Open Partial Nephrectomy--A Message of Inspiration

Hi All,

I wanted to post my extremely positive experience I had with my open partial nephrectomy, which was performed on July 10.

Prior to my surgery, I made the mistake of reading messages here, and I was pretty despondent. 

Keep in mind that everyone has a different situation and experience, and you cannot draw anything from anyone else's experience.  We are all different in age, health, and the particulars of the procedure--open, laparascopic, robotic, etc to know how we will do.  In other words my experience may or may not be the same as your experience.

I am a 47 year old  healthy and active male.  My surgery was performed at Memorial Sloan Kettering Cancer Center on July 10.  I can't say enough great things about MSKCC.  First class organization.

Anyway, I went in for pre-op at 6 a.m, and surgery was at 8 a.m.  I remember waking up around noon in the post-op care unit.  My situation was tricky. My tumor was ON my vein going into my kidney.  Luckily, my surgeon got all of the tumor, and preserved 95% of my right kidney.  My biopsy came back clean, grade level 2 clear cell carcinoma, but no extension to surrounding tissue.

At about 4 p.m. the day of my surgery, I was moved to a regular room.  I stayed overnight Thursday and Friday, and I went home Saturday morning.  The pain was pretty severe on Saturday, and I kept taking the prescription Vicodin.  I kicked the Vicodin on Monday afternoon, and switched to Tylenol and then Aleve with my Doctor's permission.  Every day has been better and better for me.  On Tuesday, I started walking 6 miles per day (twice per day at 3 miles per day).  I again asked my doctor, and they said that this was fine if I felt fine.  I have been doing this since last Tuesday. 

The worst part of my experience was sneezing and laughing for the first few days.  Now, I feel well enough to laugh (only a little pain).  But in all, I have to say that my experience has been very positive.  I am a huge believer in keeping a positive mental attitude.  Thankfully my attitude and the love and support from my family and friends has gottten me through.

I could return to work this week if I wanted to.  But I will take it a little easy and work from home.  I am looking forward to getting back to a normal routine next week, but I will keep walking, as it makes me feel great.

Keep the faith.

 

 

Comments

  • aamdsi
    aamdsi Member Posts: 284
    Yay to you!

    Clappig of hands from MI! 

    So glad all went well and that you are well on your way to mending!  Also the report back on the tumor AND you still have 95% of your kidney...once you are able you shold do the, Happy pants dance.

    Here's to hoping the rest of your summer is smooth sailing and relaxing.

     

    Laurie

  • JoanneNH
    JoanneNH Member Posts: 115
    My doctor told me to tell

    My doctor told me to tell family and friends not to make me laugh.   Also I had a pillow to hug tightly whenever I coughed or sneezed and that helped a lot.   Congratulations on such a quick recovery!

  • avdoty
    avdoty Member Posts: 62
    JoanneNH said:

    My doctor told me to tell

    My doctor told me to tell family and friends not to make me laugh.   Also I had a pillow to hug tightly whenever I coughed or sneezed and that helped a lot.   Congratulations on such a quick recovery!

    Great to hear you're doing so

    Great to hear you're doing so well so quickly after open surgery.  Going back to work was tricky for me. I've got a desk job and felt that it would be easy to return to work. I was feeling great about 1.5 weeks post surgery so I went back to work only to find out that I was more fatigued than I thought. Had several false starts going back befoe I felt good enough to stay a full day. Good luck getting back into the swing of things. 

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

    Great to hear you're doing so

    Great to hear you're doing so well so quickly after open surgery.  Going back to work was tricky for me. I've got a desk job and felt that it would be easy to return to work. I was feeling great about 1.5 weeks post surgery so I went back to work only to find out that I was more fatigued than I thought. Had several false starts going back befoe I felt good enough to stay a full day. Good luck getting back into the swing of things. 

    Filter what you read

    Positive,

     

     Coming on this board with a small tumor and a partial generally follows with an excellent diagnosis. Reading the posts of those who started with more baggage is not reassuring except for those with a more difficult road ahead.

     

    To every Newbie especially those with small tumors. Concentrate on the posts from those of us with a similar diagnosis to yours. That way you should find that you will be mostly reassured and put in a more positive mood. Some fear comes with even a positive diagnosis. That is hearing the C word and the S word "surgery". That fear will pass. We have all gone thru that. Mine was 12 years ago.

     

     

    Icemantoo

     

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

    Filter what you read

    Positive,

     

     Coming on this board with a small tumor and a partial generally follows with an excellent diagnosis. Reading the posts of those who started with more baggage is not reassuring except for those with a more difficult road ahead.

     

    To every Newbie especially those with small tumors. Concentrate on the posts from those of us with a similar diagnosis to yours. That way you should find that you will be mostly reassured and put in a more positive mood. Some fear comes with even a positive diagnosis. That is hearing the C word and the S word "surgery". That fear will pass. We have all gone thru that. Mine was 12 years ago.

     

     

    Icemantoo

     

    Positive_Mental, I too had an

    Positive_Mental, I too had an open partial at MSK and followed a very similar path minus the extreme pain. I was lucky, I guess. If you don't mind my asking, was your surgeon Dr. Russo? He was mine and he was fabulous.

  • APny said:

    Positive_Mental, I too had an

    Positive_Mental, I too had an open partial at MSK and followed a very similar path minus the extreme pain. I was lucky, I guess. If you don't mind my asking, was your surgeon Dr. Russo? He was mine and he was fabulous.

    Hi APny.  Yes, Dr. Russo was

    Hi APny.  Yes, Dr. Russo was my surgeon.  He is outstanding, and a great guy.  Straight shooter, and a real crusader for partial nephrectomy.  I was told by my original doctor that since my tumor was perihilar and near the vein, I would need a radical nephrectomy.  I found Dr. Russo through a Google search and I found the renal mass guidelines of the American Urological Association.  He was a panel member. 

  • avdoty said:

    Great to hear you're doing so

    Great to hear you're doing so well so quickly after open surgery.  Going back to work was tricky for me. I've got a desk job and felt that it would be easy to return to work. I was feeling great about 1.5 weeks post surgery so I went back to work only to find out that I was more fatigued than I thought. Had several false starts going back befoe I felt good enough to stay a full day. Good luck getting back into the swing of things. 

    Hi avdoty.  We seem to be

    Hi avdoty.  We seem to be similar in that we exercise and like to get back to normal quickly.  Today is my 2 week anniversary since my surgery.  I can cough, sneeze and laugh without pain--but I have not tried all three at the same time!  I have been working from home, and I plan to go into the office next week.  I will have to keep an eye on getting tired. 

    But this whole situation has changed my outlook on life and work/life balance.  In addition to my kidney issues, our office was destroyed by a fire earlier this year.  Fortunately, the fire occurred at night, and nobody was injured.  2014 has been a heck of a year for me and my family!

    I made a decision to work less and live more from now on.  I am 47, and my boys are 14 and 11.  Before I know it, they will be in college.  

    The other thing I will have to keep up with my commute next week is my walking schedule.  The walking has been very therapeutic for me.  My 14 year old son has been going on the evening walks with me, and this has been good bonding time with my son.

    Presently, it is hard to judge my fatigue level. My sleep has been a little messed up post surgery.  I have been getting 7-8 hours per day, but I am waking up in the very early morning (3:30 or so), and I find I need an afternoon nap to get enough sleep for the day.

  • APny
    APny Member Posts: 1,995 Member

    Hi APny.  Yes, Dr. Russo was

    Hi APny.  Yes, Dr. Russo was my surgeon.  He is outstanding, and a great guy.  Straight shooter, and a real crusader for partial nephrectomy.  I was told by my original doctor that since my tumor was perihilar and near the vein, I would need a radical nephrectomy.  I found Dr. Russo through a Google search and I found the renal mass guidelines of the American Urological Association.  He was a panel member. 

    He's the rock star of partial

    He's the rock star of partial nephrectomies. If anyone can save as much of your kidney as possible, he's the one. Glad you found him. Speedy recovery and all the best to you!

  • foxhd
    foxhd Member Posts: 3,181 Member

    Hi avdoty.  We seem to be

    Hi avdoty.  We seem to be similar in that we exercise and like to get back to normal quickly.  Today is my 2 week anniversary since my surgery.  I can cough, sneeze and laugh without pain--but I have not tried all three at the same time!  I have been working from home, and I plan to go into the office next week.  I will have to keep an eye on getting tired. 

    But this whole situation has changed my outlook on life and work/life balance.  In addition to my kidney issues, our office was destroyed by a fire earlier this year.  Fortunately, the fire occurred at night, and nobody was injured.  2014 has been a heck of a year for me and my family!

    I made a decision to work less and live more from now on.  I am 47, and my boys are 14 and 11.  Before I know it, they will be in college.  

    The other thing I will have to keep up with my commute next week is my walking schedule.  The walking has been very therapeutic for me.  My 14 year old son has been going on the evening walks with me, and this has been good bonding time with my son.

    Presently, it is hard to judge my fatigue level. My sleep has been a little messed up post surgery.  I have been getting 7-8 hours per day, but I am waking up in the very early morning (3:30 or so), and I find I need an afternoon nap to get enough sleep for the day.

    You've got the secret

    Being an optimist is as much a skill as learning to be an outgoing personality. I remember an old Lucille Ball movie. She was a street person who was groomed to be an aristocrat. With some dedication this is achievable. Sort of like years back when they had "Finishing schools" for young women. It is a mind set. I remember my epiphany at about 20 years old after a fight with my alcoholic father. I conciously committed to not be negative. I bi*ch and moan my share, but I concentrate on the positive and it is a much better way to exist.

    I also decided that my personal time was far more valuable than working. I am living as happy and content as possible. Whatever time I have left is going to be enjoyable. Even as I am circling the toilet bowl on my way down. Regrets? Bucket lists? Self actualization? ..Remember that one from Maslows hierachy of human needs? Growing old may not happen. But being old doesn't come with guarenteed happiness. I have seen many many people die. Those who have lived good happy lives die in peace. Miserable people die miserably. I look at this as part of the trip. We need to make the best of it.

    Regaining ones health and fitness is another interesting journey. We have a lifetime of experience of walking, exercising, and being active. Our bodies go thru a protective mode after trauma and it can take a while to return to our pre-diagnosis state. Keep moving forward. Don't push too hard. Our bodies will allow progressive improvements. Soon enough after all the bodily adjustments, we become the "new" us. The "old" us is in our past. Making the best of it is something that we all have some influence over. I have surprised myself regarding napping. What I would normally consider a waste of valuable time hasn't happened. Some days, I lie around quite a bit. I don't feel at all guilty. Actually kind of enjoy it. Who says cancer can't be fun?

  • APny said:

    He's the rock star of partial

    He's the rock star of partial nephrectomies. If anyone can save as much of your kidney as possible, he's the one. Glad you found him. Speedy recovery and all the best to you!

    Rock star, LOL.  When I was

    Rock star, LOL.  When I was in recovery, and the residents were visiting me, I said that Dr. Russo was a rock star among urologists/oncologists.  They rolled their eyes and said not to say that to him.  I asked, why, was he going to do some Pete Townsend windmills?   Not only is Dr. Russo highly competent, I connected with him right away as a genuine and likeable person.  He has a great demeanor and sense of humor. 

  • foxhd said:

    You've got the secret

    Being an optimist is as much a skill as learning to be an outgoing personality. I remember an old Lucille Ball movie. She was a street person who was groomed to be an aristocrat. With some dedication this is achievable. Sort of like years back when they had "Finishing schools" for young women. It is a mind set. I remember my epiphany at about 20 years old after a fight with my alcoholic father. I conciously committed to not be negative. I bi*ch and moan my share, but I concentrate on the positive and it is a much better way to exist.

    I also decided that my personal time was far more valuable than working. I am living as happy and content as possible. Whatever time I have left is going to be enjoyable. Even as I am circling the toilet bowl on my way down. Regrets? Bucket lists? Self actualization? ..Remember that one from Maslows hierachy of human needs? Growing old may not happen. But being old doesn't come with guarenteed happiness. I have seen many many people die. Those who have lived good happy lives die in peace. Miserable people die miserably. I look at this as part of the trip. We need to make the best of it.

    Regaining ones health and fitness is another interesting journey. We have a lifetime of experience of walking, exercising, and being active. Our bodies go thru a protective mode after trauma and it can take a while to return to our pre-diagnosis state. Keep moving forward. Don't push too hard. Our bodies will allow progressive improvements. Soon enough after all the bodily adjustments, we become the "new" us. The "old" us is in our past. Making the best of it is something that we all have some influence over. I have surprised myself regarding napping. What I would normally consider a waste of valuable time hasn't happened. Some days, I lie around quite a bit. I don't feel at all guilty. Actually kind of enjoy it. Who says cancer can't be fun?

    foxhd, I love your take on

    foxhd, I love your take on life.  After getting kicked in the teeth twice this year, I made a decision to push back on work.  I like to have fun, laugh and make others laugh.  I actually get to do have a fair amount of fun and laughter in my job, and I will keep at it until I feel I have enough to pay for my boys' college.  But no more late nights in the office, tirelessly working on stuff that is less important than time with my wife and kids.  And I let another aspect of my life slip over the last several years.  I have been a volunteer firefighter since I was a teenager.  I became fairly inactive over the last several years, and after my diagnosis, I did a lot of soul searching.  I realized that I get a tremendous amount of satisfaction being a volunteer firefighter and responding to emergency calls. So, one thing I am going to do when I am clear to lift more than 10 pounds is get back in the swing at my local station--and they need the help.  For me, family and community service time are part of being a whole person and contributing to my mental well being.

    The other thing the diagnosis and surgery did is force me to concentrate on fitness.  I have dropped 8 pounds since the surgery, and I am not doing anything too drastic--just eating more moderately, and walking 6 miles a day.  Pre-surgery, I was about 30 pounds over weight, and my goal is to get back to my ideal weight. 

  • APny
    APny Member Posts: 1,995 Member

    Rock star, LOL.  When I was

    Rock star, LOL.  When I was in recovery, and the residents were visiting me, I said that Dr. Russo was a rock star among urologists/oncologists.  They rolled their eyes and said not to say that to him.  I asked, why, was he going to do some Pete Townsend windmills?   Not only is Dr. Russo highly competent, I connected with him right away as a genuine and likeable person.  He has a great demeanor and sense of humor. 

    Too funny because that's

    Too funny because that's exactly what I said to him when he came to see me after surgery. He didn't seem to mind :) I also connected with him immediately. An amazing physician.