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Things I asked my surgeon at my pre-op appointment today
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Just thought I'd throw out there the questions I asked my surgeon today. Surgery is Saturday!
Q: What size bougie do you usually use?
A: (laughing) why does that matter?
Me: It doesn't; on the forum I hang out on, I've seen people talk about the size of the bougie the surgeon uses, and I figured I would ask!
Doc: 34
Q: Do you suture over the staples on the sleeve?
A: Yes and sometimes over the sutures I also use (dang, I can't read my notes. Can't remember if he said a surgical mesh or a surgical glue or what).
Q: Do you close with staples? sutures? glue?
A: Usually I used sutures and/or steristrips, but since you have trouble with tape (it gives me welts), I'm going to use surgical glue and sutures where necessary.
Q: Do you do a leak test before discharge?
A: I do the leak test while you're under anesthesia, by endoscopy. I do everything I can while you're out and I don't see any reason to wait to do a leak test until you're awake (shaking his head).
Q: Do you routinely use catheters on your patients?
A: Sometimes, and I think we will for you.
Me: Good!
Doc: (laughing) Why "good"?? Not having one is an incentive to get up and walk!
Me: Because when I have to pee, especially in the middle of the night, I have to go RIGHT NOW. So I'm picturing me struggling to get out of the bed, not making it, and leaving a pee trail to the bathroom.
Doc: (still laughing) that's why we have linoleum floors.
Me: And then I slip and fall in the pee and break a leg or my hip or something and then you have to operate on THAT!
Doc: Yep, a catheter it is!
Q: Do you usually leave in a drain?
A: No, not routinely. Not usually.
Q: Is anyone else going to be working on me or is it just you?
A: I have assistants and residents, and if a resident is near the end of their training, they'll do much more than if they are at the beginning. I'll be there the whole time.
Me: So I'll always be in your talented hands?
Doc: Yes, until I go to Starbucks for a coffee halfway through! (this is in reference to a local cardiac surgeon who got into serious trouble for leaving patients in the middle of surgery and telling his PA to finish up the surgery - clearly out of the scope of practice for the PA).