Do I only need a support person to pick me up after MOHS surgery?

Posted by pjs7 @pjs7, Sep 16 11:04am

I will be having a MOHS surgery for squamous cell carcinoma in a couple of weeks (I will be traveling alone) and the information I’ve received says to have a support person/companion with you through the procedure. But when I talked to Quality Care they said I really only need to have someone to pick me up when I’m done and that I can arrive for the surgery by myself. I’m fine with that but I just want to be sure that’s ok and they don’t cancel the procedure when I show up alone. Has anyone else had a similar experience or know if this is ok?
Thank you.

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Wow! What a variety. The hospital here where most of the MOHs are done requires the companion to remain through the procedure, in case something goes wrong. In my case, it was done by a "traveling" doctor, based in Birmingham, some 100 miles distant, but it was done in my dermatologist's office, with a temporary lab set up in an adjacent room. My wife was required to stay. IDK the reason, but since my lesion began a half inch from the corner of my right eye and arced up to the middle of my forehead, bandaging could easily have obstructed my vision. Funny, but a year before my esophageal cancer was dxed, that same dermatologist stood in her office and told me that the basal cell was a sign that I might be susceptible to other cancers. I didn't know it, but I was also standing there with the throat cancer...

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Profile picture for vic83 @vic83

I have had several MOH's done on my face and one on the chest and I always drove myself. I never needed any kind of anxiety medication.
I am scheduled for a CT scan with contrast in November and since I have had hives in the past, I need to premedicate. They also want me to take Benadryl which recommends not driving after so I will stay overnight in Rochester for that.
I had a colonoscopy with general anesthesia done in Rochester. I stayed in hotel across the street from the hospital. After some time in the hospital recovery room, I just walked across the street and stayed the night in the hotel to avoid driving. I told them I was going to do that and they were fine with it.
I drive myself because my potential rides work and I don't want them to take time off from work.

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@vic83 Thank you for sharing your experiences. It helps to hear how people have handled various situations.

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Hospitals sometimes have different rules than clinics do.

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@pjs7, how did everything go?

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I had Mohs surgery back in March 2026. I had to travel 30 miles to have it done. I was told I needed someone to drive me home. It is medical protocol. Thankfully I was able to find someone to ride along with me. He came in sat down and waited til I was done. Walked out with me to the car. I got in on the driver’s side and drove home. We actually stopped at KFC (drive thru) before heading home, to get a bucket of chicken to take home for lunch at my Mom’s. I was starving!!! 🤭 if it had been done in the same city where I lived I would of not brought someone along as it would have been done only 2 blocks away from my house. But that is a secret. 😉

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Profile picture for Colleen Young, Connect Director @colleenyoung

@pjs7, how did everything go?

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@colleenyoung My procedure isn’t until October 6 but I will for sure report back and let you know how things went. Thank you.

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Profile picture for Susan, Volunteer Mentor @grammato3

@bajjerfan: You bring up another good point - why it is generally neither advisable or allowed by many institutions not to discharge a patient via taxi or any type of ride share after having general anesthesia (or "put under") or any type of sedation that would leave the individual in a state that may otherwise leave them somewhat impaired. This is because it can leave one in a condition that clouds judgment, affects decision making or renders one unable to tend to any type of medical event that may occur. A third party driver that has no relation to the patient would neither be expected to render such oversight and could potentially be in a position to take advantage of such a person.
It may sound inconvenient on some level, but does that help to explain this type of policy?

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@grammato3 For one of my colonoscopies, I had a friend who was on her way to work, drop me off at the medical center. I had prepped for the procedure, and was prepared to take a taxi home. When the intake gal found out it was a public transportation ferrying me home, and not a known acquaintance, they threw a hissy fit. My adamant response was, "then do the procedure without anesthesia and I will take a taxi home", which they weren't prepared for. But that is what we did.

Having a MOHS procedure, so much is depending on just where the bandaging will be, since the area is usually a lot larger than just where any removal is done. My one MOHS last year involved both eyebrows, and ended up with the outer half of left eyebrow gone, and a lot of right eyebrow down towards my eye. As I was alone, awake, oriented and not nauseous, they bandaged everything carefully and I drove the 40 miles home. Slept with a neck roll pillow on the recliner that night.

If a patient has someone with them, for nothing else but moral support, that's great!
Ginger

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Profile picture for Ginger, Volunteer Mentor @gingerw

@grammato3 For one of my colonoscopies, I had a friend who was on her way to work, drop me off at the medical center. I had prepped for the procedure, and was prepared to take a taxi home. When the intake gal found out it was a public transportation ferrying me home, and not a known acquaintance, they threw a hissy fit. My adamant response was, "then do the procedure without anesthesia and I will take a taxi home", which they weren't prepared for. But that is what we did.

Having a MOHS procedure, so much is depending on just where the bandaging will be, since the area is usually a lot larger than just where any removal is done. My one MOHS last year involved both eyebrows, and ended up with the outer half of left eyebrow gone, and a lot of right eyebrow down towards my eye. As I was alone, awake, oriented and not nauseous, they bandaged everything carefully and I drove the 40 miles home. Slept with a neck roll pillow on the recliner that night.

If a patient has someone with them, for nothing else but moral support, that's great!
Ginger

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@gingerw: Did you know it's fairly routine in countries outside the US to perform colonoscopies without anesthetic? You're proof it can be done!

In the US, there is tendency to believe that people will avoid routine screening colonoscopies if they weren't accompanied by the "pain free" option, and for whatever reason, anesthesia has become the "standard of care" for procedure as anesthesia is basically bundled into the cost. Colon cancer is alarmingly on the rise, especially among younger individuals (it's now the leading cause of cancer deaths for people under 50) so providers are trying not to discourage patients from undergoing this important screening. From a medical perspective, should one or more polyps be detected for removal, it is generally easier to do so on a sedated patient.

This is definitely a conversation worth having prior to this procedure if a concern - for transportation purposes or otherwise. And I wish we could all package your inner fortitude!

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