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Re: 1 surgery vs 2 surgeries???

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Hi...

I had my original two surgeries done in one stage of about 11-1/2 hours of surgery. It was pretty tough on me, but I liked the idea that I wouldn’t have to face another surgery so soon.

It sounds like would not be aware of her first night post-op if she has a one stage surgery. Believe me when I tell you I think that’s a VERY good thing. The first 24 hours are almost always the worst, and being able to avoid any awareness of it would be attractive to me. Unfortunately, they did not keep me sedated, so I was aware of both the pain and the respirator.

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On 7/27/06 6:25 PM, " beltanegrrl " <beltanegrrl@...> wrote:

Thanks everyone for your thoughts on the braces. I shared them with

and I think meeting with Sharon and really helped her

out. She really feels a little more assured about going into surgery.

She is still trying to decide if she wants to go ahead and make a two

surgery because right now Dr Rand is saying he can do it in one, but

she does not like the thought of having to stay sedated and on a

breathing tube overnight in ICU because they would have her under for

15 hours. Dr Rand said he can do her surgery in one, but if she wanted

two that was fine with him too.

Has anyone else had it done in 1 surgery? How was it? What should she

expect after? She kinda wants to 1 to not have to think about having

to go back in the OR again a week or more later, but parts of here is

not sure about being under for that long since she use to be a smoker.

I think she is going to see a breathing doctor first and if he clears

her, then she will do the one, but right now she is only scheduled for

1 surgery in October, so she has until we see him on August 28th to

decide for sure.

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My surgery was done same day. I did not have the breathing tube when I awoke, nor did I stay totally sedated overnight. However my surgery lasted about 9 hours, not 15, so that could be the reason for such a difference? I did have a patient advocate with me all the time, which helped alot. Also, the hospital (I had my surgery with Dr. LaGrone in Amarillo...hospital was BSA) staff was great. I would think after she sees the breathing Dr., she'll have a better idea whether to have it done in one day or not. I wish her the very best of luck with this decision! ettebeltanegrrl <beltanegrrl@...> wrote: Thanks everyone for your thoughts on the braces. I shared them with and I think meeting with Sharon and really helped her out. She really feels a little more assured about going into surgery. She is still trying to decide if she wants to go ahead and make a two surgery because right now Dr Rand is saying he can do it in one, but she does not like the thought of having to stay sedated and on a breathing tube overnight in ICU because they would have her under for 15 hours. Dr Rand said he can do her surgery in one, but if she wanted two that was fine with him too. Has anyone else had it done in 1 surgery? How was it? What should she expect after? She kinda wants to 1 to not have to think about having to go back in the OR again a week or more later, but parts of here is not

sure about being under for that long since she use to be a smoker. I think she is going to see a breathing doctor first and if he clears her, then she will do the one, but right now she is only scheduled for 1 surgery in October, so she has until we see him on August 28th to decide for sure. __________________________________________________

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Hello,

I had my revision in a one day surgery, and for me, I prefered it that way. First I didn't want to be in the hospital or rehab unit for probably three week the two staging of the surgery would have been. Second as chicken as I was if they released me between the surgeries I don't know if I would have had the strenght to go back, I just wanted it over. I have had two revisions, and each were one day proceedures, each in the ten hour range. I was in ICU after surgery, had a lot of swelling due to fluids, so to maintain my airway I was put on a vent. I was in ICU for either one or two days, my last revision two. They gave me med's to keep me out, and I don't remember much except them removing the tube. I mostly remember things after I was put in a regular room, and Dr. O'Brien said they like to keep us out so we don't remember the worst of the pain.

There is some drawbacks to a one day proceedure. First being under for so long, you are wise to be concerned about lung and heart function, but they test carefully for that. Also blood loss can get to be too much and then they have to stop, close you up and come back again, so you loose getting it done in one day anyway. They tell you in advance that if you bleed too much they may have to two stage it, and with one of mine they got close to stopping it since I lost 11 units. Another thing to consider is the effects of being in a position for a long period of time, skin in certain areas can get abused, even though I was padded, the skin on my breasts looked like I had been hit with a 2x4, had to have a skin specialist look at them. I also had creases on my face that took time to heal. I know Carla was in surgery a total of 14 hours, 12 after the first cut, and she did come out with some creases on her face that are still healing six weeks out. I also think having a one day proceedure takes a lot out of you, and after listening to people who had staged surgeries, that initally us one stagers take a little longer to pop back. Overall we come back at the same rate, but at the beginning the body has been put through the mill, and you'll feel like you were hit by a bus.

Given all I said before, I would still want it done in one day if possible. I hate being in the hospital, and if I had to be in there for three weeks I'd go nuts. I also had grammar school age kids and I didn't want to be away for that long. It was a personal choice, and I was glad my doc afforded me that.

Hope this helps!

Colorado Springs

[ ] 1 surgery vs 2 surgeries???

Thanks everyone for your thoughts on the braces. I shared them with and I think meeting with Sharon and really helped her out. She really feels a little more assured about going into surgery. She is still trying to decide if she wants to go ahead and make a two surgery because right now Dr Rand is saying he can do it in one, but she does not like the thought of having to stay sedated and on a breathing tube overnight in ICU because they would have her under for 15 hours. Dr Rand said he can do her surgery in one, but if she wanted two that was fine with him too. Has anyone else had it done in 1 surgery? How was it? What should she expect after? She kinda wants to 1 to not have to think about having to go back in the OR again a week or more later, but parts of here is not sure about being under for that long since she use to be a smoker. I think she is going to see a breathing doctor first and if he clears her, then she will do the one, but right now she is only scheduled for 1 surgery in October, so she has until we see him on August 28th to decide for sure.

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,

I had a 2 day surgery with DrRand, 7 days apart...which is about as

close as he ever seems to do them....10 days to 2 weeks seems to be

closer to the average time frame between surgery dates.

I had mixed emotions about the 2 day surgery plan, but to be honest,

once I decided I wanted DrRand to do the surgery, I didn't see any

advantage in not accepting his recommendation.....which in my case

never included a one day surgery. I don't know for sure, but I am a

tall woman, and I think it may be that size has some relation to the

amount of anesthesia needed, on top of other reasons in favor of

staging.

I know many have a successful one day surgery...I know of another

gal who had a long one day surgery who, like , had very painful

breasts for awhile after surgery. I had little facial swelling or

other by products of one long surgery.

Doing the two day surgery does require being able to stay " up " for

the challenge....you need to rally your energy in fairly short

order. It does seem, however, that the way DrRand stages, the first

day is often a little shorter and for most of us was just posterior,

so the first few post-op days are awful, but then your start to

bounce back a little. By day 4 post -op I was up and around ( not

that the PT people will let you lay around!)

My personal views about the possible " pros " of staging probably stem

partly from my own work situation. I just retired as an air traffic

controller, my husband is a pilot for Continental airlines. Both of

these career fields have duty time regulations to improve safety by

ensuring work ceases before fatigue sets in. I made peace with the

idea of the staged surgery after I realized there were possibly

advantages in having a well rested surgeon and team in the OR while

they were drilling into my spine! You have to tell yourself

something!

I would suggest that at your next appointment you spend some time

exploring what DrRands first choice for is and why.

Good luck,Cam

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imagine my shock when my doctor said he wants to do THREE surgeries.

ARRRGG.

I can understand that 's parents would want to be with their

daughter in the hospital. But, from what I understand, the first

couple of days after surgery, folks are pretty much out of it. And,

the nurses and you will be there to look after her needs. But after

she gets home, that is when she will be awake and alert and happy to

have her parents' company. I just hope they are better at helping

than my mom was when she wanted to come stay with me after my first

child was born. One day was all I could stand.

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Hello Again,

First, I'm not chesty either, on a good day I'm a " B" but did have trouble with the " girls" looking as though they were hit by a 2x4. It's just from being in one place for hours, tough on skin. The creases on the face look like youv'e slept on your face for a long time but they are sores, so they take time to heal. You must remember that not only are you on your stomach, but they are pounding on your back with tools, carpentry work as Kumar calls it, so I'm sure that adds to the trouble the skin has.

Colorado Springs

[ ] 1 surgery vs 2 surgeries???

Thanks everyone! You did give us a lot more to think about. I didnt even think beyond the breathing problems that she might have. I think I will have to sit down and talk to her about the bruising issue, (she will probably be upset that I said this) but she is not a "chesty" person to begin with so the question about the breast bruising should be interesting to see what Dr Rand has to say about that. I guess I am not sure what you mean by face creases? You mean actual sores or just lines that you get if you sleep on a pillow that usually fade quickly?? If that is the case I wonder why it takes time for those to heal?!Well, it is definitely some things that we have to sit down and talk about before we see Rand again at the end of August. We have started a word document at home and here at work I have a copy so whenever questions arise like this we can add them. It has been a really emotional and rough week for both of us. 's mom and step dad in FL have decided they are coming up for the surgery (first they were, then they werent now they are again). It is tough because I know deep in her heart she wants her mom there and on the other hand I know that she is worried about having her mom there. I wish I could say I wanted her mom there, but her mom has osteoporosis and other medical issues and her step dad does too right now (just finished chemo) and the two of them think they can take the train into Boston and walk up to the hospital (anyone who has had Rand knows that for two people with pain that hill is impossible) I really want them to come after her surgery when she is home, but I dont want to be a jerk either. She is my priority though, I really dont want to have to worry about getting her parents around and all the worries of them being there. I just dont know what to do.....

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Carpentry, Aghhh!

Doesn't it seem like they could have come up with ways to avoid some of this collateral damage to parts that haven't been operated on?

Sharon

[ ] 1 surgery vs 2 surgeries???

Thanks everyone! You did give us a lot more to think about. I didnt even think beyond the breathing problems that she might have. I think I will have to sit down and talk to her about the bruising issue, (she will probably be upset that I said this) but she is not a "chesty" person to begin with so the question about the breast bruising should be interesting to see what Dr Rand has to say about that. I guess I am not sure what you mean by face creases? You mean actual sores or just lines that you get if you sleep on a pillow that usually fade quickly?? If that is the case I wonder why it takes time for those to heal?!Well, it is definitely some things that we have to sit down and talk about before we see Rand again at the end of August. We have started a word document at home and here at work I have a copy so whenever questions arise like this we can add them. It has been a really emotional and rough week for both of us. 's mom and step dad in FL have decided they are coming up for the surgery (first they were, then they werent now they are again). It is tough because I know deep in her heart she wants her mom there and on the other hand I know that she is worried about having her mom there. I wish I could say I wanted her mom there, but her mom has osteoporosis and other medical issues and her step dad does too right now (just finished chemo) and the two of them think they can take the train into Boston and walk up to the hospital (anyone who has had Rand knows that for two people with pain that hill is impossible) I really want them to come after her surgery when she is home, but I dont want to be a jerk either. She is my priority though, I really dont want to have to worry about getting her parents around and all the worries of them being there. I just dont know what to do.....

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Dear Sharon,

They do the best they can with Gel Pads, and my last revision was completely from the back, since all the anterior work had already been done with the last revision. So I was on my front side a lot longer than most here. Carpentry is probably the best way to put it. Carla and I laugh about my idea about how to protect the girls, put them in gel type cones to protect them, ala Modonna. Doesn't take much to embarrass my proper Indian doc, I told him this idea and he turned twenty different shades. Somebody has to shake up their proper medical world. Skin is a delicate thing, and hours of surgery just beats it up, even with padding. No lasting effects I'm glad to say, but it did take time for them and my face to heal.

Colorado Springs

[ ] 1 surgery vs 2 surgeries???

Thanks everyone! You did give us a lot more to think about. I didnt even think beyond the breathing problems that she might have. I think I will have to sit down and talk to her about the bruising issue, (she will probably be upset that I said this) but she is not a "chesty" person to begin with so the question about the breast bruising should be interesting to see what Dr Rand has to say about that. I guess I am not sure what you mean by face creases? You mean actual sores or just lines that you get if you sleep on a pillow that usually fade quickly?? If that is the case I wonder why it takes time for those to heal?!Well, it is definitely some things that we have to sit down and talk about before we see Rand again at the end of August. We have started a word document at home and here at work I have a copy so whenever questions arise like this we can add them. It has been a really emotional and rough week for both of us. 's mom and step dad in FL have decided they are coming up for the surgery (first they were, then they werent now they are again). It is tough because I know deep in her heart she wants her mom there and on the other hand I know that she is worried about having her mom there. I wish I could say I wanted her mom there, but her mom has osteoporosis and other medical issues and her step dad does too right now (just finished chemo) and the two of them think they can take the train into Boston and walk up to the hospital (anyone who has had Rand knows that for two people with pain that hill is impossible) I really want them to come after her surgery when she is home, but I dont want to be a jerk either. She is my priority though, I really dont want to have to worry about getting her parents around and all the worries of them being there. I just dont know what to do.....

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Unlike most of you here, my revision surgery included new fusion from T10 up to T3. I am relatively busty, and clearly remember that when I very first woke up, my boobs were the most sore part of me. However, having seen a video of how they hammer the hooks in for thoracic instrumentation and given that the surgery was over 9 hours of posterior only, it's really not surprising that the poor things were so swollen and bruised.

titch-- The wages of sin are death, but by the time taxes are taken out, it's just sort of a tired feeling - a Poundstone

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, you're on to something! I've never been able to fill those crazy cone-shaped bras. Maybe we should stop shooting the virtual breeze and go after our market niche!

Buy rubber baby booby bumpers.....

Can ya tell pre-op was a LONG day?...

Sharon

[ ] 1 surgery vs 2 surgeries???

Thanks everyone! You did give us a lot more to think about. I didnt even think beyond the breathing problems that she might have. I think I will have to sit down and talk to her about the bruising issue, (she will probably be upset that I said this) but she is not a "chesty" person to begin with so the question about the breast bruising should be interesting to see what Dr Rand has to say about that. I guess I am not sure what you mean by face creases? You mean actual sores or just lines that you get if you sleep on a pillow that usually fade quickly?? If that is the case I wonder why it takes time for those to heal?!Well, it is definitely some things that we have to sit down and talk about before we see Rand again at the end of August. We have started a word document at home and here at work I have a copy so whenever questions arise like this we can add them. It has been a really emotional and rough week for both of us. 's mom and step dad in FL have decided they are coming up for the surgery (first they were, then they werent now they are again). It is tough because I know deep in her heart she wants her mom there and on the other hand I know that she is worried about having her mom there. I wish I could say I wanted her mom there, but her mom has osteoporosis and other medical issues and her step dad does too right now (just finished chemo) and the two of them think they can take the train into Boston and walk up to the hospital (anyone who has had Rand knows that for two people with pain that hill is impossible) I really want them to come after her surgery when she is home, but I dont want to be a jerk either. She is my priority though, I really dont want to have to worry about getting her parents around and all the worries of them being there. I just dont know what to do.....

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Dear Sharon,

You crack me up! I have a cold the Grandbaby gave me and a fever, so this was the best message I could have gotten, thanks! I do think the idea has merit, and I love the name you developed! Now we need to develope a shaving your legs tool!

[ ] 1 surgery vs 2 surgeries???

Thanks everyone! You did give us a lot more to think about. I didnt even think beyond the breathing problems that she might have. I think I will have to sit down and talk to her about the bruising issue, (she will probably be upset that I said this) but she is not a "chesty" person to begin with so the question about the breast bruising should be interesting to see what Dr Rand has to say about that. I guess I am not sure what you mean by face creases? You mean actual sores or just lines that you get if you sleep on a pillow that usually fade quickly?? If that is the case I wonder why it takes time for those to heal?!Well, it is definitely some things that we have to sit down and talk about before we see Rand again at the end of August. We have started a word document at home and here at work I have a copy so whenever questions arise like this we can add them. It has been a really emotional and rough week for both of us. 's mom and step dad in FL have decided they are coming up for the surgery (first they were, then they werent now they are again). It is tough because I know deep in her heart she wants her mom there and on the other hand I know that she is worried about having her mom there. I wish I could say I wanted her mom there, but her mom has osteoporosis and other medical issues and her step dad does too right now (just finished chemo) and the two of them think they can take the train into Boston and walk up to the hospital (anyone who has had Rand knows that for two people with pain that hill is impossible) I really want them to come after her surgery when she is home, but I dont want to be a jerk either. She is my priority though, I really dont want to have to worry about getting her parents around and all the worries of them being there. I just dont know what to do.....

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Hmm, how about pnk telescoping rubber arms that hold your shaver at JUST the correct angle to pamper your tired limbs? Before you put on your L'eggs, be sure and use our A'aarms!

:^)

[ ] 1 surgery vs 2 surgeries???

Thanks everyone! You did give us a lot more to think about. I didnt even think beyond the breathing problems that she might have. I think I will have to sit down and talk to her about the bruising issue, (she will probably be upset that I said this) but she is not a "chesty" person to begin with so the question about the breast bruising should be interesting to see what Dr Rand has to say about that. I guess I am not sure what you mean by face creases? You mean actual sores or just lines that you get if you sleep on a pillow that usually fade quickly?? If that is the case I wonder why it takes time for those to heal?!Well, it is definitely some things that we have to sit down and talk about before we see Rand again at the end of August. We have started a word document at home and here at work I have a copy so whenever questions arise like this we can add them. It has been a really emotional and rough week for both of us. 's mom and step dad in FL have decided they are coming up for the surgery (first they were, then they werent now they are again). It is tough because I know deep in her heart she wants her mom there and on the other hand I know that she is worried about having her mom there. I wish I could say I wanted her mom there, but her mom has osteoporosis and other medical issues and her step dad does too right now (just finished chemo) and the two of them think they can take the train into Boston and walk up to the hospital (anyone who has had Rand knows that for two people with pain that hill is impossible) I really want them to come after her surgery when she is home, but I dont want to be a jerk either. She is my priority though, I really dont want to have to worry about getting her parents around and all the worries of them being there. I just dont know what to do.....

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ohhhh thanks for the best laugh I have had all day...

>

> Buy rubber baby booby bumpers.....

>

> Can ya tell pre-op was a LONG day?...

>

> Sharon

>

>

> [ ] 1 surgery vs 2 surgeries???

>

>

> Thanks everyone!

>

> You did give us a lot more to think about. I didnt even

think beyond

> the breathing problems that she might have. I think I will

have to

> sit down and talk to her about the bruising issue, (she

will

> probably be upset that I said this) but she is not

a " chesty " person

> to begin with so the question about the breast bruising

should be

> interesting to see what Dr Rand has to say about that. I

guess I am

> not sure what you mean by face creases? You mean actual

sores or

> just lines that you get if you sleep on a pillow that

usually fade

> quickly?? If that is the case I wonder why it takes time

for those

> to heal?!

>

> Well, it is definitely some things that we have to sit

down and talk

> about before we see Rand again at the end of August. We

have started

> a word document at home and here at work I have a copy so

whenever

> questions arise like this we can add them.

>

> It has been a really emotional and rough week for both of

us. 's

> mom and step dad in FL have decided they are coming up for

the

> surgery (first they were, then they werent now they are

again). It

> is tough because I know deep in her heart she wants her

mom there

> and on the other hand I know that she is worried about

having her

> mom there. I wish I could say I wanted her mom there, but

her mom

> has osteoporosis and other medical issues and her step dad

does too

> right now (just finished chemo) and the two of them think

they can

> take the train into Boston and walk up to the hospital

(anyone who

> has had Rand knows that for two people with pain that hill

is

> impossible) I really want them to come after her surgery

when she is

> home, but I dont want to be a jerk either. She is my

priority

> though, I really dont want to have to worry about getting

her

> parents around and all the worries of them being there. I

just dont

> know what to do.....

>

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SB, Ohh you got the 3 surgeries thrown at you too! I was a bit taken

aback I must say. DIdn't realize things were such a mess back there

that the surgeries would end up being 3 instead of the 2 so many

talk about.

Have you made any decisions about your surgery yet? Still worried

about 'giving up your wiggle'? (made me smile when I read it) I

agreed to the 3 surgeries as I have wonderful visions of myself

being able to stand up holding one of my grandbabies and walk with

them nuzzled against my shoulder....

>

> imagine my shock when my doctor said he wants to do THREE

surgeries.

> ARRRGG.

>

>

>

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Sharon,

So funny! You have a great sense of humor. I laughed out loud!

Bonnie

[ ] 1 surgery vs 2 surgeries???

Thanks everyone! You did give us a lot more to think about. I didnt even think beyond the breathing problems that she might have. I think I will have to sit down and talk to her about the bruising issue, (she will probably be upset that I said this) but she is not a "chesty" person to begin with so the question about the breast bruising should be interesting to see what Dr Rand has to say about that. I guess I am not sure what you mean by face creases? You mean actual sores or just lines that you get if you sleep on a pillow that usually fade quickly?? If that is the case I wonder why it takes time for those to heal?!Well, it is definitely some things that we have to sit down and talk about before we see Rand again at the end of August. We have started a word document at home and here at work I have a copy so whenever questions arise like this we can add them. It has been a really emotional and rough week for both of us. 's mom and step dad in FL have decided they are coming up for the surgery (first they were, then they werent now they are again). It is tough because I know deep in her heart she wants her mom there and on the other hand I know that she is worried about having her mom there. I wish I could say I wanted her mom there, but her mom has osteoporosis and other medical issues and her step dad does too right now (just finished chemo) and the two of them think they can take the train into Boston and walk up to the hospital (anyone who has had Rand knows that for two people with pain that hill is impossible) I really want them to come after her surgery when she is home, but I dont want to be a jerk either. She is my priority though, I really dont want to have to worry about getting her parents around and all the worries of them being there. I just dont know what to do.....

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,

I think you might misunderstand what a lot of us said about 2

surgeries. We are being sloppy saying two surgeries. My report and

doctor will tell you I had three surgeries. I did. Stage one/day one

was posterior only. Stage two was the anterior surgery followed by

stage three posterior surgery. From my point of view....I was only

knocked out once that day....stage 2 and 3 were one surgery to

me....but that is not really true.

So, while I don't mean to minimize what is ahead for you...feel

somewhat relieved to know that you probably are not a whole lot worse

than the rest of us!

Take Care, Cam

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Oh thank you so much for clarifying that!! I had not read anywhere

on here about the surgeries being 3 stagers and I was a bit worried.

You did not minimize anything, I know it will be a bugger anyway I

look at it, but you did make me feel sooooo much better!

:o}

>

> ,

>

> I think you might misunderstand what a lot of us said about 2

> surgeries. We are being sloppy saying two surgeries. My report and

> doctor will tell you I had three surgeries. I did. Stage one/day

one

> was posterior only. Stage two was the anterior surgery followed by

> stage three posterior surgery. From my point of view....I was only

> knocked out once that day....stage 2 and 3 were one surgery to

> me....but that is not really true.

>

> So, while I don't mean to minimize what is ahead for you...feel

> somewhat relieved to know that you probably are not a whole lot

worse

> than the rest of us!

>

> Take Care, Cam

>

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,

My surgery in Nov. was 3 surgeries but 2 dates. On Tues. Dr. Rhee 1st went in abdominally (4 hrs), then they turned me over & went posterior (another 4 1/2 hrs). On that Friday it was only posterior & 9 1/2 hrs.

I miss holding my grandchildren while standing but they're learning to be patient & let me sit first then we snuggle.

Had a new granddaughter July 14th (6# 10oz.) so she's still small enough that I can stand & sway with her. (I do miss my hips moving since surgery).

Joyce T, RN Atlanta

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at this point, Dr Bridwell was talking about three different days

for me. The first two about a week or so apart, then the third one

a couple of months later.

I think it's all Kam's fault.

>

> ,

>

> I think you might misunderstand what a lot of us said about 2

> surgeries. We are being sloppy saying two surgeries. My report and

> doctor will tell you I had three surgeries. I did. Stage one/day

one

> was posterior only. Stage two was the anterior surgery followed by

> stage three posterior surgery. From my point of view....I was only

> knocked out once that day....stage 2 and 3 were one surgery to

> me....but that is not really true.

>

> So, while I don't mean to minimize what is ahead for you...feel

> somewhat relieved to know that you probably are not a whole lot

worse

> than the rest of us!

>

> Take Care, Cam

>

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I survived three surgeries on three different days. It can be done!

Also, when we went to the wedding in Chicago, I realized just how much

side-to-side movement I've lost. It would not have been my preference

(I do miss the mobility/agility), but the pros still outweigh the cons.

Dancing wasn't fun seven months ago. In fact, I'd probably have skipped

it altogether at that point (and I LOVE to dance). One, two, three,

four surgeries... whatever it takes. I've had six total now. When it's

time, it's time. And for me, the time had come. Still no regrets.

kam

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You make me laugh out loud!

For those of you who didn't dine with us last week, I had THREE women (all older than me, nonetheless) blaming me for ALL KINDS of things. It seems I may be responsible for all of you developing scoliosis in the first place!

Please forgive me!

kam

> I think it's all Kam's fault.

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