For those of you who don't know her, this is my partner Mary Mohn. She is a Minneapolis Firefighter. She joined the department nearly 22 years ago, one of a few women on the job. This photo was taken last fall when she (and her firetruck) made a visit to one of my co-worker's neighborhoods. His little guys (That's Quinn and Will) who were dressing up as firefighters for Halloween, quickly put on their costumes and got to crawl all over the big truck. They were so excited.
She is my hero...
Karl Ludwig von Bertalanffy was an Austrian-born biologist (d. 1972) who is credited as one of the founders of general systems theory (GST). His work has undergone various applications and revisions over the years but essentially is known as being the first that suggested a system was greater than the sum of its parts. General systems theory has been used in health care to describe family dynamics and relationships. It is a very complex theory but can be picked apart rather easily and defines system as a set of interacting or interdependent entities which together, form an integrated whole.
I am not sure if systems theory has been considered in terms of the human body but I am guessing that someone has. If you think about it, a human body is a set of interacting entities which come together to form an integrated and functioning whole. Ok. So what happens if some of these entities are removed? Like various parts...tonsils, adenoids, appendix, gall bladder, breasts, ovaries and uterus? Is the system, the human, the same? Or is the system permanently altered to become some other system...
When we are born we have a pretty standard set of 'parts'. These parts form the human anatomy and provide the physiology that makes the 'system' work. Certain parts of the system, like the reproductive parts, create the distinction that occurs between men and women. Having my breasts removed caused me to do some thinking of what makes one female. I went through a process of thinking about that last year when I was post-op and going through chemo. I pretty much resolved that in my head and redefined myself as a woman missing the parts that society used to identify us as one gender. Done. Then came tamoxifen side effects and a hysterectomy. I know have all of the 'parts' that differentiate female. The process began again...redefining, reconsidering, rethinking what I have known to be true in my life.
But then came Thomas Beatie...the pregnant man. I watched his interview with Oprah this week. He is the transgendered man who is now pregnant. In the interview he revealed that he had an elective bilateral mastectomy, began hormonal therapy but decided to keep the uterus, ovaries, etc. One the outside, he looks like a man...facial hair, deeper voice, etc. but on the inside has female parts and is now 6 months pregnant. So is he a pregnant man or a pregnant woman with facial hair?
So how does this relate to me today? We have two selves~that which we present to the world and that which we know intimately. And in applying GST to this, certainly the human body requires certain 'parts' to make the system work. There are some anatomical essentials but reproductive parts are not essential. The body does not rely on the presence of reproductive organs for effective functioning. So despite the loss of many minor body parts in the course of my life, I still consider myself to be greater than the sum of my parts.
I had my surgery yesterday and it went very well. The surgeon came to meet with the two of us in the preoperative area. He went through his talk, finishing with he would meet with Mary when I went to the recovery room. He summed it all up by asking if either of us had other questions. My partner asked him what he would be putting into my abdomen to fill in the space. He looked a bit confusing, like he didn't understand the question. She went on to make some suggestions...packing peanuts, blown-in insulation, and creamy white filling~the stuffing from stuffed toys. He caught on and started laughing, asking me what I would prefer. Mary suggested that packing peanuts would be too lumpy and Piper would want to get the creamy white filling out since that is one of her favorite treats. I think it is good to have your surgeon laughing before he starts cutting on you.
I went into surgery at 11:10 and was awake in the recovery room just after 2:00 pm. We were home just after 7:00 last night. Hysterectomies used to be done through a large open incision with a hospitalization that lasted up to 10 days. Things are different and it was great to sleep in my own bed last night. Of course, I have Mary dotting on me. "What's your pain level now?" "Can I get you anything?" She is also running interference with my large puppy who seems to think that if I am laying down it is to hold her. Right now, that would be a bit painful for me.
All things considered, I am doing great!
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