tenotomy surgery advice PLEASE!

July 31, 2004

Hi,

's tenotomy (her second) is scheduled for August 20th. They

will be doing it in the OR at Sinai Hospital with light sedation

(whatever that means???). I got her pre-op papers in the mail today

and literally started crying and felt sick when I read the " no

eating " rules!!!! Here is what it says:

**Children under the age of 6 may have clear liquids

(water,Pedialyte,diluted apple juice,ginger ale) up to 2 hours prior

to surgery. No breastmilk up to 4 hours prior. No milk or solid

food up to 8 hours prior.**

Her surgery is scheduled for 1:00pm. This means she cannot have any

solids after 7 am (sometimes she's not even up yet then!) and I

cannot nurse her after 9 am!!! How in the ____ am I supposed to do

that to her??? She always nurses first thing in the morning, then

has infant cereal around 8/8:30, lunch at 11:30 and nurses for nap

at 1:00...she also nurses if she wants anytime during the day. She

is NOT going to understand why she can't eat and especially nurse.

I know some of you have gone through the tenotomy with older

babies. PLEASE give me advice! I am really feeling sick about this.

Marilouise

9/9/03, LCF, cast #4/2nd series

Owen and 3/20/99

July 31, 2004

uhhh... do the tenotomy in the morning? Why on earth would they schedule a

child that late?

Check out the LLL website - there's some white papers and articles or study

information about bm and surgery. I found them once for someone else. I

was always under the impression that bm was actually considered a clear

fluid anyway. We all know that 15-45 min after an infant has nursed it's

all gone from their tummy because that's how fast it's digested and they're

hungry again lol. The 4 hour rule actually is pretty lenient as compared

to what some parents are being told. I've heard 8 hours for all babies

before, FF or BF. I know there's some info on the LLL site about not only

what reality is with anesthesia and BM, I'm sure I saw some articles with

tips or suggestions for getting through surgery with a nursling.

I hope it goes easier than you expect - wouldn't that be nice? Why don't

you just demand that they do it first thing in the am. Or about 4 hours

after her morning nursing?

Kori

aAt 05:25 PM 7/31/2004, you wrote:

>Hi,

>'s tenotomy (her second) is scheduled for August 20th. They

>will be doing it in the OR at Sinai Hospital with light sedation

>(whatever that means???). I got her pre-op papers in the mail today

>and literally started crying and felt sick when I read the " no

>eating " rules!!!! Here is what it says:

>

>**Children under the age of 6 may have clear liquids

>(water,Pedialyte,diluted apple juice,ginger ale) up to 2 hours prior

>to surgery. No breastmilk up to 4 hours prior. No milk or solid

>food up to 8 hours prior.**

>

>Her surgery is scheduled for 1:00pm. This means she cannot have any

>solids after 7 am (sometimes she's not even up yet then!) and I

>cannot nurse her after 9 am!!! How in the ____ am I supposed to do

>that to her??? She always nurses first thing in the morning, then

>has infant cereal around 8/8:30, lunch at 11:30 and nurses for nap

>at 1:00...she also nurses if she wants anytime during the day. She

>is NOT going to understand why she can't eat and especially nurse.

>I know some of you have gone through the tenotomy with older

>babies. PLEASE give me advice! I am really feeling sick about this.

>

>Marilouise

> 9/9/03, LCF, cast #4/2nd series

>Owen and 3/20/99

July 31, 2004

Hi Kori,

You and my DH had the same reaction...ask for a different time.

Evidently that's not an option. Dr Herzenberg's secretary even said

she always does the little ones in the morning but that is the only

time she can get the OR that day and she wants to have the

BEST pediatric anesthesiologist because of her heart defects.

I'm definitely checking LLL, didn't even think about it and I'm

friends with a LLL leader!

Marilouise

> uhhh... do the tenotomy in the morning? Why on earth would they

schedule a

> child that late?

>

> Check out the LLL website - there's some white papers and articles

or study

> information about bm and surgery. I found them once for someone

else. I

> was always under the impression that bm was actually considered a

clear

> fluid anyway. We all know that 15-45 min after an infant has

nursed it's

> all gone from their tummy because that's how fast it's digested

and they're

> hungry again lol. The 4 hour rule actually is pretty lenient as

compared

> to what some parents are being told. I've heard 8 hours for all

babies

> before, FF or BF. I know there's some info on the LLL site about

not only

> what reality is with anesthesia and BM, I'm sure I saw some

articles with

> tips or suggestions for getting through surgery with a nursling.

>

> I hope it goes easier than you expect - wouldn't that be nice?

Why don't

> you just demand that they do it first thing in the am. Or about 4

hours

> after her morning nursing?

>

> Kori

>

July 31, 2004

You feel sick, wait to you hear my story........my 1st son's tenotomy was done

under general when he was 3 mo. old. They told me no solids. Just, " No

solids. " Well, the kid was 3 months old, he wasn't ON solids, kwim? So I

breast fed him like normal up to the time they said " no food after....X o'clock "

Of course there were hours there of him starving, then get to surgery and the

gas-man says, " When did he eat last? " I tell him and he freaks out that I

breast fed the child saying milk is a solid and he refused to gas my boy until

he went another several hours with no food. My baby in the hospital screaming

bloody murder starving to death adn people looking at me walking him in the

halls like I was a Demon Mother putting curses on him. It was terrible.

There's no easy way to starve your baby, plain and simple but at least you won't

screw up like I did by mis-understanding their directions and make it worse.

s.