Pre-Opt Tests before Nissan?

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SummerGAL
Regular Member


Date Joined Apr 2011
Total Posts : 116
   Posted 10/11/2012 1:03 AM (GMT -6)   
Hi All,

I'm planning the Nissan in Jan of next year. My Doctor says I need no tests such as blood work, EKG, etc before the surgery. Does this seem strange to anyone? I always thought that Hospital stays required pre-tests.

Thanks,

Summer

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 10/11/2012 6:17 AM (GMT -6)   
Hi Summer,
Yes, that seems extremely unusual.  In fact, it puts your surgeon's credibility in question.  I've been on this forum and have researched the Nissen procedure for over three and a half months, and in that time I've learned one very important fact:  Surgeons who know their stuff do extensive testing before doing a Nissen procedure.
 
The tests that are standard are barium swallow, endoscopy, 24hr PH monitor, manometry, and sometimes even a stomach emptying test.  My surgeon explained that my choosing the most qualified surgeon is only half the equation.  The other critical piece is that the surgeon do these tests in order to ensure that the the patient is a good candidate for the surgery, and these tests will help him/her make this decision. 
 
I may have totally misunderstood your question.  If you're only thinking about the basic EKG prior to surgery, that does sound unusual.  I believe that is a hospital requirement, rather than a surgeon's requirement. It's certainly something worth following-up on.  You might call the hospital where your surgeon operates and see what they have to say. 
 
Good luck with your search for answers!
Denise 
 
 
Words of wisdom by Eckhart Tolle:
"Whatever you fight, you strengthen, and what you resist, persists.”

“Worry pretends to be necessary but serves no useful purpose”

“Accept - then act. Whatever the present moment contains, accept it as if you had chosen it. Always work with it, not against it.”

SummerGAL
Regular Member


Date Joined Apr 2011
Total Posts : 116
   Posted 10/13/2012 1:47 AM (GMT -6)   
Hi Denise,

Oh I'm sorry, I had some of the tests you mention, but when I asked the doctor if I needed to come in early to have blood taken or anything else, they said no which concerned me.

Thank you
Summer

Jonh71
Regular Member


Date Joined May 2012
Total Posts : 121
   Posted 10/13/2012 3:01 AM (GMT -6)   
In the uk we have what is called a pre-operative assessment which includes.

Cardio tests
Blood tests
Tests for skin borne bugs
Urine tests
Blood pressure
Temperature
Body mass index

There are also a lot of lifestyle questions and explanations on the procedure including a review with the surgeon or a member if the team.

It is a condition of the operation and if you do not attend the operation is cancelled.

I would expect the above as a minimum, suggest you ask your consultant.

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 10/13/2012 7:24 AM (GMT -6)   
Summer,
I'd definitely contact the hospital to see what pre-op tests are required by them.  If you are concerned, call your surgeon's office and double check.  You have a right to question that protocol, so be sure to get it clarified so you can relax and feel comfortable going into surgery.
Good luck!
Denise
Words of wisdom by Eckhart Tolle:
"Whatever you fight, you strengthen, and what you resist, persists.”

“Worry pretends to be necessary but serves no useful purpose”

“Accept - then act. Whatever the present moment contains, accept it as if you had chosen it. Always work with it, not against it.”

SummerGAL
Regular Member


Date Joined Apr 2011
Total Posts : 116
   Posted 10/14/2012 11:59 PM (GMT -6)   
Thanks to all, what do you mean by a lifestyle questions? If I tell them I fly a lot for work, will that change their decision.

Thank you

Summer

Jonh71
Regular Member


Date Joined May 2012
Total Posts : 121
   Posted 10/15/2012 1:42 AM (GMT -6)   
Hi summer

By lifestyle questions I mean

Alcohol consumption
Smoking
Diet
Exercise
Occupation
General mental state (are you stressed about operation etc)

New Life In Kissimmee
Regular Member


Date Joined Sep 2012
Total Posts : 32
   Posted 10/15/2012 6:44 AM (GMT -6)   
SummerGal

Im having my surgery this coming Wednesday (10/17) and today I am heading to the Hospital for Pre-Admission Tests which include a Chest X-ray, Blood Work and an EKG - I asked the Dr. why I'm having this done and the response was because I haven't had any blood work in the past 90 days. From my understanding, Anesthesia wants recent blood levels to determine how and what they will do to keep you under, what's tolerable, etc.

That all being said, the last time I had surgery, I just recently completed a complete lab work up and was not required to go for any pre-admission testing. So if you recently had a series of lab tests, that is probably the reason why you won't have to go in to the hospital for pre-work - the Dr. may just have you do it a few weeks beforehand. =)
Regards,
Bill

Toupet Fundoplication is scheduled on 10/17/2012 @ Florida Hospital in Orlando

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 10/15/2012 11:28 PM (GMT -6)   
Summergal-

It depends on your age and whether or not you have any other health concerns as to whether surgeons want pre op blood tests and such. I have always had a blood and urine test done, but didn;t have any EKDs or chest xrays until I was 35.

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn
Nissen 6/06 and 5/09
#3 on 8/24/11

SummerGAL
Regular Member


Date Joined Apr 2011
Total Posts : 116
   Posted 10/16/2012 1:39 AM (GMT -6)   
Thank you all for the responses. I suspect they will ask me to take the tests the day of admission.

John,

So you are saying that even if I do well after the surgery and time has passed and I have healed that I'll have to change the life styles below forever? I do drink alcohol now and then, exercise a lot and have a job that's very stressful and requires travel. I try and eat well, but I go off track from time to time.

Alcohol consumption
Diet
Exercise
Occupation

Thanks,

Summer

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 10/16/2012 5:41 AM (GMT -6)   
Hi Summer,
Most surgeons release their patients to do "whatever they did prior to their surgery" once healing is complete.  Many go to work fairly soon (as early as 2 weeks post-op), but it's recommended to take a longer time to heal before pushing yourself back into the physical demands of work. 
 
Obviously, someone who works at a desk is going to be able to return to work demands more quickly than someone who does physical labor requiring lifting.  There are many jobs in between.  I returned to teaching after 6 weeks.  I'd intended to go back half time at two weeks, but my lungs were still sick with infection, and second grade classrooms are petri dishes.  My doctor didn't want me exposed to anything until I'd healed.
 
Once you've had time to heal, you'll go back to normal eating and drinking.  This is a gradual process, and it takes time to progress to that point.  I was a beer drinker before my surgery and was worred that the carbonation would create bloating after.  I can tell you that after healing, I was able to drink beer again.  Soda tends to be more of a problem, and if you're a real addict, you  will likely have to modify it a bit--especially in the beginning  The only alcoholic beverage that caused me trouble was champagne, as it's carbonated a lot.
 
Exercise is fine...in the beginning you'll have to take it very easy--walking is recommended until your insides have healed and adjusted. Running can begin after you feel better--it's trial and error.  Give runnng a try, but listen to your body.  Take it easy with lifting  Be sure to consult your surgeon about that.
 
Good luck!
Denise
Words of wisdom by Eckhart Tolle:
"Whatever you fight, you strengthen, and what you resist, persists.”

“Worry pretends to be necessary but serves no useful purpose”

“Accept - then act. Whatever the present moment contains, accept it as if you had chosen it. Always work with it, not against it.”

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 10/16/2012 7:37 PM (GMT -6)   
Summer-

Even after an esophageal perforation and 3 nissens I have no restrictions what so ever. So nope, you won't have to change your life style for ever.

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn
Nissen 6/06 and 5/09
#3 on 8/24/11

SummerGAL
Regular Member


Date Joined Apr 2011
Total Posts : 116
   Posted 10/21/2012 1:24 AM (GMT -6)   
I feel much better now that I've read your posts and my nerves about the surgery are calming down. I've put this surgery off for two years so I think it's time to get on with it and get it over.

Thanks for the feedback

Summer
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