Surgery at UNC Chapel Hill (Cancer Hospital) with Doctor Hackman is scheduled for January 8th, 2024. This will be a right sided styloidectomy. Left side will be safer to leave in for now as it isn’t currently symptomatic and the potential for complications re: swelling due to a bilateral approach are too high with vEDS. At this time there is no plan to remove my atrophied parotid gland. Doc Hackman feels my salivary gland issues are due to my underlying metabolic issues. He plans to treat my TMJ and other related issues after surgery and recovery.
Time off work is booked and approved with lots of support from management and colleagues. For now, I have taken two weeks off starting January 7th. I will be able to take more time without issue if the need arises. When I return to work I’ll be initially working from bed and with more of a limited and relaxed scope than usual. I’ll be as productive as my health allows and there will be zero pressure to perform at my normal 100% at first. Nobody needs to worry about this! I do work from home as it is and can be as comfortable and medicated as I need to be (I am always medicated anyway).
Mom bought plane tickets and will travel from Ohio on January 6th, landing in RDU at 12 noon, to be picked up by my brothers that live in Durham. I will drive to Durham on January 7th for pre-op labs and stay with mom and brothers. Mom will accompany me to the hospital the morning of the 8th for surgery (call time TBD).
I will spend at least one night in the hospital. Once discharged, mom and I will stay at a local RDU hotel for 4 nights so I’m comfortable and near the hospital/surgeon in case of complications. Luckily, my husband has a few hundred thousand Hilton Honors points due to work travel, so the hotel won’t cost us a dime!
The following Sunday, the 13th, my mom will fly back to Ohio and my brother will drive me home and spend the second week of recovery with me, mostly to help care for my pets and walk my dog. My husband travels full time for work and while we’re devastated it is not in our best interest for him to take time off for this. He will be on the heels of several unpaid weeks off for the holidays (he is a gov contractor) and we simply cannot afford a month+ of no income on his end. It’s a tough decision, but we both recognize his stress levels when in hospital with me are extremely high and hinder his ability to advocate for me in the effective and empathetic way my mom can anyway. So this plan is the best plan and is set.
I am terrified. I am working through PTSD related to my near death experience (arterial dissection and lifesaving emergency surgery) in 2018 (and the re-traumatizing experiences I’ve had since then) with my therapist. Because I’m constantly exposed to the triggers of my PTSD due to frequent hospitalizations and surgeries it’s been difficult to heal, mentally, but I’m trying hard. I know a positive outlook means a more likely positive surgical outcome. It’s proven!
My J tube surgery (done as an open abdominal procedure) in June was a pretty significant traumatizing event as well; I was left without pain management for nearly 13 hours once admitted from PACU to the floor and the overnight resident ignored pages from the nurse, nurse manager and house supe as they desperately attempted to deal with me, their inpatient palliative care post-op with vEDS having a pain crisis that raised my BP and put me in legit danger. When the surgeon came in the next morning all hell broke loose and I got my pain management. I am terrified of experiencing this again so I’ve had a serious convo wirh Doc Hackman about my pain management and acute on chronic post-op pain in a palliative patient with vEDS who is also a natural redhead. He verbally acknowledged my needs and promised he’d ensure I don’t have that issue with them. He said they would never allow such a thing to happen at this hospital. He noted in my post-visit notes that my fears surrounding pain management post-op are “entirely reasonable” and that he’ll “see to it that an appropriate pain management plan is in place with [my] involvement.”
I have a phone appointment with Doc Hackman on December 6th during which I’ll discuss with him the procedure, post-op inpatient pain management and outpatient pain management as well as recovery expectations with him in more detail. I have my pre-op anesthesia appointment on December 11th via phone call as well and will both discuss pain management (ex: proactively giving me pain meds in pre-op) and anesthesia (I’m difficult to put and keep asleep).
I know this is what’s best for me. Expect many more posts in desperately anxious states of mind between now and January 8th. I hope that day is the day my life vastly improves. Please give me any recovery tips specifically regarding this surgery you might have! I am a seasoned patient recovery wise but have never had neck surgery before.