[Verse 1]
Before the knife meets skin, we read the body's script —
ECOG zero's sprinting, ECOG five has slipped,
Karnofsky's hundred means the engine's running fine,
Below fifty paints a risk that creeps along the line.
It's not the scan that tells us if a patient will survive it,
It's can they climb a staircase, can they breathe without reciting
Every labored gasp — performance status is the clue
That tells a surgeon honestly what surgery can do.
[Chorus]
Vorbereitung — get it right before you cut,
Nahrung, Blutgerinnung, Kraft — don't skip a single what.
Check the status, feed the body, thin the clot away,
Vorbereitung, Freunde — measure twice before you play.
[Verse 2]
Watch the scale, ten percent down is a flashing warning sign,
Albumin running low means the healing's out of time.
Sarcopenia hides in CT shadows, muscle turned to mist —
That wasting pull called cachexia, a thief you can't resist.
So feed them first, protein shakes before the operating room,
Nutrition support shrinks the odds of infection, leak, and doom.
A well-fed body stitches faster, fights the fever, clears the drain —
Starving patients into surgery is asking for more pain.
[Chorus]
Vorbereitung — get it right before you cut,
Nahrung, Blutgerinnung, Kraft — don't skip a single what.
Check the status, feed the body, thin the clot away,
Vorbereitung, Freunde — measure twice before you play.
[Verse 3]
Cancer thickens blood like honey, Trousseau told us so,
Tumor cells throw clotting signals everywhere they go.
So after major belly, pelvic surgery is done,
Stretch that blood thinner out — four weeks, not just one.
Das Blut wird klebrig, ja, the danger doesn't quit at discharge day,
Keep the syringe going home, don't let the clot find its way.
[Bridge]
ERAS, hör zu — sip the carb drink, skip the fast,
Limit opioids, feed them early, get them walking fast.
Prehabilitation — strengthen frail limbs before the war,
Assess the elderly gently, know what their body's built for.
Then ask the calendar — when did chemo end, when did the rays strike bone?
Timing surgery right means healing tissue, not a wound alone.
[Chorus]
Vorbereitung — get it right before you cut,
Nahrung, Blutgerinnung, Kraft — don't skip a single what.
Check the status, feed the body, thin the clot away,
Vorbereitung, Freunde — measure twice before you play.
[Outro]
Status, Nahrung, Gerinnung, Zeit —
Four little words keep the patient safe and spry.
Prepare the body, prepare the mind,
Before you cut, leave nothing unrefined.