Nephrectomy advice

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Hello,

I had my right kidney which had a big lesion on it removed last Thursday. I am still in hosptial feeling really frustrated! They turned off my epidural on Saturday and the pain since has been really difficult and I feel really helpless with it all! I really really want to go home as being in the hosptial isn't helping! I can barely get any sleep and I feel a burden on the staff here! The nights are definitely the worse. The doctor has told me that I need to be more mobile before I can go. Which I have read lots about and didnt expect for it to take me this long to get mobile! Anyone have any advice on how yo get out of bed without it being extremely painful? Im really struggling to find the strength to push myself up! Once im up and walking its starting to feel a bit more manageable but its just that initial pushing up.... and is high level of pain normal to? Just hard to know what is normal at the moment. Definitely feeling over emotional with it all today as now on day 6 of being in hospital and every before said you are young (35) fit and healthy you'll bounce back quickly and wont need to be in hospital more than a couple of days.....which has been quite the opposite! 

  • Hello 

    i truly feel for your situation i had a left nephrectomy a few years ago. They wouldn’t let me leave until I could go up and down some steps. It’s not possible to sleep on the wards to much going on I had a catheter and they didn’t do a great job of care. It was covid times and in agony I walked those steps. To get home so day 3 I was home. They will give you pain meds to manage the pain once stabilised. Which maybe what they are doing just now. There’s no getting away from it, it is very sore and you will heal much better at home. Physio should help you with getting up and down from the chair or bed. They had a bed that moved up and down so it helped to. The nurses will visit you at home and you will need to injection yourself for 28 days while you heal. You will get your mobility back but it will take a while you can’t rush healing. They will discharge you when your well enough to leave and it sounds as if you might just need a little longer so be kind to yourself while they support you with the right level of pain meds. 
    take good care. 

  • As above take all the time you need. Took me 2 months to get back to so called normal.. They wouldn't let me leave until I could inject the blood clotting jags but really wanted me out asap. I found it hard to sleep in me left side where I got my kidney removed. 

  • Everyone is different. Everyone's pain threshold is different. Everyone's surgery is different. And everyone's recovery trajectory is different. I am 30 years older than you and I tend to bounce back after surgery (I've had two now) which they find a bit hard to understand given my age, but I also happen to have a high pain threshold. They probably assume that someone young will recover quicker than someone much older, but this isn't always the case as it depends on so many factors, such as I've mentioned above. No two instances are the same, ever. I well remember that initial push-up from the bed...I thought I'd never be able to get out of bed ever again!!! but bit by bit, almost imperceptibly, I started getting out of bed slightly easier each time. I found my own ways of getting in and out of bed...the nurses found it really strange that I couldn't sit on the edge and swing my legs up. They said, how do you get into bed then? I said, I always kneel on the bed, and get in that way. I always do it that way anyway, and I found it feasible to do this after the surgery but I remember coming down from Recovery to the ward with one leg hanging over the side of the bed as they had tried to get me to transfer the way they wanted me to and I couldn't get my other leg onto the bed! What I'm saying is, do what works for you if you find something that does. My way of getting into and out of bed in those early days, was less painful for me than if I tried the "recommended" way. 

    You say you feel a bit better once up and walking. Try walking a little bit further each time. Don't overdo it. My first surgery, I would walk up and down to the nurses' station about every hour. On day two I walked to the outside door (about twice as far) every hour...had a rest maybe, then walked back. I had them remove the catheter asap each time because I knew it would encourage me to practise walking if I had to get to the toilet.

    I'm surprised that they are keeping you in so long just for you to become "more mobile". Is it that you don't have anyone at home to help? My nursing teams weren't really bothered that I was still having trouble propping myself on my elbow to get out of bed on day two...they still wanted me out on day three! You sound pretty mobile if you are making small walks up and down once you are out of bed. I actually couldn't sit down in the hospital because the chair provided was too low and I knew I couldn't get up from it if I tried to sit in it. So I spent the whole time between walking up and down and round and round my bed, and lying on the bed which was hard because of the getting on and off it - once I was on, it was a struggle to get off so I tended to stay off and just walk and stand!! 

    Don't rush your healing. Healing seemed slow to me - by healing, I mean, the ability to get in and out of bed, to walk further than a few dozen yards, and once home, to walk further than 200 yards...but I tried to take things very carefully and not try to do too much walking or moving, and by taking things slowly I finally noticed this gradual increase in mobility and decrease in discomfort. However, this healing is best really done at home, because you are in your familiar environment, no sleep disturbances from others around you, and even things like the challenge of figuring out how to heat up a meal or - in my case - walk the dog without pulling on the surgical site, took my mind off what I still couldn't do and focused my mind on things I needed to start doing again.

  • Thanks everyone. Made it home yesterday after moving more. I dont think it helped that the staff on my ward were not very nice or helpful. The pain is still really high and I've just woken up after managing to sleep for an hour and 45 minutes. Luckily own sofa has a recliner chair so I have decided to sleep on thst instead of attempting to lie down in our bed which means getting up is slightly easier now. I know I have to be patient about my recovery but would just like a bit of relief from all of the pain! 

  • So glad you are home , I was so shocked I had a radical nephrectomy at addenbrookes 9 weeks ago .. I was back on the ward at 7pm and discharged at 11 the next morning !  As long as I was peeing and they made me walk 100 lengths of the corridor and said home was the best place foR me : I can’t deny I was in agony for 2 weeks but 9 weeks on im more or less normal . Get well soon xxxxxx

  • 100 lengths!!! That sounds like torture!! Anguished

  • It was agony but they made it sound like it was really normal so I just did it . Whilst I was struggling to lay back down in agony on the bed they said , can you phone your husband ?  , you can go now . I know they are short of beds but I never left the day ward Shrug tone2‍♀️