Guest guest Posted April 28, 2004 Report Share Posted April 28, 2004 Dear , I'm so sorry to hear about your current situation! I wish I had some helpful advice to offer. Your posts have helped me enormously, and it's distressing to know you're suffering and not have any advice or insight that might help you in return. I'm not a particularly religious person, but do believe in the power of prayer, and you are in mine. I won't presume to speak for the group, but your writings have helped lessen my own feelings of isolation and fear upon embarking on this whole experience with complications from harrington rod fusions, but I think it's safe and pretty obvious to say I'm not alone in my feelings. I wish there was SOMETHING I could do. If there is anything, please know that I'm here for you. With much love and thoughts of strength, Dianne S. Rhode Island Diannnes@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 28, 2004 Report Share Posted April 28, 2004 Dear , This will have to be short due to the fact that one hand is in a cast. I just had to stop by after I read your posts. I can offer mostly platitudes, sadly. But, as far as goes the pain, could it be that your body is still searching for its new " center " due to its new configuration? I also hope that you will quickly receive answers to all of your questions. Also, why wait for your next appointment? Run, don't walk, back to your surgeon! I wish far better things for you who have done so much for us! Sincerely, Carole (the elder) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 28, 2004 Report Share Posted April 28, 2004 , So sorry to hear of your ordeal & current situation. No suggestions but wanted to know I'm thinking of you. Joyce (Atlanta) (Noticed a new member also named Joyce appearing recently) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 28, 2004 Report Share Posted April 28, 2004 MY prayers are with you. You will be better, Ondra will help you. -- In , " Rasche " <poetryperson@s...> wrote: > OK, I'll stop being mysterious and try to describe my > current " complaint. " > > As many members know, I had 28 hours of revision surgery in two > stages in Feb. and March. They got out all my old hardware including > some pelvic bolts from a previous revision which had been causing me > enormous pain. The re-correction included pedicle subtraction > osteotomy. Subsequently they had to go back in and remove a hematoma. > > I have been in worsening pain since my release from the hospital at > the end of March. I can no longer wear my TLSO because my spine does > not seem to be shaped the way it was when this was first fitted > and " built. " I can no longer leave my apartment because of pain which > gets worse the longer I am on my feet. I seem to bend more and more > toward my left (coronal plane) after getting up to walk and walking > around. The main focus of my posterior pain seems to be on my left > side over my rib cage, possibly slightly more thoracic than lumbar. > Sometimes it " circles around " to the front, so that I have a band of > pain, roughly 2-3 inches wide, encircling about half my torso. In > front, it feels like horrible indigestion. In back, it feels like a > knife sticking in my ribs. > > When someone touches my back, the painful area is tender and more > painful to palpation. I seem to have several little marks in the > area, possibly from staples I had removed on April 14. > > Also on April 14, I had my most recent x-rays and was told that > everything looked fine. I finally took a good look at these x-rays > myself (tonight), with a family member. We were shocked to see that > they show pronounced scoliosis, probably comparable to what I had as > a teen-ager. My back looks pretty scoliotic to the " naked eye " > anyway -- puzzling indeed to everyone close to me who has followed > this whole sorry saga -- but I guess there was just something > definitive and upsetting about seeing this " confirmed " so starkly on a > black and white film. I am not sure the pain and the curvature are > related but suspect they must be somewhat related, since I curve more > the longer I am in an upright position and since my pain increases > along with the curvature. > > I realize I have made the whole thing sound functional (rather than > structural). I suspect that it has elements of both and that it must > be at least partially structural. > > I also do not know if this represents some deterioration since my > surgery. On the one hand, I feel and look worse (subjectively). On > the other hand, it is kind of shocking and mystifying that the doctor > said nothing about this marked scoliosis on my most recent x-ray. I > do not currently have access to earlier post-op x-rays. > > Since the hardware looks o.k. on the x-ray, I have to assume that > nothing is broken or markedly displaced. > > I am wondering what a CT scan might show that would be helpful. (I am > getting rechecked next week and am supposed to get both a CT and more > spinal films.) > > I am wondering what can be done about any of this, if anything. > > My son had to tell me this evening that we talked on the phone around > 1 p.m. today. I had, and have, no memory of the conversation. He said > I sounded pretty groggy. Clearly I am taking maximum pain meds -- > enough to make me severely dizzy at times as well, yet not enough to > do more than take the edge off my relentless left-sided pain. I have > to get my body into one particular and very precise position to get > any relief. At times no position works. I was up all last night > (then asleep at 1 when my son called). > > I almost went to the ER tonight. But I am not bleeding or comatose > or anything overtly " acute, " so I talked myself out of it. > > I am living in my recliner, trying to distract myself with TV and > reading. I miss my walking terribly. I worry about getting blood > clots in my legs or otherwise going down the tubes from this > sedentary life. > > I can't believe how crooked I am, especially on the x-ray. > > May I be truly frank and open with you, my dear friends and fellow > sufferers, at the risk of eliciting some head-shaking and eye- rolling > and the like? -- At times, these days, I feel I am " walking " (so to > speak) that fine line between profound despair and off-the-wall > hysteria! > > Thanks for letting me unload, and please write back with any helpful > remarks you may have. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 28, 2004 Report Share Posted April 28, 2004 Dear , First off I am so sorry that you're are having these problems. I would think that being on max pain meds makes it even more difficult to try to figure things out. Is it possible the side to side curve hasn't really changed, but you just didn't notice it as much because of your front to back imbalance? This happened in my own limited experience -- my hip replacement and correction of the severe hip flexion contracture straightened my sagittal balance up four to eight centimeters, ever since then I and others have really noticed my side to side curve more, although I don't think it's actually worsened. Since the pain meds are affecting your memory, if you have not already done so, you might start now to make a written list of questions that you can ask the doc at your appt. next week. Can we assume a family member will be going with you and taking notes of what the doc says? I'd include that you want him to put your pre-op x-rays up on the lightboard next to your post-op ones. There's nothing like seeing it for yourself to make you trust and have confidence in the info. he's giving you. I myself can't remember what my x-rays look like unless I'm staring at them. Not that it's any consolation, but I know we've heard from others who have had revisions that pain for a number of months can be considered normal. However, if your pain is not bearable to you, I wonder if a call to your OS might be warranted now to see if there's some tweaking he can do to what you are taking or if he might suggest some other course of action. Also, if you are supposed to be wearing your TLSO and you can't, I think you should mention that to him by phone now also. And that you haven't been able to walk much and should you be worried about blood clots in your legs. Standard disclaimer here: I haven't had revision surgery yet, and I don't know all that your doc has told you thus far about how he thinks the surgery went, so I hope you'll take my above words with the appropriate grain of salt. Please know we are all fervently wishing that things get better for you soon. loriann Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 28, 2004 Report Share Posted April 28, 2004 Hi , I agree with the others about phoning your doctor asap. The only other thing that I might mention, having gone through my mother's surgery, is that the effects are more pronounced from surgery as we get older. Her memory is failing her, from a stroke in hospital that I wasn't told about, so now she uses the " day of the week " container to help her remember if she took her medication when she should. She had a habit of either forgetting entirely or taking twice. She still lives on her own at 86 so it was a worry but she has a medical alert alarm system, which helps. Since you mentioned a memory lapsed with your son's conversation, I thought I'd mentioned the container in case you accidently over medicated yourself, in the course of your pain. My thought about your pain, from back to front, could be muscular both from the surgery and the readjustment to your new balance. Good luck and call your doctor immediately. He just might deem it necessary to see you sooner. Llweyn Here goes (gulp) OK, I'll stop being mysterious and try to describe my current " complaint. " Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 28, 2004 Report Share Posted April 28, 2004 Hi , I had not read your latest post when I asked you when your surgery was and if Ondra did it. I feel so bad for you. It has to be frustrating not knowing if everything that you are experiencing is normal for someone who has been through 28 hours of surgery. Every bone and organ in your body has surely been effected. I have not had the first surgery yet so I can't help you with my experiences but I want you to know I am praying for you. Joyce Here goes (gulp) OK, I'll stop being mysterious and try to describe my current " complaint. " As many members know, I had 28 hours of revision surgery in two stages in Feb. and March. They got out all my old hardware including some pelvic bolts from a previous revision which had been causing me enormous pain. The re-correction included pedicle subtraction osteotomy. Subsequently they had to go back in and remove a hematoma. I have been in worsening pain since my release from the hospital at the end of March. I can no longer wear my TLSO because my spine does not seem to be shaped the way it was when this was first fitted and " built. " I can no longer leave my apartment because of pain which gets worse the longer I am on my feet. I seem to bend more and more toward my left (coronal plane) after getting up to walk and walking around. The main focus of my posterior pain seems to be on my left side over my rib cage, possibly slightly more thoracic than lumbar. Sometimes it " circles around " to the front, so that I have a band of pain, roughly 2-3 inches wide, encircling about half my torso. In front, it feels like horrible indigestion. In back, it feels like a knife sticking in my ribs. When someone touches my back, the painful area is tender and more painful to palpation. I seem to have several little marks in the area, possibly from staples I had removed on April 14. Also on April 14, I had my most recent x-rays and was told that everything looked fine. I finally took a good look at these x-rays myself (tonight), with a family member. We were shocked to see that they show pronounced scoliosis, probably comparable to what I had as a teen-ager. My back looks pretty scoliotic to the " naked eye " anyway -- puzzling indeed to everyone close to me who has followed this whole sorry saga -- but I guess there was just something definitive and upsetting about seeing this " confirmed " so starkly on a black and white film. I am not sure the pain and the curvature are related but suspect they must be somewhat related, since I curve more the longer I am in an upright position and since my pain increases along with the curvature. I realize I have made the whole thing sound functional (rather than structural). I suspect that it has elements of both and that it must be at least partially structural. I also do not know if this represents some deterioration since my surgery. On the one hand, I feel and look worse (subjectively). On the other hand, it is kind of shocking and mystifying that the doctor said nothing about this marked scoliosis on my most recent x-ray. I do not currently have access to earlier post-op x-rays. Since the hardware looks o.k. on the x-ray, I have to assume that nothing is broken or markedly displaced. I am wondering what a CT scan might show that would be helpful. (I am getting rechecked next week and am supposed to get both a CT and more spinal films.) I am wondering what can be done about any of this, if anything. My son had to tell me this evening that we talked on the phone around 1 p.m. today. I had, and have, no memory of the conversation. He said I sounded pretty groggy. Clearly I am taking maximum pain meds -- enough to make me severely dizzy at times as well, yet not enough to do more than take the edge off my relentless left-sided pain. I have to get my body into one particular and very precise position to get any relief. At times no position works. I was up all last night (then asleep at 1 when my son called). I almost went to the ER tonight. But I am not bleeding or comatose or anything overtly " acute, " so I talked myself out of it. I am living in my recliner, trying to distract myself with TV and reading. I miss my walking terribly. I worry about getting blood clots in my legs or otherwise going down the tubes from this sedentary life. I can't believe how crooked I am, especially on the x-ray. May I be truly frank and open with you, my dear friends and fellow sufferers, at the risk of eliciting some head-shaking and eye-rolling and the like? -- At times, these days, I feel I am " walking " (so to speak) that fine line between profound despair and off-the-wall hysteria! Thanks for letting me unload, and please write back with any helpful remarks you may have. Support for scoliosis-surgery veterans with Harrington Rod Malalignment Syndrome. Not medical advice. Group does not control ads or endorse any advertised products. ------------------------------------------------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 29, 2004 Report Share Posted April 29, 2004 Dear , I was so sorry to read of your recent difficulties. Here I am feeling sorry for myself because my legs hurt and that is absolutely nothing compared to what you are going through. As far as having memory lapses it could be due to medication and all the anesthesia you were given (Disclaimer, I am not a doc). I can only speak from personal experience. I have very little memory of the first two weeks I was home post-op. I was also having memory lapses three months later. We had a Christmas party and in the middle of a conversation I would just go blank. It was a real milestone for me when I was able to read and work a crossword puzzle. If you are feeling absolutely horrible do not talk yourself out of going to the ER. If you are not comfortable with the ER then call Dr. Ondra and demand to be seen. You have been through hell and deserve some follow up. Just because the x-rays show the hardware is in place doesn't mean something else is wrong. And as far as that " fine line between profound despair and off- the-wall hysteria " , I've been there. You shouldn't be alone. Are you able to have someone with you or at least checking on you frequently? That made all the difference for me. I also wasn't afraid to call the docs when I felt I was going over the edge. That's what they are there for. You will be in my prayers. Barbara > OK, I'll stop being mysterious and try to describe my > current " complaint. " > > As many members know, I had 28 hours of revision surgery in two > stages in Feb. and March. They got out all my old hardware including > some pelvic bolts from a previous revision which had been causing me > enormous pain. The re-correction included pedicle subtraction > osteotomy. Subsequently they had to go back in and remove a hematoma. > > I have been in worsening pain since my release from the hospital at > the end of March. I can no longer wear my TLSO because my spine does > not seem to be shaped the way it was when this was first fitted > and " built. " I can no longer leave my apartment because of pain which > gets worse the longer I am on my feet. I seem to bend more and more > toward my left (coronal plane) after getting up to walk and walking > around. The main focus of my posterior pain seems to be on my left > side over my rib cage, possibly slightly more thoracic than lumbar. > Sometimes it " circles around " to the front, so that I have a band of > pain, roughly 2-3 inches wide, encircling about half my torso. In > front, it feels like horrible indigestion. In back, it feels like a > knife sticking in my ribs. > > When someone touches my back, the painful area is tender and more > painful to palpation. I seem to have several little marks in the > area, possibly from staples I had removed on April 14. > > Also on April 14, I had my most recent x-rays and was told that > everything looked fine. I finally took a good look at these x-rays > myself (tonight), with a family member. We were shocked to see that > they show pronounced scoliosis, probably comparable to what I had as > a teen-ager. My back looks pretty scoliotic to the " naked eye " > anyway -- puzzling indeed to everyone close to me who has followed > this whole sorry saga -- but I guess there was just something > definitive and upsetting about seeing this " confirmed " so starkly on a > black and white film. I am not sure the pain and the curvature are > related but suspect they must be somewhat related, since I curve more > the longer I am in an upright position and since my pain increases > along with the curvature. > > I realize I have made the whole thing sound functional (rather than > structural). I suspect that it has elements of both and that it must > be at least partially structural. > > I also do not know if this represents some deterioration since my > surgery. On the one hand, I feel and look worse (subjectively). On > the other hand, it is kind of shocking and mystifying that the doctor > said nothing about this marked scoliosis on my most recent x-ray. I > do not currently have access to earlier post-op x-rays. > > Since the hardware looks o.k. on the x-ray, I have to assume that > nothing is broken or markedly displaced. > > I am wondering what a CT scan might show that would be helpful. (I am > getting rechecked next week and am supposed to get both a CT and more > spinal films.) > > I am wondering what can be done about any of this, if anything. > > My son had to tell me this evening that we talked on the phone around > 1 p.m. today. I had, and have, no memory of the conversation. He said > I sounded pretty groggy. Clearly I am taking maximum pain meds -- > enough to make me severely dizzy at times as well, yet not enough to > do more than take the edge off my relentless left-sided pain. I have > to get my body into one particular and very precise position to get > any relief. At times no position works. I was up all last night > (then asleep at 1 when my son called). > > I almost went to the ER tonight. But I am not bleeding or comatose > or anything overtly " acute, " so I talked myself out of it. > > I am living in my recliner, trying to distract myself with TV and > reading. I miss my walking terribly. I worry about getting blood > clots in my legs or otherwise going down the tubes from this > sedentary life. > > I can't believe how crooked I am, especially on the x-ray. > > May I be truly frank and open with you, my dear friends and fellow > sufferers, at the risk of eliciting some head-shaking and eye- rolling > and the like? -- At times, these days, I feel I am " walking " (so to > speak) that fine line between profound despair and off-the-wall > hysteria! > > Thanks for letting me unload, and please write back with any helpful > remarks you may have. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 30, 2004 Report Share Posted April 30, 2004 Thanks, " Elder " (!) Carole. Yes, I agree -- Dr. Ondra should have seen me about two weeks ago already. Or someone should have seen me. The way things are set up now, I have been scheduled to see him Tuesday the 4th, but after undergoing new x-rays and CT with dye on Saturday, i.e., tomorrow. Remembering what an ordeal my pre-op CT without dye was (I was much less crooked and somewhat capable of lying still at that time) I doubt that these tests will be fun. I keep wondering if I need them. The cause of my whole problem seems to be staring me in the face with just a glance in my mirror . . . . This time he wants thoraco-lumbar spine T3-S1 with infusion, lumbar spine with dye, and pelvis with dye. Good grief, I see I also have multiple phone numbers to call for preregistration for all this. (I am looking at the orders Ondra's office faxed to me re the tests.) I also see that my current diagnosis appears more simplified than I remember -- 737.39 scoliosis, for anyone who may have memorized the ICD-9. I seem to have come full circle, yes? It's taken me some 42 years to progress from scoliosis to . . . . hmmm, more and worse scoliosis. 42 years and, what, six bigtime spinal operations? (Sigh -- glower -- inarticulate muttering, etc.) The process of medical decision making re these specific assessments is kind of mysterious from my vantage point, since I have actually not spoken to Dr. Ondra or heard from him personally. He does have a very capable staff, but no one there has actually seen me since last month. I had emailed my woes (succinct version) to Lidia, the nurse-practitioner. I assume she relayed this subjective report of my current complaint to him. I might be a little more assertive about all this except that I still have some hesitancy with Dr. Ondra. He is just so nice. He does not seem particularly " offendable " but I somehow feel I have to tiptoe a little around him. I am shy about asking him the hard-nosed questions, which is unlike me. Maybe it is a bit of military transference or something -- he started his career at West Point, did his neurosurgery training at Walter , etc. I grew up in the Army and had my first fusion at Walter , although it was strictly orthopods in those days. They were not very nice to me, all of them, but I probably called them " Sir " anyway. It's a whole other culture, you know. I don't know how you answer the phone at home -- I tend to mutter a trite if earnestly chipper " Hello " -- but back in those days, it was always " Col. Rasche's quarters, speaking. " My husband and son have been telling me for years that I am maddeningly indirect, a trait that hubby refers to as my nice-girl syndrome. I have been barking back at them with the news that this is a universal gender problem and it is time for them to read Deborah Tannen on men's and women's differing styles of communication, blah, blah, blah. But right now, I am no longer so sure. I was twisted to the left already on the 14th, when I last saw Ondra, and do you think I said anything about it at all? Nor did he. In retrospect, this gives me that old heartsick feeling I have had about never mentioning the OBVIOUS new deformity I acquired after my '86 fusion to dear old Dr. Hammerberg. I was immediately stooped over in the sagittal plane post-op. Yet neither of us said a word about it for the next 11 years, by which time I was totally disabled. I am really hoping my son decides to come to the doc with me on Tuesday, since he has been following this whole saga very closely, bless his heart -- I am so proud of this guy, who has been there for me through three operations starting when he himself was a wee lad of 3, poor babe. He also stayed with me for that whole month in Boston. He came as often as he could this last time as well, although there was that one terrible and scarey stretch in the ICU when no one was allowed in to see me and I wondered if I even had a family anymore, as I was getting bopped by my nurse and bruised by the restraints on my ankles and lectured on being a naughty girl for whatever I did while delirious. I guess I had an excuse for not being very direct and assertive at that particular time, though, as I believe I was still intubated. That memory is what's really hanging over me right now, intermingled with the sickening suspicion that whatever is wrong with me has got to mean more surgery, right? I just don't know if I can face another stint in that %$#^ & SICU. But I may have to. I mean, what else are they going to do, get a band of husky young spinal fellows together to manually manipulate my spine back into its rightful configuration while I avoid anesthesia and delirium entirely and simply pass out on the table till someone hands the damsel some smelling salts to bring her around? Anyway, my son says he has some very definite questions for Dr. Ondra. Boy, do I need someone who can ask such questions with ease and without all the hemming and hawing. Email is great for avoiding one's interpersonal phobias, and I have almost but not quite sent Ondra a brief, frank email-S.O.S. this week. I am stuck on the phraseology, though. Is there a polite way to ask why I am all twisted on the left, with a big rib hump on the right that I do not believe was there before? If not, what is the impolite way to communicate and get a straight answer? How do guys do this, I wonder. I have a suspicion that, in general, guys may not ask too many questions, actually -- they probably talk about the Cubs or something safe and guy-friendly while they are signing up for major surgery. Rand was blunt in a kind of acerbic and sometimes wonderfully sarcastic way -- the irony so subtle you almost missed it if you were not listening closely for tone, nuance, whatever. HIM I could confront on this situation. When he got witty and pointed, I gave it right back to him. I really enjoyed our easy communication. I miss him. I guess the person I miss even more (in my current regressed condition -- for heaven's sake, I am just a few years shy of 60, after all! I think " growing up " may be a genuine myth) is the Colonel. He was always such an impeccably polite, diplomatic man who raised me to have perfect table manners and quaintly impeccable grammar and the whole bit. But when they tortured me one time too many in the cast room, he went striding off for a frank man-to-man chat with the chief of orthopedics, and my next cast finally got done right (while meanwhile I got morphine to live through the experience). That's the advocate I need right now -- the Colonel -- but he has been buried at Arlington since 1984. Now is the time for me to go back over this whole post and delete all the shmaltz and embarrassing self-revelation, but what the hell. You gotta tell SOMEONE, right? I added a Duragesic patch to my other meds. I've had it on for 24 hours already with no discernible difference in my pain level. I can not live this way. But what choice do I have? This is not really living in my book -- dragging your twisty artifact of a spinal column around your house for a few feet while trying not to moan and groan too horribly with each few millimeters of motion . . . . I don't know where " crookeddancer " got her insight that Ondra is going to help me, but I hope she has a pipeline to the mighty and powerful of the universe, whoever that may be! Thanks so much for writing. Especially with your hand in a cast! Poor Carole. You are definitely a full-fledged member of this group, with Feisty Honors in all departments. Let's face it, we are the people who write kind and helpful posts to others like ourselves while confined to casts or devising some sort of computer-posture-for-the-quadruped . . . . Are we crazy? Simply driven mad with pain and frustration and disability, till our eccentricity glows in the dark? Sorry, time to bite the bullet and go in search of my nice-girl persona once more. I am so incredibly grateful to whoever invented television despite how exorbitant cable has turned out to be for someone trying to survive on disability. I truly do not know what would have become of me by now, were it not for (1) this group of empathic feisties; (2) " Judging Amy " ; and (3) " King of the Hill " . . . . . Re: Here goes (gulp) Dear , This will have to be short due to the fact that one hand is in a cast. I just had to stop by after I read your posts. I can offer mostly platitudes, sadly. But, as far as goes the pain, could it be that your body is still searching for its new " center " due to its new configuration? I also hope that you will quickly receive answers to all of your questions. Also, why wait for your next appointment? Run, don't walk, back to your surgeon! I wish far better things for you who have done so much for us! Sincerely, Carole (the elder) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 30, 2004 Report Share Posted April 30, 2004 Well, I think I'll try to hang on now that the date is so close for seeing the guy. But I agree with you. I should have been much more assertive many days earlier. I find it hard to " bug " anyone unless I am sure that something is acutely and urgently wrong with my body. (Right, I just bug all of you nice people instead of bothering my surgeon!) Thanks, Rasche , J.D. Medicolegal Writing & Editorial Services 6541 N. Francisco, #2 Chicago, IL 60645 (773) 508-1507 Harrington rod? Concerns arising from previous scoliosis surgery? For information, group support, ongoing discussion with others: / Here goes (gulp) OK, I'll stop being mysterious and try to describe my current " complaint. " Support for scoliosis-surgery veterans with Harrington Rod Malalignment Syndrome. Not medical advice. Group does not control ads or endorse any advertised products. ------------------------------------------------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 30, 2004 Report Share Posted April 30, 2004 I'm speechless, , except to say that I too wish you had " the colonel " to help you right now. (Did you really call him that or is this a subtle allusion to Seventh Heaven?) I too like King of the Hill. It's on too late, and I keep forgetting to set the VCR for it, but the humor is just about right by me. I hope your son comes through for you, and gives em h*ll if necessary! Sharon Re: Here goes (gulp) Dear , This will have to be short due to the fact that one hand is in a cast. I just had to stop by after I read your posts. I can offer mostly platitudes, sadly. But, as far as goes the pain, could it be that your body is still searching for its new " center " due to its new configuration? I also hope that you will quickly receive answers to all of your questions. Also, why wait for your next appointment? Run, don't walk, back to your surgeon! I wish far better things for you who have done so much for us! Sincerely, Carole (the elder) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 30, 2004 Report Share Posted April 30, 2004 And thanks again, Sharon. My brother Bill, who has a gift for the comedic, has always called our father the colonel. but his actual given name was Herbert. When my bro' was younger, he referred to our mother, whose name was Gertrude, as " my little mother, " which soon turned into " my little Muller " after he acquired a Cub Scout leader by the name of Ernie Muller. It was not long before our parents collectively became known as " Ernie and Bert. " " The Colonel " came later. After my own son Matt had been hanging out with Uncle Bill for a while as a toddler, what do you know, I became " my little mommy. " My son had a friend in high school whose name was . I no longer even remember her boyfriend's name, since Bill always referred to them as Beeler and Baldy. He also used to have a very good buddy called Arnold, who laid down the law, forcing Bill to use his real name, which is Mark. I still have to correct myself every once in a while when I start asking him how Arnold is doing these days. And about once a year or so, Matt will hear one of Bill's old stories and ask me yet again, " Who ARE Beeler and Baldy, by the way? " I THINK Bill came up with " the Colonel, " but it is possible that this name was coined by Bill's ex-wife, Margaret -- a.k.a. " Miss Magnolia. " Rasche , J.D. Medicolegal Writing & Editorial Services 6541 N. Francisco, #2 Chicago, IL 60645 (773) 508-1507 Harrington rod? Concerns arising from previous scoliosis surgery? For information, group support, ongoing discussion with others: / Re: Here goes (gulp) Dear , This will have to be short due to the fact that one hand is in a cast. I just had to stop by after I read your posts. I can offer mostly platitudes, sadly. But, as far as goes the pain, could it be that your body is still searching for its new " center " due to its new configuration? I also hope that you will quickly receive answers to all of your questions. Also, why wait for your next appointment? Run, don't walk, back to your surgeon! I wish far better things for you who have done so much for us! Sincerely, Carole (the elder) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 1, 2004 Report Share Posted May 1, 2004 Oh boy, remember that Janis Ian song " I learned the truth at 17 that love was meant for beauty queens.... " ? That song always made me cry because at 17 in a body cast from chin to knees, there was no way I could even dream about being beautiful. Thank God those days are over. I'm still no beauty queen, though!! I wonder what she's writing songs about now that she's older. Will have to do a web search some day..... Yes, stay strong, -- use music or memories or Lucy or whatever will work for you.... I hope they they let you listen to music during your tests today. Good, good luck and hope you'll let us know how you made out if you feel up to it tonight!!! loriann > Dianne, > > Such wise and consoling words. You are kind and insightful, and I > thank you. > > I love Lucy too. (Who wouldn't?) > > Also, right now I have some old song lyrics lurching around in my > befogged brain. Although I like to think of myself as a literary type > at times, these do not really fit the image. In fact, in a couple of > succinct lines, the unknown songwriter seems to have committed at > least 2 or 3 infractions, e.g., fudging her tenses/falling short of > her intended rhyme scheme. Still, some bad lyrics can be good for > the soul, and I find these oddly helpful. They have that ring of > authenticity -- the wisdom of the growing person undergoing a > wrenching and necessary metamorphosis as she finally relinquishes the > search for the Colonel/Parent/Portable Mentor and Deity who will > shelter her from the vicissitudes of adulthood and " make it all > better. " (Actually, I kinda think these are from a song by Janis Ian > or someone else who was about 16 at the time she promulgated all this > wisdom . . . ) > > [to be sung in a kind of mournful Celtic cadence -- sometimes verging > on a wail, but at all times falling short of a shriek -- while > plucking one's distressed and beloved old acoustic guitar, preferably > during " Say No to Teen Suicide " Week]: > > Well, sometimes I think that I just can't go on > But then I remember -- > " Kid, you gotta be strong . . . " > > With gratitude, > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 1, 2004 Report Share Posted May 1, 2004 , My local spine doc warned me that sometimes after surgical correction of flatback, patients do end up very crooked sideways and need additional surgery to correct it. I don't know that he used the term " coronal decompensation " but I suspect that that's what he meant. I wish I could provide you with more information, but I didn't know enough to ask him how soon following revision surgery one would be aware of this complication and if there is urgency to go back in and correct it, and what the surgery would involve to correct it. If I were you (easy for me to say since I'm not you!) I'd call your doctor and ask him point blank if it's possible that you have this complication, and if there is any urgency to get in for an evaluation sooner than your already scheduled appt. I'll borrow some of Elissa's disclaimer - I'm not a doctor so don't listen to me. It's hard to see you burdened with worrying about things when a phone call might help resolve them more quickly. Obviously, I'm in the squeaky wheel gets the grease camp. I keep hoping you'll be like Suzy Habibi - she was desperate in pain for quite a while after her surgery, and then things seemed to turn around for her. I haven't heard from her in a while, but hope that all is still well with her, and that things will be soon for you.... Good luck, loriann > Thanks so much, Sharon. I have to keep this short since I am in, well, frankly, agony. > > I am still pining to hear from someone that they have heard of something like this before. It is such a mystery. I wonder if this is what the research studies refer to as post-op coronal decompensation. It's as if one whole side of my back has collapsed. > > > > > > > Rasche , J.D. > Medicolegal Writing & Editorial Services > 6541 N. Francisco, #2 > Chicago, IL 60645 > (773) 508-1507 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 1, 2004 Report Share Posted May 1, 2004 If you think of it, , tell your son Matt that all of us feisties appreciate people like him!!!! loriann Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 1, 2004 Report Share Posted May 1, 2004 Sharon and other King of the Hill fans, Did you see the one where Peggy got hurt skydiving and was in the body cast? That one was a bit painful to watch (maybe it brought back those old horrible feelings of being flat on my back in bed for three months as as a teen) and I was bawling for some of it and at the end. The other day my son was studying the excretory system in school, and had no trouble identifying the urethra (thank God for Hank's narrow one!) He's also already been familiar with a lot of history and geography from watching the Simpsons. Scary, huh? loriann Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 1, 2004 Report Share Posted May 1, 2004 I missed those episodes. I guess I'd better find out the schedule and set the VCR! Re: Here goes (gulp) Sharon and other King of the Hill fans, Did you see the one where Peggy got hurt skydiving and was in the body cast? That one was a bit painful to watch (maybe it brought back those old horrible feelings of being flat on my back in bed for three months as as a teen) and I was bawling for some of it and at the end. The other day my son was studying the excretory system in school, and had no trouble identifying the urethra (thank God for Hank's narrow one!) He's also already been familiar with a lot of history and geography from watching the Simpsons. Scary, huh? loriann Support for scoliosis-surgery veterans with Harrington Rod Malalignment Syndrome. Not medical advice. Group does not control ads or endorse any advertised products. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 2, 2004 Report Share Posted May 2, 2004 , Did you ask me a question about my Chiari? I deleted an email right in the middle of reading it. I cut you off in the middle of a sentence. How rude! Joyce Here goes (gulp) OK, I'll stop being mysterious and try to describe my current " complaint. " As many members know, I had 28 hours of revision surgery in two stages in Feb. and March. They got out all my old hardware including some pelvic bolts from a previous revision which had been causing me enormous pain. The re-correction included pedicle subtraction osteotomy. Subsequently they had to go back in and remove a hematoma. I have been in worsening pain since my release from the hospital at the end of March. I can no longer wear my TLSO because my spine does not seem to be shaped the way it was when this was first fitted and " built. " I can no longer leave my apartment because of pain which gets worse the longer I am on my feet. I seem to bend more and more toward my left (coronal plane) after getting up to walk and walking around. The main focus of my posterior pain seems to be on my left side over my rib cage, possibly slightly more thoracic than lumbar. Sometimes it " circles around " to the front, so that I have a band of pain, roughly 2-3 inches wide, encircling about half my torso. In front, it feels like horrible indigestion. In back, it feels like a knife sticking in my ribs. When someone touches my back, the painful area is tender and more painful to palpation. I seem to have several little marks in the area, possibly from staples I had removed on April 14. Also on April 14, I had my most recent x-rays and was told that everything looked fine. I finally took a good look at these x-rays myself (tonight), with a family member. We were shocked to see that they show pronounced scoliosis, probably comparable to what I had as a teen-ager. My back looks pretty scoliotic to the " naked eye " anyway -- puzzling indeed to everyone close to me who has followed this whole sorry saga -- but I guess there was just something definitive and upsetting about seeing this " confirmed " so starkly on a black and white film. I am not sure the pain and the curvature are related but suspect they must be somewhat related, since I curve more the longer I am in an upright position and since my pain increases along with the curvature. I realize I have made the whole thing sound functional (rather than structural). I suspect that it has elements of both and that it must be at least partially structural. I also do not know if this represents some deterioration since my surgery. On the one hand, I feel and look worse (subjectively). On the other hand, it is kind of shocking and mystifying that the doctor said nothing about this marked scoliosis on my most recent x-ray. I do not currently have access to earlier post-op x-rays. Since the hardware looks o.k. on the x-ray, I have to assume that nothing is broken or markedly displaced. I am wondering what a CT scan might show that would be helpful. (I am getting rechecked next week and am supposed to get both a CT and more spinal films.) I am wondering what can be done about any of this, if anything. My son had to tell me this evening that we talked on the phone around 1 p.m. today. I had, and have, no memory of the conversation. He said I sounded pretty groggy. Clearly I am taking maximum pain meds -- enough to make me severely dizzy at times as well, yet not enough to do more than take the edge off my relentless left-sided pain. I have to get my body into one particular and very precise position to get any relief. At times no position works. I was up all last night (then asleep at 1 when my son called). I almost went to the ER tonight. But I am not bleeding or comatose or anything overtly " acute, " so I talked myself out of it. I am living in my recliner, trying to distract myself with TV and reading. I miss my walking terribly. I worry about getting blood clots in my legs or otherwise going down the tubes from this sedentary life. I can't believe how crooked I am, especially on the x-ray. May I be truly frank and open with you, my dear friends and fellow sufferers, at the risk of eliciting some head-shaking and eye-rolling and the like? -- At times, these days, I feel I am " walking " (so to speak) that fine line between profound despair and off-the-wall hysteria! Thanks for letting me unload, and please write back with any helpful remarks you may have. Support for scoliosis-surgery veterans with Harrington Rod Malalignment Syndrome. Not medical advice. Group does not control ads or endorse any advertised products. ------------------------------------------------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2004 Report Share Posted May 3, 2004 I've hard that some kids now know something about current events simply from watching " The Daily Show. " Re our friends who sell propane and teach Spanish in Arlen, I loved the one about Bobby's gout and recommended it to someone I know who struggles with gout himself. Rasche , J.D. Medicolegal Writing & Editorial Services 6541 N. Francisco, #2 Chicago, IL 60645 (773) 508-1507 Harrington rod? Concerns arising from previous scoliosis surgery? For information, group support, ongoing discussion with others: / Re: Here goes (gulp) Sharon and other King of the Hill fans, Did you see the one where Peggy got hurt skydiving and was in the body cast? That one was a bit painful to watch (maybe it brought back those old horrible feelings of being flat on my back in bed for three months as as a teen) and I was bawling for some of it and at the end. The other day my son was studying the excretory system in school, and had no trouble identifying the urethra (thank God for Hank's narrow one!) He's also already been familiar with a lot of history and geography from watching the Simpsons. Scary, huh? loriann Support for scoliosis-surgery veterans with Harrington Rod Malalignment Syndrome. Not medical advice. Group does not control ads or endorse any advertised products. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2004 Report Share Posted May 3, 2004 No problem, and you have supplied the answers now. Many thanks. Rasche , J.D. Medicolegal Writing & Editorial Services 6541 N. Francisco, #2 Chicago, IL 60645 (773) 508-1507 Harrington rod? Concerns arising from previous scoliosis surgery? For information, group support, ongoing discussion with others: / Here goes (gulp) OK, I'll stop being mysterious and try to describe my current " complaint. " As many members know, I had 28 hours of revision surgery in two stages in Feb. and March. They got out all my old hardware including some pelvic bolts from a previous revision which had been causing me enormous pain. The re-correction included pedicle subtraction osteotomy. Subsequently they had to go back in and remove a hematoma. I have been in worsening pain since my release from the hospital at the end of March. I can no longer wear my TLSO because my spine does not seem to be shaped the way it was when this was first fitted and " built. " I can no longer leave my apartment because of pain which gets worse the longer I am on my feet. I seem to bend more and more toward my left (coronal plane) after getting up to walk and walking around. The main focus of my posterior pain seems to be on my left side over my rib cage, possibly slightly more thoracic than lumbar. Sometimes it " circles around " to the front, so that I have a band of pain, roughly 2-3 inches wide, encircling about half my torso. In front, it feels like horrible indigestion. In back, it feels like a knife sticking in my ribs. When someone touches my back, the painful area is tender and more painful to palpation. I seem to have several little marks in the area, possibly from staples I had removed on April 14. Also on April 14, I had my most recent x-rays and was told that everything looked fine. I finally took a good look at these x-rays myself (tonight), with a family member. We were shocked to see that they show pronounced scoliosis, probably comparable to what I had as a teen-ager. My back looks pretty scoliotic to the " naked eye " anyway -- puzzling indeed to everyone close to me who has followed this whole sorry saga -- but I guess there was just something definitive and upsetting about seeing this " confirmed " so starkly on a black and white film. I am not sure the pain and the curvature are related but suspect they must be somewhat related, since I curve more the longer I am in an upright position and since my pain increases along with the curvature. I realize I have made the whole thing sound functional (rather than structural). I suspect that it has elements of both and that it must be at least partially structural. I also do not know if this represents some deterioration since my surgery. On the one hand, I feel and look worse (subjectively). On the other hand, it is kind of shocking and mystifying that the doctor said nothing about this marked scoliosis on my most recent x-ray. I do not currently have access to earlier post-op x-rays. Since the hardware looks o.k. on the x-ray, I have to assume that nothing is broken or markedly displaced. I am wondering what a CT scan might show that would be helpful. (I am getting rechecked next week and am supposed to get both a CT and more spinal films.) I am wondering what can be done about any of this, if anything. My son had to tell me this evening that we talked on the phone around 1 p.m. today. I had, and have, no memory of the conversation. He said I sounded pretty groggy. Clearly I am taking maximum pain meds -- enough to make me severely dizzy at times as well, yet not enough to do more than take the edge off my relentless left-sided pain. I have to get my body into one particular and very precise position to get any relief. At times no position works. I was up all last night (then asleep at 1 when my son called). I almost went to the ER tonight. But I am not bleeding or comatose or anything overtly " acute, " so I talked myself out of it. I am living in my recliner, trying to distract myself with TV and reading. I miss my walking terribly. I worry about getting blood clots in my legs or otherwise going down the tubes from this sedentary life. I can't believe how crooked I am, especially on the x-ray. May I be truly frank and open with you, my dear friends and fellow sufferers, at the risk of eliciting some head-shaking and eye-rolling and the like? -- At times, these days, I feel I am " walking " (so to speak) that fine line between profound despair and off-the-wall hysteria! Thanks for letting me unload, and please write back with any helpful remarks you may have. Support for scoliosis-surgery veterans with Harrington Rod Malalignment Syndrome. Not medical advice. Group does not control ads or endorse any advertised products. ------------------------------------------------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2004 Report Share Posted May 3, 2004 , I'm a lurker but I try to keep up on reading and especially enjoy yours-you are so eloquent and funny, and very helpful. I feel so terrible for you and hope everything works out. I came across an extract this weekend while trying to research " post op coronal decompensation " to see what you were talking about.In Spine 2000 Oct 1;25(19):2453-60 Drs. Deckey JE, Court C, Bradford DS discuss " loss of sagittal plane correction after removal of spinal implants " and suggest that even after a solid fusion, the spine may collapse if implants are removed. It shocked my as I'm contemplating surgery in the Fall with LaGrone and had thought about having hardware removed. I don't want to panic anyone-it's so frustrating to think that if that is indeed the case, why haven't I heard it before-I've talked to 5 revision specialists! Although two did not suggest removal of hardware, they didn't tell me anything about collapse. I haven't read the entire article which I will do as soon as I have a little time and can find it, but wanted to pass the info on to you as I know you have an appt. soon. I always want to know all the worst case scenarios but I hope this has absolutely nothing to do with you. (I opened the extract this am on www.microconn.com/scoliosis/revision_surgery.htm All the best.Jo Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2004 Report Share Posted May 3, 2004 Hi Jo, Thanks for coming out of lurk status to give some food for thought. I believe the article you quoted was concerning people who had their instrumentation removed, but no newer instrumention put in its place, and seemed to be concerning sagittal plane loss of correction, rather than coronal plane loss of correction. Now you've got me wondering, though, if 's new curve is in the part of her spine with the new instrumentation or in the part without any instrumentation, or maybe both? These anatomy and complication details fascinate me and I also like to know the worse case scenario, but like you, I sincerely hope they have nothing to do with , and that things get better for her soon! Wow, you've seen 5 doctors. I will definitely keep my eye out for any future times when you come out of lurkdom to post. Good, good luck to you for your possible fall surgery. Dr. LaGrone is next on my list of docs to consult with.... So far I like everything I've heard about him and am pleased with the written info. he's given me. Best wishes, loriann > , I'm a lurker but I try to keep up on reading and > especially enjoy yours-you are so eloquent and funny, and very > helpful. I feel so terrible for you and hope everything works out. I > came across an extract this weekend while trying to research " post op > coronal decompensation " to see what you were talking about.In > Spine 2000 Oct 1;25(19):2453-60 > Drs. Deckey JE, Court C, Bradford DS discuss " loss of sagittal plane > correction after removal of spinal implants " and suggest that even > after a solid fusion, the spine may collapse if implants are removed. > It shocked my as I'm contemplating surgery in the Fall with LaGrone > and had thought about having hardware removed. I don't want to panic > anyone-it's so frustrating to think that if that is indeed the case, > why haven't I heard it before-I've talked to 5 revision specialists! > Although two did not suggest removal of hardware, they didn't tell me > anything about collapse. I haven't read the entire article which I > will do as soon as I have a little time and can find it, but wanted > to pass the info on to you as I know you have an appt. soon. I always > want to know all the worst case scenarios but I hope this has > absolutely nothing to do with you. > > (I opened the extract this am on > www.microconn.com/scoliosis/revision_surgery.htm > > All the best.Jo Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2004 Report Share Posted May 3, 2004 Thank you so very much, Jo. You have encouraged me to try and read up on all this a little more myself. So far my " lay observers " at home do not notice any loss of sagittal plane correction, thank goodness, but " collapse " suggests that loss of correction could be lost in an entirely different plane as well. And I definitely qualify for having had my hardware removed! Of course Dr. Ondra added some rods of his own, but I still find it astounding that THE rod -- the one I silently cussed out so many days of my life, the Harrington -- is gone, gone, gone! (I do not want it back ever, thank you kindly!) Of course I had great correction in 1962, without any hardware at all. I guess the biggest setback was the installation of the Harrington in my thirties. I figured it would be overgrown with impossible bony stuff and who knows what by now. Since that and the original fusion were the first and only innovations aimed at correcting my scoliosis per se, it is hard for me to imagine why I have sprouted this whole new scoliotic deformity on one side. But my biomechanical understanding is primitive at best, and it certainly seems reasonable that a spine which has been through this much manipulation, a variety of osteotomy types, whole collections of hardware moving in and out, might just decide to slump over in chagrin at some point . . . . I'm so glad people are still finding Suzy Habibi's micronn site useful. I read some of this material a while back but need to refresh my memory. Your lead has been very helpful to me. Also, I deeply appreciate your comments about my contributions to the site. I rely on this kind of " feedback " absolutely to know whether I am being helpful to others in any way. I feel so warmed and encouraged by posts like yours, especially during this difficult and uncertain time. Best, > , I'm a lurker but I try to keep up on reading and > especially enjoy yours-you are so eloquent and funny, and very > helpful. I feel so terrible for you and hope everything works out. I > came across an extract this weekend while trying to research " post op > coronal decompensation " to see what you were talking about.In > Spine 2000 Oct 1;25(19):2453-60 > Drs. Deckey JE, Court C, Bradford DS discuss " loss of sagittal plane > correction after removal of spinal implants " and suggest that even > after a solid fusion, the spine may collapse if implants are removed. > It shocked my as I'm contemplating surgery in the Fall with LaGrone > and had thought about having hardware removed. I don't want to panic > anyone-it's so frustrating to think that if that is indeed the case, > why haven't I heard it before-I've talked to 5 revision specialists! > Although two did not suggest removal of hardware, they didn't tell me > anything about collapse. I haven't read the entire article which I > will do as soon as I have a little time and can find it, but wanted > to pass the info on to you as I know you have an appt. soon. I always > want to know all the worst case scenarios but I hope this has > absolutely nothing to do with you. > > (I opened the extract this am on > www.microconn.com/scoliosis/revision_surgery.htm > > All the best.Jo Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2004 Report Share Posted May 4, 2004 , I am very late answering your post and, for that I apologize. But, your tests are over, and today is your appointment! You have been on my mind so much, and I sincerely hope that today is your day! I am also hoping against hope that your problems will be solved by time! Most sincerely, Carole M. (the elder) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2004 Report Share Posted May 4, 2004 Thanks, Carole. I'll let you know how it goes today. I certainly don't ever get to answer all the posts I want to at this group -- even important and fascinating posts I had hoped to reply to -- so please don't ever apologize for a late replyu or anything like that! (One good point about having a group with 250 members, albeit not all highly participatory -- getting through the mail is daunting at times, but there's always plenty of mail to get through! And generally, someone is bound to say something articulate and helpful, even if you yourself are tied up elsewhere.) I am grateful for your many wonderful posts to this group and for all the good wishes you have extended to me. Well, let's see if I can manage to clip my toenails in the shower. If not, I'll do my " gait " for Dr. Ondra in my nice clean socks! Best, > , > > I am very late answering your post and, for that I apologize. But, your > tests are over, and today is your appointment! You have been on my mind so much, > and I sincerely hope that today is your day! I am also hoping against hope > that your problems will be solved by time! > > Most sincerely, > > Carole M. (the elder) > > > Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.