New here/surgery Coming up March 28th

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Comments

  • medic1971
    medic1971 Member Posts: 225 Member
    todd121 said:

    Narcotics and Anti-Nausea Meds

    I'm one of those (perhaps rare?) people that narcotics make me very nauseous no matter what they give me. I've gotten so frustrated by this topic, I can't begin to tell you! Every time I've been in the hospital I go round and round with the doctors and nurses wanting me to take narcotics. They assure me we'll try this narcotic or that narcotic or we'll give you this anti-nausea drug or that anti-nausea drug. None of it has worked and I've tried them all!

    I've woken up from 4 abdominal surgeries vomiting because they insisted on giving me some kind of narcotic while I was out, despite telling them beforehand that I'm very sensitive to narcotics and them giving me a wrist band saying "narcotic sensitivity".

    What is up with that at the hospitals? :) Why are they so insistent that pain is such an awful thing? I'd take pain over nausea any day of the week. When I've had really serious pain (for example, with kidney stones), not only did I have nausea from the pain meds, but the pain meds didn't relieve my pain. So I got pain and nausea. 

    Sorry for the rant. :) But when I saw your old too familiar "zofran or phenergan will solve that problem", it brought back such bad, bad memories. Please don't take it personally. I'm glad it works for some, though.

    Best wishes,

    Todd

    No offense taken

    Hello Todd,

    What is up with that at the hospitals?- Because we don't always listen to what are patients are telling us. 

    For the vast majority of patients those antiemetics work well, but there are those out there, like yourself and my mother, who are extremely sensitive to narcotic pain meds.  There was really nothing that could get my mom nauses under control after she had brain surgery, but she was hurting also...  So it's a balancing act between effective pain control and not causing N/V in a patient who is sensitive to those types of meds.  I asked my mom to be sure and get the name of the antiemetic, that finally worked so, if she ever had to have surgery again, we could start out with that medication, not end with it.  

     When I was fulltime at the bedside I saw about three or four kidney stones a week and bet you were absolutely miserable.  Do you tolerate Toradol?  OFIRMEV works well too, so if you ever have to have surgery again it's something you might talked to your doctor about.  OFIRMEV is just an injectable form of Acetaminophen, but it works quite well without the nausea.  

    Jason

  • todd121
    todd121 Member Posts: 1,448 Member
    medic1971 said:

    No offense taken

    Hello Todd,

    What is up with that at the hospitals?- Because we don't always listen to what are patients are telling us. 

    For the vast majority of patients those antiemetics work well, but there are those out there, like yourself and my mother, who are extremely sensitive to narcotic pain meds.  There was really nothing that could get my mom nauses under control after she had brain surgery, but she was hurting also...  So it's a balancing act between effective pain control and not causing N/V in a patient who is sensitive to those types of meds.  I asked my mom to be sure and get the name of the antiemetic, that finally worked so, if she ever had to have surgery again, we could start out with that medication, not end with it.  

     When I was fulltime at the bedside I saw about three or four kidney stones a week and bet you were absolutely miserable.  Do you tolerate Toradol?  OFIRMEV works well too, so if you ever have to have surgery again it's something you might talked to your doctor about.  OFIRMEV is just an injectable form of Acetaminophen, but it works quite well without the nausea.  

    Jason

    Thanks!

    Hi Jason,

    I think the injectable acetaminophen was what I had at my last surgery after I got sick on dalatat (not sure how to spell that one). Dalatat was the one the anesthesiologist wanted to try on me. My reaction was not as bad as morphine, but still not good. Since toradol is an NSAID, they probably won't give it to me. My kidney function isn't so great. My first surgery the docs thought tramadol was ok, but my second surgery was at a  national cancer center and they didn't want to give me tramadol either because of my reduced kidney function.

    Hope I don't have to find the combination that works. :) Here's to having no more surgeries! And hope your mom doesn't need another one either.

    Todd

  • ricksgirl
    ricksgirl Member Posts: 9
    So much gratitude

    to all of you! I really feel quite isolated even though I have a grat family and friends. Just finding comfort in this group and with my dog (he is 165 pounds so I wont be walking him for a while! Doc says 6 weeks in case he pulls...). I guess I'm just in that waiting space. I realize we can't know progression possibilities until staging/grading is done, but I am pretty scared about that. This whole thing was a case of "it's nothing" "it's nothing" "it's probably nothing" "oh, it might be something" "It's renal cell." So I don't put much stock into the surgeon (great rep but still...) saying "it probably won't come back...but we'll folow you for 5-10 years in case it does, either in the kidney or lung, etc."). I know he's just trying to prep me for the various outcomes, but I write novels for a living and can't turn my brain off to stop thinking... So thanks again. 

  • todd121
    todd121 Member Posts: 1,448 Member
    ricksgirl said:

    So much gratitude

    to all of you! I really feel quite isolated even though I have a grat family and friends. Just finding comfort in this group and with my dog (he is 165 pounds so I wont be walking him for a while! Doc says 6 weeks in case he pulls...). I guess I'm just in that waiting space. I realize we can't know progression possibilities until staging/grading is done, but I am pretty scared about that. This whole thing was a case of "it's nothing" "it's nothing" "it's probably nothing" "oh, it might be something" "It's renal cell." So I don't put much stock into the surgeon (great rep but still...) saying "it probably won't come back...but we'll folow you for 5-10 years in case it does, either in the kidney or lung, etc."). I know he's just trying to prep me for the various outcomes, but I write novels for a living and can't turn my brain off to stop thinking... So thanks again. 

    Novel

    If you're going to write yourself a story, write a good one with a happy outcome. :)

    It is hard. For a long time I had this feeling of doom and really thought I'd be dead in a couple of years. I kept seeing myself dying a long, slow, painful death. That was 3 years ago. I'm much more aware of the fact that I do not know the future. Not at all. All I have is today. Live. Enjoy it. Treat yourself and others with kindness. (That's another thing. I'm so much more patient with others now. I'm very aware I don't know what other people are living with, now that I've experienced this thing.)

    Who would've thought this might be a gift? Is that going too far? Lol.

    Todd

     

  • Skagway Jack
    Skagway Jack Member Posts: 224 Member

    ricksgirl,

    Regards pain as many have mentioned it is highly individual.  In my case I had a radical nephrectomy of my right Kidney.  I found sleeping in the lounger very helpful.  When getting up holding a pillow against the incision helps.  I had morphine drip in the hospital.  This caused me severe constipation and when I checked out of the hospital they gave me Oxycontin.  I think I used one or two doses and then went to using tylenol as I was nervous about the oxy and frankly I didnt think the pain was that bad.   I did get up and start walking as soon as I could (about four hours after the procedure).  i walked everyday around the neighborhood and I took 6 weeks to recover and go back to full time work.  Just me but the fear is worse than the actual I thought.

    With respect to the pathology of the tumour you should get some answers within about three days of the surgery.  I started back to swimming at six weeks but Ill be honest I didnt much like doing sit ups for about a year, but my scar was 9 inchs accros my entire right front side, as a partial yours should be significantly smaller.  Good luck and just dont push it. 

    Sorry you had to join our club but lots of good folks on here.

     

    Jack

  • ricksgirl
    ricksgirl Member Posts: 9
    counting down...

    24 hours from now the surgery will be in process. Kids are starting to buckkle a little (having claimed to be "fine" before) which is difficult. Lucky my parents are around, though this is hard for them, too. In terms of follow-up...

    -How often are you seen?

    -Chest films?

    -MRI/Ultrasound??

    -Anything you look for (pain, fatigue, fever)?

    -Did you stay with your surgeon or find other oncology care?

     

    Thanks - talk to you all on the other side!!

  • APny
    APny Member Posts: 1,995 Member
    ricksgirl said:

    counting down...

    24 hours from now the surgery will be in process. Kids are starting to buckkle a little (having claimed to be "fine" before) which is difficult. Lucky my parents are around, though this is hard for them, too. In terms of follow-up...

    -How often are you seen?

    -Chest films?

    -MRI/Ultrasound??

    -Anything you look for (pain, fatigue, fever)?

    -Did you stay with your surgeon or find other oncology care?

     

    Thanks - talk to you all on the other side!!

    The anticipation is so bad. I

    The anticipation is so bad. I can definitely empathize. Follow up protocol varies depending on path report. I was fortunately stage 1 so I get ultrasound every six months and chest x-ray. I get frequent blood work as I tend towards anemia and iron deficiency. I stayed with my surgeon as he's also an oncologist and experienced wtih RCC. When I was discharged I was told to look for fever. Quite frankly, pain is a given and so is fatigue so nothing to get alarmed about. My pain was not severe at all. I hugged a pillow while walking, coughing, or laughing. Ask them to give you a breathing apparatus (spirometer, I think it's called) and use it often to prevent fluid from building up in your lungs. Walk as soon as possible. Wishing you the very best and soon it will be all over and you'll be rid of the little &^%$.

  • JoanneNH
    JoanneNH Member Posts: 115
    My experience:  My doctor

    My experience:  My doctor gave me dilaudid in both an epidural and oral instead of morphine.  It worked well for me.  I was off of it within a week at home.  Walked a lot in the hospital.  I ended up staying 4 days because of my sodium level.  Gained 20 pounds in fluid from the surgery.  Once home, I started talking a little bit of Metamucil twice a day to help with constipation.  It worked well, gently.   Colace give me wicked cramps.  I slept on the couch for about 1 1/2 weeks, propped up with pillows because my recliner is not comfortable, and it hurt to get up from a lying down position.  Bending over was painful for a while so my relatives would come over and clean the kitty litter box for me.  Also I had a bit of trouble holding onto my pills, dropping a few on the floor.  I ended up opening the bottle over a bowl just in case I dropped them.  

    You might bring a small pillow with you to the hospital to hold against your abdomen in case you cough or sneeze and for walking, and tell people not to make you laugh.   I used the pillow or a folded towel between me and the seatbelt in the car.  Sometimes the hospital will have a special pillow to give you.  I used to work for the heart surgeons at the hospital where I had my surgery.   They gave me one of their heart-shaped pillows so I don't know if the hospital would have given me a different one had I not been given the heart one.

  • Jojo61
    Jojo61 Member Posts: 1,309 Member
    I will send good healing

    I will send good healing thoughts your way tomorrow! Take deep breaths. It will be all good before you know it!!

    Hugs

    Jojo

  • Jan4you
    Jan4you Member Posts: 1,330 Member
    ricksgirl said:

    counting down...

    24 hours from now the surgery will be in process. Kids are starting to buckkle a little (having claimed to be "fine" before) which is difficult. Lucky my parents are around, though this is hard for them, too. In terms of follow-up...

    -How often are you seen?

    -Chest films?

    -MRI/Ultrasound??

    -Anything you look for (pain, fatigue, fever)?

    -Did you stay with your surgeon or find other oncology care?

     

    Thanks - talk to you all on the other side!!

    Its natural for this

    Its natural for this "reality" to stare one and our loved ones in the face!

    I was fine, just wanted to make sure i had those small, laproscopic incisions.

    Had them before and healed up, speeding up my recovery time.

    Your path report will tell the surgeon/urologist the protocol to follow 3 months vs 6 months and what tests etc.I learned that the blood tests used as part of this protocol tell the doctor if cancer cells evident.

    You usually do not need to see an oncologist unless it is a higher grade of tumor.

    Many of us become more aware of any ache and pain, or change, so these wonderful docs know how to answer any questions.

    ICE it, using one of those hot/cold wraps you can buy in drug store and place it over your incisions. Helps reduce the swelling. But i also worse a lumbar wrap to support those healing tissues and even wore it to bed first week.

    I'll especially be thinking of you tomorrow. You and your family are in my thoughts and prayers.

    Hugs, Jan

  • icemantoo
    icemantoo Member Posts: 3,361 Member
    Jojo61 said:

    I will send good healing

    I will send good healing thoughts your way tomorrow! Take deep breaths. It will be all good before you know it!!

    Hugs

    Jojo

    Easter Monday

    Ricksgirl,

    May you have a routine and uneventful surgery. I would say painless, but I would be laughed off this board.

     

    Icemantoo

  • hardo718
    hardo718 Member Posts: 853 Member
    icemantoo said:

    Easter Monday

    Ricksgirl,

    May you have a routine and uneventful surgery. I would say painless, but I would be laughed off this board.

     

    Icemantoo

    You're in my prayers Ricksgirl

    and your family too.  It's tough for the kids and other loved ones.  Everyone feels helpless. 

    I'll be praying for all of you and your surgeons, that their hands will be blessed with an accuracy and a quickness to get in, do what they need to, and get the heck out and let the recovery begin.

    Make sure you drink plenty of water (helps keep the fevers at bay), do your breathing exercises, take plenty of short walks and rest, rest, rest.

    Soon this will be in your past and you'll be here cheering others on with your own recovery experience.

    Donna~