The POP Clinic, or Happy Clinic as patients call it, doesn’t look like your typical medical unit. Equipped with a small gym and an assessment room, this place usually leaves patients who come in and out of it with a smile on their faces.

But why so, would you ask? Probably because they get a feeling of empowerment and positivity through this wonderful initiative led by anesthesiologist Dr. Franco Carli and his team at the Montreal General Hospital.

The Peri Operative Program (POP) is an important part of the Enhanced Recovery After Surgery (ERAS) pathway.

The Clinic started as a program to help cancer patients prepare for their surgeries. The idea was that the fitter you were before undergoing surgery, the faster you would recover after and get back to your regular activities. For patients who were elderly, frail or at risk because of their weight or their heart, the program was a way to get access to the surgery they needed by meeting the criteria set by their surgeons.

It’s based on three pillars: exercise, nutrition and psychological care. Patients who are referred to the clinic get access to a nutritionist, a kinesiologist and a nurse specialist in psycho-education and supportive counselling to help them improve their condition in the weeks preceding their surgery.

Preparation is key

Just like a marathon, surgery represents a shock to the body, and to be able to face it, one must prepare in advance. Patients referred to the POP clinic usually have 4 weeks to get ready, and since their body is going to lose a lot of muscle mass during recovery, muscle gain prior to the surgery becomes even more important.

That is why the POP team offers tools to its patients, like a personalized nutritional plan and exercise program that they can choose to do at home or at the hospital, in the POP gym. Since this moment also proves to be very stressful for most, the patients get relaxation and meditation exercises to help them reduce their stress levels. In one word, they empower their patients. They use the time when they would usually feel powerless and stressed to have them regain some control over their life.

Facts

When patients undergo surgery, it takes them on average 3 to 6 months to recover to their baseline functional status. With the POP prehabilitation program, 60% of the patients will go back to their original status only 1 month after surgery, which is an impressive improvement.

The Montreal General Hospital is the only one in North America to offer such a clinic and there are only a few other places in the world offering it. At the moment, its activities are funded through donations from partners such as the Montreal General Hospital Foundation.

POP Clinic: Getting you ready for the big day

POP: A “happy clinic” for patients awaiting surgery

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