If you are faced with an upcoming surgery you must be prepared. I had a bowel-resection in 2006, and was very nervous about it.
Even though my Internist and my Endocrinologist knew I was having surgery and were aware of complications that could arise during the procedure, I had to make sure that the Surgeon and anesthesiologist knew about my Addison’s Disease. I talked to my Surgeon at length explaining what my needs were as far as steroids to be administered, how much and when. He was quite patient with me, knowing how
nervous petrified I was.
Before surgery I asked to talk to the anesthesiologist who would be working with my surgeon, she came to my room and talked to me and explained her procedures. She administered solu-cortef before the surgery started, and then a continuous supply during the four-hour surgery. Afterwards, during my hospital recovery I was given Solu-Cortef via IV until discharge. At home I did a slow taper for about a week. Without complications or post-surgery infections I recovered quickly and completely.
Don’t assume that all the doctors and nurses understand your Addison’s Disease. I have encountered medical professionals that know little or nothing about my disease. Don’t feel embarrassed to talk to everyone involved in your care. Better to talk about your needs sooner than later.