Our expert says:
Hypoglycemia is a risk post operatively due to the fact that you are kept nil per mouth and usually given insulin during the operation to keep blood sugar levels stable. It is very important that your blood sugar levels are very carefully monitored post operatively. The doctor that operates on you is responsible for your pre-operative, during operation and after operation care - whether blood sugar management, or follow up after the operation. What you as the patient will need to do is to ensure that you have a follow up appointment with him and keep the appointment at the clinic. If it is at an academic hospital, the after operation care may be left in the hands of a student doctor or junior doctor. However if you have someone that will monitor your sugar, he/she must ensure that the doctor responds to any calls to visit you if there are any problems. You should discuss with the doctor that will operate on you the kind of mesh they will be using to strengthen the area - and inform him of your rejection problems of the plastic prosthesis. They should maybe consider alternative operating techniques that may exclude the use of mesh. It is difficult to give an opinion on whether it is "safe" to have the operation done at this hospital, as the standards vary from province to province and hospital to hospital. But often the surgeons working at Public hospitals are private doctors doing public hospital sessions, and are very capable of doing the operations. Alternatives for Coxflam are Mobic, Adco-Meloxicam, Arthrocox, Flexocam, Loxiflam, M-cam, Melflam, Sandoz-Meloxicam and Zydus Meloxicam. It is an anti-inflammatory so maybe something like Voltaren or one of its generics may help if you can't get hold of the Coxflam.
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