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My Reconstructive Surgery Journal

I thought that I had better start up my own journal of having, (or not), reconstructive surgery following massive weight loss instead of hijacking kazbo's!

So have gone through my posts both on bandingtogether.com and gastricsleevesupport.com to which I also belong (same username and profile photo lol!).

So here goes:

CATCH UP POSTS

 

30/09/2015 gastricsleeve.com

Just discovered this site - and hopefully this gives those of us who have excess skin from weight loss as opposed to post-pregnancy (different Medicare items) hope:

http://www.plasticsurgeryhub.com.au/medicare-revoking-tummy-tuck-funding-item-30177/

I am going to see a plastic surgeon tomorrow (!) re my saggy, baggy, wrinkly tum and my arms - I'm not just talking "tuck shop" or "bat wings" or "ta ta's", I am talking the upper ie visible surface of them on the upper arm - BAD crinkles. (I seem to have lived the last 20+ years in 3/4 length sleeves *sigh* to hide my upper arms. ALWAYS had big arms  )

Dr Sam Cunneen, West Perth.

I am also having a nurse consult at another practice next week - this is the practice that my bariatric/hernia surgeon is affiliated to, so I guess that if he is affiliated to them, and if they give me a GOOD discount, then I'm going to have it done while I still have some Medicare and top level Medibank rebate, 'cos when I move back to NZ (whenever that may be) - I would NEVER be able to afford it there.

On full Disability Pension now too, And I have already gone above the "Safety Net" for Medicare this year, so should get more back as rebates, hopefully.

Dr Hanh Ngeyen, Nedlands.

Will keep you posted...

 

01/10/2015 QuirkyQuaintrelle gastricsleeve.com

“Best of luck with your appointment Denzel! From what I can gather, the upcoming changes aren't going to effect patients with massive weight loss so fingers crossed I'll still qualify when it's my turn when my PHI kicks in next year. I'm greedy and want my tummy, thighs and bum all taken care of!

Make sure you let us know how you go - good luck!”

 

01/10/2015

Thanks QuirkyQuaintrelle!

I didn't end up going today as I had a really upset tummy...but will re-schedule as he seems quite cheap.

 

12/10/2015 bandingtogether.com

Oh wow Kazbo!!! I am so excited for you!!!

I am looking at having a tummy tuck and arms lifted.

Later on a breast uplift and thighs lifted

Quotes, note neither of these include the Anaesthetist:

"Thanks for your website enquiry to Dr Sam Cunneen through WhatClinic.

Your arms and tummy are certainly something we can help you with.

We would need to see you at least twice for consultations prior to booking surgery for you, as there is a lot to consider with these procedures and especially given your medical history.

As a rough idea of costings for surgery you would be looking at around $6500 - 7500 for Dr Cunneen' surgery fee with anaesthetist and/or hospital fees on top of that."

I have been in contact with them querying that cost as it seemed remarkably cheap to me. I had an appt, but had to post-pone due to a ghastly tummy upset, so have reappointed.

Sculpt Surgery - really lovely, I went there and had a long consult (free) with the nurse consultant Theresa Chung. I felt totally comfortable with her and she went though everything in detail. "Attached is your quote as requested. If you do not wish to have the circumferential lipectomy (being cut around the back) then the surgeon fee is $12000 for the abdominoplasty and the arm lift."

OK, here is my latest research.

I rang Medibank to find out of the hospital costs are for Items 30177 and 30171 are covered - yes, for me (I have top-level cover and have well and truly met qualifying period) IF the surgeon fills out a "Specialist Exemption Form" otherwise the procedures are considered cosmetic, and therefore no hospital cover.

Here is the Medicare info:

Category 3 - THERAPEUTIC PROCEDURES 30171

Group T8 - SURGICAL OPERATIONS

Subgroup 1 - GENERAL

LIPECTOMY wedge excision of skin and fat, not being a service associated with items 45564, 45565 or 45530 and not being a service to which item 30165 applies, 2 OR MORE EXCISIONS (H)Multiple Services Rule

(Anaes.) (Assist.)

Fee: $691.75 Benefit: 75% = $518.85

See para T8.8 of explanatory notes to this Category)

 

Category 3 - THERAPEUTIC PROCEDURES 30177

Group T8 - SURGICAL OPERATIONS

Subgroup 1 - GENERAL

LIPECTOMY radical abdominoplasty (Pitanguy type or similar), with excision of skin and subcutaneous tissue, repair of musculoaponeurotic layer and transposition of umbilicus, not being a service performed within 12 months after the end of a pregnancy and not being a service associated with a service to which item 45564, 45565 or 45530 appliesMultiple Services Rule

(Anaes.) (Assist.)

Fee: $985.70 Benefit: 75% = $739.30

(See para T8.8 of explanatory notes to this Category)

 

Category 3 - THERAPEUTIC PROCEDURES T8.8

Lipectomy - (Items 30165 to 30177)

Multiple lipectomies, e.g., both buttocks and both thighs attract benefits under Item 30171 once only, i.e. the multiple operation rule does not apply. Medicare benefits are not payable in respect of liposuction, except in the circumstances outlined in Items 45584 and 45585.

 

Lipectomy items 30165 and 30177 may not be claimed for patients if performed within 12 months after the most recent pregnancy.

 

Lipectomy items 30165 to 30177 cannot be claimed in association with items 45564, 45565 or 45530. Where the abdomen requires closure with reconstruction of the umbilicus following free tissue transfer (45564, 45565) or breast reconstruction (45530), item 45569 is to be claimed.

Related Items: 30165 30168 30171 30174 30177

 

Multiple Operation Rule The fees for two or more operations, listed in Group T8 (other than Subgroup 12 of that Group), performed on a patient on the one occasion (except as provided in paragraph T8.2.3) are calculated by the following rule:-

- 100% for the item with the greatest Schedule fee

plus 50% for the item with the next greatest Schedule fee

plus 25% for each other item.

Note:

(a) Fees so calculated which result in a sum which is not a multiple of 5 cents are to be taken to the next higher multiple of 5 cents.

(b) Where two or more operations performed on the one occasion have Schedule fees which are equal, one of these amounts shall be treated as being greater than the other or others of those amounts.

(c) The Schedule fee for benefits purposes is the aggregate of the fees calculated in accordance with the above formula.

(d) For these purposes the term "operation" only refers to all items in Group T8 (other than Subgroup 12 of that Group).

This rule does not apply to an operation which is one of two or more operations performed under the one anaesthetic on the same patient if the medical practitioner who performed the operation did not also perform or assist at the other operation or any of the other operations, or administer the anaesthetic. In such cases the fees specified in the Schedule apply.

Where two medical practitioners operate independently and either performs more than one operation, the method of assessment outlined above would apply in respect of the services performed by each medical practitioner.

If the operation comprises a combination of procedures which are commonly performed together and for which a specific combined item is provided in the Schedule, it is regarded as the one item and service in applying the multiple operation rule.

There are a number of items in the Schedule where the description indicates that the item applies only when rendered in association with another procedure. The Schedule fees for such items have therefore been determined on the basis that they would always be subject to the "multiple operation rule".

Where the need arises for the patient to be returned to the operating theatre on the same day as the original procedure for further surgery due to post-operative complications, which would not be considered as normal aftercare - see paragraph T8.2, such procedures would generally not be subject to the "multiple operation rule". Accounts should be endorsed to the effect that they are separate procedures so that a separate benefit may be paid.

 

Extended Medicare Safety Net Cap

The Extended Medicare Safety Net (EMSN) benefit cap for items subject to the multiple operations rule, where all items in that claim are subject to a cap are calculated from the abated (reduced) schedule fee.

For example, if an item has a Schedule fee of $100 and an EMSN benefit cap equal to 80 per cent of the schedule fee, the calculated EMSN benefit cap would be $80. However, if the schedule fee for the item is reduced by 50 per cent in accordance with the multiple operations rule provisions, and all items in that claim carry a cap, the calculated EMSN benefit cap for the item is $40 (50% of $100*80%).

Related Items: 13506 30084 31539 31542 31545 34527 34528 34530 35518 35614 36851 37217 37339 41884 48660 48663 48666 48669 48672 48675 48684 48691 48692 48693

 

14/10/15 bandingtogether.com

I met with Dr Hanh Nguyen at Sculpt Surgery today, along with his nurse Theresa, who I had met at my last consultation - she is so lovely, and I feel relaxed with her.

 

I am a "good candidate" for the proposed procedures - circumfrential abdominoplasty and bilateral brachioplastys as I have little fat, but lots of skin!

 

She will be getting back to me with updated costs - she is going to talk to the surgeon and they are going to try to bring it down due to my financial status.

 

Then had my GP appt later, she doesn't want me to do anything until my weight loss has reversed and I start putting on some weight - she wants me back up to 45 kg (I had dropped to 42.5).  Got some 'results' back from some recent 'tests' and have got a gut infection - no wonder I've had a problem with diarrhoea and loss of appetite lol!.  She also wants me to re-visit the dietician, who I don't think will be able to offer me any advice than what I had discussed with her last time - ie ongoing weight loss and diarrhoea *sigh*.

 

15/10/15 jellybelly89 to me bandingtogether.com

“Have your surgeons confirmed if you're still eligible for Medicare Denzel? There is so much conflicting information on what the new criteria is, have they given you anything?”

 

15/10/2015 me to jellybelly89

No, I looked it up on the Medicare site - the surgeon gave me the item numbers.

Update: The nurse has just rung me with new, improved costs, having discussed it over with the surgeon and the anaesthetist.

She confirmed that they have received an email from Medicare re rebate for abdominoplasty and the changes aren't expected to take place until the middle of next year.

They have brought the cost for bilateral arm lift and circumferential abdominoplasty down to $13,000.00, and which I'll get a rebate of Fee: $691.75 Benefit: 75% = $518.85, so Medibank will pay approx. $172.00.

And there will be $1,000.00 gap for the anaesthetist.

Because I am having both bilateral arm lift and circumferential abdominoplasty it will be about a 7 hour op.

 

15/10/2015 leya22 to me bandingtogether.com

“I remember Theresa from my days at Hollywood too, she is super lovely. . . . I hope you go ahead with Sculpt, they are a really fantastic team!”

 

15/10/2015

Oh wow leya22, thank you for the above feedback!

Theresa is super lovely, she is so easy to be with that she feels like an old friend!

Yes, I am going ahead with Sculpt, with Dr Nguyen operating, and Theresa being a support person. She even visits her clients in hospital post-op!

I'll be operated on at Hollywood. Hope that the staff there are better than the ones at Murdoch. - ferkin' scary there. We are looking at November 27th that gives me time to get some stuff organised in my personal life ie sale/no sale of my house and that then impacts on me moving/not moving back to NZ, get over my gut infection, and put on a couple of kgs - GP is quite concerned about that and doesn't want me to have surgery until I do).

 

15/10/2015 leya22 to me bandingtogether.com

“Hanh is a really great surgeon, his follow-up is fantastic, and as you mentioned Theresa will visit you on the ward post-op and change your dressing etc. they provide a really great service!!

I worked on John Carroll ward at Hollywood, which is where you will most likely stay, there has been a few staff changes since I left but quite a few that are the same and they are a really great team of nurses, I actually really miss working there!

I look forward to hearing of your progress with the surgery :-)”

 

16/10/2015 Me to QuirkyQuaintrelle gastricsleevesupport.com

Honey, you aren't greedy!

You'll be pleased to know that the changes in Medicare won't happen until the middle of next year - the nurse from where I have decided to go - "Sculpt Surgery" confirmed that.

I met with Dr Hanh Nguyen at Sculpt Surgery on Wednesday, along with his nurse Theresa, who I had met at my last consultation - she is so lovely, and I feel relaxed with her.

I am a "good candidate" for the proposed procedures - circumferential abdominoplasty and bilateral brachioplastys as I have little fat, but lots of skin!

She got back to me with updated costs - she talked to the surgeon and they are going to try to bring it down due to my financial status. I also had that consult bulk billed.

Then had my GP appt later, she doesn't want me to do anything until my weight loss has reversed and I start putting on some weight - she wants me back up to 45 kg (I had dropped to 42.5).  Got some 'results' back from some recent 'tests' and have got a gut infection - no wonder I've had a problem with diarrhoea and loss of appetite lol!.  She also wants me to re-visit the dietician, who I don't think will be able to offer me any advice than what I had discussed with her last time - ie ongoing weight loss and diarrhoea *sigh*.

I am delaying having it done until 27th Nov, gives me time to sort out things here IN CASE my house sells, or not, which then impacts on me moving back to NZ. + to get my gut back on track, and put on a couple of healthy kgs.

I have had some good feedback from another forum I am on re who I am going with, and the hospital where I will be operated at.

"Hanh is a really great surgeon, his follow-up is fantastic, and as you mentioned Theresa will visit you on the ward post-op and change your dressing etc. they provide a really great service!!

I worked on John Carroll ward at Hollywood, which is where you will most likely stay, there has been a few staff changes since I left but quite a few that are the same and they are a really great team of nurses, I actually really miss working there!"

 

16/10/2015 me to leya22

Thank you so much for this leya22, great to hear positive and reassuring things (I'm a nurse as well, so know the difference between good care and poor care).

 

‎16‎/‎10‎/‎2015‎ ‎4‎:‎29‎:‎02‎, kazbo said:

“Now I've made the decision, I'm starting think that it'll be a great opportunity to get a few other things done (like my double chin lipo'ed and lifted and the stubborn fat on my soccer ball hips lipo'ed).

I wonder how many people go through this "oh well seeing you are going to be working on me you may as well...[insert cosmetic items here]"

 

16/10/2015

Later I would like a thigh lift and breast (what is left lol - I used to have biggies, not anymore!) lift. Don't want an enhancement there, I would be happy just to have small perky ones!

'Cos I am little, with little fat, they are able to do my arms and circumferential abdominoplasty all in one go. Some bigger folk, they can't do the circumferential abdominoplasty in one op.

 

16/10/2015

Ohhhh, Sam Cunneen in West Perth is much cheaper, by about $6,500 .  I'll keep my appt I had made with them for next Thurs.

 peg_tummy_tuck.thumb.jpg.7b75d4525ada3fd

Mind you, I could always save a heap of dosh and  do a "do-it-yourself" tummy tuck lol!

 

22/10/2015

I went to my 1st appt today with Sam Cunneen, was very impressed with him. Here I am having a 3D photo.

 hysterical.thumb.jpg.da01412cc6642b3fe8f

 



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Plenty of skin to play with.  I am 1/2 the weight I was in 2000.  Those pesky 20 kg went on, came off, came back on, went off, etc etc. that, overall massive weight loss + age = loose skin.

 

me standing.jpg

yes it needs to be done.jpg

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But lookie who came along with me! It's an Angel Butterfly!

I let her loose with my smart phone, some interesting photos emerged later lol!

(The image in the background is me, from the 3D photo).

We had a hysterical debriefing later over coffee!

 

cheeky ang.jpg

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I'm going for the 2nd appt on Wed 4th November with Sam Cunneen, 1130.

Booked in to have a TT and AL  (tummy tuck and arm lift) 17th November at Bethesda. 

I pay the deposit money (I gotta do some money jiggling first) from next week (going to wait until 1st week Nov as I have a little bit of interest coming in), and the balance paid in full prior to the surgery.

Haven't spoken to Anaesthetist yet.

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The PS who will be doing the tummy tuck (+/- circumferential abdominoplasty) + bilateral brachioplasty unfortunately has recently given himself a "Mallet finger" and would prefer for me to wait until next year for the ops as his fine stitching may not be so great.  But, me on a tight budget, have already met the Medicare Safety net for this year, so will get bigger rebates.  And I figured that by the time he operates his finger should be much improved (November 17th).

I shall be operated on at Bethesda Hospital (I haven't been there before) - it was a choice of either there of The Mount where I have had a number of sleep studies, and not been impressed.

Then!  I am also hoping to squeeze in thigh and breast lifts with the same PS before the end of the year!  Getting my money out of the PHI eh!  I shall never again complain about paying for Top Level Cover lol!

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*WARNING!!!  GRAPHIC PICTURES*

"Somebody Stole My Bum"!

On Monday  I transferred money over to my savings account for this lot of surgery and anaesthetist, and for the next lot (breast and thigh lift).

I had my 2nd appointment yesterday with Sam Cunneen, and filled in the paperwork for the hospital prior to seeing him.

I went armed with a list of questions, so here goes:

"Arnica cream/tablets etc for bruising?" No evidence for, but if want to use them, do so.

"As going to be a long op (about 7 hours) when operated on in day?"  I'm 2nd on the list, should be about 1200. Fast from 0700, water until 0900 (? - I didn't write that down).

"Who is nurse/does he have one?" Jan. Does she visit patients in hospital. No.

"Does he visit every day?"  Yes, time of day variable according to schedule.

"Should I bring in my walker (Fibromyalgia)?"  No, doesn't want to encourage "sick" behaviour, wants patients up and mobilising ASAP.

"What sort of post-op pain relief?" Anaesthetist to sort out.

"When will I see or hear from the Anaesthetist?"  Will ring day/night before.

"Can I have copies of the photos taken at the consultations?" Yes.

"Are they able to take photos intra op?"  Yes, just remind them.

"Do they weigh the removed flesh?" Yes.

"If I am not well general health (ME/CFS + Fibromyalgia) can I stay longer than the projected 4-5 nights as have no-one at home to help out?"  Hmmmm, not very extendable as the health fund allocates a certain number of days for each procedure.

"Timing of first post-op visit?" A week later.

"When do I receive at-home would care instructions?" Before I leave hospital

"What sort of knickers are more comfortable, bikini or full?" Either.  Excision line is numb.

"Support garments?"  Arrange with Jo at this appt.

And had more photos taken.

What a sad bottom!

All OK until he asked if I had had a quote for the circumferential abdominoplasty, I said that I believed that I had.

So all good until he checked with Jo the receptionist.

Balls up, she hadn't realised that a circumferential abdominoplasty was the same as a belt lipectomy aka a lower body or half body lift, she thought that it was just an extended abdominoplasty where the incision goes around further.

So I am meant to cough up another 4 grand for the op, 'cos it's longer as they need more operating time and due to having to be turned.  + another approx. 1300 for the anaesthetist.

I wrote a polite letter last night....

"Hi Jo,
 
Was great to catch up today :)
 
I have to admit that I am somewhat taken back today and stressed to find that what I had been quoted on, and had apecifically spoken to you on phone about to clarify  ie the circumferential abdominoplasty,  was now incorrect, and unfortunately this was your misunderstanding of the terminology (which I had used correctly).
 
As you know, I had specifically asked about a circumferential abdominoplasty ( as below).
So I had budgeted for the quote that you had given me, +  the rough estimate of the anaesthetist as below.
Would it be possible please, to see what can be done to rectify this disparity?
 
I have signed all the paperwork, and transferred over money on the understanding that the before Medicare and Medibank rebates,  was going to be $7500.00, as you know.
 
https://en.wikipedia.org/wiki/Abdominoplasty
http://www.atlanticplasticsurg.com/belt-lipectomy.html
http://www.realself.com/question/body-lift-extended-abdominoplasty
 
As a result of the quote that I was originally given, speaking on you on the phone to confirm that what you had given me was correct, + my first consult with Dr Cunneen, I had informed "Sculpt Surgery" that I would not be proceeding with them - they were my first choice, and I had already had two consults with them and was booked in for surgery.
 
Can you please think this over, and let me know what we can do to reach an agreement that we are both happy with?"

Will keep you updated on this development...

I also received the receipt for money paid (I had paid the full amount, as quoted in writing and confirmed verbally) on Monday,

And got the addresses of where to go for my support garments.

I trotted into Subiaco - a nice walk, walking was OK, but my legs were getting 'creepy-crawly' (Fibromyalgia) from standing at the desk talking to Jo.

And went to "Hidden Treasures" to get my post-op garments.  How in tarnation I am going to do up the back of the sleeves when I am home by myself, I don't know.  Also found out, that post-op knickers are worn on the outside of the garment, which has a little hole purpose-built for toileting.

Extract is from the  "Specialist Eligibility Form"

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Edited by denzel
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Oh,also, at the consult, Dr Cunneen also advised me that he might utilise another Plastic Surgeon to get me closed up quicker - Wysun Wong.

I've just checked the AHPRA Registrar, and all looks good. 

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I have just had a phone call from Jo at Sam Cunneen's.

They won't negotiate with me re price, even though it was their mistake.

So they, with adding on the huge difference with an increase in the Anaesthetist, have come out more expensive (marginally).

Well, poo  :(

Stupid of them, they KNOW that folk like us are on these forums, and choice of surgeon for initial weight loss procedure etc, and plastic/reconstructive surgeons is very much word of mouth.

So, much as I was looking forward to going to Bethesda on the Swan River, I am now going to go back to Sculpt and will be operated on at Hollywood.  Have just rung and left a message for the lovely nurse, Theresa, to ring me.  (@Leya22)   Obviously have no idea re dates as haven't spoken to Theresa yet, who knows, 27th November might still be available, and if it is, will SNAP it up!

Gives me a bit longer to tone up, anyhows!  Look, I am the perpetual optimist, and believe that things happen for a reason. 

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Things do happen for a reason Denzel, I will be watching your posts to see how things progress and looking forward to seeing your journey further unfold. Hope you don't have to wait too long x

 

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Thanks @‌leya22.  I've lost my November 27th spot, so now December 4th at Hollywood.  Oh well!  Do you want me to say "hallo" to the place for you as I walk in lol? 

 

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Well, the Plastic Surgeon I was going to go with (Sam Cunneen), I'm not now as his receptionist had stuffed up the quote (well and truly) - despite me ringing to make sure, so with another $4000.00 increase in his fees, and about $1,500.00 for the Anaesthetist, they have priced themselves out. 

I contacted the folk that I was originally going to go with (Sculpt), and I've lost my 27th November booking for surgery, so now 4th December.  (Was going to be 17th November *sob sob* with Sam Cunneen). 

Ah well, it's given me a bit more time to tone my arms more!  (I haven't got any bum left to tone lol!)

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Thanks @‌leya22.  I've lost my November 27th spot, so now December 4th at Hollywood.  Oh well!  Do you want me to say "hallo" to the place for you as I walk in lol? 

 

I will be thinking of you on the 4th of December, when you are there you will have to tell me the names of some of the nurses that are looking after you!

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I've had a possible spanner thrown in the works for having this surgery.

About four days ago, I accidentally found two hard, pea sized lumps in my neck.  Different from my usual ME/CFS lymphadenopathy.  I was just rubbing my neck going up to my left ear, which was bugging me (had seen the ENT surgeon the week before for routine check, and the grommet was still in place and not blocked - we decided that the 'aural fullness was due to my Menieres Disease, and he advised me of some new Drs who have started up a specialist service for vertigo - "The Spin Doctors" lol!), when I encountered these. Wow.  NOT was I expecting, and totally out of the left field.

Needless to say, I am freaked out, 'cos this was unexpected and 'came from the left field'.  Like when I got diagnosed with cataracts.  Whereupon with surgeries such as the gastric sleeve, and my proposed Reconstructive surgery I have read, read, read, researched, researched, researched etc.  And feel prepared beforehand.

I gave it a day to see if it went, or something else popped up such as an obvious infection.  But no.

Rang my GP medical practice to get an appt with my GP.  Nothing available until Monday - pushing it a bit if investigations etc need to be done before my proposed Reconstructive surgery on the Friday - that is just Friday week!!!  Anyway, I asked to go on the cancellation list.

I got rung this am as they had a cancellation, saw my lovely GP and got a referral for an ultrasound of my anterior neck and thyroid.  I came home, and rang and made my appt.  Got one for tomorrow am.

Will update progress...

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Had the anterior neck and thyroid u/s today.

Appears ok, although some incidentals noted on thyroid. Those two lymph nodes don't appear sinister -  phew!!!

Sooo - all good to go!

This time in the week I will be under anaesthetic!

Woo-hoo!

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Woo-hoo!

I had my surgery on Friday.  The surgery went uneventfully, and my recovery is going really well.  I am up, mobilising (walked all the way down to he hospital entrance) with catheter, PCA, and three drains.  The 2 arm drains were removed yesterday.

IF I feel confident that I can manage at home by myself (won't be able to drive, won't be able to climb in lol!) -  just want to be sure that I will be able to get in and out of my bed and chairs without being "cast" like a sheep!  Also to be able to wash myself.

Oh, two nodules on thyroid, for FNA (fine needle aspiration).

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Thanks guys!  All going really well.  I got bored yesterday arvo and hence fired up my laptop and worked out the wireless connections.  Also took myself + drip pole + drains for a good walk down to the main entrance and back.

This morning PCA down and catheter out.  Have wee'ed without catheter. Self care. Washed and dressed self, and been for walk with drains in a discreet bag down to front entrance and back, dozed on bed, lovely lunch, and perked back up again :)  I think that I am their model patient!  Still problematical getting on and off bed though...

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Wonderful to hear all is going well Denzel, I can't wait to see pics. . . .  Can I ask, are you on John Carroll Ward????

x

Yes.  Everything is going well thank you, I am doing better than I thought, and the staff  seem impressed by me. Really lovely staff. I'll pm you. :)

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I ran out of energy last night to update progress, so here goes:

Tuesday - up after 0600 obs and meds. Washed self and changed into day clothes. Stripped bed, and remade it with 'cosy' underneath fresh bottom sheet.

Had not had a good night as had only had Paracetamol after the PCA removed, and had missed the evening dose.  One area when the drain is was stinging - just positional.  So was feeling sore and a bit wiped out. Had some oxycodone so I could mobilise well.

Visited by the Dr on behalf of Surgeon, all good, drains (x 3) still draining.

Visited by the lovely Theresa, who changed dressings.  All wounds look really good, and she reassured me that the extreme swelling in my lower arms and in my legs in completely normal.  Informal photos taken, I am REALLY impressed about how it looks, and keep in mind I am VERY swollen.

Went for three walks, one just down to the main entrance (can do that one at speed now!), a 20 min one out the back of the ward to a carpark, and then down to the Specialist Centre to collect my hand xrays from the Rheumatologist who was meant to have posted them back months ago, back via a different wing and then backtracked to Main Reception to buy some raffle tickets; and late afternoon - it was just beautiful out - out the back of the ward to a carpark, right around the back of the hospital premises and went east to the crèche, then further east to the Medical Centre, poking my head in, then back via a circuitous route = 30 mins.

Umm, somewhat tired in the evening lol! but stayed up to watch the final of TBL, not that I have been following it, but it is very inspiring seeing the befores and them now all glammed up.  Full kudos to the contestants!!!

Was to tired to update this.

These are the photos from yesterday:

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Edited by denzel
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Pain relief, antibiotics, obs done, sc Heparin at 0600, then got up, washed, changed into day clothes, and made bed.

Visited by Theresa post-brekkie, who checked wounds.  All good.  I can have a shower, will need to borrow ward blow dryer to gently dry wounds and Fixomull. Drains checked - still draining, which is good.  I think that with all the walking that I am doing that is assisting drainage, and less chance of it collecting as compared to those who aren't so mobile. She doesn't want me going off hospital grounds (I had mentioned that I was thinking of trotting down to Hampden Road) though.

I am just having some "Mobicol" which I've mixed with prunes that I've had soaking in hot water, along with a good dessertspoon of ground flaxseed. Plenty of "wind" but no follow-through.  Hint - just don't walk behind me or get into a lift after I have been in lol! Pffffft!

Just seen the Dr, drains still draining, to leave in.

Mr Nguyen will be in at some stage.

All good and running very smoothly, so I am very happy :)

greyhound fart.jpg

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