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Question From A Friend And My Response -- Post Surgery Depression


VickySGV

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This is not the only place that I post things and communicate with Trans people.  A person I like talking (typing) with over on Face Book asked a question about depression hitting during GCS surgical recovery,  At 6 years + post I have developed a bit of perspective on what did hit me and what was  going on during the winter and spring of 2013 when I made a series of posts about my recovery from my January surgery.  I offer this as something to think about and discuss with your therapists as part of deciding if surgery is right for you.  A person whom I only knew through mutual friends passed away two days ago as the result of a totally fluke complication she developed during her surgical recovery and it is heavy on my mind as I think of my own journey.

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From <not a member here>

Please: This is a serious question for my friends that have GCS. Did you feel any post operative depression after surgery?

My answer--

At about your third month post op, the "rush" and stress high of your preparation for the surgery has drained from your system. Your new health regimen has become a chore and not a novelty. While dilation is not excruciatingly painful, there is a nagging discomfort that is not the "sexy" experience you dreamed of. You feel that you no longer know your own body in ways that seem to change daily. You are in a new almost unexciting routine, and people who once called you Brave and Courageous with awe have gone back to their routine lives and see nothing special about you anymore. With all of those considerations. you do find yourself in a virtual hangover, where you feel let down, and your need for continued healing all the same just gets to you. You do just sigh and if you can cry a bit.

Today, 6 years and some months later, I have come to recognize that I was suffering from some depression then, but I will not use the word “depressed” for others who will go through all of this, since the idea of depression has been weaponized against us, and some will deny the condition lest it become a weapon to keep them from following their hearts and goals.  It is in knowing and having experienced all of this that I will not encourage anyone to have GCS.   After they have had surgery from their own discernment of need I will be readily available to any sister or brother and I will be carefully listening to them during those times.

At about a year, the recovery matters resolve themselves and healing is more complete and their bodies now belong to them again with new purposes and better feelings.  Minds are no longer on the nearly crippling Dysphoria of the times before, and the holes that the resolution created have been filled with possibilities and some new dreams and regret free reality.  

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This is a very good point to make Vicky.  This type of surgery can certainly produce bouts of depression.  Although when I had major surgery for cancer I had also had a "down" time.

 

1 hour ago, VickySGV said:

While dilation the healing area is not excruciatingly painful, there is a nagging discomfort...

You've been out of work for a while and out of commission socially.  Friends stopped calling.  You wonder if your body will "normalize" and this will be a (not so fond) memory.   You really have to let your body heal but this is harder than you thought, and not just the physical part.  The emotional part is something you never planned for.   The good news is it does end, you get back to normal albeit a new normal.  All is well again.  

 

Now this can be complicated by the notion that we have "elective" surgery for GCS and while it is a somewhat a "choice" for us it is no less important than a medically necessary procedure.  When I had my trachea shave and was in the hospital overnight I felt embarrassed to be there as compared since vast majority of patients who were not there for a "elective cosmetic-type" procedure that I had.  This got me down.  So it can be a simple or a major thing that puts us in a spiral.  

 

2 hours ago, VickySGV said:

...I will be readily available to any sister or brother and I will be carefully listening to them during those times.

We need to be in-tune with our bodies and minds, and that of our friends who go through this.  Life goes on and we can be supportive by thinking of them and being there to listen when they need an ear.  Whether they know it or not.

 

Thank you Vicky.  Great post!

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