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Medical Forum / Diseases and Disorders / Prostate Cancer / February 2006

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pre-surgery question re bed height

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juniper - 25 Feb 2006 18:26 GMT
I have Joe's post-rp shopping list, so feel fairly prepared. (Thanks,
Joe.)  I have a question about bed height, though.  Does it matter?
Our bed is fairly high (28"), what with mattress, box spring, memory
foam.  Is it easier to get in and out of a higher bed, or should I look
at getting it closer to the ground?  This would be much easier to do
now that after the surgery.  My poor baby won't be hauling mattresses
around for a while.
Leonard Evens - 25 Feb 2006 20:19 GMT
> I have Joe's post-rp shopping list, so feel fairly prepared. (Thanks,
> Joe.)  I have a question about bed height, though.  Does it matter?
[quoted text clipped - 3 lines]
> now that after the surgery.  My poor baby won't be hauling mattresses
> around for a while.

The only problem I remember was getting out of bed right after the
surgery because the incision was sore, but that was only for a few days.
 For that, a higher bed would be better, since the problem is getting
erect from a sitting position.  Also, having something like a chair to
hold onto next to the bed would help.
c palmer - 25 Feb 2006 20:40 GMT
the height of the bed will not be the problem.

the problem is that he will be sore when he tries to pull himself up as
if he were trying to do a sit up because it will pull on those ab
muscles.

so, in the hospital, he will find that he will use the hand rails that
are on the side of the bed and use his upper body strength to pull with
more so than the torso.

at home, you don't have the option of the bed rails, so the next best
thing is the chair turned around so that the back of the chair is next
to the bed.  this gives him something to pull on with his hands and at
the same time, he will find that when he gets out of bed, to turn so
that he is pulling on his side muscles instead of the front muscles, he
won't have the pain, so the effort to get out of bed won't so bad at
all..

just laying around, he will not be in pain.  it is amazing just how
little pain you feel from having a major surgery.   i only took
percocet for three days and then was on aspirin from then on and it was
my decision to do so, because i didn't feel the need that strong of
medicine for the ache.

hope this helps.

~ 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."
http://community.webtv.net/PALMER_ENT/doc
I.P. Freely - 25 Feb 2006 20:29 GMT
>I have Joe's post-rp shopping list, so feel fairly prepared. (Thanks,
> Joe.)  I have a question about bed height, though.  Does it matter?
[quoted text clipped - 3 lines]
> now that after the surgery.  My poor baby won't be hauling mattresses
> around for a while.

Our bed is very easy to get out of after surgeries, injuries, etc., or with
a full bladder fighting an impaired sphincter, or just to go the bathroom
with minimal awakening effort even when healthy. I'm 5'9" (was 5'10" for
most of my life), and find it very easy to just drop my legs -- or just one
leg -- to the floor and raise my torso with minimal effort or even
consciousness. Our bed is at 28". I just now added a pillow to its height
and found it even easier, as it places the bed height even closer to my
pivot point (my hips). He'll roll onto his side, maybe even closer to face
down as he swings his feet or top foot to the floor, then just use his back
muscles and arms to rise to a standing position. He will NOT want to use his
abs to stand up or lie down.

I suggest he tries this now to guesstimate an optimal height:
Lie in bed.
Roll towards the edge onto his side, facing the edge.
Swing his top leg out of bed and onto the floor. This should put him nearly
face down with his "top" foot on the floor.
Stand up, using back and arm muscle, as the other leg swings to the floor.
Reverse the process to get into bed.
Then try it with a few more inches of height. I can see now that a few more
inches makes it even easier, even with my short legs (30" inseam). You may
wish to consider adding a cheap extra mattress if it doesn't interfere with
his sleep. It may also prevent you from bumping into him at night. I'm not a
sound sleeper, but I had little problem sleeping pretty well post-op. The
morphine helped a lot for the first few days, and once home and off the
morphine there just wasn't that much pain as long as I moved carefully --  
nothing like a sprained ankle, for example, and certainly not
excruciating -- just a lot of hurt if I tried to enlist my abs to stand up
facing the ceiling. And I had an incision twice the usual RRP cut due to my
dual surgery. The RRP cut is down the abdominal midline, a far less painful
spot than the muscle wall to either side of the midline.

I.P.
judamd@aol.com - 25 Feb 2006 21:47 GMT
My bed was 30" high and I'm 5' 9" and the easiest thing for me was to
roll onto my side facing the edge of the bed after making sure the
catheter tube was out of the way, swing my feet off the edge and then
rotate up to a sitting position.  From then on it's a matter of getting
on two feet and determining how quickly I wanted to stand up straight.
To get back into bed I found crawling onto the bed face down, rolling
on my side and then onto my back was best for me.  You'll probably find
that each person is slightly different so there will be some
experimentation as to what works best.  You'll notice almost all of my
motions were in a kind of knees up, bent forward position.  It was a
bit painful to stretch things out by straightening myself even though I
had laparoscopic surgery.  A helpful hand from a handy assistant is
always useful as is the nearby chair.  Your "poor baby" will do just
fine.
Dave Perry
Steve Kramer - 25 Feb 2006 23:55 GMT
I'd say 28" is just about right.

But, he's not going to be an invalid.  It will take some time to get in and
out of bed the first few days, but not an impossibility.

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RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins
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>I have Joe's post-rp shopping list, so feel fairly prepared. (Thanks,
> Joe.)  I have a question about bed height, though.  Does it matter?
[quoted text clipped - 3 lines]
> now that after the surgery.  My poor baby won't be hauling mattresses
> around for a while.
John Loomis - 26 Feb 2006 00:45 GMT
Hello Juniper,
   I invested in a recliner.  I hate to say it, but it was the best
investment I ever did.  When I slept on the bed my catheter tube felt like
it ran backwards....It was very awkward.  It also got tangled.  So, the
recliner is best, and after a bit I got real used to it.  I admit, it is not
like a bed, bet remember we never had to sleep in a bed before after
Prostate Surgery.
So, I got a long robe, and some good push in slippers, and voila, I was set.
I could get up easy, empty my cath. bag, do my thing, and relax, watch tv,
or sleep.
Walking is number 1.  It is hard to do at first but turns out it is best
thing to do..  I also stopped all meds, and ate prunes....
That was a miricle drug, and did not leave me feeling medicated.
So, good wishes, and such.
John Loomis
>I have Joe's post-rp shopping list, so feel fairly prepared. (Thanks,
> Joe.)  I have a question about bed height, though.  Does it matter?
[quoted text clipped - 3 lines]
> now that after the surgery.  My poor baby won't be hauling mattresses
> around for a while.
juniper - 26 Feb 2006 03:26 GMT
>     I invested in a recliner.  I hate to say it, but it was the best
> investment I ever did.  When I slept on the bed my catheter tube felt like

Well. Well, well, well, well, well.  This sounds like an opportunity to
***shop***.  Hehehe.  It wasn't hardly fun at WalMart today.  We mostly
had everything.  I did get a CD/MP3 player.  He is a true afficiando of
music.  Sitting here copying CDs so I can burn them. (and waiting for
his friend to go home.:)  Plus the XL shorts were fun, that did shock
him.  And I told him I bought boxers because I had to frequently check
to be sure his nuts weren't sore.  I thought I'd get him, but he just
said, And if they're not, you'll take care of it?

We were together when we were teens and 20s, for about 6 or 7 years,
then we didn't see each other for 15 or 16 years, then when we did, it
was all she wrote.  We cried together a whole weekend.  (and stuff.)
The reason for that touching story is to tell you that back when we
were young and lived together without benefit of clergy, I bought him a
recliner.  It has long since worn out.  So there is something
particularly fetching about the idea of buying another recliner.

So, what kind did you get?  Is it the perfect recliner?  What features
are important?  Any other information will be helpful.

Thanks, John and all.

laurel
BobS - 26 Feb 2006 05:37 GMT
laurel,
I mainly lurk on this news group, but I had to respond to you and give
you my experience. I also slept in a recliner for the first week or so.
I also spent a lot of the time there during the day. I found it easier
to deal with my catheter bag in a chair rather than in a bed ( I didn't
have to worry about rolling over with the catheter attached). I kept
the bag in a bucket that was next to the chair on the floor. I also
went home (the day after surgery - I had robotic laparoscopic surgery)
with a Jackson-Pratt (JP) Drain and found it easier to protect that
from coming loose when confined to a chair. Since after the surgery he
is going to be sore, I would suggest getting a recliner that is easy to
move up and down without having to use much in the way of abdominal
muscles. You also might want to get one that swivels and have a sturdy
coffee table on one side. I used the table to help recline the recliner
so that I did not have to put pressure on my abdomen by raising both
legs at the same time (my recliner needed some raising of my legs to
help it recline). I put one leg on the table, raised the recliner using
the handle, and then took the leg off the table and put it on the
recliner footrest. It might also be helpful to have a waterproof pad
and a towel under him on the chair in case of any leaking from the
catheter.
BobS

> >     I invested in a recliner.  I hate to say it, but it was the best
> > investment I ever did.  When I slept on the bed my catheter tube felt like
[quoted text clipped - 22 lines]
>
> laurel
Steve Kramer - 26 Feb 2006 10:45 GMT
> So, what kind did you get?  Is it the perfect recliner?  What features
> are important?  Any other information will be helpful.

That's easy.  LazyBoy!  Bought two for my wife and I in 1987.  We are both
too heavy, but she abuses chairs, plopping into them.  By 2000 (13 years!)
mine was noticeably better than hers and I bought a new one for my
recuperation.  We gave hers to my son who used it until... hmmmmm... he may
still have it in his basement.

My original one started wearing down in the mechanism.  I went out to
LazyBoy and the GAVE me two pins and two sets of springs.  I installed them
and it worked like new.

Finally, last year, she decided her chair didn't match the room in the new
condo.  We bought another and my daughter now uses the old one.  Nineteen
years old and still providing service.  The upholstery is showing wear and
when I sit in it, I notice there isn't as much cushion left as is in my
chair.  But the damned thing still works.  Hard to get rid of it.
John Loomis - 26 Feb 2006 15:11 GMT
Hi Juniper,
   I bought a nice Red Colored one.  The color was most important.  It is a
velour royal type red with hints of darker shades of purles or such.
   It is a Lane recliner, and has a handle to help extend the footrest.  It
lays well back for sleeping, and one can sleep a bit sideways.  It is easy
to get in and out.  The nite bag could be hung next to it out of sight if
visitors come by.
Anyway, I rested very well in the chair.
Now you may have a reason to shop.
A nice long robe is great, for covering up, and no need for underwear.
Anyway, good wishes, and watch those nuts!
Never know when they may need a check!
John Loomis
>>     I invested in a recliner.  I hate to say it, but it was the best
>> investment I ever did.  When I slept on the bed my catheter tube felt
[quoted text clipped - 23 lines]
>
> laurel
juniper - 28 Feb 2006 03:14 GMT
> Hi Juniper,
>     I bought a nice Red Colored one.  The color was most important.  It is a
LOL  LOL  LOL
I *knew* if I was patient, the priorities would come clear.

> Never know when they may need a check!
Someone emailed me and said they *do* get bruised.  I didn't know that.

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