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Patient Persepctive

Introduction to Pituitary Surgery: The Patient Experience Andrew S. Little, MD Co-Director of the Barrow Interdisciplinary Skull Base Team Acute Care Director at the Barrow Neurological Institute Assistant Director of the Barrow Pituitary Center. Patient Persepctive. Anxiety Fear of Unknown

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Patient Persepctive

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  1. Introduction to Pituitary Surgery: The Patient ExperienceAndrew S. Little, MDCo-Director of the Barrow Interdisciplinary Skull Base Team Acute Care Director at the Barrow Neurological InstituteAssistant Director of the Barrow Pituitary Center

  2. Patient Persepctive • Anxiety • Fear of Unknown • Pain • Complications • Will I be the same person? • “Brain Surgery”

  3. Neurosurgeons:Back Then

  4. Neurosurgeons:Back Then

  5. Neurosurgeons:Now

  6. Diagnosis Medical Team Pre-op Testing Evaluation Surgery Recovery Life

  7. Preoperative Testing • Determine the medical risks of surgery • Heart • Lungs • Blood clotting • Kidneys • Blood levels

  8. Preoperative Testing

  9. Diagnosis Medical Team Pre-op Testing Evaluation Surgery

  10. Day of Surgery • Preoperative holding • Nurse starts iv • Meet the surgical team • Nurses • Scrub • Anesthesiologist “The Gas Passer” • Surgeons

  11. Day of Surgery • Hugs & Kisses • Light sedation • “Intravenous margarita” • Most patients don’t remember anything after this

  12. Surgical Suite

  13. Endoscopic Instrumentation Kassam/Snyderman set

  14. Technical Advancements:Dual Function Instruments Irrigating Drill Tissue Debrider

  15. Technical Advancements: Dual Function Instruments Adjustable Endoscope

  16. Technical Advancements: Dual Function Instruments Ultrasonic Aspirator

  17. High-Definition Video Equipment

  18. High Definition Low Definition

  19. Diagnosis Medical Team Pre-op Testing Evaluation Surgery Recovery

  20. Recovery

  21. Recovery

  22. Diagnosis Medical Team Pre-op Testing Evaluation Surgery Recovery Life

  23. Quality of Life Social + physical + emotional well being

  24. Anterior Skull Base Nasal Inventory

  25. Nose Symptoms

  26. Nasal Quality of Life:Preliminary Data (n = 60) General Nasal

  27. FAQs • How long will it take me to recover? • Every patient is different • Recovery is a process, not an endpoint • 1-2 months before you feel back to normal • When can I go back to work? • 2-4 weeks, depending on demands of job • Tell your employer you need one month off

  28. FAQs • When can I blow my nose? • 4-6 weeks • When can I drive? • Off narcotics • Vision improved • When can I swim? • 4-6 weeks • When can I fly? • Anytime

  29. A Special Thanks to our Sponsors Barrow Neurological Institute Corcept Ipsen KARL STORZ Endoskope

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