Good morning, day 2! I am in a moderate amount of pain but my brain is still pumping out happy juice by the bucket. ♥️

Nothing to add so far, but stay tuned. #CassSRS

If you want to catch up, click below! I hope it's fun and informative 🥰

Postin' time! Woke up to turn Lily off (we fell asleep together on video call ♥️) and realised it was ivabx time so I stayed awake and waited for the nurse. She came and attached the bits and did my blood pressure - 85/something (been above 125 systolic all day).
This could be a few things but the immediate concern is a bleed. She's had a look, checked the drain, checked the character and it seems fine. Our theory is I had a truckload of opiates today and the last one, oramorph, is just wearing off and I'm not compensating quickly.
ie my numbers are changing and the normal body processes that keep everything in range are slow because of everything I've been through. My MAP was okay (remind me to explain that tomorrow) and my BP came up, but they've started a 500ml/h drip per protocol anyway.
I'm okay, spooked me a bit, but little upsets are expected and treatable. I'm overwhelmed by the responses I've had today so I'm gonna check a few more notifications then go back to sleep :)
Sorry, IVABx = intravenous antibiotics. Sometimes abbreviations are used so often you forget they're not real words! I'll explain the antibiotics in the morning 😘
Oops, posted this outside the thread 💔 I suck at this lol

Okay so I obviously won't name her but I feel like the waitress for my bit of the ward deserves to become a main character in this thread 😂 she is the most wonderful, kind and awesome person I've met so far and it's pretty strong competition ♥️
I am a vegan who doesn't like vegan cheese or milk or the consomme they do so I should be a nightmare. But look at this spread!

And she's so kind and lovely. I wanna take her home. Ughhhhh ♥️

Dw I won't drink the mouthwash.
Posting this yesterday, I was worried that I was waiting for an emotional crash. Touch wood (lol not anymore) bit I think my mood is pretty stable! I'm chill, less convinced I'm literally immortal, and have a weird sense of calm

Wait is the calm what not being dysphoric feels like

omg
Hello! So, a few things have happened this morning in between calling my mum and my fiancée:

-Bed bath. I did most of it but the awesome HCA helped out with my feet and legs, as well as changing the sheet. Felt really good to roll about a bit.
-I'm on paracetamol but tempted to ask for something else, maybe an anti-inflammatory. The bruising above my pubic bone is apparently from where the spermatic cords were yeeted, and that was responsible for the 'testicle' pain yesterday. It's just moved to where it should be.
No pain where you'd expect it though.

-One of the surgeon's nursing team came to say hello. I talked to her before on the phone so it's great to see her in person. We discussed the op and, keeping within my SFW rules, the outcome was 😏😏😏😏
The pain has arrived lol

Just had quite a lot of morphine so Imma put on a podcast and try to nap :)

Said I was going to do a lot of replying and other stuff today but it'll have to wait a bit ♥️
Just seen the surgeon, he confirmed what I talked about with the specialist earlier and said this pain is normal. NSAIDs (ibuprofen etc.) would probably help but I can't have them because bleeding. Makes sense. Maxed out on morphine. Still hurts.

Peaches update: cuddling mum.
I'm alive! I deleted some mardy tweets and am back up and running ♥️

So essentially yesterday I misunderstood exactly what I was allowed to do- I have to keep both shoulders on the bed at all times. This probably seems obvious to you but bear in mind I don't-
Personally know anyone who has been through this before, and I'm also a numpty.

So yeah. Sorbet is off the menu until tomorrow as I have no idea how to eat it except for rolling over independently, which I now know I must not do lol
So yeah. My diet is now jelly, iced tea, and coffee. My back is on fire due to the immobility, and I'm on the constant verge of panic because I didn't mentally prepare myself for being this still.

The good news is we found an analgesic that works: nefopam.
And pain= mood. I'm in less pain so I'm also now way less mardy lmao.

Nefopam is weird. It's not a drug I ever use in A&E, and I've only given it once before when I worked with cancer patients. It's kind of a class of its own, not an opioid, not an NSAID, not like paracetamol.
It's known for having essentially random efficacy: it can be great or useless. Apparently more often than not it's effective for this kind of surgery. I honestly don't care how it works though, I'm just glad I can finally clear my throat without feeling like I'm being torn open.
So I'm gonna catch up with notifications, that post op tweet has gone crazy, then I'll be back here! Promise I'll do a #LearnWithCassSRS on catheters soon. And also never use that hashtag again.
So I've been saving up podcasts for while I'm lying here and I have to say @BoontaVista is coming up with the goods. Slightly annoyed at Ben's introduction due to laughter causing me deep, unearthly pain every 4-5 seconds but overall 9/10, recommended listening for all castratos.
Holy shit this is a penis-heavy episode! Choosing to believe @thomas_violence curated it especially to celebrate me having mine yeeted the hell off ♥️
I keep forgetting to write actual diary things! Back to music now- all the prep with saving podcast eps and movies and shows to binge wasn't that useful honestly, at least for now- I'm too tired to focus. Just had tea which was coffee and sorbet again
Please have the breakfast/lunch/dinner and breakfast/dinner/tea fight, it boosts engagement and as a midlander I do not care and frequently alternate. What was I talking about? Oh yeah post-op brain fog lmao
I promise to teach y'all about catheters at some point but it will have to wait- I'm having drains out tomorrow morning so don't hold out much hope for then either tbh. Maybe I'll save it for TWOC day - and I can tell you what TWOC means at the same time.
As for reminders for future Cass - towel on the tummy still helping, iced tea going down a treat, mention the surgical cap. ;)
The pain is back but I'm not gonna be mardy this time! I'm having some diazepam to try and stop the tensing, it's no good friends. Wish me luck, hopefully this is the last you'll hear from me until tomorrow morning 🤷‍♀️

Drains out first thing. Ahhh.

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More from @cassesque

26 Mar
If you care about trans people, PLEASE tell your friends and family what's going on.

Most people in this country support trans people's right to be healthy and happy, but at the moment a small number of bad actors control our lives. It doesn't have to be this way.
This can easily be fixed. GPs are prohibited from prescribing us common treatments that cis patients get every day. Gender Identity Clinics, the main bottleneck for our care, do nothing except rule out another cause of us being trans.
People think GICs are experts who prescribe treatments for us- they aren't. GPs prescribe the treatments. The GIC just decides if you're trans enough first.

We need patient-centered care.
Read 5 tweets
26 Mar
Nurses listen up: all I wanted last night was pain relief. I got it. And it didn't work. It was obvious I was in retention but my brain was in pain mode. We all know to do this, but in the moment it's easy to panic and give more PRN morphine.
The pain ladder is all well and good, but it took a sensible, calm nurse to come along, say no to the morphine, ignore the inconclusive bladder scan, and flush the catheter. Now I am pain free and have had 5 hours of beautiful sleep.
Guys I'm gonna have so many reflection opportunities for my revalidation this year 😂😂
Read 4 tweets
26 Mar
Recurrent tonsillitis occludes my airway or goes septic at 3. Failing that, a barber treating my messed up teeth gives me pericarditis at 10. If I survive that, I get burned and/or flogged for doing whatever trans people did then. History was bad, do not recommend.
Genuinely interested who would have sorted messed up teeth in the 1400s. Were barbers a thing yet?
Actually never mind. I was a C-section baby. Me and mum wouldn't have made it to lunch time on the day I was born 😂😂
Read 4 tweets
26 Mar
It's day 3! Big day today, I'M GONNA STAND UP!

Links below if you're just joining the party. Yesterday was hard so I didn't post as much as I wanted. Hoping today will be a little more smooth. ☺️
If you're just joining in, head back to the start:
Also support your nearest transition fund ♥️ and if you like nice stuff hanging from your face go to slowgoldie.com she's not paying me anything, I just love her face and she's been there for me since I was a baby tran in London ♥️♥️♥️ Image
Read 29 tweets
25 Mar
Medical people, listen up! It's a debate as old as time itself, so I'm gonna settle it.

I have 2 drains out tomorrow. One left, one right. The idea is that breathing in or out when pulling it makes it easier, but people disagree which. So I'm gonna do both. MAKE YOUR PREDICTION.
@nohandsup didn't you once bring this up? 👀
Breathing out -expanding your abdomen to make your thorax smaller- has a safe lead! It makes sense, but is it right? Guess we'll find out soon 🤷‍♀️ #CassSRS #suspense #NobelPrize
Read 4 tweets
24 Mar
Hi new followers! my name's Cass and I don't have a dick anymore :) Image
Tw needles, sorry
People try to tell me god exists but if so can she please explain to me why the FUCK my detailed and nuanced threads on cool stuff and even my cute ass selfies get LIKE A TENTH OF ME BASICALLY BOYMODING AND OFF MY FACE ON FENTANYL
Read 9 tweets

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