Random Tips for Writing Post-Op (After Surgery) Scenes
Iβve received a lot of praise for accurate and immersive hospital scenes in my fics, so I thought Iβd share some of my tips!
Whatβs my secret? Well, Iβve had major operations (emergency and planned) and have been hospitalized π
firsthand experience, letβs go!
And disclaimer: some people might not experience things exactly the way I describe, but from what Iβve learned from my aunt (a recovery room nurse), my experiences are pretty standard.
Going under anesthesia isnβt like sleeping.
When you wake up after a normal sleep, you get the sense that time has passed because your consciousness has still been active in some capacity (sleep cycles and dreaming).
Thatβs not what happens with anesthesia and the drugs they give you before and after - youβre truly unconscious. It really distorts your sense of time. Itβs like you blink and suddenly youβre somewhere else.
There actually is no βgoing to sleepβ or βwaking upβ in a traditional sense - you just lose time. Itβs very confusing and disorienting, because everything you happen to be conscious for both before and after surgery feels like a single continuous event and youβre somehow teleporting around.
For example: youβre in the ER, then you blink and youβre being wheeled into surgery, then you blink and youβre in recovery, then you blink and youβre in a regular hospital room.
The real sleeping happens once youβre settled in your room and the effects of anesthesia have worn off.
When you wake up in the hospital, youβre not looking up at the ceiling.
I see this in fics fairly often, but thatβs typically not what happens IRL. In a hospital bed, youβre basically sitting up - the head of the bed is elevated so you bend at the waist.
They do this because being flat on your back could cause fluid to collect in your lungs, which might lead to pneumonia.
So therefore when you wake up in the hospital, youβre actually looking straight ahead. You can easily see down the entire length of the bed, your own body, and people sitting/standing nearby.
Hereβs what itβs like right after surgery:
The first time you wake up, youβre very cold! Your body pulls blood away from your extremities while under anesthesia (because it thinks youβre dying π
) so you get a lot of blankets in the recovery room. They even have a blanket warmer.
You feel really heavy, like moving your limbs is impossible.
They tape or glue your eyes shut during surgery to protect them, so your eyelashes are sticky and your eyes might feel irritated from the adhesive.
Being intubated makes your throat super sore afterwards. Like, you legitimately feel like you have strep throat.
Itβs likely that youβll have SCDs (Sequential Compression Devices) which help prevent blood clots. These are like thick little blankets that wrap around your lower legs and squeeze them in an alternating pattern. Many patients apparently hate them but I LOVE them! I find them very soothing.
After surgery, a patient mightβ¦
Struggle to understand that the surgery has already happened. Due to time loss, their pre-operation memories took place what feels like only seconds ago.
Not be able to answer questions like βhow do you feelβ very accurately. The best answer Iβve ever been able to come up with in this situation is βweird.β
Be upset about things they can feel (cold, lethargy, irritated eyes, sore throat, SCDs, etc.). They may not feel pain from their actual injury or incision yet, but they feel different than they felt before the surgery - which, remember, was only seconds ago to them. It can be disorienting.
Not remember a conversation that took place only minutes ago, or try to continue a conversation from hours ago as if no time has passed at all. They might even say the same thing over and over again because they donβt remember theyβve already said it.
Fixate on one thing they really want and not let it go. For me itβs been sore throat spray, lip balm, and even one very specific pillow from home.
I hope this was insightful!
Not sure how far this post will go, but feel free to add onto it if you want. And if you have any questions, my ask box is always open!