Bye Bye Cysty

And just like that, it's gone. Just a few days after the outboard motor ultrasound and claustrophobic MRI, I was in the hospital bright & early, ready for the extraction.

One thing I've learned from all this, it's probably easier to go through surgery if you've lived a life of hard drinking and drug use. The tolerance has to help when it comes to shaking off the anesthesia. 

Surgery began at 9am and finished at 1:30pm when I was wheeled into post-op to sober up. I was the last one to leave post-op at 7pm that evening. The nausea - oh sweet baby jesus wrapped in a barf bag - thankfully they have *another* drug for that. I really didn't want to dry heave with a 4" abdominal incision that had just been glued together.

But I made it home, not just upstairs. There really is no sleeping in a hospital. Had to get home to my own bed. Just being home was a huge help in speeding recovery. That, and many many grams of vitamin C and a heating pad.

But, all went well - pathology came back totally normal - just your run-of-the-mill extra large softball sized tentacled mass of yuck. My friend Steph thinks it had probably been growing in there for a year or so. Hard to know, as they don't have rings we could count, but she might be right.

It really did turn out to have some tentacles - it had "adhesed" itself to several areas around my pelvis, as had my left ovary and tube. Not sure why that happened, but that was all taken care of as well. A lady parts spring cleaning, of sorts.

Definitely happy to have it gone - feels much better in there. Had them yank the stupid ovary too - that bitch's antics are done forever. But the stabbing pain in my right side every now & then is obviously her ghost, still kicking me.

If any ladies out there might be experiencing lady parts problems, I found these forums useful in learning what to expect before & after surgery. Enjoy.

• Recovery after ovarian cyst removal
• Recovery after ovary removal
• Recovery from laparoscopic surgery
• Top 10 Things Someone Learned from Laparoscopic Surgery

FWIW, my surgery started out as laparoscopic but they couldn't suck a 10cm cyst out of a .5cm incision, so they unzipped me at the bikini line.

They gave me the option of removing the cyst and ovary and sending that to pathology for a full workup, which takes a few days, or doing "quick pathology" during the surgery, which isn't as thorough, and if something seems awry, they'll yank ALL your lady parts at that time. To that I said FUCK NO - you take only what I've asked you to take and you leave the rest. If something seems fishy (get it? I'm hilarious), we'll deal with that one thing at a time.

Why are doctors so happy to eviscerate all our lady parts? Why is that even an option without really knowing what the fuck is going on? Thankfully I have a good doctor who totally understands, but was simply doing her job of informing me of all my options. If you need a good lady parts doctor in SF at UCSF, let me know. I love, love, love her.

So, here are the Top 10 Things I Learned from Open Surgery.  

1. Since it started with laparoscopic, I had all the CO2 pumped into me that had to be processed, post-op. Lots of belching. Lots. That lasted about a week. Super sexy. You'll be super bloated but it dissipates in time - at three weeks, it seems mostly gone, but there's still a lot of healing to go.
2. Hydrate yourself like a mo-fo. I didn't eat the day before surgery - no appetite - and you can't eat or drink anything after midnight the night before, so you're going to be incredibly dehydrated. That, paired with the narcotics = horrendous constipation (and more bloating! Bonus!)
3. Suppositories are your friends. With abdominal surgery, the last thing you want to be doing is, uh, straining. If it's just not happening, take the plunge, so-to-speak. My dear husband went to Walgreen's and bought me Dulcolax ass plugs and prunes and didn't balk. That's a good man. I opted for the suppository over a laxative, fearing painful cramping and panicky peristalsis, when really I just needed to gently start the process. It worked - fast and fairly comfortable - and I only needed the one dose to get on the road back to regularity.
4. Keep hydrating - you have to flush the anesthesia out of your system. For me, Low Tolerance Lucy, it felt like it took a few days. Jasmine green tea was very soothing and hydrating - am now addicted.
5. Peeing and pooping will hurt, before, during and after you go, but that's what the narcotics are for. Just breathe through it and then take a nap.
6. Speaking of narcotics, see if you can get something better than vicodin. Vicodin must be the scrapple of pain killers. I felt awful when I took it. Within a few days I started using codeine fizzies - effervescent codiene/acetaminophen tablets from the U.K. A milder pain killer, but isn't nauseating and doesn't make me feel icky.
7. If you have a recliner chair, you'll probably sleep better in that the first few days or so - getting into and out of bed will be difficult, and you'll be up a couple of times a night to pee. With all the swelling, your bladder feels full fairly often, and that hurts, which wakes you up. Your spouse won't get any sleep either. The chair is easier.
8. If you're like me, you may not have much of an appetite and may also have lingering nausea. I no longer drink soda, but Coke Zero was a huge help. Oatmeal & cream of wheat with a little honey (honey is a natural laxative, btw), mild chicken soup w/ busted up cappellini noodles or orzo (the protein in the pasta is helpful), whole wheat toast (yay fiber!)... you get the idea.
9. Move as much as you can, but listen to your body and nap, nap, nap, nap, nap. Moving around often helps your body process the drugs and helps minimize scar tissue. The sooner you're up & about, the sooner you're fully recovered. But don't overdo it... obviously. Baby steps. I was in pretty good shape before all this happened, and I felt like I was starting over from scratch. I got winded just shuffling through the house. But I felt 100% better in a week, then another 100% better the following week, and now three weeks later, I'm walking around the neighborhood, grocery shopping, doing light household chores - and also still napping. Still not back to normal, but pretty close. 
10. Vitamin C. As soon as you're eating anything, pop the vitamin C supplements. Vitamin C is the foundational building block of all connective tissue - skin, tendons, collagen - all that stuff. And it speeds healing. I took two 1000mg tablets with each meal - 6-8 grams a day. It can also help with the constipation - magnesium, too. I didn't take any of my other usual supplements - thought there was enough going on - just the C and magnesium. The supplements + the heating pad = fairly fast recovery. The heating pad increases circulation to the important parts - good stuff. And wonderfully soothing/relaxing.
11. Quick update - one more thing... as I'm finding out now, just over three weeks after having this done, the scar is now sensitive and a bit painful. The nerves down there must be upset - feels like that painful skin sensation you can sometimes get when coming down with a flu bug. Not sure arnica gel is any help with that, but trying that and Mederma. The fun never ends!

BTW, if you ask your post-op nurse about supplements, don't be surprised if she knows nothing about them or thinks 5-6 vitamin/mineral supplements a day is "a lot!" In my drunken post-op haze, I was chatting up the nurse and told her what I take every day (multi, C, magnesium, co-q10, b-complex, and D) and she said "That's a lot!" Um, no, no it isn't. It's hardly any, and I don't remember the last time I had a bad cold or flu or any cold or flu for that matter, but, you know, I'm not a doctor.

You're on your own as far as alternative healing/health information goes, but Dr. Mercola & Dr. Weil's websites have lots of good info. Also helpful, the book Ascorbate (easily found on Amazon) and Linus Pauling's book Live Longer & Feel Better (all about the benefits of vitamin C).

It gets better every day, that's for sure. Stay positive & laugh a lot - that's good physical therapy. Good luck, ladies.

10 x 14

Centimeters. That's the size of this cyst inside me. How many "large oranges" have you seen that are close to that size? I'm no fruit expert, but I'd say we're now in mango territory. This mango - not this mango.

Had another ultrasound this morning. Again, I'm no fruit expert, but I'm pretty sure the technician's brain consists of fruit salad. With the amount of pressure she applied to all the sensitive areas of my abdomen, she must have very clear images of the downstairs floor. I suspect she's also an avid sailor on boats with outboard motors, the way she was confidently directing the vag cam into even more sensitive areas.

She was very attentive though, telling me about her upcoming trip to Hawaii and how this time she's not doing any binge eating! Because she's pregnant. She did tell me to bring chapstick to the hospital and good hand lotion, cause the hospital lotion sucks.

They have signs posted in the ultrasound rooms explaining that you cannot ask the technician for any information about the results of your exam, as they are not physicians and cannot provide diagnostic information... Thanks for your cooperation!

The first thing she asked me when I arrived was, "Were you taking anything that may have caused this?"  Yes, it's a new supplement, I believe it's called CystMORE. I was skeptical of its claims to increase cyst growth by 400%, but I'm stoked it's working!

Later I had my first MRI - doctor wants to see this thing in 3D and check to see if any lymph nodes are enlarged. They shouldn't be, as I've not been taking my LymphMORE.

I'm getting tired of everyone else getting to ogle at my cyst while I haven't even gotten a peek. Can't wait to see the photos after they carve it out of me. It feels like it might have tentacles.

Gestating

That's right - I have a little something inside me...A little bundle of... well, not joy - fluid? Taffy? What's inside an ovarian cyst, anyway? Whatever it is, I don't think it will have my eyes and David's hair. David's mom wanted a granbaby, but she's getting a grancyst. It's the best I can do.

I wonder how long it's been in there, growing to the size of a "large orange," as my gyno described it. When does a "large orange" become a pomelo? How much longer could I keep growing this thing to make something really impressive?

Will it have its own teeth and hair? Will it have teeny tiny hands so it can drag itself around the house? I'm not gonna keep carrying it around everywhere. It's gonna have to become self-sufficient at some point.

I want a photo of it when they take it out - they can do that, right? I asked for a copy of an ultrasound photo, but they wouldn't give me one. You can get one of your fetus, but not when you grow something all by yourself? Isn't that discrimination?

Will I miss it when it's gone? Will I regret having it sucked out of me by a tiny Dyson? Maybe I should keep it and give it up for adoption. You know there's someone out there who loves collecting odd growths. eBay.

If I don't make it through the extraction, you know, in case they get my liver instead of this citrusy cyst, David will auction off my worldly possessions to the highest bidders and use the money to adopt more cats.

Fugging Hormones

Boy, is it fun being a woman in her early forties. All that's missing is the funnel cake and the Main Street Electrical Parade.

Every month something else changes - nothing is stable anymore. Just when I think I've adjusted to the new routine, it changes again.

There used to be a predictable schedule - recognizable events, which now are a jumble and occur at seemingly random times of the month.

No longer can I expect my face to asplode with fantastic zits a week before The Bleed - now it happens throughout the month, whenever it feels like it.

The Bleed starts, stops, then - Surprise! - returns for a day or so just in case I was starting to miss it.

No longer am I moody and depressed for just a few days before my period - now it's pretty much throughout the month. Most days, if I didn't have to leave the house for work or other critical reasons, like for coffee, I'd never change out of my fleece robe.

Now, in just the last couple of months, I'm having trouble falling asleep at night. Me. The one my family was certain had narcolepsy, the one who could sleep anywhere (and most of the time still can).

When I get into bed at night, tired and sleepy and happy to indulge in 7 hours on the Tempurpedic, I lie there wide awake. Thinking about nothing. Just awake. Not asleep. Not even close. Sometimes for over an hour.

And the newest event I'm not at all pleased with - one morning a few weeks ago I woke up soaking wet. That was neat. I'd been swimming laps in bed. Or maybe I'd just peed myself. A lot. All over. What a lovely way to start the day.

This is just straight up bullshit. All of it. I don't want any part of it.

I am not Suzanne Somers with limitless access to personal physicians who can administer delicious bioidentical hormones in the perfect amounts to stave this off for however long. That would be nice... I wonder if Blue Shield covers that.

For now, I stand in the vitamin aisle at Trader Joe's reading the back of the Estroven package unwilling to put it in the basket, thinking Not yet... I'm only 43... I can't need this... yet...

Hold on to your F*ing Hat

Lethargic

I've been in a physical/mental funk lately - feeling lethargic and run down and this past week I've had trouble finding the right words and three times over the course of the week forgot what day it was.

What I need is my own lab - how much does it cost to set up your own lab to run blood tests? Can't be that expensive. Have you seen some of the "labs" out there? Not so fancy. A centrifuge would be handy for separating the fat from roasting juices.

Mood Wheel

Boys have it easy. Except for adolescence, boys don't have to deal with an ongoing roller coaster of hormones throughout their lives that means each day brings a new mood adventure.

The cycle is always in flux, it changes with age and there's no warning. "Please note, in approximately 10-15 days you're going to start to feel some mild depression - more like a harmless mope. Remember, it's only temporary and due to an ongoing hormone shift. Thank you and good day."

Or it could just as easily be a notice that in a few days I'll feel especially giddy and that I should take full advantage of the goofy moments because those hormones will start to subside a day or two later. I'd like to know why it happens and have some forewarning. Just like the weather.