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Fall 2010 - National Marfan Foundation

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8<br />

Connective Issues<br />

Many people in the <strong>Marfan</strong> syndrome and related disorders<br />

community travel to experienced centers to have their aortic<br />

surgery. Regardless of where you are traveling—to the East<br />

Coast, the West Coast or somewhere in between—it is important<br />

to know what to expect and have a plan before you go.<br />

Here are some guidelines from NMF Professional Advisory<br />

Board member Duke Cameron, MD, Professor of Surgery,<br />

Johns Hopkins Hospital. These are based on Dr. Cameron’s<br />

long-time experience at Johns Hopkins in Baltimore. Check<br />

with your surgeon for the specific process where you are having<br />

surgery.<br />

• Plan to arrive a day or two before your surgery for your<br />

pre-op appointment and to re-meet your surgeon.<br />

• Usually, you are asked to come to the hospital for the<br />

surgery on the day of the operation.<br />

• For children, the surgery is usually scheduled early in the<br />

morning and lasts about 4–5 hours.<br />

• After the surgery, the patient is taken to intensive care;<br />

if all goes well, the stay in ICU is for a day or two.<br />

• If everything goes well, you can expect a hospital stay of<br />

5–7 days.<br />

• How long you stay in the area before traveling home<br />

depends on several things, including mode of transportation<br />

(flying or driving) and how well the patient feels. In<br />

general, plan to say in the area for at least 3–4 days—<br />

even a week—after being discharged from the hospital.<br />

<strong>Fall</strong> <strong>2010</strong><br />

Are you Travelingfor Surgery?<br />

Insights fromSurgeon Duke Cameron, MD<br />

Dr. DukeCameron<br />

Heather HolmesFloyd and her son Henry<br />

Before you travel to the hospital where the surgery will take<br />

place, have a plan in place for when you return home. Specifically,<br />

you need to make sure you know which doctor to follow<br />

up with and who will handle any medical issues, if they arise.<br />

Make sure that your doctor at home knows how to reach the<br />

surgeon, if necessary. After the surgery is not the time to<br />

scramble!<br />

Here are additional tips from Heather Holmes Floyd, of<br />

Newton, MA, whose son Henry had aortic surgery at Johns<br />

Hopkins in November 2007, when he was just 13 years old.<br />

• We booked the hotel for the entire duration of the time<br />

we were in Baltimore, though there were nights that no<br />

one stayed there because we were in the hospital. It was<br />

nice to have the hotel as a home base to keep our stuff, take<br />

showers, etc.<br />

• We planned to have loved ones there to help support us,<br />

to provide relief for me so I could go to the hotel, shower<br />

and take a nap, or just take a break. Only plan to have<br />

people travel to see you who will truly support you.<br />

• Ask for what you need! It was difficult for us to travel to<br />

Baltimore a week prior for the pre-op so we asked if we<br />

could do the pre-op the day before the surgery and they<br />

approved this request.<br />

Continues on page 17

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