Wednesday 18 December 2013

Stage 2- Phalloplasty - Part 1

I'm lying in my hospitals bed now recovering from my stage 2 Phalloplasty operation.

I had
1. Vaginectomy
2. Join up urethraplasty
3. Glans Sculpting
4. Fistula repair
5. Clitoris buried  and...
6. Tidy scars from stage 1.

My operation was yesterday morning. I was admitted on Monday afternoon, I was allowed to eat until 5pm. After that, I was just told that I could have soup and bread if I want. Around 9pm, I was given enema and told to hold it as long as I could. I didn't know what to expect after that. After a while I felt that I need to go to the toilet for some businesses and I guess that they procedure.. I went to bed feeling hungry... I woke up at 6ish told to shower and change into hospital gown. I then get back to sleep while waiting for Mr Christopher and anesthesia to pop in and ask me questions. Both came around 8 ish. I then brough down to the theatre and both the anesthesia was chatting with me while getting me prepared.. I remember nodding off looking at the clock about 9.30am..

I was woken up around 2.30pm then fall back to sleep as the anesthetic is still in my blood... I vividly remembered that they asked for my nurse to bring me back to my room. I went back to my room around 3.30pm and my gf was waiting for me there. Mr Christopher came to see me and say everything went well. He said I could discharge the next day if I'm not bleeding heavily.

I basically sleep until about 6pm. I was told to drink lots of water. My catheter bag was filled with blood and I was told it will clear once I start drinking water. Around 7pm I was asked if I like to have my dinner, I was not feeling very hungry but I just ate slowly...

Tuesday 3 December 2013

Prescriptions - post surgery care

This entry is specially for those that is UK residences where you pay for your prescriptions. Post surgery I have given prescriptions to buy more dressings and antibiotic. I would have been very broke if I have to pay for each of the prescription. I did some research on Prescription Prepayment Certificate as I have came across it few years ago when I was searching for the best way to pay for my hormones.

Basically how PPC works.
You pay

£29.10 for a three months certificate
or
£104.00 for a 12 months certificate.

Following is the link about the PPC.
http://www.nhsbsa.nhs.uk/1127.aspx

Within the valid date, you can have as many prescriptions you need. Which mean if you have more than 4 prescription in 3 months it will be worth it to get a PPC as 4 x £7.85 = £31.40.

The PPC can be back dated one month. So it is not a hurry to buy the PPC before / once you are discharge from the hospital. If you wasn't prescribe dressing you might not need to PPC. However I think it will be probably worth getting it as most of us need to ask for more antibiotics.

I was only discharge with one mepitel and no other dressing, while my practice nurse run out of the dressing that I need. I was being prescribed and told to order them as it will be quicker.

I end up request for my GP to prescribe me some Nebido and some other stuff. I make sure that I get the maximum out from the PPC. I was luckily that my GP is very nice and understanding. He prescribe me some moisturizer, bio-oil and etc. So, think about what else you will need and get it prescribe while your certificate is still valid.

Back dated the PPC - Make sure you asked for FP57 receipt before you have the PPC. I was luckily that I rang up the pharmacy and asked if I still can claim it as I did not ask for FP75 at the time I paid. The pharmacist told me that she will get it sorted for me. I also have one prescription which I get from boost pharmacy without asking the FP75. Boost pharmacist/assistants gave me the FP75 form to fill and refund me when I gave them the receipt. I knew some of the pharmacy reluctant/ will not  can't refund if you did not ask for FP75 when you paid for prescription. If you forget to ask for that, called up the chemist as ask if they can do something about it, if not, do not back date your PPC!