Pre-Surgery checkup

So this past Thursday, I had surgery to remove my fallopian tubes. It was interesting.

Before surgery, an male anesthesiologist and a female medical student came into the cubicle I was in. They said they needed to give me “a quick checkup” since the physical at my consultation was over a month ago.

First he looked in my mouth. Then he asked me to sit up so he could listen to my lungs. He also put on gloves, which made me curious/nervous about what was coming. He listened to my lungs in about 8 places. Then he lowered the back of the bed and asked me to lower my gown and lay back so he could listen to my chest.

I pushed the gown down to about my belly button. He said “just a little lower” and pulled it down exposing the top of my pubic hair.

He started by making me take more deep breaths before telling me I could breathe normally. He moved the stethoscope across my breasts and lifted my left breast to listen to my heart with the bell.

Then he said “Just a quick listen down here” and listened to my bowels briefly. I wondered if he was going to do a genital exam, but he didn't. Quick feel of my belly then I was allowed to recover myself.

Having my body exposed like that was super hot. The female medical student watched very closely but did not participate.

I'm not usually a medfet person but the way you described your exam was extremely hot and I very much enjoyed reading it! Also hope the surgery went well!

That was Hot ! Did you think they were going to remove the gown to totally expose you ?

Good luck with your recovery Cal !

Hey … I got a small button sized cysts removed from my penis / under the foreskin. So, as I was admitted to hospital all the checks were done on my penis and genital area, so there was no question of protecting my modesty and no point of being shy, as I knew every one will look at, has their eyes on and touch my penis to do the tests.

In the OT the surgical gown was lifted up to my chest and almost my full naked body was exposed to perform the surgical procedure.

Hey … I got a small button sized cysts removed from my penis / under the foreskin. So, as I was admitted to hospital …

If you don’t mind me asking, why did you need the hospital for this? Since things like removal of the foreskin, phimosis, meatotomy and such can be done right in the office with a local, it seems like overkill. To me, at least. IANAU, of course.

I had my second knee replacement last fall. When I had the first one done, my pre-op physical was done by our internist, so it followed the same pattern that I've written about in other posts.

I expected the same to happen when it came time to have my second operation. This one turned out a little differently, though. Dev and I drove to Boston to meet with the surgeon to finalize the plan and select the date for surgery, which was to be done on an outpatient basis in New Hampshire at a clinic where my surgeon is part owner. Because of COVID, we were able to set the surgery date for about three weeks out, as many people seem to have opted out of surgery for the time being.

After we got done setting everything up with the surgical scheduler, we were directed back to the surgeon's office. This was different from the first time, where the scheduler provided us with all of the forms to take back home to our PCP, etc. and sent us on our way. The doc closed the door and said that he wanted to do my pre-op physical, since we were within the 30 day time limit. He asked if I wanted a chaperone or if Dev would suffice. I told him that Dev would do fine, and he left the room, saying he'd send one of the MAs in. There's an exam table right in his office. The MA came in and drew my blood and had me go into an adjacent rest room to provide a urine sample. When I came back into the office/exam room, she'd laid a fabric sheet/drape on the table. She told me to take everything off but my bra and panties, hop up on the table and cover myself with the drape and she'd send the doc back in.

So I stripped off, even my socks, which I hate to do, leaving my bra and panties on as directed. I plopped down on the table and sort of arranged the drape around my lower half. I figured that it wouldn't be an extensive exam, since I still had my bra and panties on. The doc came back in and said something to the effect of “let's get this done so we can get you guys back on the road to Maine.” He did the usual eyes, ears, nose and throat stuff, taking quite a long time looking in my mouth and throat. Dev later told me that this was to assess my airway and tongue as part of the pre-anesthesia workup. The CRNA later did the same thing on the morning of surgery. Then he felt my thyroid and the lymph nodes along my jaw and neck.

Next, he asked me to remove my bra so he could listen to my heart and lungs. I did so and tossed it over to Dev, who dutifully folded it and put it with my clothes. The doc percussed here and there along my spine from my neck to my bottom and then percussed and auscultated my lungs from the back. He moved to the front of me and listened to my lungs, then my heart. He had me lay back on the table and listened to my heart again with me supine and then took the stethoscope out of his ears and asked me to raise my hands above my head. He did a very quick breast exam, with the key word being quick. Then he bunched the drape up over my breasts and auscultated my abdomen. He percussed my abdomen and then palpated all four quadrants. Then he sort of peeled my panties back a little and felt my femoral pulses and lymph nodes. Next, he checked the pulses behind each knee and on top of both feet. I figured we were done at this point. But he asked me to remove my panties. As I did, he put gloves on, so I figured I was in for something more thorough. He had me get in frog-leg position, which wasn't easy with a bum knee, so Dev came over and supported my bad knee. The doc did a quick external exam of my vulva, then lubed two fingers and did an also brief pelvic exam. Then he told me to roll over onto my side and pull my top knee up. I knew what was coming. He did at least change gloves and use a lot of lube before he did a rectal exam. He took off the gloves and handed me a box of cheap tissues, telling me that I could get dressed and he'd be back in shortly as he left the room.

While I got dressed, I asked Dev why the doc didn't focus more on the orthopedic stuff in the exam, and Dev told me that he already knew pretty much all he needed to know from seeing him several times in the past year.

The doc came back in and said that everything looked good and he'd call me if the labs came back abnormal and to check the portal for the results.

So we headed back to Maine, had lunch at Bob's Clam Hut in Kittery, and went home, where, as usual after an appointment, Dev had his way with me. Or maybe I had my way with him. 😉

The primary reason for the pre-op is to assess risk for the anesthesia and surgery. My only surgery was an ankle replacement and the pre-op exam was pretty minimal - mostly about BP, heart, EKG, etc. and a through review of my medical history. My wife's last pre-op exam was much more extensive and included an echocardiogram (due to an ischemia she had 15 years earlier), MRI, bloodwork, as well as an extensive review of her medical history (she have a five page history of major medical issues we brought with us). The doc did give her numerical risk values for heart attack/stroke and other factors I don't remember. The surgeon also reviewed all the results and sent her to an ENT because he thought he saw something in the back of her throat on the MRI. The ENT stuck a camera up through her nose and sinuses and took a picture of her throat that cleared her for surgery.

They don’t want you to die in the OR, hurts their batting average.

@cal1082 –-I have to agree with the others, that was a super hot story. really good writing.

@XposeHer thanks!

So far I like it

@JulieB123 did the doctor do any reflexes especially on the bottom of the feet?

@JulieB123 did the doctor do any reflexes especially on the bottom of the feet?

No. He'd checked my reflexes extensively during prior visits.

Rigel (post #7 ) has got it right:

The primary reason for the pre-op is to assess risk for the anesthesia and surgery [...] They don’t want you to die in the OR, hurts their batting average.

I read of one such pre-op check by an anaesthetist. Apparently people have vastly different clearances at the back of the throat. With some, when they open wide, there's no clearance to be seen. With others, the whole throat (and to spare) gapes back at the anaesthetist! He needs to know whether his tubes will fit past the back of the mouth or whether he will need to thread them through the patient's nose - the ultimate destination being the trachea/windpipe.

Here endeth the anatomy lesson.

- Ken