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What to expect in Stanford (Read 4659 times)
shgr
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What to expect in Stanford
Jun 21st, 2005 at 3:56pm
 
I am heading for Stanford this Friday for direct by-pass surgeries on June 29th and July 6th.  Many of you have already written supportive, generous and kind notes about the success rates and ease of the surgeries.Cheesy

SmileyHowever, so as to better prepare me, I would love to know what to expect.  Because it is such a long process, from the testing to heading home, maybe each of you can take an experience or two and describe them.

Here are a few sample things I have questions about:
Why does DJ have an IV type thing in his neck in one of the pictures?
Will I have to be catheterized?
Will they provide me with anti-anxiety meds if needed?
Have any of you had upset stomachs after surgery?
Does the Xenon scan hurt?
How long will a full recovery be?
What are some lingering symptoms from surgery, if any?

I am pretty clear on all the procedures, except the Xenon CT, but would love to hear about all your other experiences.

Thank you to all, tons of hugs Smiley
Stephanie Smiley
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Chelsie
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Re: What to expect in Stanford
Reply #1 - Jun 21st, 2005 at 4:12pm
 
Hi Stephanie!  I had surgery at Stanford last November.  I did not have a Xenon scan so I'm not one to comment on that procedure but I can tell you my experiences with some of the others.  What I think you are seeing in DJ's neck area is a central line.  This is placed while you are already under anesthesia and is used to administer medications.  Mine was taken out on the third day and while the removal was a tad uncomfortable, I didn't feel it the whole time it was in.  I was catheterized (again this was done once I was out) and they removed it shortly before I left ICU (about 24 hours after surgery if I remember correctly).  It was a little uncomfortable but not bad. 
Make sure you communicate how you feel to physicians and nurses.  I had terrible anxiety in the pre-op area and they did give me something to relax me.  Don't be afraid to speak up.  Everyone will do their best to make you comfortable. 
I did not have nausea after surgery but I know some people do.  Again, speak up and I'm sure they can give you something to help with this if you experience it. 
Recovery varies for everyone.  I was extremely lucky.  I had surgery on one side only and had a wonderful recovery.  My surgery was November 3rd and I went back to work part-time December 1st.  For me, the biggest obstacles were getting my strength/energy back and being patient with myself.  Give your body as much time as it needs to recover.  Personally, I've had very few lingering symptoms after surgery but this is another area that differs for all of us.  My best advice is don't be afriad to ask questions.  The staff in Steinberg's office and the hospital goes above and beyond to help you and make you comfortable, in my opinion.
Hope I've helped you a little...if you have any other questions, please feel free to PM me.  Hang in there and I'll be thinking of you!  I know you will do great!!!
Lots of hugs,
Chelsie
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gotchlorine
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Re: What to expect in Stanford
Reply #2 - Jun 22nd, 2005 at 12:19am
 
Hi Stephanie,

Great questions, and I know you're trying to understand what to expect once you're here.  But, the most important thing to remember is that each patient's experience is different, so be sure to keep that in mind when reading everyone's responses, o.k.?

As Chelsea said, I believe that it is a central line in DJ's picture.  I think everyone gets one.  Not to worry, it is placed once you're under.  Hmmm . . . the description I was given of the level of discomfort during  the removal of the central line and catheter was that it felt like the removal of a feminine product when used for the first time, around the age of 12 or 13.   (You know what I mean!)

Yes, they will give you anti-anxiety meds.  Just be sure to let them know how you're feeling.  Tara had a very upset stomach after her first surgery.  She spent 3 hours vomiting.  The good part is that she doesn't remember it.  If you've ever had anesthesia and know how you handle it (or don't), be sure to let them know this also.  Tara had no problem with nausea her second surgery, so I'm sure they gave her something ahead of time to combat it.  She didn't have the xenon, so I am not able to answer your question on that one.

Recovery . . . again, everyone's experience is different.  Tara was in summer school 5 days after she came home from her second surgery.  It took several months before she felt back to "full strength", though.  The incisions heal pretty quickly, usualy within a few weeks.  It is the residual feeling of tiring easily that seems to be the most difficult for people.  Lingering symptoms can be very different from person to person.  Tara had 3 TIA's in the 7 months post-surgery and a couple of migraines in the last year.  Not bad, but much depends on your condition going in to surgery.

I wish I had a crystal ball and could better tell you what to expect!  I also hope you're not feeling overwhelmed with all the information you're compiling.   It's good to have a "feel" for how things may go, but try not to worry about things that may not happen with you at all, o.k.?

Sure hope to meet you while you're here!  Take care and have a great trip out.  We'll be here to welcome you with some beautiful California weather, and the best neurosurgeon, staff and hospital in the world (in my opinion).  It will be a big step to restoring your health before you return home to NC.  Talk to you soon!

Big hugs,
Jill
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LisaH
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Re: What to expect in Stanford
Reply #3 - Jun 22nd, 2005 at 12:59pm
 
Stephanie,

Thought I would chime in about the Xenon bit.  It can be a bit scary if you don't know what to expect.  Here are some tips which made it easier for me after having 2 of these:

1)  You will have a mask on, a very tight fitting mask.  They will initially plug it up to test for a good seal.  Do not panic  Shocked, you will be able to breath again in a couple of seconds.

2)  You ARE getting oxygen in that mask.  Don't fret that you can't breath.

3)  Try to keep at least one eye open a crack (it's difficult because the mask kind of mushes your eyes shut) and concentrate on an overhead light etc.

4)  Ask (no DEMAND! lol) that one of the technicians stay in the room with you and talk to you constantly and perhaps squeeze your hand once in a while.  The problem is that the technicians are usually in the other room talking to you from a microphone and they do ask how you are doing but you get REALLY loopy from the Xenon and it's difficult to keep your wits about you in order to answer them by wiggling your foot.  By having someone talking to you in the room it helps to keep you grounded.

5)  The Xenon test shouldn't hurt but it can make you feel sick to your stomach and extremely disoriented.  Everyone's experience is different. 

6)  If you feel like you are going to pass out, throw up or you feel like you just can't handle it, do not hesitate to ask them to stop the test!

Hope this helps and know that I will be thinking and praying for you as you head out to Stanford for a new healthy future! Smiley

Lisa
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Seachelles
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Re: What to expect in Stanford
Reply #4 - Jun 23rd, 2005 at 4:49pm
 
Lisa did a great job of describing the Xenon test.  The first time I had it done, it was awful.  I think it was more because of the fact that I didn't know what to expect.  The second time wasn't so bad at all.  But be very careful when you get up after the test and sit up slowly.  You do feel really loopy afterwards. 

One other tidbit for the Xenon test is to remain absolutely still.  This is very important!  And the reason I say this is because they will do it again if they detect any movement and didn't get a good scan. 

Hope this helps! 

Hugs,
Michelle
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Michelle
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tiomasai
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Re: What to expect in Stanford
Reply #5 - Jun 23rd, 2005 at 9:49pm
 
Stephanie:

I think most everyone has covered everything here.  The only thing I would add is that you should ask for a 'propholactic' (sp?) before you go into the surgery room from the anesthesiologist.  Or at least ask if it would be helpful and won't interact with any other meds you are taking, given your history etc.  My family has had a history of problems with anesthesia so I asked for this (I'm not sure what exactly it is except that it is some type of medication that prevents nausea after going under).  I'm not sure of the risks which is why I say to check with the anesthesiologist but when I mentioned it to mine before both my surgeries, he didn't seem to think anything of it and indicated that he would be sure to give it to me.  I had no nausea after both surgeries, so I'm assuming it worked. 

Also, like others have said, everyone is different.  Try not to be too prepared and take one day at a time.  I'm a total organizer of everything and at the end of the day - I was exhausted from all my pre-op appts., my laptop died on me the day before surgery, I ended up having a 'TIA-like' event on the airplane ride home, and my incisions still haven't healed.  But, I still went to Muir Woods, I still got my laptop got fixed, I still made it home, and I still managed to go see Revenge of the Sith last week (IT WAS AWESOME, YES I'M A STAR WARS GEEK!). 

So there are goods and bads; just try to roll with it.  We're all there with you; if not physically, in spirit. 

Smiley

Trina
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shgr
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Re: What to expect in Stanford
Reply #6 - Jun 27th, 2005 at 12:26am
 
Oh my goodness!  Thank you all so very much for all of your advice and insight. Cheesy  I am out here at Stanford now, Sunday night.  The appts begin tomorrow with nueropsych. tetsting, a transcranial doppler, lab work, and then a meeting w/ Steinberg.  I had a terrible anxiety attack earlier today, but my folks and husband are realaxing me. Beginning tomorrow, I will think of all of your experiences and know that I am not alone in the process.  Thank you very much, more than you can know. 
All my best to you, 
Stephanie Smiley
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Most of the important things in the world have been accomplished by people who have kept on trying when there seemed to be no hope at all. Dale Carnegie
 
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ha
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Re: What to expect in Stanford
Reply #7 - Jun 27th, 2005 at 2:15am
 
Hi Stephanie,

I did not pass the Xenon test. It was really bad at that time but I think that I might be able to do it again as I now know what's going on. No body was with me there at the test and I could only hear the technician's voice  from microphone. I just waived my feet continuously when I felt that I almost passed out. I think Lisa's suggestions are very helpful.

The surgery would be quite fine. I did not notice anything until I woke up at the ICU.

I will pray for you these days.

Ha
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riosdallas
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Re: What to expect in Stanford
Reply #8 - Jun 27th, 2005 at 12:33pm
 
Hi Stephanie,
     I know how you feel, I go for my surgery on July 11th,
I'm already having anxiety but, I pray everything will go well. As for you my prayers and thoughts are with you,
you will do fine, be positive and keep faith.
You have a family and friends that are here to give some support.
                          GOOD LUCK!!!!!!!  Lena
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