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Enhanced Recovery Programme for an operation
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<blockquote data-quote="jowatkins" data-source="post: 258342" data-attributes="member: 37743"><p>It is for a full hysterectomy. I have rheumatoid arthritis and an underactive thyroid as well as diabetes. I have to come off my most effective medication for RA when I have an operation which usually results in me having a flare (unbearable pain in my whole body) soon after any operation.</p><p></p><p>I have also just had major surgery in the form of a spinal fusion with rods, pins and a bone graft. It will be 11 weeks inbetween operations. I am not happy about having this new op so soon but I am told that I must have this hysterectomy ASAP. It could be that my consultant actually forgot I was diabetic and put me on this programme as he was worried about all the other factors. I didn't question it at the time as it was never explained to me and I read all the details when I got home (to my horror).</p><p></p><p>I have just edited my first post as I realise that there is only 25g of carb in each drink but it still means that I will be taking 100g carb extra in the evening before surgery.</p><p></p><p>I have a pre-op appointment scheduled and I am certainly going to question this. I am inclined to refuse to do it. I may phone a designated nurse for more information beforehand and enquire what the reaction might be if I decline the programme so I can have an effective arguement at pre-op. </p><p></p><p>From my research this programme seems to be the latest `in' thing to hit the NHS and there is much info on the internet but as far as I can see there have been no studies which looked at the effect on someone with diabetes. In fact, they have been actively excluded from most studies. There does seem to be genuine benefits to a non-diabetic patient in better healing and less post-op infection but I still think that the bottom line is that they can usually send you home earlier! </p><p></p><p>I will let you know what the outcome is as I am sure that many of you will come across this if you have to have surgery.</p><p></p><p>Jo</p></blockquote><p></p>
[QUOTE="jowatkins, post: 258342, member: 37743"] It is for a full hysterectomy. I have rheumatoid arthritis and an underactive thyroid as well as diabetes. I have to come off my most effective medication for RA when I have an operation which usually results in me having a flare (unbearable pain in my whole body) soon after any operation. I have also just had major surgery in the form of a spinal fusion with rods, pins and a bone graft. It will be 11 weeks inbetween operations. I am not happy about having this new op so soon but I am told that I must have this hysterectomy ASAP. It could be that my consultant actually forgot I was diabetic and put me on this programme as he was worried about all the other factors. I didn't question it at the time as it was never explained to me and I read all the details when I got home (to my horror). I have just edited my first post as I realise that there is only 25g of carb in each drink but it still means that I will be taking 100g carb extra in the evening before surgery. I have a pre-op appointment scheduled and I am certainly going to question this. I am inclined to refuse to do it. I may phone a designated nurse for more information beforehand and enquire what the reaction might be if I decline the programme so I can have an effective arguement at pre-op. From my research this programme seems to be the latest `in' thing to hit the NHS and there is much info on the internet but as far as I can see there have been no studies which looked at the effect on someone with diabetes. In fact, they have been actively excluded from most studies. There does seem to be genuine benefits to a non-diabetic patient in better healing and less post-op infection but I still think that the bottom line is that they can usually send you home earlier! I will let you know what the outcome is as I am sure that many of you will come across this if you have to have surgery. Jo [/QUOTE]
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