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Old 03-10-2008, 06:57 PM   #1
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armykat HB User
Survived the bunionectomy!

First just want to thank everyone who responded to my post about pre-op advice. I had a Kalish (modified Austin) bunionectomy on my right foot 3 days ago (Fri). I thought I'd share my experience and then ask for some post-op advice. This is the first major surgery that I've had, so I had a fair amount of naivete going in. Beware.....long post ahead.
Reported for surgery at 10:30 AM. After vitals were taken and I waited for an hour (miserable from fasting!), I finally went to the OR a little before 1. Anesthesiologist explained the whole "twilight" anesthesia + nerve block thing again, and I asked him to load me up on drugs! I lose all recollection from about 10 minutes after he started to make me "mellow" (he said, "I'm going to make you a little mellow, then I'm going to make you VERY mellow!"). I woke up in recovery with most awful thirst I ever experienced. They wouldn't give me anything until after they had me stabilized and took my post-op x-rays. I could not feel my foot at all, so placing my foot where the technician wanted it was almost humorous. They showed me the new x-ray, which looked like a NORMAL foot (plus two permanent screws). Hooray!!! I was released about an hour afterwards, after I took my first two percocet without incident. I have a dressing and ace bandage, plus surgical sandal and crutches. I didn't leave the hosp until about 6 pm. My instructions were to be NWB for 3 days, plus constant elevation and icing. As of tomorrow, I think I'm supposed to be PWB with my boot for 5-10 minutes at a time. Post-op check up is not until next week, which will be 1 1/2 weeks post-surgery.
The first night was very simple and easy. A little nausea and dizziness, but perfectly manageable. The block started wearing off around midnight, and I woke up with pain around 4 am. Took two percocet and back to sleep. Saturday was very painful, and I kept forgetting to take percocet BEFORE signs of pain. Again, a little woozy and nauseated throughout the day, but manageable. Sunday was a totally different experience. I made the mistake of taking the percocet w/o food....and that was the beginning of my temporary descent into hell! I vomitted all morning and afternoon, not even able to keep down water. Got the on-call doc to call in prescriptions for Zofran (anti-nausea) and Darvocet. The Zofran didn't really combat the nausea until the second dose, and it wasn't until 5 pm that I was able to hold anything down. I really wish that I had read the boards dealing with Percocet b/c I would have requested something else -- I react to just about everything. I never took the Darvocet because I just couldn't bear to be both nauseous AND in pain (percocet did not take care of all the pain on Saturday) -- it's just too much. The good news is that I feel much better today. No more nausea, and the pain is being well-managed with OTC motrin. My feet have pretty much been elevated consistently, and I'm trying to be religious about the icing. Have rarely even put my foot down on my ankle, even though the doc said that was ok. It has just been too painful up until now.
I owe my mother and my boyfriend greatly, both of whom have been taking great care of me. However, my mother left yesterday night and my boyfriend is returning to work tomorrow, so I'm about to be by myself most of tomorrow. Yes, I have the DVDs, books, microwaveable foods, etc. But I am a little anxious about being by myself (even though I was fine today). We'll see how it goes.
So, any guidance about what comes next? Any advice on how to proceed over the next few days? Any exercises that you did that were helpful? Many thanks for your advice!!!!

Carin

 
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Old 03-10-2008, 07:00 PM   #2
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Re: Survived the bunionectomy!

Congratulations!

 
Old 03-10-2008, 09:25 PM   #3
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Re: Survived the bunionectomy!

armykat...please keep posting to keep us updated. I am scheduled for a bunionectomy on my right foot, fusion of the right great toe, fusion of the little toe, and bunionectomy on the little toe side on the left on the 21st. I have had multiple foot surgeries...some of which worked...some of which did not. I have much pain in both feet and can not wear much of any kind of shoe but birkenstocks, sneakers, and crocs. I recently went to a nephews wedding and wore these awful shoes that looked much like things I saw my great-grandmother wear in some of her pictures. my pre-op is tomorrow. I remember the pain well from a bunionectomy done before. I remember the second night I was not even able to get to the bathroom and had to be taken. Please tell me it was not that bad with you. I will be keeping up with your post as I will be close behind you. If you read my thread you will see some good post-op suggestions that were given to me. Good luck with the pain.

 
Old 03-11-2008, 01:45 PM   #4
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armykat HB User
Re: Survived the bunionectomy!

Thanks for the support! Badfeet, I did look at your post and the suggestions were helpful....or at least they will be helpful when I feel up to trying them! I can totally relate to the image of your monstrous shoes at the party! I have been wearing shoes that are 1 to 1 1/2 sizes too big for the last few years. When the "wide" shoes weren't even working any more, I knew it was time for surgery. Please feel free to remind me of this when I'm sounding frustrated.

Today is Day 4, and it's not too bad. I've survived the first half of my day alone without much incident. I have been walking around (probably more than the 10 minutes that doc recommended) and it is amazing how quickly my foot swells up when I put my foot down. The good news is there's still not a whole lot of pain. So I'm back to having my feet up and icing. Planning a trip to Mexico for June, by which point I should be able to show off my new foot (at least one will be bunion-free!). Looking for cheap flights kept me busy all morning, and I'll have to get a travel book to keep me busy tomorrow.

 
Old 03-11-2008, 02:14 PM   #5
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Re: Survived the bunionectomy!

Armykat-

I enjoy being in shape and struggled with not being able to run or do something to move my muscles at all so I tried doing all the old calisthenics from junior high school PE. Anything that I could do without putting weight on my foot I did. Sit-ups, knee push-ups, leg lifts, air cycling, sitting torso twists with a medicine ball, whatever I could think of. One of the unexpected benefits of this was that I had very minimal swelling as I was moving blood through the foot.
I started doing these four days after surgery as that was when pain was minimal and movement was easier. I did ice right after each session.
It helps to just be doing something that is more normal than just sitting and having your whole world focused on your foot.

 
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