-DAY 3 POST OP

*MORNING round ; )

Patient is in good spirit, had full night sleep without any pain medications administered. Woke up before me and went down to kitchen and made himself an oatmeal and washed some fruits taken out of the fridge which prompted my lecture about “not carrying anything”. I was assured that it was "just 3 nectarines and basket of strawberries and that it can not possibly exceed the weight limit" (which is true). BUT, I wish to prevent “ooopppsss” ideas of pulling gallon of milk out of the fridge or reaching for business briefcase that weights a TON in his upstairs office. He had normal BM this morning also.

Urine looks much more regular, healthy color, light yellow. It was still pinkish yesterday on occasions. He took a shower at noon, all went well and with no problems. I ordered some heavy duty vacuum hooks from Amazon and attached one on shower wall so that he can hang catheter bag and keep it out of the direct water stream - it actually stayed completely dry that way. Only long catheter tube got wet but it was easy to dry it with paper towel.

His incisions are really minor, just strait tiny lines and his port incision is also nice looking, no redness or swelling, just a thin line. Slight brownish bruise appeared below that incision but hardly visible. When he got out of the shower he towel-dried himself but I suggested that he proceeds with full body "blow-dry” using a hairdryer on low heat setting - he is very hairy man, mind you XP. That step made sure that his body and especially his belly got really dry so no moisture would irritate incisions or skin in “lower parts”. It is VERY important to keep incisions dry to prevent any irritation or infection. He put on fresh clean clothing and changed a towel for fresh one. (I will be changing his towel on daily bases till his incisions heal 100%).

He is cleaning meatus about 3 times a day with disposable pre-moistened wipes which we got in the hospital and I also ordered some from Amazon beforehand. There is no irritation on a tip of his penis (as of now), maybe it helps that he is not circumcised (?) so that area is protected and lubricated naturally. He is drinking a lot of natural herbal teas (with no caffeine), warm drinks sooth him and make him feel comfy. He misses coffee but it is OK. He was advised to start with Cialis today, 20 mg for rehab purposes.

*AFTERNOON round:

Patient took a loooong nap after eating a big bowl of home made chicken noodle soup. He is feeling good, energy is coming back, BP was normal, oxygenation 96, heart rate 71, temperature normal. Answered some e-mails related to his job, walked a bit around the home and around the garden, can sit upright at dinner table with very little discomfort in pelvic floor but I insist that he spends most of the day sitting reclined - I do not think that area needs any pressure during healing. He goes up and down the stairs full speed, I have to yell “slow down” - c-c-c.

Urine is still clear, light yellow color. He is keeping hydrated and I am convinced that herbal teas did wonder and promoted such fast clearing of the urine from occasional blood and some haziness yesterday to this healthy color today. Catheter is “behaving nicely”, does not cause much trouble. No poky feeling, no bladder spasms, no tip irritation.

Dinner is going to be a grilled salmon with mashed sweet potatoes and plenty of lettuce.

There was no need for Tylenol or Ibuprofen today.

PS: I am still very tired 😋, but it is mostly stress related - I will need some time to recover.