Pre-op assessment?

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Bammer
Regular Member


Date Joined Mar 2008
Total Posts : 381
   Posted 3/20/2009 10:34 AM (GMT -7)   
Just got a call from pre-admin. Can someone tell me what to expect in three hours of meeting with internal medicine and an anesthesiologist?
55 yr. old F dx. CD 07/07
Was on prednisone for three months but no medication for next 11 months.
Started weekly methotrexate injections 09/22/08.
Sigmoidectomy scheduled for May 11/2009


kimberlayn
Regular Member


Date Joined Jul 2007
Total Posts : 239
   Posted 3/20/2009 10:41 AM (GMT -7)   
Yikes, 3 hours?! I don't ever remember a pre-op assessment taking that long! For me or my son's surgeries. They just asked us for detailed, very detailed, medical history. You might want to write stuff down ahead of time if you've had a lot of medical things going on over the years. They wanted to know meds, and reactions to anything. They ordered the pre-surgery tests, bloodwork is usually done about 2 weeks before surgery, and they went over what was going to happen in the surgery and answered any questions. I don't think it ever took longer than an hour.
diagnosed w/Crohn's 11/06. 35f with 2 boys and a wonderful husband. 150 mg Imuran, bentyl, entocort, vicodin as needed, Humira, metoprolol for orthostatic hypotension and heart palpitations. Bowel resection 9/07. Active disease back, darn it 8/08. 11 year old son with IBS-C, on Bentyl.


Wolfie40
Veteran Member


Date Joined Dec 2008
Total Posts : 947
   Posted 3/21/2009 4:22 AM (GMT -7)   
Well, I'm probably to late. I hope it all went well.
Diagnosed with Crohns in 2001
First and hopefully last Ileocecectomy 2/18/2009

Medications: Asacol, Folic Acid, Multivitamin, Dbl. Calcium, Probiotics, Protonix, Monthly B-12 injections.

Living a Great life with my Wife and my two Chocolate Labs
Hunter & Hailey.
I love them dearly.


Bammer
Regular Member


Date Joined Mar 2008
Total Posts : 381
   Posted 3/21/2009 7:42 AM (GMT -7)   
No you are not too late Wolfie. The assessment is April 6th and was hoping you would respond as I know you just went through it.

55 yr. old F dx. CD 07/07
Was on prednisone for three months but no medication for next 11 months.
Started weekly methotrexate injections 09/22/08.
Sigmoidectomy scheduled for May 11/2009


Irishmom4
Regular Member


Date Joined Sep 2008
Total Posts : 457
   Posted 3/21/2009 8:42 AM (GMT -7)   
When I had surgery at Cleveland Clinic my pre op assessment did take 3 hours. I had to do lab work in one office, watch a short video on the computer and answer questions in another, and then see  a pre op doctor in another and finally talk to someone about anesthesia in the last.  It was very organized but it did take the entire 3 hours. I answered the same questions over and over and over. The day before the procedure I had a CT scan.
 
Good luck to you!!
Elizabeth
Dx'd with Crohns 1984 and polycystic kidney diease in 1996
I was in remission for 16 years, Bowel Resection surgery 2006, Now on Asacol, folic acid, and Enalapril, Have been flaring on and off since August.
 
I love my life and everyday I pray that my body cooporates and allows me to do what I have planned.


Wolfie40
Veteran Member


Date Joined Dec 2008
Total Posts : 947
   Posted 3/21/2009 3:43 PM (GMT -7)   
By assessment do you mean Pre-op physical? If so all I had to do was go and see my primary doctor and he looked me over,listened to my lungs and heart and asked questions about my medical history which included past surgeries,health history for me and my immediate family (heart attacks,diabetes,stokes etc) After that I went to have bloodwork and x-rays and I was done. It all took about 1 hour at most.
As for my last surgery meeting that was also a breeze. My surgeon just asked me how I was doing and if I was off Prednisone and if I had any concerns. That was it.

I did see my surgeon before surgery in the pre-op and she just confimed what she was going to do and said that everything was going to be all right.After she left the anesthesiologist came in and introduced himself and asked if I was allergic to anything and then he explained what he was going to do. The nurse came in and said that she was going to give me something to relax, After that I was calm as a cucumber and didn't care what they did. All in all it wasn't that bad. Do not worry about a thing, you will be fine.
If you ever have any questions, I'll be there!

P.S It has been a month and 3 days now. I have been back to work for the last two weeks. The first week I took it really easy by not lifting anything and taking it slow. The second week I was lifting 10# and walking and twisting. I just got in from raking the front lawn and I feel great. Lots of energy even from not sleeping much. My wounds are healed and only the scars remain.
All I can say is that the first 2 weeks are hard, not awefull but hard. After that you sometimes forget what you went through.
I'd better stop yaking here it might take you an hour to read all of this.
Let me know if you need me to babble some more.

Good Luck and have a great weekend!
Diagnosed with Crohns in 2001
First and hopefully last Ileocecectomy 2/18/2009

Medications: Asacol, Folic Acid, Multivitamin, Dbl. Calcium, Probiotics, Protonix, Monthly B-12 injections.

Living a Great life with my Wife and my two Chocolate Labs
Hunter & Hailey.
I love them dearly.


Bammer
Regular Member


Date Joined Mar 2008
Total Posts : 381
   Posted 3/21/2009 10:37 PM (GMT -7)   

Thanks Wolfie and all others. Pre-op assessment is just what the nurse called it when she phoned me. I am also getting a phone visit from a nurse on April 1st to go over medications and vitamins I am on and whatever? I also get bloodwork done at the end of every month because of the MTX so I am thinking that might not be necessary if I take them the results? I am wondering what the x-rays  were for?

Even though I am nervous I am pretty optimistic about the surgery, just wish I didn't have that long to wait. I have read some people say they have a problem with stairs after surgery. We practically live in our walkout basement which has our home office and family room and I go up and down many many time a day. May have to walk around the outside which would probably be good for me anyway?

Thanks again.


55 yr. old F dx. CD 07/07
Was on prednisone for three months but no medication for next 11 months.
Started weekly methotrexate injections 09/22/08.
Sigmoidectomy scheduled for May 11/2009


Wolfie40
Veteran Member


Date Joined Dec 2008
Total Posts : 947
   Posted 3/22/2009 4:13 AM (GMT -7)   
I did gforget to mention that a nurse called me the day before surgery and asked questions. Also I did have to stop taling all vitamins and asprin,tylenol 5 days before surgery. As for stairs, I did not have a problem with them. I wasn't running up and down them, but they were managable. Just a little bit slower. When your home the hardest part will be trying to get out of your bed, you had that nice hospital bed that you could raise to help get you up and out of bed. Now you have your bed that is flat. It will be difficult the first few times. I even tried the couch and had problems. Your right, the hardest part was waiting all those weeks/months before surgery. Thats all that was going through my mind. One more thing, ask your surgeon when your in pre-op if she could take pictures of what she is doing. Unless it will gross you out. I thought that was very interesting to be able to see what she was doing and what she took out of me.
Have a nice Sunday. :-)
Diagnosed with Crohns in 2001
First and hopefully last Ileocecectomy 2/18/2009

Medications: Asacol, Folic Acid, Multivitamin, Dbl. Calcium, Probiotics, Protonix, Monthly B-12 injections.

Living a Great life with my Wife and my two Chocolate Labs
Hunter & Hailey.
I love them dearly.


Bammer
Regular Member


Date Joined Mar 2008
Total Posts : 381
   Posted 3/22/2009 11:04 AM (GMT -7)   
Thanks for the tips. I definitely would like to see what they take out. Did not sleep much last night, it is snowing and big curling fan. Took in the Brier, Women's World's has started and finals of Canada Cup on TV today so am going to have a leisurely Sunday.
Take care,
55 yr. old F dx. CD 07/07
Was on prednisone for three months but no medication for next 11 months.
Started weekly methotrexate injections 09/22/08.
Sigmoidectomy scheduled for May 11/2009


Rider Fan
Veteran Member


Date Joined May 2008
Total Posts : 1445
   Posted 3/22/2009 12:57 PM (GMT -7)   
Bammer, are the women's worlds on TV? I can't find it anywhere.
32 y/o male. Dx'ed in 1999. No surgeries.

Current meds: Humira 2/27/09. 17.5mg prednisone. Udo's Choice Probiotics (30 billion). Can't tolerate any iron supplements.

Tried SCD, didn't work, now avoiding gluten and dairy.


Bammer
Regular Member


Date Joined Mar 2008
Total Posts : 381
   Posted 3/22/2009 4:24 PM (GMT -7)   
Rider Fan, only semi-final and finals are being broadcast next weekend on TSN. Some other games are on CurlTV if you subscibe to it on the internet.

55 yr. old F dx. CD 07/07
Was on prednisone for three months but no medication for next 11 months.
Started weekly methotrexate injections 09/22/08.
Sigmoidectomy scheduled for May 11/2009


Rider Fan
Veteran Member


Date Joined May 2008
Total Posts : 1445
   Posted 3/22/2009 6:17 PM (GMT -7)   
Thanks, I'll check that out.
32 y/o male. Dx'ed in 1999. No surgeries.

Current meds: Humira 2/27/09. 17.5mg prednisone. Udo's Choice Probiotics (30 billion). Can't tolerate any iron supplements.

Tried SCD, didn't work, now avoiding gluten and dairy.

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