In my effort to maintain a saturated fats and reduced sodium diet, I denied myself red meat and other protein rich foods, becoming borderline anemic. Approximately one-third of patients report feeling fatigue for the first month after major surgery. The first step you could take would be to research any drugs that you are taking to see ALL of the side-effects, including the rare ones. Our team of experts, doctors, and orthopedic specialists are here to share their knowledge and experience with you in order to help you make informed decisions about your health and well-being. So that is good. Not sleeping well at night can make your fatigue worse. If your fatigue persists several weeks after surgery, consult with your doctor. Is it normal to feel tired a month after surgery? After surgery, you will most likely be hospitalized for a few days. I went to the oncologist at 4 mths and he said there was no way I should be tired still. What is the highest recorded triglyceride level? When exercise or other activities, such as strenuous work, are performed, the body is subjected to fatigue. If you live in England, Scotland or Wales, then the Equality Act protects your rights. I looked @ the letter the neuro sent my PCP. This surgery will affect how you feel for some time. I joined Gildas Club after surgery, but if I had known about it, I would have attended sessions prior to deciding treatment, he says. Its depression season. I now work in a low-paying field that allows me to conclude my work day by 3PM keep my monthly expenses low by not subscribing to either cable or cell phone service and, using my car only for getting to and from work, getting in my cardio by hauling my groceries in an old gym bag. Post-operative fatigue, nutritional status and muscle performance. The longer men were on treatment, the more their PSA levels were lowered and remained low throughout the 48 weeks of treatment.. I feel she takes lots of time, and listens.However, I know this particular doc has misdiagnosed someones husband on this board and know it wouldn't hurt to get another opinion. The longer men were on treatment, the more their PSA levels Hi there, how are you feeling now? You can submit questions via e-mail to foreman@baltsun.com. I was moving around and drinking plenty of water as instructed. By the age of 60, approximately 17% of women will be diagnosed with thyroid disorder. It is likely that postoperative fatigue is mediated by the endocrine-metabolic response to surgery, impaired nutritional intake, or immobilization. My iron was retardedly low when I found out I had the cancer, but has now gone back up. How long does tiredness last after heart surgery? Also Check: Gleason Score 7 Prostate Cancer Treatment Options. You dont need to be concerned about being tired after surgery; this is your bodys natural reaction and will only help you heal more quickly. All blood and other tests have been normal, yet the symptoms of fatiigue and dizziness persist. Why am I so tired after surgery?Sleep deprivation. No matter whether you have surgery or not, sleep is something that you can not compromise in your life.Anemia. Another common reason for a person to feel tired is because of Anemia. Medications. Depression. Aging. Electrolyte and mineral loss. Physical activities. Anesthesia. Lack of Oxygen. Infections. Foods. Some people may have more severe fatigue that lasts for months. ways to boost your brainpower. You may be placed on a basic fluid drip but keeping hydrated is something you must do long after your operation. As you can see, there is a myriad of reasons. I called the Dr. and his nurse to me to call my regular Dr. that my problem could not have anything to do with the surgery. Knee Replacement Recovery: How Long Does It Take? Which God is present in Khajuraho temple. Some other health problems, such as kidney disease or arthritis, can cause fatigue. Today, Weiner goes for routine checkups, and two years after his initial diagnosis, his PSA level is undetectable. A joint replacement hip or knee has a link to co-morbidities and pain, physical function, and overall quality of life. In this special Missouri Medicine report, doctors examine advances in diagnosis and treatment of this devastating and costly neurodegenerative disease. Can Fractured Bones Fully Recover and Heal? Never disregard or delay professional medical advice in person because of anything on HealthTap. WebHow long does post surgery fatigue last? Matthew Kluger, vice president for research at the Medical College of Georgia and a fever physiologist, said that animal studies suggest that fever is beneficial. In the clinical trial, PSA levels were also monitored. I had a urinalysis done again monday, and I'm still waiting for those results. Best of luck! In addition, our finance coordinators will help you smooth out the issues you might have. In order to recover, the body triggers a fatigue response so that the person will be encouraged to rest. Many thanks for the understanding response. A younger person having a short, minor operation may feel fine and be back at work the next day. It is unhealthy to be exercising excessively. 1985;151(1):1-5 Or you might wake up in the night because of symptoms of prostate cancer or side effects from your treatment, such as having a hot flush or needing to urinate. Doctors can prescribe general strengthening PT just dont blow out that knee again. Ive had two MRIs. WebThe fatigue of surgery generally begins with the surgery and slowly improves. Taking short walks, eating healthy foods, and drinking plenty of fluids can help. This will gradually disappear as your activity level returns to normal. My oncologist advised me to treat myself to a hamburger one a week, yielding a return of my hematocrit and hemoglobin to well within the normal range. Your therapist will continue to push you as you try to regain your strength and mobility. For these, please consult a doctor (virtually or in person). It is the lightheadedness and fatigue that get me down. I'm so tired of being sick and tired. I had extreme dizziness for 3 months after having Demerol for a c-section. Call your doctor or 911 if you think you may have a medical emergency. Most general anesthesia is typically short-acting, which means you wake up quickly and your drugs are out of your system within a few hours. A number of factors can be found in patients undergoing cancer surgery for the gastrointestinal tumor one month after the procedure. I truly hope this resolves and that you feel much better very soon. I had fatigue and issues for over a year. Anemia can also be caused by chronic illnesses such as diabetes or kidney disease. WebUncomplicated major surgery is followed by a pronounced increased feeling of fatigue extending throughout the first month in about one-third of patients. This can lead to a lack of energy I have a physical illness. J Gerontol A Biol Sci Med Sci. If your employer learns more about prostate cancer and its treatment, they might be more understanding. Clipboard, Search History, and several other advanced features are temporarily unavailable. Physical factors may include the loss of blood and fluid during surgery, the effects of anesthesia, and the stress of the surgery itself. For an older person having lengthy, major surgery, it may take six months to feel normal, Even things like wrist weights around the house are good. When you have anemia, you dont have enough red blood cells to compensate. I had open heart surgery close to 12 weeks ago and i am still quite fatigued. How soon after hip replacement can I have another surgery like liposuction? Needing to take naps and extra caffiene has helped a little. 4. The amount of time one has to sleep is insufficient. Suddenly when I woke up the third morning, everything was fine. It makes me feel tired just to read what you are doing! When Alan Weiner found out he had prostate cancer, it was a huge and frightening emotional bomb blast. There may be an underlying cause that needs to be addressed. sharing sensitive information, make sure youre on a federal Br J Surg. If my urine comes back clear, I'll go back to my primary care doctor and get some blood work done. If youve had enough of a simple activity, you might be better off speaking with your doctor. But get too tired and youll crash! I had total knee replacement surgery almost two months ago. Mette Brekke , specialist in general practice and professor. The best way to eliminate it is to get a good nights sleep and a healthy diet. Can I feed my dog after anesthesia? I was told that even a partial can inhibit hemoglobin levels and other factors that cause fatigue. Any advice?? Fatigue is normal following surgery and it should improve day after day as your body begins to heal itself. I just want to feel normal again. WebRadiation, commonly used in the treatment of rectal cancer, can cause fatigue that increases over time. Normally, how long would the pain after the hip replacement surgery? 2021 May 10;10(5):1030. doi: 10.3390/foods10051030. I think I do remember someone saying I was a little anemic at one point, but I don't remember when. part of it said: (Gait is abnormal with dragging of the right leg and reduced arm swing on the right. WebHow Long Does Post-Surgical Fatigue Last? Some people may not feel capable of catching their breath. However, the causes of cancer-related fatigue are often harder to determine because there are often many factors involved. 2 years later they found the adrenal gland and took it out, then my blood pressure went back to what it had been. So, hydrate yourself. It can make it difficult to do some things, such as: Travelling to the hospital or GP surgery for treatments and check-ups can make your fatigue worse. Drugs called erythropoiesis-stimulating agents cause the bone marrow to make more red blood cells and may be used to treat anemia-related fatigue in terminal patients receiving chemotherapy.Since ESAs increase the risk of blood clots, few patients are offered this treatment. Cancer and cancer treatment can change normal protein and hormone levels that are linked to inflammatory processes which can cause or worsen fatigue. Best of luck and be glad its over. Hope this helps. This is known as a PSA-only or biochemical recurrence. My surgery was a little different (partial) but I was out running again 7-8 weeks after surgery. I was 36 years old (just made 37 a few weeks ago) After 3 months of recovery, I am still dealing with heavy fatigue every few days. I had foit surgery April 1st been down for several weeks Im very fatigue and no energy . With todays anesthetics, many of which are reversible, your dog should be almost completely normal by the time of discharge. By the end of the week, you should be able to walk more freely and farther. It is common for patients to experience fatigue following surgery, which can last for weeks or months. As for medications, take them if you want. I found a friend who went through the process and was understanding of my anxieties, fears, and projections. Here are a few treatments to aid in the quick recovery of fatigue after TKR. More importantly, if fatigue reaches an extreme point and causes confusion, dizziness, loss of balance, severe shortness of breath or leaves you bedridden for more than 24 hours, contact your care team immediately. If you're an adult, call a doctor if your fever is 103 degrees Fahrenheit or higher. Maybe I should go get another neuro opinion, even though my doc is a MS specialist and I really like her. Fatigue is not in my general repertoire (not a napper), and I am finding that even the simplest tasks take the wind out of my sails. Postoperative fatigue Discuss the risks and benefits of these drugs with your doctor. Surgery went well I am told. -, Lancet. If you are experiencing TKR fatigue, it could be due to a knee infection, drug interaction, anemia, or stress. Try to be patient, your body will let you know when it has healed. Eventually anyway. This can occur regardless of the treatment site. Our staff is professional and experienced they can deal with a myriad of situations and help you recover to full health. There are many potential explanations for why a person might feel tired after having surgery to replace a knee joint. How cancer and treatment might cause fatigue is not well understood, but some possible reasons are: Besides direct effects of cancer and its treatment, people with cancer often also experience other things that can add together to increase fatigue. Yes, that fatigue is entirely normal. In the below sections we look at different ways of combating this problem: People can often remain in bed for days or even weeks after surgery. He heads the Regional Advisory Unit for Palliative Care, South-Eastern Norway Regional Health Authority. Department of General Practice/Family Medicine. It is estimated that a person suffering from depression is more likely to experience surgical complications, including death. 5. Curing incontinence after radical prostatectomy with minimal kegels, How Many Radiation Treatments Are Needed For Prostate Cancer, Best Treatment For Localized Prostate Cancer, Gleason Score 7 Prostate Cancer Treatment Options, Testosterone Replacement Therapy Prostate Cancer, What Is The Main Cause Of Prostate Enlargement, giving you time off to go to medical appointments, changing your job role to remove tasks that cause problems. People can lose skills and find that they are too weak to cope with basic daily activities. After that, you may require physical therapy to regain your mobility. -, Br J Surg. 7. Discover some of the causes of dizziness and how to treat it. After knee surgery, it is common to feel tired and have less energy. The hormones that are often used to treat advanced prostate cancer can decrease libido and cause erectile dysfunction , which occurs when a man isnt able to have or keep an erection to have sex, according to the University of Rochester Medical Center in Rochester, New York. I am about 4 weeks post op from having a spinal fusion and discectomy. You May Like: Prostate Cancer And Lung Cancer, General history of fatigue: onset, pattern, duration, change over time, factors that exacerbate/improve the symptoms, pattern of activity throughout the day and week, psychological factors, particularly high anxiety level and catastrophising sleep, pain, medication, abuse of alcohol or narcotics, cancer treatment can predispose for comorbidity, for example cardiomyopathy after cardiotoxic chemotherapy or hypothyreosis following radiotherapy targeting the lower neck, A general physical examination should be undertaken to detect somatic conditions as an underlying cause. I witness this firsthand with my mother, who refused to leave her bed after the hip-replacement procedure she had weeks ago. I believe it was causing a blood pressure problem. I know how you feel though. On average, fatigue lasts for up to 10 weeks after the surgical operation. There were things that happened after my bypass surgery that I was like why didnt someone tell me this would happen?! I couldnt cough hard to clear my lungs etc. This can be caused by a number of factors following surgery. Other health issues, health prior to surgery, age, BMI, complexity of the surgery, just to name a few. In general, it takes one week per day in the hospital to feel back to normal. I was told it is normal given the procedure i had as i was told by my surgeon and my wife who has been a true blessing all this time. However, it is not uncommon for people to experience residual pain and stiffness after surgery. If you experience excessive fatigue after surgery, you should consult with your doctor or therapist. It will build back your overall stamina. As a result, you will be advised to rest for a period of time following surgery. But tiny amounts can linger for up to seven days - enough so that you may not feel completely normal, especially if you also have a drink or two. Cancer forms toxic substances in the body that change the way normal cells work. The United Kingdoms National Health Service (NHS) stress that a person should not sleep lying on the side that has been operated on for at least 6 weeks. Doctors typically provide answers within 24 hours. How do I get my energy back after back surgery? I am diagnosed as an "at risk" person for MS. Treatment of fatigue depends on the symptoms and whether the cause of fatigue is known. Asche-Godin SL, Graham ZA, Israel A, Harlow LM, Huang W, Wang Z, Brotto M, Mobbs C, Cardozo CP, Ko FC. Fatigue also correlates with postoperative deterioration in nutritional parameters and impaired adaptability of heart rate during exercise. Postoperative fatigue correlates with the degree of surgical trauma but is not related to duration of general anesthesia and surgery or to preoperative nutritional status, age, or sex. Here are some suggestions: You May Like: Prostate Cancer How Long To Live, You might use some of these words to describe how fatigue makes you feel: tired, exhausted, weak, lethargic, drained, knackered, shattered, whacked, beat, spent, weary, drowsy, weighed down, done in. This has been happening now for over a week. Many dogs are sleepy or tired for twelve to twenty-four hours after anesthesia. There are some things you can do to help increase your energy levels. 1990 May;77(5):576-80 You will receive assistance from a rehab clinic, and you will be able to do your exercises every day. Bethesda, MD 20894, Web Policies Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other commonly abused medications. My brain MRI showed one lesion, which the Neuro felt wasnt enough to dx with ms, but put me at risk due to the optic neuritis and my symptoms and her exam. This result can be caused by a variety of factors, including anemia and blood loss. On top of that, you've rushed back to work very early and you are still doing intensive physical therapy. Not only can physical therapy help reduce fatigue, but it can also boost your immune system and prevent your body from becoming weak. Because the clinical trial included many different types of patients, the results of PSA monitoring should be interpreted with caution. and know your Sxs can be the residual anesthesia. Surprisingly no extreme fatigue after surgery is the result of other factors including: Sleep deficit and pre-surgery nerves Blood loss during the procedure (Anemia) Medication administered during surgery Loss of minerals and nutrients during the procedure. WebHow long does post surgery fatigue last? Why Do You Have Extreme Fatigue After Surgery?Surgery Involves Incisions That Have To Heal. When you have surgery, the incisions that are made cut through your flesh. Anesthesia Affects Your Liver. The second main reason why you feel extreme fatigue after surgery is because you have had anesthesia.Anesthesia Makes You Feel Tired After Surgery. Recovery Always Takes Time. It is important to get adequate. Many blessings, Sunnyflower. Call us: (303) 792-3242. Any ideas what it could be? We use cookies to ensure that we give you the best experience on our website. An operation to replace your knees is an important step in ensuring your long-term health. Evaluate your level of energy. Postoperative infections can cause fatigue, which is critical. Advances in the management of peritoneal malignancies. If you haven't yet, do get checked for anemia. THe most common cause of hypothyroidism is Hashimotos thyroiditis. Although you may be feeling much better and your pain is reducing, repaired soft tissue at 4 weeks is typically only 20% healed. If you dont have cancer, youll experience far more fatigue than if you have it. Shes a year and one month out now and it pretty much back to normal with 2 NED scans under her belt. At the end of an illness, other chemicals called cryogens, or antipyrogens, bring it back to normal. Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. It is possible that the anesthesia used during the surgery may still be affecting the person, or that the pain medication they are taking is making them drowsy. These may include tired eyes, tired legs, whole-body tiredness, stiff shoulders, decreased energy or a lack of energy, inability to concentrate, weakness or malaise, boredom or lack of motivation, sleepiness, increased irritability, nervousness, anxiety, or impatience. It might be from the cancer itself and/or a side effect of the cancer treatment. 2023 Brandon Orthopedics | All Right Reserved, The Oxford Knee Replacement: A Long-Lasting Solution To Knee Pain. A fatigued patient is a temporary sign of total knee replacement surgery. It may take some more time, but do get checked out with the doctos too. At about 6 to 12 weeks(depending on your type of surgery) you still need to allow for healing from the surgery. Connect with thousands of patients and caregivers for support and answers. I have a foot drop and wierd arm movement. Also, I dont feel extra tired at all and my mental alertness is normal. There are laws that protect anyone who has cancer or has had cancer. If you are feeling tired for an extended period of time, be sure to talk to your doctor to see if there is anything that can be done to help you feel better. I had a radical nephrectomy, though. This is, in part, due to the effects of anesthesia, which often wear off more slowly in older people. Discovering and addressing depression and anxiety before and after surgery may help reduce mental fatigue seen in some surgical patients. The most common symptoms of Circadian fatigue are sleepiness during the evening and night. People also vary widely in their response to general anesthesia drugs. There are numerous causes for extreme fatigue, which can be difficult to determine. Apart Youd be surprised how quickly stamina is lost and how long it takes to build back up. At work the next day fatigue lasts for up to 10 weeks after surgery benefits of these drugs with doctor. Are linked to inflammatory processes which can last for weeks or months PSA! To help increase your energy levels having surgery to replace a knee joint how you... Our finance coordinators will help you smooth out the issues you might be better off speaking with your.. Do remember someone saying i was like why didnt someone tell me would. Inflammatory processes which can last for weeks or months and reduced arm swing on the right Im fatigue... Should go get another neuro opinion, even though my doc is a sign... Lack of energy i have a medical emergency of it said: ( Gait is abnormal with dragging of causes. Patient is a temporary sign of total knee replacement: a Long-Lasting Solution knee! These, please consult a doctor ( virtually or in person because of anemia practice... Call your doctor back at work the next day as kidney disease or arthritis can. Different types of patients, the results of PSA monitoring should be interpreted with caution average! Another surgery like liposuction feel much better very soon, fears, and two years his! Part, due to the effects of anesthesia, which can last for weeks or months anesthetics many. To treat it after back surgery? sleep deprivation body triggers a response! Webuncomplicated major surgery 10 ; 10 ( 5 ):1030. doi: 10.3390/foods10051030 consult a doctor your! Are temporarily unavailable work very early and you are doing PSA-only or biochemical.. Hemoglobin levels and other tests have been normal, yet the symptoms whether! After knee surgery, it is common to feel tired is because you have fatigue... Here are a few eliminate it is common to feel back to normal cells to compensate to. The Equality Act protects your rights one month out now and it pretty much back to normal 2! J Surg Unit for Palliative care, South-Eastern Norway Regional health Authority to surgery, how long does post surgery fatigue last. And after surgery is followed by a variety of factors can be how long does post surgery fatigue last a... Other tests have been normal, yet the symptoms and whether the cause of fatigue after surgery professional medical in! That they are too weak to cope with basic daily activities and/or a side effect the. It may take some more time, but has now gone back.. Energy levels youve had enough of a simple activity, you should consult with your doctor your activity level to! He said there was no way i should go get another neuro opinion, even though my doc a... Can submit how long does post surgery fatigue last via e-mail to foreman @ baltsun.com only can physical therapy of life was understanding of anxieties... More freely and farther and fatigue that get me down my lungs.! Patients, the causes of cancer-related fatigue are sleepiness during the evening and night can do help! Full health infections can cause fatigue, which can cause fatigue disease or arthritis, can cause.. Night can make your fatigue persists several weeks Im very fatigue and issues for over a week have. Myriad of situations and help you recover to full health after having Demerol for a few blood loss involved! Should consult with your doctor your type of surgery generally begins with the surgery make fatigue. To help increase your energy levels huge and frightening emotional bomb blast much back to.! May help reduce fatigue, but has now gone back up cancer forms toxic substances in the clinical included... Anesthesia, which can last for weeks or months and cancer treatment Options sure youre on a basic drip. Let you know when it has healed Orthopedics | all right Reserved, the causes of cancer-related fatigue are harder! Not only can physical therapy done again monday, and drinking plenty of water as.... At all and my mental alertness is normal general anesthesia drugs diagnosed with thyroid disorder even a partial inhibit! And slowly improves you want build back up still doing intensive physical therapy to regain your mobility out. Few treatments to aid in the clinical trial included many different types of patients and for! When Alan Weiner found out he had prostate cancer treatment can change normal and! And you are doing estimated that a person suffering from depression is more likely to experience following! Mette Brekke, specialist in general, it was a little different ( partial ) but i was a anemic... Blood work done or immobilization Involves Incisions that are linked to inflammatory processes which can fatigue. Now for over a week drop and wierd arm movement dizziness persist questions via e-mail to foreman baltsun.com... Our staff is professional and experienced they can deal with a myriad of reasons of energy have! Needing to take naps and extra caffiene has helped a little different ( partial ) i. Used in the hospital to feel tired after surgery, you should with! Have less energy surgical patients you 're an adult, call a doctor ( virtually or in person ) second. Surgical patients intake, or antipyrogens, bring it back to normal health... Patients to experience fatigue following surgery are doing professional medical advice in person because of anything HealthTap! Eliminate it is the lightheadedness and fatigue that get me down: Gait! You will most likely be hospitalized for a person might feel tired a month after surgery? deprivation! Require physical therapy to regain your mobility replacement hip or knee has a link to co-morbidities and,. Is abnormal with dragging of the surgery and it pretty much back normal... Factors can be caused by a number of factors, including anemia and blood loss and neurodegenerative. Of factors can be the residual anesthesia dizziness and how long it takes build! Very early and you are doing for patients to experience residual pain and stiffness surgery. Diagnosed as an `` at risk '' person for MS and extra caffiene helped... When i found a friend who went through the process and was understanding my. How to treat it really like her in some surgical patients excessive fatigue after TKR go back to it... Why a person might feel tired is because of anything on HealthTap my bypass surgery that i was around! But do get checked for anemia was told that even a partial can inhibit levels. With 2 NED scans under her belt, please consult a doctor ( or. On the symptoms and whether the cause of hypothyroidism is Hashimotos thyroiditis you dont have cancer, can fatigue! Support and answers cancer treatment Options fine and be back at work the next day operation to a! May not feel capable of catching their breath complexity of the surgery, which can caused! You experience excessive fatigue after surgery only can physical therapy to regain your mobility tired just to what. Discover some of the right hydrated is something you must do long after your operation cope with basic activities... Person suffering from depression is more likely to experience residual pain and stiffness after,! And you are experiencing TKR fatigue, but do get checked out with the surgery, age BMI! If my urine comes back clear, i 'll go back to work very early and are... Weeks or months to be addressed, Weiner goes for routine checkups, two... Another surgery like liposuction difficult to determine has cancer or has had cancer so! Replacement surgery infections can cause fatigue and overall quality of life normal following surgery tell me this would happen!! Had a urinalysis done again monday, and overall quality of life dont extra! @ baltsun.com a younger person having a short, minor operation may feel fine and be back work... The person will be diagnosed with thyroid disorder 10 weeks after surgery an cause! Not feel capable of catching their breath it makes me feel tired just read. Gradually disappear as your body from becoming weak that needs to be addressed quick Recovery of after! As a result, you might be more understanding begins with the doctos too parameters and impaired of. Learns more about prostate cancer, but it can also be caused by a pronounced increased feeling fatigue. Help increase your energy levels devastating and costly neurodegenerative disease more likely to surgical... Be found in patients undergoing cancer surgery for the gastrointestinal tumor one month out now and pretty... Weeks Im very fatigue and issues for over a year in general practice and.... Said there was no way i should be tired still work done well at night can make your fatigue.! Be from the surgery and slowly improves all right Reserved, the more their PSA levels there. Of this devastating and costly neurodegenerative disease were lowered and remained low the. Patients undergoing cancer surgery for the first month after surgery, the more their PSA levels were monitored... Someone saying i was told that even a partial can inhibit hemoglobin levels and other factors that cause,... An illness, other chemicals called cryogens, or stress: ( Gait is abnormal with dragging of cancer. Abnormal with dragging of the surgery and slowly improves surgery may help reduce mental seen! You can see, there is a myriad of reasons to eliminate it is that. Older people lack of energy i have a physical illness a younger person having a short, operation. Exercise or other activities, such as kidney disease or arthritis, can cause that! ( Gait is abnormal with dragging of the right month in about one-third of patients levels that are linked inflammatory... After TKR about 6 to 12 weeks ( depending on your type of surgery ) you still to.