Pre surgery anxiety LOTS!!!

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Dirtmover
Regular Member


Date Joined Apr 2008
Total Posts : 158
   Posted 5/5/2008 10:10 PM (GMT -6)   
This is Mrs. Dirtmover.... My husband is having severe anxiety problems. Doc says he can take Atavan for this however the anxiety seems to overcome the Atavan. He is scared of not waking up from surgery. He hasnt had any surgeries in the past and doesnt know what exactly to expect.  We would appreciate any positive feedback we can get. I am sure the numbers point to a HUGE success rate. HELP!!!!!!
Diagnosed November 2007
PSA 3.9 / Gleason 6 / TC1 6 cores 1 shows 25%
Sugery scheduled 5/29/08 - City of Hope - Dr. Mark Kawachi
 


CT
Regular Member


Date Joined Apr 2008
Total Posts : 25
   Posted 5/5/2008 10:35 PM (GMT -6)   

I just went through all of that.  It was very difficult getting positive biopsy results on 1/31/08 and not having surgery until 4/8.  I had never had any surgeries and was afraid of not waking up also.  I'm sure your doc has ordered all of the tests, including a cardiac clearance. 

The facts are "not waking up" is extremely, extremely rare.  Perhaps, Dirtmover should make an appointment with his anesthesiologist and discuss what is going to happen, the risks involved, etc.  Gaining more knowledge of the process may help relieve his anxiety.

As far as what to expect...after they give you the "shot", you go off to La La Land :-)    When you wake up, everything is done and your stomach hurts.  Good luck and as you said, his numbers all point to an excellent prognosis.


Age: 50 (March 2008)

DX 1/08 @ 49 yo

7/05: PSA 2.6 DRE Normal

9/07: PSA 3.4 DRE Normal

1/08: Biopsy 1 of 12 cores with 10% involvement, T1c, Gleason 3+3=6

4/08/08:  Da Vinci Rad. prostectomy @ Banner Thunderbird, 5 hrs.

                Advised both nerve bundles spared

                Post Op Pathology Report: Tumor confined w/in prostate, pT2c, NX, DX 

    Gleason is 3+3=6, bilateral with 15% total involvement near apex

                Margins and Seminal Vesicles negative!!!

4/18/08:  Staples and Catheter removed. Drip, drip, drip, drip...


biker90
Veteran Member


Date Joined Nov 2006
Total Posts : 1464
   Posted 5/5/2008 10:40 PM (GMT -6)   
Hey Mrs. Dirtmover,

I was a dirt mover many years ago. We built the Naval Air Station at Subic Bay, Phillipines.

Anyway, it might help if I told you what happened on my surgery day.

I checked in at noon for a 1:30 surgery appointment. They had me fill a bunch of forms for insurance and stuff like that. Had to sign a lot of forms.

Then they sent me to a pre-op room where a couple of pretty nurses put me on a table and hooked me up to an IV. They asked a bunch of questions to make sure they had the right guy for the right surgery. Checked my patient number a half dozen times.

The anathesiologist came in and asked about any allergies and prior surgeries. He spent most of his time ogling the pretty nurses. The nurses then said they were giving me something to relax me. It worked.

Then the priest came in and gave me the Sacrement for the Sick. This gave me a great feeling of comfort and confidence. Or maybe it was the stuff they put in the IV.

The surgeon came in and asked me why the heck I had gone to work that morning. I told him it kept my mind off his job and then asked him if he got a good night sleep. He did. I kissed MaryLu and she wished me luck then they wheeled me into the OR.

The anathesiologist had me sit up on the table and put a numbing shot in my spine. Then he told me to lean forward a little. I felt a pressure on my back and he told me to push back. Then I was in the recovery room and the doctor was telling me that he had saved both nerves and my prostate felt clear on the margins. The pathology report later confirmed that. He also said that the lymph nodes biopsies they did during the surgery came back clean. It was 2 1/2 hours later.

Then MaryLu was there and gave me a big kiss through smiles and tears all around.

The only things they let you take with you into the OR are your naked body and a great attitude. Become a cheerleader for the surgical team. Build confidence in them and in yourselves by envisioning a successful outcome and a life free of cancer.

And look forward to reporting in here. We are all waiting for you here on the "other side"...

Jim
Age 73. Diagnosed 11/03/06. PSA 7.05. Stage T2C Gleason 3+3.
RRP 12/7/06. Nerves and nodes okay.
Catheter out on 12/13/06.  Dry on 12/14/06.
Pathological stage: T2C N0 MX. Gleason 3+4.
50 mg Viagra + 1000 mg L-Arginine + .03 cc Trimix = Excellent Results
PSAs from  1/3/07 - 1/17/08 0.00. 
Next PSA test on 7/17/08
"Patience is essential, attitude is everything."


Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 5/6/2008 12:27 AM (GMT -6)   
I'm sure we are all concerned about not waking up -- I was too and my prostatectomy was my second major operation. However the doctors will reassure you that the chances of dying on the operating table are very remote -- and the stats will support that. A patient death is not something doctors want on their CV -- in fact if there is any reasonable risk, for PCa, they will not operate.
 
So before the big day, have lots of fun, exercise and sex, and we'll see you on the other side :-)

Age 63. Other than cancer, in good health
Left hemi-colectomy April 2006 (colon cancer)
PSA 5.7, Gleason 4+5=9
RRP 7 March 2008, non nerve sparing
Histology showed clear margins and lymph nodes
Two nights in hospital
Catheter and staples out after 7 days
Continent, no pads needed from the get-go
No erections (of course!)
Experimenting with VED and Bimix
 


Paul1959
Veteran Member


Date Joined Nov 2007
Total Posts : 598
   Posted 5/6/2008 5:09 AM (GMT -6)   
This was my third major surgery. I had two back surgeries several years ago. What he's feeling is absolutely normal, but they are just fears and he has nothing to worry about. Knowledge is the ultimate weapon against fear.
First, the whole pre surgery experience is very business like, but not unpleasant. A lot of the same questions over and over. The first wave of the happy drug is wonderful! Sometimes they take you into the OR awake, others take you in after the happy drug and you don't remember a thing. Either way, you wake up in a bit of a fog a few minutes later (so it seems) and you have a sore, but not painful stomach. The catheter is NOT a big deal. It is a pain in the butt (or dick) to deal with, but not cause it hurts, just cause you now have a 6' attachment. As one friend told me before all this, "You have some rough paddling ahead of you, but it's not a horrible experience at all."

My post surgery pain was manageable. He will be fine. It's all coming at him so fast, that he hasn't had time to process it. I was 47 through it all, so about his age. It is not the end of life as he knows it. I was continent and able to have great sex 9 weeks or so after surgery. My experience is fairly typical. His, in all likelyhood, will be too. Get out, do fun things. Yes, it's like a cloud hanging over you, but start joking about it, have lots and lots of sex...pretend you're 25 again! Do something you've always wanted to do - but as a celebration of life. Not "our last time" kind of feeling. These feelings will subside and it will feel safer to think about it all. He will be fine.
Paul
47 at Diagnosis.
Father died of Pca 4/07 at 86.
1/06 PSA 3.15
1/07 PSA 4.6      (Biopsy 3/07 just suspicious)
10/07 PSA 5.06   (Biopsy 11/07  1 of 12 with 8% involvment) (1mm)
Da Vinci surgery Jan 5, '08 at Mt. Sinai Hosp. NYC  www.roboticoncology.com
Saved both nerve bundles.
Path Report:  Stage T2cNxMx
-Gleason (3+3)6
-totally contained to prostate,
-10% involvement in L & R Mid lobes
PSA 0 at six weeks
Pad free on March 14 - (10 weeks.)
ED - Take 100mg viagra every night.
Totally usable erections at 10 weeks.
 
 


VaFan
Regular Member


Date Joined Mar 2008
Total Posts : 203
   Posted 5/6/2008 5:10 AM (GMT -6)   
My husband was extremely nervous. I have had anxiety problems for many years but he had no idea what it was like until he had to wait 3 weeks for his surgery. He might need to try something else beside ativan. I found that xanax is better at calming. He would take the lowest dose, wait 20 minutes and take another one. Try not to eat a heavy meal when you take it. That will just absorb it.
My husband had a different kind of surgery so you MUST check but our doctor let him take a the xanax with a sip of water the day of surgery. I took 4. :) Sometimes people don't ask because they think its not allowable. ASK BEFORE DOING ANYTHING!!
Hold his hand, sit quiet with him..sometimes thats all they need. My husband is extremely hyper so that part was not easy but try and see how it works.
Good luck and my best to you
Cindy
Age 51 Kent Cindy 49
January 08 PSA 5.2 round of antibiotics went to 4.3
February 08 another round of antibiotics went to 4.2
March 17,08 had biopsy, 2 days later told cancer was on
one entire side of prostate.
Gleason 3+3
Doctor thinks its best to get the whole prostate with Perineal  Prostatectomy.
Surgery scheduled for this Thursday April 10th. Only took 1 1/2 hours. In recovery 1 hour.  Both nerves were spared.
Home 4-11 - incision looks completly healed on the outside by 4-25
Cath out 4-22 dripping some
5-3 Still incontinence with sneezing or coughing but not too bad
Cialis 5 mg at night to start.Stopped Cialis after taking for 3 days as it caused rawness with bm. Will start back in a week or so to see how it goes
 


ChrisR
Veteran Member


Date Joined Apr 2008
Total Posts : 825
   Posted 5/6/2008 5:47 AM (GMT -6)   
My brother in-law is an oncologist in Cincinnatti, OH.  He has been doing robtics surgery for as long as the Da-Vinci has been out.  I told him I was nervous and he smiled and said "why?"  He said it is a very safe operation and I should not be nervous.  They always do a pre-op evaluation and if they are worried about a patient not doing well under anesthetic they would tell you ahead of time.  So if they haven't said anything to you then I would not worry.  He has never lost anyone on the table from this.


KrisP
Regular Member


Date Joined Mar 2008
Total Posts : 162
   Posted 5/6/2008 7:18 AM (GMT -6)   
Hi Mrs. Dirtmover,
It is understandable that Dirtmover is very anxious but if he is in good health and his Pre-Op test results are fine then he should not have anything to worry about. I've had three surgeries in my cervical spine (herniated disc) prior to the Da Vinci surgery and I'm still breathing. Those surgeries were more serious as the surgeon had to remove the disc in the spine, working around the spinal cord in the neck without damaging any of them which would have caused paralization from the neck down.
The way I look at it is if I have a chance to get cure, I will do whatever it takes as to the other hand if I don't do anything, I have no chance of getting cure.
It will take lots of prayer and faith.
Kris
Biopsy done 3/2008
Pathology report: Gleason 6 (3+3), involving left lobe
DRE=15gm with indurated left base and mid prostate
Cores positive: left base medial, left base lateral, left mid medial and left mid lateral (4 of 12)
Clinical stage t2b.
Prostate Carcinorna 185
DaVinci Surgery on 4/21/2008 in Austin by Dr Randy Fagin.
Pathologist report upgraded to a Gleason 7 (3+4)
Clinical stage upgraded also to a T3a
Margins Clear


Tim G
Veteran Member


Date Joined Jul 2006
Total Posts : 2299
   Posted 5/6/2008 8:02 AM (GMT -6)   
Apprehension, even extreme anxiety, goes with the territory, especially with no past surgeries to remember.  Even though it's a remote possibility, there is a possibility of 'not waking up', so it makes sense to be scared.  I think it's good that your husband is taking an anti-anxiety med.
 
I had no previous major surgeries, so knew that this was a big event. My anxieties swirled around everything but the surgery itself:
Will the cancer be contained in the prostate?  Will I become incontinent, impotent?  Will I feel like I've been thru the meat-grinder afterward?   
 
I made it thru with flying colors.  As an anxiety-producing event, surgery day was much more difficult for my wife, who was awake thru the whole thing.  She couldn't even focus on reading a magazine or a book while sitting around waiting the the surgeon to announce that the surgery was over.
 
Take care and hang in there...Tim 
 


Age 59  PSA quadrupled in 1 yr (0.6 to 2.5) 
DRE neg  1 of 12 biopsies pos (5%) 
Open surgery June 2006 
Cancer confined to prostate (1 pea-sized area) 
T2a  Gleason 5 (3+2)  PSA < 0.1  


beachbum50
Regular Member


Date Joined Sep 2007
Total Posts : 292
   Posted 5/6/2008 9:10 AM (GMT -6)   

Mrs. Dirtmover, I had too wait THREE months for my operation, and like almost every man on this web site, was very worried about what might happen. The best thing I found was to educate myself about everything surrounding the procedure. The postings on Healingwell realy helped me, becouse these were real men who had already been where I was going! Make peace with your life, and trust in the Lord. The morning I arrived at the admitting room at 5:30 AM for the first show of the day. My Wife and oldest son (24) were with me, and after being given that wonderful gown and but into a bed, I was supprised that a Nurse waked in with what looked like another fleet treat, she was so proud to tell everyone it was a antibiotic that I had to keep in for 30 min., and that she had heated it up for me! That was the worst part of the day! Here I was flat on my back with my family and Minister, answering 500 questions from the Nurses, Doctor's and interns. At the end of 30 min I told them all to excuse me, I had to make a 12 yeard dash! They checked to see how wide I could open my mouth and told me what to expect. They let me say goodby, and rolled me next door to the Di Venci operating room. After moving off the gurney onto the operating table, they gave told me they were going to give me something to relax me..well it worked, I was in the operating room for four hours, and three in the recovery room. I awokr very sleepy, and just as they had told me, I felt like I had done 1000 sit ups, sore, but no real pain! Tell him not to waste time fearing the operation, but to concentrate on getting rid of the cancer and getting back to a normal life! yeah The next day the Intern came in to check on me, and asked what did I remember, and I said you must have givem me a amnesic drug..he said he gave me a double dose becouse he knew I wouldn't want to remember the minor shaving and the placement of the cathater...boy was he right!

Beachbum


Beachbum
 
PSA 10 June 2007
Biopsy July 2, 16 of 16 samples positive
T2C
3+3=6
prostate weighed 40 grams
Di Venci 10/09/07, four hours on table, 3 in recovery
Total time in Hospital: 29 hours
Record for Dr. Lance, 65% of prostate had cancer, but NO spread, clean margins
Clean nodes,
First PSA at 5 weeks, UNDETECTABLE!
Catheter out at seven days, dry from hour one!
Second PSA 19 weeks post op, UNDETECTABLE 2/11/2008
The Lord has truly Blessed me.


DanmanBob
Regular Member


Date Joined Feb 2008
Total Posts : 467
   Posted 5/6/2008 10:53 AM (GMT -6)   

Having some anxiety is normal, in my opinion.

From looking at your husband's biopsy results, he has a great chance of being completely free of prostate cancer after his surgery, so that should give him some comfort.

The waiting is difficult...but once I made the decision about form of treatment, I felt better.

As a precaution, I typed up instructions for a memorial service, including a list of songs to be sung (I love listening to music) and told a good friend where those instructions could be found on my home computer.  Did not want to upset my wife by telling her about this.  Felt better to have this done a couple of weeks before surgery.

I prayed for peace and strength and those prayers were answered.  The last 3 to 5 days before surgery I was calm and ready for whatever was to come, realizing that with my high PSA and Gleason score even a successful surgery might yield a discouraging post-op pathology report.

My wife, my sister and 3 long-time friends were in the pre-op room with me, which was a great source of comfort.  At least I knew my wife had close family and friends there to give her comfort while she waited.  I was as ready as ready could be.....then came the anesthesia, then came sleep and a few hours later I was awake.

Tell him to take some long walks every day.  The exercise is good for him.  And lots of deep breaths.  Tell him to do some kegels before surgery.  It might help recovery on that front.  And tell him to have as positive an attitude as possible.  He has a journey ahead of him and needs to face it head on and with an optimistic outlook.

Best wishes to both of you during this time.

DanMan Bob


Danman Bob, Born 1951
Nerve-sparing, open prostate surgery November 13, 2007
Gleason score 9, PSA 14; Biopsy result - 9 of 12 sticks showed cancer
Post-op pathology stated that cancer was confined to the prostate
Unrelated surgery January 2008 delayed incontinence recovery, which is now showing good signs of improvement (fraction of a pad a day as of late April 2008)
100 MG Viagra 3 times a week beginning December 2007
Osbon Erec-Aid Esteem manual pump for therapy beginning mid-February 2008
30 MG papaverine/1 MG phentolamine bimix injections beginning late April 2008
Five week post-op PSA 0.2, five month post-op PSA 0.1, next test August 2008


anglophile
Regular Member


Date Joined Apr 2008
Total Posts : 82
   Posted 5/6/2008 12:03 PM (GMT -6)   
I was in the same boat. I was diagnosed in January and didn't have surgery until April It was also my first major surgery.

I told my wife I didn't think I was going to make it through surgery and that I would die on the table. I don't know why so many men have the same feeling.

What I did that helped was take a long-awaited trip just before the operation. That gave me something to look forward to and something that took my mind off it. My daughter and I returned to England and then took the Eurostar to Paris and back again. I hardly thought about my surgery until I was on the plane back to Denver.
Age 59 - diagnosed in Jan. 08 after biopsy
da Vinci Robotic Prostatectomy 4/11/08 - both nerves spared
Catheter removed 4/25/08
Prostate Pathology:
Gleason Grade 6 (3+3)
Apex: neg
Base: positive (tumor present at right and left base)
Peripheral Margins: neg
Foci of tumor present on both sides of prostate glands.
No extra postatic extension seen
No tumor seen in right or left vas deferens
No tumor seen in right or left seminal vessels
Based on specimen this tumor corresponds to a AJCC/pTMN stage II
High-grade HGPIN present
Continence: 1 pad night, 2 during day

Post Edited (anglophile) : 5/6/2008 12:06:16 PM (GMT-6)


Valentine08
Regular Member


Date Joined Mar 2008
Total Posts : 30
   Posted 5/6/2008 12:53 PM (GMT -6)   
As was said by Danman Bob, the anxiety before treatment is common.  Your husband has the benefit of having his PCa caught early and thus the prospects of excellent outcomes are high.  All these guys are faced with a surgery not without difficult side effects, are glad they addressed it.  He will get through this and your reassurance is important.  He may be wondering how this will affect your conjugal life too.  But now that I reflect on the concern you raised about "not waking up", I think I too had that thought in the middle of the night about my spouse.  Luckily I was able to rationalize that there wasn't much grounds to worry about such a thing, other than my paranoia.  We did find that it was helpful to talk to someone who has gone through this.  Although we knew only one person directly, several friends put us in touch with their friends who shared their experiences, and that was reassuring.   To say don't worry sounds trite, but know just about everyone gives thought to the awful "what if?".  In retrospect, the surgery itself was easy.Your husband will be up walking the hall later after surgery. In our case, about 24 hours after the start of surgery, my husband -- bored with waiting for the obligatory wheelchair to leave --walked down the hall, caught the elevator, and met me outside the hospital. You can report to him the many good cases found on this forum.  And for you, reading back though the posts, or searching for specific topics will help you get a handle on various things you have questions about.    I suppose most of us thought "Oh s---, how will we get through this, it seem overwhelming"  But that is way more typical of the period between diagnosis and treatment, when everything is seemingly up in the air.  We found it worked out easier than we expected.  One step at a time.  We still "On guards" with leaking, but are trying to be patient.  Good luck.  Val's spouse
Age 59
PSA ; PSA 9/07=3.4; '06=3.2 DRE Negative; '05=2.4; '04=1.7
Biopsy 11/07 =  Stage T1c, 12 cores, 2 positive
Gleason score= 3+3=6
DaVinci Robotic RP surgery: 2/14/08
Path report: Gleason= 3+4=7; Stage T2c


BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 5/6/2008 7:04 PM (GMT -6)   
The anxiety is completely understandable and everybody here has been through it but you can assure him he will be fine. Reasonable health going in is all he needs ( if he is not active then start exercising now in the run up including the Kegal exercises) He should use the time before surgery to research PCa thoroughly--------knowledge really is power and will help to set aside many of his anxieties. Tell him to have a look at the treatments covered on www.yananow.net with different tables based on age at diagnosis, Gleason score, PSA reading (how I wish I had found both these sites before my operation).......reading of members experiences there and here on HealingWell are an inspiration will help to put his mind at rest. There is virtually no question you can ask that will not be answered and by the best sources.....ie. others who have been through exactly the same process. I wish you husband well.
Bill
1/05 PSA----2.9 3/06-----3.2 3/07-------4.1 5/07------3.9 All negative DREs
Aged 59 when diagnosed
Biopsy 6/07----4 of 10 cores positive for Adenocarcinoma-------bummer!
Core 1 <5%, core 2----50%, core 3----60%, core 4----50%
Biopsy Pathologist's comment:
Gleason 4+3=7 (80% grade 4) Stage T2c
Neither extracapsular nor perineural invasion is identified
CT scan and Bone scan show no evidence of metastases
Da Vinci RP Aug 10th 2007
Post-op pathology:
Positive for perineural invasion and 1 small focal extension
Negative at surgical margins, negative node and negative vesicle involvement
Some 4+4=8 identified ........upgraded to Gleason 8
PSA Oct 07 <0.1 undetectable
PSA Jan 08 <0.1 undetectable


CPA
Veteran Member


Date Joined Feb 2008
Total Posts : 655
   Posted 5/6/2008 7:47 PM (GMT -6)   

Greetings, Mrs. Dirtmover.  It is very understandable for your husband to be concerned.  Finding out you have cancer does hit you very hard.  While I am a few years older at 55, it sounds as if many of your husbands other stats are similar to mine.  Also, I had never had anesthesia, no surgery, no broken bones, no stitches.  I really had no idea what to expect with surgery.  I was very fortunate in that I had great support all along the way from my diagnosis to surgery to recovery. 

I never even made it out of the preop room - the anesthesist came in and said I'm going to give you something to help you relax and the next thing I knew I was waking up in the recovery room.  I had 4 of the most beautiful faces smiling at me when I was wheeled into my room - my wife of 35 years, my daughter and my 2 administrative assistants.  All 4 have protected me well and made sure that I took time to heal.  I think it was a conspiracy between the 4 of them - what I couldn't do at home I couldn't do at the office either.  I'm very grateful for a great support group.

Take the time between now and your husband's surgery to educate yourselves on every aspect of what to expect.  My surgeon's group had a class for all prostate cancer patients that was very helpful.  Both my wife and I attended and it was very helpful.  Make plans for post surgery care and what you will do for the 10 days or so that he has the catheter in and then for what to do when the catheter is out.  You can learn a lot from this board and a couple of others that are out there. 

Ask your questions here - there are lots of caring people that have been there and want to help.  We will be praying for you in these days and for a peace that passes all understanding as you and your husband prepare for surgery.  You will both do fine.  David


Age 55
Diagnosed Dec 2007 during annual routine physical
PSA doubled from previous year from 1.5 to 3.2
12 biopsies - 2 positive with 2 marginal
Gleason 3 + 3 = 6
RRP 4 Feb 08
Both nerves spared
Good pathology - no margins - all encapsulated - Gleason 4 + 3 = 7
Catheter out Feb 13 - wore pad for couple of days - pad free Feb 16
Great wife and family who take very good care of me


smilingoldcoot
Regular Member


Date Joined Jan 2008
Total Posts : 338
   Posted 5/17/2008 12:06 PM (GMT -6)   
Can't comment on Prostate surgery but I have been cut on 8 times, a couple very major, and I remember the first time.  I too had that feeling of not making it through the surgery but as all can see I am still here and plugging along.
 
Best of Everything to you both.  Our thoughts and prayers will be with you.
 
Richard & Debbie yeah tongue yeah
Retired USAF Richard & Debbie on The Shores of Toledo Bend Lake Louisiana
Biospy 1/10/08 Gleason 10, Stage T1C  8 of 12 samples positive all Less Than 5% 
U of Florida Proton Therapy Institute
5/2/2008 LUPRON & Casodex
IMRT to start 5/16/2008 for approx 4 weeks with Proton to follow for approx 4 weeks
Turn Stumbling Blocks into Steping Stones and Keep Smiling
Our Journey is on WWW.GLEASON10.COM
 


Lungman
Regular Member


Date Joined Jan 2008
Total Posts : 276
   Posted 5/17/2008 12:20 PM (GMT -6)   
Hey Mr. and Mrs. Dirtmover,
I have been around the medical business for a long time and the incidence of someone just not waking up following surgery is almost non-existant. With all of the pre-op testing done today, nothing goes undetected. I just had the fear of the surgery itself, not knowing what extent of disease I would have, spread ??, and the post-op and recovery phases. It was the first major procedure I have had also, and I had a fair amount of anxiety and this was in spite of knowing pretty much what was going to happen. With todays modern anesthesia techniques, monitoring, and skill of OR staff, this is not the portion of the procedure you should be concerned with. Also if I might suggest so, Xanax or Clonipin might be more helpful with anxiety than Ativan, check with your MD. The anesthesia team will meet with you prior to surgery and will answer all of your questions and concerns. I wish you the best of luck, it will be a tremendous burden lifted when you know that you are CANCER FREE!!!

Randy
46 you when diagnosed, now 47
Pre-Op PSA 9.9
1 of 12 cores positive, Gleason 3+3
DaVinci on 9/5/2007
Post-Op Gleason 3+6, Negative Nodes and Margins
Less than 1% of prostate involved with CA
3 Month PSA 0.01, 6 Month PSA 0.01
Incontinence resolved 9/15/2007, one day after cath removal
ED showing significant improvement.
Cialis 5 mg every night.
Success with BiMix


positivelife
Regular Member


Date Joined Feb 2008
Total Posts : 42
   Posted 5/17/2008 3:01 PM (GMT -6)   
Dear Mr & Mrs Dirtmover
I had exactly the same worries as you. The main worry was not waking up, since I never had any surgeries before and had a young family. It was the worst period, most stressful period as regards to work,children,finance everything. Still, I wanted it out so rushed to surgery because people were talking about spread. Caught a very bad flu & fever before surgery, but did not want to postpone surgery, so went ahead because some of my relatives who were in the medical profession said it won't affect the surgery.(On hindsight I wish I had waited a month or so, did some research etc, found a forum like HW, got myself mentally & physically better prepared). Nearer the time I was not worried about cancer, I was only worried that I may not wake up.But everything went fine. If I could come out of the surgery in the physical & mental state I was in, believe me ,anybody could. So don't worry, everything will be fine. The surgeon won't do the surgery if the pre op testing is not good. As other members here have explained, not waking up now a days is non-existent. No surgeon will gamble with his career on a RP surgery if he has any suspicion that the patient may not wake up.

Before surgery we will all be worrying about not waking up,after surgery it will be the path report we will be concerned about,then incontinence,then the first psa, then ED,then the second psa....welcome to the club. Keep close to this board, go through the messages here when you have the time;this forum is full of colourful personalities with wonderful inspirational stories, selfless with their time and willingness to help.

Best wishes and prayers for a speedy recovery
Dx Age 48 Nov 07
PRE OP
Psa 4.5, Biopsy 2/8 cores positive Gleason 3+3
No perineural or lymphovascular invasion in the biopsy specimen.
Rushed to RRP without much research- Jan 08

POST OP
Geason 3+3 ,10% both lobes, There is perineurial invasion
No extraprostatic spread seen , Seminal vesicles normal,Nerves spared
Cancer close to apex but margins clear T2c NXMX
Incontinence pretty bad until April 08- suddenly down to 1 pad
ED - started cialis once every 2 or 3 days from April but no improvement
1st post op Psa <.1 (May 08)


Bootheel
Regular Member


Date Joined Oct 2007
Total Posts : 300
   Posted 5/17/2008 5:49 PM (GMT -6)   
I have had 5 surgeries prior to my LRP and the thought is always in the back of my head about waking up. I think it is a normal reaction. The anestheseologist usually reviews a patients health conditions and asks a lot of questions before your surgery to make sure things will be okay. Tell your husband to try and relax, things will be just fine. Will be looking for your post after surgery.
Age 65
Diagnosed 10/12/07
PSA 6.3
Biopsy 18 core samples, 2 positive <5%
Stage T1a Gleason 6 (3+3)
LRP  1/29/08
Post-op
Gleason 7 (3+4)
1 positive margin (.3cm)
T2C 
5/15/08- 1st Post-Op PSA 0.07 Undetectable


mvesr
Veteran Member


Date Joined Apr 2007
Total Posts : 823
   Posted 5/17/2008 8:43 PM (GMT -6)   
Hi Dirtmovers.

Some good advise here from your new friends here on the forum. My personal experience was: I had to be alone in the prep area with a lot of other people being prepped for their surgery. I try to make jokes to relieve the tension. The anethestist came by and told me she thought I would do better with the pain by giving me an epidural. I told her I wasn't pregnant and we all had a good laugh about that. When they wheeled me into the operating room it was really quiet with people in masks going about their jobs. There were two people in masks going over my paperwork and I heard them talking about a robotic procedure going on in another operating room. A leaned up and asked them if either of them stayed at a Holiday Inn Express last night. I got a dirty look from them and they then put a mask over my mouth and I woke up in the recovery room. The rest fortunately is history as they say. Everything will be fine. It is normal to be apprehensive so hang in there and let us know how your journey goes. Good luck to you.

Mika
age at dx 54 now 55
psa at dx 4.3
got the bad news 1/29/07
open surgery Duke Medical Center 5-29-07
never more than 2 pads
wear one for insurance now
ED still a problem
last PSA undetectable
 

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