INFORMATION SHEET FOR PATIENTS UNDERGOING:
THYROID AND PARATHYROID SURGERY
You have now had the procedure for thyroid/parathyroid surgery explained to you in the office by Dr. Pasieka. You have signed a consent indicating that you understand the procedure, that you understand the major risks and complications of the procedure and the alternatives to surgical intervention. The major risks and complications for undergoing thyroid/parathyroid surgery consist of injury to the recurrent laryngeal nerve, parathyroid injury resulting in hypocalcemia, bleeding, infection and in the case of parathyroid surgery, not identifying the underlying parathyroid that is causing the problem.
A booking request will now be submitted requesting operating time. The Booking Office, which will schedule your surgical date, will be in contact with you They will try to give you as much leeway time as necessary, however you may be contacted on short notice, indicating that we have a cancellation or have re-arranged the schedule in order to accommodate you as quickly as possible.
Some of you may require to attend a Pre-op Assessment Clinic, approximately 2 weeks before surgery. The clinic is situated on the main floor of the North Tower. At that time, blood tests, chest x-rays and electrocardiograms may be done, if they are indicated. You may be seen by an anesthetist and possibly an internist and given educational material regarding your upcoming surgery. It is important that you attend this clinic, as you will be admitted on the day of the procedure and have no further orientation done in regards to the surgical wards.
On the morning of the procedure you will be admitted to the hospital. Please follow the hospital admitting instructions carefully, in regards to when you can last eat or drink. Dr. Pasieka will then see you just prior to surgery and can answer any further questions. Surgery on the thyroid and parathyroid usually take anywhere from 3 to 5 hours in duration, depending upon the procedure that is involved. Dr. Pasieka will then be in contact with your next-of-kin, on the surgical ward or by phone if you so desire.
Following the procedure, you will be allowed to eat and drink. You will be encouraged to start ambulating. The hospital stay ranges anywhere from 1 to 3 days and you will be discharged when you are able to care for yourself at home and medically fit to leave the hospital. Please arrange a post-operative appointment with Dr. Pasieka’s office the following week, to have your sutures removed. You may need a blood test, the day before your post-operative appointment; to monitor your calcium level. Most patients are able to return to work within two or three weeks of surgery.
It is important that as a patient undergoing surgery that you feel that you have gotten all of the appropriate information prior to surgical intervention. All of these procedures are explained to you in detail, in the office, by Dr. Pasieka, however it is sometimes difficult to remember all of the details. If you have any further questions or would like to discuss the procedure, once again in detail, please do not hesitate to call the office and make an appointment.
You should also note that this is a teaching hospital and therefore Dr. Pasieka is heavily involved in teaching of doctors becoming surgeons. These individuals are called surgical residents. Dr. Pasieka believes that surgical residents enhance the care of the patients. Please rest assured that she is ultimately responsible for your care, and will be doing the surgery herself.
If you have any further questions regarding the surgery or the procedures outlined above, please do not hesitate to call the office. Dr. Pasieka looks forward to seeing you in the hospital. If you have any concerns about the care that you are given prior to, during or after the surgery, please do not hesitate to call and this will be discussed in your follow-up visit.
Pasieka, MD, FRCSC
Regional Division Chief - General Surgery
University of Calgary and Foothills Hospital