Thursday, 14 July 2011

The Surgery

Well I'm home and I have survived!  There really is no place like home.  And specifically, your own shower and bed!
I'll tell my hospital experience in a couple of blogs because it's going to be quite long, I think!  So let's start at the very beginning...

Monday morning my alarm bleated at 5:50am.  I had to have a shake before 6am so I jumped up, downed the shake and went back to bed for another hour.  No point wasting valuable sleeping time!  We got to the hospital at 8:30 as instructed.  After checking in and parting with large amounts of dollars for my hospital excess I went down stairs to the next check in. Paperwork.  We sat and waited.  And waited.  And waited.

At 10:00 we were called in to an interview room to speak to the nurse.  He ran over the obvious things and then went to get the anaesthetist to meet me and give me the once over.  So in rocked Dr V.  What a character.  Loud, to the point and obviously very skilled in his field.  "How are you feeling?" he asked me in a thick South African accent.  "I'm terrified" I replied making sure I popped out my doe eyes and batted my eyelashes so that he would be extra gentle with me.  "Yes, you should be.  You could die." he said looking me dead in the eye and smiling.  Fuck.  I'm going to die, I thought.  He noted a couple of "big juicy ones" (veins) that I had and drew some circles on me.  Then said "Ok.  See you on the table!" and he was gone!
20 minutes later we had another meeting with the nurse, at which point he filled the circles Dr V had drawn with numbing cream and a water proof dressing.  Then Dr R (the surgeon) popped in to check that I had been on the diet and understood the complications (that blasted leak thing).  He said that the surgery could be a bit late because his first op was on a woman with a BMI of 71 and that it could be a challenge for him.  Holy shit!  My BMI of 39 made me look anorexic! If she was 170cm tall, she would have nearly weighed 200kg.  Whoa.  Anyway, he disappeared and Ben and I had to (very, very quickly) say our goodbye.  As I walked away,  I got teary that I didn't have time nuzzle into him and breathe in his smell to linger with me for the rest of the day, or to kiss him properly and tell him how much I love him and that he was my best friend and also that it was ok to remarry if I died, and that I wanted 'time of my life' from dirty dancing at my funeral, and that the password for the bank account.... oh you get the picture.  Deep breath, swallow hard and keep going was what I thought. Millions of people do this every day.  Harden up princess.

I was directed to the shower where I had to scrub using their "special sponge", a betadine soaked sponge which is far from my sweet scented palmolive naturals I'm used to.  Then I had to don the stylish white gown and regulation chux undies.  I pleaded my case and was allowed to keep my own undies on (because they were basic and cotton and could be cut off if necessary - thanks for the tip, Jess!).  I was shown to my bed and told that when it was my turn I would be called.  I was given my sexy 'teds' compression stockings and fought with them for about 10 minutes to get them on!  I was given my pre-med tablets and very quickly went to sleep, waking myself up snoring several times!!
An hour later (now about 1pm), I woke up and wondered how much longer I would have to wait.  This isn't good for me, this waiting thing.  I watched an episode of Offspring on my phone and checked Facebook a thousand times.  I listened to a nurse yell at an elderly couple who had both been in for day surgery and both lost their hearing aides. About half an hour later, they were found in the husbands pocket. Just the back and forth banter was hilarious!
At 3:30 I was called.  They wheeled me down the hall and around the corner where I was asked (for the third time today) what my full name, date of birth, allergies and what I was having done today.  They wrapped me up in a nice snuggly warm blanket and put some pressure thingo's on my legs which inflated and deflated to keep the circulation going.  

Then I was wheeled into the theatre.  I was again asked what my full name, date of birth, allergies and what I was having done today (I couldn't bring myself to answer 'gender reassignment' but I wish I had!).  I couldn't see much but I was introduced to all the doctors and nurses in there.  In rocked Dr V again.  He whipped off the dressing and began to insert the cannula while proclaiming "You've got a ganglian (big calcified lump on my bones of my hand) here, but we'll try and go around it and try not to lose any troops!"  I giggled.  "Success, the battle has been won!" he proclaimed loudly.  "Did we lose any troops?" I asked, he giggled. "No troops were lost!  Come on Johnny boy, let's do this!" He called to the surgeon, who's name isn't Johhny.  A nurse put an oxygen mask over my mouth and nose.  "This is it, isn't it?!" I asked.  "Breathe deeply and we'll look after you..." she said soothingly with a gentle smile.  She's nice.  Was my last thought.  

Shit I was glad when I woke up, despite the intense pain right in the centre of my sternum (which I had been told about) and Dr V yelling "BREATHE, ELISSA, BREATHE!"

Sunday, 10 July 2011

THIS IS IT!!!!!

OK.  I've packed my bag, and I've got everything I need.  I am incredibly nervous, despite everyone telling me I'll be fine.  My biggest fear is going to sleep and not waking up.  I know I won't, but there is a lot I haven't done in my life yet, and that's what would upset me most.  Anyway, many happy thoughts, deep breaths and remembering that millions of people do this everyday without incident, will get me through.

After 2 horrible weeks on this stupid diet I have lost 7kg.  My liver had better be the size of a fucking peanut or I will have an absolute tantrum!  I was reading through all the post op diet recommendations and I can't tell you how excited I am that in 3 weeks time I will be having semi solid food such as mashed potato and mince.  I was drooling at the mere thought of it!!  I will be without anything (except a drip) for 24 hours or so after surgery, followed by clear liquids for 24-48 hours and then I can have liquids such as yoghurt, custard, optifast shakes, soups and so on, but only about a quarter of a cup which I'm told will be plenty.  I'm pretty excited about the custard too, just quietly!!  I'm hoping to be released from hospital on Thursday.  Until then I will be incommunicado but rest assured I will be writing down the entire experience in all it's glory to retell when I get home!

So, as my friend Ms Metcalfe says, look out world, here comes Elly V2.0!!  A brand new me!  I'm excited to see what I will look like in 12 months from now.  I know that road is going to be difficult at times, but I'm  ready for it.

See you on the flip side!

Friday, 8 July 2011

3 Sleeps To Go!

I can't believe how quickly the last 2 weeks have flown!!  I haven't lost much weight this week, only about 1.5kg.  I'm not sure why. I have been 95% on track and done exactly as I have been told but it's very, very difficult when I've been on holidays and Ben has been back at work (so I haven't got him keeping me in line).  If I eat something that I shouldn't, or too much of something I  feel so incredibly guilty and hope that it hasn't affected the success of the surgery.  I then run around like an idiot to try and get rid of the extra calories I may have consumed so that my liver will have shrunk.  But let's face it, I'm having this surgery because I'm shithouse at sticking to a diet or exercising any kind of self control, so really I've done very well!

I had a blood test today.  They tested FBC, U&E and H&G.  At least I think that was it.  The rather unfriendly lady who was poking holes in me mentioned something about full blood count and was I having surgery soon.  I assume it is routine.  The hospital has changed my check in time to a little earlier.  I thought it might be because of my leaky heart valve but apparently I've been pushed up.

My positive self talk is progressing well.  I'm shouting things like "I'll be all brand new", "new wardrobe!", "millions of people all over the world every day!" and the most common "take a teaspoon of cement and harden up princess!"

I'm planning on cutting out my allowed protein for the last 2 days and just having the shakes.  Maybe a last minute starving of my body will shrink up the liver to the max.  I'm going to give it a go!!

Tuesday, 5 July 2011

Pre-Admission Interview

Today I had my pre-admission interview for my op.  Basically a nurse from the hospital calls to go through your info which you have already sent in and check for allergies, previous operations etc.  They then go through the procedure for the day (when checking in, not when digging through your guts) and answer any questions you might have.  I asked about pain management and what pain I will experience.  I don't know if this is a scale to work by but they offered me a suppository to slow release the pain killer.  Is it really going to be that bad they need to stick it up my bum?  I can assure you that it is going to have to be very bloody bad if anything is going up that route!!!

The whole procedure is pretty daunting to think about.  I've been doing a lot of positive self talk to tell myself I'm going to be fine but I am still nervous!  The doctors and hospitals are all required to tell you about the possibilities that may occur.  The worst for me is a "leak".  From what I understand (I again refer you to my disclaimer which states I am not qualified to apply a band aid) sometimes (about 1 in 200 cases) the staples/stitches at the top of the newly formed sleeve break open and gastric juices can leak into your abdominal cavity.  This can lead to all sorts of problems, the most drastic being death.  I continue to tell myself that everything is super dooper and that I will be just fine.  Ohmysweetbabyjebus I hope so!

I also paid the surgeon and anaesthetist today.  WWWHHHOAAAA!  I wish I had worked WAY harder at school if that's the kind of money they make in a day... And I'm their 3rd operation! 

Monday, 4 July 2011

Disclaimer

I had a thought today that I should probably put a disclaimer on this blog since it is publicly accessible.  So here it is...
I am not responsible for any choices that you may make for yourself.  I make my own awesome decisions and if they are right for me, yay.  If they are wrong for me, shit and whoopsiedoodle. 
I have done significant soul searching and research and spoken to many, many medical experts in this field before making this decision which I believe is right for me (not for anyone else out there no matter how awesome you are).  Before you make you own decisions regarding anything to do with any of the content contained in this blog, you should do the same.  Additionally, anything that I eat or say that I have eaten is not a suitable diet for normal people.  It is a diet that has been designed for me, by a qualified dietitian to suit the needs of MY situation, not yours... So get your own situation.
This blog is intended for entertainment and update purposes for my friends and family all over the place and to save me a gazillion dollars in phone bills and re-telling the same stories over and over again.
You are only allowed to use the photos on this blog if you intend to photoshop them to make me look even better than I already do (ha!), or raise money for starving children in Africa.  Otherwise, no dice.
I will not be liable for anyone out there who takes the information from this blog as medically sound.  I'm not even qualified to put on a band aid.

Amen.

Easy!

Maybe I'm just having a good day but I think the shakes thing is getting easier!  I just get up, have it and get on with keeping busy for the day!  Yesterday I only had 2 shakes all day.  Protein and veg for dinner so I skipped the shake.  Lots of water helps to keep the nauseous feeling away if I am hungry.  I'm also having miso soup (which is allowed) to keep me feeling full.  After a week on the dreaded diet I am 4.5kg down.  Nice.

6 days and 7 sleeps to go until d-day...  Nervous! 

Sunday, 3 July 2011

The weekend

All progressing relatively well.  My body has rid itself of carbs and the boundless energy stores are coursing through me making me look like a psychotic child with ADHD.  At least it's only the husband to annoy!!!

On Friday I went to visit a friend at the hospital that is doing my op.  The minute I walked into the foyer I broke out in a sweat and began to panic.  As I get closer to the 11th it is becoming more and more real.  I'm going to have to remind myself of the bigger picture and to bloody breathe and stay calm.  It is pretty daunting though.  I'm just glad Ben will be there to hold my hand and keep me calm and focused.  He's good like that.  We balance each other I think.

Last night we headed up the road for a BBQ with the Hendrie's (thanks for having us Luke and Kel!) I spoke to the dietitian during my consultation and asked if I could have just one night off the dreaded pre-op diet.  She said yes, but told me to try and be sensible.  In other words... Dear bull, when a red flag is waved at you could you please jog carefully towards it and don't hurt anyone. 
We had a delicious steak and salad dinner and I made my first ever potato bake.  I was SO excited at the prospect of potato bake.  I haven't had it in 5 years I recon and I tell you what, yummo!  There is something so good about cream, potato and bacon together.  A few vodka's and some horrid traditional cloudy scrumpy we called it a night.  

Back on liquids again today.  

Thursday, 30 June 2011

One last thought for today...

This pre-operative diet is like saying to an athlete...
In 2 weeks we are going to have to amputate both your legs.  You will never walk, run, skip or prance again.  So if you wouldn't mind taking a seat now, that would be great.  

I'M SO HUNGRY!!!!!

Because my diet is/was so high in carbs the dietician allowed me 200g (maximum) of protein a day to cope with the hunger.  It's not fucking working.  I AM STARVING!  All I can think about at this very moment is turkish bread with bacon, banana and cheese (toasted), and potato scallops, and a soft serve from Maccas, and m&m's and dim sims and sushi and and and and and and.  I'm going to get another awesome carrot.  Kill me.

The Before Photo

Everyone loves a good before photo!  I'm going to take new photo's each month and upload them to monitor the progress as I slowly diminish! I probably could have run a brush through my hair and put on a bit of lippy but I relied on my natural beauty -  obviously a foolish choice!  Actually I didn't even think about it.  The before photo's are always hideous so these are, in actual fact, spot on!





Days 3 & 4

I've had a couple of friends staying with me for the last couple of days.  It was so wonderful to have them here, and it made my days SO much easier to get through - thanks Lisa and Tara for helping to keep me occupied!!!  We had lunch out yesterday, I enjoyed my salad (with v.small amount of grilled chicken) and wasn't too worried about missing out on the good stuff.  I reflected on the fact that I usually would have ordered a burger with chips and an ice coffee.  That's a loooong way from my salad!

I am still consistently verrrrry hungry.  Anything I eat only fills me up for a half hour or so and then I get a growling in my stomach and feel nauseous again.  My current diet is as follows: Breakfast - optifast shake, morning tea - juice (with onlly 2 pieces of fruit total), lunch - shake and a salad, afternoon tea - fat free soup made on water, dinner tiny amount of lean meat (less then 150g) and veg, dessert - shake and a sugar free lolly. I've had a headache for the last 3 days too.  Nothing unbearable, just a constant tightness all over my head.  I just have to keep thinking about the bigger picture.  This is only for another 10 days and then it's surgery time!!

I've been making a juice to help recover from surgery. I'm allowed 2 pieces of fruit a day and after some searching and asking around, it is comprised of: Pineapple for bruising and swelling, ginger for nausea, orange for vitamin c and apple/watermelon for flavour.  I really look forward to it every day!  I'm also taking zinc to boost my immunity and strong doses of multivitamins too.

I finally go word that APRA has approved my case today.  Very excited about that.  Not that I was worried but coming up with a rather large amount of cash when you have a great whopping mortgage is a little hard!  So now the financial side of things are covered we are good to go!!!!

Tuesday, 28 June 2011

Day 2

Ok so I'm still hungry, but at least it isn't as bad as yesterday.  I've been super busy today which has helped.  I didn't lost 5 kilo's overnight about but I expect a massive drop, say 20kg by the end of the week.  Pfft. 

I tried to reason with the dog this morning that just 1 piece of toast would be fine.  I could exercise it off this arvo, but no dice.  The ears were back and she growled at me.  Even she is against me.

I'm going to do measurements tomorrow and post them.  Right this minute, I'm starving so i'm going to go and get a carrot.  Awesome.

E

Monday, 27 June 2011

Day 1

I'm hungry.  The kind of hungry that can't be satiated.  My food intake today has been 3 shakes, 2 pieces of fruit and a salad with 100g of chicken and a small boiled egg and about 3 litres of water to curb hunger pangs.  I realise some people exist on this all the time but not this little black duck!
I think i'm going to go to bed early to get over the hunger.  Tell you what, I'd better have lost 5 bloody kilos by tomorrow or i'll be cross. 

The beginning...


 I have put much thought into this decision and reconciled that it is the only option if I want to live a healthy life and if I want to have children.  My family and friends are so very supportive of my decision.  I thank them for that.  It does, however, sadden me that only one person has told me that they like me just the way I am.  My boss.  A 43 year old male.  The only person.  Shame on you all.  You haven’t upset me, but I won’t forget.  It doesn’t always occur to people to say they like you the way you are and you don’t need to change, but when he did, it touched me. 
 
I have always had a healthy appetite.  I remember at the age of 8 or 9 going to sleep over at my neighbour’s house. My friend, J, called me a pig and exclaimed in front of her whole family that I ate just as much as her dad did.  I didn’t see a problem.  Didn’t everyone eat this much? At that point I wasn’t overweight.  I was a very active child and I did dancing and singing and netball and softball and little athletics and rode my bike for hours every afternoon.
 I remember always wanting more.  More of anything I wasn’t allowed to have.  I remember getting up in the middle of the night to drink Coke out of the fridge because we weren’t allowed to drink it.  I remember hiding in the pantry to eat biscuits I knew I wasn’t allowed to eat, I remember going over to the neighbours houses to get something to eat because I had been told that I had eaten enough.  When I turned 11 the food began catching up with me and I became bigger than the others.  But I didn’t see it.  I do now, when I look back on photographs, but back then I thought I was just like everyone else.

I only recently began to think of myself as fat.  It may shock you to hear that.  I’ve always known that I was bigger than others, but only a bit bigger. Surely.  I have always had a very healthy level of self esteem and self confidence.  My larger than life personality and straight shooting tongue got me through many situations where I may have been taunted for my size.  I could always walk the walk and talk the talk and always managed to fit in, no matter where I went.  I suppose my size made me a little intimidating to others.  This matched with my loud, sometimes obnoxious, voice made sure that the attention was off my size.   

So this is my blog.  This is day one of my pre-operative diet to shrink my liver.  This is it.  I have no idea of what lies ahead but I know that I needed somewhere to tell my story.  It’s going to be blunt, it’s going to contain bad language, but most importantly, it’s going to be an honest recount of my journey.  I hope that it serves as an entertaining and amusing blog for interested parties.  I hope that people in a similar situation can share their experiences and give me advice, but most of all I hope that I make it through the first 6 months!

E