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LUNG CANCER EVALUATION CENTER - PATIENT INFORMATION


About The Center

Stony Brook University Lung Cancer Evaluation Center
CONTACT INFO
Lung Cancer Evaluation Center
Practice Location:
3 Edmund D. Pellegrino Road
Stony Brook, NY 11794
Mailing Address:
Health Sciences Center
T-19, Rm 071
Stony Brook University
Medical Center
Stony Brook, NY 11794-8191
631-444-2981
631-444-6970
Map & Directions
Request an Appointment

Patient Information

Preparing for Lung Surgery


Instructions
Pre-Admission Testing
After Surgery
Exercises at Home
Follow-Up Care

Instructions

Once the surgeon has reviewed your medical information and discussed with you what your options are, preparationscan begin for your surgery. A date can be picked that takes into consideration both your time schedule and your surgeon's schedule. Once that date is chosen, you will also be given a date about1-2 weeks ahead of your surgery day to come to the Cancer Center for pre-admission testing.

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Pre-Admission Testing

All patients who need surgery require routine blood tests, a urine test, and an electrocardiogram (also known as ECG or EKG; a simple test that provides information about your heart health). This pre-admission testing will be done about 1-2 weeks ahead of your surgery day. Also at that visit you will meet with the nurse practitioner who will review your past medical history and complete a physical exam. It is very important that you tell us about all medications you take, and if you have any allergies.

Please make a list of all your medications including the dosages and how often you take them, and bring this list with you to that appointment. The nurse practitioner will discuss with you what medications you will continue and what should be stopped. In general, medications such as aspirin, clopidogrel (Plavix), and warfarin (Coumadin) will be stopped about a week before surgery to decrease the risk of bleeding at the time of surgery.

Other medications such as a multivitamin that contains vitamin E should also be stopped. If you are a diabetic, special instructions will be given to you about your oral medications and/or your insulin. The nurse practitioner will also ask you to sign a consent form giving your permission for surgery and anesthesia.

At this visit you will also meet with an anesthesiologist. This doctor will explain to you how you will be put to sleep for the procedure, and the different methods of controlling pain after surgery. Very often a catheter (thin tube), placed in your back prior to surgery, is used to help you manage pain after surgery. This special catheter is called an epidural catheter, and liquid pain medication is given to you through it.

An incentive spirometer will also be given to you. This is a device that helps you exercise your lungs after surgery, by taking deep breaths. It is normal for you to want to take shallow breaths after the surgery because of the pain; this device encourages you to take deep breaths.

To deep breathe with the incentive spirometer, do the following:


  1. Exhale (breathe out) slowly until you cannot push out any more air
  2. Place the mouthpiece of the incentive spirometer between your lips, grasp it with your teeth, and close your lips over the mouthpiece
  3. Take a slow deep breath through your mouth only
  4. Hold your breath for 3 to 5 seconds
  5. Remove the mouthpiece
  6. Exhale

Repeat this exercise 5 to 10 times during every hour when you are awake.

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After Surgery

When your surgery is completed, you will be taken to the recovery room, or post-anesthesia ICU (intensive care unit). The nurses there will monitor you until you are ready to be moved to the intermediate care unit of the hospital (16 South). Some patients, because of their other medical conditions, may require to be more closely monitored in an ICU overnight or a few days.

When you wake up you will notice that you are attached to a heart monitor, an IV line (intra-venous; into a vein), and a Foley catheter (thin tube in your bladder to drain urine). You will also notice that you have drainage tubes coming from the side of your chest where the surgery was performed; these tubes are called chest tubes and will drain fluid and air from around your lungs. In general, patients have two chest tubes. These tubes will remain in for several days; usually, once they are all removed, you are ready to go home.

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Exercises at Home

Some exercises increase the movement in your arm if they are done several times a day. These exercises help to prevent a condition called frozen shoulder (also known as adhesive capsulitis) that is characterized by stiffness, pain, and limited motion in the shoulder joint:

  • Raise your hand to touch your ear on the affected side. Try to walk your fingers over your head to reach your opposite ear.
  • Stand 1-2 feet away from a wall. With your affected arm extended toward the wall, walk your fingers up the wall as high as you can. With each attempt, try to walk your fingers higher on the wall.

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Follow-Up Care

About 2-3 weeks after your discharge from the hospital, you will return to the clinic to see your surgeon. We will ask you to have a chest x-ray prior to that visit. At this visit, the surgeon will look at your incision, review the x-ray, and discuss further with you the results from your surgery. If further referrals to other specialists are needed, these referrals will be addressed at this appointment. The LCEC team will also discuss with you the long-term follow-up care you require.

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Important Note:

The Stony Brook Medicine University Physicians website is primarily an informational and educational resource. It should not be used in place of medical advice and recommendations you receive from your health care provider. If you have, or suspect that you have a medical problem or condition, please seek the advice of your health care provider.


Stony Brook Medicine University Physicians provides marketing advice and consultation to the clinical Faculty associated with the University Faculty Practice Corporations (UFPCs). It does not provide medical care directly or indirectly nor does it oversee, direct, manage or supervise the medical care provided by any of the individual Practices. The individual Practices are responsible for the medical care each Practice provides to its patients. Please note that the Practices listed below are separate University Faculty Practice Corporations (UFPCs).