Monthly Archives: June 2018

Go For Launch

There, I think that title says it all really. Ok, maybe I should add some context to that. Well launch procedures run on countdowns and in a way so have I. with all this surgical stuff. I should add here said countdown got paused for a bit, and by a bit I mean a month as my op date was somehow double booked, but whatever. It’s happening and it’s getting pretty close now.

The last pre-launch checks have come back clear too, and by that I mean I had my presurgical assessment last week. Now I was intending to write about this sooner, but I didn’t get a chance on the day and since then I’ve had laptop troubles. Anyway, back to what I’m meant to be writing about …

I’ll spare you the travel details down to the hospital, though I did find a way there that didn’t involve tube trains, a good thing as my last outing on one of those triggered a meltdown. All in all i got there with no problems, everything ran on time (amazing given the present rail chaos at the moment) and I was miles too early for my appointment. It must have been a quiet day though as I had the waiting room to myself and we got on with stuff pretty much right away.

park

(Here we are again)

Tests were done, quite a few at that. I had my height, weight and BMI checked. (5,9″, 11st, 22.7 for anyone interested) Hmm, seems I’ve lost an inch somewhere. Blood pressure was next, 120/70 as usual. It’s no secret that HRT raises blood pressure, happily in my case this has meant my blood pressure is boosted to where it should be for a normal person.

had a chat with the nurse about my medical history, any family medical history of relevance and my health in general.

MRSA swabs were next, a new thing for me. Basically a cotton bud was rubbed around the inside of my nose (which tickled), and then the same for my groin. Thankfully I could do that one myself and only involved putting the thing in that crease where your leg meets your body.

Blood tests were next. I’ll spare you the usual minor freakout I had because I can’t handle the sensation I get from feeling a needle go in me. Blood tests were for the usual things, like liver function, making sure I wasn’t anaemic and so on. Also useful for figuring out my blood type, necessary, just in case a transfusion is needed (unlikely, but it’s a possibility with this surgery).

Finally came the ECG, or echo cardiogram, yeah, that thing where they put half a dozen sensors on you and wire them to a machine to check your heart rate. It’s something that according to my nurse a lot of people hate. I’m not bothered by it, I’ve seen them done before and knew the procedure. Here’s a fun fact. My reaction to needles is so strong it nearly wrecked this test. it took us a while to get a clean reading.

And after all this fun I had the final glamorous task of going off to wee in a bottle for yet more tests before going for a sit down before moving onto part two. this would be with a lady called Iffy. I’d been in contact with her over the past few months in the run up to this. She’s got a reputation for being a brilliant nurse and I had heard a lot of really good things about her from other trans women.

With Iffy we went through the hospital procedures, timetable, what to expect and so on. This is good because a lot of unknowns were sorted out and I am a bit more relaxed now there’s a structure to things. We went through admission day, surgery day and the days after, before going through the big reveal day and dilation procedures. Things I learned?

  • I get fragmin injections to look forward to each day I’m there (more needles).
  • Nil by mouth after midnight and I have a nice enema to look forward to at 6am
  • I’m going to have emla cream prescribed so I will cope better with the canula/anaesthetic procedure on the day.
  • I can get up and about the day after surgery and providing there’s no issues I can go wandering about and can even leave the hospital during the day to go to the local cafe if it takes my fancy, provided I let them know where I’m going of course.
  • My catheter will be taken out at midnight on the day I’m due to go home.

Once home it’ll be a case of eat, sleep, dilate three times a day, repeat for the first 8 weeks before dropping dilation down to twice a day if things are well and no doing anything strenuous for 6 weeks.

Am I nervous? A bit, but as I said to Iffy that won’t really kick in until the day before, when things actually start happening, at which point I’ll probably skip nervous and go straight for panic attack. To be fair, and as Iffy said, I’ve never had an operation before and I’ve chosen a biggie for my first. We’re going to be doing something that’ll basically punch a big hole in the most powerful muscle in your body.

Do I have any doubts? Is this what I want? Two questions that I have asked myself occasionally throughout transition. I’m not afraid to admit that. Questions that I answer with a counter question; Am I happier now? To which my entire mind screams out “Fuck yes”. It’s nice to have consensus for a change.

Mission Control? Resume the countdown. We are go for launch.

eva

(Eva 01 launch sequence, from Neon Genesis Evangelion.)

 

 

 

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