CU

[@Summerrose400]

Hi Paul, just a small point if I may…medical teams especially surgery do not recommend shaving as microscopic damage is done to the skin which can result in infections. In my early days nursing we used to shave “ nipple to knee” for any abdominal surgery ! But it may worth you checking with your surgical team before shaving as any infection around the cannula site can be serious which is why they hadn’t shaved your forearms last time.

[@lindsayholden5959]

Oh that is so true......no scissors or razor or any open cuts , even tiny ones, during the week PRIOR to surgery. I know this because hubby has been told this too. One nick and surgery will be postponed because of bacteria settling in the skin break.

[@dogwood9023]

Use a hair removal cream. I did my surgical training in Canada and we used a product called "Nair" (ie no hair)

[@LMTino]

Thoughtful post!

[@A---ti3zz]

The nurses come in and shave you beforehand. You don’t do it. Don’t forget to clean your bellybutton with everything else when they ask you to clean yourself at home the night before.

[@suzanneclark8579]

very good point Summerrose

[@teeka7777]

July 31st is my birthday! Gosh I wish I lived near you!

[@sherriewright6241]

We're all behind you my dear man.❤❤❤

[@TRUTHisTRUTH70]

Woo-hoo! All scheduled and ready to rock! Please have Caroline do video updates for all of us as she did before -- you know that we'll all be anxious to hear how you're coming along. ❤Sending massive buckets of good vibes your way for an uneventful and swift recovery, and a quick return to the Paul we love so much!

[@avarismimi]

It’s awesome to see you so excited for your future. I believe you’ll have a long future!❤❤❤

[@WarriorGramma]

Love the fashion show! Poncho party 🎉 I am loving your smiles and upbeat attitude! This surgery is no match for the Paul & Caroline team. I am thrilled for you. Safe journeys to you both. ❤️🥕

[@joany11swatch14]

Hi Paul. I have to say that the fact you are doing push ups is awesome considering all that you have gone through. You look amazing and you seem in such good spirits. I am so happy to see you this way. I want so bad for you to have success with this surgery and your recovery. You deserve it ! Thinking of you. ❤❤

[@MaryB567]

Hi Paul, I’m catching up on your progress after a very busy last few months. I’m happy that you have decided to do the surgery to remove the few cancerous tumors. Your explanation of this was excellent! I’m learning so much thanks to your ability to explain highly complex information so perfectly. My continued prayers for you as your surgery approaches. ❤️Mary🇺🇸

[@bonniewilliams522]

Praying for upcoming surgery! Your attitude as usual is amazing. Just like you!

[@emmanewman9863]

Nice to see you smiling.

[@nadyneingrassia1479]

So glad you have a date for your surgery. You look very happy and always glad to see your great smile. Hello Caroline! ❤❤

[@iSheree]

I am so glad everything is happening quickly for you. ❤

[@yvonnecasserly2606]

Paul what a lovely guy you are. Love the poncho and look forward to meeting Barkley. xx

[@sharonsalzberg2654]

Paul, you are exuding positivity and great optimism, in anticipation of your upcoming surgery. Sending my best thoughts and wishes that all goes well and leads to good health. You so deserve that outcome and more!❤

[@mariasweeney54]

Wishing you much love and all the very best of wishes, happiness and good health once this surgery is done. You have already climbed mountains…. And now you’re on the home run. Xx 🙏🍀🥰

[@patchaput9461]

Good news with your surgery date! So happy you don't have to wait too long Paul. Wonderful to see you happy and optimistic. Take care and keep thinking positive thoughts! Hi to Caroline! ❤❤

[@paijlee1]

❤&🤗🤗🤗& The Force be with you for the BEST outcome❣

[@johnmayerislovee]

God Bless, Good Luck and prays for a successful surgery. Joe Florida, USA

[@PeggiMendricks]

Hi Paul…So happy for your progress toward getting this “epic” surgery behind you. As an RN I’m a bit concerned with your plan to shave your forearms and chest. Doing that can compromise your skin barrier. Just talk to Prof about it to get his expert advice. You’re in my prayers🙏

[@Plootyhooter]

Great advice! ❤

[@sandyaw3057]

As a retired RN, I concur! ❤

[@lisaplayer1299]

Agree as an RN.

[@annetteingle1410]

Hi Paul You've got this all the Luck from southwest of Ireland

[@lisaplayer1299]

You are amazing. The "perfect patient". You listen, seek information, clarify what you are not sure about, and are an active part of your treatment team!!! I am so happy about the surgery. Know that I am praying for you from South Carolina. ❤

[@littlemisssunshine5391]

So happy for you that you are in such great shape physically and mentally🤗. This will help you a lot to recover from surgery. Have a great weekend. Big hug💖

[@PaulinPerth]

Thank you so much. I always smile back when I see your smiling avatar. Paul.

[@littlemisssunshine5391]

@@PaulinPerth that’s so nice to hear☺️

[@PaulinPerth]

There you are! I'm smiling again. You don't live in Sydney by any chance do you? Come visit me while I am recovering.

[@littlemisssunshine5391]

@@PaulinPerth ☺️ no unfortunately not. I live in the Netherlands. That’s a really long flight.

[@ADRCATS]

This is great news Paul…sending love & prayers always!❤️🙏🏻🌸🦋

[@helenroman1228]

Hi Mr. Sunshine Man with the happy smiling face, so wonderful to see you and to know your next surgery is booked. I have marked the date on my Calendar and will be praying like crazy for you. I have such positive thoughts about all of this and I believe you will come out of this all with flying colour's. Keep doing what you're doing, you are an absolute Trooper. Much love to you and Caroline ❤

[@Serenitynow958]

Hospital gowns S--! I loved one that was made out of fleece. Comfort while you are recovering is a huuuuge deal. I’m so impressed at how positive/ balanced/logical and humorous you are. I’m super excited for you🇨🇦

[@tamiewert808]

Paul I'm so happy to hear about your upcoming surgery date!! I wish I lived in Sydney, because I would be honoured to be your chauffeur!!! ❤ From 🇨🇦

[@midnightshenanigans4671]

Paul you are so kind, let me start by saying that! You are so courageous and the hope and full success radiates off of you. Im usually a silent watcher..just know you have so much love and support ❤️

[@trishwhitehouse6536]

Wow, Paul, I've been following you since your diagnosis and I missed a few recently- what struck me in this video is that you look and sound so incredibly strong. Huge difference from before your last surgery- you even said it yourself. A lot was thrown at you at once and of course your mental health suffered- it was a scary place to be and you didn't know what you'd get hit with next. Now you have consistent support, (Carolyn you are an angel, I've said it before) and you have a future to look forward to. You have also learned that the things you love (working on cars, etc) are still there even after a medical ordeal such as your former surgery. We're cheering you on from CT, USA. Too bad I'm not in Sidney, I have some little car things that could use your magical touch.🧡🧡

[@ilzegricius1124]

Hi, Paul! I'm so happy to see that smile of yours. Have fun in Sidney & good luck with the surgery! With this attitude you will totally rock the operation and your recovery will be speedy! Greetings from Latvia ♥

[@kerrihastings521]

That's great news. I wish you had a little longer though to prepare. But you're a trooper and you came through it once so I believe you can definitely do it again.❤

[@moppy6]

Wow, all systems go, Paul! The insight you have into this will serve you well. It's so lovely of you to fill your time with a few jobs helping people. You are a star. I wish you all the very best! ⭐⭐❤❤

[@juliel9749]

great news Paul! it will be ok and your life will change for the better so happy for you

[@j.s.9981]

Wishing you a smooth surgery and a fast recovery. You have God’s work to do and as we all know-God gets what he wants…

[@LMTino]

Forward thinking, we can feel the positive vibes oceans away! Yes, keep the fingers and hands injury free for any car consults - your ability to give step by step direction instead will be spot on. And a pup visit too?! Terrific magic potion to live life in the monent!

[@judyrobinson3348]

God bless you and praying for your upcoming procedures and surgery

[@A---ti3zz]

You probably shouldn’t shave anything because it is an infection risk. There are adhesive remover wipes…kind of surprising you aren’t using these for your ostomy. Just have your nurses use one of those and it won’t hurt. I am so excited about the surgery. You are going in with such a good mindset which is going to help you so much. Keep your amazing positivity and hopefulness!

[@PurpleHippo1999]

I am so excited for you!❤

[@mumzee7680]

Hey love,, I have to say you sound and look Amazing 😊 keeping you in my thoughts and prayers. Sending you and Caroline lots of love and hugs xx

[@SilvanaV-q7f]

You are amazing Paul! ❤️🙏

[@wrightjulie9042]

Wishing you the most positive and successful 2nd major surgery!! God bless you

[@Serenitynow958]

Barkley Jones !? I’m a poodle freak ( have had 6 so far ( 2 at the moment) so I’m super stoked to see him! I am obsessed with Miniatures so a Cavapoo is about the same size. I believe in God spelled backwards to solve most of my problems🐩❤ Dogs are heart healers so maybe Caroline will take the plunge again. I always say if I am fortunate enough to have another dog in my life then I have almost everything I need. Best of luck to you Paul on your upcoming flight, excursions in Sydney and hoping for a very smooth surgery.❤❤

[@marjilaplante9579]

You are a bright light❤

[@juliekelderman4041]

Paul, you are looking quite well and happy. Praying your surgery goes well and you heal quickly.

[@pearlsandpassions7488]

You are amazing, you surely make peoples days better. Love from Sweden🇸🇪❤️/Annamarie

[@JoLamb.]

Absolutely wonderful news! I like the thumbnail picture for this video.😄

[@flxmkr]

Put a very warm (hot, if you can stand it) washcloth over the adhesive part for a few minutes. The adhesion will become pliable and peel right off. A blow dryer will also work if they allow you to use it. Set it on warm to begin. Increase to hot if you get impatient. I discovered this when I had abdominal surgery and they sent me home all bandaged up. I actually went with the blow dryer at that time. I directed the heat on the bandage I’m trying to remove and gently pull. I also use the blow dryer to relieve itching…especially the back where I can’t reach it. I let the itch almost intensify until it’s gone. This lasts for hours. And it worked on some of the itching I developed from the adhesions. I have to admit, I haven’t tried the washcloth method. Perhaps take some ziplocks with you to put them inside if you don’t want them getting wet and maybe contain some of the heat. I hope this helps.

[@Meemagolding]

Paul please be careful out and about GERMS 🦠! Please stay healthy ❤ I’m so happy you got a date 🙌🏼♥️‼️

[@merlenehendry-silver7741]

Agree! Paul please wear a mask when you’re in Sydney prior to your surgery. Best wishes ❤️

[@aislingconnolly9165]

Hi Paul. Was just thinking of you yesterday..love the poncho! Great to get some news . sending you prayers and lots of love before your surgery but i'm feeling very confident for you. love ,love ,prayers and hugs from Paris. ❤❤ Aisling.

[@JuliMcLain]

We will be praying you through this. Lots of love from Montana!💕

[@francinepaluch7511]

Great news Paul. Sending you positive vibes from the UK. 😀🇬🇧

[@lindagentile2380]

This is excellent news Paul & I will start with sending you PRAYERS for Peace & solitude in your days leading you up to Aug. 5 pre surgery date & 6th (surgery date) Hello Caroline... GBY BOTH ALWAYS 🙏❤️💙🤗✝️

[@ThomasMckain]

Praying for your successful and rapid recovery. Always worried about the hipec surgery.

[@lauraodle5816]

You're looking quite dashing, especially in Caroline's poncho. I wish you all the best and a great outcome after your surgery! Love and prayers always.❤🌻❤️

[@suzannebranscomb1711]

Stay positive like you are now. We ❤ you!

[@MsVivian99]

What an inspiration !:)

[@aussieanne5718]

Wishing you all the best Paul,love from Adelaide ❤😊

[@blissbliss3531]

the ever♥♥♥ Mr. Organized, teacher of the decade, generous guy>>>I'll be here for you Paul...

[@sarahlbeeney1920]

Prayers and lots of love Paul…you are an inspiration to all…🙏🏻❤️

[@micheleminer9499]

Great news Paul! Praying all goes well and you will be back talking to us soon. Much love and hugs.💛

[@elizasullins6646]

Yay!!! So excited for you! 🎉🥳🎊♥️ Much 💝- as always!! I miss seeing Caroline; plz tell her she’s awesome from me 😂 One, unrelated question; whatever happened to your goat? Is he still a part of your life?

[@PaulinPerth]

Gruffy is still living out at Byford. He is quite old now, although he is still a boy to me. I'll tell @Carolinski73 that you think she is awesome. I tell her myself as often as I can. Paul.

[@Deep6ep]

Thanks for the update and I will be praying for you. I have my 1st CRS/HIPEC scheduled for 8/30/24. Nervous as heck, but your videos have helped me greatly. I also have signet ring cell PMP from my appendix. My chemo finished (FOLFOX) 3 weeks ago and I am starting a weight gain and exercise routine to prep for the surgery based on your videos. You are a gift, thank you.

[@PaulinPerth]

Thank you. Your situation is the exact reason I documented my journey. PMP is so rare that I thought I might be able to shine some new light. Well, you've seen my videos of my first CRS+HIPEC. So you know it can be brutal. I have goblet cell, and you have signet ring cell, so our pathology is different in that regard. On the bright side for you is that (as I understand it), signet ring cell PMP responds to chemo (systemic and intraperitoneal) better than goblet cell does. You are absolutely right to gain weight and muscle tone prior to your surgery. If I account for my ascites weight, I dropped from 82 kgs to 69.5 kgs during my recovery. 12.5 kgs = 27.5 lbs. So get yourself to 12.5 kgs above your ideal weight. One other piece of advice is to not ignore the incentive spirometer they give you post-op. www.healthline.com/health/incentive-spirometer You are going to be on the operating table for something like 13 hours. During that time you are breathing very shallow at the same time as you are having your diaphragm scraped. So it shouldn't surprise you when your lungs are partially deflated afterwards. Using the spirometer will speed up the process by which your lungs re-inflate. This speeds up your overall recovery time. I was lazy with the spirometer last time. It was a mistake. Don't make the same mistake as me. Do the spirometer exercises. Paul.

[@Excel812]

I’ve been following you since my mom got diagnosed with a recurrence of cancer last year. It’s been a roller coaster for you Paul. But you look as healthy as ever and it sounds like there is a substantial chance for you to be cured. This time around I think it will go much smoother. You’re a good man, hoping for the best.

[@lyndaporayko3405]

Looking good Paul and will be thinking of you for your upcoming surgery and wish you many blessings from 🇨🇦

[@markminer4685]

Great attitude!! I think having Caroline as a good friend you can bounce your feelings back and forth together and you've got Caroline and the rest of your following thinking very positive. Have you ever been to see the Sydney Opera House? If I ever made it down there that would be one of my bucket lists seeing that strange looking building. If you're looking to do so automotive work, I've got a VW Tiguan needing an oil change. Might be hard driving it across the ocean. Take care. Mark from Colorful Colorado.

[@kristinwood2252]

Dearest Paul, You have the kindest soul! So special. I have no doubt that you will have a successful outcome from your surgery. You are surrounded by love from all over the world!❤

[@muncgrl]

Prayers and good luck.

[@catlady6464]

Paul, I am so excited for you! Your story is incredible to me, what a movie it would make! Thank you for sharing your honest story, even when it's not easy. I look forward to more of your wellness journey and your Barkley footage🐶❣🦋🦋

[@linda99]

Paul, you've got this! And we are with you every step of the way. Go forth and conquer!

[@arcticwolf6402]

Paul, my subjective observation is that you look a LOT better in terms of your mental health and overall mood, and I am very happy if that's true! As far as physical looks go, well, what can I say, you always looked like a million bucks to me!

[@PaulinPerth]

Thank you! Now I just need to get rid of the cancer.

[@sandralatoni535]

Glad to see you well and smiling. God bless you

[@margeestes253]

Excited for your nest step in your journey. I want to thank you for your advice on PEA. I've been on it about 30 days and the improvement in my nerophathy is miraculous. Such an easy fix! Wish I had known 5 years ago. lol

[@PaulinPerth]

Awesome. You are the first person to advise me of success with the PEA. I'm glad I was able to help you. This makes me happy. Paul. #SuccessWithPEA

[@joanbeach644]

So glad you have your date for surgery. Can’t wait to meet Barclay. Keeping you in my thoughts and prayers. ❤️🙏🏻🙏🏻🙏🏻🇺🇸

[@gabrieledrewery5910]

Wishing you all the best! Good luck with your upcoming surgery. You look great and so happy!

[@marjilaplante9579]

Candle will be lit that day on your behalf! Blessings galore and healing energy sent!

[@ginglewis]

Great news Paul!! Continued love, prayers and positive thoughts coming your way from USA! You got this!! ❤🙏💪❤

[@heidiescobedo2870]

Great news to hear that you have a date for your surgery ❤️ I will continue to keep you in my prayers. I’m excited for you, your great prognosis, & your future. Hugs !

[@austynbrophy4493]

Glad to hear you are still okay Paul, I don't typically comment on videos, but hopefully the surgery goes well for you!

[@camillajohnsen3345]

😊 Good luck. You are fantastic and you rock

[@reginahaley3723]

Great news, Paul! Compared to your last surgery, I bet this one will seem so much “easier.” I will be sending positive thoughts and prayers to you from the USA. 🥰🙏🏼Tell Caroline” hello!” 🙏🏼🥰

[@Kenna-Browne]

Hi Paul, it’s great to hear you are feeling better in anticipation of your pending surgery and that you have potential dates now, for undergoing it. We will all be Praying for you, and the poncho is a superb idea! Very best wishes for a successful surgery, a speedy and uncomplicated recovery, and of course, the very best prognosis! Care, always, 🥰

[@worldtravels8627]

You sound so good Paul! You are so much stronger, healthier and more mentally prepared than last time. You know what to expect, so you are going to do great! This is going to be awesome for you! Hi Caroline!!

[@Psychofrog395]

From 🇨🇦 we wish you the best for you sir ! 👍👍👏👏

[@dmntd1]

Good to see the continued happiness and smiles!!

[@janevanreenen8768]

You are awesome. Blessings🙏🏻✨🙏🏻

[@xXBenitaXx]

You’ve got this Paul! I’m sure the surgery will go well. Doc Morris took great care of you last time round so I’m confident you are in good hands with him.

[@Mariamm325]

Hoping the days don't feel too disjointed May each day in Sydney be a good day!

[@threepurrs]

Hi Paul, it is encouraging to hear your surgery is planned and you are feeling so positive about it. The poncho is an excellent idea, it is like being given a warm hug when it is chilly. I look forward to seeing Barkley…best friend a person will ever have…enjoy him. Thanks to Caroline again, what a wonderful reliable friend. Sending love, hugs and successful wishes for your surgery. You got this! ❤️. Take care.

[@damien2286]

All the best Paul, I'm sure Caroline and Brown Bunny will be helping the hospital staff look after you pre and post op!

[@sharonscott1776]

Hi Paul, great to see u again, love ur updates. Gee u have been busy. What a great idea about the Poncho. I recently shaved my arms due to growing hair on my face and arms due to oral Minoxidil which is making my hair on my head grow back from stress related hair loss, but it causes hair growth elsewhere. So glad u have a surgery date. What a sweetie u are asking to help with car repairs but u don’t need any injuries prior to surgery. Hi to Caroline xx wishing u all the best for surgery if we don’t hear from u until then. Xx

[@PaulinPerth]

Oh boy, now there's a conundrum. I also have hair where I don't want it, and no hair where I do want it. I empathise with you.

[@sharonscott1776]

@@PaulinPerth all the best with Surgery Paul.

[@rangerrick5439]

This sounds like so much good news!! Fingers crossed everything goes well.

[@cathytestagrossa6198]

Hi Paul! Its great you got a surgery date. I hope all goes well. Sending good vibes n well wishes. I like your smile.😊❤

[@sheliadean9548]

I love seeing your face and the happiness that you have. ❤

[@roch145]

Before my rectal cancer surgeries my surgeon emphasized the need for “prehabilitation.” That is getting your body in shape prior to surgery. In addition to exercise he recommended drinking a protein shake every day a couple of weeks before your surgery date. Best wishes for your next step. Thanks for taking the time to create this content.

[@PaulinPerth]

That's a good point. I might have to go and buy a tin of protein powder. Cheers for the prompt. Paul.

[@karyne826]

Well that was quick Paul doubt it would be so speedy with NHS here in England. It’ll will all be fine.

[@shawnfuzy3191]

Hey Paul, I'm sending prayers 🙏and well wishes all the way from Arizona, USA. YOU JUST LOOK SO GOOD 😀 AND POSITIVE. Much ❤️ my far away friend.

[@JoshuaDaley-x5m]

Will be thinking of you, I'll be having surgery also, I don't have date's though!

[@dorothywalters7448]

You needs continue to be in my prayers, once on...always on. Give yourself grace during your healing ad it will help. God's Speed. Dot

[@migbham1]

Quick pro tip on the canula super-tape: if you're able to obtain a small bottle of baby oil (or really, any kind of oil), saturate the tape and it will turn loose, pulling on neither your hair nor skin. Hard to believe that people actually pay others to have large steps of sticky tape plastered down the middle of their asses and yanked off just to remove the hairs. Craziness.

[@PaulinPerth]

Thanks for the tip. Paul.

[@LiquidAudio]

Yeah you are sounding and looking really well now mate, much better than prior to the first op. Very positive!

[@sandjblake75]

Good luck Paul. Love and prayers. Hoping all goes smoothly 🙏 xx

[@pearlyjools6883]

👍🏻❤️🇬🇧 Best wishes to you and Caroline