(Written Saturday April 25th, posted Monday April 27th)
On Monday, 6 very blurry days ago I had the most extreme experience, an experience that I hope to keep as a rare experience in my life. I had surgery. On my face. To removed a good chunk of my nose, and hopefully all that cancer that resides within it.
We went in very early. They asked me lots of questions. I took off all my clothes and put on a little open backed garment. They asked me more questions and checked my vital signs. The woman said my heart rate was surprisingly slow, that this was good. I breathed calmly. Slowly. Grounding, grounding. After lots of waiting and more questions they took me into a little room to map my lymph nodes, because the plan was, during the surgery they were to cut some of them from my neck to see if the cancer had spread outward and into them. In the hustle and bustle of the hospital, nurse after nurse asking the same questions, consulting different papers, they’d forgotten to numb my nose. So when the time came to injected my nose with radioactive dye there was no time to wait for a numbing topical crème to take action. They couldn’t inject my nose with lidocane as it would have an effect on the other injections they were about to do, so they did it on my bare, full of feeling nose. It proved to be the single most painful thing I’ve experienced throughout this entire mess.
When I came back they tried to put a needle in my vein. Left hand, no luck, right hand no luck, left arm, tattoo over the veins, right arm, bingo! And started to give me drugs. The first one they gave me made the room go fuzzy gave me amnesia (notable in retrospect) and made me laugh hysterically despite my mood, which made me feel self conscious. Especially since the doc that gave it to me was Dr. Dreamy.
Shortly thereafter I said goodbye to my mom and they wheeled me into an operating room much smaller than I expected. It was white and filled with people who swarmed me immediately attaching doodads and hobnobs to various electrodes attached to my head and torso that I don’t remember having been put on me (see amnesia inducing medicine from last paragraph). They had done a good job with informed consent all morning, so this rush of people wasn’t a shock. Dr. Dreamy gave me the second half of my laughing drug…
And I blinked myself groggy into another room. I couldn’t talk, I wasn’t sure if they had operated on me yet. It was dark and I was confused. A woman was asking me questions… How did I feel, am I nauseous, do I need to use the restroom, do I want my mom to come in yet? At some point I figured out my surgery was a done deal. The woman told me I’d slept a long time.
If you’ve never been put under general anesthesia you’ll be surprised to find that no matter how long you were under for you have no sense of having any time passed. 4 hours had passed in the time that I blinked and woke up confused in the recovery room. It’s very disorienting, but luckily, I was too groggy for questions. The woman gave me some liquid pain killers and led me to the bathroom. Walking made me so nauseous… My moms came in, the nurse gave me ginger ale and saltines and that was it, they wheeled me to the car, and we drove home.
The next day, the next 4 days… a blur. I felt generally okay the next day, we went for a walk. I stayed mellow and ate pain killers.
The day after, my birthday, not so easy. The general anesthesia does mean things to your body. It makes it stop working. And when immediately after your ‘functioning’ on large amounts of pain killers… Forget about eating. Forget about taking a shit. So on the third day I became painfully aware of my inability to do either of these things. My mood took a serious dip. Everything came into better focus. And it all looked ugly, swollen, unfocused. I’m bandaged, I’m blurry, it’s my ¼ century birthday… *sigh*
5 days later, yesterday, Friday, is another big day. The bandages come off. So we woke up early once again and drove into the UW Medicine. My doctor is about to leave town for 3 weeks and the office is heavily booked. So we wait a long time, and as the time drags on an underlying anxiousness builds in me. I don’t know what I’m going to look like under these bandages. And I don’t know if I’m going to find out if I have more cancer. If I have to undergo treatments, if I have to have more surgeries on my nose. Nausea is washing over me in waves that take me far from shore and I have nothing to grab on to. A nurse comes in and sees where I am. She promises to bring Dr. Neligan in right away.
Within a few minutes Dr. Neligan and his beautiful resident are in the room. We chat briefly and they set up to cut the stitches and pull the bandages from my nose. It’s all very unceremonious. Snip, snip, pull. The bandages are off. My mom is filming. Dr Neligan and his resident are standing over me, peering and discussing. They say it looks good. Better than they expected. No one offers or hands me a mirror and I don’t want one. My mom asks if we know anything about the results of my lymph node biopsies and he turns to the computer to look. Up comes my file and without much inflection Dr. Neligan reads… ‘negative, negative, negative… all negative’.
We’re not sure what he’s just said… I ask ‘does that mean…’ I don’t want to jump to conclusions ‘we’re all good?’ ‘Yes’ He says, nonchalant. I don’t react. I feel so stern and solemn. This is the hardest shit I’ve ever gone though. I don’t even feel jubilant in my heart. I just feel solemn.
We discuss a bit more before we go. It will be several months until I come back to reconstruct my nose. They tell me how to take care of it. Warm water and soap, keep it moist, no rubbing.
When Dr. Neligan and his resident leave the room I look at my mom, she’s still filming. The emotions are flowing up towards the surface and I’m being swept out of reach of anything to hold onto again. I wave at her to turn off the camera. Please turn it off! I’m screaming in my head. I fucking hate crying in front of people. Camera off, she takes the two steps to my side and hugs me while we both cry hard into each other’s sides.
I haven’t cried much through this whole thing. Mostly just in moments of high stress. Mostly when dealing with other peoples inabilities remain calm. But in this short moment I lost all control… before I quickly, once again regain composure. ‘Let’s go.’
My mom asks ‘Do you want to see it?’ ‘No.’ But there’s a mirror on the back of the door. I can’t not. I walk up to the door and tilt my head back. The lower half of my nose is missing. It looks nearly skeletal. It’s like someone’s just taken the bottom half of my nose and with a dull knife dug it off. It’s surreal. It looks so much worse than it feels…
We began doing small photo shoots the day before my surgery, so back at home we pull out the camera again. My heart is sitting on a chilly concrete floor and in these photos it looks it. My eyes are dead and sad. There isn’t a hint of a smile behind them. I’m looking forward to the set where there is smile in my eyes again, because for now my heart is pretty cold and achy.