Liver RFA/colon resection has been scheduled for August 21st.
His prep at MGH is very different from what he did at our local hospital.
Basically, for his first surgery at local hospital, they has him drink two protein shakes starting 3 or 4 days pre-surgery. The day before surgery, no solid food but a couple protein shakes. Then he was to take tylenol and iboprofen for the couple days prior and a dose of lyrica the night before. Enema the morning of.
At MGH, no protein shakes. Instead, they want him to eat a diet high in complex carbohydrates starting two weeks before surgery (two days ago). No NSAIDs for the days prior to surgery (at least none prescribed, but he can have them if he's having back pain or whatever). No lyrica. No enema. They will give him a couple of painkillers the moment he checks in at the hospital at 6:00am.
I find the difference quite interesting but I am too swamped with work to look into it.
Wife of 4/12/17 Dx age 45
5/19/17 - Lap left hemi
Tumor size: 5 x 4 x 1 cm
T3 N2b M1a
Stage IV A
lymph nodes: 9 of 54
CEA: 1.4 Pre-op; 2.1 2 days Post-op
Tumor extension: Invasive through muscularis propria into pericolic fat
Proximal margin: >14 cm Distal margin: >14 cm Mesenteric margin: 3 cm
Lymphovascular invasion present
Lynch - unlikely; KRAS wild
Immunohistochemsistry: Normal expression of MLH1, MSH2, MSH6, and PMS2