Questions about surgery

[Guest guest]

Kim, CONGRATULATIONS on s swallow... this sounds wonderful!!!!!!!!!! Keep

me posted how well the weaning from tube goes. I am curious for the future. As

you know we go back for a swallow for Dayton when he is 26 months....mabey I

need to wait till he is 28 months....well will see in time.

As for T & A... you know Dayton is having T & A out due to the swallow and breathing

and throat infections.He also has chronic runny nose. Thick and yellowish,

green. The called me and told me that he had to have a hearing test prior

surgery and then one after surgery if the do tubes. He will be through with the

antibodies today. I am sure by Tuseday we most likely want have a infections and

be all pretty. I know with heart conditions they need to be pre medicated not

sure about previous heart conditions.

Well hope to talk with you all soon.

mom to 6 1/2 yr(DS) and Dayton 20months(DS)

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Questions about surgery

From: kmhum <kmhum@...>

Hi All,

is suppose to have surgery on March 10th for tubes in his ears, his

adenoid plate removed and have his tears ducts probed. I'm not sure what kind of

questions I should ask or what I should be aware of or know about. I remember

reading somewhere that they should have their tonsils out also at the same

time.? has also had a complete av canal which was repaired when he was

ten wks old and someone told me that he should be kept in the hospital overnight

for observation because of it. He was released from cardiology when he was six

mths old and hasn't been seen since, so I don't know if this is a issue that I

should be concerned about or not. Does anyone have any input, I really

appreciate it. Thanks a bunch!

Kim mom to Abigail and ds - 28 mths and Mikayla - 4yrs

PS: had his swallow study done today and he passed everything with

flying colors!! No more aspiration!!!!! YEAH!! Now we have to wean him off of

the tube.

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http://DSyndrome.com/Multiples

[Guest guest]

Hurray !! and Good news for you too, Kim!! I

know you will be so glad to get rid of that feeding

tube! I wish you a speedy weaning off period! Great

news about the walking too. mom to Landon(Ds)

and Ashton 20 months

-- kmhum <kmhum@...> wrote:

> Hi All,

>

> is suppose to have surgery on March 10th for

> tubes in his ears, his adenoid plate removed and

> have his tears ducts probed. I'm not sure what kind

> of questions I should ask or what I should be aware

> of or know about. I remember reading somewhere that

> they should have their tonsils out also at the same

> time.? has also had a complete av canal which

> was repaired when he was ten wks old and someone

> told me that he should be kept in the hospital

> overnight for observation because of it. He was

> released from cardiology when he was six mths old

> and hasn't been seen since, so I don't know if this

> is a issue that I should be concerned about or not.

> Does anyone have any input, I really appreciate it.

> Thanks a bunch!

>

> Kim mom to Abigail and ds - 28 mths and

> Mikayla - 4yrs

>

> PS: had his swallow study done today and he

> passed everything with flying colors!! No more

> aspiration!!!!! YEAH!! Now we have to wean him off

> of the tube.

>

__________________________________________________

[Guest guest]

kim...my son Denton is getting T & A removed that same

day! I will keep in my thoughts and prayers

that day! As for the heart ask if he needs premed

prior to invasive surgery. My DD had av canal and at

age 11 sees the cardiologist every 3 yrs for check

ups.

--- kmhum <kmhum@...> wrote:

> Hi All,

>

> is suppose to have surgery on March 10th for

> tubes in his ears, his adenoid plate removed and

> have his tears ducts probed. I'm not sure what kind

> of questions I should ask or what I should be aware

> of or know about. I remember reading somewhere that

> they should have their tonsils out also at the same

> time.? has also had a complete av canal which

> was repaired when he was ten wks old and someone

> told me that he should be kept in the hospital

> overnight for observation because of it. He was

> released from cardiology when he was six mths old

> and hasn't been seen since, so I don't know if this

> is a issue that I should be concerned about or not.

> Does anyone have any input, I really appreciate it.

> Thanks a bunch!

>

> Kim mom to Abigail and ds - 28 mths and

> Mikayla - 4yrs

>

> PS: had his swallow study done today and he

> passed everything with flying colors!! No more

> aspiration!!!!! YEAH!! Now we have to wean him off

> of the tube.

>

__________________________________________________

[Guest guest]

Hi Darlene<br><br>I'd think twice about any surgery especially a lateral release

if

all you have is a dull ache. Lateral release has a very long recovery period (6

months to

1 year I think). You might well be able to correct your problems by simply

strengthening

the correct muscles. I have a friend who did exactly this.<br><br>If your physio

therapy

isn't working maybe you should see a different PT - a new PT might suggest

completely

different excercises which would work. As I say, it worked well for a friend of

mine.<br><br>Re

Vioxx and Celebrex, I asked my GP on friday for some and she told me off -here

in the UK

they are only prescribed if you already have stomach problems. She thought they

were

totally inapropriate! and asked me not to go round suggesting inappropriate

treatments to her

(she was actually a very nice doctor and put it more pleasantly than that). She

did

prescribe the following though:<br><br>amitriptylene 25mg<br>co-dydramol

500mg<br><br>Amitriptylene is actually an anti-depressant in high doses but at

25mg is meant to give you a good

night's sleep and has some sort of painkiller effect too, but takes 3 weeks to

build

up.<br><br>Co-dydramol is a pain killer containing dihydrocodeine tartrate and

paracetamol. A stronger

version is called co-codemol, which contains codeine phosphate<br><br>I don't

know how

effective these pain-killers are because I haven't tried them yet!! But they

aren't NSAIDS (like

vioxx and celebrex) and therefore are probably not so bad for you. NSAIDS are

bad news in my

book.<br><br>Here are some links for these

drugs:<br><br><a

href=http://www.netdoctor.co.uk/medicines/showpreparation.asp?id=3249

target=new>http://www.netdoctor.co.uk/medicines/showpreparation.asp?id=3249</a><\

br><br><a href=http://www.netdoctor.co.uk/medicines/showpreparation.asp?id=567

target=new>http://www.netdoctor.co.uk/medicines/showpreparation.asp?id=567</a><b\

r><br><a href=http://www.netdoctor.co.uk/medicines/showpreparation.asp?id=3573

target=new>http://www.netdoctor.co.uk/medicines/showpreparation.asp?id=3573</a><\

br><br>But I would avoid surgery esp lateral release unless it's really

warranted. I would have

ZERO confidence in your OS if he has suggested that you need lateral release.

Get further

opinions if you can!!<br><br>I have seen 3 OS's (I had to pay privately for two

of them). None

of them was particularly rude, although none of them has diagnosed me yet

either!<br><br>Good luck<br>Joe

[Guest guest]

Hey Darlene,<br> I would definately seek a second

opinion before having a Lateral Release. I had one 6

months ago, and am no where near 'normal', but I was

imobile with pain before the surgery. Its a good suregery

if you require it, and yes the recovery is long and

harder than I thought it would be. Good Luck, and Take

care.<br> Jen

[Guest guest]

Hi Darlene.<br><br>Hope your appt went well. I

have CP and it's a dull ache type situation. And not

all the time anymore. Some days I only have pain once

or twice, like when I've been sitting a long time,

or standing a long time, etc. My doctors never even

suggested surgery because I still have cartiledge left.

Have you had MRI tests done? <br><br>I think it is

possible to recover, at least to some extent, without

surgery, especially if you only have pain some of the time

and it is bearable. A lot of people on this site have

had surgery, but I think most of them were in pretty

bad pain first, and had little or no cartiledge left,

making the grinding and pain unbearable.<br><br>I can

now get on and off the bus without having to

concentrate so hard about exactly how to step down. I can

walk up stairs without pain or grinding, and that's

thanks to physical therapy, which I did for about four

weeks, three times a week. Then I continued the

exercises at home. I'd say go to PT if it is approved. The

money you spend on it is going to be well worth it.

<br><br>Just make sure your physical therapist is helping, and

not hurting, you. You should feel better after the

visit, not in more pain! Sometimes the exercises are

uncomfortable, because you may be working on range of motion, or

using muscles in a way that you are not used to. But it

does take about four weeks for it to really

work.<br><br>As for the Vioxx, I took it for swelling. I had

tried other anti-inflams but got violently ill on them.

This was the only one my stomach could tolerate. That

and Celebrex, which my ins. didn't cover. Vioxx is to

reduce swelling, which will help alleviate pain. Do you

have swelling? I always say I'd rather not take meds

unless ablolutely necessary. In my case I had horrible

swelling so I needed that and to use ice packs.

<br><br>Let me know how it's going and if there is anything I

can do! It sounds as if you and I might have similar

situations. We could really help each other!!<br><br>Take

care, <br>Jeannine.

[Guest guest]

Ok, here's a bar bet I win every time...who's got the longest incision (for those still considering surgery remember mine was 25+ yrs ago, they don't do it this way any more)

Mine goes from my sternum, around the left side of my chest and curls around under my shoulder blade to my spine...I don't know what I was thinking, but I kind of thought it would be 4 or 5 inches. I remember nearly passing out the first time I saw it in the hospital. Then I made a great decision, I decided to lie to myself. I decided the scar was "rugged" and "sexy" (Ok, I was 19 yrs old). Ya know it basically worked, cause I've never been self conscious about it and what's really weird is no one has ever asked me about it (other than MD's).

I don't know if I got a wrap or not, but I feel pretty good and never have reflux.

Warm aloha,

questions about surgery

Hi Everyone!I am curious if there is anyone out there that did NOT get a wrap when they had surgery? How do you feel now? Who had a large (4-6 inches)incision from their surgery? (is this only with an open procedure?)I believe that is what my surgeon is planning to do. I am suppose to talk to him this week. I want a lap done,not an open procedure.I have looked things up on the internet but I am still a little confused.Thanks everyone,Genia

[Guest guest]

hi gina,

this is karen and i just wanted to say my first surgery that i had done was not a wrap....it was to cut the doorway out that lied before the stomach....my surgeon did 6 small incisions in and around my abs......but the good results only lasted about a year for me.......then in sept....i had open surgery..the incision was about 5 inches long and that was done with a wrap......that surgery never took at all....now i have to get my esophagus removed in march.....

to be honest with you.....no proceedure is guarenteed for anyone....there is nothing to cure this....we all hope as well as the dr.s that any proceedure will last on a patient for a period of time....but each patient is different...and why some A patient get better results than others is a question that i would love an answer too...........good luck with your decision...as well as your surgery.....keep us posted ....

karen

[Guest guest]

You had your surgery 25 years ago!

Do you still experience difficulty?

Have you had any following up procedures done since then?

-----Original Message-----From: Dr. L. [mailto:@...]Sent: Monday, February 09, 2004 11:48 PMachalasia Subject: Re: questions about surgery

Ok, here's a bar bet I win every time...who's got the longest incision (for those still considering surgery remember mine was 25+ yrs ago, they don't do it this way any more)

Mine goes from my sternum, around the left side of my chest and curls around under my shoulder blade to my spine...I don't know what I was thinking, but I kind of thought it would be 4 or 5 inches. I remember nearly passing out the first time I saw it in the hospital. Then I made a great decision, I decided to lie to myself. I decided the scar was "rugged" and "sexy" (Ok, I was 19 yrs old). Ya know it basically worked, cause I've never been self conscious about it and what's really weird is no one has ever asked me about it (other than MD's).

I don't know if I got a wrap or not, but I feel pretty good and never have reflux.

Warm aloha,

questions about surgery

Hi Everyone!I am curious if there is anyone out there that did NOT get a wrap when they had surgery? How do you feel now? Who had a large (4-6 inches)incision from their surgery? (is this only with an open procedure?)I believe that is what my surgeon is planning to do. I am suppose to talk to him this week. I want a lap done,not an open procedure.I have looked things up on the internet but I am still a little confused.Thanks everyone,Genia

[Guest guest]

hi

i had my surgery in november i have a 6 inch scar which is fading

already and i didnt have a wrap i got heartburn and stuff but its

easily controlled with tablets and medicine. mt eating isnt perfect

but its like a million times better than it was. plus i havent had

any spasms or anything for a long time

i'm 18 people generally seem to love the scar esp men lol its a good

conversation starter if nothing else

[Guest guest]

Hi Genia,

I had lap surgery Sept. 2003 and there is no incision with Lap, just

5 little 'holes' on your stomach area. They have now almost

completely healed. If I was a little less conservative, I could wear

a bikini because there is almost no scarring.

I did have a partial wrap and I have had heart burn since the

surgery, just mild though and Gaviscon works fine. I think it's heart

burn anyhow.

After the surgery I was on a liquid diet (clear soup and Boost) for 2

weeks and then soft food (mashed potatoes, smoothies, yogurt) for

another two weeks and finally solid food one month after the surgery.

I have almost 'normal' swallowing capability now, I just need a

little water with certain foods - the infamous bread, pasta and

rice. I eat most of my meals without any water at all. I have noticed

lately that my need for water is increasing, I'm not sure if it's due

to me being less picky with my foods, eating too quickly or maybe

scar tissue is forming. I am paying more attention to it now.

Hope this helps amd good luck with your surgery.You'll be happy with

your decision to go ahead with the surgery.

Kathy in Ottawa

[Guest guest]

Hi ,

I'm betting I would win! I had the same open surgery as you did but it didn't work. The following year they re-opened the incision, removed a rib, and attempted to repeat the surgery. This was 12 years ago, and I still have a difficult time eating! I never healed properly either. My incision is "sexy" too except it's all crooked because I was too self conscious and insisted on wearing a bra while I was healing.

Men are so lucky

I'm glad you're managing fine and have no reflux. I've had no reflux since I started faithfully taking my Nexium.

Take Care,

.

questions about surgery

Hi Everyone!I am curious if there is anyone out there that did NOT get a wrap when they had surgery? How do you feel now? Who had a large (4-6 inches)incision from their surgery? (is this only with an open procedure?)I believe that is what my surgeon is planning to do. I am suppose to talk to him this week. I want a lap done,not an open procedure.I have looked things up on the internet but I am still a little confused.Thanks everyone,Genia

[Guest guest]

Hi , Good to hear from you. Funny, I was thinking about you

yesterday wondering how you're doing and dealing with the

anticipation of your upcoming surgery. Hope you're doing okay.

Thinking about you,

in NYC

> hi gina,

> this is karen and i just wanted to say my first surgery that i had

done was

> not a wrap....it was to cut the doorway out that lied before the

stomach....my

> surgeon did 6 small incisions in and around my abs......but the

good results

> only lasted about a year for me.......then in sept....i had open

surgery..the

> incision was about 5 inches long and that was done with a

wrap......that

> surgery never took at all....now i have to get my esophagus

removed in march.....

> to be honest with you.....no proceedure is guarenteed for

anyone....there is

> nothing to cure this....we all hope as well as the dr.s that any

proceedure

> will last on a patient for a period of time....but each patient is

> different...and why some A patient get better results than others

is a question that i

> would love an answer too...........good luck with your

decision...as well as your

> surgery.....keep us posted ....

> karen

[Guest guest]

see below

Carmen Urrunaga, MS, RD, LD/N Clinical Nutrition Manager Kendall Regional Medical Center 11750 Bird Road Miami, FL 33175 305 223-3000 x2273 carmen.urrunaga@... visit us at: http:\\www.kendallmed.com This email and any files transmitted with it may contain PRIVILEGED or CONFIDENTIAL information and may be read or used only by the intended recipient. If you are not the intended recipient of the email or any of its attachments, please be advised that you have recieved this email in error and that any use, dissemination, distribution, forwarding, printing, or copying of this email or any attached files is strictly prohibited. If you have received this email in error, please immediatly purge it and all attachments and notify the sender by reply email or contact the sender at the number listed.

questions about surgery1. How long are people intubated after surgery? Or are they extubatedright after surgery?Unless there is a complication, they are extubated in PACU2. Are patients usually sent to the ICU or straight to the floor aftersurgeryUnless there is a complication, they are sent to the floor. If the sx was open, then ICU3. Has anyone experienced any difficulty w/convincing theanesthesiologists to do this surgery? Or problems w/having them want to keepthe patients intubated too long?Yes, anesthesia has some issues; no problems regarding extubation. 4. Does anyone use outpatient Physical Therapy services s/p surgery?No , only pre-op education.5. What is the Respiratory Therapist involvement w/a surgical patient?pre-op education only, unless the pt ends up on a vent and/or in the ICU .6. Are support groups usually run the a Psychologist? How is thebehavior health piece handled?They are run either by the RD or surgeon. Thanks... Seeman, RDSierra Nevada Memorial Hospital

[Guest guest]

thanks!

questions about surgery1. How long are people intubated after surgery? Or are they extubatedright after surgery?Unless there is a complication, they are extubated in PACU2. Are patients usually sent to the ICU or straight to the floor aftersurgeryUnless there is a complication, they are sent to the floor. If the sx was open, then ICU3. Has anyone experienced any difficulty w/convincing theanesthesiologists to do this surgery? Or problems w/having them want to keepthe patients intubated too long?Yes, anesthesia has some issues; no problems regarding extubation. 4. Does anyone use outpatient Physical Therapy services s/p surgery?No , only pre-op education.5. What is the Respiratory Therapist involvement w/a surgical patient?pre-op education only, unless the pt ends up on a vent and/or in the ICU .6. Are support groups usually run the a Psychologist? How is thebehavior health piece handled?They are run either by the RD or surgeon. Thanks... Seeman, RDSierra Nevada Memorial Hospital

[Guest guest]

>

>1. How long are people intubated after surgery? Or are they extubated

>right after surgery? They are extubated right after surgery.

>2. Are patients usually sent to the ICU or straight to the floor after

>surgery All of our patients stay in the ICU for no other reason than the

>surgeon wants more individualized attention.

>3. Has anyone experienced any difficulty w/convincing the

>anesthesiologists to do this surgery? Or problems w/having them want to

>keep

>the patients intubated too long? Not to my knowledge

>4. Does anyone use outpatient Physical Therapy services s/p surgery?

Our physical therapists see them in the hospital and sets them up on home

excericse programs.

Also, OT see them and makes sure they can do their ADL's and gets them

adaptive equipment if needed.

>5. What is the Respiratory Therapist involvement w/a surgical patient?

They see them several times a day to do therapy.

>6. Are support groups usually run the a Psychologist? How is the

>behavior health piece handled? We do not have a psychologist on the team.

>We have in the past had guest speakers from the psych community (a clinical

>social worker) the result was disaterous. We are currently handling this

>ourselves until we find someone qualified.

>Thanks...

> Seeman, RD

>Sierra Nevada Memorial Hospital

>

_________________________________________________________________

Express yourself instantly with MSN Messenger! Download today - it's FREE!

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[Guest guest]

I am a dietitian who is no longer involved in Bariatric Surgery; however, I do still read the discussions to continue to learn. I am writing in response to whether a psychologist is a part of the team. I noted someone wrote in that they had a clinical social worker from the community and it was "disastrous". In suppport of the clinical social workers, most of the clinical social workers whom I have had experience in working with are very qualified.

Kyla Loveday-Bacon RD/LD Sams <jenniferjsams@...> wrote:

>>1. How long are people intubated after surgery? Or are they extubated>right after surgery? They are extubated right after surgery.>2. Are patients usually sent to the ICU or straight to the floor after>surgery All of our patients stay in the ICU for no other reason than the >surgeon wants more individualized attention.>3. Has anyone experienced any difficulty w/convincing the>anesthesiologists to do this surgery? Or problems w/having them want to >keep>the patients intubated too long? Not to my knowledge>4. Does anyone use outpatient Physical Therapy services s/p surgery?Our physical therapists see them in the hospital and sets them up on home

excericse programs.Also, OT see them and makes sure they can do their ADL's and gets them adaptive equipment if needed.>5. What is the Respiratory Therapist involvement w/a surgical patient?They see them several times a day to do therapy.>6. Are support groups usually run the a Psychologist? How is the>behavior health piece handled? We do not have a psychologist on the team. >We have in the past had guest speakers from the psych community (a clinical >social worker) the result was disaterous. We are currently handling this >ourselves until we find someone qualified.>Thanks...> Seeman, RD>Sierra Nevada Memorial Hospital>_________________________________________________________________Express yourself instantly with MSN Messenger! Download today - it's FREE! http://messenger.msn.click-url.com/go/onm00200471ave/direct/01/__________________________________________________

[Guest guest]

I second that....

RE: questions about surgery

I am a dietitian who is no longer involved in Bariatric Surgery; however, I do still read the discussions to continue to learn. I am writing in response to whether a psychologist is a part of the team. I noted someone wrote in that they had a clinical social worker from the community and it was "disastrous". In suppport of the clinical social workers, most of the clinical social workers whom I have had experience in working with are very qualified.

Kyla Loveday-Bacon RD/LD Sams <jenniferjsams@...> wrote:

>>1. How long are people intubated after surgery? Or are they extubated>right after surgery? They are extubated right after surgery.>2. Are patients usually sent to the ICU or straight to the floor after>surgery All of our patients stay in the ICU for no other reason than the >surgeon wants more individualized attention.>3. Has anyone experienced any difficulty w/convincing the>anesthesiologists to do this surgery? Or problems w/having them want to >keep>the patients intubated too long? Not to my knowledge>4. Does anyone use outpatient Physical Therapy services s/p surgery?Our physical therapists see them in the hospital and sets them up on home excericse programs.Also, OT see them and makes sure they can do their ADL's and gets them adaptive equipment if needed.>5. What is the Respiratory Therapist involvement w/a surgical patient?They see them several times a day to do therapy.>6. Are support groups usually run the a Psychologist? How is the>behavior health piece handled? We do not have a psychologist on the team. >We have in the past had guest speakers from the psych community (a clinical >social worker) the result was disaterous. We are currently handling this >ourselves until we find someone qualified.>Thanks...> Seeman, RD>Sierra Nevada Memorial Hospital>_________________________________________________________________Express yourself instantly with MSN Messenger! Download today - it's FREE! http://messenger.msn.click-url.com/go/onm00200471ave/direct/01/

__________________________________________________

[Guest guest]

People at ASBS were complaining they were not able to find a qualified

dietitian. (The chair of ASBS does not even have a RD on staff or on

consult!) They were only finding dietitians who were " too picky/compulsive,

too 'by the book' and who over-emphasized the Food Guide Pyramid. " This

could be true, most RD's I know are fairly compulsive, it is just part of

our personality. The comment does speak to our need to try to be flexible

and work with each patient as an individual.

From what I can tell so far, each team needs the full complement of allied

staff, PLUS each team member must be interested in and willing to work

with/advocate for this special patient population. Your heart has to be in

it.

> Are support groups usually run the a Psychologist? How is the

>behavior health piece handled? We do not have a psychologist on the team.

>

>We have in the past had guest speakers from the psych community (a clinical

>social worker) the result was disaterous. We are currently handling this

>ourselves until we find someone qualified.

Hilleary, MPH, RD

San Diego VA Healthcare System

[Guest guest]

WOW, those docs never met me! Isn't it funny how people get that idea about RDs? I had a long debate a couple of years ago with Josh Mankoweitz of Dateline NBC about that very thing. He had said some very negative things on the air and I wrote him. I asked him if he had had a bad experience with a dietitian in his childhood or what. After we had talked on line and on the phone a few times, he finally said that I had convinced him that maybe not all dietitians were the spawn of Satan!

I think a lot of the docs are too inflexible....

RE: questions about surgery

People at ASBS were complaining they were not able to find a qualifieddietitian. (The chair of ASBS does not even have a RD on staff or onconsult!) They were only finding dietitians who were "too picky/compulsive,too 'by the book' and who over-emphasized the Food Guide Pyramid." Thiscould be true, most RD's I know are fairly compulsive, it is just part ofour personality. The comment does speak to our need to try to be flexibleand work with each patient as an individual.From what I can tell so far, each team needs the full complement of alliedstaff, PLUS each team member must be interested in and willing to workwith/advocate for this special patient population. Your heart has to be init.> Are support groups usually run the a Psychologist? How is the>behavior health piece handled? We do not have a psychologist on the team.> >We have in the past had guest speakers from the psych community (a clinical>social worker) the result was disaterous. We are currently handling this >ourselves until we find someone qualified. Hilleary, MPH, RDSan Diego VA Healthcare System

[Guest guest]

I was stating that this particular clincial social worker did a terrible

job, because she did not research the popultaion that she was speaking to

made very inappropriate comments and gave innapropriate advice. I didn't

insult you personally There was no need to defend clincial social workers.

I was just clarifying that she wasn't a psychologist.

J. Sams MS RD/LD

>From: KB <kbple@...>

>Reply-

>

>Subject: RE: questions about surgery

>Date: Fri, 6 Aug 2004 18:30:38 -0700 (PDT)

>

>I am a dietitian who is no longer involved in Bariatric Surgery; however, I

>do still read the discussions to continue to learn. I am writing in

>response to whether a psychologist is a part of the team. I noted someone

>wrote in that they had a clinical social worker from the community and it

>was " disastrous " . In suppport of the clinical social workers, most of the

>clinical social workers whom I have had experience in working with are very

>qualified.

>

>Kyla Loveday-Bacon RD/LD

>

> Sams <jenniferjsams@...> wrote:

>

> >

> >1. How long are people intubated after surgery? Or are they

>extubated

> >right after surgery? They are extubated right after surgery.

>

> >2. Are patients usually sent to the ICU or straight to the floor

>after

> >surgery All of our patients stay in the ICU for no other reason than the

> >surgeon wants more individualized attention.

>

> >3. Has anyone experienced any difficulty w/convincing the

> >anesthesiologists to do this surgery? Or problems w/having them want to

> >keep

> >the patients intubated too long? Not to my knowledge

>

> >4. Does anyone use outpatient Physical Therapy services s/p surgery?

>Our physical therapists see them in the hospital and sets them up on home

>excericse programs.

>Also, OT see them and makes sure they can do their ADL's and gets them

>adaptive equipment if needed.

>

> >5. What is the Respiratory Therapist involvement w/a surgical

>patient?

>They see them several times a day to do therapy.

>

> >6. Are support groups usually run the a Psychologist? How is the

> >behavior health piece handled? We do not have a psychologist on the

>team.

> >We have in the past had guest speakers from the psych community (a

>clinical

> >social worker) the result was disaterous. We are currently handling

>this

> >ourselves until we find someone qualified.

>

> >Thanks...

> > Seeman, RD

> >Sierra Nevada Memorial Hospital

> >

>

>_________________________________________________________________

>Express yourself instantly with MSN Messenger! Download today - it's FREE!

>http://messenger.msn.click-url.com/go/onm00200471ave/direct/01/

>

>

>

[Guest guest]

In a message dated 11/15/2005 12:18:08 PM Eastern Standard Time,

nekrosys@... writes:

Dr. Bach said I could have the surg. at his hosp. (I live in MA)

-

We live in Mass too. Which Hospital is Dr. Bach located?

THANKS!

~N.

[Guest guest]

When I had my second daughter via C-section this is how they did it:

(excerpt from my webpage)

My experience with my second daughter was completely different. I worked

with my anesthesiologist, Dr. Hadaway, throughout my pregnancy. He

used the topical anesthetic Dyclonine 1 % (Dyclone), manufactured by

Astra USA, instead of the Xylocaine, Lidocaine, Novocaine family because

a possible allergy, which resulted in the anaphylactic reaction in the

past. He also nasally intubated me because my jaw contractures. He used

an unique procedure to intubate me for surgery. First, he used a spray

in my nose to dry up secretions, and turned my head to look towards the

extreme right, as I have a better airway in this position. Then he

applied Dyclonine to my nostril to numb it. After lubricating the nasal

trumpets he used, with Dyclonine and a lubricating mixture, he inserted

progressively larger trumpets to stretch out my nostril. He left the

largest trumpet in place and took me to surgery. They put me to sleep

with mild general anesthetic and intubated me through the trumpet, using

a fiberscope to locate my vocal cords. Then they administered more

general anesthetic. I believe they used less muscle relaxants than

usual, so my breathing would not be as affected when I woke up. After

surgery, they extubated me while I was still groggy, and administered

steroids to prevent swelling of my throat. An Ear, Nose, and Throat

doctor was available during the surgery in case I required a

tracheotomy. I returned home with no ill effects in four days.

patricia healey wrote:

>Hi all- I joined this group a few months ago but I haven't posted anything

since my intro. But I have been reading the posts and they've helped me alot.

For the past 4 1/2 months I have been having problems w/ my gallbladder. The

docs here say its risky to operate because of my sma2. I'm 46, use a bipap at

night and during the day if I have a URI. Dr. Bach said I could have the surg.

at his hosp. (I live in MA)

> OK here's my problem- My jaw is very tight and I can't open my mouth more

than 1/2 of an inch. These experts who say sma doesn't affect your jaw are full

of it. Anyway, the anasthesiologist here in MA said if they did the surg here

they would have to intubate me thru my nose prior to surgery while I am fully

awake. I am scared to death of this and angry that they can't do it another way-

its so barbaric. Life's been pretty good for 46 years in spite of, you know, the

usual resp infections, several times in hosp, but I am happily married etc. and

had never been too angry about having sma. HOWEVER, now i'm angry and feeling

sorry for myself- can you all help with this and tell me the real deal about

being intubated? I know I need to get my gallbladder out, but I'm terrified. I

hate not being in control of myself.

> I'll try to get more involved and post more messages

> Oh yeah- I loved your website- you reminded me of me during my

college years. Go, girl!

>

> God bless,

>

>

>

[Guest guest]

I can open my mouth not even half an inch now. I was intubated about 5 years

ago due to the flu. They did it through my mouth. They did it with Flexible

Fiber optic Intubation or something like that. I was awake for the start. It

took 30-40 minutes to intubate me because my mouth wont open.

[Guest guest]

In a message dated 11/15/2005 5:00:36 PM Eastern Standard Time,

mcko_2@... writes:

OK here's my problem- My jaw is very tight and I can't open my mouth more

than 1/2 of an inch. These experts who say sma doesn't affect your jaw are full

of it. Anyway, the anasthesiologist here in MA said if they did the surg

here they would have to intubate me thru my nose prior to surgery while I am

fully awake. I am scared to death of this and angry that they can't do it

another way- its so barbaric. Life's been pretty good for 46 years in spite of,

you

know, the usual resp infections, several times in hosp, but I am happily

married etc. and had never been too angry about having sma. HOWEVER, now i'm

angry and feeling sorry for myself- can you all help with this and tell me the

real deal about being intubated? I know I need to get my gallbladder out, but

I'm terrified. I hate not being in control of myself.

Well, pretty much - yes, it's the real deal meaning the safest and most

controlled way of being intubated. I won't lie, it totally sucks (had it done in

2003 and am having it again in 12 days) and is uncomfortable. I completely

understand the fear of having no control. You can demand they give you a

sedative beforehand, just let them take a look with a fiberoptic scope so they

have

an idea of your physiology. Good luck.

Amy

Wife to Will 11/3/95

Mama to Olivia Isabelle 9/18/03 - she's two!

http://www.babiesonline.com/babies/o/oliviathegreat/

A new addition to arrive November 28th, 2005- it's a boy!

http://babiesonline.com/babies/m/mama20305/