Guest guest Posted January 8, 2009 Report Share Posted January 8, 2009 , no worries, you can only think of so much while you are in there with the doc. Besides, thats what we are here for. Yes, you will have a catheter....now, when I had my surgery the nurses were unfamiliar with caring for a post-op TC patient. They wanted to pull my catheter the next morning and make me walk to the bathroom. I refused but finally gave in on day two after a day of harrassment. Big mistake. I had a CSF leak. Moral of the story is, ask your doc if the nurses where you will be are familiar with post-op care for your condition. My nurses also had me repositioning myself by pulling up on the triangly thing above the bed. Big mistake, dont do it. I didnt know post op care either...so I did what the nurses said except that catheter part. As for pooping, seems like I didnt go for several days due to the anesthesia and inactivity. I remember being really afraid to go not knowing how much it was going to hurt...like after childbirth lol...anyway I think I thought it was going to hurt worse than it did. As for laying flat, unfortunately I was only down a day but that was a BIG mistake. Gleen all the info you can from us...so " you " know what to do and not to do, just in case they dont. Subject: Two surgery questions (probably the first 2 of many) To: tetheredspinalcord Date: Thursday, January 8, 2009, 1:09 PM As monday the 12th draws closer I've got a couple of questions for any adults here that have had TC surgery: 1. Pooping - I guess I will have a catheter to take care of urinating, but how do they address going #2 those first few days? Which leads my to my second question.... 2. Moving - When I was first diagnoised with TC due to a diastematomyelia, my NS said recovery would be 3 days in ICU then 4 days in a regular room. He said I wouldn't be moved for those first three days. Now since he changed my DX to a diplomyelia (less complicated? ) he said one day in ICU, then 3 - 4 days in a regular room. My question is how long did everyone lay flat? He's still opening the dura. And it seems the most common post op horror stories I've heard have been the CSF leaks and related headaches from moving too soon in the hospital? I know these are questions I should have addressed with my NS during my pre-op visit but I had close to a bazillion questions for him and thought of these afterwards. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2009 Report Share Posted January 8, 2009 I don't think you need to worry about bms, all the drugs and anesthetic you will be on will likely constipate you. I did not have a bm until day 3 when I was finally up. And yes, you will have a catheter. I had my tc released at the filum. I was suppose to lay flat for 24 hours but ended up flat for three days as I was having horrible headaches and dizziness. They thought maybe a spinal leak but in the end I think they decided it was simply a reaction to all the narcotics. I did have a spinal leak around day 7, the day after I came home. I had a long ferry and car ride home so wonder if that was just too much too soon. Take it easy and do everything they tell you, and most likely you will not get a leak, but I think it also just may be luck of the draw. (my leak did heal on it's own but took awhile). Good luck! Dee To: tetheredspinalcord From: kbhansel@... Date: Thu, 8 Jan 2009 13:09:00 +0000 Subject: Two surgery questions (probably the first 2 of many) As monday the 12th draws closer I've got a couple of questions for any adults here that have had TC surgery: 1. Pooping - I guess I will have a catheter to take care of urinating, but how do they address going #2 those first few days? Which leads my to my second question.... 2. Moving - When I was first diagnoised with TC due to a diastematomyelia, my NS said recovery would be 3 days in ICU then 4 days in a regular room. He said I wouldn't be moved for those first three days. Now since he changed my DX to a diplomyelia (less complicated?) he said one day in ICU, then 3 - 4 days in a regular room. My question is how long did everyone lay flat? He's still opening the dura. And it seems the most common post op horror stories I've heard have been the CSF leaks and related headaches from moving too soon in the hospital? I know these are questions I should have addressed with my NS during my pre-op visit but I had close to a bazillion questions for him and thought of these afterwards. _________________________________________________________________ Drag n’ drop—Get easy photo sharing with Windows Live™ Photos. http://www.microsoft.com/windows/windowslive/photos.aspx Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2009 Report Share Posted January 8, 2009 Drats .. hate it when the computer erases what you wrote. Well here it goes ... As far as your concern regarding BMS with the anesthesia, steroids, anti-biotics and narcotic pain meds you most likely will not go for 3 days or so post surgery. One thing I learned (and learned the hard way) after surgery #2 refuse any or all laxatives -- and make this known at the beginning before your surgery so it's noted in your chart as they gave them to me and by the last day I was in hospital I woke up with the worst abdominal cramps and bloating I've EVER had and was forced to deal with " loose BM " prior to leaving and had no choice but to stay in hospital until later on that day because it was such an issue. For surgery # 3 in making the NO LAXATIVES known they gave me colace (stool softener, to prevent hemmoroids & straining) I took this until the day of my departure from hospital and made the mistake of stopping it 2 days prior to my release as I once again had abdominal cramps, bloating and loose BM not fun. I learned it's much easy and more natural to use things from nature to get your rhythm back on track -- by eating berries, apples, applesauce, oatmeal, pears, oranges, drinking apple juice, cranberry juice and herbal tea. I felt so MUCH better sticking to my own regular diet but eating smaller meals throughout the day. As far as the catheter debacle? In the beginning two days or so I found it more comfortable to keep it in -- but by day 3/4 my own body said " get this thing out " and it pushed itself partially out. I used a portable toilet chair at night for the first day/night or so and then with the help of a nurse walked to the bathroom to take care of my business. Yes, you will most likely be asked to lie flat for the first 2-3 days. I was able to prop myself up slightly on my elbow to eat and on the end of day two they slowly raised the head of my bed little by little. > > > Subject: Two surgery questions (probably the first 2 of many) > To: tetheredspinalcord > Date: Thursday, January 8, 2009, 1:09 PM > > > > > > > As monday the 12th draws closer I've got a couple of questions for > any > adults here that have had TC surgery: > > 1. Pooping - I guess I will have a catheter to take care of > urinating, but how do they address going #2 those first few days? > Which leads my to my second question.... > > 2. Moving - When I was first diagnoised with TC due to a > diastematomyelia, my NS said recovery would be 3 days in ICU then 4 > days in a regular room. He said I wouldn't be moved for those first > three days. Now since he changed my DX to a diplomyelia (less > complicated? ) he said one day in ICU, then 3 - 4 days in a regular > room. > My question is how long did everyone lay flat? > > He's still opening the dura. And it seems the most common post op > horror stories I've heard have been the CSF leaks and related > headaches from moving too soon in the hospital? > > I know these are questions I should have addressed with my NS during > my pre-op visit but I had close to a bazillion questions for him and > thought of these afterwards. > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2009 Report Share Posted January 8, 2009 I had nurses trying to prop me up right away too after surgery... I had to insist they talk to my doctor before touching me and sure enough they were wrong. TC surgery is so different than typical spine surgeries which is what the nurses are used to. As for the cathetar -- I ended up getting a bladder infection having it in for so long (had it in for 3 days). Dee To: tetheredspinalcord From: livedream_believe@... Date: Thu, 8 Jan 2009 08:36:48 -0800 Subject: Re: Two surgery questions (probably the first 2 of many) , no worries, you can only think of so much while you are in there with the doc. Besides, thats what we are here for. Yes, you will have a catheter....now, when I had my surgery the nurses were unfamiliar with caring for a post-op TC patient. They wanted to pull my catheter the next morning and make me walk to the bathroom. I refused but finally gave in on day two after a day of harrassment. Big mistake. I had a CSF leak. Moral of the story is, ask your doc if the nurses where you will be are familiar with post-op care for your condition. My nurses also had me repositioning myself by pulling up on the triangly thing above the bed. Big mistake, dont do it. I didnt know post op care either...so I did what the nurses said except that catheter part. As for pooping, seems like I didnt go for several days due to the anesthesia and inactivity. I remember being really afraid to go not knowing how much it was going to hurt...like after childbirth lol...anyway I think I thought it was going to hurt worse than it did. As for laying flat, unfortunately I was only down a day but that was a BIG mistake. Gleen all the info you can from us...so " you " know what to do and not to do, just in case they dont. Subject: Two surgery questions (probably the first 2 of many) To: tetheredspinalcord Date: Thursday, January 8, 2009, 1:09 PM As monday the 12th draws closer I've got a couple of questions for any adults here that have had TC surgery: 1. Pooping - I guess I will have a catheter to take care of urinating, but how do they address going #2 those first few days? Which leads my to my second question.... 2. Moving - When I was first diagnoised with TC due to a diastematomyelia, my NS said recovery would be 3 days in ICU then 4 days in a regular room. He said I wouldn't be moved for those first three days. Now since he changed my DX to a diplomyelia (less complicated? ) he said one day in ICU, then 3 - 4 days in a regular room. My question is how long did everyone lay flat? He's still opening the dura. And it seems the most common post op horror stories I've heard have been the CSF leaks and related headaches from moving too soon in the hospital? I know these are questions I should have addressed with my NS during my pre-op visit but I had close to a bazillion questions for him and thought of these afterwards. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2009 Report Share Posted January 8, 2009 Hi for my first 2 surgeries I was down on my back for 2 days and for my third one I was 3 days flat on my back. Then the physio got me up we started by standing by the bed side and then the next step was taking a few steps with a walker. I think the last one I was in for 2 weeks. My experience is keep on top of your pain meds and make sure they give you your pain meds about a half an hour befor physio is coming to work with you. take care jackie p.s. if you have any more questions just ask Two surgery questions (probably the first 2 of many) To: tetheredspinalcord Date: Thursday, January 8, 2009, 1:09 PM As monday the 12th draws closer I've got a couple of questions for any adults here that have had TC surgery: 1. Pooping - I guess I will have a catheter to take care of urinating, but how do they address going #2 those first few days? Which leads my to my second question.... 2. Moving - When I was first diagnoised with TC due to a diastematomyelia, my NS said recovery would be 3 days in ICU then 4 days in a regular room. He said I wouldn't be moved for those first three days. Now since he changed my DX to a diplomyelia (less complicated? ) he said one day in ICU, then 3 - 4 days in a regular room. My question is how long did everyone lay flat? He's still opening the dura. And it seems the most common post op horror stories I've heard have been the CSF leaks and related headaches from moving too soon in the hospital? I know these are questions I should have addressed with my NS during my pre-op visit but I had close to a bazillion questions for him and thought of these afterwards. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2009 Report Share Posted January 8, 2009 After my first surgery, the nurses tried to have me sit up too...then they would move me up in bed by grabbing the bed sheet and sliding me up (while I was on my back) with my incision rubbing the whole way...yikes! Plus I had a CSF leak and every time they made me sit up, I vomited everywhere which really hurt my incision...I was still vomiting in the w/c when they where discharging me from the hospital. Two surgery questions (probably the first 2 of many) To: tetheredspinalcord Date: Thursday, January 8, 2009, 1:09 PM As monday the 12th draws closer I've got a couple of questions for any adults here that have had TC surgery: 1. Pooping - I guess I will have a catheter to take care of urinating, but how do they address going #2 those first few days? Which leads my to my second question.... 2. Moving - When I was first diagnoised with TC due to a diastematomyelia, my NS said recovery would be 3 days in ICU then 4 days in a regular room. He said I wouldn't be moved for those first three days. Now since he changed my DX to a diplomyelia (less complicated? ) he said one day in ICU, then 3 - 4 days in a regular room. My question is how long did everyone lay flat? He's still opening the dura. And it seems the most common post op horror stories I've heard have been the CSF leaks and related headaches from moving too soon in the hospital? I know these are questions I should have addressed with my NS during my pre-op visit but I had close to a bazillion questions for him and thought of these afterwards. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 9, 2009 Report Share Posted January 9, 2009 I had a different experience....my NS had me get out of bed on day 2 after the surgery and encouraged me to move around. I stayed in the hospital 4 nights after the surgery and then went home. To be quite honest moving in an upright position (slowly!!) was not at all unpleasant. I took showers and found out later I shouldn't have gotten the bandage wet until about 5 days post-op (it didn't seem to matter). Bad were stairs and getting up from charis/beds - that was terrifying and often painful. This went on for about another 10 days before I was out of the worst phase. I have a houseful of small kids and also needed to get back to work. If you don't have those constraints I would say take it easy for several weeks after the surgery. My NS is of the opinion that movement is important after surgery. Best of luck! Subject: Two surgery questions (probably the first 2 of many) To: tetheredspinalcord Date: Thursday, January 8, 2009, 2:09 PM As monday the 12th draws closer I've got a couple of questions for any adults here that have had TC surgery: 1. Pooping - I guess I will have a catheter to take care of urinating, but how do they address going #2 those first few days? Which leads my to my second question.... 2. Moving - When I was first diagnoised with TC due to a diastematomyelia, my NS said recovery would be 3 days in ICU then 4 days in a regular room. He said I wouldn't be moved for those first three days. Now since he changed my DX to a diplomyelia (less complicated? ) he said one day in ICU, then 3 - 4 days in a regular room. My question is how long did everyone lay flat? He's still opening the dura. And it seems the most common post op horror stories I've heard have been the CSF leaks and related headaches from moving too soon in the hospital? I know these are questions I should have addressed with my NS during my pre-op visit but I had close to a bazillion questions for him and thought of these afterwards. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 15, 2009 Report Share Posted January 15, 2009 Three days is not a very long time to have a foley catheter. It may be a bit long for TC surgery is there are not any complications, but after my last surgery, I had a foley catheter for about a month. Some people live with them. When I was admitted for my PEs, I requested a foley. My risk of UTI was much greater doing ICs than having a foley. Not to mention, with the fluids, I was having sudden urges to pee and not a lot of notice. Then I would have to buzz for the RN and wait for a response to get everything together for me to cath (mainly because reverted back to my IP days at shepherd with regard to cleansing - and have managed to keep UTI free any time I have been IP and cathing. It's a pain in the butt, but its better than a UTI). But I get off the subject. A foley is not always bad, nor is it necessarily a big risk for UTI compared to some alternatives. Because of the risk of UTI, you want to have an indwelling catheter as little amount of time as possible, but a UTI can always be treated with antibiotics. There are worse things that can happen. Such as removing the catheter too soon and having the stress of up and down to the bathroom put too much stress on your back and the surgical site. Jenn From: tetheredspinalcord [mailto:tetheredspinalcord ] On Behalf Of Dee Allaert As for the cathetar -- I ended up getting a bladder infection having it in for so long (had it in for 3 days). Quote Link to comment Share on other sites More sharing options...
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