that I absolutely love and that I didn’t expect- I don’t feel sick in the morning anymore. I don’t know what my problem was but there was about a 75% chance I would wake up in the morning nauseated. It had been going on for years and now it’s gone. Since the surgery I have not had this happen even once. It is awesome.

Oh, right. Pathology. Everything was tested and came back clear so that was a nice little cherry on top of the successful surgery sundae. They also sent me home with a breathing exercise measurement thingy to… prevent pneumonia? I’m not sure. And from how they presented it, I could kind of tell that they were required to give it to me but that it wasn’t really necessary. It looks like this:

One last thing before I wrap this up. I want to thank everyone who reached out to me with their experiences, support and encouragement after my last post. Just when you think it’s something that not many people will be able to relate to or care about, well, let’s just say it’s amazing how wrong a person can be. It’s true that not many people carry the BRCA mutation. Only about 1 in 400, or .25% (holy crap, I’m so special). But you guys, if you think you don’t know someone who has been affected by ovarian cancer or this stupid mutation, whether in themselves or someone they care about, you’re wrong. You just don’t know about it. And that’s okay. Just keep in mind that it’s not something that happens to some mythical and distant ‘someone else.’ If you can handle the burden of the knowledge, I recommend getting tested. Not everyone with the mutation gets cancer and not everyone who has cancer has the mutation, but to me, it made sense to find out and try to be proactive.

If you have any questions at all, let me know. I obviously don’t mind talking about it and if I can help you out I’d love to do that.

Scroll to the bottom if you are medically inclined or just curious and want to see progress photos of the surgery. Let me me clear: these are photos taken of INSIDE MY BODY. That is your warning. If you don't want to see them. Don't scroll down. Easy.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Keep going.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Almost there…

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Congratulations! You made it!