Pre-op Assesment nightmare.....

Posted , 18 users are following.

Hi all, today finds me to be not in a very good place at all.....

Went for my Pre-Op assessment this morning, the usual blood pressure, ECG, blood work, MRSA swabs etc.Blood Pressure showing high, as it has been for a couple of months, and I have been taking meds for it, and beibg monitered by my GP. Actually got the numbers down at the past 2 readings that she did.

Met with a Registrar, and also the Anaesthetist, Stan. Stan and I had a good chat about what my options are follwing a failed (and, for me, traumatic) Spinal at my first TKR in March. He was happy to go straight to General Anaesthetic with me, as the thought of another Spinal is stressing me out. We even discussed whether I should take my Blood Pressure medication on the morning of the surgery. Confirmed that I will have a catheter placed, the same as last time, and told me he'd see me on Thursday.

Waited around a bit longer, and a Healthcare Assistant-type nurse came in to check that everything had been done, and to tell me I could go home. She then looked at my BP figures, and took a 3rd reading, which was still coming in elevated. At which point she said "Thats too high for us here, ITLL HAVE TO BE CANCELLED!!" Bearing in mind not 30 minutes previously Id been talking to the Anaesthetist himslef and he was aware of my numbers! She then started going on about having my BP read at my GP surgery and phoning in the result (Phone in? No confirmation required from the GP?) and if it was still high then I would need to get 3 separate readings on 3 separate days, before they could look at rescheduling! I explained that my surgery is scheduled for Thursday, and she just shrugged.

Needless to say I burst into tears (have barely stopped since to be honest....) gathered my belongings and headed off to the loo. On my way there, the Staff Nurse who had done the majority of my Pre-Op work saw me, asked if I was ok, at which point the "bad news nurse" said no, shes upset cos her blood pressures up and her ops got to be cancelled". Look of disbelief from Staff Nurse Denise, who told me to hang on, and she would go and have a word with Stan. i locked myself in the loo and tried to sort myself out (fat chance of that!!). when I came out, Denise told me that I was stil to go in on Thursday morning, but it was important that I get my BP read at my GP's before I go in. 

I managed to get an appointment to see a Nurse at my GP surgery a couple of hours later, and she also "thinks" that its "probably" too high, but only took one reading as my Anaesthetist appeared to be happy! Going to have it done tomorrow and also Wednesday, and then Thursday arrives. With me not really knowing if the surgery is going to take place or not. 

I thought Id just about reached rock bottom a few days ago, been very emotional and stressed, but had started to come out of the other side (especially after reading how well Cheryl is doing after knee #2!). Now Im worse than ever, cant stop crying, feel sick, and havent got a clue whats going to happen!

To anyone still reading (sorry its so long), thank you. I guess you guys are the only ones who will understand how bad this feels.......

 

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  • Posted

    What a nightmare for you.  All you can do now is just take it one day at a time. It will really help your BP numbers if there is any way you can relax a llittle.  I don't have an answer to how to do that but maybe others do.  Meditation, breathing exercises, who knows.  But you really have to try. All the fretting and stressing surely won't help.  Good luck.
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    • Posted

      Thanks Monica, Im trying to remember to breathe (I tend to forget when Im stressed and end up taking a huge deep gasping breath in, most embarassing!) and Im going to look at my holiday photos and maybe have a herbal bath. 

      I've just rememberred that I was taught some breathing exercises by a counsellor after an "incident" at my old place of work, maybe I'll revisit those.......

      Thanks for your kind words xx

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  • Posted

    First and foremost I am sending you a humungous hug >>>>>p brea

    I really think everything will be ok. People with high BP must have this happen. That bl**dy nurse! What a 'jobsworth' ! Keep your chin up. Feel positive, or your blood pressure will soar. Deep breathing and wonderful thoughts. Calm, and meditate to get that blood pressure on an even keel.

    I am sending positive calming vibes that all goes well and that you have your op as scheduled on Thursday. It is the Aneasthetist's decision at the end of the day.

    Hugs hugs hugs,

    love

    Elaine xx

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    • Posted

      Thanks Elaine, my mum called the nurse almost exactly the same, but added "jumped-up" to the "Jobsworth"!

      Im trying to remember to breathe, and hubbys just come in from work and Im banned from doing anything more strenuos than making a cup of tea, and as you say - at the end of the day, its the anaesthetists decision. If it comes from him that we have to cancel then Ill have to take it on the chin, but we'll see.

      Thanks again xxxx

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  • Posted

    p brea = deep breaths.
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  • Posted

    Very upsetting. I checked into my room with a couple of hours before my op. They saw a small ( very small) scab on my shin where I had knocked it a week earlier. Op cancelled and a 4 week wait for the new date.

    i think the answer, and it's easy to say 3 months after my op, but leave it to the experts and take their advice however upsetting it may be. TKRs are routine but they are major invasive surgery and they will not take any chances - if they di then you would be at risk, they would only be sued.

    i feel for you as you are having a tough time but think positive it will all be over soon. Best wishes.

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    • Posted

      Thanks Richard, and youre absolutely right. If somethng isnt right, then thats that. Frustrating, upsetting etc, but all we can do is deal with it.

      Feeling a bit more positive now, so all I can do is wait. 

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  • Posted

    hi terri oh you poor thing the fact your stressed  the bp will show you are ,trying to relax is hard i think maybe if you could go for a massage ? or something like that to relax you maybe it might help to bring it down .its such a stressfull time ,that nurse didnt help she should be more considerate . why not see your gp he might be able to put you at ease i do hope it goes ahead as at this stage your ready in your mind il be thinking of you x
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    • Posted

      Thanks Linda, i think Im going to have a warm herbal bath later, lie down, look at my holiday pics and put some relaxing music on. 

      I agree the nurse should have been more considerate - she was almost dismissive, as if to say "Not my problem" and walked off!

      Im seeing my (lovely) GP on Wednesday, so hopefully I'll be nice and calm, and we can rustle up a decent number! xx

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  • Posted

    Can I ask what the readings were to make "bad nurse" so dismissal? Mine were 220/120  on the day of my op. last October (2014). They made me wait until 6.30pm (which is why I think it is in wrong - the surgeon must have been cream-crackered by then) in the hope it would go down. It didn't, but the lovely anaethesetist said it would drop the moment they put the spinal in - & it did.

    I am going in tomorrow, for the much awaited (but still terrifying) revision. My BP is up as per usual - they have told me to take my BP pills (2 different ones) with water at 6.30am before I go in (have to be there at 7am) - at the moment they are going with a spinal again, but reverting to a GA if they have to. I am totally on edge today as I know what to expect tomorrow, so maybe reading all these posts is the last thing I should be doing - but it DOES help to have someone else in the same boat.

    Good luck - Veronica

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    • Posted

      good luck veronica just think this time tomorrow it will be over !!! i understand the worry i must say when i went in for my revision last year i was like you petrified but happy the day came keep us posted when you can x
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    • Posted

      Oh bless you, taking the time to reply when youre about to go in yourself! 

      I had 3 readings at Hospital, 156/105, 161/106 and 174/100 - and the last one where the bottom number is lowest is the one that "Bad Nurse" (haha love it!) chucked her toys out of the pram at! I also went to my GP surgery, and the Nurse there got 160/100.( She looked about ready to call the undertaker!)

      I know these numbers are classed as "high" but the way she was going on at the hospital I was about to keel over in the examination room!!

      Interesting what you said about your BP going down when the Spinal got put in - thats the reason I had to have an Epidural years ago when I had my daughter, as I was told it would bring down my high BP from Pre Eclampsia. Maybe if we are still looking dubious on Thursday, Ill say to Stan that Im even willing to let him try and place a Spinal if it will be beneficial (he knows Im terrified of it so at least he'll know I mean business!)

      Thank you so, so,  SOOOOOOOOO much, youve really helped to calm me down. 

      Are you in the Uk? If so, I might jsut tell that ruddy nurse about "my friend Veronica who had higher numbers than me and still had it done so there!!" 

      Joking aside, I wish you all the very best for tomorrow, and really hope you get the best result possible.

      Terri xx

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    • Posted

      Yes, I'm in the UK - I live in Cornwall. Had the "bad" knee put in at The Peninsular (run by Care UK, but sponsered by the NHS) - this time I'm going into Derriford. Nobody seemed in the least concerned re my high BP. I have had a 24 hour monitor from my GP surgery some time ago, & that showed high readings even when trying to sleep (how can you with a cuff going mad every 30 mins!!). That was when they tried 2 different tablets. They are going to change them again, but not until after the surgery. I seem to have got the under reading down to about 90 now, but the top reading still reads like an electricity meter going around in winter!! A friend who is a nurse told me BP always drops with a spinal. I am needle phobic - but I never felt it go in. They put the canular in my hand first, put a sedative in through the canular, & they could have done anything with me, I was so away with the fairies!! I spent yesterday looking up my new surgeon. He has done 112 TKR in the past year (about average) & 33 revisions (way above average, but that is what he specialises in). The 1st guy, has done over 300 TKR's, which is way, way above average & no revisions - my guess is that someone else picks ups the fall-outs!

      Bags packed & ready for the alarm to go off at 5am, for my shower & hairwash. I am expected just before 7am. Fun isn't it!! I am very grumpy with my husband today - hope he understands why!!

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    • Posted

      I'm sure your husband understands just fine. Hope you manage to get a half decent sleep tonight.

      And I bet you hear this all the time, but you lucky thing, living in Cornwall! I took my first steps on a Cornish beach, and never miss a year. If I leave it too long I get withdrawal symptoms lol!

      So that can be one of my happy thoughts - Cornwall!

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