KarMel Scholarship 2008

 

Personal Story

“Self Construction”

By Jordon Leigh

 

 

Desciption of Submission: “This is a detailed first hand account of my personal experience undergoing a mastectomy, also known as female to male "top surgery". - Jordon

 

We were supposed to be at the hospital at 8:50am, so naturally we arrived in actuality about ten after nine. I got up at 5ish in the am after a restless night's no sleep, but it takes a while longer for two people to get ready, than for one. We were on our way shortly after seven, but there was of course the morning rush hour to contend with. And even with the designated parking garage, we barely managed to find parking. We ended up on the roof.

Happily, the hospital was in a great location at the end of Divisidero and the beginning of the Castro. Unknowingly, I had driven past it many a time.

I was nervous about being late, but the Asian girl at the registration desk had a genuine smile and the building was comfortable and quiet. Favorably reminiscent of the Petaluma facility. She had me sign a couple more forms and I handed her the check that the loan company had conveniently made out to them in precisely the right amount. I was amazed at the ease of the whole transaction.

She then led mom and I up to the first floor and my hospital room; which was 107. Mom decided the number was lucky, because she likes sevens. There were two beds, but surprisingly no other occupants. So I presume she was right.

The woman from registration instructed me to change into the dreaded hospital gown and put my clothes in the closet, then departed. Two nurses showed up shortly after to take my weight and give me my hospital bracelet, etc. One of them was fairly maternal, while the one with the (Scottish?) accent appeared to be all business, but she warmed up to me after a time. For my part, I was in a generously jovial mood, so they stood little chance against my charms.

The one with the motherly air, Sally, did a spectacular job of inserting the I.V. She got it in first try with no bruising or entry wounds left at all. She did, however, maliciously put me in tights. "To prevent bloodclotting" was her paltry excuse. The liquid from the I.V. - which was some relatively benign saline filler for pre surgery - caused a scent at the back of my nose and throat reminiscent of rubbing alchohol, but was not unbearably strong.

The nurses were soon supplanted by the surgeon, who made some quip about leaving the ties on my gown undone because they were coming right off. He briefed me on a few things which I was already familiar with through my research. Unlike most professionals who always assume to be more informed than the layman who's living the subject of their studies, Dr. Brownstein acknowledged with no surprise my grasp of the process. He asked if I was nervous, to which I responded, "a bit", which he acknowledged was natural. He then asserted that he, on the other hand, wasn't nervous at all. Which we concluded was good.

Brownstein told mom she could wait either there or the waiting room and he'd look for her to bring updates on my condition. She asked how long the procedure was likely to be and he said possibly three, but likely just two hours.

He departed, and in the interim I apologized to mom for putting her through this, because moreso than eagerness and a small amount of anxiety I was feeling some guilt for the stress I was causing her. She smiled and laughed though, and after a brief exchange of words I felt exquisitely reassured. Which is good, because then a woman showed up to take me to surgery. I was slightly annoyed to be wheeled into surgery on the bed (as opposed to walking) but mom was able to come along and there wasn't far to go.

Down in the surgery center they placed my bed between a couple of curtains and gave mom a chair to sit on. The anesthesiologist - who introduced himself as "Mr. Hom; h-o-m" - and a redhead named Mark appeared then to ask a few more questions about my medical history.

After which I said goodbye to mum and they wheeled me into the operating room. The room was white, and had only one other person present at the time; a woman with a good smile, named Jill. Who's name I inexplicably remember in spite of interacting with her for the least amount of time.

Mark was chatty, but not irritatingly so, and when he heard I liked to draw he told some story about his cousin once cataloguing the events of a camping trip through cartoons drawn on bubble gum wrappers. I slid over to the narrow operating table and they placed a few more blankets over me to compensate for the cold temperature. There was a plastic extension to each side of the table on which they had me extend each arm. Mark placed an abominable hair net on my head, but I forgive him because he subjected himself to the same.

Mr. H-o-m Hom also had an amicable demeanor and did an excellent job of explaining everything that he was doing before he did it, which I thanked him for. I told them all that I didn't ordinarily let strangers see me sleeping, and I was putting a lot of trust in them. H-o-m Hom told me when he was about to turn on the anesthetic, and that it would take about 5 seconds to work. So I told them I'd see them later and shut my eyes. And opened them, and shut them again. Blinked a few times, and then woke up back between the curtains to a blurry woman telling me it was all over.

I felt a wave of euphoria. I also felt very groggy and wanted to go back to sleep, but I remembered someone saying earlier that they'd keep me in this place for monitoring until I was fairly alert, so I forced myself to keep my eyes open. Which was a pain in the ass but worked like a charm, and after a few minutes they were wheeling me back up to my room which was mercilessly still otherwise unoccupied, albeit for the unapproved lack of mom. She had gone to the cafeteria for a bite to eat while I was stuck in after surgery observation, and apparently wasn't expecting me back so soon. I tried to rest, but by that point I'd successfully shaken off the grogginess and found it impossible to go back to sleep.

The maternal Sally came in to let me know she was going off shift and passing me off to Susanne, who was (impressively) equally pleasant. Susanne brought me crackers, water, and some very good apple juice (I'm ordinarily not a big fan of juice). I ate a couple of crackers and drank the water and juice, and noted that I didn't have even a hint of nausea, which is said to be a common side effect of anesthetic. The pain was also fairly imperceptible, though definitely increasing as the drugs wore off. When it got up to "4 out of 10" they gave me a low dose of morphine to tide me over until my prescription was filled.

I couldn't sleep but I rested. Nurses kept coming in for one reason or another. One introduced herself as the person in charge and asked me to evaluate my stay and the quality of my service. After a while I used the restroom, which is something they like to see after surgery because it confirms that all systems are functioning. I was a little dizzy/wobbly at that point, but not much. At 15:00hr they gave me an antibiotic through the I.V.

It wasn't at all long before Susanne came back and helped me put my clothes back on and invited mom to fetch the car while she wheeled me to the front. I hated to be wheeled around, but Susanne drove the wheelchair at a quick clip and it was actually kind of fun.

I asked Susanne how long she'd lived in San Francisco and we chatted comfortably until mom showed up. Susanne smiled and waved when we drove off, which was close to 5 o'clock. I was feeling sore, tender, hungry, and tired but too awake to sleep. I had expected to be a lot groggier than I was.

I directed mom out of the city, but unfortunately we were leaving exactly at rush hour again so we stopped for coffee and bagels and decided to take our time. Of course it doesn't take that long to eat a bagel, so within a half hour we were back in the deadlock. I was experiencing moderate pain and discomfort because the morphine had worn off and I didn't want to take the pill Susanne gave me for the road so I could stay alert in case mom needed help. So when my sister rang my phone I answered it, and she served a very effective distraction.

Around 6pm the traffic picked up a bit, and then we plunged head first into an unidentified debacle that shut down the freeway for miles.

We sat at a dead stop watching motorists picnic and play kickball on the freeway. Some of them wormed their way out of the lanes and backed up to preceding offramps. The vacated spaces allowed for us to move forward fractionally, which in an hour brought us along side an onramp upon which traffic was exiting. We couldn't see where they were turning around, as the traffic still extended in front of us well into the distance, but there was room to pull out of line where the onramp merged with adjoining lanes. Mom is not ordinarily an aggressive driver and doesn’t want to break laws, but I coached her that if anyone gave her trouble she could tell them that her kid just got out of surgery and really needed to get off the road and into bed.  If ever there was a time when we were validated for bending rules, it was then.  That gave her confidence, and we finally got out of there.

Of course, then we were lost. So we stopped at a shopping center and called dad for an alternate route. I also had to check my drains. During surgery, they left two tubes under my skin which connected to pouches pinned to my bandaging. The pouches are deflated and then stoppered to create a gentle suction which collects blood and other fluids from the wound site. I was supposed to empty them periodically and make sure that I wasn't bleeding excessively, so the delay caused some concern. Remarkably, though, I bled so little that instead of emptying them every few hours (as advised) I ended up doing it just once a day.

Another concern was that the surgeon was scheduled to call me at 20:00hr to check on my status, and I wasn't sure I'd have reception when he did. This proved to be a valid concern because I did lose the connection once, but mom found a spot to pull over and I was able to complete the call. When he asked how I was doing and I said, "surprisingly well" he feigned offense at surprisingly. "Your surgery went swell," were his exact words on the subject. He tends to use very positive adjectives in regard to my procedure, so he's either an optimist, or I was an especially excellent case.

We finally made it home around 21:00, well after dark, but several times throughout the ordeal I was curiously inclined to make bizarre proclamations like, "it's been a great day!"

 

 

 

 

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