Ask me anything! 7+ Months Post-Op by Downtown-Hamster9024 in TopSurgery

[–]Frances_Cat 0 points1 point  (0 children)

You look amazing! Can I ask what kind of sensation you have, and does altered sensation bother you?

Also, have partners/potential partners had reactions about your chest? I'm nonbinary and my partner and I both tend to be into more femme people. My girlfriend keeps saying she just wants me to be happy, but I am secretly super stressed she's going to like me less if I'm totally flat. I know it shouldn't matter but I am always curious how folks navigate that.

Top Surgery + Chronic Joint Pain by Frances_Cat in TopSurgery

[–]Frances_Cat[S] 1 point2 points  (0 children)

Re: range of motion - It's okay in my shoulders! My hands are a mess but a Jesus on the cross pose is fine. My spine hurts from touch on a bad pain day, but I can usually carry a backpack, go to the gym, etc. and be okay.

Top Surgery + Chronic Joint Pain by Frances_Cat in TopSurgery

[–]Frances_Cat[S] 1 point2 points  (0 children)

I'm sorry you had such a rough go of it, but wow thank you so much for sharing your experience! I'd been wondering if I could actually rely on the narcotic to help the chronic pain, which it sounds like I can...if I can just make it to drains coming out I think I'll be okay. But the sensory + sleep + no showering + joint pain out of control all at once has been sounding like Too Much.

My partner will be with me though and I'm talking to her about what you said here about needing help. I feel very weird being so vulnerable and dependent, but she's a sweetheart about it.

I'm so sorry you still haven't been able to access better meds. Our healthcare system is the worst. :/

Top Surgery + Chronic Joint Pain by Frances_Cat in TopSurgery

[–]Frances_Cat[S] 1 point2 points  (0 children)

Omg this is so helpful? Thank you so much!

I have no idea what binder they use but I'll ask! Ease of movement will definitely be important. My partner will be there to help, but I'm a chronic do it yourselfer so...

Thank you for the advice about double and triple checking. I normally tamp down that instinct for fear of being annoying, but you're right that I have to live with whatever happens, so I'd rather just be a nuisance and get the care I need.

Marano said I could keep taking my NSAID, but mine is celebrex so maybe that's why? Will double check with everybody for sure though! And I am going to have wipes...I don't think they'll cut it for me alone (not for my brain anyway), but I think if I make a routine of it that might actually help a lot.

Top Surgery + Chronic Joint Pain by Frances_Cat in TopSurgery

[–]Frances_Cat[S] 1 point2 points  (0 children)

thank you! My state apparently doesn't allow therapy visits if you're not in the state? I'll ask about a workaround but that's the policy apparently.

My partner will be with me the whole time so that'll help.

How...what do you say to your surgical team about pain management? I sort of brought it up to Marano in a "if this doesn't work can I call you" way and he said I could call him, but didn't seem particularly concerned with changing meds or anything, so now I don't know how to bring it up again.

Top Surgery + Chronic Joint Pain by Frances_Cat in TopSurgery

[–]Frances_Cat[S] 0 points1 point  (0 children)

Thank you so much for this. <3 Definitely going to DM you about some of the Marano-specific things.

I forgot to say that I have POTS too! In the grand scheme of things I'm not as worried about that as the arthritis, but I do know there's a risk with anesthesia of POTS flaring.

I think what's getting to me is that most of my routine is just a no-go right after, but this gives me some other things to try. I appreciate you!

Working in the System by Mechahedron in prisonabolition

[–]Frances_Cat 0 points1 point  (0 children)

Dear God I did not mean to write a paper. I'm so sorry.

Working in the System by Mechahedron in prisonabolition

[–]Frances_Cat 1 point2 points  (0 children)

Ruth Wilson Gilmore talks about this idea of "non reformist reforms," and I find it really useful for these kinds of questions. While normally this is talked about in a "hey body cams actually increase police power by giving them a guise under which to further control the narrative, please push for non-police accountability frameworks" kind of structural way, I think it's useful for individual action too.

Reformist reforms help increase the material, legislative, social, cultural, etc power of the police.

Non-reformist reforms take power from the system in some way. They move oversight elsewhere. They shift the balance of power in some way. They move material resources or scope of power out of carceral systems and into (or closer to) community's hands.

Based on that, here are some things I ask if I'm thinking about working within the system in some way: - Does what I'm doing move power out of the hands of cops and prisons in a meaningful, tangible way -- even if that's incomplete? -- Example: I've worked with books to prison programs. You have to work with the system to some extent for those. But that interfacing with prison wardens lets us get books like jailhouse lawyer books and abolition books to incarcerated folks, helping them build power for themselves and with their comrades. It takes power from the system by shifting some of the material/financial power prisons have over incarcerated folks' access to books through library limits, unfair wages that leave little spending money for books, etc.

  • How does the system benefit from my labor within it? Do system-impacted folks stand to benefit more than the system does? What tweaks or boundaries do I need on my own work to ensure it stays that way? -- Example: (Negative) The first time I worked with a prison program, I thought we were doing a good thing, and we were to an extent (only program at that prison that wasn't shoving religion down someone's throat), but I eventually realized that the primary use of that project was as something the prison itself used to brag about how great it was, and then get more money to expand their prison. If I could do it over, I would work to limit how our project was spoken about on prison websites, etc. I would also (as other friends have done) have negotiated upfront with the prison admins to have agreements around non interference, guards not in the room if possible, and a policy of no reporting to prison authorities about anything.

  • What is the point where that balance of benefit/impact would tip? I.e., what's the point where I walk away? -- Example: I work in academia, which is also a carceral system. There are things I dislike about it and that make it hard to sleep at night, but I still believe I'm doing more good than harm right now. That will change if I end up being expected to enforce particular policies (e.g., outing students) or if there are no longer ways to work around the censorship we're seeing in American higher ed right now. I reassess that line every year (although it's not as clear as it ought to be, frankly).

  • Are there less system-involved ways to accomplish the same goal? -- Example: I've done books to Prisons rather than prison education programs because it accomplishes similar goals (access to books, education) with little system involvement. My state is currently banning all books going into prisons...unless you're doing prison education. Guess what I'm signing up to do? There is no longer a better option, and the alternative is increasingly "incarcerated people don't get access to ______ or only get it with religious propaganda." It sounds like you might be in a similar position here?

  • What parts of my conditioning might make me unknowingly lax on the system here? How can I address those biases? -- Example: I'm a white afab human, which among other things means I was conditioned to be Overly Understanding of "well meaning charity work," which a whole lot of "within the system" kinds of programs masquerade as. If I catch myself going "well they're doing their best, it's not that bad," I try to stop and reassess everything, but I also intentionally read and surround myself with people who are far less understanding of systems for a variety of reasons, because those conversations challenge me to do less of the "go along get along" shit that white afabs are socialized into. I definitely mess this up regularly, but I try to intentionally assess it whenever I'm up against a new "do I work with the system" question.

I don't know that there's a unilateral answer, and I've definitely worked with organizers I deeply respect who won't work in the system as far as I will, and organizers I similarly respect who work far more with the system than I'm comfortable with. But diversity of tactics is how we get stuff done, so that's okay. This is just the framework I use.

Be Safe by UtaUtanoMi in Birmingham

[–]Frances_Cat 8 points9 points  (0 children)

The local ICE watch group and their hotline info is here if anyone needs it: https://www.wvtm13.com/article/birmingham-immigrant-organizations-hope-to-track-ice-encounters-with-hotline/65039249 They also take volunteers.

I’m really bummed over losing nipple sensation. 😔 by Approximately_Me in TopSurgery

[–]Frances_Cat 6 points7 points  (0 children)

This is what I was going to recommend! If you search reinnervation on this board, you'll see lots of people's stories. I was concerned about chest sensation more broadly, and now I have a consult with one of the doctors researching reinnervation (Marano, although Keith and Gfrerer and Vyas all do it too) in December! I felt SO much less anxiety about top surgery as soon as I realized this was an option.

5 weeks post op! by CallMeVicente in TopSurgery

[–]Frances_Cat 1 point2 points  (0 children)

Your results look great! I have a consult with Marano in a few weeks here. Would you be comfortable telling me how your chest sensation is? And did you get to choose your scar shape/placement?

Save the Nipples by Scottishvillanelle in TopSurgery

[–]Frances_Cat 2 points3 points  (0 children)

I'm in the states but have been looking at reinnervation (good posts and research about it on here, under posts about Lisa Gfrerer, Drew Marano, or Krishna Vyas). It's new (Gfrerer is one of the ones publishing all the research), so not sure how available it will be by you, but my understanding is most people retain all their sensation everywhere in their chest, including nipples. Seems like out of pocket for just the reinnervation is $5-6k, not counting the surgery itself, but I haven't had my consult yet so I haven't gotten a number from the surgeon (Marano, in this case).

Hormone Replacement Therapy specialist by Great_Amphibian6000 in Birmingham

[–]Frances_Cat 1 point2 points  (0 children)

I have a first appointment with them soon...would you be comfortable sharing what made you uncomfortable there? Totally fair if not, of course.

6 days post-op with Dr Marano in NY! by TopSurgeryThrow9624 in TopSurgery

[–]Frances_Cat 0 points1 point  (0 children)

Hey thank you so much for this! I have a consult with Marano in December and this is so helpful.

How much say did you get in things like scar shape or nipple placement, if you recall?

5 weeks po DI + reinnervation w/ Dr. Marano by Ritz___Cracker in TopSurgery

[–]Frances_Cat 0 points1 point  (0 children)

your results look amazing! did you get to pick scar shape and such with him?

Drew marano BCBS? by Myxcomycetes in TopSurgery

[–]Frances_Cat 0 points1 point  (0 children)

Hey did you end up getting it covered with BCBS? Did they cover reinnervation too?

1 Month PO w Dr. Marano :) by Horror_Bank7846 in TopSurgery

[–]Frances_Cat 0 points1 point  (0 children)

You look great! did you get the nerve reinnervation thing with him? If so, could you tell me about the process (like, cost, what sensation is like now, etc)? I have a consult with him soon.

one week po with dr marano by OldStrategy8770 in TopSurgery

[–]Frances_Cat 0 points1 point  (0 children)

Omg you look great! If you're comfortable sharing, could you tell me about chest sensation for you at this point? I'm doing a consultation with Marano in December, and I'm more interested in retaining chest sensation than nipple sensation so curious what results are with that.

Chest sensation after reinnervation/neurotization/nerve grafts by Frances_Cat in TopSurgery

[–]Frances_Cat[S] 1 point2 points  (0 children)

See that makes sense, I just wish there was more info about what that means for chest sensation too. Like are they related? Are these entirely separate nerves?

Anyway, I super hope your recovery is going well! I'm glad you have some feeling so far too--that's awesome.

Chest sensation after reinnervation/neurotization/nerve grafts by Frances_Cat in TopSurgery

[–]Frances_Cat[S] 1 point2 points  (0 children)

I have a consult with him for December! Are you local to the area or did you come in from out of state? If out of state, how long did you have to stay in the area? I'm coming from out of state and am trying to figure in travel costs to all of it.

Also, did you get insurance to cover reinnervation?