Post orchiectomy blood clot

pdc23101 (imported)
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Re: Post orchiectomy blood clot

Post by pdc23101 (imported) »

In ten days time I am going to see a plastic surgeon about total removal of my sac. I wish to be a "smoothie" and see this as another step in my journey to become the complete eunuch. This surgeon does gender reassignment surgery so the operation should be no problem for him! I look forward to the creation of new erogenous zones.
Losethem (imported)
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Re: Post orchiectomy blood clot

Post by Losethem (imported) »

Technically, a "smoothie" in this community is a complete nullo. ;)

Kidding aside, I wish you well on the endeavor. May it bring you the peace you seek and the sensation your desire.
pdc23101 (imported)
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Re: Post orchiectomy blood clot

Post by pdc23101 (imported) »

You are right Loosethem...Thanks for correction. I want "the smooth look' not to be a 'smoothie' at this stage. Anyway i have visited th plastic surgeon and my operation will occur early next year. I can't wait.
zeebster (imported)
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Re: Post orchiectomy blood clot

Post by zeebster (imported) »

Since a blood clot is possible with any surgery, one should be aware of the possibility. I had my Orchie done on March 13, had to spend 11 hours getting back home on the airlines and waiting in terminals so I was a bit worried.

Three weeks after my surgery, I experienced a TIA or Transient Ischemic Attack or "mini stroke". At the hospital, they ran a CT scan wile I was in the Emergency room. When the Doctor came back after the CT, she said "we didn't find any damage from the TIA, but we did find an aneurysm that you might want to follow up on. When I asked her where it was, she told me that would be a question for my radiologist and could best be answered by my attending Physician.

They told me that they were going to keep me overnight and run some more tests. In the afternoon, they sent me for an MRI which was a terrible experience for someone who is claustrophobic as I am. They gave me a bit of Ativan but only half of what I should have gotten as they were short on the medication. For those of you who do not know, the older MRI machines are a long tube which your shoulders will barely fit into and it's LOUD! They give you earplugs but they don't really help much, lots of loud banging, humming etc. It was all i could do to keep from freaking out.

Later in early evening, they sent me for an Echo Cardiogram or ultrasound of my heart. They lay you on your left side, the table has an opening where the technician holds a probe against your rib cage. Initially it wasn't bad, but as things went on she was moving the probe around based on what she saw on the monitor. After about five minutes it started to hurt but she kept on going. It went on for about thirty minutes and I don't know how in the hell she kept that much pressure on the probe but what I did know is that is hurt like hell having my ribs abused like that.

They took me to an IMC (intermediate care) room, cardiac monitoring, BP monitoring via a cuff that inflated automatically every ten minutes, IV, pulse oximeter and thinking I might get some sleep, the tech showed up two hours later for a blood draw and each two hours later another blood draw.

Next morning the Doc came in and told me that he had some good news and some bad news. The good news is that they were going to let me go home. The bad news was that in addition to the cranial aneurysm they'd found with the CT scan, the Electro Cardiograph showed a hole in my heart.

The hole in my heart turned out to be what they call a PFO and is common. It's a hole between the two upper chambers of the heart that are open in utero and normally close within about thirty days of birth. 25% of the population this does not happen and the hole remains. Of that group, half go on with no problems, the other half start to have problems about age 30 which fit me; cardiac arrhythmias, shortness of breath, fatigue, migraine headaches. I'd had all of those, my conehead PCP ran a twelve lead EKG in his office and pronounced my concerns as unfounded.

They ordered what's known as a four vessel Angiogram which showed a very nasty aneurysm in the base of my brain known as a Berry Aneurysm for those who are curious. I was in the Cardiac Cath lab on the fourth of May, in radiology for the four vessel Angiogram on the 16th of May and in Surgery for the aneurysm on the 24th of May.

So what is the moral of the story? If I'd not had the TIA, there were two existing conditions, either of which could have killed me with no warning. Were it not for the TIA, i'd never have known about either one. What caused the TIA? Usually those are caused by an embolus (a small clot moving in the blood stream) which gets to the brain. When you look for a clot or a "leak", i've never seen anything found but they are usually considered a precursor to a stroke.

Now here is the possible cause; it was either a result of the Orchie in which Dr. A had to do himself as his assistant (his daughter in law) was off on Maternity leave. Even with help, his work is pretty rough and done by himself I'm sure accounted for my rather extended recovery. I barely had the stiches out when I got the Foley catheter for the Surgery. So I think that's where the embolus came from but it could have come from my heart considering the Arrythmias I'd been having.

Bottom line; an embolus is possible following any surgery, do not ignore significant swelling or pain and shortness of breath rates a call to 911.
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