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Medical Forum / Diseases and Disorders / Prostate Cancer / August 2004

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Home Again (Long Post)

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Glenn Enoch - 31 Jul 2004 16:53 GMT
I came home yesterday from Sloan-Kettering, on the third day after my
RRP.  Here's my story so far:  First, I was very upbeat and positive
going into the surgery -- a major reason was that I knew so much about
what was going to happen and what to expect afterwards, information I
got from all my reading and going to support groups and reading the
experiences of men on this NG.

I did not expect that I would go into the OR awake, but they rolled me
in and asked me to get up on the table.  This was the coldest room I
had ever been in.  They put warm blankets on me, but I was still
shivering, so they got a special paper blanket that fills with hot
air.  The anesthesiologist put a line into my hand, and then put an
oxygen mask on my face.  "Your job," she said, "is to breathe."
That's the last thing I remember until I woke up in post-op.

Surgery went very well.  Had less blood loss than average, but had
problems with low blood pressure in post-op (my BP tends to run a
little low), so they kept me there for a few hours.  My wife came back
with one of my friends, and they report a couple of exchanges.  One is
that a nurse came by (after I knew I was being held to monitor my BP)
to explain the morphine pump, which let me get a small dose every ten
minutes by pushing a button.  I pushed the button to show that I
understood.  Some time later, I pushed it again, and my friend said,
"It's only been about four minutes."  I replied, in dismay, "And I
have to be in here for four hours?"  (Time seemed extremely dilated
while I was on morphine.  Minutes flew by like hours.  I awoke after a
refreshing night's sleep to find that it was only 11:30PM.)

The doctors came by and pulled back the sheets to look at my abdomen,
which was my first look at the area.  "How are you doing," they asked,
and I replied, "Just great, except I think you used a horse catheter
by mistake."  I had no idea how large the tube would be, although it
wasn't uncomfortable.

I was rolled upstairs to my room and passed a peaceful night.  The
next day, I had a liquid diet, and the nurses started me walking, and
I had some visitors.  Not much pain, just discomfort doing anything
that put strain on my abdomen, like swinging my legs over the edge of
the bed.  At the end of the day, I had a little fever, and my BP was
still low, so they gave me back one of the two units of blood I had
donated.  I fell asleep about 8PM, and awoke groaning about 2AM.  It
took me about two hours to identify the source of the abdominal pain:
gas, which I could not muster the muscular control to pass.  When I
paged the nurses, they got me up to walk.  It was striking how many
patients were up at 4AM.

The doctors were very excited about my gas pains and about my progress
in general.  This day, the morphine and the IV drip were taken away,
so I could get out of bed more easily.  I was able to sleep most of
the next night, and went home the next day (Friday), on schedule.
That afternoon, I took a nap -- a great, peaceful, home-again nap,
uninterrupted by hospital noises or nurses taking my vitals.

Now, my job is to drink fluids, keep my catheter clean, walk (I've
done over a mile already today), relax and heal.  Walking produces
discomfort, but I have no pain when sitting.  The catheter is draining
well.  It will come out a week from this Monday.  I'll keep the group
updated (shorter than this).
Al - 31 Jul 2004 20:49 GMT
*I came home yesterday from Sloan-Kettering, on the third day after my
*RRP.  Here's my story so far:  First, I was very upbeat and positive
*going into the surgery -- a major reason was that I knew so much
about
*what was going to happen and what to expect afterwards, information I
*got from all my reading and going to support groups and reading the
*experiences of men on this NG.

Sounds great so far! Once you get the Foley out, try your best to do
Kegels as often as possible. BTW, how'd they close you up? Staples,
sutures?

Al
Please be quiet if replying via email,
flames will be deleted promptly.
I won't even read the whole message...
Glenn Enoch - 01 Aug 2004 14:13 GMT
Internal, self-dissolving sutures.  Just a little tape on the surface.

> *I came home yesterday from Sloan-Kettering, on the third day after my
> *RRP.  Here's my story so far:  First, I was very upbeat and positive
[quoted text clipped - 12 lines]
> flames will be deleted promptly.
> I won't even read the whole message...
Al - 01 Aug 2004 15:07 GMT
*Internal, self-dissolving sutures.  Just a little tape on the
surface.

Sounds much better than staples. Wonder why doctors chose different
methods? Body build perhaps?

Al
Please be quiet if replying via email,
flames will be deleted promptly.
I won't even read the whole message...
Steve Kramer - 01 Aug 2004 16:36 GMT
I don't know.  I guess there are fatter patients, but I cause a goodly
amount of stretch to my belly and I had super glue.

Signature

Prostate Cancer Survivor (so far), not a doctor
PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000
PSA  .1  .1  .1  .27  .37  .75
EBRT 05-07/2002 @ 47
PSA  .34 .22 .15 .21 .32
Erection 05/12/2003 @ 48
HTbegins 07/21/2003 @ 48
PSA  .07 .05
Lupron 7/03, 8/03, 12/03, 4/04
non illegitimi carborundum

> *Internal, self-dissolving sutures.  Just a little tape on the
> surface.
[quoted text clipped - 6 lines]
> flames will be deleted promptly.
> I won't even read the whole message...
dale.j. - 01 Aug 2004 17:01 GMT
> *Internal, self-dissolving sutures.  Just a little tape on the
> surface.
[quoted text clipped - 6 lines]
> flames will be deleted promptly.
> I won't even read the whole message...

My guess is staples are fast to install and leave little scarring.  I
can hardly tell where there was the operation performed.  Just nothing
there anymore.  I think they used like 22 staples.  Stung just a little
bit when removed.

That super glue sounds kind of wild.  Stuff must be good.

Dale j.

Signature

Email:  dalej2@mac.com

Beverley - 02 Aug 2004 14:19 GMT
They now have several types of super glue. The most common medical "super
glue" is used frequently on faces for minor cuts, etc. that would have
required some fancy plastic surgery to prevent scaring. I didn't know they
had one for major surgical wounds.

Don't forget the super glue we use in the home was developed as a suture but
it didn't work well enough. The glue used on Post-it notes was another
failure. Who was it from this group that had the sig line that said
something like: The greatest discoveries are not heralded with "Eureka!" but
rather with "that's funny"?
Bev

> > *Internal, self-dissolving sutures.  Just a little tape on the
> > surface.
[quoted text clipped - 15 lines]
>
> Dale j.
c palmer - 01 Aug 2004 02:27 GMT
hi glenn - sounds like you are doing great and hope you have a speedy
recovery.  just remember, don't overdo.  that is what i did when i first
got home i paid for it.  

~ curtis

knowledge is power - growing old is mandatory - growing wise is optional    
"Many more men die with prostate cancer than of it. Growing old is
invariably fatal. Prostate cancer is only sometimes so."
MH - 01 Aug 2004 03:30 GMT
Great to hear from you, Glenn.  And so glad to hear that all went so well
for you with surgery.  As usual, the actual event is not nearly as difficult
as we imagine it might be.  It sounds like you are past the worst and well
on the road to recovery.
I found the cath to be more of an inconvenience than anything else... but it
felt so good to go home without it when I got rid of it for good! :)

I wish you all the best!  Thanks for sharing your update!!

MikeH

> I came home yesterday from Sloan-Kettering, on the third day after my
> RRP.  Here's my story so far:  First, I was very upbeat and positive
[quoted text clipped - 54 lines]
> well.  It will come out a week from this Monday.  I'll keep the group
> updated (shorter than this).
Alan Meyer - 01 Aug 2004 21:32 GMT
> I came home yesterday from Sloan-Kettering, on the third day after my
> RRP. ...

Ain't it grand to have the worst part behind you?

Ain't it grand to have the cancer out?

As Curtis suggested, please take it easy and heal
up right.

Best wishes.

   Alan
Outlivecancer - 02 Aug 2004 03:21 GMT
Hey Glenn,
Welcome back,
it's great that things went well,
or as my uro put it "we went through with the surgery' LOL.
Steve Kramer - 02 Aug 2004 11:36 GMT
I'd forgotten about that feeling of exhileration.... lying on the bed in
post-op... the doc comes in....  and tells me the lymph nodes were good so
they went through with the surgery.  Great feeling!

Signature

Prostate Cancer Survivor (so far), not a doctor
PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000
PSA  .1  .1  .1  .27  .37  .75
EBRT 05-07/2002 @ 47
PSA  .34 .22 .15 .21 .32
Erection 05/12/2003 @ 48
HTbegins 07/21/2003 @ 48
PSA  .07 .05
Lupron 7/03, 8/03, 12/03, 4/04
non illegitimi carborundum

> Hey Glenn,
> Welcome back,
> it's great that things went well,
> or as my uro put it "we went through with the surgery' LOL.
kastons - 02 Aug 2004 03:37 GMT
Glenn -

Great to hear that it went well.  I felt the same way about the cath,
actually took to calling it my "garden hose".  Take it slow, rest and relax.
Did they give you a general?

Sandy K.

> I came home yesterday from Sloan-Kettering, on the third day after my
> RRP.  Here's my story so far:  First, I was very upbeat and positive
[quoted text clipped - 54 lines]
> well.  It will come out a week from this Monday.  I'll keep the group
> updated (shorter than this).
 
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