What questions should you ask your surgeon before surgery? When to have surgery? Not on Friday

Often surgery is a significant event leading to changes in life
Faced with this, patients are often disoriented, and in some cases do not turn to the surgeon with questions that would allow them to better understand the essence of the operation and make sure that the result will be positive

Do you need surgery?

Before surgery, you should find out what your diagnosis is and whether there are treatments for the disease that do not involve surgery.
You need to determine whether your condition is a common problem and whether there is anything unusual associated with it.

Is the surgeon and facility where the surgery will be performed appropriate for your case?

Find out from the surgeon what training he/she has had to perform such operations.
Where was he/she trained to perform such operations, and how comprehensive was the training? Doctors must be licensed medical practice in the state where they practice. They don't have to have highest category or belong to professional organizations, but it is usually desirable that they possess such evidence. Find out whether the surgeon received the highest category, and if not, then for what reason. Find out whether the surgeon often treats patients with the same problem as you. How many times has he or she performed the operation that you are asked to perform as the attending surgeon (staff surgeon)?
What other doctors will the surgeon collaborate with to treat your condition?
Depending on your condition, it is often better to work with a group medical workers involved in your treatment than with one doctor.
If special surgery or technology will be used (such as laser or robotic surgery), find out why such techniques are better than traditional methods for treating your problem.
Find out from the surgeon what training he/she has received and what experience he/she has in traditional methods treatment of your problem and in the application of the proposed more modern techniques.
Surgeons undergoing training in new techniques can learn these techniques at very short courses- ask about it.
Find out if the facility has dedicated areas and staff to care for your special needs patient. medical condition. How many patients have they had with the same problem as you?

What can you do before surgery to increase your likelihood of achieving positive results?

Find out from your surgeon what you can do before surgery to improve your chances of achieving a good outcome. Physical exercise? To give up smoking? Diet? Better control of your diabetes? Refusal to accept standard medicines?
Your surgeon may suggest that you use special detergents while taking a bath the night before surgery to reduce the risk of infection. He or she may also ask you to have a bowel movement before surgery.

What will happen to you after the operation is completed?

Find out from the surgeon how painful the procedure will be and how you can relieve the pain.
Surgery often imposes short-term restrictions on activity and/or diet. Their extent depends on the type of surgery and your activity level.
Find out how long you will be unable to work and make sure the surgeon knows your type of work.
Will you need assistance after surgery?
Who can provide such assistance?
Where can you go for help if you need it after surgery?
What complications can there be?
How often will they occur, and what happens if you experience such complications?
If you encounter problems after leaving the hospital, who should you call and where should you go for help?
Will the surgeon himself be available all day, night or weekend to provide assistance if needed?
If not, who will provide emergency assistance, and what experience do these staff have in treating patients like you?

Unfortunately, in our ossified materialistic world, the role of the astrologer in choosing the day and time necessary for a person surgery reduced to almost zero. The operation is already an expensive thing, and then some astrologer with his recommendations complicates life. This is how many people think, leaving the situation completely in the hands of doctors. I don’t argue, this is an absolutely correct position in case of extreme circumstances, when every minute is precious, when a person’s life is at stake. But if we are talking about elective surgery, then such an approach is absolutely unreasonable, especially on the part of the patient. After all, we are talking directly about his health and life.

Before going under the surgeon’s knife, we always try to find out who exactly will operate on us, how competent this doctor is, how skillful and effective he is in his profession. And we are well aware that his professionalism does not always correspond to the pile of certificates and a large amount fee. Especially nowadays. For any of us, reviews of specific people-patients will always be much more important, rather than a pile of official papers.

Likewise, none of us will plan our surgery for the holidays or after the holidays. holidays when there is always the possibility of hangover actions medical personnel and not just the surgeon. After all, someone calculates the dose of the drug, someone gives anesthesia, someone sterilizes instruments, someone practices postoperative rehabilitation and care. All these procedures are again performed by simply people, and not by celestial beings, who also live with their own everyday problems, worries, troubles and joys. Everyone has different levels of knowledge, skills, abilities, responsibility and attention to detail.

I will not convince you that astrology is capable of changing all these people for the better overnight. It is not true. People are what is called a subjective factor. And you will have to deal with it yourself. Which doctor and in which clinic to have surgery is up to you to decide. Astrology can help in other ways.With its help, it is possible to eliminate negative objective factors, risk factors that no longer depend on the will and skill of the surgeon. No, astrology is not capable of moving planets and changing the sky map for your benefit. This is controlled by the Creator. But with the help of this science it is possible to choose best time for the operation, avoiding unsafe configurations of celestial mechanics and thereby achieving the maximum positive effect from the operation.

Each person is absolutely unique and inimitable. Therefore, the time for a planned operation is selected exclusively individually, taking into account the positions of the planets in the personal horoscope and their relationships with the transit positions of the planets in the sky during the operation. And there are no trifles here, everything is important here. Only an astrologer can correctly assess the real situation.

But there are also simple rules, which you can take into your arsenal. To do this, it is necessary to take into account the phases of the moon and some other factors. My minimum recommendations are the following:

• It is IMPOSSIBLE to perform operations on days of solar and lunar eclipses;
• You CANNOT perform operations on your birthday, the day (or better yet, a week) before and after it;
• You SHOULD NOT perform elective surgeries during the full moon (it can cause heavy bleeding) and three days before and on the new moon (the operation will not be completed on time);
• It is advisable to avoid operations when the Moon passes through the signs of the mutable cross: Gemini, Virgo, Sagittarius, Pisces;
• It is BETTER to do operations on the waning moon. Complications and infections occur more often during a young moon, and the recovery process is delayed. Also, scarring of wounds during a young moon can be more problematic, and unsightly scars are possible.

If you are going to undergo surgery during Lent, whether or not such manipulations can be carried out from the point of view of the Charter, you need to clarify further. But in fact, in the official church rules there are no restrictions regarding prohibitions related directly to health. You should take care of your health, regardless of whether it is fasting or not. But what does religion say about whether it is possible to have surgery during fasting? Are such actions prohibited?

Is it possible to have surgery during fasting?

Our health is priceless, so we should not treat it thoughtlessly. Whether you can have surgery during the fast depends only on whether you urgently need it or can it wait. The charter does not say anything that operations cannot be performed during fasting. Therefore, we can safely recommend and even strongly recommend operations during fasting, which are directly related to health care. As we know, there are several types of operations:

As for the latest cosmetic ones, we can say that you can do such operations during Lent only with an urgent doctor’s prescription. For example, emergency rhinoplasty to restore the shape of the nose is an operation recommended by experts. Delay can be a process that causes the bones to heal incorrectly. But rhinoplasty simply because you wanted it during Lent will not be considered a sin. But if for you belief has great importance, reschedule the operation for another time.

Is it possible to have elective surgeries during the post? These include cesarean section, for example. In this case, there is no question of being tied to a date. The same applies to the removal of adenoids, as well as various operations, Related chronic diseases. They must be done, regardless of whether during Lent or not.

And of course, as for urgent operations, the question of whether they can be done during fasting should not even be faced by those who need surgical intervention. Just imagine that a patient needs urgent surgical intervention: heart surgery or appendicitis, but he refuses it for religious reasons. And what should the doctor do in this case? Every patient has the right not to undergo surgery during fasting; they can write a refusal and go home.

According to the law, there is freedom of religion in our country. Each patient has every right to write a refusal to undergo surgery during the post, or to reschedule it for another time. For doctors who perform operations, a patient’s refusal is a waiver of responsibility for their actions, since they took the Hippocratic Oath that they would help people.

Before surgery, it is necessary to find out what the diagnosis has been made and whether there are therapeutic or alternative methods treatments that do not involve surgery. Before surgery, be sure to get a so-called “second opinion” from an expert, even if it seems expensive. Ask about the prevalence of the disease and whether there is anything unusual about it.

Are the clinic and surgeon specialized for this operation?

Before surgery, ask the surgeon what training he or she has received that is appropriate for the upcoming procedure. Where and who trained him to carry out such operations? Is the surgeon certified to perform this type of surgery? When was the last specialization or improvement? Doctors are not required to have the highest category or belong to any medical associations or surgical societies, but it would be desirable for surgeons to hold such certificates. Before the operation, ask why the surgeon did not receive the highest category. Find out how many such operations the surgeon has performed? Which colleagues and physicians does the surgeon plan to collaborate with in this particular case to treat your condition?

Ask to tell what technology will be used during the operation and explain how new and innovative methods (for example, laparoscopy, laser or robotic surgery) are better than traditional methods. Find out from the surgeon what experience he has in traditional methods of treating your problem and in using new technologies. Surgeons undergoing training in new techniques may be taught these techniques on very short courses - ask about this.

Before surgery, find out if the facility has special staff to care for your condition.

Before surgery you will need to discuss with your anesthesiologist various options anesthesia.

What will improve the achievement of positive results before surgery?

What actions can you take before the operation to increase its effectiveness? Physical activity, reducing the intake of nicotine and tar from smoking, dietary measures, monitoring blood sugar levels if you have diabetes, blood thinning drugs, elastic stockings for varicose vessels lower limbs? Refusal to take standard medications? The surgeon may also ask you to empty your bowels before surgery, or to cleanse them with special medications.

What will happen to you after the operation is completed?

Ask about painful sensations and how to reduce them. Is diet and restriction of physical activity necessary, how long will you be unable to do your usual activities? labor activity? Will I need care and assistance after surgery? Where can you go for help if you need it after surgery?

Are there complications with such a planned surgical intervention? What are these complications and how common are they? What to expect in case of complications. What violations? If complications arise after discharge from the hospital, who should I contact for help? Can you count on help and advice from the surgeon himself, is he available by phone, at night and on weekends if necessary? Who else can provide emergency assistance, are these employees qualified in relation to your illness?

Preparation for surgery is a very significant stage and requires a serious approach from the patient. Based on preliminary examinations, test results, the lifestyle that a person leads immediately before the operation, his psychological mood, the anesthesiologist chooses the method of anesthesia and drugs, and the surgeon builds a strategy and determines the procedure for performing the operation. And preparatory measures should be taken very carefully and responsibly.

How to properly prepare for surgery

• Lifestyle

The person for whom the surgical intervention- a planned event, you will have to make adjustments to your lifestyle and give up, at least temporarily, some habits long before the day of surgery appointed by the surgeon.

About three to four weeks before the target date, you should quit smoking or at least minimize the number of cigarettes you smoke per day. The limitation is due to the fact that the risk of complications from respiratory system(bronchitis, pneumonia) after surgery in smoking people much higher and the disease progresses in more severe form than non-smokers.

You should also be careful with alcohol. You should give up strong drinks at least two weeks in advance to eliminate the effect of alcohol on the functioning of the liver and heart. Alcohol prevents normal functioning liver and reduces its ability to neutralize toxic substances and remove them from the body. From the heart and vascular system may be observed unstable work heart, pressure surges. Alcohol changes the functioning of the blood coagulation system: blood clots can form or, conversely, bleeding can be provoked.

• Nutrition

Two to three weeks before the planned operation, and if possible even earlier, you should refuse strict diets and create a diet in such a way that low-fat foods predominate on the table meat dishes, fish, fruits and vegetables. A few days before surgery, you need to exclude high-calorie foods that are difficult to digest. fatty foods, smoked meats, pickles and marinades. Fast food and alcohol are also prohibited before surgery. Should not be done before surgical intervention experiment with unfamiliar foods or exotic fruits- this may cause allergic manifestations, and the operation will have to be postponed.

On the eve of the operation, dinner should be no later than 19:00, after which you should not eat or drink any water.

• Physical form

A balanced diet helps the body mobilize resources for normal recovery after surgery. But it is important to strengthen as much as possible immune system and normalize metabolism, which will help increase the body’s resistance and accelerate tissue regeneration. Besides rational nutrition, the patient needs to include regular feasible exercises in his daily routine physical exercise. There is no point in exhausting yourself with training in a stuffy gym; an hour-long walk at a fast pace in the park will bring much greater health benefits. But even regular daily exercise will help bring the body into full combat readiness before a significant test. Particularly attentive to your physical fitness should be considered for overweight patients. Losing weight will have a positive effect on the outcome of the operation, reduce the load on the heart and help you go through the rehabilitation period faster and easier.

• Taking medications

During the consultation, the patient must tell the doctor about all the medications he is taking. In no case should you stop taking previously prescribed medications on your own initiative or, conversely, uncontrollably drink anti-inflammatory, antipyretic medications (such as ibuprofen, analgin, diclofenac; drugs containing aspirin).

Only after consulting with the doctor, the patient will firmly know which medications to continue to take according to the usual regimen, and which ones will have to be abandoned. For example, aspirin can affect blood clotting and affect the effect of anesthetics, and if you stop taking those prescribed before surgery, antihypertensive drugs, a pressure surge may occur.

It is very important that the anesthesiologist, who will choose the type of anesthesia and drugs, knows whether the patient is allergic to drugs. The doctor may consider it necessary to prescribe antihistamines three to four days before surgery.

IN in some cases a day or two before the intervention, doctors recommend taking sedatives at night.

• Hygiene and appearance

Preparation for surgery includes a number of general hygiene measures.

• Before the operation, you need to take a shower, preferably wash your hair.
• To ensure that the stomach and intestines are empty during the operation, the doctor may prescribe tablets to cleanse the intestines the day before. Immediately before abdominal operations An enema is given at the clinic.
• Needs to be removed contact lenses, all jewelry, remove makeup.
• You should not use any cosmetics on the day of surgery. Nail polish must be removed.
• Even if clothing is provided at the clinic during hospitalization, comfortable underwear, soft, easy-to-put-on shoes, and shoes for showering should be provided.
• If surgery is performed on a part of the body where there is hairline, it must be removed on the eve of the operation (shaved).

Important:

• On the day of surgery, no food or liquid is allowed.
• No jewelry should be left on the body during surgical procedures; nail polish and makeup must be removed.
• On the eve of the planned planned operation, it is necessary to rest well and get enough sleep, and also try to avoid nervous and physical stress.

• Psychological attitude

A state of excitement or anxiety before surgical event - normal condition person. Even planned in advance, long-awaited Plastic surgery, on the result of which the patient places great hopes, is associated with natural experiences. And it is very important to come to her in good psychological form, without unnecessary emotions and fears. After all, internal balance and calmness significantly improve the results of the operation, and the rehabilitation period is faster and easier.

The more the patient learns about the upcoming intervention, the more adequate the reaction to the event will be.

Since the operation is planned and the person himself is looking forward to it, sometimes for several years, it will not be difficult to gradually collect information from competent sources. A rational approach and possession of information, how exactly the operation takes place and the period of primary postoperative recovery, what types of anesthesia are possible, what painkillers will be given in case of discomfort at the end of the event, it helps to get rid of worries, and the body will definitely respond with increased resistance to the phenomena of the rehabilitation period.

If you feel increased anxiety, you must tell your doctor about it so that he can clarify any questions or doubts that arise, and, if necessary, provide a prescription sedatives or advised to have a conversation with a psychologist at the medical center.

The foundation of a calm attitude towards the upcoming changes and control over the situation and one’s own emotions is trust in the doctor and the understanding that after surgery, additional life opportunities will open up for the patient, a sense of self-confidence will be strengthened and a sense of inner harmony will appear.

• Organizational aspects

If an inpatient stay is expected medical center, it is best to prepare a list ahead of time and, after coordinating it with medical institution, taking your time to collect the necessary things.

The clinic will need:

• Passport or other identification documents. You should check with your doctor in advance whether a medical insurance is necessary.
• Results of medical examinations and tests.
• Personal hygiene products and items ( Toothbrush, paste, comb, manicure accessories, shampoo, soap, etc.).
• If the patient wears contact lenses, a container and solution will be needed to store them.
• Notepad or notebook, pen.
• Mobile phone and a charger for it.

• Medical examinations and tests

Before the patient arrives at the clinic for surgery, he must undergo medical examination in accordance with the list given by the doctor and collect tests. The list of tests depends on the method of anesthesia, and they can be prepared in the district clinic to which the patient is assigned, or in a specialized laboratory.

For surgical intervention using general anesthesia

• HIV (HIV)
• RW (syphilis)
• Hepatitis B, hepatitis C
• Blood test (biochemical)
• Total protein
• Total bilirubin
• Prothrombin
• APTT.

For surgical intervention With application local anesthesia the patient needs to prepare:

• Blood test (general clinical)
• HIV (HIV)
• RW (syphilis)
• Hepatitis B, hepatitis C.

In addition to the mandatory tests listed, the surgeon or anesthesiologist may prescribe additional ones. Most often, the patient is recommended to have an ECG with a transcript to assess the functioning of the heart, and a coagulogram, with the help of which disorders of blood clotting are detected.

The clinic doctor will tell you in detail about how to prepare for the operation at the preliminary consultation. It is important for the patient to remember that strict compliance with the instructions of the surgeon and anesthesiologist, compliance with the necessary before medical measures daily routine and an optimistic attitude are the key to a successful result of the work of the medical center’s specialists.