#surgery journals

[sparklemaia]

yes I'm now on the other side of top surgery and I'm allowed to lift things again 💪 You might have already seen this one on my substack -- did u know you can subscribe to my substack for early access to comics like this?! Sent directly to your email inbox??? FOR FREE????? (there is also an optional paid tier for exclusive bonus content for five bucks a month but like 80% of my posts will be free and publicly available) ty ily♥

[symbiosis-online-publishing]

Advancing Surgical Excellence: SOJ Surgery

SOJ Surgery stands as a beacon in the field of surgical research, dedicated to advancing excellence in surgical practice and knowledge. Our journal serves as a dynamic platform for surgeons, researchers, and healthcare professionals, fostering the exchange of groundbreaking ideas, innovative techniques, and evidence-based insights across diverse surgical disciplines.

Encompassing a wide spectrum of surgical specialties, including general surgery, orthopedics, neurosurgery, and more, SOJ Surgery publishes original research articles, reviews, and case studies that contribute to the ever-evolving landscape of surgical science. We prioritize quality, ensuring that each published article undergoes rigorous peer review by experts in the respective fields.

Our open-access model ensures that valuable research is freely accessible to a global audience, facilitating knowledge exchange and collaboration. The editorial team, comprised of distinguished experts, oversees a thorough peer-review process to maintain the highest standards of scientific integrity.

[fickes]

Top surgery journal #2: my thought process was "heehee they took my tits" and I was so happy about that I couldn't stop laughing but suddenly I realized it was thanks to my surgical team that I was happy so I NEEDED to thank my nurse RIGHT THEN but I was still too high to figure out how to do that

[woodlandwizard77]

A Step by Step Guide to Losing Your D**k

I recently wrote a series of messages to my aunt talking about all the steps I need to do to get bottom surgery, a penile inversion vaginoplasty at Mt. Sinai, in the next year or two. Its a long list. And everytime I added something she had a sort of “wow thats rough” reaction, but to me its just the to do list. So I decided to write them all out.

Start transition DONE

Most insurance companies and surgeons require you to have socially transitioned and have done HRT for at least 1 year at the time of operation

For social transition, this was March of 2024

For HRT it will be January of 2025

Get a referral to a surgeon (I am here)

In my case, Mt. Sinai in Manhattan

My Doctor referred me, but Mt. Sinai takes self referrals

Start laser hair removal

Book a consultation (I am here)

Go to laser frequently enough to satisfy surgeon

Convince Mom and Dad to help out DONE

Get 2 letters

Social Worker (1)

PCP's Office

Social Worker (2)

Mt. Sinai

Get a gender affirmation loan through the local credit union

Work two weeks so I can take in pay stubs

Get a letter from anybody (probably my HRT prescriber

Meet with representative and either open a line of credit or take out a loan

Consultation with Mt. Sinai’s team

Wait 3-6 months (I’m here)

Bring letters

My insurance only requires 2, less than Mt. Sinai thinks insurance will need, and Mt. Sinai provides 1 of them. Meaning the other is through IHS Behavioral

Schedule Social Work pre surgical consult appt

Schedule Mental Health and Medical Clearance with Registrar

Go to NYC for 1-2 nights, maybe for each, hopefully just once

Maybe also for Social Work thing

Consult with Surgeon

Wait until I’ve worked about 12 months to get short term disability

Probably summer (ASAP) and when Mom has time off

Do logistics

Book an airbnb, hotel, etc for recovery

Starting a few days after OR date and lasting a little over a month

Within a 90 minute drive of Mt. Sinai

Rural enough that Mom is comfortable to help and can go home if someone else shows up

Probably New Jersey, maybe Hudson Valley

Has at least 1, preferably 2, separate bedrooms

Has 2 beds

Has ADA accessible entry

Has a kitchen

Has a full bath, preferably and a half

Has internet and preferably a TV

Lodging for Mom + Dad/care team while I’m in OR

Probably 5-7 days

Preferably with a 1-2 day buffer period before OR date (included in the 7 day estimate) so I can enjoy the city

Either within a short walk from Mt. Sinai or on the same subway line as Mt. Sinai

RW, 1, or ACE

Someone to help me get from recovery location to Mt. Sinai while not in NYC

Develop and get list of items needed for recovery

Dilator

Pads

Gowns/loose clothing

Comfort food

Coordinate missing 8-9 weeks of work

Take care with who knows what before I leave

Inform HR, department manager, and work friends whats up

Get cleared for surgery and get an OR date

Probably a 6-12 month date from clearance

Get pre clearance testing through PCP or a lab in hometown

Go to NYC for that if need be

Week Before Surgery

No alcohol, no aspirin, NSAIDs, herbal supplements, or fish oil

Consult for other non aspirin blood thinners (which I am not on)

No alcohol for 3 weeks after as well

Tylenol/Acetaminophen is okay

Go downstate

See friends from NYC?

Bring Mom/Dad?

Do something fun in Manhattan

Get a COVID test

Take an anti-bacterial bath

Day before surgery

Breakfast before 9am

Last meal

Drink Golytely bowel solution around noon

Chemically induced diarrhea

Clear fluids only after golytely

(includes coffee, tea, water, broth, some juices)

Nothing goes in the stomach after midnight

Some medication okay with a sip of water

HRT???

Get surgery (a penile inversion vaginoplasty)

1 to 1+½ days

I’ve heard of as long as three

3-5 day hospital stay

Mom and Dad probably stay in Manhattan then

Go to recovery location

Drive with seat reclined

Stay for 4 weeks, pretty much bedridden

Go to follow ups

Dilate

Go home

Continue recovery for another 2-4 weeks at home

Follow up with PCP

Return to life

[mysharona1987]

[catastrxblues]

EVERMORE by taylor swift (feat. bon iver) — “and i was catching my breath, floors of a cabin creaking under my step. and i couldn’t be sure, i had a feeling so peculiar, this pain wouldn’t be forevermore.”

my #swiftiegiftexchange2024 for @lovesickallovermybed!!!! 🫶🏽🫶🏽

[mango-mya]

Elora species anatomy moment!! I like these sketches a lot tee bee aych

[unchained-fenrir]

I had a dream that I got top surgery from Jod and Mercymorn and my OBGYN who did my hysterectomy?

I went back to work the next day because, hello i didn't have to deal with drains or anything, i got top surgery from god himself, but they left just little tiny scars from where my dr would have had to go in with the little robot arms?

[flashbackonyourbehalf]

Really really hope I get a digital art tablet for Christmas. I *could* just buy one, but with no income, I have to spend what I have on necessities. But I’m seeing SO much cool art that can only be done digitally and I haven’t been able to draw in so long…I really think getting back into hobbies (that my body will allow) is gonna help motivate me to keep going when things feel so bleak.

I especially want to draw TMA fanart and a comic depicting my experience this year with being bedridden with spinal problems.

I have to fill out a pain diary in order for insurance to approve my final spinal injection. It’s basically just listing my pain level every day for two weeks post-injection. Maybe this is my autism showing but…do I list the worst my pain was?? Which part of my body? Do I list the number when I’m medicated or not medicated? Should I lie to insure that I *get* the shot? If they don’t allow me to get it, will my surgeon refuse to operate when we have our 3-month follow-up?

I’m SO scared I’m not gonna get the surgery…injections are basically slapping a bandaid on it and sure it has helped, but I shouldn’t need to take 5 things every four hours in order to walk. He said in October that he’ll operate if it hasn’t resolved by our appt on Jan 24th, but…I have this creeping feeling that he won’t anyway. And I KNOW my body. This third shot isn’t going to do the trick.

I know this was off-topic from the art thing but I’m just trying to find ways to be hopeful. I CAN’T fucking live like this forever. I refuse.

[wraithofwords]

Thought you all might appreciate this cake my family made me when I went over for dinner about a week after my top surgery lmao

[02nique02]

Contact name and information of a french surgeon extremely sought out for top surgery and his soonest available appointment. little drawing with bee stamps. may 2022

[sparklemaia]

Another couple of pages from my Top Surgery Recovery Sketchbook!

There is more on my substack (free!) right here !

[bolontiku]

The elder sister is in the hospital.

Double mastectomy and temp inserts till she has healed and then will go back in at a later date for implants.

I've been a little frazzled and I know not all there. We make plans for her appointments and then she prefers to have the boyfriend there so... I just finished getting off the phone with her. Had the brother and sister talk to her too. They had no phone set up in her room and she is loopy from how strong her meds are. She sounds like a child haha. She has no idea where she is and asked a few times. Her bf couldn't get through and was texting me till I sent back a quick "on phone with her". She will be going home sometime tomorrow so the brother and I will probably do a quick visit once she is home. Maybe get her soup and stuffs. I will definitely be going over Friday.

[fickes]

Top surgery journal #6: I may be stupid

[miss-anthropyxx]

Abdomino-pelvic impalement x3 in a 17-year-old who somehow managed to not die

[Original medical journal case report] [Credit to how this was found]

A 17-year-old female fell from second floor directly over iron rods of an under-construction building at midnight. Although three iron rods penetrated inside her body, she was conscious and oriented but cried in pain. Neighbours cut the rods from the iron pillar with drilling machine and shifted the patient from accident site to the emergency department of our hospital which took 5 hours. During this interval, she was in sitting posture and could not lie down fearing additional trauma due to the penetrating rods. On examination, she was conversant and had a pulse rate of 126/minute and pallor. Two iron rods could be seen penetrating her abdomen and pelvis while the third one went through and through her gluteal region [Figure 1].

A part of her cloth also went inside the path of the iron rods. Blood clots could be seen at the entry and exit wounds. Abdomen was not distended, and child had passed clear urine once on her way to the emergency department. There was no evidence of any injury to the chest, head, neck, spine or the extremities. At arrival, along with the primary survey, an intravenous line was secured to start fluids, antibiotics and analgesics. Tetanus toxoid and tetanus immunoglobulin were administered. Simultaneously, samples were sent for routine blood investigations and cross match. Haemoglobin was 8.9 and haematocrit was 27. Chest, abdominal and pelvic skiagrams were taken to assess the passage of the rods and any bony injury. One of the rods could be seen penetrating through the right iliac bone. Another rod went through and through the ascending colon just distal to the ileo-caecal junction and also the right iliac bone. There were no major vascular or urinary injuries. All the solid organs were spared. Resection of the jejunal segment containing the two perforations was done followed by end-to-end jejuno-jejunostomy.

Patient was shifted to the operation theatre and was put in left lateral position between the operation table and shifting trolley, so that the rods came in between the trolley and the operation table. In this position, patient had induction of anaesthesia using 100% oxygen for 3 minutes followed by Etomidate (100 mg), Fentanyl (75 mcg) and Succinylcholine (75 mg) [Rapid sequence induction], followed by intubation using cuffed oro-endotracheal tube of size 7.0. Following this, patient was maintained on Oxygen, Air and Sevoflurane, then patient was shifted to operation table in sitting posture and surgical procedure was started. Rod in the gluteal region was removed first after increasing its entry and exit wounds slightly. It was seen to pierce only the gluteal muscles. The passage was washed with hydrogen peroxide and saline and packed with betadine-soaked gauze. She was then turned supine and laparotomy was done through midline incision. One of the rods was seen to pierce the jejunum twice at approximately 30 and 40 cm from the duodeno-jejunal junction [Figure 2].

Ileo-ascending anastomosis was done after excision of the caecum along with the perforated ascending colon. No orthopaedic intervention was needed for the rod penetrating the right iliac bone. Tension suturing was done after insertion of drains in pelvis, right and left paracolic gutter. She received three units of packed cells in the peri-operative period. Patient was transferred to the Intensive Care Unit post-operatively and was there for 5 days following surgery for intensive monitoring and management. Antifungal agents were added when positive fungal blood culture was seen following fever on 3rd post-operative day. Patient passed flatus on 5th post-operative day and tolerated oral food from the next day. Drains were removed on the 5th post-operative day. Wounds over gluteal and iliac regions were conservatively managed on dressing and antibiotics. The total duration of hospitalization was 24 days and patient were discharged with advice of daily dressing of these wounds. First follow-up was after 15 days of discharge and subsequent two follow-ups were after one and three months of discharge. She has been asymptomatic on follow-ups. Figure [3] shows her scars after 3 months of discharge from hospital.

[transguyking]

I have less than 2 weeks before I start testosterone and my top surgery consultation is next week. I’m so ready to be closer to my authentic self bro.