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Re: Gyn: Post op instructions From: ainsron@msn.com Wed Feb 7 10:37:29 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Jane Helwig, MD: "Re: ny times article" Previous message: art fougner, md: "Re: Rash in pregnancy" In reply to: Joanne Bulley: "Gyn: Post op instructions" At Sat, 3 Feb 2001, Joanne Bulley wrote: > >New Subject: I have always been curious what others tell patients - and >in a town of 23,000 for 15.5 years I don't have much chance to find out >what others do! I bet we give similar - yet different post op >instructions - so I am asking what y'all tell your patients - after >laparotomy (hyst, S-O etc), L/S with say oophorectomy, H/S D&C, other? My instructions are pretty much the same, one difference is that I tell them that they can bath or shower as they desire. It never made sense to me to prohibit bathing after pelvic surgery. Afterall, we use sitz baths after AP repair and for episiotomy problems postpartum, so where's the beef?? >Activity - walking, driving, lifting, intercourse, work? > >Back in the "dark ages!" of residency (81-85) many docs had those with >any laparotomy on the couch for 6 weeks - then it would take 6 months to >get any stamina back! > >After abd hyst I usually tell them no lifting over 10 pounds ... 5 >kilos ... driving OK after 2-3 weeks if off narcotics and can move and >twist easily. Nothing per vagina (npv) for 6 weeks - unless I tell her >OK when I see her at 3 weeks. Tub bath OK after 3 weeks. I tell her to >tell the boss that she will be out of work for six weeks, but there is a >good probability she could go back on a limited basis sooner. I >encourage everyone to start walking right away increasing day by day. > >After procedures with cervical dilation I usually tell them npv for 7-14 >days - fairly arbitrary how many days to pick out of the air. > >-- >Joanne Bulley, MD, FACOG >Keene, NH, USA > -- Ronald E. Ainsworth, MD Next message: Jane Helwig, MD: "Re: ny times article" Previous message: art fougner, md: "Re: Rash in pregnancy" In reply to: Joanne Bulley: "Gyn: Post op instructions"

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