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anglophile
Regular Member


Date Joined Apr 2008
Total Posts : 82
   Posted 5/7/2008 6:40 AM (GMT -6)   
I'm heading back to work Monday and, as you can probably guess, I'm very apprehensive about it.

I have a desk job, where I sit all day. I only get up to walk down the hall to the bathroom. I can wear jeans, which is a plus, since I'm wearing pads.

I plan to bring my regular satchel to work with plenty of extra pads. I'm also going to bring a hair dryer to put in my locker in the combined bathroom-shower downstairs. I figure it might come in handy if I have any sort of "leak" on the outside of my clothing.

My question is, am I forgetting anything? What did you bring to work when you returned after prostate surgery?
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
No extra postatic extension seen
Tumor corresponds to a AJCC/pTMN stage II
High-grade HGPIN present
Continence: 1 pad night, 2 during day


lawink
Veteran Member


Date Joined Oct 2006
Total Posts : 621
   Posted 5/7/2008 6:52 AM (GMT -6)   
Anglophile - wow you are making remarkable recovery and sound like you have everything organized. One word of caution . . . many in here have posted that they returned to work early, and although things went well, fatigue was an issue . . .an 8 hour day is long when your body is still in recovery. Be prepared to maybe shorten your first few days if you can.

Good luck to you. The hair dryer sounds like an awesome idea . . . . .probably won't use it though!

;o) Linda & Bob
Bob (62) - Laproscopic Prostate Removal Sept 27, 2006 at age 60.
2 of 12 malignant biopsy samples - gleason 3 + 3 = 6.
Pathology - Gleeson 3 + 4; stage T2; cancer completely contained, even a second more aggressive, previously undetected cancer) PSA UNDETECTABLE Nov 2006; Feb, May, Oct 2007; May 2008.  WHOOO HOOOO! 
Bob also has two secondary conditions -- Polycythemia (elevated red & white cells & platelets) and . . Myelofibrosis) -- If anyone has experience with or information on these, please email us.


CT
Regular Member


Date Joined Apr 2008
Total Posts : 25
   Posted 5/7/2008 8:05 AM (GMT -6)   

Anglophile,

I just went through the same thing.....my da vinci was 4/8.  Started going back to work last week, but, like Lawink says, only 1/2 days as I was really tired about 1:30.  I'll work 1/2 days this week and then return to a somewhat full time schedule next week.

I also can wear jeans every once in a while so I took an extra pair, but didn't need them.

Only other things are a big smile and great attitude, which it seems like you have already packed!!!!  Your friends will be glad to see you back.

 

 


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...


anglophile
Regular Member


Date Joined Apr 2008
Total Posts : 82
   Posted 5/7/2008 9:38 AM (GMT -6)   
I've been working from home in order to get back into shape for this. I worked half days for a week, starting two weeks after surgery. I've been working full days since then. Another plus for me is my work "day" is 5 am to 1 pm, so I have the afternoons off the rest up.
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
No extra postatic extension seen
Tumor corresponds to a AJCC/pTMN stage II
High-grade HGPIN present
Continence: 1 pad night, 2 during day


positivelife
Regular Member


Date Joined Feb 2008
Total Posts : 42
   Posted 5/7/2008 10:12 AM (GMT -6)   
I found returning to work very tiring. After the first 2 days, I had to ease off and work half days.. Your recovery is fast and you are probably in much better physical shape. See how it goes,but if you find it tiring take care to listen to your body.
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 Robotic surgery 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 bad but in 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)


Frank1205
Regular Member


Date Joined Feb 2008
Total Posts : 308
   Posted 5/7/2008 2:29 PM (GMT -6)   
Dito on the start at half days for 1 week and then maybe fulltime next week. I am in my third full time week and still get tired or sore when I stand a long time. Walking is no problem. Try and bring an extra cushion or donut the first week or two. You will go through more pads when standing or walking. When you get up from sitting you will need to make a practice to go to the bathroom to drain the bladder otherwise it will leak out and you will go through more pads.

Keeeeeep drinking even though your common sense says to stop. If your urine gets concentrated it can become irritating and you have pain. I know I did.
I never had an accident outside the pad at work or even close. I only leaked twice in my bed when my protective clothing got turned around like a pretzel. Yikes....

You will do great just take it easy.

Take care and good luck
Frank
Diagnosed 01-08-08 @ 53 years old 
DRE normal - High PSA for 5 or more years
2004 Biospy negative - 2008 Biopsy positive (01-08-08)
10 cores, 1 positive and at 1% of that one core
Current PSA 6 - Bone and Ct scans negative
clinicalg Staged at T1C - Gleason 3+3 = 6
Robotic Da Vinci performed March 27th, 2008
University of Chicago,5 hour surgery , 3 hour recovery
Unexpected Cardiac issues appear and disappear?
Hospital stay 30 hours - Catheter out in 7 days  normaly expected leakage - Erectile funtion back on line 9 days 
Post Pathology T2C, Gleason 7, 10 % of both portions of prostate, Seminal vessels clear, fat tissue clear,Tumor on bottom of prostate, 1 positve margin  going to meet with oncologist to discuss treatment options if any at this time.
 


mvesr
Veteran Member


Date Joined Apr 2007
Total Posts : 823
   Posted 5/7/2008 8:13 PM (GMT -6)   
Hi. Glad to hear you are going back to work. My Dr. told me to stay out for 6 weeks. I tried to go back at 4 weeks and the boss(Wife) reminded me of what the Dr said. I would bring a change of pants, underwear along with some pads. Dark pants might be a plus too. I only used two pads a day for the first couple of months and used one for several months after because I was self conscious of leaking. One thing you will notice is you will feel 3:00PM coming on and you will not need your watch to tell the time. I ran out of steam at 3:00PM every day for several months. At around 5-6 PM I would recover until one day it was 5:00PM before I knew it without and problems. Everyone is different and you will soon be over this. Take care and stay in touch.

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
 


anglophile
Regular Member


Date Joined Apr 2008
Total Posts : 82
   Posted 5/8/2008 10:06 AM (GMT -6)   
Looks like you had the open surgery, which I'm told has a longer recovery time.

I opted for for the laproscopic robotic surgery and my doctor said he had one patient who went back to work the next week, but he advised me to take it easy... no heavy lifting... for six weeks. He preferred I not go back work for a month and that's where I'll be when I return to work Monday.
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
No extra postatic extension seen
Tumor corresponds to a AJCC/pTMN stage II
High-grade HGPIN present
Continence: 1 pad night, 2 during day


cowboy bob
Regular Member


Date Joined Sep 2007
Total Posts : 116
   Posted 5/10/2008 10:12 PM (GMT -6)   
Anglophile- Good question- First, although you should try to change your pads often enough to take care of the wetness before it gets really wet in your Depends or whatever, there may be times when you don't keep up with it, and you experience what I call "Overload." This means getting so wet that it spills over into your jeans or slacks, and you have to change them. Therefore, always have an extra pair of jeans with you (in your car, desk, locker, etc.). Also , keep a package of Depends, and pads, in your car. I like that you have a hair dryer. One of the bathrooms where I work has a wall mounted hand dryer, so when I go there to change a pad, I first stand under the dryer with my penis, thighs, etc., exposed, and the warm air dries everything off. It feels great to be all dry at the same time you are putting on a nice, clean, pad.

By the way, I think the best pads to use are the Stay Free Overnight Pads without wings. They come 28 to a package, and are nice and thick. Even tho' they are called "overnight" pads, I use them during the day because they are soft and really thick.

anglophile
Regular Member


Date Joined Apr 2008
Total Posts : 82
   Posted 5/13/2008 7:39 AM (GMT -6)   
I'm on my second day of work. I had no problems yesterday. Just remembered to hit the bathroom every hour, although I did leak walking to the bathroom. I changed my pad 4 hours into my shift to be safe and had no outside leakage. The only strange sensation was standing there talking to someone and feeling that "warm" feeling around my crotch.

Last night, I had my first "dry" night! If I dribbled, it wasn't enough for me to notice that my pad was moist. It was a nice feeling waking up dry.

I use Prevail Male Guards - 126/Case http://www.cwimedical.com/maleguards.html
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
No extra postatic extension seen
Tumor corresponds to a AJCC/pTMN stage II
High-grade HGPIN present
Continence: 1 pad night, 2 during day


Mark R.
New Member


Date Joined May 2008
Total Posts : 11
   Posted 5/13/2008 2:02 PM (GMT -6)   

Guys,

Question: What's the average length of time somebody is out of work? I had open RRP 4/17, was out for 19 days including the day of surgery, and back on day 20. Worked 1/2 to 3/4 days the rest of the first week and am full-time this week and feeling good.

No doubt the answer depends on various factors - health, age, surgery type, disease stage, etc.

Just curious.

Mark


"In theory, theory and practice are the same, in practice they're not"
 
Joined Club PC 4/17/08 with an open radical retropubic prostatectomy
PSA 2.8>3.4 in 6 months
3/12 positive biopsy cores, T1a
Gleason 6 - pre/post op,
Margins, bone scan, x-ray negative.
Cat-scan showed kidney mass, removed 5/17 via radio frequency ablation
Catheter 18 days, dry immediately with some conscious effort
 
Living with Multiple Sclerosis for 20 years - now PCa and questionable renal mass - I'm an overachiever!
 
 
 


anglophile
Regular Member


Date Joined Apr 2008
Total Posts : 82
   Posted 5/13/2008 3:53 PM (GMT -6)   
My doctor said four to six weeks for recovery. I think a big part of it depends on your age.

I started working half days from home two weeks after robotic surgery, then went to fulltime from home at three weeks.

Monday was four weeks and, as I said, I returned to work and felt great.
n
Today, I was doing fine for the first five hours and then, all of a sudden, I felt like a ton of bricks hit me. I had o energy, couldn't focus and went to lie down on a couch in the break room. I woke up two hours later and went home. I'll work from home tomorrow and try and go back in on Thursday.

As some people here had warned, it's a slow process getting back into the swing of things. I had no idea that it could take so much out of you. I have never felt like this before, but then I've never had major surgery before.
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
No extra postatic extension seen
Tumor corresponds to a AJCC/pTMN stage II
High-grade HGPIN present
Continence: 1 pad night, 2 during day

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