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 ♥️♥️♥️
If you say TRANS RIGHTS in the order notes you won't get anything free but she'll be slightly confused and do her nice smile which is a good thing 👌
Anyway you join me for another round of PEACHES UPDATE:

The update is she's sleeping. We've just had a call with her other mum (also my fiancée) which I only cried once for! I'm getting better with the whole crying for any reason thing.
On the agenda today is:
-some intimate stuff I won't be covering but is 👌
-drains out. This will be weird but not painful, in theory.
-call from work about a cool thing I got great, if poorly timed news about yesterday
-sitting out by the window for 30 min.
Right let's go- I have been awake since just after midnight. Diazepam helped me sleep but pain woke me up. It's positional- when I'm on my side I am pain free. But I'm not allowed to stay on my side. I've had nefopam, diclofenac, and now morphine, which I wanted to avoid :/
Gonna get a bit medical. I'm just venting at this point, sorry if it's less accessible. The pain is like someone inflating a balloon on my pelvis. It's classic retention pain, but my catheter seems to be draining. Diclofenac should also have reduced any prostate swelling.
Because of HRT, my prostate is already atrophied so it's a weak contender. So much else has been messed around with that it could be from anywhere. That said, Im gonna ask for a bladder scan next, I think. I'm sure they'd have one at a surgical hospital right?
If that's negative, I'm going to ask what the actual risks are of lying on my side. Because I can't cope with this pain lying flat, especially knowing all I need to do is turn to make it stop.
Sorry for the downer.
PEACHES UPDATE: Fixed, probably.

Bladder scan inconclusive, the swelling and catheter made it impossible to see. She flushed it anyway and yassssss it's flowing. I'm so happy. She's getting me some more water, then I'm going to sleep. ☺️
I SLEPT. OH MY GOD. THANK YOU ANONYMOUS NURSE. It was retention- instant relief and out like a light. I have newfound sympathy for our patients with blocked caths- I can't describe what it was like at the end there. It was only about 800ml, I've looked after people with litres.
Guys I am GLOWING. It hurt so much. Back to discomfort now. Today I'm gonna sit out for half an hour. Apparently it's gonna be relief and a little painful. I can't wait. Also drains out!

Sorry for the stream of consciousness. I'm buzzing :)
Relaxing morning talking to friends! My biggest ✨must bring✨ item that isn't on the list you get has gotta be one of these bad boys.
Like if I didn't have this on the back of my phone I would have 2 black eyes now. It makes holding your phone above your face so easy. Also a cool stand for watching stuff and video calling people. Big fan.
Anyway here's a cool thing I've realised: since my bowel is totally empty, I can feel like individual farts making their way round. Cool is absolutely the right word. I can feel them in my small intestine as like a dull glow and then they get to my large bowel
And I literally feel them start in the bottom right, head up, across, down and round. Takes just under a minute. Idk if this is actually exciting or if I've lost my mind lying here alone for 3 days, but either way I'm thoroughly enjoying it 😂
BACK ON TRACK PALS

Right so lots of stuff just happened all at once!

Most importantly, birbs. There are some Kestrels nesting here and they have a webcam set up. You just missed one. They are smöl.
You may also notice NO FLOWTRON BOOTS. My nemesis is vanquished. Still got TEDs on, they'll stay until I'm walking on the reg, but that harrowing noise is gone. We love to see it!

Drains out. You all got it wrong: which way you breath doesn't matter, it's just distraction.
Sorry 🤷‍♀️

Also I'm wearing my own top which you won't be seeing a picture of because I look like a troll, but here's a photo of me wearing it when I was vertical in the before times :) it's great to feel human.

Toast tonight. Can't wait.
You know what actually have a photo. Let's keep it real. ♥️
BIRB
I am also sat up like 10 degrees and it feels. So. Good.

I forgot what time is and messed up, I'm actually not sitting out today. It's toast day today, sitting tomorrow. ♥️♥️
So I want to be clear that it is 100% fatphobic to gatekeep gender affirming surgery for people with a BMI over 30 on the NHS, whilst being more flexible privately. However.
I am so glad I lost weight for this. Of you're not caught up, I lost 10kg and counting. Stopping HRT made this pretty easy, and the threat of having this cancelled made it even easier. Why should I care though?
1) I feel better about myself
2) My old clothes fit me
3) The op will have a more symmetric outcome
4) (this is the main one right now) laying flat for 72 hours has been torture. My ribs, spine, pelvis, heels are killing. Any extra weight would have been so much worse.
Had a bit of a rough time this last hour. It's a bit intimate (as if the rest of this wasn't lol) so I don't think I wanna discuss it here, but I had some meds and now it's grand.
Sorry we're in a bit of a lull, guys. I'm hoping once I'm more upright over the weekend I can get the tablet out and actually write some actual things. At the minute I'm just slowly switching positions which are all different variations of flat and tense haha. Not great content.
IT'S TIME
Fun Cass trivia: I have two weaknesses.

1) being criticised in any way

2) fear of vomiting

I have had metoclopramide already and have made my nurse promise that she has cyclizine ready to draw up. I am still quite scared though. I haven't eaten since the last toast.
See you on the other side
Thanks for sticking with me today pals. Mainly rest. Standing tomorrow and Sunday, then big day monday. Exciting times! Look after yourselves ♥️

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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
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
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.
Read 30 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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