Advice pkease

[Joanbill13]

I am due to have a tumour removed from my bladder in the next couple of weeks. How will I react as taking 13.5mg pred. Do I need to take more before op.

[SnazzyD]

That’s really a decision for both your surgeon and anaesthetist. Presumably the surgeon knows about your dose? They may give you a shot of IV steroid at operation time if they feel you need a boost. Might be worth trying to contact the surgeon in the meantime just in case this detail has slipped under the radar.

[Joanbill13 in reply to SnazzyD]

Thank you. I feel they might not realise

[SnazzyD in reply to Joanbill13]

When you had your last consultation with the surgeon, was your taking steroids raised at all?

Usually before an op, the anaesthetist will do their assessment too. Are you having any pre-op work up like bloods or check up or anything?

[Joanbill13 in reply to SnazzyD]

Yes pre assessment Saturday but wanted to get things straight in my head first to ask the right things. Came here for help of course xx

[MrsNails]

As Snazzy says it’s important your Surgeon & Anaesthetist know, l’m sure you’ll have a Pre Op Assessment unless it’s already been done?

You personally don’t have to adjust the Prednisolone, as you’ll be given Hydrocortisone Cover in Theatre, l found when l had my Surgery they constantly ask you Name & Date of Birth & at that point every time l told them l was on Steroids.....

Before l was discharged the Registrar rang my Rheumatologist to check what she’d like me to take Post Op & the Registrar came back to me personally to explain what DrL wanted.

The Anaesthetist is The Man or Woman to ensure knows what a Meds you are on.....

Good Luck with your Surgery.

MrsN

[Joanbill13 in reply to MrsNails]

Thank you everyone. I was just getting in a panic as only found out Sunday about the tumour. Hadn’t spoken to the doctor properly. Hospital rang today and I have a phone pre assessment today and face to face Tuesday so I assume I will sort everything out then. Thanks for your comments. Op is the 21st so not long to wait

[MrsNails in reply to Joanbill13]

Sending Hugs Joan 💗 write all your questions down for the Phone Pre Assessment, Steroids Top of The List!

And if you don’t see Anaesthetist on Tuesday you’ll see him/her before Surgery.

All The Best 🙏🏼🍀🙏🏼

Keep Us in the Loop.

MrsN 🌸

[Joanbill13 in reply to MrsNails]

Will do good thinking. Thank you for kind words just what I need. Xx

[SheffieldJane in reply to Joanbill13]

Good luck with your operation, you’ve had great advice. 💐

[Joanbill13 in reply to SheffieldJane]

Thank you. I was so worried this am Had been worried since I found out Sunday I had a problem. I put the post on here. Knew it was the place to turn to!

[PMRpro Ambassador]

Just make sure you tell everybody - even at the risk of getting boring! The most important is the anaesthetist - they know about that sort of thing and it is their job to deal with it, giving you cover through a drip during the op itself.

All the best - not long to go!

[Joanbill13 in reply to PMRpro]

Thank you for reply. I posted here because I am just as worried about this aspect of the op as the actual procedure itself! I have everyone replies now and feel a lot better about things than I did this morning. Will take the advice starting later with a telephone pre op assessment. Face to face one on Tuesday. COVID test Wednesday op Saturday. I now have appointments on my empty calendar.

[PMRpro Ambassador in reply to Joanbill13]

My daughter recently had major surgery for endometriosis which resulted in a bladder rebuild - the first few days were interesting I think but she had had an epidural which they left in for pain contol. THAT is key so I hope your team are as good as hers - she had a pain control team just for that and they stood up to the surgeon who wanted everything done NOW! Don't let anyone tell you a bit of pain is OK - good pain control at the start is the solid basis for post-op recovery and mobilisation. The surgeons are usually pretty good - nurses sometimes less so.

You'll be fine xxx

[Joanbill13 in reply to PMRpro]

I hope I won’t have anything as drastic as that ! Poor girl. X

[PMRpro Ambassador in reply to Joanbill13]

It wasn't too much but the ureter from the kidney had to be shortened and so repositioned.

[Thelmarina]

What a shock for you! Good they are on the case and dealing with it so fast. Huge good wishes. ❤️

[Joanbill13 in reply to Thelmarina]

Thank you. It was a shock xx