postop and such

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yobiks
Regular Member


Date Joined Feb 2011
Total Posts : 39
   Posted 3/7/2011 4:09 PM (GMT -6)   
Now that i am on the other side of an open rp I thought I would share some of my observations. Tuesday was my operation date and I am at home feeling pretty perky. ON TRAINING FOR THE MAIN EVENT-I really feel like it paid off.  I am a runner and was cranking out 20 miles/ week beforehand. That's not marathon shape but it aint bad! All the nurses told me I was doing extremely well. I don't know if they tell that to everybody(probably). Also I dropped most all fat out of my diet. I was vegan for about a week- no cookies-no icecream- nochips- no red meat. I did this for the 7 weeks post biopsy presurgery. I dropped 10 pounds from my skinny ass and flew like the wind when I went running. Honestly I wasn't in that great of shape since I was 35.        ON PAIN- after surgery they dosed me with 2mg morphine for pain every 4 hours. I had pain, definitely, but it was not screaming. It was uncomfortable for sure. I would go 5 hours or so and it would let me know that I should be doing something. Being the MAN that I am naturally I stretched it out. What I found interesting was that when the nurses did their rounds and checked my blood pressure I could see an obvious difference between with and without pain med. w/o med my blood pressure would elevate maybe 20% above my normal numbers which are fairly low 135/80 vs 114/70. Nurses said dropping the blood pressure would help stop bleeding and promote healing. It's not all in your head. So I learned avoiding pain in some situations is an important medical concept with ramifications in healing. MY POOR SORE BACK- the first 24 hours I basicly did not move. My surgery started at 7:30AM (first up baby!) and at 5:00 AM I was in distress. Nurse came in and was going to dose me but I decided to do the walkabout and touch the door. The reason they kept me down the first night was the blood in my urine. Anyway I took my first steps and went to climb back into bed and found about 60% of my pain was from my back! That part of it was gone at least temporarily. I think if I could get a massage in the hospital- I would definitely go for it. That would be good. THE CATHETER-Now that I have worn it for 6 days- it aint no bid deal. BOWEL MOVEMENT- "And on the fourth day there was movement". That was another joyfull benchmark I achieved. I was actually worried about it. One of the problems with being down like this is too much time to make big deals out of nothing. I started the stool softeners and took them twice. I have been eating hi fiber and it all works out. Patience grasshopper. 
    So I am on the road to recovery. No tylenol for the past 24 hours. I  have walked 2-3 miles for the last 2 days and will be going 3 today. My catheter is coming out thursday (hopefully) and maybe my path report will be back by then. I was very nervous going into this thing about my surgeon. Both my wife and I felt very good about him when I made the decision. Then I started reading on line and I wavered. Every indication at this point is that he IS the steeley eyed surgeon everyone hopes for. His name is Ehud Zusman. He practices in Portland Oregon. I would recommend him to Anyone.
age 56
sept 28 2010
psa 2.1
jan10 '11 gleason 3+3 t2b
open rp scheduled march 1 2011
Both nerve bundles spared

GTOdave
Regular Member


Date Joined Oct 2010
Total Posts : 175
   Posted 3/7/2011 4:17 PM (GMT -6)   
A question.

I opted for the robotic DaVinci. I have 6 incisions and 28 metal staples.

Might I ask how many you have?

I still would have gone with the robotic procedure, but am beginning to ask myself how minimally invasive it was.

Glad you are getting better.
52 yr old, PSA 3.5, Gleason 6 with 3 of 4 top nodes (0%;1%;10%;1%) cancerous. Bottom 2 floors are clean.

DaVinci surgery at Yale 3/4/11. Doc said it was text6book smooth. Second surgeon repaired a 2.5" hernia. Ouch! 6 scars sealed with metal staples. I will get biopsy next week.

60Michael
Veteran Member


Date Joined Jan 2009
Total Posts : 2215
   Posted 3/7/2011 5:06 PM (GMT -6)   
Congrats and sounds like all is going well and shoot your walking 2- miles with the catheter in place. I just walked up and down my driveway for about 10-15 minutes the first week. Like you, I am a runner and was in good shape for my age but out of the 4-5 surgeries done that day I looked the worst walking around the nursing station the night after surgery. Probably looked the worst as well. Be well and you will be back running soon enough.
Michael
Dx with PCA 12/08 2 out of 12 cores positive 4.5 psa
59 yo when diagnosed, 61 yo 2010
Robotic surgery 5/09
Gleason upgraded to 3+5, volume less than 10%
2 pads per day, 1 depends but getting better,
started ED tx 7/17, slow go
Post op dx of neuropathy
T2C left lateral and left posterior margins involved
3 months psa.01, 6 month psa.4
Started IMRT Jan. 2010 72gys
7month post SRT PSA .2

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 6887
   Posted 3/7/2011 5:31 PM (GMT -6)   
Sounds like you are doing well. Don't try to get back up to marathon-capable too quickly. Remember that there will be internal healing going on long after the stitches are gone on the surface.
 
keep us updated.
 
Welcome to this side of the journey.

Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 3/7/2011 5:36 PM (GMT -6)   
Good job, yobiks,
I walked while the catheter was still in place as well. It worked wonders, I feel. Good luck with the catheter removal...it was two seconds I have erased from my memory...

Tony
Advanced Prostate Cancer at age 44 (I am 48 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7

Treatments:
Da Vinci Surgery ~ 2/16/2007
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.
Undetectable PSA.

Blog: www.caringbridge.org/visit/tonycrispino

DaSlink
Veteran Member


Date Joined Feb 2011
Total Posts : 713
   Posted 3/7/2011 5:51 PM (GMT -6)   
Welcome to the other side. At first I didn't use the morphine because I didn't want people to feel I was druggy. After being informed it was loaded in the pump and I was going to be charged for it any way. I started using it and things were a lot better. Just the first nite was all.
I did robotic GTO and I have 5 scars. I had no staples and internal stitches on every thing with surgical super glue.
I was only able to walk around the house because it snowed the day after I got home, and the snow stayed until I went to get the cath out. which after 3 good coughs it was out. Easy-Peasey.
Good luck and things sound like they are going good so far.
Every minute you fish or ride,adds an hour to your life!

Age 52 Dx age 53 daVinci surgery
prostate volume 24gms
Biopsy 12 cores with 7 positive- left base,right base,left mid gland,right mid gland, left apex.
Gleason score of 7
First PSA 38.7 on10/05/2010
Second PSA 49.9 on11/23/2010
CT negative
Bone scan Negative
daVinci RRP on 01/25/2011 by Dr Mark G Delworth at Bethesda North Hospital.

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 3/7/2011 6:01 PM (GMT -6)   
I think you are doing great so far in your recovery, good luck to you as you continuue to heal.
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 2/11 1.24
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/10,

yobiks
Regular Member


Date Joined Feb 2011
Total Posts : 39
   Posted 3/7/2011 7:18 PM (GMT -6)   
hey guys--- I have 10 staples on my stomach. Now my wife and I have matching scars. At the hospital I had this Korean nurse that was a live wire. When she pulled my jp (drain) she cleaned it then told me to hold my breath. Then she pulled that thing out of me. Zip!! It didn't hurt but you can feel it clear down in your guts! She just grinned at me. gotta love it!!!!

lennybob
Regular Member


Date Joined Dec 2010
Total Posts : 99
   Posted 3/7/2011 7:40 PM (GMT -6)   

Yobiks,

Welcome to the other side. It sounds like you are doing amazingly well. Attitude is everything, keep up the good work but don’t push yourself too hard. You still have some healing to do and be sure and let your doctor in on whatever exercise regimen you choose.

Take care and good luck.

Lynn


Age 53...51 when diagnosed.
February/09 PSA 11...GP discoverd during yearly physical...referred to Urologist
Biopsy found cancer, Gleason score of 6.
July 2009...Nerve-Sparing open radical prostatectomy.
Doing very well...only issue is ED and that is getting better.

davidg
Veteran Member


Date Joined Feb 2011
Total Posts : 4093
   Posted 3/7/2011 9:16 PM (GMT -6)   
i had internal staples/stiching for the bigger incision (bb) and they used glue for the others. healed beautifully. Wasn't aware they also used so many staples. Must be base dof surgeon's preference.
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