 |
 | Home | Contact Us | FAQ | Search & Site Map | Link to Us |
 | Sign In | Join | Other 45 Sites in Network |
Medical Forum / Diseases and Disorders / Prostate BPH / April 2007Denver PVP 5/2/06
Finally got it done!! Littleton Hospital, Dr. James Fagelson http://www.uradenver.com/ Schedule was to arrive at 9:00 and Surgery at 10:30. As I was about to leave my house at 8:00 I got a call saying Fagelson was running ahead of schedule and they could take me anytime I got there. The hospital is about 20 miles away so it was still almost 9:00 before I got there. I am not certain just when they did start. Got all plugged in and talked to Fagelson and the Anesthesiologist. As they were wheeling me to surgery the Anesthesiologist walked up along side and connected something to the set of hoses (GOODNIGHT!). I woke up at 11:00. Also received before and after photos. Quite similar to what you might find on the Laserscope site or those in the video on Dr. Sancha's Blog. Smooth pink but obstructed, then charred but open. Am now wearing a catheter until tomorrow morning. I am supposed to removed it myself early tomorrow. No urgency feeling with it. Only a little pinch at times when I move. Sleep should not be a problem. I had Targis TUMT over a year ago. It helped some. Still was getting up every two hours at night. Very little problems during the day. I experienced undesirable side effects. With all medications. Such that I thought getting up every two hours was better than suffering the next day. Am 76 years old and in relatively good health. Decided it was a good time to try PVP. As for the important results I will have to wait until tomorrow to report on that. > Finally got it done!! Littleton Hospital, Dr. James Fagelson > [quoted text clipped - 26 lines] > Am 76 years old and in relatively good health. Decided it was a good > time to try PVP. So we finally know how old you are Rich. You are kind of an old fart aren't you :-) . I am only 58 and feel like I am 108, and am not in good health. Good for you. Look forward to hearing good results from you in the upcoming days :-) ...Pete > As for the important results I will have to wait until tomorrow to > report on that. >> Finally got it done!! Littleton Hospital, Dr. James Fagelson >> [quoted text clipped - 34 lines] >> As for the important results I will have to wait until tomorrow to >> report on that. Pete, age is just a state of mind. Don't give it a second thought. Derek. >>> Finally got it done!! Littleton Hospital, Dr. James Fagelson >>> [quoted text clipped - 37 lines] > Pete, age is just a state of mind. Don't give it a second thought. > Derek. So I have heard Derek. I guess I don't have a good state of mind :-):-) >>>> Finally got it done!! Littleton Hospital, Dr. James Fagelson >>>> [quoted text clipped - 38 lines] > > So I have heard Derek. I guess I don't have a good state of mind :-):-) Still not much to report here. Having had the catheter overnight I was starting this morning with an empty bladder. I am getting more frequent urgency feelings than I expected and a bit of pain and blood. However, the photos showed a lot of blockage had been removed. So still expecting better results. >>>>> Finally got it done!! Littleton Hospital, Dr. James Fagelson >>>>> [quoted text clipped - 46 lines] > However, the photos showed a lot of blockage had been removed. So still > expecting better results. Day 3: A little more update. After catheter removal (my that is a long tube!!!), I was not getting exceptional flow and as the day wore on it got less and less. By midnight I needed to go every hour and only dribbling out an ounce or two at a time. I was quite certain by morning I was going to have to go to get the catheter back in. About 4 a.m. the flow again increase to about what it was before the PVP. Continued that way all day. Just a tiny amount of blood and a little stinging each time I go. Am feeling very good and hard to believe I had what was supposed to be major surgery two days ago. I have to remind myself not to lift too much. Late this afternoon the Hospital recovery room called to see how I was. They said some swelling is expected and that should all go away in the next few days. I just remembered that when the Anesthesiologist (a young lady) came into my room before the operation she made some comment like "And you are the healthy 76 year old", as if she had been told that by someone else. With me flattery will get you everything!! >>>>>> Finally got it done!! Littleton Hospital, Dr. James Fagelson >>>>>> [quoted text clipped - 61 lines] > believe I had what was supposed to be major surgery two days ago. I > have to remind myself not to lift too much. Rich...PVP is *far* from major surgery :-) ...Pete > Late this afternoon the Hospital recovery room called to see how I > was. [quoted text clipped - 5 lines] > are the healthy 76 year old", as if she had been told that by someone > else. With me flattery will get you everything!! >>>>>>> Finally got it done!! Littleton Hospital, Dr. James Fagelson >>>>>>> [quoted text clipped - 60 lines] > > Rich...PVP is *far* from major surgery :-) ...Pete Any time you are "put under" it is major. The hospitals don't differentiate very much about that. Still not much improvement. A tiny amount of blood and still irritation. Rich, If you find the improvement to be very slow do not be too concerned, (unless you want to be, of course!). I had my pvp in April 2005 and had a similar initial experience. The day the catheter was removed was to be the best flow I would see for the next twelve weeks. Later my uro told me that is fairly typical, though I wish he had told me earlier so I could have been more prepared. My flow gradually improved as time went on, peaking at about 12 weeks and remaining stable since then. Urgency was another interesting experience that lasted roughly the same time. In the early days urgency was not to be denied but after a week or so I noticed it would go away in under a minute if I ignored it. This was good to know since it often hit at inopportune times when a bathroom was not available. Hopefully your recovery will be faster! Dave. >Still not much improvement. A tiny amount of blood and still irritation. > Rich, > [quoted text clipped - 14 lines] > Hopefully your recovery will be faster! > Dave. Seems to be a little improvement each day and without a doubt better than it was. We here get the amazing reports like that of forlorn hope. But then must remind myself that my bladder has a lot more years of wear than his. Most likely could never reach the "gusher" state!! Any improvement is good and just thankful that it is not worse!! Again just quite amazed at how good I feel and must remind myself to avoid strenuous tasks. Did you have your flow rate checked ? Derek. > Rich, > [quoted text clipped - 20 lines] > >>Still not much improvement. A tiny amount of blood and still irritation. >>>>>>>> Finally got it done!! Littleton Hospital, Dr. James Fagelson >>>>>>>> [quoted text clipped - 63 lines] > Any time you are "put under" it is major. The hospitals don't > differentiate very much about that. Hi Rich...I wasn't going to respond to that (by sounding argumentative), but I have to respectfully disagree. Being put under has nothing to with major surgery, unless you are trying to say that, because of the slight chance of a reaction to the anesthesia. They give you general anesthesia for EGD's and colonoscopies all the time (and have been for many years). And those two procedures are basically harmless (other than a possible anesthesia reaction that I mentioned - which would be rare at best), and they can certainly not be classified as major surgery, or a major procedure. IMO any surgery that is ambulatory (like a PVP - where you go home right afterward), can not be considered major surgery. Major surgeries include open heart surgery, organ transplants, complex hip replacement, da da da da. I hope you will agree :-):-) . You are one of my favorite people in the group, and I wish you the very best and hope you recover soon, and will keep tuned to your progress. I worry about Buford - I recently pinged him to see how he was doing, and he did not respond, if you recall. I hope he is all right. Perhaps he has just left the ng. Take care...Pete > Still not much improvement. A tiny amount of blood and still > irritation. >>>>>>>>> Finally got it done!! Littleton Hospital, Dr. James Fagelson >>>>>>>>> [quoted text clipped - 68 lines] > a reaction to the anesthesia. They give you general anesthesia for EGD's > and colonoscopies all the time (and have been for many years). Maybe someone can comment on this but I don't think the anesthesia used for them are comparable to those used for other surgery. I was almost awake for both endoscopy and coloscopies. I remember being half awake during the procedures. I don't think they even use an MD that is an Anesthesiologist. I don't remember them even having me sign a release for that purpose. About a month ago A friend of mine almost died about from the anesthesia used for a knee operation. I am quite certain that Derek will back me up on this statement. Don't be as concerned about the doctor doing the operation. It is more important to talk to the Anesthesiologist. >>>>>>>>>> Finally got it done!! Littleton Hospital, Dr. James Fagelson >>>>>>>>>> [quoted text clipped - 82 lines] > as concerned about the doctor doing the operation. It is more important > to talk to the Anesthesiologist. I had great concerns about the anaesthetic before my PVP because of family experiences. I did not tell Dick this prior to his procedure !! My uncle had a heart attack and died while undergoing a simple procedure. My mother an very fit and with it 80 year old had to have surgery to have a cancerous kidney removed. She had postponed the operation for a couple of months as she was going to travel round Canada (from Scotland) on her own visiting relatives. When I phoned her on her return she said that she had had a great time and would tell me all about it when I saw her after her operation. I never did hear about the holiday as after the operation her short term memory had gone. We never did find a reason for it or prove any negligence. She was simply diagnosed as having dementia. She got progressively worse and was unable to look after herself and I had to put her into a retirement where she was very well looked after at great expense for the next 13 years. Derek. >>>>>>>>>>> Finally got it done!! Littleton Hospital, Dr. James Fagelson >>>>>>>>>>> [quoted text clipped - 95 lines] > where she was very well looked after at great expense for the next 13 years. > Derek. Thanks, And just by coincidence I just got an email from the fellow in London and he said: <quote> I know a family of doctors. When one needed an operation they insisted on interviewing the anaesthetist, but not the surgeon, saying that the anaesthetist was the critical one. <quote> And a few months ago someone here died when the Anaesthetist apparently fell asleep during the operation. As I remember he had previous complaints. I am just realizing that we should be asking and keeping record of which anesthesias we have been given. We are always asked if we have ever had a problem. But I have no idea of which ones I have had without problems. >>>>>>>>>>>> Finally got it done!! Littleton Hospital, Dr. James Fagelson >>>>>>>>>>>> [quoted text clipped - 112 lines] > fell asleep during the operation. As I remember he had previous > complaints. One in the UK fell asleep several times as he was addicted the anaesthetic and kept sniffing it during operations. > I am just realizing that we should be asking and keeping record of which > anesthesias we have been given. We are always asked if we have ever had a > problem. But I have no idea of which ones I have had without problems. I am still puzzled as to the type of anaesthetic I had. He said that he was going to put the mask over my face and to breath deeply as it was only oxygen at that point. He then said that he was adding the anaesthetic and that is all I remember. I later mentioned to the urologist that I had a very nasty chemical taste in my throat. He said that was caused by the anaesthetic and that they did not administer is as a gas but put an anaesthetic pad on the back of my throat. I did a search but did not find a method like that. Prior to the procedure I had told the anaesthetist of my fears and the family problems. After I had the EKG he was concerned about something and arranged for an Echocardiogram to be done. I don't want you dieing on me during an elective surgery he commented. I always seem to show a problem on EKG's. One hospital insisted that I have an angiogram after having one. The result was clear arteries and the comment on the EKG "False positive" My pulse is normally quite slow due to taking Verapamil for my BP. The anaesthetist said that the only problem during the PVP was that my heart beat had gone to low and that he had to speed it up. This is a general UK write up on anaesthetics. http://www.nhs24.com/html/content/g_ency_info.asp?page=s2_11&articleID=20 Derek. >>>>>>>>>>>> Finally got it done!! Littleton Hospital, Dr. James Fagelson >>>>>>>>>>>> [quoted text clipped - 118 lines] > had a problem. But I have no idea of which ones I have had without > problems. Over a week and still not a lot to report. I really think flow is a quite a bit better. Still getting up at night but maybe not quite as often. Noted a little blood today so still perhaps a little swollen. Overall very pleased with the procedure. Am still quite amazed at the recovery time. The photos show that a lot of tissue was removed - as someone said before, that was one hell of a sunburn in there. I had endoscopic sinus surgery just a few years ago. That too was just an outpatient procedure (minor surgery?). I was miserable for weeks, spitting up golf ball size blood clots. To Rich256: It appears I may need the procedure you had. I reside in the Denver area and am looking for a PVP qualified URO. If you get this could you please give me a call at 303 697 1689; would like to hear about your experience and impressions of Dr F. Thanks Charles >>>>>>>>>>>>> Finally got it done!! Littleton Hospital, Dr. James Fagelson >>>>>>>>>>>>> [quoted text clipped - 138 lines] > outpatient procedure (minor surgery?). I was miserable for weeks, > spitting up golf ball size blood clots. If it helps, a Dr Casey of Denver Urology used to post to this group at one time. Derek. > To Rich256: > [quoted text clipped - 161 lines] >> an outpatient procedure (minor surgery?). I was miserable for weeks, >> spitting up golf ball size blood clots. >>>>>>>>>> Finally got it done!! Littleton Hospital, Dr. James Fagelson >>>>>>>>>> [quoted text clipped - 78 lines] > that is an Anesthesiologist. I don't remember them even having me > sign a release for that purpose. Rich...I have had many EGD's and colonoscopies, and many surgeries. I explained in here a long time ago about conscious sedation (where you may remain partially awake), versus being put to sleep, and the differences between "versed" (for conscious - but it will knock you out worse than propofol if enough is given, as in the case of my current gastro who does my EGD's), and "propofol" (which is an indictable general anesthesia which is very popular in the U.S. for EGD's and colonoscopies). I believe most EGD's and colonoscopies are done these days with the patient asleep using propofol (at least in the state of Maryland). Naturally, when you have more serious surgery where there is cutting involved you get different kinds of anesthesia (which may include a combination of IV indictable propofol, as well as the gas that they pump directly right into your lungs via a tube (intubation), or a mask. This is basically so you don't wake up and scream while they are cutting you all up and reconnecting everything. And you (and Derek) are absolutely right about the importance of the anesthesiologist (no argument there). I was merely trying to say PVP's are certainly not classified as major surgeries, as far as the surgical risks and complications from the surgery. I already acknowledged the rare possibility of a reaction (or even death) from anesthesia. That's why they make you sign the form that they are not accountable if something happens (to cover their a.s). I just ran out of steam. Take care and keep us informed on your recovery :-) ...Pete > About a month ago A friend of mine almost died about from the > anesthesia used for a knee operation. > > I am quite certain that Derek will back me up on this statement. Don't be > as concerned about the doctor doing the operation. It is > more important to talk to the Anesthesiologist. > Rich...I have had many EGD's and colonoscopies, and many surgeries. I > explained in here a long time ago about conscious sedation (where you [quoted text clipped - 3 lines] > current gastro who does my EGD's), and "propofol" (which is an > indictable Damn it...that was supposed to be "injectible" (damn spell check- injectible is a new word I came up with - lol), and I'll be damned if I didn't repeat it down below. I hate it when that happens :-):-) . Sorry...Pete. general anesthesia which is very popular in the U.S. for > EGD's and colonoscopies). I believe most EGD's and colonoscopies are > done these days with the patient asleep using propofol (at least in [quoted text clipped - 23 lines] >> Don't be as concerned about the doctor doing the operation. It is >> more important to talk to the Anesthesiologist. |
Reply to this Message |
 Sign In
 Join
 My Latest Posts My Monitored Threads My Blog My Photo Gallery My Profile My Homepage Start New Thread Enable EMail Alerts Rate this Thread
|
©2009 Advenet LLC Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.