Flares can be pretty unpredictable, but over the years I have found a few simple things do seem to help some.
Avoid stress - don't let your mind take over about
these surgeries &other worries. Stress is more of a component that we generally consider, but in truth it's a HUGE factor.
Sleep & rest - get deep, restorative sleep. If you need to take a sleep aid, then do so. If you aren't getting at least 6 hours of uninterrupted sleep, ask your Dr about
a sleep aid.
Food - eat as healthily as you can. Lots of good protein (helps with healing), vegetables and fruits. Easy on the white carbs & sugars. If you don't take a multi-vitamin, maybe add a good one. Drink lots of water! Eat 3 meals a day, don't let stress keep you from eating. Not eating WILL cause a flare for most of us!! And being dehydrated will mess with your blood pressure, as well as stress your already ill kidneys.
Exercise - while we will no longer be athletes, try to get some movement in. Simple stretches, gentle walks- movement helps the body organs function better - liver, kidneys, blood flow.
Sorry you have to be awake during the 1st surgery - that would make me crazy as well. Don't know if you are into meditation (I'm not), but something like that might help keep you calm during the procedure. Try to keep breathing regularly, holding your breath (a natural reaction) might make it harder.
Telling your Dr about
your concerns and asking about
anti-anxiety the day before sounds reasonable. Sometimes when we have Lupus a Dr will give us a few days of low-dose Prednisone the days leading up to a surgery and a higher dose the days immediately after. Since ANY irritation(surgery) almost always leads to inflammation for us, this helps control the inflammation before it even starts.
Stay calm! Stay in the current day -- try to focus on today rather than surgery day. Best wishes.
Lynnwood, Lupus & Sjogren's Moderator, Dx: 2000DIAGNOSING LUPUS & HW's LUPUS 101
"Life is far too important to be taken seriously." - Oscar Wilde