Day of Operation

Once admitted I was taken down to the day admission area where again I had a chlorhexidine shower. No bugs on me ! I put on one of the shortest gowns and some very flattering white disposable undies. The staff have been so friendly and professional which has eased my nerves. It proves to me how valuable good experienced staff are for the patients.

I then get taken down to the operating theatres. Saying good bye to Steph and my precious little Noosh, Augustus was difficult and finally made it all real. Lets get this thing done.

In the holding bay I catch up with my anesthetist and have a quick chat to Michael. Who marks my leg with a black permanent marker, just to make sure we get the right leg!

I get wheeled into the operating theater and the anesthetist begins to administer the anesthetic. And then all of a sudden I’m awake in the recovery area. Just like that its over. I love anesthetics !!!

I note that I drop in and out of consciousness for the next half hour. My pain is well controlled via the IV line. I have no drain tube which is great and they have a very simple dressing on the wound. Its a dressing which is like a waffle which allows the staff to observe the wound without having to remove and change it. Pretty cool and something different to what we do at St Vincent's hospital Kew.

I return back to the ward around 5 pm Still very drowsy but comfortable. It takes me about an hour to fully awaken.

I do the typical physio thing and check my quads, calves, gluteals are working. All good. I can bend my hip up which is difficult and slightly painful but this is a good sign. On the negative side I find it difficult to move my ankle up, so i have a slight foot drop (not unusual as the surgeon heavily infiltrates the op site with local anesthetic to minimise pain in the first 24 hrs). This usually resolves so ill keep you posted. The only other problem is a large area of sensory loss on the outside of my thigh. This is quite common with the anterior approach as one of the nerves (lateral femoral cutaneous) which supplies this area is stretched and traumatised during the op. In a small percentage of cases this loss of sensation can be permanent. Again I will watch this space.

Steph drops in with Augustus and Sue my mother in law which makes my day.

Apparently I am still heavily affected by the anesthetic drugs as I often go into a senseless ramble. Nothing new I say.

I’m pretty much on a cocktail of pain management drugs, Targin a slow release drug which eases background pain, low dose Asprin to help prevent blood clots (DVCs), Endone which is a strong break through pain drug and Mobic an anti inflammatory. Its important to find the right mix as keeping your pain under control is vital for recovery. Good pain management leads to early mobilisation, exercises, comfort and thus minimises the risk of post op complications. Namely blood clots DVTs, chest infections, drops in blood pressure leading to risks of falls, digestive health and loss of muscle control and strength. So far this mix of medications have had little side affects for me namely nausea, vomiting, blood pressure issues, constipation, drowsiness etc. Everyone reacts differently to drugs and dosages so getting this right is important. Usually your anesthetist and surgeon will write up a large number of alternatives to the above so that a combination can be worked out to best gain the good pain management needed with the least side affects.

So the op day has come to an end and ill update you on my first night in my next post.

Cheers for now

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