Weird post-op stuff

My system is definitely different since getting my thyroid yanked.  First of all, there’s all the weird breathing stuff because of that paralyzed vocal fold.  I have coughs that sound like sneezes, or occasionally like sobs, just for variety.  Then there are the little inhales that sometimes rumble in my chest and sound like snoring or growling.  And we can’t forget the gasping inhale, though those are becoming less common.  My speaking voice is still weird - high, in a cartoony way, or mid-range and glitchy.

In addition to the dizziness that just started today, I’ve been dealing with “evanescent urticaria” - the here-again-gone-again rashes I keep getting.  My energy level continues to be low, to the point that I told the director of my next show that I won’t be able to be part of the design team after all. 😢  I thought about that one long and hard, but in the end I just couldn’t justify staying on when I can’t guarantee whether I’ll be able to do good work.

On the other hand, my arthritis has been leaving me alone, even the arthritis in my neck, the MRI for which is what got me started on this adventure.

Dizzy

 Poor Chief.  I had a big dizzy hit so he had to drive me to the theater again today.  Unfortunately, it wasn’t a one-off;  I’ve had a few touches of dizziness, some while I was trying to wig someone.  Not enough that I fell over, but certainly enough to confirm that having him drive was the right decision.

Entering the next phase

Today was my first prednisone-free day in over a month, since the onset of that awful rash.  Hurray!

Today I also started my new, adjusted levothyroxine dose.  Not sure if it's the new med dosage or what, but I'm feeling a bit lightheaded again today.  The Chief and I are both hoping that fades, so that he doesn't have to drive me to the theater.  (Blithe Spirit has 4 performances this weekend.)

And I scheduled my Nuclear Medicine consult.  Don't know whether we'll schedule my radioactive iodine then, but at least things are moving along.

4 weeks post-op

The pace is slowing now that the rash is finally gone.  I still have a bit of itching, but it's nothing like as bad as when the rash was at its worst.  The incision is healing slowly but surely, though my surgeon recommends I get some silicone scar strips in 2 or 3 weeks and apply them over it.  Not that I care about a scar, but healing?  Yes, please.

Talked to my endocrinologist this morning.  We discussed adjusting my levothyroxine and calcium supplements as my body adjusts to its new normal.  I thought we'd schedule my radioactive iodine, but she's referring me to Nuclear Medicine for that.  She also told me they like to wait 3-6 months for that step, not the 6-8 weeks I'd seen somewhere.  There's a bit of prep for the iodine - 2 weeks of a low-iodine diet, a couple of injections, and a thyroid and whole-body scan.  Depending on what the NucMed folks tell me, I may opt for a November date to get it over with (as long as it doesn't run up against Thanksgiving), or wait until January, well after the holidays.  We're flying for both my sister's wedding and Christmas this year.  I wouldn't want TSA to turn me away at the gate because I'm still radioactive!

3 weeks post-op

Three weeks ago today the surgeon slit my throat and did his best to remove as much cancer as possible.  The incision is healing up nicely now that we have the rash under control, and as of today I no longer have a lift restriction.  The Chief still helped me load stuff into the car to take to a different theater.  (They're doing a semi-staged concert production and asked me to style wigs for 2 of the principals.)

My body still seems to be adjusting to its new need for synthroid, and I've got another 10 days of prednisone to get through, which may be why I still run out of gas so quickly.  That, and the fact that talking is gonna continue to be work until that left vocal fold heals.

I really appreciate how responsive my surgeon has been.  He's answered all my questions within 24 hours and sent me a message this morning checking up on me after yesterday's adventure.

False alarm?

I’ve been a bit short of breath since yesterday morning and inhalers and neb treatments weren’t helping.  I’d also started having swallowing problems again, after having none for a week or so.  So back to Kaiser urgent care I went today.  But hey, it’s been a week and a half since my last UC visit, so that’s an improvement, right?😄

They gave me my money’s worth - labs, EKG, CT scan of my neck and chest, palpating of the surgical site, and of course a lot of questions about how long, and how often, and so on.  The UC doc spent a fair bit of time on the phone with the ENT on call and finally decided that, because I hadn’t experienced any distress during the 6+ hours I was there, that this was probably just post-op recovery woes.

Among other things, the CT found some lung nodules, which the doc told me are “tiny”, not that unusual, and no cause for concern.  After my experience with these thyroid nodules, I’m not so sanguine.  I wanted to let my pulmonologist know about the scan, but apparently he’s no longer with Kaiser. 😢. A shame - he was a lot of help when I had a very stubborn asthma flare after my first bout of COVID.  I guess I’ll reach out to my allergist, both to tell him about the scan and to ask him to recommend another pulmonologist.

Poor Chief - he sat there with me, reading and listening to music on his phone until the battery ran down to 10%.  After that he started to get a bit punchy - “Hi, I’m Dr. Smartypants!” 😂. Well, it kept us entertained while we waited.  And waited…

The rash saga continues but seems to be winding down.

(This should have posted 3 days ago.)

This is the first day since this whole rash business started that I haven’t had some temporary (1-3 hours) rash sprout on the underside of my forearm, the back of my hand, or elsewhere.  My primary doc relayed my info, with pics, to dermatology.  The doc covering for my dermatologist recommended a different antihistamine, but this was late in the day, so that might not happen until Monday. 😥. However, given that I haven’t gotten any new rashes today (finally!), and the original rash areas are only mildly itchy now, I’m not too upset. 

I still find myself dragging during the day but can’t tell how much of that is post-op recovery and how much is the meds I’m taking for this stubborn rash.  I cut back on the Rx antihistamine, which has drowsiness as a side effect, but that doesn’t seem to have made any difference.  Twice this week I’ve slept late, had breakfast, then gone back to bed for a hour or so, which I almost never do.  I was feeling a bit out of it this morning.  The Chief and I went grocery shopping today and I was hanging on to that cart to steady myself.  Weird feeling!

Another tech week on steroids

 In June, the steroids were for the recurring sinus infections I'd been getting since the beginning of March, which made Patience tech week more stressful than tech week usually is.  This time, the steroids are for the rash that has been plaguing me.  I think the meds finally have it on the run, but the prednisone has my sleep cycle all shot to pieces.  Last night the Chief had to drive me to the theater because I felt enough out of it that I didn't feel safe to drive.  I ended up sleeping, soundly, in the car most of the way to the theater, so that was the right call.

Today I got up late, had breakfast, then went back to bed and slept another hour or two.  We both celebrated when I learned tonight's rehearsal has been cancelled so the lighting crew can replace many of the instruments.

The itch factor has finally dropped to only a 1 or a 2, though I still get occasional, random breakouts.  It's very weird - I'll get a new patch on a forearm or upper arm, which then fades after an hour or few.  However, I don't need to apply as much cream to get relief.  I also haven't applied it but once a day the past coupla days, thanks to tech week throwing me off.  I should probably go back to 3 times a day, or at least twice, just to make sure we have this thing under control.

Talking to "my" people as I'm wigging them can still be tricky.  Who knows how long it will be before that vocal fold is back in working order.  For now, I have a voice that cuts in and out, coughs that sound like sneezes, and an inhale for those coughs that still sounds wheezy.  The surgeon explained that my breathing is gonna sound weird because of that inactive vocal fold.  Oh, and the tremor from the prednisone is fun, too.  Good thing I don't have to help anyone with their eyeliner!  

 

Freezer update

The new freezer arrived this morning.  It's a bit narrower than its predecessor but taller, so we get one more shelf.  That will make it a little easier to sort and arrange whatever we end up putting in there, making it easier to find.  We don't plan to start restocking before tomorrow; we want to be sure it's fully cold first.

First thing into the new freezer will probably most of the frozen fruit we'd bought for post-op smoothies.  Probably also some of the turkey I cut up this afternoon (6 turkey thighs have a lot of meat on 'em!) and maybe even some of the tetrazzini I made with it.  That was a recipe that had gotten sorta pushed aside by other things, but I think we could have it more often.  Excellent comfort food, though maybe I'll use more mushrooms next time.

 

 

Maybe the meds are *finally* starting to kick in?

The itching woke me up again today.  However, after the first round of meds and creams, the itch started to back off.  My face didn't look quite as inflamed by dinnertime as it does in these pics, and the itch is down to a more manageable level.  Given that I started the prednisone taper this morning that starts at 60mg, not the 40mg I'd been taking, that's not terribly surprising.  (I haven't figured out yet how to get these photos on the same line. 😖  Last night I wouldn't have been surprised to wake up with my eyes swollen shut but things seem to be calming down.

The Chief has been taking very good care of me:  fixing me eggs for breakfast every morning, trying to keep up as I figure out how to adjust to life on synthroid, helping me with theater stuff (climbing ladders in a storage bay, carrying things for me while I'm under my lift restriction, etc.), going to the grocery store for things we never used to buy (cottage cheese and canned fruit), and generally trying to help me recover so I can return to life as usual. I'll probably still ask for a little help with meals, maybe twice a week, but having such a supportive husband is making this whole business a whole lot easier!