Tomorrow morning I have the Mohs surgery to remove the rest of the tumor on my eyelid (Medial Canthus). The length of the surgery is dependent on how wide and deep the roots of the cancer have grown. The surgeon will take a slice, bandage me up and send me to a waiting area while he freezes the sample and looks at the cells under a microscope. If the margins are not clear he will take another slice and repeat. This process will continue until he views clear margins. They told me it typically takes from three to five hours with most undergoing three passes of the scalpel, some much more.
Once the margins are clear he will inject a longer-lasting anesthetic, bandage me up again and send me on my way to the Oculoplastics surgeon for reconstruction and closure of the surgery site.
After the surgeries I will have to ice my eye/face 20 minutes on/off for the first three days followed by warm compresses until the stitches are removed, keep the area clean, and put artificial tears in my eyes four times a day. I will have to sleep in a recliner to keep my head elevated and cannot lift much of anything, am not supposed to bend over nor do any exercise. Basically I am supposed to rest and let it heal.
My biggest concern is of course in which direction he will have to cut to follow the cancer. I am hoping it is away from my eye. My second concern is the amount of time my eye will remain swollen and how soon I will be able to wear my glasses. I am pretty blind without them.
The surgery site on my back is healing well with minimal pain although I have been experiencing daily headaches. Yesterday I was able to go on an easy hike around Sly Park lake for a bit of pre-surgery nature therapy. It felt good to get out in nature but I was not feeling well by the time I got back to the picnic area.
Tonight I am understandably a bundle of nerves. I am trying to keep myself grounded and positive but I don’t like the fact there are so many unknowns right now. Of course it will all become clear as the surgeon begins his task and I will walk away at the end of the day knowing without a doubt that all the cancer has been removed.
I will update you all as soon as I get to the other side :-).