Questions to ask before a surgical procedure
Patients usually have questions before a surgical procedure. Doctors like to know their patients are involved in their own care, and they appreciate listening to their concerns, answering their questions and knowing they're planning on a successful recovery.
Dr. Emily Huang, a surgeon at The Ohio State University Wexner Medical Center, says there are three main parts to preparing for surgery: what to do before surgery, what happens on the day of the actual procedure and what to expect during recovery. That includes immediate after-care in the hospital and the whole recovery process, which many patients don't realize can actually take months.
What are the best ways to prepare for surgery?
Huang says the most important part of preparation for surgery is to minimize any risk factors that you can control.
Avoid tobacco as a general rule, but if you do smoke, try to quit before surgery. Even decreasing tobacco use is beneficial. Smoking increases the risks of complications and makes it much harder to heal the wounds after surgery. Huang often refers patients to a smoking cessation program to get extra support to quit.
Diabetics should get their blood sugar under the best control possible. This is an excellent time to optimize your nutrition. You need physical reserves to go through surgery and recovery, and might need to consider nutritional supplements and advice from a dietitian.
Huang also recommends exercise, such as regular walking or other movement to help you recover faster.
If you're facing a complicated surgery, talk with people who've experienced it.
"Some procedures, such as ostomy, can be life altering and support groups can help you get mentally prepared. They can also help you be better prepared for the recovery period," Huang said.
What are the risks with this procedure?
You should feel confident asking your surgeon about risks associated with any procedure you're planning. Understanding risks will help you decide if surgery is right for you. There are two types of risk. The first type are the really serious risks that are possible but have a low probability. In other words, something that might happen, but odds are low.
The second type of risk is less serious, but more common. Infections are always possible, for example. Talking to your surgeon about the risks of surgery will help you understand much better what to expect.
What should I expect the day of surgery?
Expect the clinic staff to remind you about the specific day-of-surgery logistics. You should write down your arrival time, which may be early. Because other procedures may occur before yours, be prepared to be flexible.
You can help prevent mistakes. Make sure you understand what your surgery is and be able to explain it in simple terms. If you're having a colectomy, for example, you could say, "I'm having part of my colon removed."
Expect to meet lots of people. In addition to the surgeon, you'll meet an anesthesiologist, someone from the pain team, the circulator nurse who keeps an eye on everything in the operating room, plus trainees and medical students who'll be observing, helping and learning. The really nice thing about a big team is that they're all taking care of you.
The circulator nurse is good about keeping in touch with waiting room staff to give updates to your family, which brings us to another question.
Where should my family wait for me? And how long will this take?
Huang shared that she always tries to set expectations for her patients' family members who can feel anxious on the day of surgery. There's usually a time range and your family should be prepared to be flexible. Family members can go to the waiting room, where the receptionists can help keep them up to date on how things are progressing in the operating room. They should provide their cell phone number if they leave to get food or for any other reason.
After the procedure, you'll go to the recovery room for anywhere from 30 minutes to a couple of hours in order to fully wake up from anesthesia.
"Your family might need to be patient about that. The amount of time that passes before they can come see you can be unpredictable," Huang said.
How long will I be in the hospital?
If you're having an outpatient procedure, you'll go home later that same day. You should ask if you'll need assistance at home and make sure you have a friend or family member who can stay with you.
If you're expecting to stay in the hospital for a few days, ask about the milestones you need to achieve before you can go home. With bowel surgery, for example, you must have function before you can leave. Orthopedic surgery might require certain motion capabilities, so ask about the requirements. Be an active participant in your recovery.
What about after-care and recovery? How soon until I'm back to normal?
Your surgeon should give you a general overview of recovery before your procedure. Before you go home, ask about potential complications or symptoms to watch for. Ask for detailed discharge instructions, and get a phone number to call if you have questions or concerns. If you have a fever or pain that's getting worse, call and talk to a nurse or your surgeon. They're happy to answer questions.
Depending on the type of surgery you've had, you may not feel like yourself for a few weeks or longer. Ask your doctor how you should expect to feel one week, two weeks and a month after surgery, so you'll know what's normal compared to how you're feeling. Ask about dietary restrictions, too. Your surgeon might have recommendations for diet that will keep you more comfortable as you begin recovery.
Remember that recovery is a process. You're going to feel better eventually, so be patient and get plenty of rest.
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