October 19, 2005
I think I may have caught another hour of sleep all
told, over the course of the night. Teresa
needed help with one issue or another every fifteen or 20 minutes.
I can’t suggest strongly enough that if you are contemplating FFS, you
ABSOLUTELY need to have at least one person with you for that first day and
night. The staff, as desirous
as they are to provide the very best of care, is simply too short handed to
do it all alone. They can
handle all the crucial elements, and even work in the non-essentials
eventually. But those mid-range things, like checking to make sure the
drain tubes are clogged, untangling a cinched IV, a little extra suctioning
of the mouth, being on hand to hold a bucket for the inevitable vomiting of
blood – these kinds of things they can’t handle.
But your loved one can. Make
SURE you bring someone (and someone who is assertive enough to be proactive
in action, and proactive in contacting members of the staff for assistance
when needed.)
So, I kept the overnight vigil, sleeping on a folding
bed next to Teresa. My daughter
slept in a recliner on the other side.
Whenever Teresa had a need, that extra degree of hearing that parents
develop, kicked in and woke me immediately, fully alert and ready to help.
In the morning, around six-ish, they finally removed
Teresa’s pumped air pressure stockings (boy the sound of those things
keeps you awake!), and then removed her catheter (which appeared to be as
fun as I recall it). Next, she
was allowed to walk to the restroom to pee on her own, and then taken for a
brief walk down the hall and back.
Dr. O stopped by around seven, and said he had been
able to take care of everything they had discussed, including a very
substantial reduction of Teresa’s chin and jaw, which he noted had been
her primary complaint.
The procedures went so well in fact (including very
little bleeding), that he finished up more than 20 minutes early, compared
to the normal case.
So, the prognosis is outstanding, and, a very
comforting note, in spite of all the extra tugging on the chin nerve when
grinding down that area, Teresa has full feeling and full motor control in
both sides of her lower lip. The
best news all the way around.!
Breakfast was about to be delivered, and the day nurse
who had just come on shift informed us that we could order a special guest
tray to be delivered for my daughter and me.
So that is exactly what we did.
Teresa had a little of her meal, I had half the guest
meal and my daughter the other half. And
then, my daughter had to call a taxi in order to return to Cocoon House
where she had reservations to be picked up by Super Shuttle to SFO for her
return flight home.
What a help she had been, in cheering up Teresa, K, and
me the night before surgery, in listening to my woes during the long
surgery, in help to feed, clean, and comfort Teresa. Her love and devotion will not be forgotten by either of us.
Well, that pretty much brings us up to date.
Teresa is resting comfortably. Every
hour or so I need to call the nurse to disconnect the IV so Teresa can go to
the restroom, and then to reconnect it after the fact.
I just ordered another guest meal so I can continue to
remain by Teresa’s side at all times, lest she need any help at all.
Dr. O says today is a simple one – a couple of short
walks down the hall, rest, and perhaps some television. Tomorrow, however is a very big day – IV removed, head
bandage removed, Princess Leia blood drains removed, and Teresa is released
and transported to Cocoon House for the remainder of her recovery.
What new adventures await us there?
I wonder…..
6:10 p.m.
The day, in fact, turned out pretty much as Dr. O had
predicted. Teresa was in and
out, but gradually becoming more lucid for longer periods. She also regained a lot of energy and stamina.
But, the certain irony of any surgical recovery set in:
When you are really wasted right after surgery, you
aren’t alert enough to know how crappy you feel.
But as you begin to come out of the surgical shock, you also become
more aware. Although your
condition has actually improved, it has improved slower than your clarity of
mind. So, subjectively, you end
up feeling as if you are actually getting worse.
The pain seems to be increasing, the discomfort is more
confining, and so on. I believe
this is the primary cause of the roots of post-surgical depression, and the
events of today would bear that out. Teresa
became increasingly impatient, and more convinced that the pain wasn’t
worth the result. In fact, she
said, “If I had known how much it hurts, I never would have done it.”
I asked her, “Do you mean you would rather go through the rest of
your life feeling like you got “read” everywhere you went than to be
completely passable if you just paid the price in the post-surgical pain?”
And she said that was exactly what she meant.
She also related that she would be in pain like this
for six more months. Well,
though I know she has researched this probably more than anyone ever has, I
know for a fact that the two people I spoke with at Cocoon House yesterday
were only 8 and 9 days out of surgery themselves, and seemed not to even
notice any pain. I’m sure
they must have still been sore, but their attention was on the conversation,
not focused completely on the hurt as Teresa’s was.
Another case in point, a third member of that upstairs
apartment had returned after I left, heard that I had been them, saw me
waiting by the curb with my daughter for the taxi to come here to Davies to
see Teresa, and approached me to say hello.
She had just been several blocks away where she had walked to meet
some friends for lunch. Now
someone in the kind of pain Teresa was sure would last six months would not
be doing that.
But, though I conveyed this to Teresa, it had little
effect. It wasn’t until I
realized she was having post-surgical depression and brought it to her
attention. With her increasing
lucidity, she was together enough to wrap her mind around it and ignore the
negative feelings – not dispel them, just ignore them.
So, though she still felt depressed, she no longer believed a word of
it.
Now, I started writing this evening because…
Since it was a kind of “not much happened” sort of day, I’ve
had some personal time to begin to get some first impressions of how I feel
about the new Teresa.
Some of these will prove to be transient, or way off
base, but I find them interesting as unexpected little flashes of experience
that have their own validity simply because they do, in fact exist.
For example, Teresa started to joke around a bit today.
And, as usual with her joking, she did some “voices” – you
know, saying things in a strange way for effect to liven up or put a spin on
conversation. We both do this
all the time, sometimes using cartoon character voices (we are famous for
our “Dueling Daffys”), and other times just choosing an unexpected word
rather than the norm, or putting an inflection where it usually doesn’t
go, doing a dialect, or incorporating some sort of gesture or body language
to add flavor to what is being said.
Since she still can’t talk too well due to the
drainage tubes in her mouth and her dry, raw, throat and “fluffy
tongue,” she has been relying on physical flourishes to get back in the
art of conversation as we knew it.
First impression….
Some of the body movements and gestures she used to grand effect just
two days ago, somehow seem inappropriate or ineffective coming from the
person attached to the new face.
Granted, you can’t really see much under all those
bandages, but you can see the contour of the brow, the slope and size of the
nose, and the shape and sweep of the chin and jaw. And, honest to gosh, the miracle of Dr. O’s work is
immediately obvious on the countenance of someone you’ve lived with for 9
years.
Though this impression may change before the night is
out, it just seems that some of the broad-stroke cruder affectations that
she used to use for effect simply don’t work anymore.
Of course, the irony is that she can’t see that from
the inside. It is going to take
the reaction of others once she is healed to alter her behavior.
At first, she’ll still employ that whole portfolio of expressions.
But in time, simple feedback will modify her behavior at a
subconscious level so that she employs them less and less, and learns to
replace them with others that get the effect she was going for.
And in time, she will emerge as a different personality in many ways.
But, that’s just a first impression.
Still and all, it leads to some interesting considerations.
Since the same thing must have happened to me during my transition,
how many techniques that may have been favorite and endearing means of
expressions to those who knew the old me – how many of those were
completely dropped, or altered, or replaced without my ever being aware of
it? Is there any way for me to
search my memory of self and unearth some for investigation of the
phenomenon? Did this cause hurt
or bring or contribute to a sense of loss in those around me?
And the new and modified means of expressions – did they endear or
further repel friends, relatives and the like?
And all behind my own back!
Again, just conjecture.
Once the bandages are off and the new face completely healed, and
once some time has past, I suppose we will have evidence to corroborate or
undermine my hypothesis.
Now here’s another one.
The way I have been treating Teresa today – I felt unintimidated by
her. That may not sound like
much, but I have always found Teresa to be a formidable person, and a worthy
sparring partner. But as I look
at the soft, feminine features she now possesses, I just can’t bring
myself to give her any serious consideration as being under her influence.
This is pretty complex, even to me, so I’m going to
play around with this a bit and see if I can find a way to convey what I’m
really trying to get at….
First, I don’t mean anything negative by
intimidating, but more that I felt she had at least an equal sense of
“eminent domain” as I did. What
that means is, every boy is brought up to believe that he has a right to the
whole world if he can take it for himself.
His right to exist in the world is assured by virtue of his manhood.
He can challenge or be challenged by any other man for Alpha
position, but the assumption that he is even worth challenging or even could
challenge, is felt almost as if it is a law of God – a commandment so
fundamental, they never even realize they assume it.
But women, on the other hand, are pre-supposed to be
children of a lesser god. They
are the wives, mothers, help-mates, who support the man as he goes about his
daily routine of challenging the world and fending off the challenges of
others.
Now, I realize I look a femmy girl when I’m all done
up nice and pretty. But inside,
I still know where I came from, and due to my extensive self-searching
during transition, I have fully explored and documented my own roots in
eminent domain.
When I met Teresa, the masculine cut of her jaw, the
slight brow ridge made me feel a bit challenged – intimidated as I had
intimated earlier. And a guy,
well, he’ll put up an equal force of intimidation in and attempt to
balance out the pecking order. And
"attack" is to escalate to the next level of intimidation, and a
negotiation is to offer a lower level in the hope the more intimidating
individual will accept him at that lesser, but still powerful station.
A capitulation is to completely abdicate the right to eminent domain
and accept whatever scraps the alpha dog offers you after he has eaten.
So with friends – male friends, this little game
eventually works itself into a relationship of buds, or alpha dog with
hangers-on, and so on. With
equal friends, it is a mutual acknowledgement that each is at exactly the
same point in the line of succession – in other words, both are powerful,
but at the same level, and either is entitled to lord it over the other.
Still, because each exudes the competitive male spirit,
it requires an active and equal counter spirit to keep the relationship
balanced. It isn’t just a
decision that never comes up again. It
is a dynamic system of checks, and counter-balances to ensure the totter
never teeters too far in either direction.
That, in a nutshell, was one aspect of my relationship
with Teresa. She and I, with
our understood male backgrounds were constantly engaging in good-natured
sparring, like lion cubs half-biting each other to show they had the power
but had agreed not to use it on an equal.
Oh, and women do this too, but they use different
techniques such as inclusion in the social circle, or who gets negatively
gossiped about. Essentially, it
is social standing, not power, that fuels female intimidation. Just look at the girls’ cliques you observed in high
school!
So here’s the point at last. With Teresa’s new face, I just can make myself feel
intimidated by her. I know I
was male. I know she was
male, but her new appearance belies that so strongly that I just can’t
take her seriously as an equal at some very fundamental and rather
disturbing level.
Remember, this is just a first impression, but I swear
to you that every time I looked at Teresa in the decade I’ve known her, I
felt very much as equals in eminent domain, and now when I look at her I get
this feeling I used to have about women when I was a man. She’s the second string, Beta dog by birth, and the best
she is entitled to is to be the Alpha Beta dog, never the pure Alpha dog, to
which I still feel entitled due to my male cultural indoctrination.
I know it is bullshit as an attitude toward women, but
honestly, how to you get rid of some bullshit that has become part of your
psyche. You are what you eat,
and no matter how hard you heave, you aren’t going to puke up anything you
consumed and incorporated into your body a month ago.
In short, I kind of see her as a second class citizen
– not without merit and rights, but not in my league. First impression of one of the effects of a new face.
Now here’s one final interesting side-note.
I’ve looked as feminine as Teresa does now ever since she met me.
And I’ve never let go of that sense of divine right.
But was that an odd thing for her to have to deal with – a woman
who demanded equal rights under eminent domain without turning butch in the
process? You bet it was!
I can’t count the number of times I was going to do
something like use a power tool or work on the car (which I hate, but know
how to do) and she would jump in and say, “let me do that,” or more,
just step in and take over. At
first I used to think she was a control freak and rather pushy about it at
that. But we talked, and
eventually, when she was caught doing such a thing, she would often explain
– “Sorry – I know in my mind that you were a man for 38 years and know
how to do all this, but I don’t see that.
All I see is the soft, feminine woman in front of me, and my reaction
is to step in and do it because you can’t possibly know how to, or have
the grit to get it done.”
Over the years, she’s backed off and let me do things
that I know how to, that a woman “shouldn’t” know how to do, but I
know it never stopped disturbing her.
Well, I guess now the shoe is on the other foot on that
one (as so many things are in regard to this FFS thingy.) I guess I’m going to have to do as she has done and learn
to make exceptions, all physical and visual evidence to the contrary.
But the last little tid of this bit is I find myself
wondering if she ever felt intimidated by me – saw me as equally entitled
to eminent domain – or if she always felt about me as I feel about her now
– that I was the second string. And
all the belief I had that she and I saw each other as equally worthy
opponents was really just my one-sided perspective, and she always saw me as
being of lower stature by birth and just made allowance and humored me all
these years!
This is more funny than worrisome, but once she has
completely healed and settled into whatever altered life and relationship we
establish in this undiscovered country, I believe I shall ask her just for
curiosity’s sake.
7:58 p.m.
Dr. O just stopped by.
Checked up on Teresa’s condition in his usual cheery manner, and
told her she was right on schedule for him to remove the drainage tubes and
head bandages tomorrow morning. I
guess since he begins his surgeries at about 7:30, he’ll probably be in
here around 6:30 or 7:00. So,
the most significant of the remaining uncomfortable things will be dealt
with after just ten or eleven more hours!
Then, we are released (using the royal “we” here)
and head back to Cocoon House for the last time.
Well, almost the last time. I
guess we have to make a few trips out for Teresa’s staples, sutures, and
stuff – not exactly sure, as my attention to the procedures was more
focused on helping Teresa get here and through the surgery and into
recovery.
Okay, just before Dr. O showed up, I had some
additional information about the whole eminent domain, intimidation thing.
Looking within myself, I am finding that when I see Teresa’s new
face and don’t see her as being intimidating, I, surprisingly, lose the
desire to be intimidating myself. In
other words, only for a moment did I feel like I was a first class citizen,
and she now a second. And I
believe that was a pseudo effect caused by the sudden absence of her
appearing to be intimidating. Since
I hadn’t yet shut off my own vibes, with hers absent, the vacuum put us at
two different levels.
But after less than an hour when I revisited the issue
while looking at her again, I found that I felt more feminine and equal than
ever! That feeling of equality, that we are BOTH pretty now – well, I
simply hadn’t expected it.
What I expected was to feel intimidated by her
“natural” beauty, while I felt I still had to dress up a certain way,
put on make up, and “pretend” to be a woman, even if I felt like one
inside.
But, the exact opposite happened. With Teresa ALSO being pretty, she doesn’t put off eminent
domain signals, and therefore, I don’t feel compelled by training of old
(like an old firehouse dog) to match that level of vibe, which actually
robbed me of the ability to feel feminine myself.
So, for almost a decade, I’ve been forced to respond
to her physical (and internal) essence of “top dog” by falling into my
training and adopting a more assertive, even aggressive masculine
pseudo-nature. And now –
well, now I find I can lower MY guard, because SHE is no longer a potential
threat. (All guys, no matter how well they like and trust each other
ALWAYS see the other as a potential threat, and therefore strive to show no
weakness, since even though they have an unspoken pact – a non-aggression
treaty to leave each other alone, that is only in effect as long as the
other honors it. The last
thing, you want to do, as a guy, is get lulled into a sense of complacency
and then have the other guy unleash a blitzkrieg and run rough-shod all over
you. You don’t expect it from
a friend, but it could happen, so you always keep your shield, if not
your sword, close at hand.
And that’s what happened this evening.
Teresa and I laid down our swords some time ago.
But we never gave up our shields.
By changing her face to a non-threatening variety, it feels as
if she has laid down her shield (though I wonder how long it will take
behavior modification for her own reflection, and/or from me already laying
down my shield because it looks as if she laid down hers, before she
actually lays her down, not just appears to have.
By so doing, I am now liberated to embrace the feminine
and can put away that male armor – at least in Teresa’s case.
I still tend to get competitive in business (which I really wish
someone else would handle, leaving me to do the creative part).
In fact, Teresa, perceiving herself as the more assertive of the two
of us, had just agreed the week before we left to come her that she would
start handling some of the “husband” things around the house and in our
business. Now I wonder if that
bet is off since she may soon feel as un-desirous as I have always been to
participate in such activities. Or
will that quality remain, but just make her appear to be hyper-competitive
female? I wonder.
Also, of course, there is Mary, my wife, who responds
best, in fact, who actually seems to want someone to take charge for her.
It was from observing her manner that I once wrote, “A woman wants
a man to force her to do what she wants to do.”
Since I am still fulfilling that role for Mary, though
has been growing in her own assertiveness year by year, will I change in
regard to her as well, now that the crack has appear in the dam here with
Teresa, due to her new face? What
a “butterfly effect” if so, that Teresa’s facial surgery changes my
relationship with Mary in such a way that we either redefine ourselves as
equals, or drift apart because I refuse to be the “husband” anymore, or
that my personal transition to the feminine is forever held in check by my
sense of obligation to Mary that perpetually prevents me from ever fully
embracing my feminine side.
Hmmmm….. Again, one wonders….
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