Having an operation: What does the surgeon need to know about MPN?

Posted by lynnebgraham @lynnebgraham, Apr 24 7:03pm

What does my surgeon need to know about my having MPN ET.

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Thank you very much for your suggestion.

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Profile picture for janeforbesburns @janeforbesburns

I would suggest you provide your medical team with Dr. Natasha Szuber’s research article on Perioperative Outcomes and Management in Patients with MPN’s.

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Welcome to Mayo Clinic Connect, @janeforbesburns. Thank you for sharing the information regarding Perioperative Outcomes and Management in Patients with MPN’s.

May I ask what brought you to the forum today? Were you or someone you know diagnosed with a myeloproliferative neoplasm (MPN) or other type of blood cancer or condition?

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I had surgery on my right carotid. Hematologist told me my platelets had to be in the 400' s before I could have it. The day of my surgery they were in the 400's. They gave me a bolas of heparin then a heparin drip. I was fine

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I was told I needed a platelet transfusion prior to surgery. My platelets are below 50. Anyone else familiar with this?

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Profile picture for sharonm2024 @sharonm2024

I was told I needed a platelet transfusion prior to surgery. My platelets are below 50. Anyone else familiar with this?

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Hi @sharonm2024 When platelets are at a lower than normal level, the surgeon may order a platelet transfusion prior to surgery to avoid excessive bleeding.
Normal levels are generally considered between 150,000 to 450,000 per microliter. With your platelet count below 50 (50,000) your surgeon is just making sure there are no bleeding complications. It’s not unusual to have a platelet transfusion in this situation.

Wishing you speedy recovery on your upcoming surgery! Is this soon?

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Profile picture for Lori, Volunteer Mentor @loribmt

Hi @sharonm2024 When platelets are at a lower than normal level, the surgeon may order a platelet transfusion prior to surgery to avoid excessive bleeding.
Normal levels are generally considered between 150,000 to 450,000 per microliter. With your platelet count below 50 (50,000) your surgeon is just making sure there are no bleeding complications. It’s not unusual to have a platelet transfusion in this situation.

Wishing you speedy recovery on your upcoming surgery! Is this soon?

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@loribmt
Thanks for the information. Going for a consultation first and then a check with insurance. Probably not until June.

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needs to know diagnosis, medications, hematologist name and phone number to verify precautions both before and after surgery

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Profile picture for lynnebgraham @lynnebgraham

@janemc on the 7th May. 11 days time. My surgeon has said not to take one of my diabetic medications which contains
dapagliflozin. Said okay to have cartia (asprin). Only clear fluids and water from Wednesday till 11.00am Thursday. Hopefully they give me a big dinner as I will be starving by then lol. I was going to change my medication from HU to Anagrelide prior, might just stay on it till after op. Thank you for the information will talk to Dr. ❤️

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@lynnebgraham

You're in our hearts today, lynnebgraham.

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Thinking of you as you start your surgery prep today. See you on the other side!

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Profile picture for janemc @janemc

@lynnebgraham

You're in our hearts today, lynnebgraham.

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@janemc @nohrt4me
Hi there my gorgeous ladies. All went well with surgery. Bit sore but that will subside in a few days. Can't keep us old ducks down. 😀

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