[Health Rx] How to Handle a Bartholin’s Cyst Pt 2 – Marsupialization

🦘I am more Kangaroo than you 🦘

Georgia O'Keeffe, "Mother of Modernism"

Not even a week and a half after I saw my OB/GYN to get my Bartholin’s Cyst lanced, my Bartholin’s Cyst procedure not only reversed itself – but became worse. For the record, with this type of issue – a recurrence is more common than you would hope. In my support group, some women have had 30+ lanced, or dozens of surgeries; it is depressing and isolating, and feels hopeless. There are no clear answers for us and there is no common fix; no one understands how they’re caused or how to truly treat them…but pretty sure if we were men someone would have made a one time pill for this shit – ANYWAYS.

Admittedly, I’ve been a bit bummed and borderline depressed every since my Bartholin’s Cyst Abscess came back after getting it lanced the first time. So, I figured it couldn’t hurt to finally go through the gauntlet of the recommended homeopathic remedies.

What I tried:

Best Organic Sitz Bath Soak For Postpartum Care Recovery & Natural Hemorrhoid Treatment, Soothes Relieves Pain Reduces Discomfort, 100% Pure Epsom & Dead Sea Salts Witch Hazel Lavender Essential Oil
  • Sitz Baths 2-3x a day with Epsom salts
  • Hot showers with a wash rag of Witch Hazel
  • Hot water bottles CONSTANTLY (but PLZ be careful, I definitely passed out with it one night and got a second degree burn on my leg…)
  • Apple Cider Vinegar – applied to a warm wash rag; though, I really do NOT prefer how that makes me smell!
  • PRID – A homeopathic drying salve, this is supposed to assist in relief from the cyst. Thankfully, my husband used to play baseball and said it reminds him of that; so, guess that’s a win? Either way, it made my nether regions officially smell like a farmer’s market.

Though the swelling and constant discomfort went down initially, eventually after a week of the homeopathic treatments the entire Bartholin’s Gland became inflamed and as hard as a rock. I was excited to try the at home methods because I didn’t feel I do not feel nearly as rushed into it as before – however, it wasn’t long after that I came to the conclusion I had to go through a more invasive surgery to get the issue truly handled.

Fast forward to the next Monday, and I’d spent all morning trying to track down a doctor in the Pacific Northwest that not only understood the issues I was dealing with, but was more or less an expert on the Bartholin’s Glands considered with how little is truly known. I scoured the internet for OB/GYN surgeons in the area, and specialty OB/GYN; even trying out of the box ideas, like finding a Urogynecologist in the area and seeing if they could refer me to another clinic.

Being relatively new still to the area, I simply don’t have the bandwidth for that type of medical knowledge up here – but finally realized, that I’ve made friends, colleagues and coworkers with a handful of fantastic fems in the area and decided to hit them up to see if they had a good recommendation; and I’m infinitely grateful they did. When Danny and I moved into our current home last year, I became instant friends with one of the people that used to live here, she still comes around to hang out with our neighbor and the three of us have had some socially distant wine dates over the Summer; being sick of my own body shaming, and my ego, I spilled the beans to both of them and they didn’t skip a beat with recommending an amazing doctor at the University of Washington’s OB/GYN clinic.

Calling last Monday, I was told that the doctor they were pushing wasn’t available for a few months, but -as it turns out – there was a doctor available the day, and she just so happens to be an Associate Professor at UW and she is their resident surgeon on staff, and only comes in on Mondays. After reviewing my files, as well as a thorough examination – we determined we needed to do a more invasive type of surgery, this time – we would be going for a marsupialization.


 • ↠ Marsupialization ↞ •

Management of Bartholin's Duct Cyst and Gland Abscess - American Family  Physician

What does it mean to get a Marsupialization?

Well, besides being a really neat word that makes you feel like a hybrid human-kangaroo; Marsupializations are performed both if drainage isn’t effective, or the cyst is too large or infected for a Word Catheter to make sense. This can happen either in an OR using general anesthesia, or as I found out – it can also be done within your OB/GYN’s office using local anesthesia like lidocaine shots. Word to the wise – if you have a quick metabolism: you will burn through the anesthesia quickly and need more; let your doctor know! Besides the initial series of shots, I had to get about 15 more during the course of the procedure because my body ate through each shot within minutes.

So, what exactly is the Marsupialization Procedure?

After the lidocaine shots, your doctor will use a cold knife to open the gland and drain the cyst. Once the cyst is drained, the area is everted, cleansed and stitched back together using 4-6 stitches to form a small pouch – hence, the term marsuipialization. All in all it takes about 30 to 45 minutes either in the OR or in your doctor’s office.

How to you After Care for it?

Very happy to have taken these last few weeks off work to recover from both surgeries. After the first procedure reversed, I’ve been hesitant to get my hopes up – there’s still a 5-15% failure / return rate. But, after 14 days of doing the least, I’m finally feeling on the mend, minus a little discomfort when I sit thanks to the placement of the gland, and residual inflammation from the incisions and the stitches. I took two weeks off of work, and absolutely recommend that for anyone that gets this procedure done. There is a vast amount of initial discomfort, including issues with going to the bathroom, walking and sitting – and stress does not help; so very glad I’ve taken the time for myself to heal properly. work.


I now have a deeper respect and understanding of my body and mind after feeling the rollercoaster of emotions from the past few weeks. I’m lucky to have such an amazing partner to not only handle this with me, but to handle me going through this. Next time someone says “tough as balls” – please remind them it should REALLLLLY be “tough as a pussy”; between periods, childbirth and poorly researched unique OB/GYN issues- the amount of pain, pressure and discomfort women deal with is phenomenally incredible. Massive respect to all my pretty mommas and badass babes; we run the world.

Georgia O'Keeffe (1887-1986) | Pink Spotted Lillies | 1930s, Paintings |  Christie's

[Health Rx] Taking Care of Your Care Takers

Back a few months ago when my parents were visiting for Christmas break, we broke into one of our typically deep dinner-prep conversations that usually span topics like life philosophy, religion, love, politics, and basketball.  Basically, any of those topics that you were always told to steer away from – that’s where we go, immediately. Over Thanksgiving when my family first met Danny, one of the first group discussions we got into was answering my aunt’s question: “What’s your vice?”.  Not that we’ve ever cared about taking turns, but this time it was definitely mine – as we sat around, glasses of wine and beer in hand, I turned to them and whimsically wondered “When did you first realize that you were an adult?” After some bemused chuckles in the room,  we finally got to some answers that ranged from when they paid off their first car loan to when they got the keys for their first apartment.  Up to the end of last year, I can’t say that I felt much like an adult in any way, shape or form but that’s all been flipped on it’s head in the last few months.

One of the biggest psychological issues that we all deal with as we grow up is the idea of mind-body duality: I am a conscious entity, and I’m being expressed through a separate physical body.  Our entire life feels like a reconciliation of these two ideas as we learn to live with both in perpetual symbiosis. As we age past midlife, the crux of our life’s parabolic function, the more our lives revert back to mirroring infancy and the older we get the more the mind body duality tends to re-separate, and their relationship seems to be in revolt: My consciousness feels fine, while my body is anything but.  It’s one thing to recognize this in ourselves, but quite another entirely when it’s happening to a parent, when you have to take care of your care takers

Let’s face it, we’ve been the ones that have had to be cared for…up until now. But somewhere along the way to the rest of our lives, we just had to grow up.  We got older, we evolved, we matured into ourselves and we started figuring out how to be adults. Child, sister, brother, teenager, adult, wife, husband, mother, father, grandparent…of all the roles that we either briefly or permanently assume over the course of our lives, the most inevitable role – the one that we’re least prepared for – is the part of care taker.  All egos included in the scenario are off kilter – more often than not, our parents and peers don’t want to accept care from their children.  We’re the people they looked after with gleeful and conscious delight for our whole lives, they cleaned our scraped knees and wiped away our tears….and now, we’re supposed to be their strength?  In short, yes.

Self Care + Proper Proper Prioritization

Maslow had his hierarchy of needs, and you do, too.  While we stress about taking care of those we love, we often forget to take care of our number one – ourselves, so let’s talk about you and how to best take care of yourself in these difficult times. In order to maintain any semblance of normalcy and or sanity, you’ll want to keep some semblance of your old schedule, at the bare bones minimum you’ll want to focus on maintaining a comfortable routine.When it comes to taking care of loved ones, chances are you’re going to have to rearrange the order of parts your pyramid of priorities.

Mind, Body and Soul

Your well being and the well being of those your caring for now catapult to the top of your list, and a lot of things will fall to the wayside – for now, it’s okay to let it. Your social circle and the social circle of those that you’re helping need to be aware of what you’re going through so they can figure out the best way to be supportive of what you’re experiencing. It’s not the most fun, but be prepared to put-off your less permanent plans while you get some necessary nesting in.

Beyond your metal health and emotional health, your physical health is equally important.  Make sure you’re maintaining your daily meals and getting in the necessary calories, because you can’t take care of those you love if you’re not taking care of yourself.  If you can make it to the gym, go ham – if you can’t, don’t stress!  Try your luck with a local yoga studio, or get up, get out and go for walk around the neighborhood.

The Value of a Support System

Life can be tricky, but having a good support system makes it a hell of a lot easier for everyone. We’re not just talking about those you’re taking care of, but you.  Be honest with yourself on what you need, and between your pride and your ego: don’t be afraid to ask. You have people in your life that love you to the moon and back, and would want to be there for you any way they can – let them. Whether its a quick phone call at lunch, an impromptu dinner date or a little text that just says they’re thinking of you, having people in your life that you can depend on to love you when you need it is everything.

Stay Organized

With any health issue, comes pounds and pounds of paperwork to be sorted.  Some of it can be tossed – though, I emphatically believe that you shred personal information instead. My recommendation is to keep a detailed medical diary – especially if there are multiple medications to deal with.  Create a table with pertinent information, wound changes, medical dosages, etc and be sure to input any changes to their status in the diary. Beyond the health issues at hand, there are a lot of non-medical financial numbers and paperwork to handle when you’re in assist mode, so make sure you stay on top of it with some organizational help.  Draw up a bill calendar and make sure they’re on auto-pay to reduce stress of late payments and shut off fees.

Taking care of the people that have always taken care of you can seem like a daunting task, but know you are beautiful in your selfless sacrifice, in your vulnerability, and in your depth. Do you have any pieces of advice for those out there in care taker mode?  Let me know in the comments below.

Love and light to all of you.

Xx

 

 

[The Kitchen Kitten] Walnut + Blue Cheese Salad

I almost fell off the bed this morning when I saw that it was December 17th; no, time did not stop for me on my 29th birthday and yes, I’ve been paying attention as the days pass – but the month is halfway over and I can almost count the day to 2014 on my fingers.  Man, oh man – it’ almost that time of year.  At the office, it means the first quarter of the fiscal year and the directors are making sure that all of our ducks are in a row, crossing their t’s and dotting their i’s.

But, on a more personal level – it’s almost the holidays, meaning whatever free time I thought I had will be gloriously overrun by family, friends and festive celebrations – three of my favorite F words, believe you me! However, since there are only 24 hour in a day and I’m always trying to cram three too many things into it, the one area of my life that I almost ignore when I’m busy is my appetite.   And take it from a Pro, that can throw your whole day in a downward spiral if you don’t tackle it in time.

Good new is that I’ve found the perfect, quick and easy fix – in the form of a salad!  I know what you’re thinking – silly rabbit, tricks are for kids!  True – but this tried and true meal can range anywhere from an appetizer salad to a full meal depending on how stacked you’re willing to make it.  One of the best things about salads – minimal prep-time.  Simply stock the fridge with your favorite dressing, fresh veggies and  then toss some arugula, red leaf lettuce or one of those convenient pounce of mixed green and your kitchen will always be prepared.

Before we go to the next step, expand your mind a bit about what can go into a salad.  Since cucumber, tomato and avocado are all fruits, why not toss in some slices of mandarin for a splash of citrus? Why not shred some of your favorite meats and cheeses for a boost of added protein, or add some nuts?  The possibilities are endless if you put your mind to it! The salad below is what I like to think of as a ‘next level’-salad – you have the incredible, savory flavor of the blue cheese melding with the sweet, smokiness of the candied walnuts, then the complementary cold and refreshing flavors of cucumber and beets leaves the pallet wanting more.  And trust me on that last part – I make this salad at least twice a week now! Now, onto the good stuff.

Tools:

  • 2 bowls – 1 large, 1 medium / small
  • cutting board
  • sharp knife
  • cucumber peeler 
  • muddler (or, object with a blunt end)
  • salad tongs (optional)

Ingredients for 2:

  • 1 cup Baby Arugula (or greenery of choice)
  • 4 oz Blue Cheese Crumbles (If the taste is a little much, try Goat Cheese or Feta)
  • 6 oz Candied Walnuts (chopped or smashed)
  • 1/3 Cucumber
  • Trader Joe’s Goddess Dressing (or whatever your pleasure may be)
  • 6 oz cold Beets
  • Last, but not least – beats: I’ve really been digging on Emancipator lately – it’ perfect  stop-and-smell-those-roses type of music.

Optional: Upgrade yo’self, because you’re a boss like that:

  • Fresh Baby Shrimp ( .5 lb)
  • Granny Smith Apples (1 diced)
  • Prosciutto (4 slices)
  • Ground Pepper + salt (Tsp each)
  • Cherry Tomatoes (10-15)
  • Scallion slices (enough for flavor; to each their own)

The Basics: Mixed greens, beet, cucumber, blue cheese, candied walnut and Goddess dressing

 

Now, let’s get down to brass tax – and it’s incredibly simple:

  1. Wash your lettuce / arugula / whatever greens you selected and tear them into edible morsels, toss into large bowl and set aside
  2. Peel and chop the cucumber and beets (and other juicy veggies), throw into large bowl with greens and mix well
  3. In a small bowl, take your candied walnuts and your muddler and get your smash on until the pieces have become about a quarter the original size
  4. separate the blue cheese crumbles in your hand a bit and toss in with the walnuts
  5. Load the large bowl with dressing, toss for a bit then throw in the content of the small bowl

Voila – your ten minute meal is le served!