Today's Pre-Op Visit - some data for those new to Surgery

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 1/14/2010 3:58 PM (GMT -6)   
Today I went to St. Francis here in Greenville, SC for my pre-op for next Tuesday's surgery.  Thought this might help those new to surgery, as this subject was recently discussed on HW.
 
Even though there were but 6 of us in the waiting area, it took 2 full hours this time from start to  finish.  Mine actually started yesterday by phone, the finance side was discussed  and insurance info was traded.  Today, met briefly with the Finance person, being that this is my 5th surgrery at the same hospital in 15 months, it was pretty routine. 
 
Next, I was assigned to an accessment nurse.  She was real nice.  Went through a long check list of potential existing medical conditions that could complicate surgery.  Since I had a fairly recent heart scan, they did not re-do it.  Blood pressure, temp, and oxygen level in my body was monitored.  Had a recent chest x-ray, so that also didn't need repeating.
 
We moved on to all the meds I was on, and got all that updated.  We went over what the doctor was intending on doing, and discussed the complications and risks associated with it.  I then signed a variety of documents.
 
The anithesiologist came in next, we knew each other by sight now  (geez, been there too many times).  He gave me a quick going over , listening to my heart and breathing.  Put me through a barage of questions, including family medical history, currents meds, etc.  Once satisfied I was sound for surgery, he told me that he was going to put me into a deep sleep, with the incubator in the throat  (not always done for day surgeries).
 
The nurse discussed the possibility of spending a night there, told her I had no problem with that.
 
Then they needed urine, so since I have been on a long-term cath, I had to give one sample from the leg bag - which I told her would obviously be contaminated, and then I had to disconnect the leg bag hose to give a sample from the cath itself.  No easy feat, as I can't control when fluids enter my bladder and exit, I have no sensation or urge.  That took about 15 mins of standing there collecting the sample a few drops at a time, despite drinking two big glasses of cold water prior to this.
 
Next, was moved to the lab department, where when it was my turn, they took 4 tubes of blood.  The lab worker was great, I have had her twice before, and when she sticks you, there isn't even the sensation of a prick, let alone any pain.  She hit a good one, as the tubes filled quickly.
 
Done in exactly two hours, very sore from being poked around.  They did decide since this surgery could turn more involved depending on what is found, it will be done in one of the Op rooms at the main hospital, instead of the smaller ones in the Day Surgery Building.  I have to guess my surgeon wants to make sure he has everything he needs.
 
Pre-ops will vary from place to place, but that's the general idea.  What saved me time was not needing another heart scan or chest x-ray.
 
Was treated very well, lots of respect and courtesy.  The nurse I was assigned didn't know much about PC, so it gave a natural setting to share some of the basics with her.  Might help her with the next PC patient to come along her way.
 
David in SC


Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 in place


wigged-out
Regular Member


Date Joined Dec 2009
Total Posts : 130
   Posted 1/14/2010 4:22 PM (GMT -6)   
Thanks for the update David. Wish you the best.
Age: 53- good health, physical anyway. Tinkle alot at night- 4-6x's

DRE 11/08- no lumps, just enlarged prostate

1st PSA, total- 11/08= 6.1

2nd PSA, total- 8/09= 6.6 Referred to Dr. J. Hoeksema @ Rush Univ. Med. Center/Chicago

Needle Biopsy 11/09- 12 samples. 11 OK. Right Lateral Mid- Adenocarcinoma Gleason score 3+3=6 9 involving 5% of specimen. Prescribed Flomax for excessive peeing.
Second opinion scheduled 1/21/10 with Dr. Gregory Zagaja, Univ. of Chicago Med. Center


skeener
Regular Member


Date Joined Dec 2009
Total Posts : 214
   Posted 1/14/2010 4:26 PM (GMT -6)   

David

Glad to see that things went so well today.

Good luck with your upcoming surgery.  It's your turn surely to have an operation that takes care of your current problems!!

 

Skeener

 


Age:  63 
Biopsy: May 09 showed 2 of 12 cores positive for prostate cancer -- 1 at 5% and 1 at 25%.  Cancer indicated as non aggressive.  Gleason Score: 3+3.
RRP on Oct 23/09 in London, Ontario.  Excellent surgeon. 
7 Weeks Post Op -  The fears I had about bad things about the operation and recovery did not materialise except of course ED!!.  Otherwise, everything went very smoothly.  Incontinence not a problem.  Wear a pad when out just in case. Pain was never a problem.
Pathology:  Unremarkable 
First followup PSA and Visit: Feb 07/10.      


CPA
Veteran Member


Date Joined Feb 2008
Total Posts : 655
   Posted 1/14/2010 4:27 PM (GMT -6)   
Looking forward to hearing some really good results next week, David.  We're with you!  David

Diagnosed Dec 2007 during annual routine physical at age 55
PSA doubled from previous year from 1.5 to 3.2
12 biopsies - 2 pos; 2 marginal
Gleason 3+3; upgraded to 4+3 post surgery
RRP 4 Feb 08; both nerves spared
Good pathology - no margins - all encapsulated
Catheter out Feb 13 - pad free Feb 16
PSA every 90 days - ZERO's everytime!
Great wife and family who take very good care of me


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 1/14/2010 4:43 PM (GMT -6)   
thank you wigged-out (hope by now, you are feeling less wigged out about your situation, knowledge about your pc really helps to abate the fear, a common theme here)

thanks skeener, yeah, today went pretty much by the book, I was sore before I went there, so can't blame it on the pre-op

thank you too, david/cpa - need something really positive and good to come out of this fix attempt this time
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 in place


MaxBuck
Regular Member


Date Joined Jan 2010
Total Posts : 75
   Posted 1/14/2010 7:34 PM (GMT -6)   
Best wishes, David. You've been a big help and support to so many of us; we need you back in the saddle ASAP!

Our thoughts and prayers are with you.
Dx at age 56: Oct 09; PSA 5.8, followed up by 9.9 two weeks later (reproducibility of test - ?)
Biopsy ind cancer in 8/12 cores: Gleason 8 (4+4)
open radical retropubic prostatectomy Dec 4 09
Post-op pathology: 56 g weight, cancer in 21%, Gleason 7 (4+3, tert 5); margins clear, lymph node involvement 0/9, perineural invasion present, T2c N0Mx (but showed clear from distant metastasis in pre-op bone scan and CT scan)
Continence data: 1 "panty liner"/day, with minor leakage when I get up from long seated position; ED pretty complete: some erection possible but current non-functional


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 1/14/2010 7:41 PM (GMT -6)   
Working on that part, Maxbuck. A little nervous about it, as the radiation burns are adding a new complexity to the mix. Told my uro/surgeon, that when I was blacked out into the next world, for him to take his time, and do whatever he needs to do to make this right.

Failed to mention this part, its possible that if he finds too much post radiation damage in the bladder neck area, or if things look to raw, he may choose to abort the surgery, and allow some additional natural healing time. Rather not have it delayed, but I trust his judgement in the matter.

When are they planning on doing your first post surgery PSA, Max? Would like to see you get into the Zero Club on the first pass. Good luck as you continue to heal.

David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 in place


Magaboo
Veteran Member


Date Joined Oct 2006
Total Posts : 1211
   Posted 1/14/2010 7:57 PM (GMT -6)   
Thanks for the update David. Wishing you all the best on Tuesday. Keeping my fingers x'd for a positive out come.
All the best my friend.

Magaboo
Born Sept 1936
PSA 7.9
-ve DRE
Gleason's Score 3+4=7, 2 of 8 positive
open RP 28 Nov 06 (nerve sparing), Post op staging T3a
Gleasons still 3+4=7
Seminal vesicles and lymph nodes clear
Catheter out 15 Dec 06, Dry since 11 Feb 07
All PSA tests in 2007 (4) <.04
PSA tests in 2008: Mar.=.04; Jun.=.05; Sept.=.08; 3 days before Rad Start=0.1
Salvage RT completed (33 sessions - 66 Grays) on the 19th Dec., 08.
PSA in Jan., 09=0.05; July 09=<0.04; JAN 10=<0.04


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 1/14/2010 8:28 PM (GMT -6)   
Magaboo, thanks so much.
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 in place

New Topic Post Reply Printable Version
Forum Information
Currently it is Tuesday, September 25, 2018 4:25 PM (GMT -6)
There are a total of 3,006,588 posts in 329,352 threads.
View Active Threads


Who's Online
This forum has 161840 registered members. Please welcome our newest member, 6catlady.
282 Guest(s), 15 Registered Member(s) are currently online.  Details
goshawk, HappyRick, SoMuchFun, 6catlady, HeartsinPain, running wild, jberda1, Admin, Depov, Zimica, Alxander, Hallieb, Envsciguy, Shayanv, PDXtransplant