Showing posts with label pain pump. Show all posts
Showing posts with label pain pump. Show all posts

Thursday, July 5, 2012

Removing the Pain Pump (6/28/12)



Removing the Pain Pump: http://youtu.be/SCkMCICEZpY

The above Youtube link is NOT me, however it will give you an idea of what its like and what to expect.  Beware...  it could make your a little queasy.  
My doctor told me that when the pain pump runs out in about 3 days and I can go ahead and remove it myself.

          The directions were as follows:

- When the pain pump is empty (all the juice is gone and there is just a hard small cylinder in the middle of the clear plastic bag with the On Q written on it) it is time for removal.

- Carefully pull of the surgical tape holding the tubes in place.

- Place your fingers as close to the tube entry near your skin and slowly start to pull the tube out

- Repeat on the other side

He said not to worry, there will be no pain but I might feel the tubes moving and sliding out from inside my breasts.

He also warned that there could be a drop or two of blood by the entry site and have a tissue or gauge ready.

Well, it was removal time and I was grossed out and queasy at the whole idea.  My fiance helped out though and made it easier for me.

Removing the tape was the only painful part.  That stuff is on there like glue!!

Once the tape was off, he started to pull the tube.  It felt like he was pulling forever and I 100% felt that tube sliding around in my breast.  It was rather freaky!  It DID NOT hurt, but was just such a crazy gross feeling.

After he got the second tube he showed me how much was actually inside me.... The better part of 8 inches of tube in each breast!  Crazy!

I did feel a lot better after the pain pump was removed but I really think it was all psychosomatic... The idea in my mind that the removal of the pump was a sign of getting better, not needing it and moving on with healing.  That, and it felt so good to not have to wear the fanny pack, carry the pump around, having all those tubes taped to me and risking getting caught near the fanny pack, etc.

Either way, by Friday afternoon, I noticed a HUGE improvement on how I felt!

But, I am GLAD I got the pain pump.  I HIGHLY suggest it!  I do not know how I would've felt without it, but considering I was never in real pain, I am guessing it had something to do with making that happen.

Wednesday, July 4, 2012

Post Op Appointment 06/27/2012 @ 10am



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Written at 4pm on 06/27/2012, 25 hours after my surgery
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First of all, after a pretty decent first night, I was very sore when I got up this morning. My whole body was tense, tender, and achy from head to toe.

Part of the tenderness was from trying to stay propped up all night. Some was from trying to hold still and not jostle myself around. And of course, some of it was from the overall trauma on the body caused by surgery and my body trying to start healing.

My fiancé helped me again this morning get cleaned up (I cannot shower yet) and dressed (I still cannot move about freely without mass discomfort).

I was a little grouchy to him though and I feel bad about this fact. I think it's a combo of not sleeping soundly, the pain meds, and being so uncomfortable.

I can say this as a 100% truth... Words cannot describe how glad I am that I have a pain pump and stayed close to my doctor's office.

I still will not call what I feel constantly as "pain". It is still just a tightness and overall soreness with a little pinching under the arm put near my incisions.

But, again, I have a pain pump and I am taking my pain meds, antibiotics, and muscle relaxers around the clock as prescribed by my doctor. I also follow each pill time with a few whole wheat saltines and have not felt nauseous. I am not really hungry though.

I am also continually drinking fluids (Gatorade, water, Crystal Light, ginger ale) and today I resumed my Once a Day Vitamins plus Immunity Support Gummies (my body seems to tolerate these better than other OTC vitamins) and 2x a day Ester-C 1000mg Vitamin C pills.

I cannot say if the two vitamins are helping more at this point yet but my doctor did suggest taking them prior to and after surgery. And he has been right so far.

After he got my cleaned up and dressed, we checked out of the hotel and got in the car. The walk actually felt decent after I got stretched out some.

The car ride was a different story. I felt every bump, dip, acceleration, brake, sway, curve, slight elevation change, etc. And my fiancé was so careful driving. He couldn't have been any more cautious.

We got to the doctor's office and I was immediately brought into an examination room. The nurse asked me a few questions and after I gave her the good news on my "pain" level and how I was feeling she told me I was about to feel better.

She had me remove my hoodie and she started to remove the bandages. It was instant pressure relief; like the pressure was reduced by 80%. It wasn't painful, but the weight of the breasts unbound was a weird feeling.

After it was all removed I got my first glimpse of them in the mirror. They did not look as bad as what I was expecting.

From reading other people's stories and the "warnings" from people's experiences and doctor's info, I was expecting the worse. But it wasn't too bad.

They were swollen and looked bigger than what I wanted, but I was expecting that already. The implants were not sitting too high though and they already have a good shape. My nipples were not pointing down or tweaked in any way. The nurse was pleased and so was my fiancé.

She gave me the breast band in case the implants start to ride too high with instructions to call the office before I put in on. She said that I don't need it now but just in case, the doctor wanted me to take it.

The nurse also said that the doctor approved me walking for short, 30 min walks starting today if I feel like it and if I feel like it will help.

The doctor had an emergency that he needed to address so I was unable to see him today. I wasn't thrilled with that but what can ya do? I have faith in his staff and I can always call if I need something.

The nurse said to pull the pain pump out Friday and once it's out, I can shower. She said to be gentle because of the sutures under my armpits and the tape covering them. I guess they'll take up to month to dissolve. But on a positive note, I can wear deodorant starting on Monday or Tuesday.

I asked the nurse how long the incision is but she said she didn't know. And it's too sore to lift my arms to look. That and the tape is covering them.

I made my next appointment with the doctor for July 9th (12 days from now).

Man, I am worried about pulling the pain pump tubes out on Friday....

My First Night Post-Op



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Written at 7am on 06/27/2012, 16 hours after my surgery
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I slept on and off from 11pm till 7am. It wasn't the best sleep I ever had but it was sufficient.

My wonderful fiancé helped me stay up on icing my breasts and keeping up on all my meds. He was a godsend.

I had no issue peeing through the night either, but I'm not surprised that I haven't produced a #2 yet.

I noticed bleeding from around my pain pump tubes which I'll address with the doctor today.

I'm still not in pain; just the constant pressure and tightness is always present. And there is still the feeling of little pinches from under my armpits.

Moving around is an interesting feeling too. I slept on my back propped up at a 45 degree angle. And my whole body feels sore. I have decently strong core muscles so standing up isn't an issue, but it feels very weird once I'm standing.

My chest feels heavy and standing makes the weight feel more shifted to the front (as opposed to the weight feeling more spread out when I'm reclined). And my shoulders feel like they want to stay in the shrugged position (they are very tight and it's hard to force them to relax).

My back is also tight and feels tweaked from sleeping in such a weird position for me. I'm a side and stomach sleeper so this is all just new and uncomfortable for me.

I'm worried that the combo of the muscle relaxer, pain killer and antibiotic plus the walk to the car, the drive to the doctors office, and the drive home will make me nauseous or worse. So I am planning to take an anti-nausea pill about 8:45am (25 min after the rest of my pills).

Here's hoping it'll help.

Well, it's time to start getting ready to leave the hotel. I'll update the post-op doctor's appointment later today.



Surgery Day 06/26/12 @ 1:30pm and Post Op (Bandaged) Photo

 
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Well, I wrote this post a little over 7 hours post surgery. It went well. :)
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I woke up about 9:30, showered, washed my hair and scrubbed all over really well with Hibiclens.

At 10:30am, I took Emend (a pill to help with nausea.... When I had my wisdom teeth pulled YEARS ago, it made me violently ill, so the doctor and anesthesiologist planned ahead for me to try to help me not get sick).

By 11:30, I was showered and ready to go. I was also hungry and thirsty. :( I hadn't eaten since 12a and no water since 4a.

The ride there was quiet.... My fiancé held my hand and told me that everything will be just fine. Just his presence made me feel better.

We got to the surgery center, signed in, I signed final paperwork, and was temporarily separated from my fiancé.

The nurse brought to my recovery room and he was asked to wait for a few minutes while they started my process. I put on a gown and silly surgery grippy socks and got comfortable.

The nurse asked me a few final questions, answered my questions and took my vitals. Another nurse who would assist in surgery came in to say hi and see how I was doing. She was sweet, very warm and friendly like the first nurse.

The anesthesiologist came in and helped to calm me. He gave me a pain-free IV and said when I get in the surgery room, he will let me know when the "sleep time" will start.

I had to give a urine sample to the nurse and when I returned, my fiancé and the doctor were waiting for me.

We talked to the doctor. He answered final questions, put me at ease, and marked my chest for surgery. He said I'll be in surgery for 45 minutes to an hour and we will be starting soon.

He left to prepare and within minutes it was time to go. My fiancé kissed me and I was wheeled off on my recovery bed.

In the surgery room I started to get really nervous. But the staff was AMAZING!!

The nurse had me slide from my recovery bed to the surgery bed and got me comfortable. She laid a warm blanket on me and massaging leg wraps on my calves. I had to stretch my arms out and they were covered up with warm towels.

The anesthesiologist told me that it's time to start and to relax. He said I'll close my eyes and when I open them, I'll be in recovery. He did warn me that there would be a chance that I might wake up a little when I am sat up to be bandaged (but I did not).

He said to tell him when I feel something... And about that time I sure felt something. I was able to say "I think I am starting to feel..." and that's all I remember.

About an hour or so later, I started to come around in the recovery room. I was greeted by an incredible recovery nurse. He was the best of them all.

I don't recall too much right away other than having to move from the recovery bed. And I know I felt a little nauseous

The anesthesiologist came in and he and the nurse gave me more meds. The anesthesiologist told me he also gave me a lot of anti-nausea in my IV too.

I was in and out of it for what felt like a long time. My fiancé was the best though! He helped me take sips of water and ginger ale and have me cracker bites.

When I had to focus and do something, I could. But I fell asleep in between those times.

I didn't feel true pain (and now it's 9:46 and I still haven't). My arms sore (the nurse told me its from the way they have to manipulate them during the surgery( and armpits are a little "pinchy" (again my incisions are there and all the gauze and bandages are kinda rubbing me funny).

Otherwise the feeling is a terrible pressure on your chest, the weight and tightness is manageable but is very present. I won't call it pain really.... It's more of an uncomfortable, constant pressure and tightness.

Plus it's taken up till now to be able to take a deep breathe without a great deal of pressure and increased tightness. The nurse gave me a breathing toy where I have to make the ball float in the tube when I breathe in to help me use deep lung breathing.



(Later I realize how much it helps.)

My doctor came in to check on me, have me take a hydrocodone (Vicodin) for pain (even though I wasn't in that bad of pain). He said everything went very well and that they look great. He seems genuinely excited to show me them tomorrow.

He said I still have to pee before they will let me leave and to try to go soon.

The nurse came in and helped me walk to the rest room... And it was a no go.

So I drank a cup of water, a can of ginger ale, and three little cans of cranberry juice (on top of two IV bags I already had running through me..... Guess who was probably dehydrated when she went into surgery...).

The nurse also showed me a few tricks like pouring warm water over the genitals, bare feet on the cold floor, running water, and finally walking laps.

Then he dropped the catheter bomb if I couldn't pee on my own....

I tried one last time and I really strained. I finally peed!!

But the activity and straining made me nauseous!

I returned to the room my fiancé helped me to dress and the nurse gave me Zofran for the nausea. And it took a little bit, but it eventually helped.

The nurse wheeled me out to my car and assisted me in. He was so sweet and comforting. And he commended my fiancé for his excellent care of me. He said that he is hired! :)

Since we don't live close to the doctor's office, we opted to stay at a hotel close by. And I am SO thankful for that!!

The short few mile drive was slightly painful. I really couldn't support myself all that well since I have the armpit incision and the gauze is padded up pretty thick under there.

We finally got to the Hilton and I was wheeled up to the hotel room. I didn't feel nauseous anymore and was just sore.

And I got my first glimpse of my chest. WOW! They already look good and I'm so excited to see them tomorrow. My fiancé seems excited too. :) And he also seems more calm.

My fiancé got my all set up on a bed and comfortable. and we ordered something to eat. I enjoyed a nice fresh caprese salad and I did not feel ill at all. I took my antibiotic and painkiller and had some Gatorade.

I am now resting comfortably, and am going to watch some TV and relax. I'll be taking more painkillers and a muscle relaxer soon. The pain pump seems to be helping too. Not that I have anything to compare it too, but if you're on the fence about it, I would say it's worth it. I wouldn't want to know what it feels like without it.

I will say this though, I am experiencing a little bleeding from the tubes from the pain pump. It's not terrible and doesn't hurt. But it does look a little freaky.  http://www.iflo.com/prod_onq_classic.php





My post-op appointment is at 10am on 06/27/2012. I'm excited for that and yes... I'll be updating that appointment and finishing older posts too.



Pre-Op Appointment (2 Weeks Prior to Surgery)


Four days after I had my consultation, I was back in the officer for my pre-op appointment.

The staff had me fill out some more paperwork and copied two forms of  ID and took the rest of my payment.

Soon, the patient coordination took me back into the consultation room.  She sat down with my fiance and I and gave me what she called the "Patient's Bible".  She said that we will cover everything that is in there, but it's a take home guide for me to refer to later.

This nice, professional, and easy to read soft cover bound booklet was very helpful and informative.

And... This booklet was seriously necessary!!

The topics it covered were:

- Preparing for surgery
- Medications to avoid
- Going to the surgery center and directions
- General surgical risks
- Specific surgical risks
- Anesthesia and other information
- Other risks
- Consent for surgery
- Post operative care - outpatient surgery
- Specific post operative instructions
- Longer tern post operative instructions
- As you heal
- Specifics as you heal
- Financial and cancellation polices

The patient coordinator then had me remove my top and put on the ugly looking bra.  She brought in several different sizes of implants.  She, again, had me put too different sizes in the bra without telling me what CC they were and asked me which one I liked best.

I picked my favorite and it was the same one I had picked at the consultation.  It made me feel more confident that I was sure I knew what size I wanted to be post surgery. She noted it down on my chart and had me remove the bra and put on a robe.

We walked into the room where I had the 3d image taken at the consultation.  The doctor met me in there and took a few pre-op photos of my chest. He then took some measurements of my breasts and told me that it would take 339cc implants to make my breasts int the masterpiece he wants them to be.

I was again very firm and said that I want a C cup, not a baby D.  He was very patient and told me not to worry, they will not end up being too big.

Since I had done my research on him and his work, I believed him and had 100% confidence in him.

We again verified that I was going to have silicone implants placed under my pectoral muscles through the transaxillary (armpit) incision with the use of an endoscope, that I would have a pain pump.

The doctor went over all of the medications he was going to prescribe me and how to use them.  I told him that anesthesia makes me throw up and narcotic pain killers also make me nauseous.  He said he would prescribe me things to help with that as well and he'd let the anesthesiologist know about my sensitivity to anesthesia.

I was prescribed:

- Hibiclens​ (an over the counter antiseptic/antimicrobial surgical soap used to wash the skin/body the morning of the surgery)
- Emend (Aprepitant) 40mg capsule (to take 3 hours prior to surgery to help me not be nauseous when I wake up from anesthesia)
- Zofran (Ondansetron) 4mg tabs (to take after surgery to stop nausea if it were to get bad)
- Keflex (Cephalexin) 500mg capsules (antibiotic to take following surgery)
- Vicodin (Hydrocodone/Acetaminophen) 5-325mg tabs (Vicodin with acetaminophen for pain and swelling after surgery)
- Robaxin (Methocarbam) 500mg tabs (muscle relaxer for after surgery)
- Halcion (Triazolam) 0.25mg tabs (sleep aid for the night after surgery and as needed)
- Peri-Colace (a stool softener AND laxative to help with the constipation) 

A hidden cost of getting a BA is the cost of prescription medication.  If you do not have good prescription coverage, this could be expensive.  And ALL of the medications your plastic surgeon prescribes ARE NECESSARY.  

We went back to the consultation room for follow up questions and information.

Post-Op Blues:

The doctor reminded me that the day after surgery when he removes the bandages I need to understand it is not the final product.

He said the worst thing I can do it be expecting the final product and not less than 24 hour post-op swollen breasts.  He also warned of the "post-op blues" where the patient becomes sad, depressed, upset, etc with having undergone surgery, the current result and how they feel.

He said some women feel this in varying degrees and some don't at all.
With all of that being said, all follow up questions answered, and feeling confident, I left the office with my surgery scheduled for June 26 at 3:30pm with an arrival time to the surgery center at 1:30pm.

I was excited and nervous!