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Old 05-09-2003, 08:07 AM   #1
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Sulynn HB User
Exclamation Surgery in the morning...last minute questions

I will be going in for surgery in the morning, one level acdf donor bone & plate.
Right now I'm dreading the recovery more than the surgery itself. I hope it won't be too long before I can go back to doing the things I love, like yard work. Of course I know that I'll be a nervous wreck about messing the fusion up...last thing I want is for that fusion to fail!
I have a couple of last minute questions. Is going up and down stairs going to be difficult? I only have a second floor bathroom! No railings to hold...just the walls.
Any tips on how to brush teeth when you can't bend over the sink? I'm picturing myself with toothpaste running into my collar and missing the sink when I rinse my mouth.
How will I take pills when I won't be able to tip my head back?
I've heard that lifting your arms up can be painful...how will I wash my hair?
Last, but not least I'm concerned about vomiting from the pain meds that they'll put in the IV after the operation. Can they give me anything to keep me from getting sick? My whole body jerks around when I vomit (even if it's just stomach acid coming up) and I'd hate to mess my neck up right after the operation!

Sulynn

 
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Old 05-09-2003, 10:27 AM   #2
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Memer HB User
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Sulynn,

All of the things you mention are difficult to do at first but possible. I used straws and didn't tilt my head (still don't) to take pills. They got stuck a few times, and I had to gag them back up (yuk). I also used a straw for rinsing with brushing my teeth and then bent at the waist to spit it out, never bending my neck (still don't). My husband washed my hair for the first 10 days, and then I did it myself without any problems. As far as going up and down stairs, I didn't try it for the first 10 days, but then I was able to do it carefully. I do have a rail, though. Morphine made me sick after the surgery, and I thought I would vomit. That scared me, so I turned down the morphine. They did give me something for the nausea, but it didn't work. Stopping the morphine worked, but then, of course, I had more pain (but not in the front of my neck). A lot of people don't get sick with morphine. Some people love it.

Best wishes with your surgery and recovery.

p.s. My husband washed my hair like a true guy. He's balding and doesn't have much experience with hair, especially with rinsing. If you plan on having a man wash your hair, you might want to give a trial run before the surgery, if you can.



[This message has been edited by Memer (edited 08-04-2003).]

 
Old 05-09-2003, 11:35 AM   #3
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You poor thing, don't fret about these things. Because you'll be doing yard work before you know it. First of all if you're having hardware, you'll be put together pretty well. You won't hurt yourself if you are careful. Wash your hair really good tonight, and maybe even pick up some dry shampoo (or baby powder). You may have to go a couple of days before you get it washed. Straws, especially the flexible straws will be great. I had no problem swallowing anything... even food. But I was lucky from what I read.
You will be able to brush you teeth bending over the sink, remember, if you bend over the sink from your waste, you will be fine. My arms didn't hurt when I put them over my head in the shower, it was more my paranoia.
The only thing I see here you need to worry about are those stairs. I too don't have rails, just walls. Walls that are 200 years old, wind around and are crooked. Just take your time, have someone (if that is possible), walk behind you going up, and in front coming down. I did slip once, and slapped myself down on my hands pretty hard. Didn't hurt myself, just freaked out. Thought I would be spitting up screws and plates (that is a joke). But if you are careful, it may not be so bad as you have it imagined. If this is your basic acdf surgery, one level.
Debbie
P.S. Good luck and God Bless, you get back here real soon and let us know how you are.


------------------
Debbie2
ACDF fusion (c5c6) with titanium plate and screws using donor bone -
September 4, 2002.

[This message has been edited by Debbie2 (edited 05-09-2003).]
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Debbie2
ACDF fusion (c5c6) with titanium plate and screws using donor bone -
September 4, 2002.

 
Old 05-09-2003, 01:49 PM   #4
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winged phantom HB User
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Gosh, Sulynn, you're having surgery on a Saturday? Good luck with it!!!!! I hope all things go well with the surgery so that the recovery is smooth! that is first and foremost!

Right now I'm one month post-op, and I keep wanting to do some easy yard work, but it's way too early for that (well, actually, I did do some pruning so I could get so my compost pile). I still have some pain, which is more irritating than anything, but I'm still sick of the pain. Anyway, it's so soon in the entire recovery process, and my pain/injuries are really very old, anyway...

Yes, you must be very careful for a few months (Or longer) so you don't mess with the fusion process. It just isn't worth the damage that can cause! Yes, I would say stairs may be something difficult, especially if you will be in a collar. Please discuss this with your doctor! It may very well be, since you have to get to the bathroom, that he will either make you stay up there.... or at the other extreme allow you to go up and down the stairs without your collar, so you can actually see your feet and have less of a chance of tripping. So it's worth asking about...

I agree with Debbie; you should not have any trouble with brushing your teeth, as your waist will not be incumbered. And it's likely you can do that, too, without your collar. Ask about that, too, as well as having to wear the collar in the shower... or not. If you need to do that, you will need to have a hard collar (don't forget the extra set of pads, whether you need it in the shower or not).

Flexible straws are very helpful, especially the first two weeks or so. I have to get pills into the back of my throat, or I cannot swallow them, so I had to carefully lean back from the waist (supporting my head with my hands), to accomplish that. Be careful! With these collars, you cannot get your head into its usual positions for swallowing anything, so it may be a bit of work at first! And belching? did we tell you about that, too? Most of us have had burping problems right after surgery.... I think some of that is also the awkward head/neck positions, and the difficulty of eating/drinking with the collar, etc....

Difficulty with lifting arms? I think that will depend largely on what type of surgery you have. And the skill of your doctor, and, and, and... I had a lot of trouble washing my very long hair with my first surgery in 1989... no fusion. This time around, I have very short hair ( I gave it away last year), and there was no problem getting my arms up to wash my hair. If you have a corpectomy or a posterior incision, you will likely have more trouble with your arms. One hint for laying back and sitting forward.... use one hand behind your head or neck to help support it: don't "pull", just guide! You'll catch on, and if you can't lift your arms, Cliff discovered that pulling on the ends of a long scarf aroung his neck accomplished the same thing (what a genius ).

Vomiting and anaesthesia? Definitely a problem! If you know for sure that you cannot tolerate something in particular, definitely tell everyone who comes near you before surgery. And especially the anaesthesiologist! They can give you a different type of anaesthesia, or they can give you meds to prevent nausea.... Whatever, if you think your stomach is upset the next day, do not leave to go home... at least not without a Rx for antinausea meds (hopefully a suppository). And make sure you have soft foods at home that can be eaten easily... yogurt, ice cream, popsicles, applesauce, mashed potatoes, soups, Gatorade, pop... Make somebody get them in the flavors YOU LIKE, not just ones they would pick out for themselves. And maybe some saltines, too... At one critical point in my recovery, everything we had was either the wrong flavor, or too sweet (hey, and I never think anything is too sweet!); I could not even bear to think about even a Ritz cracker! I just wanted to barf at the thought of anything! That's when the Gatorade came in handy... as well as some anti nausea meds (and this was on day 4!) How about ginger ale, too?

You'll need lots of pillows, a recliner or a 45 degree wedge, or a couch cushion to give you the best angle for what feels comfy at the moment. Sitting up seems to be the way to sleep for a while, and that's where the recliner comes in handy....

Be sure to post back when you get home... and whenever you have questions. We'll try to help keep you comfortable! And remember, log roll if in bed!

Now go out and have a good surgery!
wr

------------------
  • 12/29/89 C5-6 Microdiskectomy (no fusion)
  • 4/9/03 ACDF C4-7 with plating and donor bone

[This message has been edited by winged phantom (edited 05-09-2003).]
__________________
  • 12/29/89 C5-6 Microdiskectomy (no fusion)
  • 4/9/03 ACDF C4-7 with plating and donor bone

 
Old 05-09-2003, 02:12 PM   #5
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Debbie2 HB User
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One more thing that wr made me think of... is anaesthesia. You can ask the anaesthesiologist for a good medication. The cheaper forms are the one's that can cause problems, many people don't know that. You want an injection and never any gas. Just talk with him, and tell him... no vomitting allowed. My doctor said they use anaesthesia that avoids stomach problems.
?!?!?!
Debbie

------------------
Debbie2
ACDF fusion (c5c6) with titanium plate and screws using donor bone -
September 4, 2002.
__________________
Debbie2
ACDF fusion (c5c6) with titanium plate and screws using donor bone -
September 4, 2002.

 
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