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Jun 13, 2024

Is 17 Days Too Soon to Return to Work Post-Ileostomy Reversal?

The topic at hand is about someone who recently had an ileostomy reversal surgery and is concerned about returning to work just 17 days after the procedure. They are feeling anxious because of past complications and the advice they have received from their surgeon. Here are some key points and advice shared by others in similar situations:

- The person developed a strangulated hernia two weeks after their original stoma surgery, which makes them worried about sitting for long periods so soon after the reversal.
- They were advised by their surgeon that a longer recovery period is unnecessary, but they are not convinced.
- After surgery, they were served a full solid-food meal, which goes against the typical post-surgery dietary guidelines they have read about.
- The surgeon has not yet provided details about the surgery or the type of procedure performed (laparoscopic vs. open).

Additional concerns include:

- The surgeon's refusal to sign forms for more than 17 days of recovery unless complications arise.
- The patient is waiting to discuss their concerns with the surgeon and request a nutritionist.

Advice and insights from others include:

1. Many people find 17 days too short for recovery, with 6–8 weeks being more common before returning to a desk job.
2. Recovery time can depend on the type of surgery. Laparoscopic procedures generally heal faster than open surgeries. It's important to know which type you had.
3. The bowel needs time to heal and regain function, so expect some unpredictability in recovery.
4. You have the final say in when you feel ready to return to work. If needed, push for revised paperwork or seek a second opinion.
5. Obtain copies of your surgical notes and review them with questions for your surgeon.
6. If your surgeon is unresponsive, consider reaching out to the hospital’s patient advocate, a different surgeon for a second opinion, or your disability insurance carrier for an extension.
7. Insist on seeing a nutritionist or dietitian, as early solid foods can pose risks.
8. Consider using an abdominal binder again to reduce the risk of hernia during recovery.
9. Be proactive about your care and speak up if something feels unsafe. You have rights as a patient.
10. Recovery timelines can vary, but even those who progressed quickly felt that same-day solids were too soon.
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