Oxycodone apap 5mg-325mg tablets

We don't judge anybody for what they do in their free time as long as you are not hurting anyone else but if you are going to do drugs please be careful where you are buying them from.
There are a plenty of safe markets on the Dark Web with reviews and safety precautions set in place so you know exactly what you are getting. Leave these social media sites like snapchat, Instagram etc alone when buying shit.

EVANSVILLE- A federal grand jury has returned an indictment charging Jeremial Lee Leach, 19, of Evansville, Indiana with one count of Distribution of Fentanyl Resulting in Death, two counts of Distribution of Fentanyl, and one count of Possession with Intent to Distribute Fentanyl.
As alleged in the complaint and indictment, Leach is responsible for dealing fentanyl resulting in at least three overdoses, one of which resulted in death. Leach advertised fentanyl-laced counterfeit pills over Snapchat to hundreds of recipients using the alias “Mel.”
On June 25, 2022, at approximately 12:11 a.m., officers with the Evansville Police Department (EPD) responded to a residence on Wedeking Avenue in reference to the overdose of an adult female. The woman was revived with naloxone. Later the same day, at approximately 10:55 a.m., EPD officers responded to the same residence on Wedeking Avenue for the overdose of another woman, who subsequently died. The coroner located a counterfeit oxycodone pill containing fentanyl on the deceased woman’s person. The cause of both overdoses was determined to be fentanyl intoxication.
Investigators searched the deceased victim’s phone and found conversations between her and Jeremial “Mel” Leach in which they discussed the transaction of “blues” pills. Leach gave her his address on Shanklin Avenue.
On August 20, 2022, at approximately 4:15 p.m., EPD officers were dispatched to a restaurant located on Hirschland Road concerning an overdose. Upon arrival, the officers located a woman sitting on the ground in the parking lot of the restaurant, not alert and beginning to lose consciousness. An officer administered naloxone and, a short time later, the woman began to regain consciousness. The woman advised EFD that she had taken 30 mg of oxycodone.
On August 22, 2022, the third victim told investigators that on the day of her overdose, she purchased four Percocet 30’s from 1614 Shanklin Avenue and overdosed because they contained fentanyl. She identified her supplier as “Mel,” Jeremial Leach.
On October 7, 2022, at approximately 2:14 p.m., EPD officers responded to a location on SE Riverside Drive after receiving a call regarding a single vehicle accident. The witness advised that the driver of the vehicle, a minor boy, was no longer coherent. EFD personnel arrived on scene and attempted to wake the driver with a sternum rub. After that failed, they administered naloxone. The boy became responsive and admitted to medical personnel that he took two Percocet 7.5mg pills that he had purchased from “Mel” via Snapchat approximately forty-five minutes before the vehicle crash. He speculated that the pills may have been pressed fentanyl pills, rather than actual Percocet.
On October 11, 2022, investigators with the Evansville-Vanderburgh County Drug Task Force observed Leach conduct two apparent drug deals at his residence. The buyers, both underage boys, left separately in a Kia Optima and a gold Hyundai Tucson. Shortly thereafter, law enforcement stopped both vehicles after observing traffic violations.
During the stop of the vehicles, investigators located three blue pills marked “M30” inside the Kia and six blue pills marked “M30” inside the Tucson. One of the boys in the buyer’s car later stated that his dealer’s name was “Mel.”
Later that day, officers executed a search warrant at Leach’s residence on Shanklin Avenue. Leach exited the front door of the home and was taken into custody by detectives. Some of the items located and seized during the search included 33 blue pills marked “30,” a digital scale, two 9mm pistols, and approximately $1,843 in cash.
The pills seized during the two traffic stops and from Leach’s residence were submitted for laboratory analysis and tested positive for the presence of fentanyl.
DEA, Evansville Police Department, and the Evansville-Vanderburgh County Drug Task Force investigated this case. If convicted on all counts, Leach faces up to life in federal prison. A federal district court judge will determine the actual sentence after considering the U.S. Sentencing Guidelines and other statutory factors.
U.S. Attorney Myers thanked Assistant United States Attorney Kristian Mukoski, who is prosecuting this case.
According to the Drug Enforcement Administration, as little as two milligrams of fentanyl can be fatal, depending on a person’s body size, tolerance, and past usage. One kilogram of fentanyl has the potential to kill 500,000 people. 6 out of 10 illegal fentanyl tablets sold on U.S. streets now contain a potentially lethal dose of the drug.
One Pill Can Kill: Avoid pills bought on the street because One Pill Can Kill. Fentanyl is a highly potent opioid that drug dealers dilute with cutting agents to make counterfeit prescription pills that appear to be Oxycodone, Percocet, Xanax, and other drugs. Fentanyl is used because it’s cheap. Small variations in the quantity or quality of fentanyl in a fake prescription pill can accidentally create a lethal dosage. Fentanyl has now become the leading cause of drug poisoning deaths in the United States. Fake prescription pills laced with fentanyl are usually shaped and colored to look like pills sold at pharmacies, like Percocet and Xanax. For example, fake prescription pills known as “M30s” imitate Oxycodone obtained from a pharmacy, but when sold on the street the pills routinely contain fentanyl. These particular pills are usually round tablets and often light blue in color, though they may be in different shapes and a rainbow of colors. They often have “M” and “30” imprinted on opposite sides of the pill. Do not take these or any other pills bought on the street – they are routinely fake and poisonous, and you won’t know until it’s too late.

Hello all. I just saw my pain management doctor this morning. I take Morphine ER, oxycodone, Lyrica, and tizanidine. For the tizanidine, I was on 4mg 3 times a day. I mentioned my pain had increased but I didn't want to touch the narcotics(I'm already on 105 MME) So she increased my dose from 4mg tablets to 6mg capsules 3 times a day. I've never had tizanidine in a capsule. Is there any difference between the tablet and capsules? Do you prefer one over the other?

Age: 28
Sex: M
Height: 5’11
Weight: 180
Race: Asian Indian
Duration of complaint: N/A
Location: Los Angeles
Any existing relevant medical issues: No
Current medications: N/A
Include a photo if relevant: N/A
Hi all, this Friday I have a procedure for a Ballon Sinuplasty and fixing my deviated septum. The ENT clinic gave me my prescriptions that I am supposed to take 1 hour before my procedure. They want me to take 2 Valiums 10mg pills, 1 Promethazine 25mg tablet, and 1 5mg-325mg hydrocodone-acetaminophen pill (norco)
This was reading about mixing these medications and how you’re not supposed to mix Valium with Norco but I read other ENTs prescribe the same for their Balloon Sinuplasty but they only prescribe 1 Valium.
My question is, is taking all 4 pills 1 hour before my procedure safe to do? Is it overkill? I’m a little nervous about it. I wanted a second opinion on this

Hello! I wanted to share my current surgery journal of my total transvaginal hysterectomy + partial vaginectomy (I am including these terms solely for people using the search function. These terms give me dysphoria to use. This is what I will refer to as my stage 0 of phallo and v-ectomy [as sparingly as possible] for the remainder of this post) experience, especially since I found it somewhat difficult to find information about this specific configuration of procedures in preparation for phalloplasty. Potential TW for anatomical/medical/surgical talk. Apologies in advance for the massive wall of text, I just wanted to be thorough. Feel free to ask any questions in the comments or through DM. :-)

~~ Background ~~
I had phallo stage 0 with Dr. Anna Kirby at University of Washington Medical Center - Northwest on May 16, 2024. I am 24 years old and work full-time as an inpatient nurse. I am a binary trans man, have been on testosterone since 2015, and had keyhole top surgery in December 2022. I am currently double covered under Kaiser insurance. I will be having phalloplasty stage 1 and on with Dr. Shane Morrison. I had my initial consultation for phallo with Dr. Morrison in March 2023. I stated that my goal is to have ALT phalloplasty with urethral lengthening, and he stated that patients who want urethral lengthening/do not want to preserve their v are to have v-ectomy with Dr. Kirby at some point before the creation of their neourethra. This gives the patient the choice of having v-ectomy either before or after the creation of the penis. Since I have a long road of hair removal ahead of me and my goal is to have stage 1 of phallo around August 2025, I decided to pursue this set of procedures to allow me plenty of time to heal in between stages, instead of having stage 1 of phallo, then these procedures a few months later, then stage 2 of phallo a few months after that.

~~ Initial Consult ~~
I got my referral to Dr. Kirby in March 2023 and insurance approved it within a few weeks, I did not receive a phone call to schedule a consultation with her until July 2023. The only available date for a consult was in November 2023, and from there, the earliest I could have scheduled surgery was April 2024 (despite insurance approving the surgery a few weeks following the consult), but May 2024 worked a bit better for my schedule. I spent over a year twiddling my thumbs waiting for this surgery to finally come together.

The initial consultation with Dr. Kirby was honestly great. I was expecting it to be horrendous due to the nature of what stage 0 of phallo entails. The thought of having anything to do with an OBGYN makes me sick to my stomach with dysphoria, but she was incredibly down to earth. I first talked with the resident who was also wonderful - she started the conversation by asking what terminology I would like to use/what words I would like to avoid to make the appointment as comfortable as possible, which I really appreciated. Dr. Kirby was very laid back, making it clear that I would not need a pap smear, an ultrasound, or any examination whatsoever prior to surgery. I have never had any of these due to being a low-risk patient along with the level of dysphoria I have just at the thought of them, so this was very exciting to hear. I decided to remove absolutely everything because cis men do not have any of these organs and I am not concerned with future access to testosterone, and Dr. Kirby made no fuss about this/did not try to convince me to keep anything I did not want. The one dysphoria-inducing thing she did recommend was to begin taking vxginal estradiol for 4 months prior to surgery - she recommends this to help make the tissue as healthy as possible, hopefully preventing complications during and after surgery. She initially prescribed it in cream form, which was horrible for my dysphoria, so I requested it to be changed to tablet form. This form was more bearable, but both forms made me so damp down there to the point where I began wearing men’s incontinence pads the day after administration so my underwear wouldn’t be soaking wet. This was an incredibly dysphoria-inducing experience I endured twice a week for 4 months, but I kept reminding myself that I will never have to or even be able to do this again since I will no longer have that organ soon. This was my saving grace for my mental health.

~~ Pre-Op Appointments ~~
I had my pre-op appointment on April 1, 2024, where Dr. Kirby gladly answered all of the anxious questions I prepared. She assured me that she would be the one performing the surgery, not an intern/resident/fellow. She does not make patients perform a bowel cleanout prior to surgery. When I told her I would not be consenting to a pregnancy test (no cis man is forced to do a pregnancy test prior to a surgery, I do not want a pregnancy test result existing in my medical chart for the rest of my life, and I am never exposed to semen in a way that could lead to pregnancy), she essentially said “that’s perfectly fine, and if any medical staff try to coerce you into doing it (which is what happened to me for top surgery), tell them you’d like to speak to your surgeon” which was an incredibly based response and upped my respect for her even more. She gave me a thorough overview of exactly what she would be doing through the surgery. She assured me that it is okay to be doing this surgery over a year before I will have urethral lengthening done, and that my current urethra should remain totally healthy until then. She assured me that this procedure will be entirely outpatient and that the odds of being admitted to the hospital, even if I am having difficulty peeing, are very low. She let me know of the possible complications and the solutions for these potential issues. When I expressed concerns about anti-nausea medications making it difficult for me to pee, she said that she would rather have me not throwing up and having difficulty peeing than the other way around, and that she is not very concerned about the effects of ondansetron (Zofran) and scopolamine have on the bladder. She assured me that there would be no wound care I would have to do. At no point did she make me feel bad or stupid for having a multitude of questions which was very nice. I was given general pre/post-op documents and CHG soap for the night before surgery and was sent on my way.

I was very disappointed/disgusted with the general pre/post-op documents and papers that were given to me. All of them used non-inclusive language and were geared toward cis women, so reading these documents made me incredibly dysphoric. After one quick read through, I threw them all away. I will be submitting a complaint about these documents because they should be using inclusive language at this point. UW should know better than this. These surgeries are not exclusive to women. I am a man who unfortunately must have these procedures done, so at the bare minimum I should have my identity respected.

On May 9, 2024 (one week before surgery), UW’s anesthesia team gave me a phone call to ask about my medical history and anesthesia history. I am very healthy and have no medical history beyond top surgery, so this call only lasted about 15 minutes. The nurse also gave me information about the timing of my surgery (when to arrive, how long the surgery should last, how long I will likely be in the PACU), directions about eating and drinking prior to surgery, directions for the CHG soap, parking information, and what building to go to.

~~ My Personal Surgery Preparation ~~
I tend to be anxious + type A and wanted to feel as prepared as possible for surgery, so I did quite a bit of preparation beforehand. Some medical items I gathered included an abdominal binder for compression directly after surgery, a heating pad for abdominal pain, disposable underwear so I wouldn’t stain any of my actual underwear with blood, men’s incontinence pads for drainage from the surgical site (specifically men’s to decrease the amount of dysphoria I feel with wearing them), MiraLAX and docusate for bowel management, simethicone for gas pain, Juven supplements to promote wound healing, cranberry supplements to help with urinary tract health, ibuprofen, and Tylenol.

I have the privilege of living near my parents and having them be willing to support me throughout my surgeries, so I prepared my apartment for my return by doing a lot of cleaning that I would not be wanting or able to do following surgery. I scrubbed down my bathroom, did all my laundry, and put clean sheets on my bed. Similarly, I prepared my parents’ house by cleaning + making sure there was nothing that would require much physical effort from me. I decided to stay with them for about 2 weeks following surgery.

Nutrition is very important, especially around surgeries, so I bought a bunch of fruit and prepared it to make it easy to eat (cut strawberries, peeled oranges, etc.). A few days before surgery I made a massive batch of chicken noodle soup to eat those first few days. I also made sure to have plenty of easy snacks on hand like cinnamon applesauce, goldfish pretzels, dried fruit, cereal, anything that takes little effort to eat and wouldn’t upset my stomach. I keep protein powder and frozen veggies on hand to meet protein and fiber goals with little effort.

For entertainment, I treated myself to a Steam Deck so I could play my PC games without sitting at my desk so I wouldn’t strain the surgical site. I loaded up my anime list with shows that are easy on the brain/don’t require much thinking to watch, and did the same with my movie list. I also borrowed a ton of manga from my partner and gathered some books I’ve been meaning to read for when my brain was feeling more activated.

I sorted out my medical leave of absence from work + paid medical/family leave 3 months in advance of surgery so I would not have to think about it while exhausted from surgery. So far, none of my coworkers or managers have questioned me on why I am going on medical leave which has been very relieving.


~~ Day of Surgery ~~
I was scheduled for surgery at 8:30am and was told to arrive at UWMC - NW at 7am to get checked in and prepare for surgery. With these times, I was told to stop eating solid food 8 hours before checking in (so 11pm) and to stop drinking anything 2 hours before checking in (so 5am). When I arrived, I was brought to the peri-op area and switched from my clothes and into a hospital gown. The nurse placed an IV in my forearm, started fluids and an antibiotic, listened to my heart and lungs, administered a heparin shot to my abdomen, and asked me about the last time I had eaten and drank anything. I asked her if I could have a scopolamine patch for nausea and some IV anti-anxiety medication, and she told me to ask anesthesia when they come to see me. The nurse asked if I would like to do a pregnancy test, and I was very easily able to decline it. Next, the OR nurse came to verify my identity, and when she asked what procedure I would be having I said I was not comfortable saying it out loud, so she showed me what she had written and I confirmed it was correct, which I was appreciative of.

Next, Dr. Kirby’s fellow and resident came to meet me and asked if I had any questions for them. The days before surgery, I was very torn about having this surgery laparoscopically because I desperately did not want scars on my abdomen, even though there are hundreds of surgeries that leave the same scars and they would be quite small. So, I asked them if they knew if it would be possible to do it solely through the v to avoid any incisions/scarring, and they said they would leave that question for Dr. Kirby. Shortly after, Dr. Kirby came to see me, and I asked her what I asked the fellow and resident. She told me that it is very unlikely (less than 10% chance) she would be able to do it this way, but that she would assess the situation in the OR and if it looked safe/viable to do, she would. We then signed forms stating that I consent to being sterilized. We also made the plan that, because I know it is going to be difficult to pee directly after surgery and I would prefer to not have to be re-catheterized, if possible, I would go home with the foley catheter they place during surgery, and I would remove it myself the next morning and would call the clinic if I was unable to pee. Anesthesia then came to see me, and I loved the CRNA. She was a self-proclaimed hippie, wore a tie-dye scrub cap, and helped calm my nerves a bit by explaining everything she was going to be doing before + while I was asleep. I asked for the scopolamine patch which they got for me, along with some IV midazolam to help me chill out directly before rolling to the OR. She pushed the med into my IV and I was immediately in silly mode, so much so that I have no memory of ever even making it into the OR.

Waking up was a blurry experience but based on the medical notes my surgery started at about 8:45am and ended at about 12:30pm, and I was somewhat more awake around 2:30pm. Dr. Kirby must have come to see me during this time because I recall her telling me she was able to do the surgery non-laparoscopically and I was very happy to hear that. She also told my mom over the phone that everything went well and that she was able to do it non-laparoscopically. While still somewhat out of it, I texted my mom, therapist, and partner the good news about being scarless since I was stressing about it to them. Around 3pm the nurse tried to get me to sit and then stand up, but I became very dizzy + nauseous + my blood pressure tanked, so she got me situated back in bed to chill out for a bit. She then brought my mom back and said that after taking care of her other patient, she would come back to try getting me up again. I wasn’t having a ton of pain but figured some extra pain medication wouldn’t be the worst thing to have at this point, so I asked for some oxycodone. After eating some applesauce, drinking water, allowing the pain meds to kick in, and allowing for the anesthesia to wear off a bit more, I was able to get up into a recliner slowly but surely without blood pressure issues. The nurse went over the discharge instructions with my mom and I, then my mom went to get the car, and I was brought down in a wheelchair around 6pm. Because of rush hour traffic, the car ride home was an hour long, so I had brought a pillow to sit on to protect the lower surgical site and a pillow to protect my abdomen from the seat belt. We drove to the onsite pharmacy to pick up oxycodone and Zofran before heading off. I remember chatting with my mom and then falling asleep about halfway through the ride.

We arrived home around 7pm. Getting out of the car for the first time was challenging, and I think I spread my legs a bit too far because I promptly felt warm blood trickling down my leg. I waddled into the bathroom and my mom helped me strip out of the bloody pants + underwear + pad and into clean underwear + pad. It really wasn’t that much blood, it just seemed like a lot, especially in the moment. I immediately felt unwell/lightheaded, so I laid on the couch and my mom brought me a bowl of the chicken noodle soup I had prepared + some strawberries + some water. Upon getting some calories into me, I was able to waddle upstairs to my room and into bed, and I was asleep by 9:30pm. All things considered, a very successful day!

Day 1: I woke up around 5am feeling quite awake and in a little bit of pain, but I had just gone the entire night without any pain medication since I was asleep for 8 hours. I took oxycodone and Tylenol, and at 6am decided to remove the foley catheter. Dr. Kirby gave me a 3-hour window to go pee upon removing the catheter. I tried sitting on the toilet and trying all the tricks I know to help with peeing at 8am with no luck. Around 8:45am I tried again and was able to pee out about 200mL, which took a lot of time and it still felt like there was more in my bladder. At 9:30am I peed another 200mL but still felt like there was much more in my bladder. I removed the scopolamine patch in hopes that it would make peeing easier in the near future. I stayed in the bathroom on the toilet until around 10:15am, and at this point my bladder was killing me. I was in excruciating pain from my bladder being overfilled, to the point where I could barely walk. I called the clinic and explained the situation, and they asked me to come in at 11:30am. I arrived at 11:45am bent over in pain, feeling like my bladder was going to burst. A nurse brought me back, and initially was just going to intermittently catheterize me, but decided to place another foley catheter knowing that I would likely continue to have issues peeing, especially now that my bladder had been so distended directly after surgery. The nurse was uncomfortable with inserting the catheter due to the swelling in the area, so she asked Dr. Kirby’s fellow to do it (Dr. Kirby was not in the office this day but was available through messaging with the nurse), and he put it in quickly and without issue. I’ve never been catheterized while awake, so I thought it was going to be extremely dysphoria-inducing, but I was in so much pain that dysphoria did not even cross my mind since the only solution to this problem was to insert a catheter. 1100mL was drained from my bladder, and the relief I felt was immaculate. The first catheter was more comfortable, and I felt very sensitive to movement with this new catheter, but anything felt better than an overfilled bladder. Dr. Kirby said that I will keep the catheter in for a week to allow my bladder to rest, and that we will do a void trial one week later in the clinic.

Beyond the bladder issues, I have been feeling quite good! I haven’t needed any additional pain medication other than Tylenol and ibuprofen, I have had minimal bleeding, and I have had no nausea. Although my surgery was non-laparoscopic, my abdomen feels like it was filled up with air, so I have been having bloating + shoulder pain from this, but nothing unbearable. An abdominal binder and heating pad have been working wonders for this discomfort. I took a shower this evening which was nice to remove all the dried blood and sticker residue from my skin/hair. It was nice to feel less greasy and more human again. Getting in and out of bed is becoming easier, but it does feel like my organs are sloshing around when I move too quickly. I also feel oddly content about not really having any organs in my body that do not align with my gender - I feel more “male” now, even if I still have some deficits (that are being worked on). I’m also feeling grateful to get this aspect of my phallo journey completed now. It feels good to feel like I’m making progress toward aligning my body with my mind.

Day 2: Overall, a good day! Spent most of the day sitting in a semi-reclined chair (with a soft pillow on the seat) watching TV, reading some manga, and building a Lego set. Currently, the most annoying things are how sensitive the catheter feels and the bloating abdominal pain. I’ve been told to take MiraLAX once a day for the next 6 weeks, so I started that 2 days before surgery to get ahead of the constipation, and today I pooped with relative ease/no pushing. It’s currently just a long process getting to + going to the bathroom in general. The bleeding from the surgical site has been minimal. It’s usually just a small amount (between the size of a quarter and a half dollar, maybe) that barely soaks into the pad, and it seems to be changing color from bloody to a bit serosanguinous which is what we like to see.

Day 3: May have done a little bit too much activity yesterday because I am more fatigued today. Overall, still a good day though! I’m still pooping with ease. The bleeding continues to be minimal. Still having abdominal pain that’s been benefiting from an abdominal binder and a heating pad. Showered and shaved my face today with no issues! I took a good look down there with a mirror for the first time and I didn’t see anything concerning. Just a lot of swelling and a bit of bruising on my inner left butt cheek for some reason (maybe a hematoma?)

Day 4: Last night my lower back/sacrum/butt became increasingly sore/painful, so I was tossing and turning a lot overnight. It’s been painful to lay flat on my back or on my left side because of the soreness/swelling. When I tried sitting up in a chair, I could just not find a comfortable position with where my soreness was located, so most of today has been spent horizontally with some standing up and walking around here and there. I’m still taking Tylenol and ibuprofen around the clock, and I can tell when they’re starting to wear off, but I’m not near needing any oxycodone, so I’ve just been dealing with it. It’s now very easy for me to get in and out of bed, change underweashorts, and kneel to grab things, but I am still sort of waddling when I walk because of the catheter and the general swelling and discomfort down there. The bloating pain is mostly gone. No big changes to the bleeding today except the scent has become stronger. After my shower, it looks like the bruising on my left butt cheek has gotten bigger and a bit darker, so I am thinking it is in fact a hematoma. Depending on how it looks in the morning, I will let my healthcare team know about it. Bare minimum, I am scheduled to see them in 4 days.

Day 5: Another day spent primarily horizontal due to the butt/sacrum pain. The bruising looks about the same as last night, so I sent a non-urgent message to the clinic about it to see what their thoughts are, but I’m fairly certain it is a hematoma. I’m going to stop taking ibuprofen, ice the area, and just continue to keep pressure off it by laying on my sides. I’m a bit frustrated, less because of the pain and more because I’m spending so much time laying down, which has me drifting in and out of sleep. I don’t feel very tired, but laying down and watching TV, playing video games, or reading just puts me right to sleep. I’m still getting up and moving around without issues though. Still no changes to bleeding, urine output, appetite, or pain (excluding the hematoma pain).

Day 6: Woke up today in much less pain where the hematoma is! I was able to sit up in a chair for 1-2 hour stretches with just a bit of soreness to my butt/sacrum. I did have a lot of gas/bowel pain today that eventually resolved when I pooped, it was just taking forever to feel the urge to go to the bathroom. I’m still taking MiraLAX every day and haven’t had any changes to my diet, so I’m unsure why the pain was so intense today. I was also feeling a bit feverish today, but with the constant Tylenol suppressing any potential temperature increases, it’s kind of difficult to discern between extended hot flashes and actually having a fever. I was able to stay awake from 8am until 3pm without napping which I think is the longest stretch I’ve done since surgery. Still no changes to bleeding, urine output, or appetite. Feels good to be moving in the right direction today.

Day 7: Continuing to be on the up and up! Last night was the first night where I didn’t feel like I needed to sleep 10+ hours, and I’ve been wide awake playing video games/watching TV/reading all day without feeling the need to nap. The pain is better than yesterday as long as I wiggle around/stand up regularly to give my butt a break. The hematoma looks about the same as it did yesterday. I keep having episodes of intense gas/bowel pain, but less than yesterday. My heating pad has been my best friend for this. I feel like I’m taking longemore normal strides while walking and am not waddling as much as before. Still no changes to bleeding, it continues to be the same quarter to half-dollar amount of dark serosanguinous fluid every time I change the pad. I’ve been feeling slightly feverish, and the hot flashes definitely keep on coming and going, especially while I’m trying to use the heating pad on my abdomen. Very excited to do my void trial tomorrow morning and hopefully be catheter free!

Day 8: I went in for my void trial at 9am today. After emptying the catheter and my bladder, my bladder tolerated about 200mL of water through the catheter before I was uncomfortable, so the nurse stopped letting water flow in. I pivoted over from the exam table to a commode and while I was sitting, the nurse removed the catheter, which burned a little bit but was relieving to have out. She left the room and said she’d come back in 10 minutes. It took a minute, but I was slowly able to pee about 125mL which is right on the cusp of passing the trial (they want you to pee at least ⅔ of whatever they put in, so that would have been 133mL for me). The nurse scanned my bladder which showed about 85mL left in my bladder, and my abdomen was a bit tender with the pressure from the ultrasound machine used for the bladder scan. She messaged Dr. Kirby (she was not in the clinic at this time) about this, and then the nurse practitioner who was around came to look at the hematoma/bruising on my butt. Last night it was just on my left inner butt cheek, but today it has spread to my right inner butt cheek as well. She did not say if she thought it was or wasn’t a hematoma but did say she wasn’t concerned about it since it is soft, not painful to touch, and my vital signs look normal. Because of some of my feeling slightly feverish the past few days, my temperature being a little bit high today, my abdomen/bladder feeling tender with their examination/touching, and my urine being somewhat cloudy when I peed, they decided to run a urine analysis. This turned up positive for a bacterial infection, so I was prescribed an antibiotic (Bactrim).
Because I was on the cusp of passing the trial and it’s a holiday weekend, the nurse taught me how to self-catheterize and gave me the supplies to do so just in case I have the experience I had last week of feeling like my bladder was going to burst. I really don’t want to catheterize myself, but I would prefer it to going to the emergency department on a holiday weekend. She wanted me to follow along and demonstrate, but because I wanted to let my poor urethra rest and because I am a nurse and have catheterized many patients, I refused to do it in the clinic right then which she was okay with. They also advised me to stay hydrated but to not chug too much water at once today, so my bladder doesn’t fill up too quickly. Since getting home, it feels like my bladder gets to a slightly painful capacity within 1-1.5 hours, but when I go to the bathroom I only pee about 150mL. It relieves the urge to go pee/discomfort, but I am not convinced I am fully emptying my bladder yet. My thought is that because my bladder has been relaxed/not stretched for an entire week, it is going to need some practice getting used to holding more than about 200mL. Still having a bit of gas pain and butt/sacrum pain today, but it is very manageable with Tylenol.
Despite my bladder not totally behaving, it has been so nice no longer having the catheter. I feel so much better about moving, walking around, playing with my parents’ dog, etc. The bleeding from the surgical site has also decreased significantly since no longer having the catheter - I think the tube being in that area was just irritating the surgical site. Now whenever I have looked at the pad there is typically a tiny amount of serosanguinous fluid, no more than a few drops to the size of a quarter. Hoping this marks a big turning point in my recovery! Once again, I am very glad to be getting this aspect of phallo over with now. It is helpful for future surgeries/procedures/providers to have discovered that my urinary system/bladder is kind of sensitive and may need a little more prophylactic care than other people.

84 yo. Female 5"1 and 152 lbs.
Hello! My mother is 84 she has copd and congestive heart failure, also Graves diseases I am going to say a mild case of Graves because her eyes are not big & poppy like people get with Graves disease. Her medications are basically escitalopram, eliquis, Methimazole, atrovastatin, Furosemide, spironolactone, lisonipril (as needed/may cut in half) seems as though when she finally quit smoking just this year, her blood pressure didn't seem to run high anymore metoprolol, Azithromycin and oxycodone/acetaminophen 5mg/325mg. These are all medications she has been taking all along, for awhile. The past couple of months she has experience seeing things on the wall like Betty boop, a hole in the wall, a bird, a spider. Also she keeps waking up because she feels like she is falling. She also seems to be in that state of waking up but like not out of the sleep stage. Kinda like sleep paralysis but not quite. She fell asleep in the chair and woke up screaming help I'm falling. I went running to her and so didmy son and we told her she was ok. Later she said she could hear us and she did respond to us, but she was still in her dream. When she said about the big spider on the wall, I also had this happen to me a few times I would be going to sleep or sleeping and for some reason see a big spider on my wall. I literally would jump out of bed to knock it off the wall and then realize standing there that oh there is no spider on the wall, I was sleep (I'm not afraid of spiders but if I was awake & there was a legit big ass spider on the wall, I am sure I would not just take my hand to knock it off the wall). This didn't happen a lot to me, I want to add during my depression and switching from zoloft to effexor it was when it happen the most to me. We did try her not taking melatonin thinking maybe that was causing it, but it didn't make a difference (also mentioned to her doctor at last appointment and this was her recommendation to). What is going on? No full blown seeing people or hearing voices just these little weird things on the wall and every night she awakes screaming because she feels like she is falling while sleeping.

TW: LC, D&E
Today is day 1 of this whole process for me. I barely got any sleep last night and early this morning, our 3 year old climbed into bed with us. She has been regularly saying “good morning baby brother” and kissing my bump for about a month now. I was trying to savor the cuddles and took pictures of my daughter resting her head on my belly. After dropping our daughter off at daycare, my husband and I went to the laminaria placement appointment. It was so difficult being in the same waiting room as other pregnant women, I couldn’t hold back my tears.
The placement itself was uncomfortable. My doctor managed to get 3 sticks in. The 1st one was the worst and was a quick piercing pain. The other 2 were more manageable. It was comparable to the pain of a colposcopy and biopsy if you’ve ever had that done. Now I just have period like cramps and lower back ache which extend down the back of my legs. Currently laying in bed with french fries while my husband gets my meds from the pharmacy. We’ll have to go back to the doctors office this afternoon to get more laminaria sticks inserted given that I’m 22 weeks along. I’ll update later with how that goes.
Edit: Second round of laminaria sticks hurt MUCH more. Severe cramping making me nauseous. It comes in waves though so at least it’s not constant. I was prescribed 600mg ibuprofen tablets as well as oxycodone for breakthrough pain.
What really threw us off tonight was actually our toddler. Her daycare called us saying she had a slight fever after she woke up from her nap and was complaining of ear pain. My husband is at urgent care with her now (where she promptly threw up on him 😖) to get her checked out before dropping her off at my parents’ house for the long weekend.
Hoping for a more peaceful night before tomorrow’s hospital visit.