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Medical Forum / Diseases and Disorders / Prostate Cancer / January 2007

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Pre-RLRP Preparation & Post Op Recovery- Your advice?

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Kenn Errey - 12 Jan 2007 03:26 GMT
Hello, all.
I'll be heading off to surgery at Columbia Presb, NYC with Dr. Samadi,
one day soon, and as I prepare, I'm curious what those of you that have
had RLRP would recommend to me by way of preparation and aftercare.
Sundries, diet, beverages, tips, etc. that you learned through
experience. What to eat, and not eat, vitamins, etc. What to bring to
the hospital, how to deal with the catherter, etc.

I do have a friend who will help me home after, but I'm planning on
getting through this on my own, unforseen complications
notwithstanding, so I want to prepare as much as possible now and lay
in whatever supplies I'll need.

Any recommendations on pads, briefs, etc. is most welcome.

Of course, after this is all over, I'll be more than happy to share my
experiences and recommendations.

Many thanks,
Kenn
Joe Price - 12 Jan 2007 05:14 GMT
I usually post this message every 3 - 4 weeks or so and I guess it is about
due to be reposted.

I compiled this shopping list of paraphernalia that would be good to have
on hand when you get back from surgery. I started the list in September
2001 before my own operation based on responses I got to a request here for
suggestions.
Thanks to all those who helped put this list together way back then.

Since then I have re-posted periodically it to make it available to the
newly diagnosed. Occasionally, additional items are suggested and I try to
remember to add them next time I post this message.

One thing I would like to make clear up front - the list is exhaustive
because I have included almost everything everyone has ever suggested. This
does NOT mean you should run out and buy everything on this list. Some of
these items are in the "luxury - nice to have" category and others are
specific remedies some individuals found they needed for complaints that may
have been specific to them.

Read through the list and at least think about what is here and what its
purpose is. Get creative in thinking how you might adapt something you
already have around the house to function in the place of some of these
items.

Certain activities, not strictly hardware items, were recommended
frequently. I've included those activities as well.

I am not a doctor and this is NOT medical advice!
Hardware:
- A pair of oversized basketball type warm-up pants with snaps or zipper up
the leg (to allow discreet access to the catheter and bag). Get a pair that
is large enough to accommodate the large (night) bags and smaller (walking)
bags - that will be provided by the hospital. A dark colour will be less
likely to show wetness from any accidental leakage compared with a light
colour. Fast drying material ("parachute material") is recommended if
possible. This is not essential.
-  I have found convertible hiking pants (pants whose lower leg can be
zippered off to create a pair of shorts) to work wonderfully well while
wearing a catheter. This type of pant also has a side zipper on the lower
leg, which makes leg bag access a breeze. You can open the upper zipper (the
one that runs around the leg) part-way to switch bags and let out the hose
to the large drain bag.
- A five-gallon plastic bucket is very useful at night as a receptacle for
the large night bag. The bucket may become your constant companion around
the house. Get a square one if you don't already have something else.
- "Invalid" cushion (looks like an inner tube)
- Antibiotic ointment/lubricant (Polysporin, for example) for where catheter
exits (some had this supplied by their hospital). Some recommend a
water-based lubricant such as KY Jelly but that tends to dry out quickly.
Get gauze 4X4 pads to apply ointment.
There has been some debate about the best fluid to use. You want something
slick, long lasting and certain not to damage the tube. It would be nice if
it were also antibacterial. I used Polysporin and Erythromycin with no
problem. Polyfax ointment is a name to look for if you live outside North
America.
- Alcohol swabs to clean the catheter at the tip of the penis (single use
wipes designed for cleaning the skin before an injection).
- A pair of slippers or sandals or loafers.
- Over-the-counter stool softener
- Get a haircut and trim your toenails before surgery
- Several people recommended buying, borrowing or otherwise acquiring the
use of a reclining chair.
- Place a chair by the bed with the back facing the bed. Use the chair as a
bedrail to help you get up. Use the seat as a bedside table to hold some of
the things you want to keep handy. I would STRONGLY suggest you test this
out BEFORE you go to hospital to be certain it can take your weight as a
handrail before you rely on it post-surgery!
- A pillow to hug early on to ease pain in laughing etc.
- A pillow to put between your knees while sleeping on your side.
- Grab bars in the area of the commode (don't use towel racks for grab
bars!)
- Use a plastic coat hanger stuck between the mattress and box spring to
hang the bag from or just place it in the bucket on the floor.
- Nice baggy, soft sweat pants or warm-ups - oversize with drawstring if the
weather is warm inside the house or out of doors
- A soft bathrobe belt to make a shoulder strap to suspended the big bag if
you prefer it to the "walking" bag.
-. Silk/nylon/rayon boxer shorts for the period you have the catheter
- Some readers have recommended "boxer briefs" for the combination of
support and their ability to hold the catheter and prevent tugging
- A plastic sheet to go under the bed sheets and protect the mattress once
the catheter comes out. A large plastic garbage bag might work in a pinch.
- Have enough easy to prepare food on hand for 2-3 weeks
- Book(s) you've been intending to read
- Fresh batteries for your TV remote
- A cordless phone and up-to-date phone list
- Some big baggy mesh shorts (in summer)
- Suspenders may be helpful, in place of a belt
- Two dozen inexpensive white washcloths (in a big bundle)
- Some of the little plastic, stick-on hooks to put in the shower etc., for
a place to hang the bag or simply the pail, placed outside the tub.
- To help stave off possible urinary tract infection, either Ural (seems to
be an Australia/New Zealand over-the-counter drug) or a supply of cranberry
juice. They work in different ways to achieve the same thing.
- A watch or interval timer to remind you not to stay sitting too long. The
small kitchen timers would work for this and to prompt you to get up
periodically at night if you need to do so.
. An electronic thermometer (about $10) for keeping track of your
temperature for a couple weeks postoperatively.
- A walking stick may prove to be helpful.
- A safety bench (maybe a plastic lawn chair?) for the shower (sometimes
you're a little light-headed when you first come home and it's nice to have
something to sit on)
- A raised seat to put over the toilet (as an alternative, or in addition
to, grab bars)
- A grabber for picking things up if you drop them so you wouldn't have to
bend down.
- If you have the hardware, fill up a MP3 player with your favourite tunes &
use headphones to help "drown-out" the hospital noise.
- A "toilet seat lifter". I would be inclined to bend a coat hanger into a
hook that I could work under the lip and lift, but there are probably
commercial step-on type mechanical devices akin to garbage can lid lifters
out there. Just use a stick or bend at the knees, keeping the back straight.
Heck, just leave the lid up for a few days.
- One person indicated his hospital made him wear a pair of anti-embolism
stockings the whole time he was there. He bought another pair when he went
home and suggests considering doing the same.
- Drinking straws - you will want some for the first week.
- Plastic cups - they're lighter than glass
- Extra pillows - for sitting up in bed and as arm rests at night and for
the couch.
- Velcro Foley straps - the walking bag can slip down your leg and pull on
the tube.
- A current phone list - one of contact people who must know, one of friends
to come visit you, walk, and meals, shop for you. Spread the burden.
- A few woman's (not a few women's- get them from one woman) menstrual
pads - don't be shy, the big ones, they're smaller, cheaper than
incontinence pads and can be added to the diaper and
changed more often.
-Travel bag - like a baby changing bag for when you go out or the keep
women's pads in your pocket.
- Viva paper towels - to help when wet - they're soft.
- Toilet wipes - the first few times they're nice, along with baby wipes for
everything.
- To deal with the rash and itch consider getting tubes of Desitin and/or
Butt Paste, both containing zinc oxide.
- Diet plan - coffee is bad for bladder, eat more fruit, less meat, no
cheese & bananas while on stool softeners. Diet and supplements are part of
permanent recovery plan.
- Look into a cancer society group such as "Man to Man" that meets monthly
and go to a meeting before surgery.

Repeated Advice:
- Learn to roll sideways out of bed (rather than sit on the edge trying to
stand upright). Practice before going to the hospital.
- Walking is the best way to get your body ready and to recover.
- Wait to see how bad your incontinence is BEFORE purchasing a lot of pads
etc. but do buy a package of men's guards to bring to the appointment when
the catheter is removed. Have a look around at what is available and
compare costs before hand.
- Kegel, pre-operation and post-catheter removal (not with catheter in)

- Remember, what you are going through is TEMPORARY, in a few weeks you
won't even remember the discomfort of some of this stuff!

JP
Steve Kramer - 13 Jan 2007 11:39 GMT
And one post later......

duh!

>I usually post this message every 3 - 4 weeks or so and I guess it is about
>due to be reposted.
naturalhealthsites@gmail.com - 12 Jan 2007 06:41 GMT
Kenn,
I'm brand new to the group, but very familiar with the subject...as are
many of my family.

You might like this site: http://naturalprostatehealth.blogspot.com/

It addresses your question on what to eat and what vitamins might help,
but in a no-nonsense, scientifically validated approach.  All of the
recommended treatments include several clinical studies from prominent
medical journals.  There is a lot of garbage out there, this will help
you to separate the wheat from the chaff.

Best wishes,
Joseph

> ....What to eat, and not eat, vitamins, etc.....
Alex - 12 Jan 2007 15:07 GMT
> Kenn,
> I'm brand new to the group, but very familiar with the subject...as are
[quoted text clipped - 10 lines]
> Best wishes,
> Joseph

Despite a patina of objectivity, there is very little information at this
site that is scientifically validated or from current, reliable medical
journals.

Alex
Kenn Errey - 12 Jan 2007 18:28 GMT
All,

I think Joe really nailed many of my concerns about the experience,
though, of course I still welcome any other advice or experiences, as
well.

I am very interested in what to eat/ not to eat, and what foods/drink
might best help with the recovery and my long term well being. I'll
take this up with Dr. Samadi, but I'm curious what others have found
from actual experience.

Best,
Kenn.
I.P. Freely - 12 Jan 2007 22:25 GMT
> All,
>
[quoted text clipped - 6 lines]
> take this up with Dr. Samadi, but I'm curious what others have found
> from actual experience.

Easy. From the actual experience of thousands of pts in many studies, it
matters not what you eat or drink in the long term. Joe's a blatant
spammer selling snake oil to pay for his Geo Metro at the risk of your
life (his HIFU stuff may be real, but he buried it under too much crass
commercial pony crap for me to take it or him seriously). While healing
from surgery, cranberry juice will help reduce the odds of bladder
infection. Other supplements special foods are primarily wishful
thinking, with some harmful BS on one side and several hopeful but
unproved ideas such as pomegranate juice on the other. Heck, even eating
more Marinara sauce on everything (for its lycopene) is shaky if it's
the usual salt-laden commercial stuff.

You'll do much more to aid your long-term health and QOL with exercise
and a healthy diet. The Mediterranean diet consistently emerges as the
only diet *proved* to aid longevity, and countless millions of people
loved it for centuries before we knew how healthy it is.

I.P.
Joe Price - 12 Jan 2007 23:47 GMT
Whoa big fella.

I think you have me confused with Mr "naturalhealthsites".

I ain't no spammer.  Never have been.  Never will be.

Joe

> Joe's a blatant spammer selling snake oil to pay for his Geo Metro at the
> risk of your life (his HIFU stuff may be real, but he buried it under too
> much crass commercial pony crap for me to take it or him seriously).
I.P. Freely - 13 Jan 2007 00:12 GMT
> Whoa big fella.
>
> I think you have me confused with Mr "naturalhealthsites".
>
> I ain't no spammer.  Never have been.  Never will be.

Obviously you're right that I'm wrong. The Joe and Joseph thing plus the
interlacing references to and questions about PC nutrition and Kenn in
the thread threw me off. It's the website Joseph sent us to I'm
criticizing; it's just classic internet blather even if it does (?) also
discuss HIFU legitimately.

Sorry abut my mixup, Joe. Keep up the good work. And please consider
copying and pasting others' suggestions to yours so we won't have to
keep adding ours each time; that oval, flip-top trashcan with the loop
handle was a godsend during my recovery and every single one of the the
780 days since then. A few bucks at Walmart.

I.P.
Steve Kramer - 13 Jan 2007 11:51 GMT
> Whoa big fella.
>
> I think you have me confused with Mr "naturalhealthsites".
>
> I ain't no spammer.  Never have been.  Never will be.

That's the "Joe" (actually "Joseph") that he's talking about.
Steve Kramer - 13 Jan 2007 11:49 GMT
> All,
>
[quoted text clipped - 6 lines]
> take this up with Dr. Samadi, but I'm curious what others have found
> from actual experience.

I take, at my doctor's suggestion, a little bit of Selenium, but not too
much to be toxic.  Vitamin E 400 (no more or it may gelatinize your
arteries).  1000 Vit C.  Green Tea extract.  Based on recent research, that
is far from concluded, I added Cayenne pepper.  I'm up to 3 capsules a day.
When I added the pepper, my PSA went from 0.145 to 0.04.  Unfortunately, I
added Casodex at the same time, so only any idiot would figure it was the
pepper.  But, one never knows....

As to what to eat, studies are all over the map.  I would say, from a
personal standpoint, that walking has done more for me than anything else
(other than surgery, radiation, Lupron and Casodex, of course).  I cannot
qualify the statement except to say that I am beating the odds at almost
every turn and beating the side effects of my treatments at the same time.

My advise is to worry about things in the following order:

1. Life (mind, body and spirit)
2. Treatment
3. Vitamins and supplements
4. Exercise
5. Food

Maybe, #3 and #4 are interchangeable.  Or maybe #4 is part of #1.

Signature

PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins
PSA  .1  .1  .1  .27  .37  .75
EBRT 05-07/2002 @ 47
PSA  .34 .22 .15 .21 .32
Lupron 07/03 (1 mo) 8/03 (4 mo), 12/03, 4/04, 09/04, 01/05, 5/05, 10/05,
2/06, 6/06
PSA  .07 .05 .06 .09 .08 .132 .145
Casodex added daily 07/06
PSA <0.04
Non Illegitimi Carborundum

chasjac - 12 Jan 2007 20:41 GMT
> Hello, all.
> I'll be heading off to surgery at Columbia Presb, NYC with Dr. Samadi,
> one day soon, and as I prepare, I'm curious what those of you that have
> had RLRP would recommend to me by way of preparation and aftercare.

Joe Price's list is really nice.  I'd just note that the post-op nurses
may give you a 'goodie' bag when you leave the hospital that contains
some things.  Mine from JH had a measuring cup, gauze, packets of
lubricant for the catheter, alcohol wipes, four spare leg bags and one
spare big bag, and four spare StatLock devices to keep the catheter
secured to my leg.  

--charlie
Steve Kramer - 13 Jan 2007 11:38 GMT
> I do have a friend who will help me home after, but I'm planning on
> getting through this on my own, unforseen complications
> notwithstanding, so I want to prepare as much as possible now and lay
> in whatever supplies I'll need.

I had RRP, but from what I have read here and have seen in people who live
around me, you probably will have no problem self-recuperating after an RLRP
so long has you have someone to drive you to and fro.

> Any recommendations on pads, briefs, etc. is most welcome.

If you are in no hurry, Joe Price usually posts just such a list every month
or so.  If you are in a hurry, you can Google his name.  I'm sure it will
pop up 100 times.  It is a tremendous service he provides.

And, if it isn't listed, a Lazy Boy recliner/rocker is on every Prostate
Cancer victim's list.

Signature

PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins
PSA  .1  .1  .1  .27  .37  .75
EBRT 05-07/2002 @ 47
PSA  .34 .22 .15 .21 .32
Lupron 07/03 (1 mo) 8/03 (4 mo), 12/03, 4/04, 09/04, 01/05, 5/05, 10/05,
2/06, 6/06
PSA  .07 .05 .06 .09 .08 .132 .145
Casodex added daily 07/06
PSA <0.04
Non Illegitimi Carborundum

I.P. Freely - 13 Jan 2007 19:29 GMT
>  a Lazy Boy recliner/rocker is on every Prostate
> Cancer victim's list.

How does a guy fresh out of abdominal surgery get into and out of a deep
chair? I avoided mine for a couple of weeks because getting into and out
of it really worked my tender abs.

I.P.
Steve Kramer - 14 Jan 2007 00:09 GMT
>>  a Lazy Boy recliner/rocker is on every Prostate
>> Cancer victim's list.
>
> How does a guy fresh out of abdominal surgery get into and out of a deep
> chair? I avoided mine for a couple of weeks because getting into and out
> of it really worked my tender abs.

I don't know what to tell you, IP.  This fat man with an RRP scar from his
navel to his pubic bone got in and out of the Lazy Boy without a hitch.
Sneezing was really the only problem I had.
Unquestionably Confused - 14 Jan 2007 16:11 GMT
>>  a Lazy Boy recliner/rocker is on every Prostate
>> Cancer victim's list.
>
> How does a guy fresh out of abdominal surgery get into and out of a deep
> chair? I avoided mine for a couple of weeks because getting into and out
> of it really worked my tender abs.

I bought a NEW one before going in for the surgery.  Found one that was
really, really comfortable as in - good enough to live/sleep in for a
week or two - and did just that.

Yeah, it was a pain to get in and out of it but I did it.  It was also a
pain to get up and walking in the hospital four hours after coming out
of the recovery room but I (we all, I presume) did it.  All part of the
healing process which no one ever promised would be discomfort free.

Important thing to remember is that you want to keep your legs elevated
after the surgery to prevent the formation of blood clots.  Sure would
be a downer to go through the RRP to beat the cancer and then win a
"Dirt Nap" with a clot to the lungs, heart or brain. <g>
I.P. Freely - 14 Jan 2007 19:59 GMT
>> How does a guy fresh out of abdominal surgery get into and out of a
>> deep chair? I avoided mine for a couple of weeks because getting into
[quoted text clipped - 3 lines]
> really, really comfortable as in - good enough to live/sleep in for a
> week or two - and did just that.

Me, too, after shoulder reconstruction, but my abs weren't sliced and
diced then.

> Yeah, it was a pain to get in and out of it but I did it.  

But I found getting in and out of bed pretty simple and pain-free after
my dual prostate/colon surgery and it's 9-inch abs incision, with this
technique: I rolled onto my side/stomach (past my side but not quite
flat on my stomach), swung my legs to the floor as my torso rolled onto
my stomach, and simply stood up backwards . . . all pain-free because I
wasn't using my abs at all. But because recliners (we have two different
models) won't let us lie on our sides or stomach and the chair arms
block rolling out to the side, getting in and out of recliners recruits
(uses) our abs.

> It was also a
> pain to get up and walking in the hospital four hours after coming out
> of the recovery room but I (we all, I presume) did it.  

I *wish*!  I finally made 'em get me on my feet on the third day.
Fricking VA!

> All part of the
> healing process which no one ever promised would be discomfort free.

Exactly why I chose the bed over a recliner; it hurt less. YMMV.

I'm just arguing against the success some men have had with recliners;
I'm just telling newbies that there are (at least) two sides to the
recliner issue.

I.P.
Unquestionably Confused - 14 Jan 2007 21:17 GMT
[snip]
>> It was also a pain to get up and walking in the hospital four hours
>> after coming out of the recovery room but I (we all, I presume) did it.  
[quoted text clipped - 10 lines]
> I'm just telling newbies that there are (at least) two sides to the
> recliner issue.

I won't argue that point with you but...  It seems we're arguing apples
and oranges what with you have two major surgeries simultaneously.  That
makes it hard, no matter what you say, to compare your experience to
that of one who "merely" has the RRP.

Too many variables.  My, and many others', surgeon gets the patient up
and moving ASAP.  References to constipation were made, tho' I don't
think by you.  That's another variable.  My surgeon ordered narcotic
pain relief IF I wanted it but offered an alternative which would not
cause constipation like opiates do and strongly suggested I use them.  I
did and had no problem.

Everyone's a bit different but I think based upon personal experience
and talking with others, that a recliner is a viable option for most.
If it hurts too much, don't use it.
callalily - 13 Jan 2007 18:48 GMT
Hi Kenn,

Welcome back to the group.  Give us the details: When is your RP
scheduled for?

I'm sure you'll be fine with your Dr. Samadi.  At least you are in good
hands.

> had RLRP would recommend to me by way of preparation and aftercare.
> Sundries, diet, beverages, tips, etc. that you learned through
> experience. What to eat, and not eat, vitamins, etc. What to bring to
> the hospital, how to deal with the catherter, etc.

Based on my husband's experience be sure to have a variety of laxatives
around.  Constip. can be a problem.  Also, walk, walk,walk as much as
you can because this gets rid of gas bubbles in the stomach.

My husband drank the nutr. supplement, Ensure, which gave him the
requisite vitamin content, and he also liked the taste of it.  (Before
he could eat solid foods).

As far as the longer term, I have been exploring the world of nutr.
supplements myself  in the past few days, and although there is no
absolute scientific proof, I would suggest drinking 8 oz. pomegranate
juice a day plus some pomeg. extract (can buy that in a health food
store).  Also eat as many tomato products as you can (especially
cooked, like sauce, soup, ketchup).  I don't think these supps. will
harm you and they may benefit you.  These comments are based on
something I read the other day by 2 docs affiliated with Columbia.
("Role of Vitamins, Minerals and Supplements in the Prevention and
Management of Prostate Cancer", by Vincent Santillo and Franklin Lowe,
2006.)  The docs review all scientic studies conducted to date and
conclude that if you are basically healthy, you can make do with a good
multivitamin.  But they do present evidence, that while not conclusive,
is suggestive to me and others of the potential of other nutrients.

> I do have a friend who will help me home after, but I'm planning on
> getting through this on my own, unforseen complications
> notwithstanding, so I want to prepare as much as possible now and lay
> in whatever supplies I'll need.

I would recommend you bring a pair of slippers to the hospital.  By
husband had trouble putting on his shoes because it hurt him to bend
over.

Also, if you are intending to go home in a taxi, check with the
hospital to make sure there will be taxis available at that hour.
Honestly, the hardest part of my husband's hospital stay was getting
him home because there were no cabs around.   Cabbies don't want to go
anywhere near the NY Hosp/MSK complex because they will likely get
stuff in traffic there. However, this should probably not be a problem
at C-P, but check it out, anyway.

> Any recommendations on pads, briefs, etc. is most welcome.

Yes, get some boxer briefs.  Try 2-xist brand. My husband uses them,
and the co. gives money to pca research!

> Of course, after this is all over, I'll be more than happy to share my
> experiences and recommendations.
>
> Many thanks,
> Kenn

Good luck and keep us posted.

Leah
chasjac - 13 Jan 2007 20:32 GMT
> Hi Kenn,
> [snip] I would recommend you bring a pair of slippers to the hospital.  By
> husband had trouble putting on his shoes because it hurt him to bend
> over.

I didn't realize this until it was time to leave the hospital!  I took
my shoelaces out as a stopgap, but then decided that my shoes worked
fine as slippers.  I left them out for about three weeks.  

--charlie
Kenn Errey - 13 Jan 2007 21:00 GMT
Thank you, Joe Price, Steve Kramer and Leah for sage advice and
interesting tips. Good to hear from you again, Leah. Sorry I haven't
been participating in the group...work has been extremely busy, but I
think the worst of it is over, and I told them I'll be out for a month!
I'm sure I won't be laid up nearly that long, but after being in this
place for 10 years, the longest I've had off has been 5 consecutive
days. So, I'm going to take my time and make sure I'm as healed as
possible after 4 weeks.
I guess I never realized how big a problem not being able to bend over
with the catheter in will be. I don't have a recliner, and no place to
put one, but I have a couch that I am going to try and modify with some
pillows.
Leah, I'm lucky enough to have a friend who has a car pick me up from
the hospital, so I'll avoid the cab problem this time. Good idea on the
slippers. I've never been admitted to a hospital before, and I'm such a
light sleeper (I have apnea and sleep with a CPAP machine), I'm sure
I'll get no sleep that night, unless they give me something to knock me
out.
Interesting comments on diet, too. How long was your husband off solid
foods for, Leah?
That's good to know about 2Xist, donating to PCA. I've been wearing
them for the past 5 years.
All the best to you all,
Kenn.
I.P. Freely - 13 Jan 2007 22:14 GMT
> I guess I never realized how big a problem not being able to bend over
> with the catheter in will be.

YMMV. I had no problem picking things up off the floor 3-4 days after
surgery, and my surgery was much more extensive than just the RP.

I don't have a recliner, and no place to
> put one, but I have a couch that I am going to try and modify with some
> pillows.

I found upright chairs easier to get into and out of, because they don't
require using our cut-up abs. The LAST thing I wanted to do was sit-ups,
as involved in "un-reclining". At least on a couch, you can lean/roll
over to one side and use your unharmed side and/or back muscles to stand
up.

> I'm such a light sleeper (I have apnea and sleep with a CPAP machine), I'm sure
> I'll get no sleep that night, unless they give me something to knock me out.

Take your CPAP. I also took a fan, as I sleep very poorly at "public
building" temperatures. And ear plugs; wards can be extremely noisy all
night. And _*BEG*_ the nurses to leave you alone and let you sleep; I
had to have my surgeon order the nursing staff to combine their
awakenings (8-10 every night, six in one hour was the last damned straw)
into planned multipurpose incursions. I needed sleep far more than they
needed to *wake me* to ask me if I wanted to wipe off my sweat with a
hot, moist towel in the middle of the night! And the blankety-blank . . .

OK, I.P., deep breath . . . don't get  started on the recovery ward
nightmare . . . let me put it this way: by far the worst part of my
entire cancer experience to date, from "you need a biopsy" to the
realization after two years now that I'll be impotent and wearing pads
for the rest of my life. Thank God the recovery ward lasted only a week
and I manage to forget it until some newby reminds me of it.

I asked for and got Benadryl to help me sleep. Of course, they gave me
so much that it threatened to kill me (no joke. no exaggeration!), so I
had to DEMAND (they actually argued about it) they give me less.

> Interesting comments on diet, too. How long was your husband off solid
> foods for, Leah?

By the time I felt like eating actual food, I was allowed to eat it, and
my PC surgery included removal of half my colon. Don't sweat that.

I.P.
callalily - 14 Jan 2007 19:00 GMT
Dear Kenn,

> Interesting comments on diet, too. How long was your husband off solid
> foods for, Leah?
>> Kenn.

You know, it's a good sign that neither of us can remember.  You know,
I asked my husb. recently whether he had had paid when bending down
after his surgery.  He gave me a blank look and said, "What pain.  I
had no pain".   How soon we forget.

Your doc will give you instructions about what to eat.  JJ doesn't
remember this, but I think bananas got him plugged up a bit, so you
might want to avoid them.  But I must say that we both found the
instant mashed potatoes to be Yummy!  And even a non-gourmet cook like
me can prepare them.

Best of luck,

Leah
I.P. Freely - 14 Jan 2007 22:50 GMT
> Dear Kenn,
>
[quoted text clipped - 12 lines]
> instant mashed potatoes to be Yummy!  And even a non-gourmet cook like
> me can prepare them.

My colon surgeon prescribed a low-residue (i.e., low fiber) diet, which
puzzled me to no end, because a low-fiber diet is best known for one
feature: constipation. To mitigate that risk, they gave me stool
softeners and repeatedly demanded I take a harsh chemical laxative based
on senna (e.g., Per Diem), well known to cause extreme pain in the
presence of ulcers (the only pain I've cried over since I was a kid was
the time I took Per Diem while I had an ulcer 20 years ago; never
again). I finally persuaded them to employ Mother Nature instead of
Monsanto, such as stocking the ward patients' refrigerator with prune
juice (_*DUH!!!*_) and providing some fiber in our diet. Problem solved,
for me, and I didn't even shed a tear.

But since my ticket out of the recovery ward was a bowel movement, next
time I take in a pile of plastic dog doo. It may not fool anyone but it
should make for a good laugh.

I.P. therefore I am
Paul & Lisa - 14 Jan 2007 23:09 GMT
HI Kenny,

The list that Joe gives is wonderful.  My husband had surgery on
November 6, 2006 and this list was a life saver.  If anything on the
list changed his experience for the better for sure it was the
recliner.  We did not own a recliner but went out and bought one the
week  before his surgery.  We went for the big Lazyboy.  I don't know
what we would have done without it.  He slept in the chair the whole
time is cath was in.  It was too difficult for him to get comfortable
any where else.  Paul used a wicker basket with a handle to cart around
this big cath bag.

Lisa

> Hello, all.
> I'll be heading off to surgery at Columbia Presb, NYC with Dr. Samadi,
> one day soon, and as I prepare, I'm curious what those of you that have
> had RLRP would recommend to me by way of preparation and aftercare.
Paul & Lisa - 14 Jan 2007 23:10 GMT
HI Kenny,

The list that Joe gives is wonderful.  My husband had surgery on
November 6, 2006 and this list was a life saver.  If anything on the
list changed his experience for the better for sure it was the
recliner.  We did not own a recliner but went out and bought one the
week  before his surgery.  We went for the big Lazyboy.  I don't know
what we would have done without it.  He slept in the chair the whole
time is cath was in.  It was too difficult for him to get comfortable
any where else.  Paul used a wicker basket with a handle to cart around
this big cath bag.

Lisa

> Hello, all.
> I'll be heading off to surgery at Columbia Presb, NYC with Dr. Samadi,
> one day soon, and as I prepare, I'm curious what those of you that have
> had RLRP would recommend to me by way of preparation and aftercare.
 
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