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BABS42
09-04-2003, 06:36 PM
Has anyone had ACDF C5/6 with plate and hardware using your OWN bone and been sent home the same day, WITHOUT a collar. He says I will be able to get right up a few hours after surgery, go to the bathroom on my own, eat a little something and go home. I will also be able to shower the next day no problem, and should be able to drive 10 or so days after surgery. Is this normal or have I not been reading the right posts? Babs

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more
09-04-2003, 07:13 PM
I know I would not have been able to go home the same day!!! I had two levels done but from what I have read even one level is just as bad. I was admitted for surgery on Thursday at 7:00 AM - had surgery at 8:00 and did not even get to my room until 3:00 PM. I was not allowed to eat for 24 hours and was kept on the pain pump until 10:00 the Friday morning. The catheter was not taken out until Friday afternoon. I was then allowed to go home on Saturday, but was advised if I felt I needed another day it would not be a problem.

I was sent home with a Miami J (hard brace) to be worn 24/7 for six weeks (and I had hardware put in).

If they are talking 23 hours (which is considered same day surgery) maybe. But definitely not anything less than that.

Check some other posts here where people were sent home in less than 24 hours and were rushed back to ER.

My advice is question your surgeon again; or get a second opinion.

Icaaa
09-04-2003, 10:49 PM
I had 24 hour surgery. I went in at 6am surgery at 8am discharged the next day at 9am. I came home with a soft collar for protection in a car or crowded situations. I took a shower the 2nd day I was home. Have someone sit in there with you. I was soooooooo tired. Make sure you have someone with you the first 3-5 days because it will take a while for the drugs to wear off.

Ask NS about antibiotics given through IV. Most of us had 2-3 bags.

I am curious if you will have a room assigned to you or from recovery to out the door.

Also, You might want to consider asking the NS if this is his practice or if your insurance is dictating this short stay.

Is the hospital in the same town that you live?

Ask about soreness in your throat.

I am sure many will have other ideas. Impower yourself with information.


Carla


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Ruptured retrieved 14 pieces ACDF with plating and donor bone C6-7. (7/18/03)

emb
09-04-2003, 11:51 PM
Babs,

I just had this done, but I was in overnight. I might have been able to go home that evening, but I think it would have been hard. I was pretty loopy and couldn't pull myself out of bed because my neck hurt so much. At any rate my white blood count was low, so I was receiving IV antibiotics for 24 hours. My surgery was at 7 a.m. and I was released around 1 p.m. the next day. I was really ready to leave by then and even went into the video store and pharmacy with my husband on the way home.

I have a soft collar from previous PT, but I wasn't instructed to use it (though I've been using it when my neck gets tired at work). I was able to drive a limited amount within a week and I returned to work in two weeks. I will admit that the return to work has been a little rough, but I have almost made it through my first week back and it has gotten better each day.

Hope this helps. I think you might want to push your surgeon a bit about the same day release. Take copies of these posts if needed. Are you in an HMO, by chance?

Em

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Em
DDD, 8/15/03ACF c5-6 w/plating

emb
09-04-2003, 11:57 PM
Babs,

Oh no. I misread your original post and just now realized that you are using your own bone (very tired-sorry). I understand that this is VERY painful. I take back everything I said. I had donor bone. I don't understand how your surgeon thinks you can go home the same night.

Em

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Em
DDD, 8/15/03ACF c5-6 w/plating

Back to the Future
09-05-2003, 07:00 AM
Babs
I had ACDF levels 3-4 and 5-6 with my own bone. There is no way I could have gone home the same day. I couldn't get out of bed to pee until i'd had another x-ray done the day after to make sure everything was ok. I went to surgery at 8 am on Saturday and it was Sunday lunchtime before I was allowed out of bed with the physio there with me.

Your hip will be VERY sore, it's a struggle to walk at first - I was allowed only trips to the toilet on the Sunday - to be honest I don't think I could have walked much further. On Monday the physio came again and had me walking on the corridor. Tuesday morning I walked up and down a flight of stairs ~ then I was allowed home at 6.00 p.m. that night - my NS wanted me to stay another night but I was ready to go home by then.

I had to wear a hard collar all day and a soft collar at night. I wore this for 4 weeks.

I'm 11 weeks post op now - still not back at work, but i'm better than I was before the surgery. I look at the posts about Glenda and think - "That could have been me" - it was exactly what my NS told me could happen if i didn't have any surgery. I am so thankful I did.

------------------
Ann xx

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ACDF with own hip bone at levels C3-4 and C5-6 on 21 June 2003

dck696
09-05-2003, 09:57 AM
Funny you should ask that, I was just told on Wednesday that I'll have a 2 level ADCF with plates and hardware, but using a donor bone, and it will be outpatient(surgery on Sept. 19) My neurosurgeon told me basically the same thing, that I could drive in a week to 10 days, that there will be NO collar at all, I can sleep any way that feels comfortable, and if I had to, can go back to work in 3 days to one week! I think alot of that is ridiculous. I plan to take 2 weeks off, then go back to half days for a week on my desk job. And I think even THAT is being very optomistic!

I do think that using your own bone will give you more discomfort, but don't be scared to death of it. That's what pain meds are for!

My surgeon did say, however, that if I'm not feeling up to going home same day, there was no problem at all saying overnight. Which was a relief.

Donna

BABS42
09-05-2003, 02:13 PM
Thanks for your responses.

More: This was my second opinion! Maybe on single level surgery you dont need a collar? Hope you are doing well.

Carla: I too was wondering about "the insurance". I dont have a HMO, but these insurance companies do rule the world, dont they? I will come right out and ask if that is why. And no I dont live too close to the hospital, about an hour away. He told me my throat may have a choking feeling (which I absolutley dread) and that water is the hardest thing to tolerate. Go figure, I drink alot of water. It sounds like your stay was short, did you have donor bone or your own?? Did you have a problem with your throat? How are you feeling now?

EM: So they didn't give you a collar to wear? He really wants me to use my own bone because I am a smoker. He said believe me, you dont want to have a second surgery from the fusion not taking, and that it is much worse. I havent even agreed to do it yet. I am supposed to call him back with questions and my decision. He said that I can try epidural shots, but basically it wont fix anything, only reduce pain temporarily . This started in Jan 03, I wonder how long it will take me to agree to this.

Ann: Did you have a hard time getting right up after the surgery because of your neck or hip? My NS did say that my hip would hurt the most. I am glad to hear that your are better now than before your surgery. Keep healing, and I am glad what happened to Glenda did not happen to you. How horrible for her and her family.

Donna: You sound so positive about your upcoming surgery. I'm sure that will make a big differenc in your recovery. But no collar on a two level surgery, I just don't understand, but I suppose they know what their doing. Wow, Sept 19th is approaching fast and I wish you luck. Keep up the positive attitude.

personally I am so aprehensive of surgery, I don't think I am ready yet.

emb
09-05-2003, 03:10 PM
Babs,

I understand your apprehension. I was going to have the procedure in December and backed out. It wasn't until motor symptoms started that it became obvious that I really needed to do it. My epidural in December bought me some time, but it really is just a band-aid. I had another in June and it didn't have any effect.

I didn't realize that autograft was better for smokers. I'm not a smoker, but I have low bone density (osteopenia) so my surgeon said allograft was a better option for me. It had better fuse!

I wouldn't worry too much about the collar. I understand that it is increasingly common to skip this because the plating is so stable. You may want to get one now while you are in the decision-making mode just to take some of the strain off your neck muscles. Then you will have one on hand if you should need it after surgery.

Good luck and keep us updated.

Em

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Em
DDD, 8/15/03ACF c5-6 w/plating

bdb
09-06-2003, 05:20 AM
I had ACDF using my own bone and no plates or screws. I was told I would be in hospital fro 4 days. The minute I got back to my room I got out of bed and walked to the bathroom. I didn't even have the brace on at this time. The nurse came in very upset that I had been walking around without the brace on. That evening I was pacing the halls of the ward. I was given the OK to leave the following morning. They thought I would be more comfortable at home, which I was.
Good Luck!
bdb

BABS42
09-06-2003, 05:44 PM
bdb- Glad to hear you got up quickly after your surgery. Sounds like it wasn't that bad, I have a question for you though, Why didnt they put a plate in you? Personally I would love to have NO hardware. I heard that they can loosen and come out (God only knows where it would go). I sure dont want that.

EM I know that backing out of surgery and doing epidurals is just a bandaid, but I admit I am so scared to have surgery. I have been told since Jan that I need it. I do have alot of strange syptoms, but the headeaches (for me) are the worse. If something can stop them I think I may be able to make a more rational decision. My NS did say that it wont get better on its own, and probably worse in time. I am limited to what I can do, but when they tell you the risks of surgery, is it really worth it. It is possible to go paralyzed, not get better or just get worse. Then if the fusion doesnt take, another surgery worse than the first.He did say for him it is a simple surgery, and he is confident that not having it would be more risky than having it. I just dont know what to do.

magtize
09-06-2003, 08:01 PM
Babs42
Welcome this is the first I got to greet you to our caring family
I had 1 level surgery done 8years ago no collar and no hardware donor bone smoker Was out of hosp 23 hours after surgery and had 1 hour drive home Did fine after 1 week
Had surgery just 4 days ago and surgery at 10:;30Tues out at 10 Wed C4=5 plate 4 screws miami Jcollar for 6 weeks used doner bone again Quit smoking Aug 4th
Was told recovery is much faster with bone doner then own, also that own bone is better for fusion if smoker
I choose to quit for a speeder recovery and smoked for 40 years
Will keep posting to let you know of progress
Best of luck to you
Elaine

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car accident 72 S2 fused 76 Surgery 96 c5-6 fused
aug pains in neck and shoulder.PCP,MRI Mylagram,PT Epidorals,Facet block,
C4-5 C6-7 HNP C4-5 Spinal stenosis
c5 Radiculitis Meds.Celebrex200mg 1 a day Lexapro 10mg 1 day Neurontin 300 4xs day apap/codine 300mg as needed oxycod/apap 500mg as needed neurontin 300mg 2 xs a day.

Icaaa
09-07-2003, 02:27 PM
Hi
I used a donor bone. I am doing great. Minor aches and pains...very minor now. I went to my first big function last night. My daughter was a bridesmaid in her friend's wedding. We stayed late and my shoulder was sore when I left, but I went to bed without taking anything and low and behold I feel fine today. I even danced with my husband...slow dance..I am 50 :D and everything just doesn't move in the right direction any more.

I went back to work about 4 1/2 weeks after surgery. I teach kind. First couple of weeks I was exhausted but I also had a complication with asthma. ONce I got that under control I was fine.

Carla

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Ruptured retrieved 14 pieces ACDF with plating and donor bone C6-7. (7/18/03)

BABS42
09-08-2003, 10:19 AM
Carla, Glad to hear that you are doing well. I bet your students are glad your back.

Elaine, Thanks for response. I signed on the board early this year but havent posted as much as others. I find myself relying more and more on the board. This is where you get the real scoop. I have smoked for 30 years. If I stop before surgery, do you think donor bone will work for me? If I do this, I don't ever want to do it again. Hope you continue to feel better. It sounds like you are doing fairly well just days after your surgery.

Babs

magtize
09-08-2003, 03:19 PM
BABS42
I am doing good no pain except for swollowing
Walking 1 hour a day other then that not doing anything
DH was home all week to wait on me now my oldest daughter is here on vac. to help out.
really hard not to do things when you finaly have no pain after a year.Do rest lots and find myself dozing off quit abit but thats ok.
Use 2 or 3 pillows to sleep and most nights end up back on recliner to get comfortable.Drinking plenty of water,juice and tea(decaf)with bendy straws.Eating pudding, jello,frozen push up yogurts
As for smoking you would need to ask your Dr Mine said to quit a month before. I was supposed to have surgery Oct 7 but decided if I need to quit I might as well get started now so did on Aug 4.Thank goodness I did as surgery was moved to Sept 2. Don't know what would have happened if I was still smoking
I feel sure that firefighter quit after years also.Don't see him post much but you can go back and read old posts
Hope things are going good for you and this has helped you out
Getting tired so must move on
Elaine

Deborah2003
09-08-2003, 09:24 PM
Babs -
I had ACDF metal plate and own bone C5-C6 & C6-C7 this past thursday. I stayed in the hospital until Friday evening...aboiut 30 hours total. I was sent home with a soft collar and told by doc I really didn't need it that the collar was just for times when I felt like I needed to stablize my head/neck. That the metal plate really does all the work. I was told no shower until noon on Sunday.. that the steristrips needed to stay dry until Sunday. I was given a cane and some pain meds... thats it. He said I did not need antibiotics because they gave them to me during the surgery and in my IV bag afterwards. My hip hurts worse than my neck. It is really amazing. Get up and move around after surgery says doc. most complications set in from not moving around. I am still using the cane... but almost don't need it.

I feel better after this surgery than I did when I had my gall bladder out in January!

Deborah2003
09-08-2003, 09:37 PM
Babs - I forgot to mention... the swallowing thing.. yes it is hard to swallow. right now I eat alot of soup, jello, frozen cokes (homemade slurpee), juice, yogurt, mac & cheese, refried beans, ice cream, frozen juice bars, chipped ice, ice water.

No bending to the floor, no housework, no lifting, no carrying things up over your head, no work, no driving (because of turning your head), for about a month.. but it all depends on how you feel. I go for my follow up on September 19th. He told me to tell my office I would be out 4 -6 weeks.. because most bosses like it if you come back early they don't like it if you say.. sorry but I'm not well enough to come back yet... and every person is different.

My surgeon says you heal faster if they use your own hip bone in the surgery than if they use donor bone.. you don't want to have to have a chance you might need the surgery again next year.

PainInTheNeckJackie
09-09-2003, 12:51 AM
BABS... I would be scared to death to come home the same day! Knowing my luck I would have some tragedy occur after arriving home and my family would fall apart! I think we all deserve to stay at least one night, I mean you know for sure the hospital will get paid! Anyway, good luck :)

------------------
Jackie
***************
Left paramedian subligamentous herniation C5-C6 causing left foraminal stenosis and cord compression;
------------------------
Right paramedian subligamentous herniation at C6-C7, abutted against the vetral aspect of the spinal cord

BABS42
09-10-2003, 05:17 PM
Magtize, Thanks for suggestions!. If I decide to go ahead with surgery I will just use my own bone to be on the safe side and I will get ready to stop smoking asap (just in cas) Glad to hear you are doing ok after yours. Im sure I can handle it! THanks again- take it easy and heal quickly.

Deborah, I cant believe this surgery was easier than gallbladder. Now it just doesnt seem as scary. Keep getting well and thanks so much for response. My fears are starting to diminish with all of your support.

Jackie, I suppose that if I really needed to I would be permitted to stay over night. I will hope for good luck! Hope all of you feel better and heal quickly! Take care Babs

Soccermomma
09-10-2003, 09:06 PM
Hi Babs,
Allow me to add another good report on ACDF surgery.
I had a three level C 4-7 ACDF with donor bone and plating two weeks ago today. Yes, there are some potential serious side effects BUT I quickly decided that I didn't want to live the rest of my life dreading the thought of some dire consequence of no surgery the rest of my life. In my case, surgery was the only option due to the spinal cord being compressed.
I had surgery that lasted 3 1/2 hours ending around 5:30, was awake and comfortable at 6, in my room and up trying to pee around 7:30 (I wasn't successful until a couple of hours later and then I was up every 1 1/2 to 2 hours all night to visit the john.) I was talking sensibly sitting upright with the head of bed elevated for at least half an hour on the phone about 10:30 that night. My friend on the other end, a nurse, couldn't believe she was talking to me.
I did have a sore throat and hoarseness as well as difficulty swallowing. I discovered the swallowing problem the next morning when they brought me a regular breakfast. I choked on a dry biscuit and quickly grabbed some juice and I was fine. From then on I made sure to have plenty of liquid available when eating. I ate eggs, ham, biscuit w/ jelly and apple juice that first morning and have been able to eat anything I want from the very beginning.
I went home at 12 noon that day and walked out the front door of the hospital on my own two feet. I have
had great help from hubby and girls and friends have brought in meals for us. I have slept whenever my body wanted it, quite often at first since meds made me sleepy. I am now down to one pain pill in the morning and one at night.
I did overdo it a bit this past weekend (10 days post-op. ) On Sat. I went to one of my girl's soccer games and on Sunday went to worship service at church followed by other daughter's soccer game. Unfortunatly that game was about a hour away via interstate. I wore my Aspen collar at church and in the car as well as at the game. No problems with my neck until about 7 Sunday night and then I had back spasms just below neck. Pain killer and muscle relaxer did the trick but even today upper back is still tender in spots.
Based on other's comments on this board, apparently riding and/or driving any significant time causes most people to flare up.
It's normal to be scared. I was when I was first told, but as I educated myself on the subject, I rapidly calmed down. I actually was looking forward to the surgery to relieve the pain symptoms in my right hand which made almost everything I did hurt - i.e. tying my shoes, writing my name, petting the dog.
I still have some the symptoms but the severity is decreasing daily. And even though I headed to surgery with a very positive outlook, I wrote each of my girls a letter just in case. Those letters are now put away but at some point in the future when they are much older (they are 9 and 13 now) I may give them the letters as a gift.
I can only wish for you the same healthy positive experience I have had with surgery. I would make the same choice again without hesitation. Hopefully that will never be needed. Best of luck to you.

Gail

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[This message has been edited by Soccermomma (edited 09-10-2003).]

BABS42
09-11-2003, 11:33 AM
Hi Gail, Thanks so much for the positive support. I feel much better about surgery. You seem to be doing very well after a 3 level fusion which is pretty impressive. Only two weeks post op, WOW! I am really glad to hear that you are doing so well and wish you a continued speedy recovery. I think I am going to agree to it, but not until the end of Oct since my daughter has a karate tournament in Baltimore on the 19th. I just cant miss it. This will be her first one. I really do think I should just do it and get it over with. I am sick of my life being so compromised!! Apparently your a big soccer fan. Im also signing DD up for that tonight! She has EI asthma and I hope this will help strengthen her lungs. Anyway, thanks so much for sharing how well you are doing and keep up the recovery!

Thanks again, Babs

PS I prayed for the right decision to come, and when I just read your reply I really felt at ease, knowing that I should just do it. Thanks and God bless you!

mel333
09-11-2003, 11:39 AM
Hi Babs,
I was in hospital for 4 days after one level ADR. I was up the next day after surgery and despite a headache and grogginess I felt better than I had expected. My throat was only sore the first few days and it was mainly difficulty swallowing for the next week or so. Anyway, you know the rest but thought i'd stop in and say hi.
Mel

BABS42
09-11-2003, 01:59 PM
Hi Mel, Nice to hear from you. How are you feeling? Maybe its just US drs. and insurance companies that kick you out so fast. No ADR here! Just ACDF, I suppose it will be okay. Maybe recovery will be quicker if you are at home, who knows. How are your headaches? Any improvement? I sure hope so. I am getting soooo tired of them but at least my new GP gave me pain meds and muscle relaxers. But the more I think about it, I just want it over with. I dont want to rely on pain meds forever, because evntually they just wont work anyway. I am hoping this is the right thing to do and praying it will eventually relieve these headaches. It would be nice if all of the other symptoms go away also. My nerve damage is worse on left, but MRI and Myelogram saythe problem is more on the right side. who knows! I am getting up the nerve top call the NS back to give him my answer. I think ill call tomorrow!. Take care mel, and keep me posted on how you are doing. Babs

mel333
09-13-2003, 01:51 PM
Hi Babs,
They really do boot you out early after ACDF don't they. Maybe it would be easier at home anyway. I hate taking the pain meds also. I am hoping to get off them soon. I think the surgery will stop alot of your headaches. It's just recovery is hard for a while but not forever. I am slowly getting there so there is hope after it just takes patience and really understanding family.

Mel

Mel

PDL57
09-13-2003, 08:49 PM
I was told that I should have the ACDF that you had by two NS. One said no driving 4 weeks, work in about 8 to 10. The other said no driving for 12 weeks and no work for about 10. They both mentioned collars for a few weeks. Sounds soon from what I have been told. I hope you are doing well. I just posted my delima, so if you get a chance, pleae let me know how it is.





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