Hysterectomy is not what you want to hear when you go to the doctor with a few minor aliments that you have been living with for a few years!
Ailments possibly ignored and untreated and tried to forget while life happens at a rate of knots that you can only hope to keep up with. The story is very similar for a lot of people that they put others before themselves, keeping the world together whilst ignoring their own pain. I’d actually started to walk like I was in the last trimester of pregnancy by the time I went in for the operation and I had not realised this slow regression. I wasn’t going to have the bundle of joy at the end of this, on the bright side I also wouldn’t have the sleepless nights!
My first Gynecologist (Gynie) was local to work and rushed through everything quickly, looking at the scan she said ‘well it looks like a hysterectomy is on the cards’ very matter of fact, I was put on the waiting list. One good thing was it’s free, thank goodness for Australian healthcare! I didn’t hear a thing for a couple of months and then when I called her office, she was on extended leave, no one had bothered to let her patients know! By now I was walking around (unbeknown to me) carrying kilos worth of diseased uterus (adenomyosis).
The next gynie ‘Trish’ (I love how all Aussies shorten their name no matter what their profession!) said after looking at the scan ‘well it looks like a huge fibroid that is pressing on your bladder and your bowel and making everything very uncomfortable down there, not to mention making you bleed excessively’. Well yes, it was the case, one week I couldn’t go to work because I had literally bled though most of my clothes, hysterectomy was the only option. ‘So I’ll go through what this operation looks like, has anyone done that?’
‘Not really’, I replied ‘I mean I’ve googled it of course!’
She smiled and shook her head ‘Well, there is this kinda important thing called medical consent and you need to know what is going to happen to your body, this is a big operation!’
To be honest it was pretty straight forward after she explained it and I would get to keep my ovaries, not something they used to do! That would mean estrogen would continue to flow! No immediate menopause to worry about, (hopefully).
Mid forties is actually quite young you would think to remove your uterus nowadays but just because women have started to give birth later it doesn’t mean that our uterus has other ideas! Luckily I have two beautiful children.
Hysterectomy – The Operation
It was early, very early and there were so many people waiting at Frankston hospital to be admitted, I wondered where on earth they would all fit. After triage and putting the smurf outfit on the wrong way (well how were they going to cut me in half if it was tied at the back?!) It was time to meet my rather gorgeous anesthetist, he was Irish, that accent is always a winner! He knelt by my bed and held my hand (started looking for veins) and explained what he would be doing before and during the procedure, a lot of information that I didn’t really need or take in but his presence was very welcome indeed. ‘Oh they look grand, to be sure!’ he said getting up and walking away. Hang on, I was enjoying that! I thought, but it was ok he was back in seconds.
I was wheeled in to a small pre-op room and then my heart rate started to accelerate as Mr Irish started to put the canula into my vein. I was then introduced to Gynie 1, Gynie, 2 and Anesthetist 2 at which point I said,
“Wow there’s a lot of you!!”.
“This is a major operation! How are you feeling?”
“Slightly anxious now!”
“Well, we have all the good stuff here, I’m sure we can give you something for that” replied Mr older Anesthetist and he nodded to Mr Irish who went and got something that felt a lot like a nice hit of valium, (I’m sure it was something a lot more elaborate).
Then came in Trish (my Gynie) all cheery and happy, ‘how are we?’ she said and touched my shoulder, a nice gesture. ‘Good thanks’, I replied ‘Great, lets get you feeling a bit more comfortable than you have been, shall we?’ I could hear her saying hello to her team and talking them through my scan. ‘Would you like me to take a photo when we get that uterus out?’ she asked “Sure my daughter will like to see!’
Feeling very relaxed, they wheeled me though to the very bright operating room, it was huge and there was the ominous operating bed. I was asked to hop off my bed and onto the operating table and so I floated across, looked up at the light and the mask was placed on my face, goodnight Mr Irish, I thought.
When I woke up, Mr Irish was no where to be seen and I was given a little buzzer thing to hold like on a game show that I could press for drugs to be administered into my veins (PCA pump). It wasn’t really pain that I woke with, more a weird uncomfortableness and a need to have something pressing on my tummy that felt very loose. The nurse gave me a wrapped up towel in the shape of a baby which I held on my stomach, it made it feel a lot better and then I adjusted the bed so that I could sit up a bit. My throat was sore and dry and the nurse gave me a yoghurt followed by an Icey pole, this was like a five star hotel! ‘Are you feeling ok, any nausea?’ asked the nurse, holding my wrist. ‘All good’ I replied.
I wondered what time it was and was told it was around 3.30pm, I had gone into the operating room at about 10am, so I’d been out for a while. ‘We’ve got Archie coming down to pick you up and take you to the ward, we’re just waiting for your blood pressure to return to normal, Archie should do that, I think you’ll like him’ she gave me a wink.
Another yoghurt and along came Archie a ‘built’ Philippine guy, with a huge welcoming smile! This place just gets better and better. I was wheeled up to the ward taking an occasional hit on the ‘buzzer’ next question please Bob! Realising how strong that stuff was and how hungry it was making me I soon stopped. When I got to the ward I was greeted by a lovely guy who asked me what I would like for dinner!
A young nurse came by with a supervisor, ‘Oh hi we just want to do a patient blood pressure test, we take your blood pressure laying down and then we ask you to stand up and walk up the ward and we take your blood pressure again’ I laughed, ‘No’ I said with a smile, ‘I’ve just come out of surgery and I still have a catheter in and my cannula, you’ll have to find someone else for that experiment’, I smiled again. ‘Oh ok’ and away she walked. I’m sure she was just learning the ropes but she wasn’t going to be pulling on mine!
I won’t lie, a mixed ward leaves a lot to be desired when there’s one bathroom between four, luckily two of those were bed bound, well luckily for me, not them! I was released (from my bed and the catheter) about six hours later and much enjoyed using normal functions again, all be it into a witches hat to be examined by the nurse. Ok time to take the catheter out, she ripped it out like ripping off a band aid, I let out a little yelp. ‘That shouldn’t of hurt!’ the young nurse exclaimed. ‘It’s coming out of my bladder of course it hurt!’ I smiled back at her. A quick look at my stitches and that was that.
The guy next to me, early sixties was in for some kind of alcohol related problem and would constantly ask the nurses to wipe him after using the toilet, ‘who does it home?’ the first nurse asked ‘my carer’ he replied. The said ‘carer’ showed up at visiting time and yes you guessed it, his wife. ‘Did you go out last night? ‘ he pointedly asked her, the cloth drape not creating any vocal privacy between us. ‘I, erm, I went to Cheryl’s for a bit’ I could hear her nervously reply ‘You didn’t have a drink did you? While I’m stuck in here!’ I lovingly named this man Mr Ahole.
I had to put my ear phones on, I couldn’t listen to any more. I played some Vance Joy.
The first night I slept like a log, occasionally being woken for observations, the second night was much more interesting. Mr Ahole next to me was still asking the nurses to wipe him after every toilet episode however Mr Ahole 2 had turned up on the ward in the shape of a guy who needed security with him because he had abused staff on another ward. I heard the nurses chatting and heard him ordering them about, ‘I want stronger drugs, these aren’t working!’, ‘Who are you? Are you a doctor?’ ‘Do you know how to administer drugs?’ He was with an African orderly (security) that sat with him. The nurse on night duties was rushed off her feet. ‘I’ll do your obs in a minute sweetheart’ she smiled at me, ‘it’s ok I can see you’re busy’ ‘yeah no-one wants the night shift!’ her big brown eyes darting towards the white ceiling. ‘You need to speak with respect’ the African security said to the patient. ‘I am, of course I am, are you telling me that I’m not being respectful, these girls don’t know what they’re doing half of the time’ ‘I think that’s enough’ replied Mr security. Mr Ahole 1 not getting any attention hobbled over to the bathroom. ‘Nurse I’ll need you to’ but she turned her back to him and talked to Mr security, ‘This guy needs help in the toilet apparently!’ ‘What!?’. And that is how to delegate! She walked off down the ward to do her obs, I think there were around 6-8×4 sections on the ward, she was very busy. The conversation in the toilet between Mr Ahole and the security man was hilarious. ‘What do you need?’ ‘I er need you to wipe’ ‘Oh man!’ There was a lot of movement in the toilet and a little yelp, suffice to say Mr Ahole didn’t ask for any more toilet help whilst I was there!
I was ready to go home on day three, I’d seen enough and heard enough and had huge empathy for these amazing nurses. I realised how unsympathetic I would be in certain situations. I wanted my bed and my comforts. Now that the canula and the catheter were out I decided to take a walk around the ward, I was very slow, so slow I felt like a hundred years old but that was ok, I knew I would be slow to start with, I held my stomach with the towel as if trying to hold everything in. I did a lap and was happy, then I decided I would have a shower. I started to feel a little bit more normal. The nurses came round with my meds and I asked if I could have a smaller dose, I could feel the chemicals oozing out my skin. ‘Have them with your lunch instead, I’ll come back in a hour’.
My gorgeous son came and picked me up from hospital, carrying my bags and the beautiful flowers that my friends had sent me to the car. I had stocked the freezer with lots of homemade meals, so after a quick, well slow, stop at the pharmacy, I finally got into my own bed, asked my son to heat up some food, ate and slept. Two weeks bed rest was really what I needed but I did get up and start to do things earlier than that. Everything was slow and steady and no lifting, by week six I had started to feel like me again. I went for my six week check up with Trish and learnt that I had adenomyosis, my uterus was four times the six it should be! I saw the photo Trish had taken with her tiny finger pointing to the middle and what a normal uterus would look like. I was still in the shock phase of post operation and didn’t really take it all in, however somehow this was vindication of the last year of my life. I now had to concentrate on healing.
Exactly six weeks of not driving and it was New Years Eve, I could finally have some freedom. I went to woolies and bought a big box of chocolates and a card for the nurses. ‘You are All Superstars, thank you for helping me though my hysterectomy!’
By month seven months my body had returned to some form of new normality. I went on b12 weekly injections for five weeks soon after the operation which also made a huge difference. My stomach was tender to the touch for a good few months and now 11 months later occasionally there are a few pains. I’ve had a scan to make sure everything in there is ok and they even found one of my ovaries working which was nice to know. Things are different but good different.