It is a real situation. Some young people betting that they won’t get seriously ill and won’t buy insurance but they have assets or some folks lost their jobs and thus insurances and didn’t buy insurance while unemployed.
I am in favor of universal healthcare. NYT has a good article which discussed healthcare by Krugman,
nytimes.com/2019/03/21/opinion/medicare-for-all-democrats.html
I also have BCBS. If I remember correctly, BCBS paid $6-7K for my HoLEP by Dr. Das and hospital stay at Jefferson.
I live in the Midwest where the cost of living is considerably less. I agree that medical costs are out of control. I also have talked with Canadians. Recently an acquaintance had a TURP. He was “processed” in an efficient manner. Neither his doctor or nurses warned him about bicycling right after surgery. He had to fly back to Canada for a second surgery. My point government run health care can be too efficient to keep the costs down. The government regulations are very intrusive possibly going back to less regulation and not for profit system could help.
Oh, BTW the doctors in Canada, as employees of the government, are paid less than Canadian veterinarians.
Oh, BTW the doctors in Canada, as employees of the government, are paid less than Canadian veterinarians.
It is very sad that the surgeon who did the surgery and who did not tell the patient what to avoid post surgery or to make the proper decision.
In my HoLEP, the doctor’s assistant removed my catheter at 6AM. So I had the catheter in for only 15 hrs after holep which I believed was to short. After the Cather removal, I could not void. The RN then made the illogical decision that I should have the catheter for 5 days. The catheter constantly rubbing the urethra maight have contributed to my stricture. I believed Dr. Das should have intervened but he didn’t.
I believe that the correct decision would have been put the catheter in for another day to see if I could void and not 5 days.
In my HoLEP, the doctor’s assistant removed my catheter at 6AM. So I had the catheter in for only 15 hrs after holep which I believed was to short. After the Cather removal, I could not void. The RN then made the illogical decision that I should have the catheter for 5 days. The catheter constantly rubbing the urethra maight have contributed to my stricture. I believed Dr. Das should have intervened but he didn’t.
I believe that the correct decision would have been put the catheter in for another day to see if I could void and not 5 days.
More:
I have never heard of patients were catheterized for 5 days after holep. I regretted deeply going to Jefferson for holep. I wokeup in the middle of the nights regretting making that decision.
I have never heard of patients were catheterized for 5 days after holep. I regretted deeply going to Jefferson for holep. I wokeup in the middle of the nights regretting making that decision.
This seems strange DL as it flies in the face of my experience with Dr Das. He specifically told me he wanted that cath in longer to aid healing (4 days for me - Monday post surgery to removal on Thursday). I don't understand how this was just the opposite for you. My experience at Jefferson was just the opposite. They were quite caring and seemed on top of things from his assisting Dr's to the nurses. Very sorry to hear things didn't go well for you and just hope you're doing better now.
I am glad to know I misunderstood the length of time Dr. Das wanted the catheter to be in there. So it was by design. So I was just one day longer . I just happed to fall into the 5% who had stricture as complication.
Thanks Blayneb for letting me know! !
But I am still a bit uneasy that the catheter should be in there for so long. Often,most patients had it out either overnight or after 48 hrs. I understand that putting an instrument inside the urethra could cause scar formation. Thus having unnecessary cystoscopy is never a good idea.
Thanks Blayneb for letting me know! !
But I am still a bit uneasy that the catheter should be in there for so long. Often,most patients had it out either overnight or after 48 hrs. I understand that putting an instrument inside the urethra could cause scar formation. Thus having unnecessary cystoscopy is never a good idea.
I can only maybe chalk this up DL to the difference in our procedures. Mine went a good bit longer than yours time-wise and my prostate was larger and longer posing an issue for them. I assume that was why he was cautious in his approach to the catheter time from the start. I agree, most HoLEP patients don't have the cath that long, but I know I was an exception and why.
Seems very quiet on here. I had been hoping to hear good news from DL0808 following his corrective procedure and hope all is well.
Yes it's been a while! DL if you're out there, and don't mind, please let us now how you're doing? We really hope all is well and much improved.
Hello Guest and Blayne,
I sincerely thanks for ur concern and I hope u all are doing well! Sorry that I have not been active.
I seem to be doing OK but not 100% sure. Before the corrective surgery, my flow rate Qmax was 21 cc/sec then dropped to 2 cc/sec due to blockage by scar. 4 weeks after corrective surgery, it was increased to 12-14cc/sec. now it is about 3 month after corrective surgery. In general, I am satisfied with the flow even though not as good as before blockage. I am due for a re-measurement of Qmax and then I will be more sure if my rate has dropped, which is my biggest concern as the success rate is only about 1/3. My major problem is that I am not sure how long after surgery could I declare the surgery is a success. Also there is some problem of measuring Qmax. The bladder has to be full so that it exerts maximum force to expel the urine. This is very difficult to do. One can drink a lot of water in the Urologist’s office before the measurement but never quite sure when the bladder is full as the urge to urinate may become unbearable before the bladder is full.
However, I did notice that the urine stream is not straight and often broken up more than one stream, a clear evidence of having obstruction in the urethra.
I sincerely thanks for ur concern and I hope u all are doing well! Sorry that I have not been active.
I seem to be doing OK but not 100% sure. Before the corrective surgery, my flow rate Qmax was 21 cc/sec then dropped to 2 cc/sec due to blockage by scar. 4 weeks after corrective surgery, it was increased to 12-14cc/sec. now it is about 3 month after corrective surgery. In general, I am satisfied with the flow even though not as good as before blockage. I am due for a re-measurement of Qmax and then I will be more sure if my rate has dropped, which is my biggest concern as the success rate is only about 1/3. My major problem is that I am not sure how long after surgery could I declare the surgery is a success. Also there is some problem of measuring Qmax. The bladder has to be full so that it exerts maximum force to expel the urine. This is very difficult to do. One can drink a lot of water in the Urologist’s office before the measurement but never quite sure when the bladder is full as the urge to urinate may become unbearable before the bladder is full.
However, I did notice that the urine stream is not straight and often broken up more than one stream, a clear evidence of having obstruction in the urethra.
I am 68 and just had HOLEP surgery in Canada 4 days ago.My prostate was 164cc and my surgery was at 7am and I was discharged the next afternoon.While there is pain and bleeding for a few days it is manageable and my experience has been very good though will be better able to judge in a few weeks.
I hope all goes well for you. Expect incontinence for some time. The length of time varies but I was fully healed in about eight months after my surgery.
Joining Buster, I too hope all goes well! You didn’t mention catheter, was it removed before going home?
Yes catheter was removed day after surgery.Things progressing very well.