Cancer Diary – Entry 7

A flurry of pre-op activity….the discipline of getting to appointments on time and filling the waiting time between.

The uptick in activity pre-surgery increased two weeks before the surgery date with an appointment with my primary care physician for bloodwork, EKG, and chest x-ray. Everything came back good for the surgery; however, there was a ‘nodule’ that showed up on the chest x-ray. There was a follow-up CT Chest that indicated that the issue seen in the x-ray was not there (i.e. the ‘nodule’ seen in the x-ray was a shadow or other artifact rather than something real). I was very discombobulated by the x-ray and was glad I could get an appointment for the follow-up the next day. The data from the tests done by my primary care physician were posted on the surgeon’s portal 9 days afterward….I was glad to know they had gotten to their destination.

Three days before surgery, I had a PCR test for COVID-19 at a drive through testing site for surgery patients (i.e. not a site for the general public/symptomatic people). It was my first experience with a PCR test and was easier than I expected:

  • We had gotten 3 inches of snow overnight and my appointment was at 9 AM, but the streets were relatively clear, and I drove up to the parking lot testing location a few minutes early; there was no line; the guard checked me in, and I drove into the tent where a nurse with full head gear respirator checked my ID and did the test.

  • The nurse did not need to swab deep in my nose!

  • Supposedly the results will be available and posted to the portal within 48 hours…the day before the surgery.

A person from the outpatient surgery center called with some final instructions:

  • No food after midnight, no liquid after 6:30 AM….and stopping certain supplements. I already knew those things from previous instructions, but it was good to be reminded.

  • I need to shower with antibacterial soap (like Dial) and not apply anything post shower; I made a special early morning trip to the grocery store to get the appropriate soap.

  • They are on heightened COVID protocols now and have closed waiting rooms - recommended that my husband drop me off and return at the time the nurse specifies during a call to him when my surgery is complete; he will never go into the building. I will be at the surgery center for at least 5 hours.

  • When the nurse calls my husband after my surgery concludes, she will also provide details for at-home/follow-up care and then I will get the same thing in writing before I leave the facility. One question we’ll ask is whether we should proactively assume I might have been exposed to COVID and should implement our strategy of masking/separation-when-unmasked at home.

  • The time I need to arrive for surgery was 15 minutes earlier than I was told previously.

  • I needed to provide insurance and billing information to the pharmacy at the facility so the nurse could pick up any prescription I needed to send home with me.  

  • The exact location in the building where I need to go when I arrive was also indicated; all I had before was the address of the building.

  • The list of things I should bring with me is short enough to fit in my coat pocket: insurance card, glasses case, phone, photo id. They already have my medication list in their files.

I am set to stay near the bedroom on the second floor of our house for at least the 1st 24 hours after surgery. Snacks and flowers and supplements are on top of my dresser. There is a small folding table and chair set up in case I want to eat a meal or two up there.

I am relieved that the surgery is going to happen as scheduled (not cancelled or delayed because of increased hospitalization due to COVID-19) and reassured after the conversation with the person from the surgery center; it was good to talk to a real person!

Next Cancer Diary post will be about my perception of the surgery day…

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