Couldn't update yesterday, so I'll do it today. Surgery is two weeks from today. Yesterday I had to have a surgery before my surgery. As Cookie calls it - a firedrill surgery! lol. With all the sudden heavy bleeding less than three weeks before my big day I pretty much had to make a quick decision. Typically I'm one who has to think about things, weigh the options, the pros and cons.. and generally give the human body time to do what it seems to do well - heal itself. But in this case, I didn't feel I had that option. The bleeding HAD slowed down considerably, but no guarantees it wouldn't start up once again in full force and compromise my iron levels - hemoglobin and hematocrit levels that are critical for both a major surgery and for healing from it. So uterine ablation seemed to be the only real 'option'. My ob/gyn had mentioned it as a possibility at my pap just a couple weeks prior, in the event the bleeding got heavier or annoying (oh boy did it get heavier), but I just tucked it away in my mind to think about 'later'. Until the damn near hemorrhaging began in earnest.
Typically they have you take Motrin every 6 hrs for 48 hrs prior to the surgery, give you a shot of Toradol at the time of surgery (and knock you out briefly with Propofol) , and you continue taking Motrin for two to three days along with pain meds. They offer Norco, which I didn't realize was hydrocodone (Vicadin) until I went to pick it up the evening before surgery. That shit gives me nausea and horrific nightmares. And Betsy, the nurse, also said since most people are on Motrin and have the injection of Toradol, that's usually sufficient pain management with Norco. But said without those, I'll need Percocet.
Now when I'd seen Debbie (melt-down) for pre-op, she warned me I'd have a LOT of cramping after this. I said, oh, that's okay... I'm ALREADY cramping. And she said, uh.... no honey, hate to tell you this, but it'll be a LOT more cramping and pain. But we'll give you meds. She's the one that had told me the sonohysterogram wasn't a big deal (some women say it's horribly painful) and for me, it wasn't. Slightly uncomfortable, one sharp pain actually due to the wand and not the rest of it. So I thought... this MAY hurt. So we get there bright and early and the girl at the desk says - you need to leave a urine sample. OMG. Whatever (uh... just had sonogram). Then I'm called back, strip down, the anesthesiologist comes in, introduces himself and asks if his student can observe the sedation process. Ok, I'll be asleep. In walks this CHILD. hahaha.. Okay, she was probably 20, but still. The doc comes in, explains everything again, I tell him about the hydrocodone and he says he'll write it for Percocet. IV is started, I got that nice little relaxing feel and that's all I remember. It's a short procedure... like 15 - 20 min. Then I'm being wheeled into this little waiting/recovery area with a recliner. And a pregnant woman on a monitor, which was kinda cool... listening to her baby's heartbeat. Betsy says she'll go get my husband and all of a sudden the pain hits. Like pretty hard. And coming on in waves. And soon I'm moaning... and I apologize to the pregnant woman for disturbing her. She's nice about it. Husband comes in and I tell him - honey - I'm really hurting here.. like more by the second. Please see if they can give me something? Just then my doc walks in and I tell him I'm feeling a good amount of pain and getting worse. Can he give me something? He says, we don't have Percocet here. I'm sorry - we knew without the Torodol injection and the Motrin it was going to be worse. The Percocet will help. So I say, okay - can I go home NOW? He smiles and says, sure, you seem pretty lucid. (pain will do that) They take me out to the truck in a wheelchair and by now I'm fighting real tears. Gave up the fight a minute later and cried and moaned and rocked and tried everything I could think of to get less uncomfortable. It's a 25 - 35 min. drive without traffic and hubby drove at 75 mph most of the way home. I seriously thought I was gonna die. Thank GOD I had a few Percs at home left over from previous surgeries. Took two of them. Hubby ran to pharmacy and came back with more and with some anti-nausea pills. What was most surprising to me, other than the sheer intensity of the pain, was that the pain in my thighs, the quadracepts was KILLING me. My uterus hurt - for sure!!! but the legs?! Wasn't expecting that at all. And getting worse by the second. I stood, I lay down, I crouched, I tried leaning over the bed, the sofa, walking, rocking, curling up in a ball, stretching and unstretching my legs and body. Full on crying and sobbing and the kind of short, sharp breaths you seem to take when you can't breath without pain. And with each exhalation was a moan. I mean... it was ridiculous! If it didn't hurt so f---ing much it could have been comical. Or sound like a cheesy porn movie.
After about an hour, hour and a half of this wracking, intense... unbelievably intense pain, two Percs... maybe I'd taken a third by then... my husband called the doctor's office and asked about getting the Toradol injection now - that he's never seen me in this much pain. They said to call my plastic surgeon first, if he cleared it, they'd administer it.
Let me digress a bit. I know I do NOT handle pain well. But I HAVE had my share of it. I've had four miscarriages, 3 D & C's, emergency gallbladder removal, two children - both home births without anesthesia. And my previous plastic surgery which included the tummy tuck (that I found excruciating). As far as intensity of pain goes, the ER's doc arm up my whoohaa trying to manually remove pieces of a stuck placenta was WAY up there. And I'd had so much blood loss that the morphine they'd injected did very little if anything for the pain as my blood was barely circulating. (Hematocrit had dropped from 32 to 12 during hemorrhage, BP was 40/0 at one point). So that probably hurt a bit more than this... but I was about to be completely anesthetized, so wasn't laying in pain for hours on end. Gallbladder hurt like hell, but was kind of like labor contractions where it's intense as hell, followed by moments of absolutely no pain. Not this. This was unrelenting and escalating.
So hubby calls PS, he says no problem, let them do it, and that means getting BACK in the car to drive another 30 min. in absolute pain and unable to hold still. And crying. My poor, poor husband... I felt so bad for him. Nothing he could do for me, though God knows, he tried. We get there and thank God only wait about 2 min. when Betsy takes me back. Says, I'm sorry... I knew it was going to hurt a lot more without the Toradol and no Motrin, but you said you couldn't have them. I said, I know, Betsy. But this?? I feel like there's something WRONG. (you know when you have that feeling) She assured me nothing happened during surgery, my doctor had told me in recovery it had gone well (Oh, and I knew I have a tipped uterus, but didn't know it is also heart-shaped :) but I just couldn't imagine this pain was 'normal'. She says, I'm sorry... it's gonna sting. I lean over and she gives it to me and I just stayed leaned over for a second. The pain... omg... NOT from the injection. Just the pain. She looks at me and says, Did it sting? I'm sorry. I said I don't even care right now... as long as it does SOMETHING for this pain. How long will it take to work? And she said, oh.. probably 15 - 20 min. Unfortunately, we are now trying to play catch-up with the pain meds. So we drive back home (I've now spent an hour and a half in the car while in incredible pain, plus however long between). Pain actually is worse by the time we get home. I take another percocet, and then an hour later, another. I think by this time I've had either 5 or 6 Percs (5 mg... not Cookie's horsepill 10 mg ones), the shot of Toradol, two aspirin and finally take a Xanax, too. And about 40 min. after the Xanax, I finally fall into a sleep - heating pad on thighs, hot water bottle on belly. And wake up an hour and 40 min. later and text my husband (downstairs doing work from home unexpectedly - we thought he'd drop me off and go to work) and ask if it's been 2 hrs. yet. We'd decided I'd take one Percocet every 2 hrs instead of 2 every four hours once they'd finally kicked in. That seemed to work fairly well. He asked if I could hang on 20 min. and it wasn't that bad. Nothing like earlier, for sure. So I just stayed as medicated as possible all day and night and actually started feeling like I wanted to live again by last night. And no longer wanted someone to at least cut off my legs. (ironic, isn't it?? lol)
So... that's my update and thank God I feel SO much better today than yesterday. And hopefully be 100% by Sunday or Monday. Did it scare me that THIS procedure hurt THIS much, knowing what I'll be facing in two weeks? Oh HELL yeah. But I have to keep in mind I've had the other surgery and though parts of it were hell, I was kept fairly well medicated at the beginning. It's SO much easier to keep pain at bay than to remove it once it's started. I'm more worried that my husband is already dreading taking care of me again in a couple of weeks. I know it's so hard for him to see me in that kind of pain and not really be able to do much to alleviate it. This stuff just ain't easy!