Guest guest Posted February 28, 2001 Report Share Posted February 28, 2001 Hi Guys, i'm doing very well. hardly any pain from the beginning except where I pulled/tore a stomach muscle. I'm very tired at times, then again i feel like i can climb a mountain. For those wondering...no, this is not depression, just my body adjusting post-op. I have to be very careful not to over-do when I'm feeling really good. The hospital bed was pretty rough on my back and i'm recouping from that. All the incisions are healing without any problems and i slept in my bed for the first time last night (except for getting twice for bathroom). Overall I'm doing good and hope to be able to post a detailed report soon. Thanks for thinking of me. I am cross-posting to save energy,sorry. Peace and Health To All, TJ LAP BPD/DS Dr. Dennis /Marietta,GA www.ObesitySurgeryCenter.com Feburary 16, 2001 Pre-Op 316.5 2/23/01 -14lbs Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2001 Report Share Posted February 28, 2001 TJ, No problem on the cross posting I definately know what you mean about needig to save energy. I still have days where just taking a shower is exhausting. I am so glad to hear no major complications for you. Take care and take your time recooperating. I can honestly say this is the first week I am feeling almost back to normal. so it does take time. Hey the 14 lb weight loss is not too shabby either. Keep up the great work :>) Vera- Lansdale,Pa Bmi-61 Dr. Herron / Dr. Pomp assisting @ Mt. Sinai, New York Open BPD/DS done 01/26/01 PCP scale 4 weeks out -30lbs gone forever as of 2/21/01 ________________________________________________________________ GET INTERNET ACCESS FROM JUNO! Juno offers FREE or PREMIUM Internet access for less! Join Juno today! For your FREE software, visit: http://dl.www.juno.com/get/tagj. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2001 Report Share Posted February 28, 2001 Hey everyone! Don't know if you remember me posting earlier, its JJ, I am having the Duodenal switch on March 13th. I received some pre-op papers and since it was past time to call the Doc... I am hoping you might know what it means.. on a special procedures he has *Central line in jugular* And if you know what that means do you know why it might be required? Thanks!! JJ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2001 Report Share Posted February 28, 2001 JJ, A central line is a type of IV and they are going to put it in a vein in your neck, the jugular vein. This is quite common with major surgery. It is a big vein and easily accessed. Usually the anesthesiologist puts that in before surgery. Hope this helps. Sandy C., RN Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2001 Report Share Posted February 28, 2001 > i highly reccomend the Central line in the jugular. I was the only ee, who for some reason did not have a central line, and I wish I had. It is inserted while you are under and then when you wake up all your meds go throuogh the central line so they won't have to fuss with an IV or stick you for blood. My veins are awful and they kept loosinfg the IV and the special IV team would have to be called in and they had a terrible time too. At one point they were going to start a central line while I was awake, but I sais no way. Alyssa > Hey everyone! Don't know if you remember me posting earlier, its JJ, I am > having the Duodenal switch on March 13th. I received some pre-op papers and > since it was past time to call the Doc... I am hoping you might know what it > means.. on a special procedures he has *Central line in jugular* And if you > know what that means do you know why it might be required? Thanks!! > > JJ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 1, 2001 Report Share Posted March 1, 2001 >on a special procedures he has *Central line in jugular* And if you > know what that means do you know why it might be required? JJ- A central line is usually put in in order to give high-volume IV fluids, certain IV antibiotics, and for the nurses to draw blood out of so that you don't get stuck for every test. It is a large bore (14 or 16 gauge, I think) IV line that goes directly into your heart. It is usually put in after you have been anesthetised, but occasionally it is done in the patient's room. In your case, I doubt it would be done in-room. I think it may be a " just in case " deal, so that if he decides he needs it, he already has a consent. Some people love centrals, especially if they are hard sticks. Others hate them, but its a personal preference deal. Talk to your doctor if you are not sure about this, & make sure he answers your questions. Best luck on your surgery! {{Hugs}} Liane Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 1, 2001 Report Share Posted March 1, 2001 In a message dated 3/1/01 4:26:23 AM, duodenalswitch writes: << > i highly reccomend the Central line in the jugular. I was the only ee, who for some reason did not have a central line, and I wish I had. It is inserted while you are under and then when you wake up all your meds go throuogh the central line so they won't have to fuss with an IV or stick you for blood. My veins are awful and they kept loosinfg the IV and the special IV team would have to be called in and they had a terrible time too. At one point they were going to start a central line while I was awake, but I sais no way. >> {{{{Alyssa}}}} Sorry to hear about your experience. I, too, have pretty weak veins that are difficult to find and also don't last too long. I asked about a central line before my surgery, but the anesthesiologist said I wouldn't need one. Thank God, he was correct! He said that they would only take blood once or twice post-op, which was true. I only got blood taken two times within the first 24 hours post-op. They were able to get the iv in without problem and put me under. I think one factor that really helped with this is that I kept myself super HYPER HYDRATED before the surgery. I never thought I'd see the end of that steady stream of pee! LOL I've read that veins can collapse or be more difficult to locate when people are deyhdrated, so that seemed to work for me. However, my vein did 'pop' about 12 hours after surgery and started leaking. I called the midnight nurse in and asked that she re-insert it. She did, but the vein popped immediately. She called the resident and he said to be put me on oral meds (crushed Percocet). I was worried that my new stomach wouldn't be able to process it or that I'd have a reaction but I didn't have any problems at all. Of course, I missed my pump, especially when I'd only been on it for such a short time, but the Percocet worked fine for me. It isn't a routine procedure at Mt. Sinai, but I do know some people who have had it when they experienced complications/second surgeries from leaks/blockages/etc. I guess it is used more often at Mt. Sinai as a procedure for those who will be on the iv for extended periods of time? all the best, laparoscopic BPD/DS with gallbladder removal Dr. Gagner/Dr. Quinn assisting/Mt. Sinai/NYC January 25, 2001 35 days post-op and still feelin' fab and a little less tired! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 3, 2001 Report Share Posted March 3, 2001 I really liked having my central line. It didn't interfere with my using my arms, wrists and hands to help me move myself in the bed and grab on to stuff to help me sit up, too. Unfortunately, they told me that they never leave central lines in more than two or three days because they tend to get infected easily. So, out mine came at three days, and then I had to endure all the poking and hunting for an acceptable peripheral site. Even when they got one started, it would leak in a few hours and then they had to do it all over again! I sure missed that central line for the rest of my hospital stay. Joy Frost Age: 48 Open DS with Welker Date: 2-5-01 Weight at time of surgery: 255 lbs BMI: 48.2 Weight as of 2-23-01: 244 BMI: 46.2 (-11 lbs) (I don't have a scale at our temporary apartment so I can only weigh at OHSU!) http://www.duodenalswitch.com/Patients/Joy/joy.html Re: Vera in PA, Kris and ees > > > i highly reccomend the Central line in the jugular. I was the only > ee, who for some reason did not have a central line, and I wish > I had. It is inserted while you are under and then when you wake up > all your meds go throuogh the central line so they won't have to fuss > with an IV or stick you for blood. My veins are awful and they kept > loosinfg the IV and the special IV team would have to be called in > and they had a terrible time too. At one point they were going to > start a central line while I was awake, but I sais no way. > Alyssa > > Hey everyone! Don't know if you remember me posting earlier, its > JJ, I am > > having the Duodenal switch on March 13th. I received some pre-op > papers and > > since it was past time to call the Doc... I am hoping you might > know what it > > means.. on a special procedures he has *Central line in jugular* > And if you > > know what that means do you know why it might be required? Thanks!! > > > > JJ > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 3, 2001 Report Share Posted March 3, 2001 That is odd because the whole point of the central line is that it can remain in a patient for an extended period of time without the vein collapsing. At 12:36 PM 3/3/2001 -0800, you wrote: >I really liked having my central line. It didn't interfere with my using >my arms, wrists and hands to help me move myself in the bed and grab on to >stuff to help me sit up, too. Unfortunately, they told me that they never >leave central lines in more than two or three days because they tend to >get infected easily. So, out mine came at three days, and then I had to >endure all the poking and hunting for an acceptable peripheral site. Even >when they got one started, it would leak in a few hours and then they had >to do it all over again! I sure missed that central line for the rest of >my hospital stay. > >Joy Frost Age: 48 >Open DS with Welker >Date: 2-5-01 >Weight at time of surgery: 255 lbs BMI: 48.2 >Weight as of 2-23-01: 244 BMI: 46.2 (-11 lbs) >(I don't have a scale at our temporary apartment so I can only weigh at OHSU!) >http://www.duodenalswitch.com/Patients/Joy/joy.html > > > Re: Vera in PA, Kris and ees > > > > > > > i highly reccomend the Central line in the jugular. I was the only > > ee, who for some reason did not have a central line, and I wish > > I had. It is inserted while you are under and then when you wake up > > all your meds go throuogh the central line so they won't have to fuss > > with an IV or stick you for blood. My veins are awful and they kept > > loosinfg the IV and the special IV team would have to be called in > > and they had a terrible time too. At one point they were going to > > start a central line while I was awake, but I sais no way. > > Alyssa > > > Hey everyone! Don't know if you remember me posting earlier, its > > JJ, I am > > > having the Duodenal switch on March 13th. I received some pre-op > > papers and > > > since it was past time to call the Doc... I am hoping you might > > know what it > > > means.. on a special procedures he has *Central line in jugular* > > And if you > > > know what that means do you know why it might be required? Thanks!! > > > > > > JJ > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 4, 2001 Report Share Posted March 4, 2001 I too thought this was odd.. on my floor, central lines stay in until the patient is discharged or the ports stop drawing. We change the dressings using sterile technique every other day, & if a port is accessed, the cap is replaced with a new disposable one. We had a meeting with infection control, & for the previous 9 months, we had 1 hospital-acquired infection that was traced to improper care of a central line. We use central lines because transplant patients are on a small daily dose of prednisone, which makes their veins very fragile. Peripheral IVs don't last more than 2-4 days, & these poor folk don't have many " good " veins to start IVs in that are left! Just my .02, Liane Unfortunately, they told me that they never > >leave central lines in more than two or three days because they tend to > >get infected easily. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 5, 2001 Report Share Posted March 5, 2001 Actually, the central line is inserted into the jugular vein, not directly into the heart. It is a relatively common procedure and an excellent solution for us overweight people whose arm veins tend to be harder to access. > >on a special procedures he has *Central line in jugular* > And if you > > know what that means do you know why it might be required? > > JJ- > A central line is usually put in in order to give high-volume IV > fluids, certain IV antibiotics, and for the nurses to draw blood out > of so that you don't get stuck for every test. It is a large bore (14 > or 16 gauge, I think) IV line that goes directly into your heart. It > is usually put in after you have been anesthetised, but occasionally > it is done in the patient's room. In your case, I doubt it would be > done in-room. I think it may be a " just in case " deal, so that if he > decides he needs it, he already has a consent. Some people love > centrals, especially if they are hard sticks. Others hate them, but > its a personal preference deal. Talk to your doctor if you are not > sure about this, & make sure he answers your questions. > Best luck on your surgery! > {{Hugs}} > Liane Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 5, 2001 Report Share Posted March 5, 2001 The end of the central line lies just outside of the heart if done correctly ). At 01:02 PM 3/5/01 +0000, you wrote: >Actually, the central line is inserted into the jugular vein, not >directly into the heart. It is a relatively common procedure and an >excellent solution for us overweight people whose arm veins tend to >be harder to access. > > > > >on a special procedures he has *Central line in jugular* > > And if you > > > know what that means do you know why it might be required? > > > > JJ- > > A central line is usually put in in order to give high-volume IV > > fluids, certain IV antibiotics, and for the nurses to draw blood >out > > of so that you don't get stuck for every test. It is a large bore >(14 > > or 16 gauge, I think) IV line that goes directly into your heart. >It > > is usually put in after you have been anesthetised, but >occasionally > > it is done in the patient's room. In your case, I doubt it would be > > done in-room. I think it may be a " just in case " deal, so that if >he > > decides he needs it, he already has a consent. Some people love > > centrals, especially if they are hard sticks. Others hate them, but > > its a personal preference deal. Talk to your doctor if you are not > > sure about this, & make sure he answers your questions. > > Best luck on your surgery! > > {{Hugs}} > > Liane > > > > > Quote Link to comment Share on other sites More sharing options...
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