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4 Week Post Surgery Update

I can hardly believe it’s already been four weeks since the surgery.  To think, around three years ago, I totally rejected the option of having surgery and two of my doctors agreed. However, as my symptoms progressively got worse, the hysterectomy turned out to be the best option. For just about all of 2021, I spent lots of time imagining what the experience would be like, and even put some things in my life on hold to plan for the procedure and attend to my health. Well, I tackled my fears head on for the prospect of experiencing a better quality of life. If you haven’t been following my progress, you can catch up on the background by reading my posts Fight and How it started vs how it’s going: 2 weeks post surgery. In this post, I will share some of my recovery progress. My disclaimer is as a squeamish person myself, I feel obligated to caution readers I will be sharing information which might make you squeamish, or which may be considered TMI (too much information).  And for the first time, I will share an unexpectedly odd complication from the surgery.

You can do a basic Google search on “hysterectomy” to learn about what the procedure entails as there is ample information on the internet. It is a major surgery. My surgery was the least invasive procedure called a laparoscopic hysterectomy (performed with the assistance of a robotic device and through my abdomen) and was completed in 3 hours. My uterus, ovaries, fallopian tubes, and cervix were all removed. I was under anesthesia. I stayed in the hospital for one night. I was released with a catheter, so I had to go to the doctor’s office the next day to determine if my bladder would cooperate without the catheter. I was able to get the catheter removed at the doctor’s office. The first week was rough. For the first two weeks, I was primarily on bed rest, meaning I layed in bed all day, sleeping a lot, except for going to the rest room. I’ve been progressively getting better with each day.

On a scale of 1-10, with 10 being the highest, my pain from the surgery has been zero for at least two weeks. This doesn’t mean I don’t feel the dull aches from the four incisions on my abdomen because I do sometimes, especially depending on my activities in a day. I stopped taking the narcotic pain medication (it wasn’t very helpful anyway) about two weeks ago. I do take over the counter Motrin (Ibuprophren) on occasion, but if I do, it’s only once in a day. I’ve been exercising for a little over 2 weeks now. I went from walking 19,860 steps the week after surgery to walking 61,239 steps last week. I’m at full mobility without assistance in that I can finally lay down in bed to sleep, I can bend over, pick up items off the floor, put on my shoes, prepare meals, walk in the neighborhood, and do some light cleaning.

My energy levels have been increasing, which has been wonderful. However, I need to pace myself because I do get tired when I do too much. I wouldn’t be honest if I didn’t share sometimes the increasing energy goes to my head. Last week, I decided to do some minor cleaning out of my pantry, and as I attempted to reach for an item on the top shelf, I fell off an old stool that broke (while I was standing on it). The jar in my hand hit me in the head as I tripped against the kitchen island and grazed my abdomen. OUCH!!! I avoided falling on the floor though, but not without pain. I took some Motrin and got in the bed the rest of that day and the next day. Bryan was sure to tell my gynecologist about it at my appointment the next day.

Some things I haven’t started doing yet are driving, lifting weights (or any other items) heavier than five pounds, and working. I saw my gynecologist last week and she said I’m healing well. I did share with her since the surgery I’ve developed a speech stutter which is really odd. I’ve not had a problem with stuttering EVER IN MY LIFE. I’m obviously not a doctor, but I attribute it to the anesthesia because it does affect the brain and I had difficulty “waking up” from the anesthesia. I’m somewhat self-conscious about stuttering, but thankfully I’ve mostly only been talking to my family. It doesn’t occur all the time and even seems to be occurring less often compared to the first week of recovery. Bryan was sure to tell the gynecologist how bad it has been. Since the full recovery is eight weeks, my gynecologist plans to discuss an action plan at that time if the stuttering continues.

I’ve made so much progress in just four weeks, but I’m reminded I’m still in recovery and need to take it easy. I’m not at 100% yet and that’s not where I’m meant to be at this time. The main light lessons I’ve learned from this experience are “my health is my number one priority”, to have “patience”, and to know things will get better “in due time”. 

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LOVE Yourself

As most people focus on romantic love on this Valentine’s Day, I’m sending a gentle reminder to everyone who reads my post to also focus on demonstrating love to yourself every single day. Valentine’s Day is cute and sweet, and my husband, Bryan, and I take it in stride. It is a commercialized holiday and just from stopping at a few grocery stores earlier in desperate search (slight exaggeration) of a special type of Asian dipping sauce, we could see the stores were all decked out with flowers, balloons, candies, and gifts.

We know every day counts for showing love to each other and our family. It doesn’t take a holiday to remind us. We did celebrate a little this year with Bryan giving our daughter some treats, buying me some flowers, and making us some delicious margueritas. I made a lovely dinner of pasta and salmon. However, I do think we all need some reminding to love on ourselves because we can often be our own worst critics. And it’s really difficult to love others without loving yourself first. It may not even be possible to fully love others if you don’t fully love yourself first.

As a step towards demonstrating some self-love and self-compassion for myself, several months ago, I created a list of how I will be more compassionate with myself. I keep this list in the notes in my phone and refer to it whenever I need to. Maybe you’ll get some ideas on what you might want to focus on for yourself. You get double points for writing it down.

I will show some compassion for myself by:
*Prioritizing sleep and rest when I’m tired
*Not pushing myself so hard, especially when I’m tired. *Don’t delay eating and going to the restroom when I need to
*Replacing my internal dialigue with more positive, gentle, & calming statements
*Ending circumstances/relationships that don’t align with my values and/or cause me distress
*Reminding myself I’m doing the best I can
*Stop judging myself harshly
*Appreciating who I am, my body, and my accomplishments
*Replacing time thinking about how much I have to do with thinking about things I’ve accomplished
*Slowing down
*Sitting down and breathing
*Stop comparing myself to others
*Meditating daily…sometimes several times a day

This is just a sample list and I add to it as I get more ideas. I receive enough judgment, pressure, high expectations, and comparison from others for reasons of which I can’t control. I’m tired of being hard on myself too. Adhering to this list is something within my control. I choose to demonstrate love to myself because I’m pretty amazing when I think about it. I hope you choose the same for yourself because you’re pretty amazing too when you think about it.

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Feeding a healthy obsession

We all have our obsessions and something I learned about my husband, Bryan, over the last couple of months is he LOVES egg rolls. I typed “love” when I jokingly think it’s bordering on obsession. It tickles me every time we, or he, makes a trip to the HEB Plus supermarket, he feels compelled to go to the sushi counter to pick up a pack of egg rolls. In fact, whatever supermarket we go to, he’s checking out to see if there are egg rolls. If we’re eating out, he will order egg rolls at any Asian or non-Asian establishment that sells them.

We may not be able to financially afford this emerging obsession, so over the holidays, I decided to purchase the ingredients to make them myself. After all, it’s more cost effective to cook at home and it will also be healthier depending on the ingredients you choose. Cooking allows me to be creative and since I’m a seasoned home cook, I let my taste buds help me visualize in my head what ingredients I wanted to incorporate. I didn’t use any particular recipe, but I did follow the instructions on the wrapper package for folding the egg rolls. Spoiler ALERT: They were delicious!

I put my mandolin to use and shredded cabbage and carrots. I actually cut myself pretty badly by not using the other gadget that came with the mandolin. Lesson learned. With the cabbage and carrots, I sautéed onion, minced garlic and ginger, edamame, and lots of spices.
I set up my station on the island. It took me a few tries to fold the egg rolls just right.
Whoila! Egg rolls ready for frying in a shallow pot of grapeseed oil.
Vegan wrappers for my vegetable filling was a PLUS!!!

Our love for egg rolls started when we were growing up in Chicago, Illinois where there are many authentic Chinese restaurants around town. In fact, there is an actual China Town in Chicago and the food is amazing. There are also more authentic Chinese restaurants in Houston, Texas. The Asian restaurants in Austin, Texas aren’t necessarily Chinese, which makes a huge difference.

There is an authentic Chinese restaurant in Midlothian, Illinois Bryan introduced me to while we were dating over twenty years ago. We’ve eaten there many times before we moved to Austin, Texas. The owner visits China several times a year and would tell us about it. Upon a visit to his restaurant after we had already moved to Texas, we described to him the difference in the foods. He told us the reason for the difference is because Chinese people aren’t operating the restaurants. There are people from other areas of the world, with different cultures and influences, operating Asian restaurants, which is why it’s more lumped together as “Asian” cuisine.

I’ve made egg rolls several times over the holiday break and since the new year because they’re delicious and easy to make. With each time, I’ve been perfecting the recipe. This post has got my mouth watering and stomach growling to the point I’m comptemplating making another batch for dinner tonight. I like to STAY READY so I have all the ingredients on hand. I don’t think it will take much for me to talk Bryan into shredding the vegetables on the mandolin. That’s the hardest part.

Fried won tons and egg rolls. Yum!
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For the caregivers in the house

In January 2020, I blogged about being brave and accepting the realities of my life, which at the time was to be the caregiver to my husband, Bryan. MAN, have the tables turned because for the past two weeks and until I’m recovered from my surgery, Bryan has once again been my ROCK, my caregiver. Honestly, the tone of that Post was touching on “Poor me”, but I’m humbled again by Bryan taking care of me in my sickest moments. And I have to add his brain health and memory have improved tremendously since this mysterious (to us) chronic illness landed in our lives roughly five years ago.

We have repeatedly lived out the theme of “in sickness and in health” from our wedding vowels. I’m jokingly losing count of our illnesses/conditions, but between the both of us, here’s a sample: brain surgeries, hydrocephalus, knee surgery, breast cancer, surgeries, and treatment, wisdom teeth removal, hysterectomy, and menopause.

Could I have imagined all we’ve been through thus far while raising our family? No, but we’ve been married for twenty four years and life happens. I’m not bitter or disillusioned either. This is marriage. We love each other and will do whatever we can for the other person. I’m deeply grateful I have a partner who is devoted to me and our children. We will continue to take turns being the caregiver for as many times as we need to for the rest of our lives.

So if you’re a caregiver of any age, to any one, I know what that means. I encourage you to be brave. Stay encouraged. You are the best person to care for your loved one. But take time for yourself. I know this sounds cliche, but it’s so true.

Normal things people don’t think of count towards self-care like breathing, taking a warm shower, cooking (or buying) healthy meals to nourish yourself while you care for others, drinking water, calling/texting a friend, unplugging, listening to inspiring music, researching support groups online, and taking time off work, to name a few.

If you’re a caregiver, you’re not alone. I’d love to hear how you take care of yourself. Please share any tips for me and Bryan as we embark on this journey together.

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How it started vs how it’s going: 2 weeks post surgery

Exactly two weeks ago, I was in the hospital in South Austin, recovering from the hysterectomy my gynecologist performed. To be exact, I was in the recovery room with my husband, Bryan, trying to wake up from the anesthesia. I stayed in the hospital overnight because, in fact, I couldn’t wake up and my bladder wasn’t cooperating.

This two weeks has flown by so fast. In a word, I feel GREAT compared to back then. I’ve been focused on recovery so I intentionally chose to use food and rest as the medicine my body needs to heal. This is a disclaimer that I may go into some detail providing updates on my anatomy so please continue to read if you’d like. As I’ve navigated information over the year on the hysterectomy, all it entails, and menopause, it was this kind of information I’m sharing that I longed to read about, but there’s not much of it. I hope this will be helpful for some of you.

Some signs of progress are I no longer have the giant, scary, black bruise on the left side of my waist, my four incisions are healing, I have lots of energy, I’m able to prep meals for myself, I can get in and out of bed effortlessly, and the previous sharp pain in my abdomen is now a dull afterthought. My bladder and bowels are operating smoothly. I can cough, sneeze, and laugh without holding my abdomen in pain. I can bend over and put on my shoes. Bryan was doing this for me. I’m able to do light exercises, including using free weights which I started on Sunday. I’ve gotten four days of exercise in already. Byran and I took a 20 minute walk in our neighborhood today. It’s gloriously sunny with temperatures in the high 60s.

My resting heart rate is back to presurgery levels which is a relief because it’s lower than it was in the days after I had the surgery. My last blood pressure (BP) reading at home was about 116/62. My BP has always been low and doctors have told me over the years it’s excellent, but it’s been lower than my normal. My Fitbit recorded 9 hours and 13 minutes of sleep last night, which is a far cry from my averages in December and early January.

I have not had a single menopausal symptom I can think of aside from no longer having a menstrual cycle. I point this out because I had a complete hysterectomy with my uterus, both ovaries, the fallopian tubes, and cervix removed. As Bryan said, “I guess the body needs time to heal when you literally have organs removed”. The little blood I shedded in the days after surgery has disappeared. At this point, my use of panty liners is just a habit.

I mentioned in my blog post Fight I was on a hormone medication for four months in 2021, which was aimed at shrinking my fibroids prior to the surgery. That medication also causes menopausal symptoms and I displayed most of them from July through December 2021, specifically hot flashes, night sweats, irritability, memory problems, weight gain, and mood changes. I haven’t experienced any of the symptoms since the surgery and I hope it stays that way. Even if not, I’ve done some research on menopause and what lifestyle changes I need to prioritize to manage it because hormone replacement therapy is not an option for me due to my breast cancer history. I learned women who no longer produce estrogen are at higher risks for heart and bone problems, and even dementia, so I wrote down a plan for myself.

One of the best things I’ve done for myself was practice a mostly vegan/plant-based diet for over 7 months prior to the surgery. It’s second nature to me now and I’ve gotten into the habit of viewing how food can heal me. I’ve also increased my water consumption. Though I still eat foods like salmon and chicken on occassion, I’m reaping the benefits of eating a variety of foods of all colors, which fuels my body with the nutrients it needs. I’ve learned women in menopause need foods mostly composed of antioxidants and flavinoids. We also need nutrients like Vitamins C, D, E, K, and magnesium. We need iron and calcium. We need supplements like probiotics, evening primrose oil, and collagen. This is not a comprehensive list, but what I prioritize for my particular body.

Exercise has also been very important to me for over twenty years. It’s more than a habit…it’s a lifestyle choice I decided to maintain. My fitness level prior to surgery may be a factor in why I’m healing so well. Plus, I just can’t got for long periods without exercising. I enjoy it and it keeps anxiety in check.

I do need to reduce stress in my life. Although it took me having a major life altering surgery to do it, I’m so grateful to have four weeks off work to recover and destress. If my doctor says I need longer, I’ve earned the accumulated time at work to recovery for as long as I need to. Work is at the top of the list of the most stressful areas in my life and I’ve been taking notes on how to better manage when I return.

I felt so great yesterday after a workout and a shower that I took a couple of photos of myself sans makeup. I don’t think I look like I had this major surgery merely two weeks ago. As I told Bryan, I’m not at 100% of myself yet, but I’m getting there. I’m also pacing myself. I’ve experimented by not taking pain medications for a few days, but I needed them yesterday, so I took them. I’m still not able to lie down flat, but I’m working towards it. I got a little winded on our walk this afternoon, but I sat down when I got home. I’ll get back to me soon enough, day by day.

Whatever you’re facing, I hope I’m empowering you to face your fears and take the steps you need to make your life better….whatever that is. In an exercise program I do occassionally on YouTube called BodyGroove, the instructor jokingly says to the effect of , “No one can shake your booty for you…only you can do that”. So do what you’ve got to do cause only you can do it. Speaking of which, I hope to be shaking my booty with some Zumba fitness in a couple of weeks.

Until next time…

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Day 8: Post Surgery

It’s hard to believe I’m this far along into my recovery. The days are running together. Today felt especially like a long day with the frigid and icey conditions causing surrounding areas in Texas to shut down. We don’t need to brace ourselves for the fiasco that occurred last February, but it will get very cold tonight. I know our friends and family in Illinois and other states are feeling the cold also.

Our iced tree in Buda, Texas 2/3/2022

My new normal is to lay in bed most of the day, take frequent walks to the rest room, and doze off in between binge watching something on the laptop. I did prep my own meals a few times which is definitely a sign I’m feeling better. In fact, in my 48 years of living, I’ve experienced several medical procedures that required some time for me to heal so I know when I’m on the mend. With this hysterectomy, there are several signs I’m doing better. Keep in mind I’m still in pain overall. Some items on the list maybe TMI (too much information) so read at your own risk.

  • I can laugh without my stomach hurting as much. I do brace myself for the laugh by holding my stomach which helps. Last weekend, my husband, Bryan, said things to make me laugh, but I couldn’t take it at all because I was hurting so badly. I turned off a video of a comedian providing commentary because it hurt too much to laugh.
  • I’m awake for longer periods. Since I’m up, I do more things like prepare a meal or smoothie and take walks around the house, but once I do those things, I get back in bed to rest. I do get tired and will take a couple of naps throughout the day.
  • I can get out of the bed completely without help. I discussed this in my previous post and it keeps getting better. I’m able to prop myself up and slide my legs around to get out of bed. It’s not without some strain and pain, but I can do it.
  • My bladder and bowels are fully functioning. My bladder started off as an issue so I was discharged from the hospital with a catheter. It’s been smooth sailing since it was removed the second day post surgery. My bowels became active by the fourth day post surgery and since I eat mostly a plant-based diet, I have a couple of bowels throughout the day like I did prior to surgery.

In the next week, I’m hoping to be able to lay down flat. I think this will help me sleep more deeply throughout the night. For now, I have lots of pillows propping me up. I want to give my core a little more time to get stronger. Also, some time next week, I will start incorporating more structured exercise into my day. I will start off slow, of course, with maybe 10-15 minutes.

It can only get better from here and I’m looking forward to how much better I’ll be in a few weeks. In the mean time, I’m taking it day by day and am grateful for the time I have off work to rest and heal.

Until next time…

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The voice inside your head

This is a true story from a few years ago, but still resonates today. I stood in the hallway of an unfamiliar building, not sure which direction my meeting was. No one was around. “Darn it! I don’t want to be late. Managers get to meetings early.” As I shuffled through my notebook to find the printed Microsoft Outlook invitation with the room number, I saw a sentence instructing attendees to plan to provide a one minute introduction about themselves. “Great (insert sarcasm)! How did I miss that? I didn’t prepare anything. I’m going to have to wing it AGAIN. It’ll be ok. One minute isn’t long. I’ll think of something on the elevator ride up.”

I got off the elevator to find 3 familiar faces and each appeared lost. No one knew how to get to the conference room. I felt relieved I wasn’t alone. After a few minutes of confusion, another familiar, smiling face appeared and guided us to our destination. At the entry to the room, I laid eyes on the many professionals: managers, directors, and officials. “Do I belong here? Absolutely.”

There were about 30 of us crammed in a small conference room. This was the first meeting of its kind. The introductions commenced, and to my dread, they were starting at my table plus we each had to stand up. As an introvert, I’m usually uncomfortable talking about myself. I decided, “I can do this” as I have many times. However, the stakes were higher this time because of who was in the room. I recalled my boss telling me in the past, “It’s time to shine.” I always resented her telling me that because I shine on my own accord, not by command or pressure. My boss was in the room, at my table. Even though I had my elevator speech ready, thankfully, the facilitator decided to go to the other tables, so I would almost be the last person to speak. I claimed my stake and told myself I would be relaxed and make an impression. As I listened to the years of experience, wit, and honesty, I began to feel inspired and privileged to be in the room.

With each person who spoke, I’d think of something else I wanted to say about myself and add it to my imaginary list. By the time it was my turn, I was poised and relaxed. For a moment, I questioned my attire, particularly my top, because when I stood up, eyes seemed to have laid on the tie at the base of my denim blouse. I was imagining curious looks. I knew I needed to call attention to my words not my attire so I amped it up. I blocked out the thought about my blouse because let’s face it, I couldn’t do anything about it at that point. It was cute. It just didn’t look as conservative as shirts other people were wearing. I said a couple of things that made people laugh, even my boss. I allowed myself to be vulnerable. I felt exhilarated after the meeting.

The meeting lasted four hours. I’m sharing because I want to emphasize how important positive “self-talk” is. Do you hear what you are telling yourself? I too have moments of insecurity and doubt, but I’m actively working on being more self-compassionate and putting less pressure on myself.

I believe most people wouldn’t tell their best friends the negative things they say to themselves so why do we do it? For some, it can be oddly comfortable wallowing in negative emotions and self-talk. They might not even notice the negative mumbles, which is why it takes self-awareness and intention to do the work of change. It also takes courage.

If the voice inside your head is mostly negative, then it’s time to change that.