Title: What does the Pre-Op consist of?
mabozar - July 16, 2009 10:20 PM (GMT)
And what means pass or fail for ADR?
Ruth - July 17, 2009 03:11 PM (GMT)
I had my pre op at Spire Cheshire Hospital under Mr Shackleford in April. I was sent a questionnaire which asks for details of your medical history & current medication. The nurse went through this at my pre op & I had routine blood tests to check for anaemia, liver/kidney function etc, an MRSA swab & also provided them with a urine sample which was tested for blood, protein & glucose. The results were within their range of normal.
I am 45 & reasonably healthy so had no significant problems. Pass or fail depends on what it is & by how much. They have to be able to do the surgery safely without putting you at risk.
Which surgeon did you decide to go with?
Good luck anyway!
Alastair - July 17, 2009 04:24 PM (GMT)
Chris they do some tests as Ruth says but the one thing the surgeon HAS GOT to do is a "Hands on " physical. No getting away from that one. Ship a cask of Guiness with you when you come across -- - lol :D :D
mabozar - July 17, 2009 09:48 PM (GMT)
I am I think perfectly healthy apart from my discs.
2 other points.
1. My cholesterol is on the high side at 6
2. My liver - due to all the drugs is on the high side for the glucose testing.
Would that mean a fail?
Looks like I am going with Dr Shackleford.
Alastair - July 18, 2009 08:18 AM (GMT)
Tell the medics about you probs and let them make up their minds they always have a "Plan B"
mabozar - July 18, 2009 07:14 PM (GMT)
Lynda - July 21, 2009 11:21 PM (GMT)
Its not really about pass or fail for adr, more like being fit for surgery and making sure there are no underlying issues to be dealt with prior to the surgery....you've already passed the adr test having had the operation offered to you.
Don't worry too much about your cholesterol, yes it is high and you need to try and get it down but its not routinely checked at pre-op. Mine was checked at my own request (as mine too is high). It came back at 6.3 which was a fall from the previous 6.9 and my surgery went ahead. Some medications, such as diclofenac which I take, can cause high cholesterol.
If your blood glucose is on the high side of normal, you will be okay but if it is high you may require further investigations; as your GP has not initiated such tests I expect you are simply the high end of normal and will sail through your pre-op assessment.
If you have followed Gilly's posts you will know she was found to be anaemic at her pre-op and her surgery was postponed...she has had oral iron tablets for a few months and is no longer anaemic and back on the list. and waiting for a date.
Pre-op clinic is a great opportunity to ask questions and find out about the routine specific to the particular hospital; it is easy to forget questions and I suggest you write a list to take with you. You may well find the nurse covers most of your questions anyway but there may be one or two to ask. I doubt you will even see a doctor at pre-op, but you have already had your "hand's on" physical examination. You may see a physiotherapist and /or be given some written information on the surgery and recovery exercises. As well as the tests Ruth has mentioned I also had an ECG but that depends on age..(I'm a bit older than Ruth).
I hope you get your insurance coverage sorted out and don't have to wait too long for your operation. As Ruth says, pre-admission is about preparation i and your safety and fitness for surgery.
katykat - July 23, 2009 06:19 PM (GMT)
One of the main tests is to check your blood pressure. If it is high, there is no way they will give you an anaesthetic. Also, apart from an ECG, i also had blood taken for cross matching. This means they check your blood group and put 2 pints of blood aside in case you need a transfusion. this was done at Warrington general, for Mr Shackleford. other hospitals may vary their Pre op details.
mabozar - July 27, 2009 11:02 PM (GMT)
Thanks for the advice folks
My blood pressure is always on the low side, cholesterol on the high and the liver high due to painkillers, I do take a lot of supplements such as multi vitamins, fish oil and glucosamine, should I gradually stop taking these over the next few weeks?
katykat - July 28, 2009 07:47 AM (GMT)
Chris, you will be advised to stop taking all of your supplements, but if your pre op is going to be more than 1 month before your op, then I would wait until you are told to stop them. This is mainly due to the unknown reactions with prescribed drugs. You will be advised to continue your prescription drugs. I mentioned that I had blood taken for cross matching, but that was at my first pre op ( on the day I was put on the list for ADR. I was waiting 9 weeks for the op & had to go for a second pre op for repeat BP check & MRSA swabs, as they cant do the swabs until just prior to your op. At the 2nd pre op, they took more blood for cross matching & when I quried this, I was told that they only hold on to the blood for 3 weeks, so it needed doing again. It all seemed like such a waste to me. If they know at the first pre op that your are going to be waiting more than 3 weeks, why bother doing it then. But then, this is just Warrington, it may be different elsewhere.
mabozar - July 29, 2009 12:42 AM (GMT)