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My Journey: Mel's before & after of GRS on 04-14-2015

Started by veritatemfurto, October 07, 2014, 09:29:25 PM

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veritatemfurto

@BrenB, you can still reserve your GRS date before your insurance coverage starts to cover it by paying for your $1000 payment first. They will then add that payment into the final cost of the surgery that the insurance doesn't cover, regardless of when it is paid in advance of your GRS date.

Anyways, I have an update on my status:

Earlier this month, I got a letter from the insurance stating that my application for authorization had been sent in... several months ahead of the time frame I and my insurance case manager were thinking it would happen.

So, the application had to be put through the process before I was in the clear from picking up my HRT pills late when I switched pharmacies in February of last year. Some insurance policies will use any bit of being late as some sort of ambivalence and reason to not approve the GRS.

BUT, the result came back this week without any problems- I am now finally able to proceed with my GRS. :)
All I need now is the date finalized with Dr Bowers office and the insurance, and figure out how long I'll need to live out of my car at work working extra hours for the $5500 it will cost me this year (including travel costs).
~;{@ Mel @};~

My GRS on 04-14-2015


Of all the things there are to do on this planet, there's only one thing that I must do- Live!
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veritatemfurto

This is just so freaking surreal... Robin from Dr Bowers office called me to confirm that my GRS is prepaid from the insurance, minus my out of pocket cost of $3500.

but

she had some even better news: MY DATE JUST MOVED UP 7 MONTHS

GAH! That only gives me 30 days to get ready now. sure i can use my credit card to cover the cost, but daamn a 7 month advance? how am i going to do this with my new car payments? So much to do in so little time... oh well I'll still take it!

~;{@ Mel @};~

My GRS on 04-14-2015


Of all the things there are to do on this planet, there's only one thing that I must do- Live!
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SorchaC

Yay for you, I'm sure you'll get it all done and what a bonus that you don't have months to build up to it and worry if you've done enough

Good Luck

Hugs

Sorcha  ;D
Full Time : July 2007,  ;D ;D
HRT : December 2007,
GRC, (Gender Changed on Birth Certificate) December 2009,  :eusa_clap:
SRS Dr Chettawut March 2015, ;D ;D
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Eveline

Quote from: veritatemfurto on March 13, 2015, 02:22:13 AM
This is just so freaking surreal... Robin from Dr Bowers office called me to confirm that my GRS is prepaid from the insurance, minus my out of pocket cost of $3500.

but

she had some even better news: MY DATE JUST MOVED UP 7 MONTHS

So exciting! And wonderful that insurance is going to cover most of it. Good for you honey. :)

I just sent her my application - can't wait to get a confirmed date...
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Khalysta

Quote from: veritatemfurto on March 13, 2015, 02:22:13 AM
This is just so freaking surreal... Robin from Dr Bowers office called me to confirm that my GRS is prepaid from the insurance, minus my out of pocket cost of $3500.

but

she had some even better news: MY DATE JUST MOVED UP 7 MONTHS

GAH! That only gives me 30 days to get ready now. sure i can use my credit card to cover the cost, but daamn a 7 month advance? how am i going to do this with my new car payments? So much to do in so little time... oh well I'll still take it!

Congrats!  I keep hoping Robin will call and give me similar news :)  Keep us filled in on how it all goes! :)
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veritatemfurto

Quote from: Khalysta on March 14, 2015, 12:47:08 AM
Congrats!  I keep hoping Robin will call and give me similar news :)  Keep us filled in on how it all goes! :)

Thanks, I intend to. :) I'm going to ask my admin friends to change the title of this thread to reflect that I'm making it into my play-by-play diary of my journey.

~;{@ Mel @};~

My GRS on 04-14-2015


Of all the things there are to do on this planet, there's only one thing that I must do- Live!
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veritatemfurto

On February 4th, I began seeing a new PCP in the area who has done more for me in the last month than ANY doctor has done for me in the last decade.

I've decided to drop the Gynecologist I was seeing for my HRT for him. She blew off checking a lump in my breast as nothing serious. My new PCP found out what it really is and I now need a lumpectomy to remove a fibroadenoma thats roughly the size of a kumquat or date. My surgery for that is on hold until after my GRS. It just pisses me off that so many doctors can be so hands off when it comes to transgender patients that it gets in the way of providing us the preventive care we need to stay healthy.


So last week, My car got totaled on the way to work. I don't even really remember the details of what happened, just that I lost control, couldn't stop, hit my head and then the next thing i remember I was already in the wall being cut out of what was left of the car and put in an ambulance.

Yea, I know, "oh my God, are you OK?" Yes and no. While I'm "lucky that I survived without breaking any bones, I still have a bunch of bruises in my knees, ribs, face and collar bone. My right hand took the worst of it, still showing a lot of swelling and discoloration. Im pretty sure the blood vessels got damaged, since its a couple shades darker than my left hand, looks like my knuckles broke on my pointer and middle finger with them really swollen and hard and much warmer than the rest of my hands. There's also dark red splotches around my other joints in the fingers. I'm more worried about that than being out of work already on med leave for till next week.

For most of the week, my mood was Bleak. Mother was beating a dead horse over me about how "careless and irresponsible" I've been to get to this point. I told her "I wish I DID die in that accident with how you've been treating me."  I really meant it, feeling like it was all going to end with me being unable to return to work from lack of transportation, her astute uncaring attitude that all i do is ->-bleeped-<- her and destroy her things, and the need to move out and escape from her grasp for the last time.



And then on Thursday, Robin called and everything started to change.

Quote from: veritatemfurto on March 13, 2015, 02:22:13 AM
This is just so freaking surreal... Robin from Dr Bowers office called me to confirm that my GRS is prepaid from the insurance, minus my out of pocket cost of $3500. but she had some even better news: MY DATE JUST MOVED UP 7 MONTHS

GAH! That only gives me 30 days to get ready now. sure i can use my credit card to cover the cost, but daamn a 7 month advance? how am i going to do this with my new car payments? So much to do in so little time... oh well I'll still take it!

I had originally been scheduled for the lumpectomy on last Tuesday, but with all the pain killers from the accident, I couldn't do it. so now it has to wait until after my other priorities. This whole chain of events just seems pretty weird on its timing.



Today I booked my flights for my GRS. First time flying into San Jose. I also confirmed my place to stay, back with the same friend I finally met in person for my consultation trip last September. My mother, despite all her moodiness, wanted to go with me but she can't afford the trip.
Robin did let us know about the special rate for the Staybridge Inn that routinely houses visiting patients at roughly $150/night. Staying the minimum of 3 weeks  would cost us about $3150, which is undoable in my current situation. I need that much for a replacement vehicle.
With that cost, I'll be flying alone.  :-\ I wish I had a girlfriend to go with me, but dating has to take a back seat in the list of priorities now.




So going onto the Airline's website, I searched for flights to the San Francisco area. "damn, 55,000 points needed for the ideal day to fly out there? crap." and that was just for flying out one way on a Saturday. I was hoping to fly out on Saturday so I could work a 6th day on Friday. I had to settle for flying out midday on Thursday for just 28000 points round trip- almost a week in advance of my date. As long as I can get off that day I'll be fine, since my work schedule has me off of work on Fridays and Saturdays anyways. If my GRS was on a thursday or friday, it would have been better timing. beggars can't be choosers. I made the return trip for May 16, so I would have ample time to recover and to stay on the same plane all the way back versus going standby like the last trip when the original outbound flight got delayed.



By the time I entered in my credit card information for the portion of fees not covered by my redeemed miles, I started crying. Its the first time that I really realized this is really happening. I'M REALLY FINALLY GETTING MY GRS <:'-)

This emotional roller coaster of the last month has really impacted me, literally. I thought it would never really happen, but now it will. I still have my worries about keeping my job and the insurance thats got me through all this, and that something else is in store for me like a clot from the hand injury causing complications during the trip or the surgery or the plane having some midair catastrophe.

Next I need to talk to my DR about getting me some Phentermine to get rid of whatever weight i can lose in the next 3 weeks and some serious fast acting anti-anxiety pills like Valium.




tips: Always plan your finances well in advance of your surgery date. make sure you can cover the cost of staying in town for up to 6 weeks, but DON"T think you'll be able to make a vacation of it and do sightseeing afterwards. You'll be spending most of your time sleeping, resting, groaning, and dilating.

Booking airfare is always cheaper when booked earlier in the month for a flight in the middle of the week, and no later than 30 days from your intended time of arrival.
~;{@ Mel @};~

My GRS on 04-14-2015


Of all the things there are to do on this planet, there's only one thing that I must do- Live!
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GorJess

First and foremost, congratulations! That's got to be wonderful to be moved up, as while it can make things a bit concerning as you've alluded, finally the right anatomy, and sooner!

Oh hey, looks like you'll be there the same time I am, at least on the back end of things for you. My first night at Staybridge is on the 9th, surgery on the 13th, leave on the 23rd.

Hope all goes well, looking forward to your experiences, travails, journey, and stories! This is such a useful help to not just me, but others who are heading out to San Mateo in the near future. :)
You are here in order to enable the world to live more amply, with greater vision, with a finer spirit of hope and achievement. You are here to enrich the world. -Woodrow Wilson





With Dr. Marci Bowers in San Mateo
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SorchaC

Quote from: veritatemfurto on March 14, 2015, 11:19:13 PM

By the time I entered in my credit card information for the portion of fees not covered by my redeemed miles, I started crying. Its the first time that I really realized this is really happening. I'M REALLY FINALLY GETTING MY GRS <:'-)


I certainly remember that feeling after 2 surgeons refusing me the op due to being too heavy. I kept expecting a disaster. Hope the month goes quickly and you recover well

Hugs

Sorcha  ;D
Full Time : July 2007,  ;D ;D
HRT : December 2007,
GRC, (Gender Changed on Birth Certificate) December 2009,  :eusa_clap:
SRS Dr Chettawut March 2015, ;D ;D
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AnonyMs

Congratulations.

Quote from: veritatemfurto on March 14, 2015, 11:19:13 PM
Next I need to talk to my DR about getting me some Phentermine to get rid of whatever weight i can lose in the next 3 weeks and some serious fast acting anti-anxiety pills like Valium.
I'm using phentermine at the moment and done a fair bit of research on it. I'd be very careful about using it.

Having surgery while on phentermine can kill you, so you need to stop some time beforehand. You'd need to ask your surgeon.

http://www.realself.com/question/diet-pills-phentermine-tummy-tuck-safe

I'd also check what kind of diet you can do just before surgery, as your body could be weakened significantly. I believe it can be dangerous. I've been practically staving myself recently and its hard enough just standing up sometimes; I'd not go into surgery like this.

There's also a number of other drugs (and vitamins) that you can't take before surgery.
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veritatemfurto

Quote from: AnonyMs on March 15, 2015, 04:38:08 AM
I'm using phentermine at the moment and done a fair bit of research on it. I'd be very careful about using it.

Having surgery while on phentermine can kill you, so you need to stop some time beforehand. You'd need to ask your surgeon.
There's also a number of other drugs (and vitamins) that you can't take before surgery.

DAMN. >.< oh well. I dont even look my weight anyways. and judging from my ability to virtually walk away from a head on crash that blew the airbags,  it's likely mostly (still) all muscle mass. I'll have to ask Robin about it.

Not going to have any time for any electro or laser down there now either. never had much there anyways with the DSD.


SO after last night, I spent my time looking at ForeverGiselle's GRS recap from last month when she got advanced. I think I'm into this emotional phase of realization that "holy ->-bleeped-<- thats going to be ME in a couple weeks" more crying ensued.

Besides the big friggin needle that goes into my hand, I'm currently mesmerized at the bowel prep thing.

It scares me more than the surgery itself, thinking I'll be doing nothing but groaning and going on the pot for my last day pre-op I'm also pretty worried about how the hell I'm going to go without eating OR drinking anything in the last 24 hours.
~;{@ Mel @};~

My GRS on 04-14-2015


Of all the things there are to do on this planet, there's only one thing that I must do- Live!
  •  

veritatemfurto

Yesterday I had the Lumpectomy. If this is any indication of how i'll do for the big surgery in three weeks, I'm going to have a problem. I got my Dr. to order a script for Xanax to knock out my extreme anxiety problem with needles.  As soon as I got up and ready to go I took half of one pill, and then was allowed to take another full pill just before the IV should have been started, but it didn't work. I still couldn't do it.

I probably could have done it if it wasn't for the "numbing agent" that was injected first... well halfway in my hand and the rest on top of it... It didn't burn a little, it was like FIRE.  :'( The anesthesiologists had to make an exception for me by wheeling me into the OR first, starting the gas to knock me out, and then start the IV. Everything worked out that way. When I went into the OR, I took about 5 deep breaths and I was out. it only seemed like a few minutes went by but i didn't feel anything after that, not even that anything was removed from under my left areola.

I noticed that they tried to stick the iv into my arm three times on the left but it didn't hold, so they ended up putting it into the underside of my right wrist. I had used up almost all my me saline solution and got some vicodin injected and a glass of water.
When it came time to pull the needle out, I could hardly feel it. I'll have to remember that spot for next time.

I really need to see if Mills Peninsula's Anesthesia Department will do that for me too, otherwise I have a bad feeling that its going to take 3 full Xanax pills to get me tranquilized enough to start an IV. :(


The procedure took about an hour to remove the fibroadenoma. When I had it diagnosed about a month ago, it was about the size of two grapes/a kumquat/ a date. It grew a little bigger since then, but all of it was removed without complication and sent off to pathology to verify that it wasn't cancerous.

Up until my current Primary Care Physician, coverage for me has been pretty hands-off. the last time i had any doctor give me a physical was before I transitioned, in 2000. That is way too long.

When I first found out that something was wrong with me, I almost fainted. not only did I feel a sense of disappointment and betrayal by my own body after everything that I've been through on this journey, I also felt pissed off from the lack of clinical care I've been receiving, just cause I was labeled as trans. That is a problem NONE of us should ever have. I've started to get into the habit of responding to "when was your last period" with "Not applicable- i don't have them because of a congenital problem/ DSD."

I remember asking my gynecologist that was prescribing HRT to check my breasts since they felt a bit abnormal, but she just blew it off. This problem should have been taken care of then if it was because of my HRT triggering something in my genetics to grow tumors. I won't be seeing her again now that my HRT is complete with the GRS in three weeks.
~;{@ Mel @};~

My GRS on 04-14-2015


Of all the things there are to do on this planet, there's only one thing that I must do- Live!
  •  

veritatemfurto

lot of updates!

3/27/15
So last Friday I went to get the required HIV test done, all clear as I expected. its funny though. I knew that it was improbable that I could have it since I haven't been with anyone since 2010 and its not like id ever willingly do anything with needles. But I was still nervous waiting the 12 minutes it took for the result.

3/31/15
This was the last day for most of my medicines. Stopped taking the hydrocodone and naproxin for the pain from the crashes and the lumpectomy. I was able to get on phentermine for two weeks, which worked great and knocked 10 lbs off to have me at 200 for surgery. Even with it now the eve of my pre-op, I've been able to keep it off.
so from here on its just the estrogen, the anti-anxiety pills, Tylenol, any antihistamines and topical pain patches as needed till the day of surgery.

04/03/15
I ended up having to change my flight schedule from Thursday to Friday since I didn't have anyone take my Thursday shift at work. Good thing that I did since I needed the time to clean my room and pack everything that I needed. As soon as I got home, I faxed my pre-surgery packet to Robin and gave her a call to confirm everything had gone through ok. It did and I was finalized for the op :)

04/07/15


04/09/15
I started the day with a call from the Hospital for admittance clearance. We went over a bunch of stuff and confirmed that I may be able to get the extracted material examined for any malformations (like ovotestes) caused by an intersex condition while they do the State mandated testing for diseases. I also should be able to be mellowed out with my xanex pills for the day of grs too.

I didn't even get any sleep on Thursday until I arrived in San Jose on Friday. Partly from the packing and repacking and also from my anxiety of it finally happening.
only a few hours to go before I get fixed! I mean, its not like I procrastinated getting things packed. I just have that much stuff to go through for packing a month long trip.

04/10/15
Flew out to California and hardly had any problem. I think the anxiety attack I had back in September combined with my anxiety pills really worked to get the stress out of the way early so i can deal with the stress I'll have in the immediate days of surgery. I won't say that all is well, cause it isn't, but everything is going as expected, which is good.
~;{@ Mel @};~

My GRS on 04-14-2015


Of all the things there are to do on this planet, there's only one thing that I must do- Live!
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Devlyn

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veritatemfurto

well folks, today is it: my GRS is finally happening. I'm taking video logs since yesterday to document the experience and will post when I get the chance to do so in recovery...


~;{@ Mel @};~

My GRS on 04-14-2015


Of all the things there are to do on this planet, there's only one thing that I must do- Live!
  •  

GorJess

Best of luck to you, well wishes, and a speedy recovery! Hopefully the pain will be minimized as much as possible. :)
You are here in order to enable the world to live more amply, with greater vision, with a finer spirit of hope and achievement. You are here to enrich the world. -Woodrow Wilson





With Dr. Marci Bowers in San Mateo
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veritatemfurto

So for anyone wondering, the bowel prep isnt that bad tasting, kinda like a malt beverage. Its the chugging a cup and then going every 10 minitues for the next 4-6 hours that is the real butt hurt... anyways here's my take.


http://www.youtube.com/playlist?list=PL8GgPHYeiwGZofGBIqmV-zYOo8DLjghZx
~;{@ Mel @};~

My GRS on 04-14-2015


Of all the things there are to do on this planet, there's only one thing that I must do- Live!
  •  

GorJess

I'd like to watch these for my own sake of education and knowing what I have to deal with in 4 weeks, but you've made them all private, unfortunately, so no can do, as of now.

Thanks for letting me know it's not too bad tasting, that was my biggest fear. Hardest challenge will be not eating solids that day, but for that reason? More than can make an exception.
You are here in order to enable the world to live more amply, with greater vision, with a finer spirit of hope and achievement. You are here to enrich the world. -Woodrow Wilson





With Dr. Marci Bowers in San Mateo
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awilliams1701

I actually remember a day about a month ago where I think my anti-cholesterol med gave me intense abdominal pain to the point of almost calling 911. After tossing some of my dinner, I was like "hmm that bowel prep I heard about sounds like a good thing right about now".

I can't watch your videos here, but I intend to when I get home. The more I hear about Bowers the more interested I am as getting her. To me 14 months isn't the problem is the fact that I don't think I can afford it right now + 14 months. I have no idea if my insurance would cover it or not. I suspect I may hit my out of pocket cap whenever that happens and it might not be that bad financially. If it isn't covered there is no way and hell I can afford it right now + 14 months.
Ashley
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awilliams1701

Holy crap that bowel prep is huge. I had no idea it was that big.
Ashley
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