{"id":5711,"date":"2011-08-02T06:30:22","date_gmt":"2011-08-02T10:30:22","guid":{"rendered":"http:\/\/blog.beliefnet.com\/beyondblue\/?p=5711"},"modified":"2011-08-02T13:13:05","modified_gmt":"2011-08-02T17:13:05","slug":"depression-after-surgery-post-op-depression","status":"publish","type":"post","link":"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/2011\/08\/depression-after-surgery-post-op-depression.html","title":{"rendered":"Depression After Surgery (Post-Op Depression)"},"content":{"rendered":"<p><a href=\"https:\/\/wp-media.beliefnet.com\/sites\/71\/2011\/07\/DepressedImage.jpg\"><img decoding=\"async\" src=\"https:\/\/wp-media.beliefnet.com\/sites\/71\/2011\/07\/DepressedImage.jpg\" alt=\"\" width=\"160\" height=\"212\" class=\"alignleft size-full wp-image-5713\" \/><\/a>Some statistics claim that as many as three-fourths of patients experience depression after bypass surgery. A small study published in the journal \u201cApplied Nursing Research,\u201d found that 65 percent of the patients were depressed three weeks after surgery and 26 percent continued to be depressed by 12 weeks.<\/p>\n<p>Most people are aware of the high correlation between heart surgery and depression. However, not until my recent appendix surgery did I realize that there is a risk of depression after all types of operations. For several reasons:<\/p>\n<blockquote><p>\u2022\t<strong>the effects of anesthesia<\/strong><br \/>\n\u2022\t<strong>antibiotics and other medications<\/strong> in your bloodstream<br \/>\n\u2022\t<strong>post-surgical traumatic stress syndrome<\/strong><br \/>\n\u2022\t<strong>constipation and other digestive problems<\/strong> from the medications<br \/>\n\u2022\t<strong>a general disorientation<\/strong><\/p><\/blockquote>\n<p>Add to that list, of course, soreness and pain, as well as orders to stay in bed for weeks (no cardiovascular activity), and you\u2019ve got a recipe for disaster.<\/p>\n<p>I also think a person can be thrown into an unexpected depressive cycle because surgery, in effect, pulls the plug on the busyness that distracts us from some of our inner pain and humanness. Recovery demands a change of scenery (the bedroom, the couch, and the reclining chair) and a definite adjustment of pace that unravels us; forced quietness can be uncomfortable in that we can\u2019t run from the things that aren\u2019t quite right in our life: our lopsided work-life balance, our priorities, our lack of thoughtfulness and compassion.<br \/>\n<!--more--><br \/>\nAt least that\u2019s true for me. On some level, I knew I couldn\u2019t continue at the pace I was, juggling about four and half jobs, and yet I didn\u2019t know another way. So I\u2019m taking this time to try and figure out a schedule that allows a better work-life balance.<\/p>\n<p>The day I finished my antibiotics and Percocet I thought I was out of the woods. Ironically, though, hours after my post-operation appointment\u2014when my surgeon reported that the incision was healing nicely\u2014I grabbed the Kleenex box and began crying (I&#8217;m a bit better now). I somewhat expected this. I mean, so many of my tools (exercise, sleep hygiene, high protein foods, social interaction, work) don\u2019t work for the next month or so. It\u2019s a scary place \u2026 just waiting to heal completely so that you can go back to grabbing those tools.<\/p>\n<p>I\u2019ve had to come up with a different set of instruments for myself. Among them:<\/p>\n<blockquote><p>\u2022 Although I can\u2019t swim in the morning or run around the picturesque Naval Academy, I can walk two blocks to the end of my street, sit down for awhile and look out at the water, and then walk back. That feels really lame even writing that. But hey, it\u2019s better than nothing.<\/p>\n<p>\u2022 Even though I do need more rest, and can\u2019t stick to my strict sleep hygiene plan (in bed only from 9 pm to 5 am), I am going to continue to set the alarm and get up after eight hours. Even if I just read quietly in the morning, that is better than getting in the habit of sleeping too much, which I\u2019m learning, is as powerful as a bad diet in putting me in a bad place.<\/p>\n<p>\u2022 Even though I can\u2019t immerse myself into community work during this time, I can make every effort to get dressed after eight hours of sleep, because staying in my jammies all day tells my brain to stay shut down.<\/p>\n<p>\u2022 I can\u2019t join friends at a social hour, but I can pick up the phone and talk to one, especially when I don\u2019t feel like it. <\/p>\n<p>\u2022 I can stay connected with friends and family via Facebook.<\/p>\n<p>\u2022 I can vent to sisters, friends, and to Eric. I don\u2019t have to pretend that everything is peachy. I can call my therapist if I need to, and email my doctor.<\/p>\n<p>\u2022 I can continue to help people by posting quotes on Beyond Blue and passing along jokes that make me take life less seriously.<\/p>\n<p>\u2022 I might not be up to salmon and spinach, but I don\u2019t have to drink a case of Sprite either, or eat the whole box of crackers. I can still take my Omega 3 supplements, and stay away from the sweets as best I can.<\/p><\/blockquote>\n<p>Most importantly, I am ripping up my to-do list and starting over with a miniature one. <\/p>\n<p>This is not easy for me to do as a people-pleaser. <\/p>\n<p>For example, yesterday, I sat down to try to write thank-you letters to all the people who had graciously sent me flowers. That totally overwhelmed me, so I crossed it off for now. I can\u2019t keep up with my email so I put a notice up that I\u2019m away from my desk for awhile. And because <a href=\"http:\/\/www.psychcentral.com\" target=\"_blank\">Psych Central<\/a> founder and editor-in-chief John Grohol is a kind and considerate man, I am able to take a leave of absence from my responsibilities at Psych Central for a month to recover. This is big progress for me \u2026 admitting to myself that I cannot juggle all my jobs while trying to heal from major surgery \u2026 that I\u2019m fragile, much more fragile than I\u2019d like to be.<\/p>\n<p>I hope you don\u2019t have to have surgery anytime soon; however, if you do wake up to some stitching either on your knee, abdomen, or chest, don\u2019t be thrown by the blues that might accompany your operation. Make your own mini-list of the small things you can do while you recover, until you can walk farther than two blocks.<\/p>\n<p>Image courtesy of Image: \u00a9 Andrea Morini\/Getty Images<\/p>\n<p><i>*&nbsp;<a href=\"http:\/\/feedburner.google.com\/fb\/a\/mailverify?uri=beyondblue1\">Click here to <b>subscribe to Beyond Blue<\/b><\/a> and <a href=\"http:\/\/twitter.com\/thereseborchard\">click here to follow Therese on <b>Twitter<\/b><\/a> and <a href=\"http:\/\/community.beliefnet.com\/beyond_blue\">click here to join <b>Group Beyond Blue<\/b><\/a>, a depression support group. Now stop clicking.<\/i><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Some statistics claim that as many as three-fourths of patients experience depression after bypass surgery. A small study published in the journal \u201cApplied Nursing Research,\u201d found that 65 percent of the patients were depressed three weeks after surgery and 26 percent continued to be depressed by 12 weeks. Most people are aware of the high&hellip;<\/p>\n","protected":false},"author":17,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[],"class_list":["post-5711","post","type-post","status-publish","format-standard","hentry","category-mental-health"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Depression After Surgery (Post-Op Depression) - Beyond Blue<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/2011\/08\/depression-after-surgery-post-op-depression.html\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Depression After Surgery (Post-Op Depression) - Beyond Blue\" \/>\n<meta property=\"og:description\" content=\"Some statistics claim that as many as three-fourths of patients experience depression after bypass surgery. 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A small study published in the journal \u201cApplied Nursing Research,\u201d found that 65 percent of the patients were depressed three weeks after surgery and 26 percent continued to be depressed by 12 weeks. 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Borchard writes the daily blog, Beyond Blue, on Beliefnet.com. She is the author of Beyond Blue: Surviving Depression &amp; Anxiety and Making the Most of Bad Genes and The Pocket Therapist. You may find her at her personal blog, her website, or you may follow her on Twitter @thereseborchard.","sameAs":["http:\/\/thereseborchard.com"],"url":"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/author\/tborchard"}]}},"_links":{"self":[{"href":"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/wp-json\/wp\/v2\/posts\/5711","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/wp-json\/wp\/v2\/users\/17"}],"replies":[{"embeddable":true,"href":"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/wp-json\/wp\/v2\/comments?post=5711"}],"version-history":[{"count":12,"href":"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/wp-json\/wp\/v2\/posts\/5711\/revisions"}],"predecessor-version":[{"id":5761,"href":"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/wp-json\/wp\/v2\/posts\/5711\/revisions\/5761"}],"wp:attachment":[{"href":"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/wp-json\/wp\/v2\/media?parent=5711"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/wp-json\/wp\/v2\/categories?post=5711"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.beliefnet.com\/columnists\/beyondblue\/wp-json\/wp\/v2\/tags?post=5711"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}