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Ger42
Regular Member


Date Joined Apr 2010
Total Posts : 189
   Posted 10/7/2010 6:07 PM (GMT -6)   
My doctor has me eating breakfast on Sunday then until midnight Monday I can have water, broth, juices, jello, popsicles and Gatorade. His scheduler said no red jello. If no red jello how about orange?

I take 1 bottle of citrate of magnesia Sunday night and 1/2 bottle Monday night.

My surgery is scheduled for 3PM Tuesday.

From Monday at midnight on I can have nothing not even water. The pre op nurse said to take my seizure and blood pressure meds Tuesday Morning with the least amount of water possible.

By the time they try to put an IV line in me i'll be dehydrated and my veins will be invisible.

Is this the regime everyone else followed?

Tomorrow night I think I'll go out for the biggest burger and fries I can find. Saturday breakfast at IHOP, lunch at sub shop (featured on Diners, Drive-ins and Dives) and dinner at a local Italian restaurant then on to Dairy Queen for an Oreo Blizzard. Sunday morning out to a local diner for a big breakfast.

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 10/7/2010 6:14 PM (GMT -6)   
ger,

enjoy that last "'regular" meal of course, might want to tone it down, the more you put in, the more that will be coming out

went through the same routine for my lastest big surgery just 16 days ago, no fun, but doable

the red jello: can be mistaken for blood in the OR when you are open, any other flavor is fine, normal request

yes, it can make it harder to get an iv started. on this last one, 2 nurses tried 4x, finally the anithesiologist had to come down and start a mini iv, which was replaced by a big one once they had me knocked out

good luck, my friend. will be most happy when you are on the other side

david in sc
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos marg
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06 11/10 ?
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, on Catheter #21, will be having Ileal Conduit Surgery in Sept.

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3782
   Posted 10/7/2010 6:30 PM (GMT -6)   
My feelings are this is the worst part of the whole deal..They want your gut EMPTY!! And with that Magnesium Citrate stuff, you WILL be empty..It will be days before you poop again..You want to CHILL that Mag Citrate stuff before you attempt to drink it. Then drink a lot of water and GET READY!! (about 3 hours..)

When you get home, it will more liquid/soft food for a few days..Your appetite will be zero, nausea might be a problem..A couple of bottles of Boost, something like that, is nice to have. It goes down easy (cold) and gets your energy level up quickly.

In pre-op, if they feel you are dehydrated, they will quickly run a bag of water into you to make you feel better..Then they stick something in that makes you feel REALLY better! Then you wake up and you are post-op, on the other side...

Post Edited (Fairwind) : 10/7/2010 7:35:20 PM (GMT-6)


NEIrish
Regular Member


Date Joined Aug 2010
Total Posts : 245
   Posted 10/7/2010 8:11 PM (GMT -6)   
Ger: A nurse once said (after a horrendous time finding a vein for my IV) before my last colonoscopy that I could avoid dehydration if I kept with the clear broths since they usually have more sodium in them than the other allowed fluids and that would help with water retention/plump veins. I planned on doing that the next time - maybe you could give it a try...
Husband 60yrs., no symptms: PSA 10/04 2.73, 12/06 3.64, 5/09 3.9, 10/09 4.6, 1/10 5.0w/ free PSA 24
6 core biop 4/1/10 path rept: rt mid: adnocarc. G=3+3, 5% of core; R apx v. susp. minute ca, R base bnign w/ mod. atrophy, L side atrphy only; 2nd opnion JH confrmd
MRI - 15mm nodule
BiLatRP surg 7/6/10, path: T2c, nodes, sem.ves, extra caps. neg., adenoc both sides G=3+3 cntinent, Viagr-8/27 ED

English Alf
Veteran Member


Date Joined Oct 2009
Total Posts : 2216
   Posted 10/8/2010 2:00 AM (GMT -6)   
The conventional wisdom with all surgery under general anaesthetic is to operate on a patient that has an empty stomach so that they do not reflux, as the risk is that vomit can get in the lungs and choke the patient or damage the lungs.
For abdominal surgery there is an additional aspect which is to operate on a patient whose gut/bowel is empty, in part so that there is more space in the abdominal cavity.

To achieve to above two a patient thus has to fast and perhaps take some kind of laxative in the 48 hours before surgery and then be "nil by mouth" for the last 12 to 24 hours.

So I was a bit surprised by what they said to me.

I was due in theatre at 11.30am yet they said I could eat and drink normally until the previous evening and also have a light breakfast on the morning of surgery so long as it was before 7am.
And when I was being prepared outside theatre the anaesthetist and team actually said I could have had a light breakfast at 9am. (At about 10am I had been given a tablet with a sip of water to help me swallow it.)

Thus the only change to diet I did was to eat more healthily in the weeks before surgery and cut out alcohol.

So I was definitely not hungry, thirsty or dehydrated beforehand and they had no trouble getting a line in. I thus also managed a normal BM 48 hours after surgery.

The only reason that I can think of for this different attitude relates to the use of the robot.

Firstly the robot can work in a more confined space so can cope with a gut that is not empty.
Secondly during a robot RP the patient is head down and 45 degrees to the vertical and thus gravity will stop any reflux going in the lungs while the patient is out.
Whatever the reason I was very glad not to have to starve. And I had no problems. I was also able to eat and drink normally the evening after surgery (I came to at about 4pm and was eating chicken and rice at about 7pm followed by fruit salad!)

I was operated on at the AVL-NKI hospital in Amsterdam. So maybe the Dutch have a different protocol

Alf.

James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 10/8/2010 3:03 PM (GMT -6)   
For my 7am surgery, it was nothing after 8 pm the night before and a small enema in the check in - prep room the next morning.
James C. Age 63
Gonna Make Myself A Better Man tinyurl.com/28e8qcg
4/07: PSA 7.6, 7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS6
9/07: Nerve Sparing open RRP, Path: pT2c, 110 gms., all clear except:
Probable microscopic involvement of the left apical margin -GS6
3 Years: PSA's .04 each test until 04/10-.06, 09/10-.09- Uh-Oh
ED continues: Bimix .30cc & Trimix .15cc PRN

compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7211
   Posted 10/8/2010 3:15 PM (GMT -6)   
I had no restrictions. Period.
 
Mel
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