Ah, the advances of medicine.
I recently spoke with a friend of mine that was diagnosed with breast cancer. She underwent a mastectomy a few days ago and I'd made plans to visit her in the hospital and provide care for her at her home. Imagine my surprise when she informed me that her hospital stay would consist of one night and that she planned to be up and about a few days after the surgery. She didn't plan to return to work for 4-6 weeks but told me that her surgeon's mother had recently undergone the exact same surgery and a few days later was working in her garden!
I had a similar experience last year. I had gallstones that were causing excruciating abdominal pain. As a result my doctor recommended gallbladder removal surgery. Do you know that as recent as 5 years ago this would have consisted of a 5" to 8" vertical incision from my ribs to my waist, 3-5 days in the hospital, and several weeks of recovery? Contrast that to modern day laparoscopic gallbladder surgery:
4 incisions are made in the abdominal area:
* 1 directly beneath the navel
* 1 on the right side of the abdomen (2 incisions)
* 1 beneath the sternum
The doctor inserts a laparoscope (a thin tube with a camera on the end) into one of the incisions and then inserts tools into the other three entry points in order to snip off and remove the gallbladder. If you have gallstones in ducts those gallstones are removed as well.
The hospital stay for laparoscopic gallbladder surgery is several hours. In other words, once the anesthesia wears off and you're able to walk steadily on your own they send you home. I arrived at the hospital at 6:30am and was wheeled out the door around 2:00pm. After settling in at home I took all of 2 pain killers and I was just fine. The next day I took some Tylenol and only had a little discomfort. I was back at work full time in 10 days. To be honest I could have returned earlier but my family insisted that I stay out a little longer. Even so, when I returned to work my co-workers were shocked that I was able to return so quickly.
I'm amazed that you can have a major organ or body part removed in the morning and be at home in your bed the same afternoon. On the other hand I sometimes think people undergoing traditional surgery (not laparoscopic) are being released from the hospital too soon. My friend that had the breast removed is doing just fine but I can tell you that when I had traditional surgery 5 years ago (to have yet another organ removed) I was released on Day Two, definitely too soon. I was barely able to walk from my bed to the bathroom but was given the "good news" that I would be going home that day. As a result I ended up in my doctor's office a day later because the incision had come apart.
Who's to blame when this happens? Are physicians under pressure from hospital administrators to free up hospital beds? Are insurance companies steadily decreasing the number of days they'll cover for hospital stays?
I sometimes wonder where we'll be in 10 years with this issue. As we make more progress with minimally invasive surgical procedures I can only assume the number of surgeries conducted using laparoscopic techniques will increase. Medical progress is unavoidable (and needed) but hospital stays will continue to decrease in duration as well, hopefully at a pace that's consistent with medical advances.
I can imagine this drive-thru scene:
"Welcome to Medi-King, may I take your order? Okay, I see you're having your gallbladder removed. Would you like to get a meniscal cartilage repair with that order?"
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Frequently Asked Questions
Gallstone Flush
By: Mauijayboy | 27-06-2008
What is a gallstone flush, as mentioned in the question regarding recurring gallstones following gall bladder removal?
To remove or not remove the gallbladder
By: Sylvia | 31-05-2008
Is it worth having the gallbladder removed after just one exceptional "bile attack", following an exceptional fatty meal plus snacks, after which stones were discovered in the bladder, even if no pain has ever been felt before or after then? The doctor thinks I should have the gallbladder removed since, according to him, there are no negatives effect whatsoever and I can lead exactly the same life with or without the gallbladder. I am seeing the surgeon in a couple of days to see what he says and deciding on a date. Any comments from people with experience in a similar situation, and who had to decide whether or not to undergo the operation, would be most appreciated.
I recewntly brought some speekers. i plugged them ...
By: stana | 11-05-2008
i recewntly brought some speekers. i plugged them in and the microphone come. it said jack had been plugged in the speekers came on but the speakers come up briefly the n went off on my device manager
Strange sensations after Gall Bladder removel ...
By: chillydog | 08-05-2008
2 years to the day after open Gall Bladder removel it feels like i've pulled a muscle..... Very strange feeling over the "scarred" area. I had a upper abdomin ultrasound which revealed a "borderline " enlarged spleen & a fatty liver. I'm a 42 MWM that drinks beer on the weekends only. Usually 12-20. Everything i have read says you cannot "feel" you liver decaying so what gives. It doesn't hurt, it just feels strange...........
Recovery without IP?
By: OhmGirl | 02-03-2008
Do you believe it is possible to recover from a long-term eating disorder without a formal IOP or IP program?
Pain after gallbladder removed????
By: smonique1109 | 31-01-2008
I am a 47 year old woman. I have a question for you or anyone out there, I would like answered b4 i call the doctor and have to go through a million test again. I havd my gallbladder out about two years ago, due to pain in that area, tons of test showed no stones. The docs took it out anyway then it was discovered it was serverely inflamed. About 6 mos after surgery pain was back, I have just been living with it. Pain is getting worse and more intense. Happens after I eat. Any thoughts anyone?
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