What to do to concentrate on recovery before surgery?

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mikekass

Hi,

I am scheduled for AVR + AA resection + Aorta Arch for July 14. At this my Dr. is saying you need to concentate for things to do for good recovery.

Could you guys share with me your experince in this area.

Thanks,
MikeKass
Surgery July-14
 
Try to get things taken care of prior to surgery that may need to be addressed after surgery. Bills paid, someone to be with you the first week you are home, comfortable clothes that are easy to put on, shopping for food that can easily be prepare (or is preprepared). That first week you won't want to have to do anything but sleep, eat and walk - thinking is sometimes an option too.:)

As far as preparing ones mind for recovery. Understand that this isn't hang-nail removal, and you will need to give yourself a lot of time to recover. The first few weeks home are the toughest. Be patient with yourself.
 
Karlynn said:
Try to get things taken care of prior to surgery that may need to be addressed after surgery. Bills paid, someone to be with you the first week you are home, comfortable clothes that are easy to put on, shopping for food that can easily be prepare (or is preprepared). That first week you won't want to have to do anything but sleep, eat and walk - thinking is sometimes an option too.:)

As far as preparing ones mind for recovery. Understand that this isn't hang-nail removal, and you will need to give yourself a lot of time to recover. The first few weeks home are the toughest. Be patient with yourself.

I agree with everything Karylnn said. If you were talking about health issues I would say eat well, if you smoke STOP, if you drink keep it to a minimum and if you are not walking and you can do so. I had two weeks to prepare and was glad I did. I wish you the best. This is not easy but it is not as bad as I thought it would be and had a few bumps the first three weeks.

I am 18 weeks post op so I don't know a lot but I feel great and I'm sure you will too.

Best to you and your family,

Tom
 
In addition to everything mentioned, try to imagine things you want to do when you feel better. Sort of make them a goal. The first few days are the toughest and you may even be depressed, but try to look ahead and keep moving forward as much as possible.
 
Make sure there is nothing in your way as you walk around the house, especially stairs (kids toys and stairs equals major ouch) and if there is anything that needs to be moved do it now. All the other suggestions are perfect.

And as far as the memory thing - just give yourself uhmm, what was I saying? hmmm, oh well. Oh yeah - give yourself time.
 
Sounds like you have a smart doctor.:) ......the Recliner is almost always the #1 thing to have for recovery at home...Most people find that the first week sleeping in it, napping, ect..is better than climbing in and out of a bed.....( I was lucky that we had a twin bed..low to the floor..that my family sat up in Living Room, close to the bathroom) and a neighbor brought me a form wedge pillow..the kind you sit up and read in bed.....also, most people report that they have more pain in their shoulders and back..than in the sternum ..so, someone to rub your back often helps more than pain pills.:D ....... You will bring many post-op pills home to take for the first few weeks..so a pill-box to organize them is very helpful....Most will be discontinued after your 3 week post-0p with surgeon. Cold juices taste so good.. food was yucky..:p Other than that..just remember ONE day at a time.... If you over-do it..your body will tell you the next day.....Don't feel guilty..if others have to wait on you..for a few weeks..I'm sure they don't mind.:) Bonnie
 
Thanks for your feedback. Question on Stop smoking

Thanks for your feedback. Question on Stop smoking

Hi,

I am a smoker and both my cardio and surgeon know about it. I am lucky that all the test have shown I have perfectly healty cornory arteries and my lung is still clean. My surgeon nurse has told me to stop smoking before surgery. But my surgeon has told me it is OK if I need to smoke few cigerrets a day to calm me down before surgery as long as I totally stop smoking after surgery for good. Any body has any comment on this?

Thanks
MikeKass
AVR + aorta aneurysam resection July-14
 
Hi Mike,

I was told that I could not have my surgery (same as yours) until I had been smokefree for a minimum of 6 weeks...that was enough to make me come home and throw the packet away...and I also had/have perfectly clear lungs and pretty good arteries etc...
I suspect this was a bit of a "white-lie" by my Docs but it worked as I decided it wasnt worth it to smoke anymore...
I actually used Valium instead of those nicabate chewing gums & patches and it worked well for me...
It wasnt totally easy to do but I wanted my surgery more than I wanted another cigarette.
I also didnt want to be stuck on the "vent" for an extended period of time, not that I knew what it was really but I had heard how awkward it was.

I wish you good luck in whatever you decide to do...
 
I'm trying hard to find a kind way to say to you.......

Quit.

Quit Smoking Right Now!!

How can you go through such extreme surgery, put yourself through what you will have to endure in order to be healed and then keep smoking?

Excuses simply cannot be a part of your life anymore. Smoke a few until your surgery because you'll be nervous? Makes no sense. Makes no more sense to me than .....smoke a few a day after your surgery because you've been through so much.

Your days of depending upon a cigarette (I would think) have to be over.

The sooner you quit, the better your anesthesiologist will like it. This is extreme anesthesia we get for OHS........a smoker makes it way, way more dangerous and difficult.

Good luck.
 
mikekass said:
Hi,

I am a smoker and both my cardio and surgeon know about it. I am lucky that all the test have shown I have perfectly healty cornory arteries and my lung is still clean. My surgeon nurse has told me to stop smoking before surgery. But my surgeon has told me it is OK if I need to smoke few cigerrets a day to calm me down before surgery as long as I totally stop smoking after surgery for good. Any body has any comment on this?

Thanks
MikeKass
AVR + aorta aneurysam resection July-14

Oh Mike,
If you knew what it is going to feel like when you are made to cough after surgery, you'd quit cold turkey.
I smoked years ago, and after surgery I kept saying, "I'm so glad I'm not smoking."
If you truly want to know what you can do beforehand to help your recovery, then quit smoking.
You can do it!:)
 
I quit smoking about 6 weeks before surgery. It was absolutely the best thing I could've done for myself to prepare for the surgery. Ironically, the surgery (and meds?!?) really helped me to get over that nicotine hump period. I was so busy recovering, I truly did not even once think of smoking. Thank goodness I didn't because I'm sure it would've been excruciatingly painful to smoke a cigarette--the required coughing and breathing therapy post-surgery to clear the lungs is quite painfully challenging enough. But, I know that you, yourself, have to be motivated in order to quit. Granted, this is also a very stressful time to quit smoking with all that you have on your plate. Xanax was mild, yet helpful for me during this time of stress. NOW is the time in your life to ask for any kind of help and support you might need. So, I will send prayers and positive energies your direction for strength and guidance during these difficult times.
 
Quitting smoking is no easy task by any means. I quit in Sept of last year when I found out I needed surgery. I smoked heavily for 35+ years but Xanax and the Patch made it somewhat bearable for me to quit. The surgery definately had a play in helping me, never even thought of a ciggerette after surgery, was just too ill to even want one. Another couple of months and it will be a year for me. I want one every now and then but the urge passes quickly. I know it's hard but you should try now before the surgery to get the coughing spells out of your system before it hurts to cough.
 
I know it's tough to give up smoking but I would echo others in urging you to do that so you can have a recovery with return to full lung function, minimizing unnecessary coughing.
 
Well, I'm not going to beat you up about the smoking thing! How much improvement will there be in 2 weeks? If it is marked improvement to your lungs, then I echo everyone elses?s cheer, but I?m not sure there?s enough time for you. I used to smoke many moons ago (25 years) and was able to quit successfully when I decided to have children. My husband smokes, not inside. Since the surgery I really hate it that he does. I hope you will hate it also. Personally I think you've got way too much to think about right now and you don?t need to pressure yourself to quit before surgery. If you can quit, for heaven's sake, DO IT! But don't beat yourself up if you can't.

Can you do this? Can you imagine yourself smoke free after the surgery? Can you truly visualize the new you, scar and all, making your way through the day without any cigarettes, day after day and forever. THAT would be a useful thing to do. Plan to have someone completely clear your home and car(s) of anything hinting of smoking. Use your recovery as a way to start new rhythms in your day. Get up and put your walking shoes on instead of going out on the porch for a smoke. I don't know where and what; only you know you. Just abolish all those places, moments, habits.

In the next 2 weeks before your surgery, find a place close by for a walk. It should be fairly level and have some interest?.. a viewpoint, nice shops, gardens, fun homes to peek into, whatever! Go there as often as possible without your cigarettes. Try not to even think about them. Then, after your surgery, you will be able to go there and re-experience your walks without the thought of your cigarette smoking. Non-smoking will be familiar to you there. Maybe there are other ways you can put this pre-experience to use.

As far as other preparations for recovery?.. I found that reaching, lifting, pushing, sliding, leaning over ?. All those moves were difficult for a long time! Move things that you are likely to want before surgery. Bring them to a shelf or hang them close to a standing or seated position. I couldn?t even open my ?safety? jar of pain meds that first week?.the twisting of the protective lid hurt too much!! I ended up putting the jar on the perpendicular edge of the counter, leaning full weight on it and then twisting it open. Things you just don?t anticipate!! It?s impossible to open a window. It?s not easy to open a sliding door, etc. etc.. Of course, being the cook and going right back to full-time housewife duties after 3 weeks, there was more of this kind of dilemma than there might be for you.

If you enjoy tv or movies and have cable, you might consider calling your cable provider (or those movie clubs) to see if they have any special deals going. I did, and mentioned that I was going to have open heart surgery?..the sweetie on the line gave me all kinds of things ?on trial? for 3 months (of course, at the beginning of the 4th month you start to pay if you don?t put a stop to everything!)

So! Make sure you have a stack of reading material by your bed or recliner that you won?t ever get to (we have all made this stack!), break in some walking shoes if you haven?t already got some, have a few silky button up shirts around (your wound and chest may not like fabric), prime up that recliner, accept all offers of food to be brought by, get a haricut, visualize yourself a non-smoker and breathe. Nice easy breathing. And deep exhaling. You?ll get through it all just great!!

:) Marguerite
 

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