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An Aussie Girls GCS Story

Started by LizK, September 07, 2018, 05:45:52 AM

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LizK

Quote from: Alaskan Danielle on October 05, 2018, 01:14:26 PM
Snipped:  @LizK
Dear Liz:
This is such good news... almost at your goal.

Weight comes off so very slowly but if one is not careful it can go back on so very quickly.
You are getting so close to your goal....  your motivation to reach your goal is probably very high now... continue on using all the willpower and determination that you can muster.

Thank you for keeping us all updated.

Hugs,
Danielle


Thanks Danielle

You are so right the weight does come off very slowly...I am not certain about the accuracy of my scales either so that doesn't help. This last week I walked 36 ks with an average Heart rate of 111bpm and the scales told me I was exactly the same as I had been the previous week...I jumped on them the following day after lunch and they were weighing me 200 grams lighter than the reading from first thing the previous morning, straight after my walk...I don't get it and I don't know enough about weight loss to know what could be the issue...maybe just bad scales...although they are near new. I am modifying my diets again so we will see.


Thankyou for the kind words and you are right my motivation is very high...I am working hard this week on maintaining a good diet, increasing walks from average 6ks  back up too 7-8ks because I really want to have nailed this goal and be well on my way to creating a buffer of 5kgs.


Take care

Liz
Transition Begun 25 September 2015
HRT since 17 May 2016,
Fulltime from 8 March 2017,
GCS 4 December 2018
Voice Surgery 01 February 2019
  •  

sarah1972

Quote from: LizK on October 06, 2018, 11:57:05 PM
Thanks Danielle

You are so right the weight does come off very slowly...I am not certain about the accuracy of my scales either so that doesn't help. This last week I walked 36 ks with an average Heart rate of 111bpm and the scales told me I was exactly the same as I had been the previous week...I jumped on them the following day after lunch and they were weighing me 200 grams lighter than the reading from first thing the previous morning, straight after my walk...I don't get it and I don't know enough about weight loss to know what could be the issue...maybe just bad scales...although they are near new. I am modifying my diets again so we will see.


Thankyou for the kind words and you are right my motivation is very high...I am working hard this week on maintaining a good diet, increasing walks from average 6ks  back up too 7-8ks because I really want to have nailed this goal and be well on my way to creating a buffer of 5kgs.


Take care

Liz
It is very odd - I face the same issue. I am back to gym 2 - 3 times a week and about 15 km walking/running in addition. Have not lost a single pound. I ended up finding the reason behind it: my fat weight did I des go down but that was replaced primarily with muscles and an increase in bone weight. I hope the increase in muscle mass will long term result in burning more calories so I may start loosing weight.
I packed on almost 12 lbs in the last 6 months due to my depression and I want to get rid.

You can do it! You are so close!!!

  •  

Veronica J

Quote from: LizK on October 06, 2018, 11:57:05 PM
Thanks Danielle

You are so right the weight does come off very slowly...I am not certain about the accuracy of my scales either so that doesn't help. This last week I walked 36 ks with an average Heart rate of 111bpm and the scales told me I was exactly the same as I had been the previous week...I jumped on them the following day after lunch and they were weighing me 200 grams lighter than the reading from first thing the previous morning, straight after my walk...I don't get it and I don't know enough about weight loss to know what could be the issue...maybe just bad scales...although they are near new. I am modifying my diets again so we will see.


Thankyou for the kind words and you are right my motivation is very high...I am working hard this week on maintaining a good diet, increasing walks from average 6ks  back up too 7-8ks because I really want to have nailed this goal and be well on my way to creating a buffer of 5kgs.


Take care

Liz

not surprising, as getting fit one tends to gain weight. This is because muscle mass weighs more than fat but takes up less volume. Water intake tends to increase ones weight as well, to levels you should be at. hence the great amount of peeing :) like lots till your fluid levels reach optimum levels for you and you go back to regular intervals while maintaining your water level.

Your best measure of performance is a tape measure, measure parts of your body (waist, stomach, thighs etc). and dont do a casual walk, but speed walk with controlled breathing. also dont double up on food types when you eat, like double carbs etc. cause the body will simply store the excess. I would recommend drinking a glass of water like 5~10min before you eat and sip water while you eat and possibly dropping your portion size by 10~15% and eat slower. it takes time for your brain to register that your full. and i quote from this site https://healthyeating.sfgate.com/stomach-full-stop-eating-3080.html

QuoteYour stomach can hold up to 4 liters of volume -- about 17 cups -- but the feeling of satiety is not caused by your stomach being full. Instead, feeling full is a result of your brain reacting to chemicals released when you put food or drink in your stomach. Your brain takes around 20 minutes to register these chemicals. After your meal, the levels continue to rise over 10 to 30 minutes. They stay elevated for three to five hours following the meal, keeping you sated. As the chemical levels fall, the feeling of hunger returns. If you do not feel full directly following a meal, wait. As the level of chemicals increases, your hunger will dissipate.

For Me i have began drinking way more water, way less coffee (1 per day - cant do without my morning cuppa)and energy drinks (zero). my body weight has climbed from 86kgs to 91kgs (I am 1.92metres tall). none of my clothes became too tight, and well the toilet became my friend for sure. now its tapered off and i no longer pee near as much as before. this could be the result of the toxins being expelled and replaced with water.

Genetics and age play a huge part in weight control, not to mention HRT. HRT affects your genetics and how your body processes protein and energy stores. i am battling on getting a flat stomach again, but for a 40 year old that aint so easy. and I want to improve my cardiovascular health as much as possible, I would love to get my resting heart rate down to around 50 beats per minute again. and be able to cycle the 30km to work every morning :)
  •  

LizK

Quote from: sarah1972 on October 07, 2018, 02:41:52 PM
It is very odd - I face the same issue. I am back to gym 2 - 3 times a week and about 15 km walking/running in addition. Have not lost a single pound. I ended up finding the reason behind it: my fat weight did I des go down but that was replaced primarily with muscles and an increase in bone weight. I hope the increase in muscle mass will long term result in burning more calories so I may start loosing weight.
I packed on almost 12 lbs in the last 6 months due to my depression and I want to get rid.

You can do it! You are so close!!!

Thanks Sarah

I feel your frustration...one of the things that I am bad at doing is restricting my carb intake. When I think back about the last week I can see the areas where I wasn't as strict as I would be normally and considering I am only aiming at 1kg per week it should be manageable...at least I thought so.  I get the whole muscle for fat equation but when we are talking about BMI it doesn't care about muscle mass and since it is this I need to aim at I need to physically lose the weight and not replace it with muscle at this stage..ha ha ha wishful thinkingg.


I hope you can start to move the weight you want.

Take care

Liz

Transition Begun 25 September 2015
HRT since 17 May 2016,
Fulltime from 8 March 2017,
GCS 4 December 2018
Voice Surgery 01 February 2019
  •  

LizK

Quote from: Veronica A on October 07, 2018, 04:24:31 PM
not surprising, as getting fit one tends to gain weight. This is because muscle mass weighs more than fat but takes up less volume. Water intake tends to increase ones weight as well, to levels you should be at. hence the great amount of peeing :) like lots till your fluid levels reach optimum levels for you and you go back to regular intervals while maintaining your water level.

Your best measure of performance is a tape measure, measure parts of your body (waist, stomach, thighs etc). and dont do a casual walk, but speed walk with controlled breathing. also dont double up on food types when you eat, like double carbs etc. cause the body will simply store the excess. I would recommend drinking a glass of water like 5~10min before you eat and sip water while you eat and possibly dropping your portion size by 10~15% and eat slower. it takes time for your brain to register that your full. and i quote from this site https://healthyeating.sfgate.com/stomach-full-stop-eating-3080.html

For Me i have began drinking way more water, way less coffee (1 per day - cant do without my morning cuppa)and energy drinks (zero). my body weight has climbed from 86kgs to 91kgs (I am 1.92metres tall). none of my clothes became too tight, and well the toilet became my friend for sure. now its tapered off and i no longer pee near as much as before. this could be the result of the toxins being expelled and replaced with water.

Genetics and age play a huge part in weight control, not to mention HRT. HRT affects your genetics and how your body processes protein and energy stores. i am battling on getting a flat stomach again, but for a 40 year old that aint so easy. and I want to improve my cardiovascular health as much as possible, I would love to get my resting heart rate down to around 50 beats per minute again. and be able to cycle the 30km to work every morning :)

Thanks Veronica I appreciate your thoughts and advice. Mr Ives requires a BMI <30 or less than 100kgs or he will not operate I need to get to 90.7 Kgs to get a BMI of <30.


I agree with you for the need to drink plenty of water and the importance of waiting 20 minutes after eating to decide if you have had enough to eat. I am really fit with a resting heart rate of 54 bpm down from 70bpm. I am certainly due to do a physical measure up but to be honest, I can't really see a whole lot of difference despite losing 14kgs so far. The exception is my waist where I have lost 10cm.

I am sure with my low carb , high fruit and veg intake should be enough to start moving it....I hope... Drexy suggested it could be my carb intake and thinking about last week I think she was absolutely on the money along with the advice offered by Sarah and Veronika. Thank you all I will take what each of you have said and apply it to my situation. Update again on Friday.


I do have  UTI which is now moved to the nasty stage, I will see a Dr today and get some antibiotics to knock this thing on its head. I will not exercise today until I get the all clear to do so from the Dr this afternoon. The reading I did has made me cautious about exacerbating the condition by heavy exercise.

Take care

Liz
Transition Begun 25 September 2015
HRT since 17 May 2016,
Fulltime from 8 March 2017,
GCS 4 December 2018
Voice Surgery 01 February 2019
  •  

Nicole70

Hi Liz,

Sorry to hear you have a UTI, that is never very pleasant and I understand your reluctance to exacerbate it.

You have done so well with your weight loss and fitness routine so far, as frustrating as you have been about loosing those last few kilos you can be proud, from what I've found when I loose weight some weeks it just doesn't seem to shift no matter what, then all of a sudden it drops off a large chunk in one week, I put it down to fluid retention. I wish you every success.

I viewed the videos and read the posts linked about GCS with Dr Ives, wow it hasn't changed my mind that that is the path I want to take but it has made me a little nervous. I'm looking forward to your updates as your date approaches.

Hugs

Nicole
  •  

AnonyMs

Quote from: LizK on October 07, 2018, 08:39:16 PM
I am sure with my low carb , high fruit and veg intake should be enough to start moving it....

I'd be careful with the fruit. It's not what it used to be.

https://www.smh.com.au/national/zoo-won-t-panda-to-taste-says-fruit-s-too-sweet-for-its-monkey-menu-20180928-p506lb.html

If you want a guaranteed way to get rid of weight quickly try fasting. Not much fun though.
  •  

LizK

Quote from: Nicole70 on October 07, 2018, 08:51:59 PM
Hi Liz,

Sorry to hear you have a UTI, that is never very pleasant and I understand your reluctance to exacerbate it.

You have done so well with your weight loss and fitness routine so far, as frustrating as you have been about loosing those last few kilos you can be proud, from what I've found when I loose weight some weeks it just doesn't seem to shift no matter what, then all of a sudden it drops off a large chunk in one week, I put it down to fluid retention. I wish you every success.

I viewed the videos and read the posts linked about GCS with Dr Ives, wow it hasn't changed my mind that that is the path I want to take but it has made me a little nervous. I'm looking forward to your updates as your date approaches.

Hugs

Nicole

Hi Nicole

I saw the Dr yesterday and have antibiotics to go on with. The most frustrating part for me is not being able to get out and walk. I really enjoy the time plus it does my hip no end of good, building my muscles in prep for the replacements early next year.


Oh I get what you mean about the video's making you nervous...I am more than that I have the underlying excitement mixed with a good solid dose of fear...not just about the procedure but my brain still wants to question if I am doing the right thing...it's fleeting but annoying to keep thinking that way. But as I said to a dear friend the other day....go back 12 months and it would have taken we a week to pull myself out the funk created by that one thought. Its now only a matter of split seconds and it s banished. I was having one of those moments the other night doing the whole "climbing into the Rabbit hole." then I began to smile, eventually laughed softly to myself and said the only person I am kidding about this surgery ...is me and I am not even doing that very well. lol


Quote from: AnonyMs on October 07, 2018, 09:17:48 PM
I'd be careful with the fruit. It's not what it used to be.

https://www.smh.com.au/national/zoo-won-t-panda-to-taste-says-fruit-s-too-sweet-for-its-monkey-menu-20180928-p506lb.html

If you want a guaranteed way to get rid of weight quickly try fasting. Not much fun though.



I used to fast a couple of days a week and don't mind it...yesterday I had very little to eat at all due to the infection /drugs making me feel unwell...I have to stop my exercise until Thursday to prevent it exacerbating the condition.


Oh thanks a bunch for that!!! Now I can't eat fruit!! no not true...and I don't heat it in excel because of the amount of sugar but I would eat 2-3 pieces a day as part of a balanced diets. Things like Banana's, apples, mandarins peaches in their own juice etc no added sugars but after reading the article you linked too I should be avoiding it. I didn't realise they had selectively bred the sweetness levels in...OMG

Take care
Liz
Transition Begun 25 September 2015
HRT since 17 May 2016,
Fulltime from 8 March 2017,
GCS 4 December 2018
Voice Surgery 01 February 2019
  •  

LizK

All Paperwork Now Submitted

I received a call today from my Pain Management Dr's rooms responsible for writing the report to Mr Ives for November. The receptionist who called me is a really nice and she told me that she had finally managed to get the report written by the Dr and was faxing it to Mr Ives rooms now and did I want a copy. Yes thanks I told her...he is a lovely man and could you thank him

She then says "Oh yes of course, I have been trying to get him to do it for days" and that "Mr Ives rooms have not let up making requests for the report and were in fact on the phone to the our rooms on Monday again." Love your work Michelle and Elisa  :D

Mr Ives receptionists are great at what they do...this is not the first time I have seen them chase something from a Dr. Fantastic and this level of competency really makes me feel confident that I have chosen the right surgeon. So as far as I know he has all the paperwork he needs all the medical tests he needs. The last thing I have to do is pay the bill in a couple of weeks....wholly GCS Batgirl!!

take care

Liz

50D01H02M BWCA?  ;D
Transition Begun 25 September 2015
HRT since 17 May 2016,
Fulltime from 8 March 2017,
GCS 4 December 2018
Voice Surgery 01 February 2019
  •  

Northern Star Girl

@LizK
Dear LizK:
Your  "All Paperwork Now Submitted"  udate report is so wonderful for your fans to read.
It is so very nice to work with a doctor and the office people there that are so concerned for you that they make certain that the little details are taken care of.  It certainly makes you feel more confident about your upcoming surgery.

I love your last sentence: 
    "The last thing I have to do is pay the bill in a couple of weeks....wholly GCS Batgirl!!!"

Thanks for filling us all in... we are rooting for you.
Hugs,
Danielle
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  •  

Nicole70

Liz,
It's such good news that you have your paperwork all in place now, 50 days to go omg! Did I mention your date is the same as my birthday, so we are going to share the day as special in future [emoji4]

I hope your UTI is feeling better today

Hugs

Nicole
  •  

Laurie

Good work Liz. I know how hard you have worked to get to this point. I know most or your worries, heartache, frustrations, and your persistent determination that you have invested. It is so good to see you are so close to getting what you need to get done when not that long ago it appeared all but impossible. You have earned this girl. Now you just need to get past the waiting. I have no doubt you will.

Love ya girl,
  Hugs,
  Laurie
April 13, 2019 switched to estradiol valerate
December 20, 2018    Referral sent to OHSU Dr Dugi  for vaginoplasty consult
December 10, 2018    Second Letter VA Psychiatric Practical nurse
November 15, 2018    First letter from VA therapist
May 11, 2018 I am Laurie Jeanette Wickwire
May   3, 2018 Submitted name change forms
Aug 26, 2017 another increase in estradiol
Jun  26, 2017 Last day in male attire That's full time I guess
May 20, 2017 doubled estradiol
May 18, 2017 started electrolysis
Dec   4, 2016 Started estradiol and spironolactone



  •  

LizK

#72
Change in Plan


Call from Mr Ives rooms to ask if I can admit a day earlier than planned...He wants me to see his resident pain management specialist prior to surgery the next day so we can ensure correct management should anything go haywire and my chronic condition decides to kick off...its very reasonable to assume it might, considering stress triggers acute phases and I would think the chances are well over 60 % that it might, however if they can keep my stress to a minimum then I should be Okay...if they can keep my other condition under control I usually heal very fast and with minimal fuss.

I asked her if she was waiting on anything else and she says no she fixed the issue with my second letter. The writer had described what I had done with out actually saying something like "I am satisfied that Liz has met all the requirements as set down under WPAth guidelines" I was told the letter was great just missing that vital line which was quickly rectified. She said I still needed my second one and I told her it was in the same package of documents as the one she has just looked at....as few minutes later and she was reading the letter title and then said its fine I can see the bit about you meeting the standards...so yes we have what we need.


New Instructions:
Arrive Melbourne,
Report to Devoritch Path labs next to Mr Ives rooms 1st Floor Masada Hospital.
Mr Ives Rooms and examination by pain specialist,
Admission to ward at 2pm

...fun and games start at 3pm with fasting except water. The administration of the fleet will be up to the hospital.


So my lonely night in a motel room, crawling between bed and toilet will just move location and will no longer be alone. Sounds better already!!! :laugh: I also will not have that dawn trek to the hospital that most girls have to make. Kind of a pilgrimage that I have read in nearly every girls account of their GCS, whether it is by cab, train or bus they all do it only the walking wounded get an early check in ... :) I guess I will get to sleep in, you know maybe breakfast in bed  :icon_chew:, heck I can lie in bed all morning  :icon_tetter: my op isn't till 1:30pm.  :D :D


She asked if I had done my shopping yet and I said to her no I have 3 things left to do, Pay you , Pay the Anaesthetist and get my supplies and as long as she has no more outstanding paperwork we are good to go.


"We will see you on the 27 after you have done your bloods"


I was sitting on the couch at my daughters place taking this call and I don't know what my face looked like but her and my wife both asked if I was Ok and of course I began to cry( time for a post about how complicated this all feels) and told them, this has been so long coming, that now that it is finally, nearly here, it kind of hits me hard sometimes. This "thing"  I have thought about in various forms and ways for years is now going to happen in just under 7 weeks...next month...48 Days.


Liz
Transition Begun 25 September 2015
HRT since 17 May 2016,
Fulltime from 8 March 2017,
GCS 4 December 2018
Voice Surgery 01 February 2019
  •  

LizK

Quote from: Alaskan Danielle on October 08, 2018, 10:05:10 PM
@LizK
Dear LizK:
Your  "All Paperwork Now Submitted"  udate report is so wonderful for your fans to read.
It is so very nice to work with a doctor and the office people there that are so concerned for you that they make certain that the little details are taken care of.  It certainly makes you feel more confident about your upcoming surgery.

I love your last sentence: 
    "The last thing I have to do is pay the bill in a couple of weeks....wholly GCS Batgirl!!!"

Thanks for filling us all in... we are rooting for you.
Hugs,
Danielle

Hi Danielle

They are very professional and are taking a great deal of care over this. Thank you for your continued support I always love hearing from you. I like the Batgirl signature as well i may use it awhile longer LOL


Quote from: Nicole70 on October 08, 2018, 10:34:53 PM
Liz,
It's such good news that you have your paperwork all in place now, 50 days to go omg! Did I mention your date is the same as my birthday, so we are going to share the day as special in future [emoji4]

I hope your UTI is feeling better today

Hugs

Nicole

Hi Nicole

How cool is that...I actually asked for my birthday but it was already taken so I decided my Birth month was the second best choice. I apologise if I don't come and have a drink with you that day I could be a bit busy  :D

Quote from: Laurie on October 08, 2018, 10:44:14 PM
Good work Liz. I know how hard you have worked to get to this point. I know most or your worries, heartache, frustrations, and your persistent determination that you have invested. It is so good to see you are so close to getting what you need to get done when not that long ago it appeared all but impossible. You have earned this girl. Now you just need to get past the waiting. I have no doubt you will.

Love ya girl,
  Hugs,
  Laurie

Hi Laurie

Missed you girl...but I can't compete with that lovely woman you are so securely attached to. I understand  :)

We have talked about this along with so much other stuff over the last year or so and I am glad to see you happy. Yes I have been working at this for awhile...in fact the day my father dropped me at the outskirts of my hometown to thumb a ride to catch a plane to australia when I was 18 was the first day I knew deep down it could happen...one day...maybe


Wholly GCS Batgirl

Liz


Transition Begun 25 September 2015
HRT since 17 May 2016,
Fulltime from 8 March 2017,
GCS 4 December 2018
Voice Surgery 01 February 2019
  •  

LizK

" I bet you are getting excited Vol 2"

6 weeks 6 Days to go and I have a mixture of emotions. I guess excitement is one but moreover there seems to be an underlying calmness finding it ways to me.

The other day I was standing in front of the mirror inspecting the job done by the laser and electrolysis. I don't really like doing this but I needed to see how "hair-less" things looked. I was about half way through when my GD was triggered and I went flying down that rabbit hole at a million miles an hour...

"Am I doing the right thing"

"Am I crazy"

"I'll never be a proper woman"

"Everyone stares and Laughs at me"

"I don't pass and never will under any circumstance"

Just the same stuff you have all done to yourselves.

The doubts and fears were not able to get a foothold in my head like they used to be able too and I was able to send them to garbage bin!! I have fears about the surgery that go racing through my mind spreading their seeds of doubt all over the place. But I now have capacity to deal with these thoughts so that they don't impact me in the same way.

With less than 7 weeks to go I would describe my feelings as a mixture of fear with a sprinkling of absolute terror but underneath is a sense of warm calm coupled with a slowly building feeling of what I think is excitement, the overwhelming sense, is of the steady unrelenting passage of time bringing me closer each day to one of my big goals. I still have GD, I still have days where I hate myself, I still have days where I think everyone is staring at me, I still have days when despite wearing my nicest clothes and doing my best makeup job all I can see is him(rare and getting rarer) I now have days when all I can see is her and the more I can see "her" the happier I am.

What I don't have much of anymore, are days when I just can't cope at all and retreat...those days a very few and far between now. It has been many months now since I have retreated from the world.


I will do another one of these "How I feel about things" with about 3 weeks to go and then again on Day -1 when I am lounging around at Masada.

Take care

Liz

Transition Begun 25 September 2015
HRT since 17 May 2016,
Fulltime from 8 March 2017,
GCS 4 December 2018
Voice Surgery 01 February 2019
  •  

Faith

good for you, beating that doubt demon into submission. They're feisty little buggers
I left the door open, only a few came through. such is my life.
Bluesky:@faithnd.bsky.social

  •  

LizK

Surgery Date Postponed

I have just got off the phone from Mr Ives rooms and my date has been postponed. My pain management Dr suggested I may needs an extended stay in intensive care after the surgery and Masada cannot provide this so cannot have my surgery there. I am really upset and sorry of this post doesn't make any sense but I can't stop crying. The thought of having to have this surgery in a public hospital terrifies me...I will just have to wait and see what they come up with. Maybe in the next few days I will have a an answer...a date of the 4th of December has been suggested but I said to her that everything else in in place and has been bought and paid for. Including my wife's annual leave extended holidays for my daughter  and a whole heap of other things.   :'( :'(
Transition Begun 25 September 2015
HRT since 17 May 2016,
Fulltime from 8 March 2017,
GCS 4 December 2018
Voice Surgery 01 February 2019
  •  

Cindy

Quote from: LizK on October 11, 2018, 07:36:41 PM
Surgery Date Postponed

I have just got off the phone from Mr Ives rooms and my date has been postponed. My pain management Dr suggested I may needs an extended stay in intensive care after the surgery and Masada cannot provide this so cannot have my surgery there. I am really upset and sorry of this post doesn't make any sense but I can't stop crying. The thought of having to have this surgery in a public hospital terrifies me...I will just have to wait and see what they come up with. Maybe in the next few days I will have a an answer...a date of the 4th of December has been suggested but I said to her that everything else in in place and has been bought and paid for. Including my wife's annual leave extended holidays for my daughter  and a whole heap of other things.   :'( :'(

Oh bugga.

You OK?
  •  

JudiBlueEyes

This is not good news.  Have you asked your pain management doctor for an explanation of what complications they might expect?   If there was an issue that Masada could not deal with you could always be transferred.   I'm sorry.  Hopefully this will be resolved in good time and in your favour.
Judi
But now old friends they're acting strange
They shake their heads, they say I've changed
Well something's lost, but something's gained
In living every day.
  •  

LizK

Thanks Cindy Thanks Judi

It will be at a private Hospital, then transferred back to Masada once stable. Maybe 3 days. The issue is that I have this medication pump that delivers me a constant dose of extremely strong medication but in minute doses but I have over the years built up a tolerance to this stuff and many Opioid Pain medications will simply not have any effect on me as I will require a substantially higher dose than most people...I was on very high doses of slow release morphine for many years so in this case the suggestion is a Ketamine PCA pump and that due to the very high levels of pain medications I will need then ICU is a good place for me to be till my pain and secondary conditions remain controlled and I begin to recover.

Everyone is trying to do the right thing by me and I am grateful but it has thrown me off kilter and will now be anxiously awaiting the news for my new date and will then try and rearrange what ever I need to.

I will post again once I have some more news

Liz
Transition Begun 25 September 2015
HRT since 17 May 2016,
Fulltime from 8 March 2017,
GCS 4 December 2018
Voice Surgery 01 February 2019
  •