Life stories
The post-surgery secret your doctors won’t share
The very operations that save your life leave psychological scars that can be very slow to heal
(Credit: garloon via Shutterstock) We stood together in the bedroom, he and I. It was a week after the operation, and it was time for the bandages to come off. He gently peeled off the first one, under my left breast, where the surgeon had gone in and excised a small tumor from my lung. He peeled off the second one, where the camera that had found the tumor had gone in. He peeled off the final one, where the drain had been. When he was finished, I turned to look at myself in the mirror, at the triangle of wounds around my chest, and started to cry. “I’m angry,” he said. “I’m angry they did this to you.” And so was I.
When you go in for surgery, your doctors will tell you not to eat after midnight. They’ll tell you what kind of narcotics and ointments and stool softeners you will need afterward, and when you can eat solid food or lift heavy packages. What they probably won’t mention is that you might feel surprisingly traumatized.
Before my first cancer surgery in 2010, when my doctors removed five centimeters from my scalp, several lymph nodes, and a patch of skin from my thigh, I was considerably more freaked out by the aggressive malignancy in my body than the prospect of going under the knife. Afterward, I wrestled in predictable ways with the pain of recuperation and the grief over my lost hair and flesh. Yet when I faced a second surgery a year later, I was shocked to realize that amid all the new health fears, I was terrified by the prospect of the procedure itself. The whole process, from the long, cold walk into the operating theater through the groggy feeling of waking up in post-op, filled me with anxiety. But it was the part in the middle – the knowledge that strange hands would be cutting into me and exploring my insides, taking little pieces of me, that seemed most harrowing. Why, I wondered, didn’t any of my doctors mention anxiety and anger as a potential aftereffect? The spirometer they handed me when I left the hospital wasn’t going to help with that.
A patient’s fears about a condition that requires surgery and the physical aftershocks of recovery are difficult enough. Factor in the foggy, often unpredictable reactions to anesthesia, the intensity of the surgical experience, and the body’s natural stress responses, and it’s not exactly surprising that many of us will find ourselves shaken up. The Center for Integrative Medicine compares surgery’s potential for trauma with that of assault, accidents and combat. A stunning one in five patients reports depression after heart surgery. It’s so common that it’s got its own name – cardiac depression. And the journal Primary Psychiatry notes that surgery can not only exacerbate preexisting conditions like anxiety disorders and bipolarism, it can bring on PTSD, especially when the surgery is for a traumatic event or the recovery process is complicated.
As it happened, just as I was preparing for my operation, a close friend with ovarian cancer found herself in the hospital for a complicated emergency surgery. When we spoke afterward to compare notes, I confessed that the process had left me feeling alarmingly invaded. “They just keep cutting off pieces of me, bit by bit,” I said. “I feel robbed.” She answered with a weary assent and an admission that has haunted me ever since. “I just don’t know,” she replied, “how many more times I can get back on that table.”
Not everybody goes through the emotional wringer after an operation. My pal Chez says that after his brain surgery, “I was just happy to have survived.” And in the days after her surgery for thyroid cancer, my neighbor Stacey says she felt little more than “exhaustion and helplessness.” But my friend Meera had a different experience. “I felt as if something had been taken away from me,” she says. “It was nice not to be in pain anymore, but damn, surgery is violent. No one warned me of that. ”
So when an acquaintance said last week that he was facing the prospect of an upcoming operation with an overwhelming sense of “violation,” I understood exactly what he meant. Because I’ve felt it too. A lot of us have. Of course, we’re immensely grateful for the procedures that mend our bodies and save our lives. Few of us get out of this world unscathed, and if we need to surrender a few pieces of ourselves to stick around with less pain and for a longer time, that’s a fair tradeoff. But maybe if our surgeons mentioned that we might feel very mad at them, we wouldn’t wind up quite so mad at them. Maybe if we knew, going in, that there was a possibility we’d come out traumatized, we’d be better equipped for the psychological storms ahead.
My little triangle of gashes – like that red rectangle on my thigh — is pretty damn cool. But sometimes when I step out of the shower and catch a glimpse of myself in the mirror, I can’t help a sudden flare of rage. They cut me, I think. And it scares me and it pisses me off. I would rather have my life than a pristine expanse of skin. Anyone who’s been through a similar experience would say the same. But the scars of surgery aren’t just on the body — and sometimes the cure can be almost as devastating as the sickness. That’s what nobody ever told me.
Mary Elizabeth Williams is a staff writer for Salon and the author of "Gimme Shelter: My Three Years Searching for the American Dream." Follow her on Twitter: @embeedub. More Mary Elizabeth Williams.
How to stop the bleeding
A year after Chris died, I was still shocked by how little I knew about being in combat zones. It was time to learn
The author with his friend Chris Hondros, right, who died in Libya in 2011. (Credit: Nicole Tung) A tourniquet is a simple tool, but I found it practically impossible to deal with when I needed it the most. Slickened with blood, the inch-wide Velcro-backed webbing slid through my gloved hands like a wet snake when I tried to pull it tight. In an adrenaline panic fueled by the sound of gunfire and explosions, I hadn’t noticed that it had twisted under Darryl’s heavily bleeding leg, giving the Velcro nothing to grab when I was finally able to cinch it down. I needed to sort it out fast, or my colleague was going to die.
Continue Reading CloseGreg Campbell's new book is called "Pot, Inc.: Inside Medical Marijuana, America's Most Outlaw Industry." He is the author of "Flawless: Inside the Largest Diamond Heist in History," "Blood Diamonds: Tracing the Deadly Path of the World's Most Precious Stones" (the source material for the Leonardo DiCaprio movie of the same name) and "The Road to Kosovo: A Balkan Diary." Campbell is also an award-winning journalist whose his writing has appeared in The Wall Street Journal Magazine, The Economist, The San Francisco Times, Paris Match, and The Christian Science Monitor, among others. He lives in Fort Collins, CO. More Greg Campbell.
My home, ripped apart
As I watch the Bosnian war crimes trial, I wish I could explain the horrors I saw as a boy, and how much we lost
A photo of the author examining bullet holes near the cemetery where his family is buried in Bosnia. (Credit: Eldin Trebincevic) My American friend James and I were watching soccer at a restaurant in Queens, but I couldn’t stop reading a story about Ratko Mladic’s trial at the Hague. There were two pictures with the story: One showed him smiling as he listened to his indictment at a pretrial hearing, and another of a mass grave he created.
“What’s that?” James asked.
I wanted to tell James how personal this was. It made me crazy to watch for 16 years as this monster responsible for killing what might be as many as 250,000 of my countrymen eluded authorities. “It’s the modern-day Nuremberg trial,” I said, wishing I could explain better.
Continue Reading CloseKenan Trebincevic’s work has appeared in the New York Times and on American Public Media radio. He is finishing a memoir about surviving the war called “The Bosnia List.” More Kenan Trebincevic.
My bully, my best friend
At first, I thought it was a joke when John called me "gay." By the time the school intervened, no one was laughing
(Credit: Tad Denson via Shutterstock/Salon/Benjamin Wheelock) The first time someone called me a “faggot” I didn’t hear it at all. That’s because my head was being slammed against a locker, the syllables crashing together like cymbals in my ear.
When I arrived at this new private school in seventh grade, after my mom got a job teaching, I hoped Fred and I might be friends. We were both faculty brats, and the school catered to elite students from wealthy families.
But our similarities ended there. Fred was tall for an eighth grader, and he was clear-skinned and golden, with hair so light it seemed more than blond. I was short, stocky and pale. He wore clothing emblazoned with Hilfiger and Klein. I was perpetually clothed in hand-me-downs. People whispered that he smoked pot and felt up girls after school. I had changed schools so often I’d forgotten how to make friends.
Continue Reading CloseYannick LeJacq is a freelance writer and photographer living in New York City. His work has appeared in Kill Screen, The Wall Street Journal, The Atlantic, and other publications. You can follow him on twitter @YannickLeJacq. More Yannick LeJacq.
A death that was also a birth
As a midwife, I've spent the last 30 years taking care of women in pregnancy. But nothing prepared me for this
(Credit: Clara via Shutterstock) The call came early in the morning. The 3-month-old granddaughter of my neighbor had finally succumbed to the illness she was born with. I am a midwife, but this call wasn’t about a birth. This time the call was from the mortuary.
I have spent the last 30 years taking care of women in pregnancy, birth and beyond. I use my hands to help bring life into this world. Over the past few years, however, I found myself using those very same hands in the performance of a Taharah, a Jewish ritual that prepares a dead woman for burial. Birth, life, joy, beginnings vs. death, decay, finality. Such a contrast! What could be more different? And yet, somewhere in my consciousness, there was a commonality. Caring for a woman in her life, preparing a woman for birth had a parallel in preparing a woman for burial. The act of helping a woman and her baby through their many transitions seemed analogous to helping the soul transition from this plane of existence to the next.
Continue Reading CloseTova Hinda Siegel is a writer who lives in Los Angeles. More Tova Hinda Siegel.
Interview With My Bully: The bully who asked me out
Caleb insulted my dead boyfriend in front of our entire class. Years later, I learned what he'd really been after
(Credit: Tad Denson via Shutterstock/Salon/Benjamin Wheelock) My prep school may have been home to the offspring of politicians, federal judges and national media personalities, but first and foremost we were teenagers. And so in the spring of 1998, my class gathered in the school library to plan our senior prank.
“We should direct all highway traffic into the school parking lot!” somebody suggested.
“Let’s cover everything in Vaseline!” someone else said.
I played along, but I was having a tough time. Eight months before, my boyfriend Ben had been killed in a car accident. He’d been different from the other guys: almost preternaturally kind and, like me, overly intellectual. On the way to our junior prom, we’d sat in the limo discussing “The Great Gatsby.”
Continue Reading CloseJennifer Miller's debut novel, "The Year of the Gadfly," is out now from Houghton Mifflin Harcourt. More Jennifer Miller.
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