Thursday, August 26, 2010

Day 8- Post op Meta- August 25th, 2010

Today was Travel day.

Robin came and got us early in the morning to drive us 2 hours away to the Airport in Colorado Springs. I was nervous about the ride because sitting is still a sensitive thing for me. I had my inflatable cushion and foam cushion. I tried to use both of the cushions in the car and that worked well. I had the foam one on the bottom and the inflatable one on top. When we reached to the airport the only thing I wanted to do was urinate but with the amount of fluids I have been drinking that is to be expected.

When I went to the Airport bathroom I noticed that my penis was starting to stand out more. I was excited about this at first then realized how uncomfortable my choice in underwear was.
I decided to wear Jeans shorts home and since the "Manties" are thin I didn't think that would be great for travel so I decided to wear briefs to hold the pad in place with boxers over it. The briefs were comfy but the pad kept rubbing against the head of my penis which was hyper sensitive. It made me keep adjusting. I ended up ditching the pad before I even got to the plane and was temptend to just rock out with my cock out in the boxers but decided to try and work with the underwear.

Walking was okay for the most part. At times I would get tired because it was more walking than I have done since surgery. The Ramps in the airport were a pain because the incline would trigger tenderness. I was lucky that I planned my pain medications very well so that I would be able to take a pill before each flight. (I had a connecting flight).

When I got on the plane I was a little nervous about the sitting because my wife was to my right and on the other side of me was a guy who was sitting with his legs open (he was in the aisle seat) so I felt weird to sit with mine open too because then our legs would be rubbing.
At first I tried sitting on both cushions but then the seat belt was too tight on my stomach which has a tender spot from where the suprapubic catheter was. I decided to just sit on the inflatable cushion which I only half inflated so it was more "squishy". It was perfect and I was fine the whole plane ride.
We had a connection in Texas and our flight was a little delayed which was annoying but we still managed to get in on time so it all worked out.

Being home feels great. I was actually able to get a good look at the underside of my penis and at my overall penis in general because i have a big hand mirror that is double sided and one side magnifies stuff so you can see detail. The underside of my penis is still swollen. I can also see some of the stitches still there. Seeing this remind me that even though I am doing well so far I still need to take it easy in order to continue to heal well.

I am urinating fine. I don't feel any issues with my bladder or urinary tract but there is a weird sensation as the urine is exiting my body but I think that has to do with the swelling and tenderness. I will watch it. I am trying not to be overly nervous but I also don't want to overlook any potential issues.

Im really tired and still haven't gone to bed yet. I'm going to go do that and if I remember more I will add a part II.

Tuesday, August 24, 2010

Day 7- Post-op Meta- August 24th, 2010

It has officially been one week since I have my metoidioplasty with Dr. Marci Bowers in Trinidad, CO.
This morning when I woke up I went to urinate and I felt inspire to try peeing directly facing the toilet instead of "hovering".
I started out pretty slow and my bladder was so full I just had to stop. I tried again the next time I had to pee and I started off ok. What I did notice was that due to my penis being swollen along the shaft (especially the left side) my penis leans to the right so my stream was going more to the left. As I started to urinate it went into the toilet but as the stream got stronger it started going left which was a little messy. My penis is still too tender for me to completely hold it so I just leaned my pelvis forward as far as was comfortable since I still had the suprapubic Catheter.

Once the office was open I called Robin at Dr. Bowers' office to let her know that I was urinating without issue for the past 24 hours. She told me what time Dr. Bowers wanted me to come in.

Janet came to get me so that I could go see Dr. Bowers about getting the suprapubic catheter out.

Dr. Bowers came in to see me and I told her how it has been urinating. She once again assured me that as the swelling goes down the more forward my penis will be and the easier it will be for me to pee standing holding my penis.

Dr. Bowers cut the stitches that were holding the suprapubic catherter in place. When she took it out the part that was in my abdomen had a thick, dark, nasty clot of blood in there which definitely explains why it wasn't working. When she took out the suprapubic catheter it was so easy and didn't hurt! She cleaned me up from the crusted blood and goo. She gave me a hug and told me that she would see me at SCC in a few weeks. She also told me if I had any problems to be sure to call right away!

When I started walking out of the room I felt like a new man I didn't realize how much of my discomfort from walking had to do with that catheter.

As I was leaving the office I said bye to Janet because it was the last time I was going to see her before I flew back home.
Robin was taking me back to my room and she noticed how much easier it was for me to get in and out of the Car. She reminded me not to overdo it and to take it easy.

For a week post op I feel GREAT. If I really needed to I feel like I could return to work next mondy. I don't plan on doing that though because my body needs more time to fully heal. I won't lie... getting in and out of bed still triggers soreness along my incisions from my vaginectomy. Also sitting is not so comfortable. For short periods of time I don't need a cushion but for long periods of time I am too sore and tender.
Peeing induces some soreness if I wait too long.
Walking is getting easier but if I walk too fast the rubbing irritates my penis so I have to modify how I walk a little to walk comfortably.

I noticed this evening that some of the swelling around my penis is going down so it as extended some which makes me happy. It definitely verified for me what Dr. Bowers told me about how the initial swelling can cause some temporary retraction of the penis. I look forward to my penis extending further as the swelling subsides.

I can't believe how happy I am with everything. I knew I would be happier post op but I didn't know I would be this happy.

I fly home tomorrow. I am not looking forward to the long periods of sitting involved in my trip home but I am sure I will be fine. I have an inflatable cushion and a foam cushion so we shall see what happens.

That's all for now.

Monday, August 23, 2010

I can do it when I put my mind to it!

I am doing a happy dance because I work full time, run my own trans clinic, am married, a Father, I play sports on the weekends, had someone cut into my penis during finals and I still got an A in my economics class!

The sky isn't the limit... the universe is my playground!

Day 6- Post-op Meta, August 23rd, 2010

From early in the morning I knew today was going to be a good day.
Around 1 AM I went to the bathroom and had a BM. I felt amazing after that! I took a quick shower then was off to bed.

My wife and I woke up around 7:30AM. Though we didn't have to be anywhere til 12noon we were up. We went to get breakfast. I was walking a little stronger and felt a little better thanks to that 1AM BM.

We took our breakfast back to our room and had a nice family meal. I had another BM after breakfast SCORE!

Robin came around 11:45Am to get us for my 12noon appointment with Dr. Bowers. When we arrived to Dr.Bowers' office there was one woman who we went to dinner with he other day who wa coming in for her last post-op visit before she flew home. We also so another patient who was preparing for surgery tomorrow and the woman who I met online prior to surgery who had surgery the same day as me. It was interesting to see the different people.

Robin gave me the OR report that I needed to get my birth certificate sealed in my birth state. I was happy about that. I was then escorted to an exam room to wait for Dr. Bowers.

Dr. Bowers came in and we spoke a little about how I was feeling. She saw that the urine in my catheter bag was neon Orange which it is supposed to be due to the bladder medication I was taking.
She had me sit on the table with my legs spread. I did it without feeling any discomfort because I knew there was no vaginal opening there to trigger my dysphoria.

She checked the base of my penis to see if the Foley caused me to pop any stitches which I know guys have had issues with in the past. Luckily things were on the up and up.

She said that she would like to take out the foley today and see if I could urinate through my penis. We discussed this because there were different pros and cons to taking out the foley this soon. I felt good that she made it a discussion to take my feelings and concerns into consideration before a decision was made. Due to how my body heals and how things have been feeling I felt it would be fine to take it out sooner rather than later.
She took it out and I felt so much better instantly to not have that in my penis. My penis was still swollen, tender and really sensitive. The room had a hand mirror for post op patients to check out their new genitals. I looked at how things looked without the Catheter there. It looked amazing. I was very happy though things were swollen, draining and still a little scary looking which I expected from having seen other guys post op genials.

Dr. Bowers told me she was going to leave the suprapubic catheter in just until she was sure that I could be 100% through my new penis. She told me to drink lots of water so that 1)My urine won't be as acidic and 2) so that my new urethra gets a good work out before I leave.
I am also to try and urinate at least once every hour. If I am able to successfully urinate through my penis then tomorrow I will go back and get the suprapubic removed. Even though the suprapubic wasn't working since day 3 in emergency cases it is best to have that than foley.

She had me get dressed which was far easier with the foley gone. Walking was also a little bette. Though my catheter bag was full when she removed the foley I still felt like I had to pee. This was my first test. I went to the bathroom and tried to hold my penis so pee standing but it was too sensitive and sore. I decided to "hover" facing the toilet for now til some more swelling and tenderness was gone. I almost peed on the back on the toilet because of how much of a strong steady stream I had. I was happy about that. I let Robin know the first attempt was good since Dr. Bowers was heading to see another patient.
Janet came out to take us back to our room. On the way back we stopped to see Carol who runs "The morning after house" for Dr. Bowers patients to stay at if they choose. My wife and I met Carol a few years back while she and Dr. Bowers were still romantically involved. It was nice to see her.
Janet then took us to our room at which point I felt the urge to pee. I did the hover thing again which worked fine but again I had a strong stream and the urine was definitely coming out the tip of my penis. Another BM which made me feel even better. I decided to take a shower just to feel extra fresh. While I was in the shower again I felt the urge to pee so I did this time trying to aim. My aim was a little off so I need to work on that. Since then I have been hovering and trying to aim my pelvis since my penis is too tender to aim.
Everytime I go to pee it is easier and feels more natural to me. I am very happy that my urethra seems to be working without issue.
I am definitely on cloud 9. Everything already looks pretty good but I know once the swelling goes down things will look even better.

Day 5- Post-Op Meta

Day 5 was very uneventful.

We slept in today. It was the first day since surgery that we were all able to sleep right past breakfast. If it wasn't for the cleaning woman coming to check if we needed towels we probably would have slept a few more hours.

Even though we missed the hotel breakfast we were okay. We had cereal and soy milk as well as fruits so we were able to have a nice little family breakfast in our room. I guess as much as can be expected.

Today I felt the same in terms of soreness and stuff. I am on pain meds every 8 hours though if I had some motrin or extra strength tylenol that would really suffice.

Walking is getting easier. Laying down is still best. Sitting is a hit or miss when it comes to comfort. I spent most of the day in the bed resting but then I had to stretch. When I got up I was achey because I was in the same position too long. Once I get home it will be easier because I will have different furniture options that I think will be more appropriate for me comfort wise.

I didn't have a bowel Movement today so I felt a little more discomfort because of that. Going from being pretty "regular" to no BM for days on end takes some adjustment. Hopefully I get back to being regular soon! I know that will help with my overall feeling of normalcy.

I also spend part of the day trying to get my gifts picked out for Robin, Janet and Dr. Bowers. I know what I want for each of them but they probably won't get it til after I left. I was looking forward to them getting it before I leave. Maybe I can still swing it! We shall see. They have all been amazing. Completely above and beyond what I expected which is why a "Thank You" gift is warranted.

Tomorrow is my appointment with Dr. Bowers. I am excited because hopefully things go well and I can get this Catheter out soon! I am looking forward to also seeing my penis "unleashed". Things have literally been under wraps since surgery. Though some of the wrapping has come off the full effect isn't there yet between the Cather and the extra stitch to hold my penis in position for proper healing.


I look forward to blogging great things tomorrow!

Sunday, August 22, 2010

Day 4- Post Op- Meta, August 21st, 2010 - Part II

I rested some more once I was in the room again. We decided to rest which resulted in a "family nap".
It felt good for all of us to just get some nice solid rest!
After the nap we were watching Television and the room phone rang. It was the woman from the Trinidad support group inviting us out for dinner. She was at the Morning After house for Dr. Bowers patients. We didn't stay there because it was full but she decided to stay there for the rest of her time here. She said that she met some other amazing folks and they would come get us since they know we don't drive.

We made the plans and a few hours later we were getting picked up for dinner which was awesome.
It was great because we were starting to get sick of the hotel room.
My wife took it as an opportunity to wear something nice. I wore pajama pants and a T shirt. My wife ironed them and since they matched I looked half way decent.
We had a good time. There was the woman who had surgery the same day as me as well as 3 other ladies. One had her mother with her and another was an 18 year old girl who had her father with her.
The girl who was 18 I remembered seeing her at the hospital walking around in pain but I didn't pay to much attention since I was focusing on my own surgery that day and waiting to be called in. She and her father remembered us because they remembered talking about how cute my daughter was.
We all talked about where we were from, what we do and things of that nature. It was a good time.
Right before our food came Dr. Bowers walked into the Restaurant with her son. We were near the front o we saw her while she was waiting and she waved hello to us. She came over to me and asked me personally if I was okay after everything that happened yesterday with my Catheter. I told her I was fine, she seemed really concerned and I smiled letting her know that I really was okay. She said well if I am fine then she is fine. Her table was ready so she told us to have a good time and she was seated.

The woman who had surgery same day as me and I were the "freshest" ones so we both started to stir from sitting so long. The other women were just about to leave town and no longer had Catheters. They had healed enough that sitting wasn't as much of an issue. It was funny being the only guy at the table that had surgery but we all had this weird unspoken bond that allowed us to connect like we were old friends. We exchanged contact information and planned to keep in touch since we had some common interest. One of the women only lives about an hour away from me so we may run into each other again.

It was great to get out and have good food, good fun and good conversation.

I was feeling so great I forgot to take my pain medicine. I am to take the percocet every 3-4 hours as needed but I have been taking it more like every 6-8 hours. I really don't need meds that strong anymore but that is all I have.
On Monday when we are out in the town I plan to get some Motrin or extra strength Tylenol since the percocet is just over kill. Even after sitting for almost 2 hours at dinner I still wasn't in much pain it was more just uncomforable.

I am happy that I am healing well and not needing pain medicine as much. That will definitely help alleviate some of the constipation and allow me to be more alert during the day.

Saturday, August 21, 2010

Day 4- Post Op- Meta, August 21st, 2010 - Part I

I know the day isn't over yet but I figured I would blog early and if anythign add a part II.

I woke up this morning feeling good. I checked my catheter and my urine was kind of orange. I didn't freak out because the antibiotic for my bladder (phenazopyrid Aka pyridium) makes your urine and sometimes stool change color. I have been drinking lots of water so in general I feel more hydrated and alert. The suprapubic cath is just there. Not causing any issues.

I still felt like I ad to poop. I took the milk of magnesia drank a bottle of water and walked around the room. I then sat on the toilet in the most comfortable position possible and took deep breaths. After a few minutes a big stool came out then things started moving. The big one didn't cause pain which I was expecting but it caused pressure. I was making all sorts of grunting noises and yelling Amen at how good it felt to have the relief! I sat there for a few more minutes allowing the rest to come out. I then decided to take a shower just to feel extra fresh.

After that shower I felt great and was up for a walk. My wife, daughter and I went for a walk around the motel property. We took some pictures then went to the business/ guest center for the hotel while they cleaned our room. The weather is beautiful today. Not too humid but warm and nice.

While we were walking I got a call from Dr. Bowers' personal cell checking on me. I was expecting Robin or Janet to Check on me today but it was nice that Dr. Bowers herself checked on me. She apologized that I ended up with the foley but was also optimistic and reassuring. She told me to make sure to continue with my meds as instructed and she would see me monday. She told me any problems to call her cell immediately and/or call Robin. That made me feel really good that she was there in case of emergency.

I continued my walk feeling good. I didn't want to over do it so we decided to go back to the room. I took my meds as scheduled then took a nice nap.
Today is a good day so far. I feel stronger with each day and the aching and soreness get a little better each day. Sitting and getting in and out of bed are the most uncomfortable still be both are getting easier.