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Re: Possibly unnecessary open liver surgery

Posted: Thu Jan 25, 2018 1:59 pm
by LPL
Mbpser,
Good to here it went well.
About the antibiotic pre surgery. I don’t think my DH got that either. I had read and thought they would always do that - and I was aftaid that they would give him Fluoroquinolones
https://floxiehope.com/2013/06/20/what- ... -toxicity/
So I wrote to the surgeon and asked ”please not that kind of antibiotic”. Yes I have heard that it is an important (one of a kind) sometimes but to me, given as a ’precaution’, it felt like too big a gun..

Re: Possibly unnecessary open liver surgery

Posted: Fri Jan 26, 2018 1:17 pm
by ashima2016
Your hubby is so lucky to have a supportive spouse. Good luck with the surgery. Boston is a charming city, I enjoyed it every time I was there. Quincy market is one of the must visit place. :)

Re: Possibly unnecessary open liver surgery

Posted: Fri Jan 26, 2018 5:04 pm
by Shana
Mpbser,

You are awesome and I agree with ashima, your husband is lucky and blessed to have your support!

After reading your posts and the info that you share, I thought "I need a wife...lol"

My husband is unfortunately clueless in regards to medical procedures and terminology. I am thankful that my daughters are capable and supportive.

My condolences on the loss of your brother, never easy during normal times and unimaginable with everything you're dealing with right now. Wishing you and your DH the very best in his upcoming surgery. I hope he gets some more of that lobster mac n cheese as soon as it's doable!

Re: Possibly unnecessary open liver surgery

Posted: Fri Jan 26, 2018 6:53 pm
by TXLiz
I was supposed to have a complete hysterectomy a few weeks ago, and I postponed it due to the illness of my son.

My surgery was to be open, due to the nature of my abdomen after 3 abdominal surgeries including the colon resection. The surgeon said, she doesn’t know what’s inside after all the prior surgeries.

Sorry for your pain and that of your husband, and these difficult health issues. It super sucks. My best for you both.

Re: Possibly unnecessary open liver surgery

Posted: Fri Jan 26, 2018 7:44 pm
by CRguy
mpbser wrote:On a completely different note, I was curious why the surgeon did not prescribe antibiotics pre-surgery.

LPL wrote:About the antibiotic pre surgery. I don’t think my DH got that either. I had read and thought they would always do that - and I was aftaid that they would give him Fluoroquinolones ....


Just a medical reply to these two separate issues here :

Unless there is existing infection or reasonable presumption of incipient infection, for a sterile surgery there should be no requirement for pre-op antibiotics.
For potentially problematic surgeries, known to be "at risk" for complications, pre-op antibiotics would be considered.
Most surgeries we as patients here have been exposed to, would require post-op medications which are actually started IV during the pre-op preparation stage before the surgeons actually start their work.

Fluoroquinolones are great antibiotics in the proper setting ... BUTT they have specific contraindications in older patients and juveniles and certain other settings, so yes ... may not be needed even then, UNTIL indicated in which case ....GIVE'M !

Cheers all
Hope all the patients get what they need and it WORKS !
CRguy

(( disclaimer : I have had most of the "major RAMBO-cillin" type antibiotic meds during my Journey, including Fluoroquinolones and am still here to chat about it ! AND as a Vet have used the fluoro's for a lotta years and kind of have to take the Floxie website with a grain of salt. IF used properly they are like any other med we are exposed to and they come with pluses and minuses. Fear mongering sites do nothing to educate us to the real situation I am afraid ... JMO
and please don't get me started on anti-vaxxers :twisted: :mrgreen: :mrgreen: :mrgreen: ))

Re: Possibly unnecessary open liver surgery

Posted: Fri Jan 26, 2018 7:49 pm
by Beckster
mpbser wrote:Surgery is looming. We leave for Boston next Tuesday. I will drop off my husband very early Wednesday. I have requested a private room but the hospital does not guarantee he will have one. The cost is $483 per night out of pocket. That's quite a bit out of our budget but I am far more concerned about him resting up and healing. When we spoke about the possibility of getting a private room, he said that he doesn't want to spend the money. I will pay for it, if need be. However, he has to sign an agreement when he checks in the morning of surgery. Since I won't be with him, I need to alert him to this in case he objects to the paperwork. I will try discussing this again in a couple nights.

Beansmama's passing has really shaken me up. I am so worried about this surgery, although I know he is in good surgeon's hands. I have so many questions and I am frustrated that I can't ask them. With the number of questions I have, the doctor would require a visit, something we don't have time for.

My little brother died January 5th in a fatal hit and run accident. He was like a son to me. I have a very high stakes, high stress meeting in Boston the day after husband's surgery (2/1). The only good thing about that is that I will happen to need to be in Boston that time anyway. I have depositions scheduled for February 7th, the last day possible per court order, for one of my cases. I don't know if my husband will be ready to journey home by then. I don't know if my life could get any more stressful. It's a nightmare!


mpbser...Good luck in Boston. I will be sending positive vibes your way! On another note, so sorry to hear about your brother. My little brother too was killed in a car accident. I was like his mother. It has been 30 years and there is not a day that goes by that I do not think of him. It does get better, but you never forget.

Beckster

Re: Possibly unnecessary open liver surgery

Posted: Sat Jan 27, 2018 11:02 am
by LPL
CRguy wrote:
Fluoroquinolones are great antibiotics in the proper setting ... BUTT they have specific contraindications in older patients and juveniles and certain other settings, so yes ... may not be needed even then, UNTIL indicated in which case ....GIVE'M !

I’m sorry CRguy if the Floxie website that I posted is a site you disapprove of.
This quote below comes from FDA
An FDA safety review has shown that fluoroquinolones when used systemically (i.e. tablets, capsules, and injectable) are associated with disabling and potentially permanent serious side effects that can occur together. These side effects can involve the tendons, muscles, joints, nerves, and central nervous system.

https://www.fda.gov/Drugs/DrugSafety/ucm500143.htm

Please note that I did say in my post:
“Yes I have heard that it is an important (one of a kind) sometimes but to me, given as a ’precaution’, it felt like too big a gun..”

Re: Possibly unnecessary open liver surgery

Posted: Sat Jan 27, 2018 1:19 pm
by CRguy
No problem.
I just personally dislike some types of sites, but the information is important and needs to be discussed here with our members, so thanks for bringing it up on the forum.

Cheers
CR

Re: Possibly unnecessary open liver surgery

Posted: Sat Jan 27, 2018 5:09 pm
by mpbser
Thanks for weighing in, everyone. We haven't heard about the pathology results from Wednesday's biopsy, but I hope we find out Monday! Even if the one spot is benign, that doesn't mean it won't be open surgery. It would then depend on how much shrinkage in the cancerous tumor has occurred and whether it is at least 1 cm from the blood vessel. I guess the surgeon won't really be able to tell until he is on the operating table.

Beckster, Yeah, I was like a mom to my little brother, too. It has been excruciating. https://www.nbcnewyork.com/on-air/as-se ... 65463.html

Re: Possibly unnecessary open liver surgery

Posted: Mon Jan 29, 2018 2:51 pm
by mpbser
Great news this morning from liver surgeon. The right lobe mass is benign!!! This means that surgery will most likely be laparoscopic and wedge. The surgeon does not think the entire lobe has to be removed but it all depends on how close the tumor is to the blood vessel when husband is on the operating table in less than 48 hours. Fingers crossed for easy surgery and swift recovery!!!

Re: Possibly unnecessary open liver surgery

Posted: Mon Jan 29, 2018 3:23 pm
by Shana
Wonderful news!

Wishing him a successful surgery and speedy recovery!

Re: Possibly unnecessary open liver surgery

Posted: Mon Jan 29, 2018 3:42 pm
by Robino1
Excellent news. That should aid in your husband's mental state. :)

Re: Possibly unnecessary open liver surgery

Posted: Mon Jan 29, 2018 3:57 pm
by susie0915
Such great news!

Re: Possibly unnecessary open liver surgery

Posted: Mon Jan 29, 2018 6:10 pm
by mpbser
Indeed, he is very happy and relieved! :D

Re: Possibly unnecessary open liver surgery

Posted: Mon Jan 29, 2018 6:36 pm
by LPL
Great news :)
and Good Luck with the surgery!