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I forgot to mention that for the first year after the strep episode

I often had night sweats, and incredible near fainting dizzy spells.

To this day when I wake up in an episode, I have a pallid complexion

and big bags under my eyes.

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  • 1 year later...
Guest guest

Hi Ken,

I hope you have gone the route of getting a second opinion, and

another, and another??! This surgery thing is serious- and non-

reversable. Have you seriously done all your PT exercises? Have

you looked at:

http://www.newyorker.com/printables/fact/020408fa_FACT

I have heard from a few people who have had great relief, and

improved 'quality of life' following back/spine surgery. However, I

know far more who are still in pain and regret ever going to a

surgeon. Something I learned from being in a few pain support

groups is the doctor 'recommendation' is dependant on the specialty

that doctor practices. I wish you well in all this.

God bless you

> I am scheduled for a c5-c6 fusion later this month for the

numbness in

> my thumb, index fingers and pain on the outer portion of my arm,

with

>

> Ken... again

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  • 3 years later...
Guest guest

Dear Diane,

Cam gave you some excellent points on dealing with Flatback and family and friends, and here too is some of my experience with it.

I have found that there will be people who will surprise you during this journey for the good, and those who will plain let you down. Some people you may loose for a period of time, as they bring their own struggles with pain and percieved loss to your illness/surgery, they plain can't handle it. For some it's easy to ignore it, and maybe it will go away, kinda my Dad's way of dealing. There will be some who feel they are superior to you in your medical knowledge, and try to one up you. My Mom had a friend ( was a retired nurse on a ortho floor) who said when hearing of one of my upcoming surgeries, that they should place a harrington and I'd be fine. My Mom explained in detail how my Harrington had started a cascade of problems for me, and she listened and said" Wow, your daughter has been well schooled and has a terrific doc, and I admire that even you know so much". So people bring to any medical problem what and who they know, and will draw from that, like the brother who had a single level fusion done, or a gal they knew with a bad disc, we all do that, but with us it really doesn't work, as none of that compares. I say a cascade of problems, as it really shows that we just don't usually have one problem, we have several, and just one of them would sideline most from everyday living. The surgery to improve us too, is as said here often, Spinal Reconstruction, revision just doesn't put to ones mind really whats happening.

You are living with a spine that has been surgically altered, by a spinal hardware system, and technique, that has been found to have flaws, that resulted in pain and disability, thats real, and not to be argued with. If your friend or even hubby had one of the difficulties maybe they could deal, but add three or four, like my case was, they'd be sidelined, and flustered too. Whats hard about your Friend being a PT, is that with what training she's had, she can SEE whats going on, and I'm sure that makes the hurt worse. Sometimes those in the medical field really loose their compassion gene, lets hope she can find her's again, and maybe you are the teacher to help her, as you go about this battle. Eye opening does happen, I have though my journey seen those around me change, become more understanding, unfortunately it took seeing me go through the process. I also at every opportunity become the teacher, as those who learn what actually is going on with you become your partner in the journey. I was very careful to print out very particular info and pass it out to my family and close friends, just what I was going to be going through, my Mom was very absent for me during my Harrington Rod surgery, but from this learning was hugely in my corner and a supportive during my revision. Sometimes, it works, sometimes it doesn't, but worth a shot, and always helpful if you can add just one name to the list that will really BE THERE for you.

As to your friends comment about US that are here on the internet, in a group like ours, being the" worst case senario's", in my thought process, anyone who has had scoliosis, has endured what we did as children, the surgery, Gosh Awful contraptions such as Striker Frames and Traction Devices, and pain control that was just lacking, the casting, and pretty much giving up a year or so of normal teenage life, the deformity, and then after being told the surgery had healed us, only to find years later that all this Sh% & had come back to bite us in the ass once again, I think we all could be considered" Worst Case senario's". This isn't a branding of us, but of what we have gone through, and was done to us. If you get to go to the retreat, you will get to see members that despite all of this, have families, amazing careers, and are happy positive people. A testiment to us, we have survived, and help others going through this too see that survival is possible despite Flatback that was thrust on us. I know I sound preachy, but comments like hers brings my dander up. No one faults people with Parkinson's or other debilitating conditions for having a support group, online or not, why not us, we too have been through it, are going through it, and face even despite this new surgical journey some uncertainty what life will be like as we age. Scoliosis and it's affects are a life long journey, and for me, I'm thankful for the support and comraderie I get here. I stay all these years after surgery, to share, to give hope, and to get advice and friendship among a knowing community that I don't have to explain myself too, they get it. It gives me peace.

My best advice is share, even though right now they don't get it, as maybe with time, and seeing your journey they will. Worked in my family. Your journey through this will change harden hearts, I saw it in my own family, who were pull yourself up by the bootstraps people, and don't tell everyone your struggles. You are giving them an opportunity through your struggle to transform their thinking, to learn empathy, and believe in the time following sugery I got told more than once from people that my surgical journey did that for them.

You are not ever alone in this, even if they don't get it, or don't want to get it, we will be here, and despite nay sayers, thats the purpose we share being here, to help, to listen, and to share in a warm place.

Colorado Springs

Re: [ ] more symptoms

Dear ,

Thanks so much for sharing your experience. It is good to know I'm not alone in these symptoms, although of course I don't wish them on anyone else.

I think one of the hardest parts of this journey is feeling like everyone, including the drs., thinks I'm exaggerating, or making up symptoms because I heard them on the internet. My best friend is a P.T. and I can't even talk to her about it because I feel like she lumps me in with everyone else who struggles with back pain, and like she thinks I should just get used to it. She even thought I should not be in this group because according to her it is just the worst case scenario patients. To be honest, I am spending a lot less time with her because I feel like she just doesn't understand. I don't know what I'd do without all the support I have here.

I know my hubby tries to understand, but even he compares it to his herniated disc problem of several years ago. When I told him that my back pain was less with this new annoying leg/hip/foot thing, he just said, "Well, wouldn't you rather have that than the back pain?" I suppose so...but it is alarming when other things start going wrong! I wouldn't want to lose the use of my legs!

And my sister...I avoid the subject now since she just seems to tune out when I discuss it. My mom just gets a pained and upset attitude about it. I know she believes me, but she hates to see me struggling, so I can't really talk to her about it.

Even my P.T. today...I had to take my daughter in because a friend jumped on her back in January and she is still in pain...joint is injured...anyway, so she asked how I'm doing since I have been done with therapy a month. When I told her what was going on she was all perky like, but when you got up from your chair you were able to move quickly, so it must not hurt too much...sheesh! That was the naproxen!

So anyway, all that to say, I'm so glad to have you all to air out my concerns and to hear your advice and encouragement. Thanks, again, . Also, thanks for the P.S. about even mild flatback causing pain. Sometimes I wish those diagnosing our issues had even a clue what it is like, but I wouldn't wish it on anyone, I suppose.

Diane VDW

Michigan

Diane, your stating that when your foot thing increased, your back pain decreased....I've had that same tendency but never knew exactly how to "voice it". It is perplexing, and I'm glad (not glad that you're going through all of this) to find that other(s) have experienced that. Seems like I mentioned it to a doctor once and got a "perplexed" look from him - I felt like he was thinking that I was making it up, or something to that effect. He had no comment to offer and didn't put it in my office visit notes so I quit trying to explain it. It is interesting to hear others describe something that I've been experiencing but never "wrote it down" or knew how to articulate.

G

P.S. No matter how mild flatback is, or even if that condition never makes it into someone's diagnosis, there's still PAIN.

____________________________________________________________ Shop save big on a huge selection of brand name flooring. Click here!

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Speaking of PTs, I had one in rehab at New England Baptist correct me

when I told him I'd had a split spinal cord repaired, that I'd had a

bone spur stuck right through it and Dr. Woodard had removed it and

reconstructed my dura. He informed me that he'd seen my MRI, that the

bone spur didn't go all the way through, and that he "specializes in

these sorts of things"! I knew precisely what Dr. Woodard had told me,

and just to be sure I later confirmed it with Dr. Rand. The guy was

just plain deluded as to his own ability to read an MRI -- a medical

person, mind you.

Fortunately, I didn't have a friendship with my know-it-all PT. Diane,

I don't blame you for spending less time with your PT friend. Maybe in

time she can be made to understand, if you think it's worth the effort.

Sharon

Kirkaldie wrote:

Dear Diane,

Cam gave you some excellent points on dealing with Flatback and

family and friends, and here too is some of my experience with it.

I have found that there will be people who will surprise you

during this journey for the good, and those who will plain let you

down. Some people you may loose for a period of time, as they bring

their own struggles with pain and percieved loss to your

illness/surgery, they plain can't handle it. For some it's easy to

ignore it, and maybe it will go away, kinda my Dad's way of dealing.

There will be some who feel they are superior to you in your medical

knowledge, and try to one up you. My Mom had a friend ( was a retired

nurse on a ortho floor) who said when hearing of one of my upcoming

surgeries, that they should place a harrington and I'd be fine. My Mom

explained in detail how my Harrington had started a cascade of problems

for me, and she listened and said" Wow, your daughter has been well

schooled and has a terrific doc, and I admire that even you know so

much". So people bring to any medical problem what and who they know,

and will draw from that, like the brother who had a single level fusion

done, or a gal they knew with a bad disc, we all do that, but with us

it really doesn't work, as none of that compares. I say a cascade of

problems, as it really shows that we just don't usually have one

problem, we have several, and just one of them would sideline most from

everyday living. The surgery to improve us too, is as said here often,

Spinal Reconstruction, revision just doesn't put to ones mind really

whats happening.

You are living with a spine that has been surgically altered,

by a spinal hardware system, and technique, that has been found to have

flaws, that resulted in pain and disability, thats real, and not to be

argued with. If your friend or even hubby had one of the difficulties

maybe they could deal, but add three or four, like my case was, they'd

be sidelined, and flustered too. Whats hard about your Friend being a

PT, is that with what training she's had, she can SEE whats going on,

and I'm sure that makes the hurt worse. Sometimes those in the medical

field really loose their compassion gene, lets hope she can find her's

again, and maybe you are the teacher to help her, as you go about this

battle. Eye opening does happen, I have though my journey seen those

around me change, become more understanding, unfortunately it took

seeing me go through the process. I also at every opportunity become

the teacher, as those who learn what actually is going on with you

become your partner in the journey. I was very careful to print out

very particular info and pass it out to my family and close friends,

just what I was going to be going through, my Mom was very absent for

me during my Harrington Rod surgery, but from this learning was hugely

in my corner and a supportive during my revision. Sometimes, it works,

sometimes it doesn't, but worth a shot, and always helpful if you can

add just one name to the list that will really BE THERE for you.

As to your friends comment about US that are here on the

internet, in a group like ours, being the" worst case senario's", in my

thought process, anyone who has had scoliosis, has endured what we did

as children, the surgery, Gosh Awful contraptions such as Striker

Frames and Traction Devices, and pain control that was just lacking,

the casting, and pretty much giving up a year or so of normal teenage

life, the deformity, and then after being told the surgery had healed

us, only to find years later that all this Sh% & had come back to

bite us in the ass once again, I think we all could be considered"

Worst Case senario's". This isn't a branding of us, but of what we have

gone through, and was done to us. If you get to go to the retreat, you

will get to see members that despite all of this, have families,

amazing careers, and are happy positive people. A testiment to us, we

have survived, and help others going through this too see that survival

is possible despite Flatback that was thrust on us. I know I sound

preachy, but comments like hers brings my dander up. No one faults

people with Parkinson's or other debilitating conditions for having a

support group, online or not, why not us, we too have been through it,

are going through it, and face even despite this new surgical journey

some uncertainty what life will be like as we age. Scoliosis and it's

affects are a life long journey, and for me, I'm thankful for the

support and comraderie I get here. I stay all these years after

surgery, to share, to give hope, and to get advice and friendship among

a knowing community that I don't have to explain myself too, they get

it. It gives me peace.

My best advice is share, even though right now they don't get

it, as maybe with time, and seeing your journey they will. Worked in my

family. Your journey through this will change harden hearts, I saw it

in my own family, who were pull yourself up by the bootstraps people,

and don't tell everyone your struggles. You are giving them an

opportunity through your struggle to transform their thinking, to learn

empathy, and believe in the time following sugery I got told more than

once from people that my surgical journey did that for them.

You are not ever alone in this, even if they don't get it, or

don't want to get it, we will be here, and despite nay sayers, thats

the purpose we share being here, to help, to listen, and to share in a

warm place.

Colorado Springs

Re: [ ] more symptoms

Dear ,

Thanks so much for sharing your experience. It is good to

know I'm not alone in these symptoms, although of course I don't wish

them on anyone else.

I think one of the hardest parts of this journey is feeling

like everyone, including the drs., thinks I'm exaggerating, or making

up symptoms because I heard them on the internet. My best friend is a

P.T. and I can't even talk to her about it because I feel like she

lumps me in with everyone else who struggles with back pain, and like

she thinks I should just get used to it. She even thought I should not

be in this group because according to her it is just the worst

case scenario patients. To be honest, I am spending a lot less time

with her because I feel like she just doesn't understand. I don't know

what I'd do without all the support I have here.

I know my hubby tries to understand, but even he compares it

to his herniated disc problem of several years ago. When I told him

that my back pain was less with this new annoying leg/hip/foot thing,

he just said, "Well, wouldn't you rather have that than the back

pain?" I suppose so...but it is alarming when other things start going

wrong! I wouldn't want to lose the use of my legs!

And my sister...I avoid the subject now since she just seems

to tune out when I discuss it. My mom just gets a pained and upset

attitude about it. I know she believes me, but she hates to see me

struggling, so I can't really talk to her about it.

Even my P.T. today...I had to take my daughter in because a

friend jumped on her back in January and she is still in pain...joint

is injured...anyway, so she asked how I'm doing since I have been done

with therapy a month. When I told her what was going on she was all

perky like, but when you got up from your chair you were able to move

quickly, so it must not hurt too much...sheesh! That was the naproxen!

So anyway, all that to say, I'm so glad to have you all to air

out my concerns and to hear your advice and encouragement. Thanks,

again, . Also, thanks for the P.S. about even mild flatback

causing pain. Sometimes I wish those diagnosing our issues had even a

clue what it is like, but I wouldn't wish it on anyone, I suppose.

Diane VDW

Michigan

Diane, your stating that when your foot thing increased, your

back pain decreased... .I've had that same tendency but never knew

exactly how to "voice it". It is perplexing, and I'm glad (not glad

that you're going through all of this) to find that other(s) have

experienced that. Seems like I mentioned it to a doctor once and got a

"perplexed" look from him - I felt like he was thinking that I was

making it up, or something to that effect. He had no comment to offer

and didn't put it in my office visit notes so I quit trying to explain

it. It is interesting to hear others describe something that I've been

experiencing but never "wrote it down" or knew how to articulate.

G

P.S. No matter how mild flatback is, or even if that

condition never makes it into someone's diagnosis, there's still PAIN.

____________ _________ _________ _________ _________ _________ ___

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save big on a huge selection of brand name flooring. Click here!

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Hi Again,

Thanks so much for the replies Cam, , and Sharon. This is why I'm

so glad to be here with you all. I do get discouraged with the lack of

understanding of friends and family. Your kind words really help.

The weird thing about my P.T. friend is that her reaction is so

uncharacteristic. She is a very compassionate gal. She's the kind who

drops off soup when you have a cold. She is generally the kind of gal

who reminds me how to repond to people who don't understand what's going

on with me (not in the pain area, but homeschooling, etc.). She'll tell

me that I need to say, " That just doesn't work out for my family " etc.,

when people try to get me to do extra stuff that with 5 kids I just don't

have time or energy for. So it is strange that she seems so distant with

me on this pain issue. I suppose I need to be more understanding of

things she is going through...she doesn't wear her issues on her sleeve,

sometimes I don't find things out about her situation until after the

fact...she had some suspect lumps, biopsies recently, and I didn't find

out until they were cleared. Now her husbands hours have been cut, and

she hasn't been able to pick up extra herself. Her parents leave the

responsibility of her grandma and aunt who are ailing to her while they

go to Arizona. SO anyway, perhaps she is simply reacting to her

struggles by not wanting to add mine to her list...She has said their

family has been praying for me. I think she may worry that a site like

this can give you more aches and pains (psychosomatic)...but she

definitely doesn't live in this body...I don't need to dream up symptoms,

I feel them. Sometimes I do RECOGNIZE the symptoms now as having to do

with my back though...as a non-medical person, I would have never linked

the hip and foot to my L5 nerve without the link on this site. But I

certainly am not psychosomatic about my symptoms.

In fact, I often think I'm getting better when the meds are working, and

get false hope that maybe things aren't as bad as I think. Like

yesterday at church I had to play keyboard. It went great through the

hour practice, and great through the first part of church. Then about

3/4 of the way pf sitting through the sermon, I start getting pain in my

back and right leg. I shift my weight a bit, and I'm okay again, then

after the adrenaline of playing the last song, I go to pack up, and I get

hit with severe pain. I have to walk on my son's arm to get to the car.

Then I get out of the car and it subsides again...and so on. Then after

more meds I'm good the rest of the day. But then I wake up this morning

and remember that this is all too real. I just wonder how I'd feel if I

went off meds! So no one can tell me this is psychosomatic.

I also wanted to say that finding support in odd places is true. My 13

year old daughter...the age where most daughters and their mom's are

fighting...has been my big advocate. She has very keen abilities of

observation and perceptiveness. She often asks me about my pain, and

also tries to pick up the slack (i.e. laundry and dishes). I try not too

put too much on her since she's so young, but she often just picks up on

needs and fills them. She would make a great counselor someday. She

often puts things into perspective for me...weird for one so young.

Sometimes I wonder where she learned it from...I'm pretty sure I didn't

teach it to her, and we don't watch T.V. so she didn't learn it on Dr.

Phil. But anyway, despite her inability to give advice medically or

practically for what steps I need to take, etc., she is one person

besides you all that I feel understands what I'm going through. (She's

had lots of hard knocks in life herself: eczema from birth, scoliosis

bracing since age 6, peanut and shellfish allergies, other allergies, so

I think she understands that feeling of being different. She's a tough

chick.)

I do think Cam's idea that action oriented people are going to be

frustrated by my situation is probably true. My husband is definitely a

problem solver kind of person, and so the fact that there are no easy

solutions makes it hard for him...I'm not surgical according to Kasten,

and even if I was, do I feel like the loss of motility from the surgery

outweighs the pain I'm in now...which still comes and goes with meds and

activities...speaking of which...bending over a turkey the other night to

package up the leftovers was a killer! Thank goodness for my massage

chair!

I agree with you, , that the success of so many of the flatbackers

in carrying on their lives post surgeries, etc., is a testament to the

rest of us that a full life after surgery is possible. That's why I'm so

glad for this group. I totally disagree with my friend's comments about

the worst case scenario people...because honestly, all of us flatbackers

who deal with this do have a debilitating condition, and as some have

posted here, people shouldn't discount our pain whether our case is mild

flatback or not. (No one would discount my brother's Crohn's disease

just because a surgery didn't cause it.) So anyway, thanks for

listening again to my rambling. I appreciate all the validation I get

here.

Thanks again, you all!

Diane VDW

Michigan

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lqHfaKySAEpKTWo7ESicoDm/

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Diane, after reading how badly your back is affecting your life, I find

it odd that your doctor doesn't consider your case to be surgical yet.

I did have a significant forward lean, and numerous limitations as to

what I could do without hurting later, but did not have any of the

nerve pain that you describe. It's very common in our population, so I

guess I was odd (or lucky). I think Dr. Rand was slightly surprised

when I asked if I could go ahead and schedule surgery, but he certainly

didn't seem to think it was unnecessary.

I know lots of people have stories of being told to live with the pain,

that surgery would be much too risky, etc, etc. But once they found a

surgeon with proven skills in flatback revision the story changed

dramatically. Your Dr. Kasten may be one of those surgeons; I haven't

a clue. But my gut feeling is that another opinion or two is probably

in order.

By the way, I don't remember how low into the lumbar your fusion

extends, but for me adding the one additional level to the sacrum

didn't make an appreciable difference in flexibility for me, once I was

all healed and finished PT. If you're only fused to L3 or L4 there may

be more mobility to lose, and of course there are no guarantees surgery

can get you pain-free. But from what people have said here, that nerve

root pain tends to respond well to surgery by a true expert.

Sharon

sdvdw@... wrote:

Hi Again,

Thanks so much for the replies Cam, , and Sharon. This is why I'm

so glad to be here with you all. I do get discouraged with the lack of

understanding of friends and family. Your kind words really help.

The weird thing about my P.T. friend is that her reaction is so

uncharacteristic. She is a very compassionate gal. She's the kind who

drops off soup when you have a cold. She is generally the kind of gal

who reminds me how to repond to people who don't understand what's going

on with me (not in the pain area, but homeschooling, etc.). She'll tell

me that I need to say, "That just doesn't work out for my family" etc.,

when people try to get me to do extra stuff that with 5 kids I just

don't

have time or energy for. So it is strange that she seems so distant with

me on this pain issue. I suppose I need to be more understanding of

things she is going through...she doesn't wear her issues on her sleeve,

sometimes I don't find things out about her situation until after the

fact...she had some suspect lumps, biopsies recently, and I didn't find

out until they were cleared. Now her husbands hours have been cut, and

she hasn't been able to pick up extra herself. Her parents leave the

responsibility of her grandma and aunt who are ailing to her while they

go to Arizona. SO anyway, perhaps she is simply reacting to her

struggles by not wanting to add mine to her list...She has said their

family has been praying for me. I think she may worry that a site like

this can give you more aches and pains (psychosomatic) ...but she

definitely doesn't live in this body...I don't need to dream up

symptoms,

I feel them. Sometimes I do RECOGNIZE the symptoms now as having to do

with my back though...as a non-medical person, I would have never linked

the hip and foot to my L5 nerve without the link on this site. But I

certainly am not psychosomatic about my symptoms.

In fact, I often think I'm getting better when the meds are working, and

get false hope that maybe things aren't as bad as I think. Like

yesterday at church I had to play keyboard. It went great through the

hour practice, and great through the first part of church. Then about

3/4 of the way pf sitting through the sermon, I start getting pain in my

back and right leg. I shift my weight a bit, and I'm okay again, then

after the adrenaline of playing the last song, I go to pack up, and I

get

hit with severe pain. I have to walk on my son's arm to get to the car.

Then I get out of the car and it subsides again...and so on. Then after

more meds I'm good the rest of the day. But then I wake up this morning

and remember that this is all too real. I just wonder how I'd feel if I

went off meds! So no one can tell me this is psychosomatic.

I also wanted to say that finding support in odd places is true. My 13

year old daughter...the age where most daughters and their mom's are

fighting...has been my big advocate. She has very keen abilities of

observation and perceptiveness. She often asks me about my pain, and

also tries to pick up the slack (i.e. laundry and dishes). I try not too

put too much on her since she's so young, but she often just picks up on

needs and fills them. She would make a great counselor someday. She

often puts things into perspective for me...weird for one so young.

Sometimes I wonder where she learned it from...I'm pretty sure I didn't

teach it to her, and we don't watch T.V. so she didn't learn it on Dr.

Phil. But anyway, despite her inability to give advice medically or

practically for what steps I need to take, etc., she is one person

besides you all that I feel understands what I'm going through. (She's

had lots of hard knocks in life herself: eczema from birth, scoliosis

bracing since age 6, peanut and shellfish allergies, other allergies, so

I think she understands that feeling of being different. She's a tough

chick.)

I do think Cam's idea that action oriented people are going to be

frustrated by my situation is probably true. My husband is definitely a

problem solver kind of person, and so the fact that there are no easy

solutions makes it hard for him...I'm not surgical according to Kasten,

and even if I was, do I feel like the loss of motility from the surgery

outweighs the pain I'm in now...which still comes and goes with meds and

activities.. .speaking of which...bending over a turkey the other night

to

package up the leftovers was a killer! Thank goodness for my massage

chair!

I agree with you, , that the success of so many of the flatbackers

in carrying on their lives post surgeries, etc., is a testament to the

rest of us that a full life after surgery is possible. That's why I'm so

glad for this group. I totally disagree with my friend's comments about

the worst case scenario people...because honestly, all of us flatbackers

who deal with this do have a debilitating condition, and as some have

posted here, people shouldn't discount our pain whether our case is mild

flatback or not. (No one would discount my brother's Crohn's disease

just because a surgery didn't cause it.) So anyway, thanks for

listening again to my rambling. I appreciate all the validation I get

here.

Thanks again, you all!

Diane VDW

Michigan

____________ _________ _________ _________ _________ _________ _

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Diane,

I would have to agree with Sharon, and also Cam's idea, that you maybe progressing quickly with the speeding up of symptoms and nerve generated pain, to where what Kasten said " you not being ready" may no longer apply. Some just plain go downhill fast, in a matter of months, unlike my slow progression of symptoms.Sharon was right on in her suggestion to see a couple more surgeons, to get their play on whats going on. Hanging your hat on one doc's opinion, doesn't give you a complete picture, a place to weigh things from. Also things do change, moved along by time, and that time doesn't have to be years necessarily. Nerve pain hurts like the dickens, my hip and leg gave me fits, and it's such a relief after that area of the spine gets decompressed.

So I'd go see another couple of surgeons, see what they have to say, as nerve pain can really limit your daily activities, as walking and standing, and for some sitting, will get more and more uncomfortable. It was that pain that got me active looking for answers once again after years of being told to live with it, as mine hit more frequently as time ticked on, I could walk less and less, stand less and less, till I got to the point that I knew where every bench was in town. I knew exactly how long I had up till it would hit, and lived my life in snippets of time. I do a thing, pain would hit, I'd sit and wait for it to resolve, get up and do another thing, pain would hit, I'd sit till it resolved again. No way to live your life. I didn't do any script med's, just ibuprophen, it helped a little, but not much, sitting for me I was lucky resolved my pain, but the up and down life of sitting and standing and walking for such limited times really took a toll. So I get what you are feeling, and I'm sorry, thats a yucky searing pain.

Talk the progression over with Kasten, see a couple more doc's, and weigh.

Colorado Springs

Re: [ ] more symptoms

Diane, after reading how badly your back is affecting your life, I find it odd that your doctor doesn't consider your case to be surgical yet. I did have a significant forward lean, and numerous limitations as to what I could do without hurting later, but did not have any of the nerve pain that you describe. It's very common in our population, so I guess I was odd (or lucky). I think Dr. Rand was slightly surprised when I asked if I could go ahead and schedule surgery, but he certainly didn't seem to think it was unnecessary.I know lots of people have stories of being told to live with the pain, that surgery would be much too risky, etc, etc. But once they found a surgeon with proven skills in flatback revision the story changed dramatically. Your Dr. Kasten may be one of those surgeons; I haven't a clue. But my gut feeling is that another opinion or two is probably in order.By the way, I don't remember how low into the lumbar your fusion extends, but for me adding the one additional level to the sacrum didn't make an appreciable difference in flexibility for me, once I was all healed and finished PT. If you're only fused to L3 or L4 there may be more mobility to lose, and of course there are no guarantees surgery can get you pain-free. But from what people have said here, that nerve root pain tends to respond well to surgery by a true expert.Sharonsdvdw@... wrote:

Hi Again,Thanks so much for the replies Cam, , and Sharon. This is why I'mso glad to be here with you all. I do get discouraged with the lack ofunderstanding of friends and family. Your kind words really help.The weird thing about my P.T. friend is that her reaction is souncharacteristic. She is a very compassionate gal. She's the kind whodrops off soup when you have a cold. She is generally the kind of galwho reminds me how to repond to people who don't understand what's goingon with me (not in the pain area, but homeschooling, etc.). She'll tellme that I need to say, "That just doesn't work out for my family" etc.,when people try to get me to do extra stuff that with 5 kids I just don'thave time or energy for. So it is strange that she seems so distant withme on this pain issue. I suppose I need to be more understanding ofthings she is going through...she doesn't wear her issues on her sleeve,sometimes I don't find things out about her situation until after thefact...she had some suspect lumps, biopsies recently, and I didn't findout until they were cleared. Now her husbands hours have been cut, andshe hasn't been able to pick up extra herself. Her parents leave theresponsibility of her grandma and aunt who are ailing to her while theygo to Arizona. SO anyway, perhaps she is simply reacting to herstruggles by not wanting to add mine to her list...She has said theirfamily has been praying for me. I think she may worry that a site likethis can give you more aches and pains (psychosomatic) ...but shedefinitely doesn't live in this body...I don't need to dream up symptoms,I feel them. Sometimes I do RECOGNIZE the symptoms now as having to dowith my back though...as a non-medical person, I would have never linkedthe hip and foot to my L5 nerve without the link on this site. But Icertainly am not psychosomatic about my symptoms.In fact, I often think I'm getting better when the meds are working, andget false hope that maybe things aren't as bad as I think. Likeyesterday at church I had to play keyboard. It went great through thehour practice, and great through the first part of church. Then about3/4 of the way pf sitting through the sermon, I start getting pain in myback and right leg. I shift my weight a bit, and I'm okay again, thenafter the adrenaline of playing the last song, I go to pack up, and I gethit with severe pain. I have to walk on my son's arm to get to the car. Then I get out of the car and it subsides again...and so on. Then aftermore meds I'm good the rest of the day. But then I wake up this morningand remember that this is all too real. I just wonder how I'd feel if Iwent off meds! So no one can tell me this is psychosomatic. I also wanted to say that finding support in odd places is true. My 13year old daughter...the age where most daughters and their mom's arefighting...has been my big advocate. She has very keen abilities ofobservation and perceptiveness. She often asks me about my pain, andalso tries to pick up the slack (i.e. laundry and dishes). I try not tooput too much on her since she's so young, but she often just picks up onneeds and fills them. She would make a great counselor someday. Sheoften puts things into perspective for me...weird for one so young. Sometimes I wonder where she learned it from...I'm pretty sure I didn'tteach it to her, and we don't watch T.V. so she didn't learn it on Dr.Phil. But anyway, despite her inability to give advice medically orpractically for what steps I need to take, etc., she is one personbesides you all that I feel understands what I'm going through. (She'shad lots of hard knocks in life herself: eczema from birth, scoliosisbracing since age 6, peanut and shellfish allergies, other allergies, soI think she understands that feeling of being different. She's a toughchick.) I do think Cam's idea that action oriented people are going to befrustrated by my situation is probably true. My husband is definitely aproblem solver kind of person, and so the fact that there are no easysolutions makes it hard for him...I'm not surgical according to Kasten,and even if I was, do I feel like the loss of motility from the surgeryoutweighs the pain I'm in now...which still comes and goes with meds andactivities.. .speaking of which...bending over a turkey the other night topackage up the leftovers was a killer! Thank goodness for my massagechair! I agree with you, , that the success of so many of the flatbackersin carrying on their lives post surgeries, etc., is a testament to therest of us that a full life after surgery is possible. That's why I'm soglad for this group. I totally disagree with my friend's comments aboutthe worst case scenario people...because honestly, all of us flatbackerswho deal with this do have a debilitating condition, and as some haveposted here, people shouldn't discount our pain whether our case is mildflatback or not. (No one would discount my brother's Crohn's diseasejust because a surgery didn't cause it.) So anyway, thanks forlistening again to my rambling. I appreciate all the validation I gethere. Thanks again, you all!Diane VDWMichigan____________ _________ _________ _________ _________ _________ _Self Storage Options - Click Here.http://thirdpartyof fers.juno. com/TGL2141/ fc/BLSrjpTJwjWqg RYGKusjM9cKSk0Qi Xb19tUblqHfaKySA EpKTWo7ESicoDm/

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Sharon & ,

I have been wondering the same thing...whether I should go see Kasten again or also get another opinion. I know at the time I saw Kasten, I was finishing up P.T. which had helped quite a bit at the time. I also WAS feeling good that day at that time, but I DID tell him that when the mobic wears off and at night I had a lot of pain. Evidently my x-rays only show one collasping disc space. Ironically, the 1 1/2 hour trip to Kasten in the car was what seemed to start my downhill progression again. Now everytime I think it is so painful that I need to make an appointment, then I start feeling better so I don't call. I think part of me is really scared and almost paralyzed to do anything about my pain. I told my husband I can see wading through one more year of school for the kids and maybe having surgery the next summer, but I'm starting to think maybe this summer might be better. (Besides, next summer we have a big trip planned for an extended family reunion.) You are probably all reading this and thinking what a chicken I am...change is so hard for me. Making life-altering decisions is also hard for me. Especially when you have to deal with insurance companies, etc. I know I'd like to just make an appt. with Bridwell, but the whole insurance thing scares me. My husband is taking overtime every chance he gets, but I doubt it would cover an out of state surgery. I did tell my hubby that I don't think I'm comfortable with Kasten if only for how he handled my question about the loss in correction of my curvature. Not that drs. don't have irritable days, but I'm not sure I could build trust with him...my thinking is still confused on that, too. So many mixed feelings right now that it is hard to make any decisions with clarity.

By the way, Sharon, I'm fused to L3. I tend to have pain at L4, and L5 is probably the trouble with the nerve to the leg and foot. The thing is that if I don't overdo, I'm usually pretty good except first thing in the morning. Usually Naproxen covers it. But doing extras like shopping or leaning over a turkey to get the leftovers, will give me some follow-up pain. Standing at church was fine except that then I sat for quite a bit after all the standing...and who knows how things shift to cause the nerve pain. It's like if I just had constant pain, I'd probably be on the phone to the dr., but because I have times of good, I just get this false hope thing going. Or I think it's not so bad after all. This is the whole mixed up thing.

Thanks again, I'm sure my emotional uncertainty here must get tiresome for you all to hear, so thanks for listening and responding.

Diane VDW

Michigan

***********************************************

Diane, after reading how badly your back is affecting your life, I find it odd that your doctor doesn't consider your case to be surgical yet. I did have a significant forward lean, and numerous limitations as to what I could do without hurting later, but did not have any of the nerve pain that you describe. It's very common in our population, so I guess I was odd (or lucky). I think Dr. Rand was slightly surprised when I asked if I could go ahead and schedule surgery, but he certainly didn't seem to think it was unnecessary.I know lots of people have stories of being told to live with the pain, that surgery would be much too risky, etc, etc. But once they found a surgeon with proven skills in flatback revision the story changed dramatically. Your Dr. Kasten may be one of those surgeons; I haven't a clue. But my gut feeling is that another opinion or two is probably in order.By the way, I don't remember how low into the lumbar your fusion extends, but for me adding the one additional level to the sacrum didn't make an appreciable difference in flexibility for me, once I was all healed and finished PT. If you're only fused to L3 or L4 there may be more mobility to lose, and of course there are no guarantees surgery can get you pain-free. But from what people have said here, that nerve root pain tends to respond well to surgery by a true expert.Sharon

*************************************************

Diane,

I would have to agree with Sharon, and also Cam's idea, that you maybe progressing quickly with the speeding up of symptoms and nerve generated pain, to where what Kasten said " you not being ready" may no longer apply. Some just plain go downhill fast, in a matter of months, unlike my slow progression of symptoms.Sharon was right on in her suggestion to see a couple more surgeons, to get their play on whats going on. Hanging your hat on one doc's opinion, doesn't give you a complete picture, a place to weigh things from. Also things do change, moved along by time, and that time doesn't have to be years necessarily. Nerve pain hurts like the dickens, my hip and leg gave me fits, and it's such a relief after that area of the spine gets decompressed.

So I'd go see another couple of surgeons, see what they have to say, as nerve pain can really limit your daily activities, as walking and standing, and for some sitting, will get more and more uncomfortable. It was that pain that got me active looking for answers once again after years of being told to live with it, as mine hit more frequently as time ticked on, I could walk less and less, stand less and less, till I got to the point that I knew where every bench was in town. I knew exactly how long I had up till it would hit, and lived my life in snippets of time. I do a thing, pain would hit, I'd sit and wait for it to resolve, get up and do another thing, pain would hit, I'd sit till it resolved again. No way to live your life. I didn't do any script med's, just ibuprophen, it helped a little, but not much, sitting for me I was lucky resolved my pain, but the up and down life of sitting and standing and walking for such limited times really took a toll. So I get what you are feeling, and I'm sorry, thats a yucky searing pain.

Talk the progression over with Kasten, see a couple more doc's, and weigh.

Colorado Springs

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Diane,

Assuming you want our honest opinions here...I would say that until you see one

of the bigger names here to get an opinion on what may actually be going on you

are going to be frightened either way....scared that there is no solution, or

scared that there is a solution but that it is surgical. Either way, you are

kind of living in limbo with the idea that the " other shoe " is going to drop if

you believe that your symptoms have progressed, and will continue to do so.

I know you keep saying that PT helped. So....either you continue to be able to

maintain that progress....or no matter what benefit it gave you 4 months

ago...what does that mean for you now if you cant replicate it? Do you follow

me? PT should be something that helps you either manage or make an improvement

in your function or pain. Whatever benefit you got from it seems as if it was

very transient...so you have to evaluate if you should go down that road again

(or maybe follow a more intensive protocol on your own that is designed by a PT)

because whatever happened in the past means nothing to how you are going to have

to live your life in the coming years and months. (There may also be the

possibility of injections to tone things down a little pain wise too....but I am

guessing you would need to have that treatment directed by a surgeon or doctor

who felt he had a pretty good " lock " on what your pain source was/is.)

Remember that you are the patient/consumer here. You do not have to continue

your relationship with DrKasten just because you consulted him. For any large

health issues patients are ALWAYS encouraged to get 2nd, and sometimes 3rd

opinions.....it is what is expected. Any surgeon worth his/her salt is going to

be very glad that you have seem someone else and then decided that they were

your choice. Why? Because it says something about your confidence in them and

their treatment plan. I know DrKasten will be glad to see you again if you get

another opinion and return to his care.

So, sometimes I find it helpful to work a problem backwards. You want to be as

healthy/comfortable/able as possible in time for a summer trip currently

scheduled for summer 2010, right? Having absolutely no medical expertise or

understanding of what your situation is....I will hazard a guess that one

possible choice you will be offered is one more level of fusion, deferring the

" full monty " to S1 until absolutely necessary. This option could buy you a lot

of time and comfort. It also would be absolutley necessary that you try to have

any " interim " fusion done by a surgeon who would be working the full plan at a

later date if it became necessary....because that will insure that your global

balance will be considered at that time.

In order to open a door with a surgeon with stellar credentials assume you will

need to wait 6-12 weeks for an appointment. If you called today, asssume you

could get an appointment early June...then follow up testing would take another

month, so assuming you didn't want to secure a 3rd opinion you are already at

August before any surgery is likely or even possible. Thats only 11 months

before the summer of 2010. Whether its a one level fusion or 3 levels....healing

will take time, lets say at least 6 months until you are going to feel like

vacationing, so consider that you really have a window that gets you in the

timeframe you wish of establishing a good relationship with some surgeon who you

trust no later than the next 4 months. That starts your " healing clock " no later

than December 2009...feeling good enough for your trip in June of 2010.

You don't have to set these appointments up today....but you could tell yourself

that you will do it no later than June 1st. You can tell yourself that you are

going to make appointments and reserve the right to cancel if you suddenly find

that you are doing much better.

Assuming you have insurance I think you will be surprised at what surgeons or

hospitals may be possible choices for you. Make a list of second opinion doctors

and call their offices and see where you get. At this point since you already

have xrays and MRIs (right?) you are talking about mostly the office visit

expense....probably $2-400. Most plans will cover out of network specialist,

just at a lower percentage. So if instead of reimbursing at 80-100% an out of

netwrk consult requires you to pay 30-35%...if you have your heart set on a

particular surgeon wouldn't it be worth 10-15%....$40 or $50 for their opinion??

An opinion doesnt mean surgery. It means an opinion.

Also only you know how secure (or likely to change) your current coverage

is....but that is another thing to consider. Remember that you can always call

your plan and ask if you don't understand their rules for requesting another

surgeon or their reimbursement plan.

I am thinking that from Michigan you should have relatively easy and inexpensive

air travel choices to St Louis, Chicago, NYC or Boston.....they all will be

lovely in the spring!

Take Care, Cam

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Chicken?! Goodness, no, girl; I don't think anyone who's ever been

through spinal fusion surgery would think you chicken! My fellow

old-timers in the group know I was on the fence for YEARS before taking

the revision plunge. Suzanne and I were in competition for who could

drag her feet the longest, and I lost but not by much. I was even

second-guessing my decision after the surgery, in an, "oh, my gosh,

what have I gotten myself into?!" sort of way. Because no amount of

education and preparation can fully prepare you for that morning

after. And, frankly, after all I'd read about how much better pain

control is these days, I was surprised by how painful my particular

experience was. (I did have an extra operation on my spinal cord which

no doubt contributed to mine being a particularly painful revision.)

As much commonality as we share in this group, we all have different

cases and situations. I joke about having a "contest" with Suzanne,

but really, if one or both of us had opted never to go for revision,

that was certainly our choice to make (though fortunately we both have

had good outcomes.) Far be it from any of us to "dare" others to

undergo surgery.

But I think Cam and are right on the money in their

recommendations to get opinions and investigate your options. My

surgeon, Dr. Rand, likes to refer to the decision to have revision

surgery as an "owner-driven process", emphasizing that this sort of

surgery can be considered "elective", not meaning, of course, that

you'd have it if you didn't need it, but that you have a fair amount of

say in the timing, choice of surgeon & hospital, and even, whether

you ever have it or not. Since most of us had no say at all in the

planning of our initial surgeries, I think he's especially sensitive to

the need we're likely to have to be treated as adults and to feel to

some degree "in control".

Thanks for letting us share your journey, and I hope when all is said

and done you will know that you've done what's best FOR YOU.

Sharon

sdvdw@... wrote:

Sharon & ,

I have been wondering the same thing...whether I should go see

Kasten again or also get another opinion. I know at the time I saw

Kasten, I was finishing up P.T. which had helped quite a bit at the

time. I also WAS feeling good that day at that time, but I DID tell

him that when the mobic wears off and at night I had a lot of pain.

Evidently my x-rays only show one collasping disc space. Ironically,

the 1 1/2 hour trip to Kasten in the car was what seemed to start my

downhill progression again. Now everytime I think it is so painful

that I need to make an appointment, then I start feeling better so I

don't call. I think part of me is really scared and almost paralyzed

to do anything about my pain. I told my husband I can see wading

through one more year of school for the kids and maybe having surgery

the next summer, but I'm starting to think maybe this summer might be

better. (Besides, next summer we have a big trip planned for an

extended family reunion.) You are probably all reading this and

thinking what a chicken I am...change is so hard for me.

Making life-altering decisions is also hard for me. Especially when

you have to deal with insurance companies, etc. I know I'd like to

just make an appt. with Bridwell, but the whole insurance thing scares

me. My husband is taking overtime every chance he gets, but I doubt it

would cover an out of state surgery. I did tell my hubby that I

don't think I'm comfortable with Kasten if only for how he handled my

question about the loss in correction of my curvature. Not that drs.

don't have irritable days, but I'm not sure I could build trust with

him...my thinking is still confused on that, too. So many mixed

feelings right now that it is hard to make any decisions with clarity.

By the way, Sharon, I'm fused to L3. I tend to have pain at L4,

and L5 is probably the trouble with the nerve to the leg and foot. The

thing is that if I don't overdo, I'm usually pretty good except first

thing in the morning. Usually Naproxen covers it. But doing extras

like shopping or leaning over a turkey to get the leftovers, will give

me some follow-up pain. Standing at church was fine except that then I

sat for quite a bit after all the standing...and who knows how things

shift to cause the nerve pain. It's like if I just had constant pain,

I'd probably be on the phone to the dr., but because I have times of

good, I just get this false hope thing going. Or I think it's not so

bad after all. This is the whole mixed up thing.

Thanks again, I'm sure my emotional uncertainty here must get

tiresome for you all to hear, so thanks for listening and responding.

Diane VDW

Michigan

************ ********* ********* ********* ********

Diane, after reading how badly your back is affecting your life,

I find it odd that your doctor doesn't consider your case to be

surgical yet. I did have a significant forward lean, and numerous

limitations as to what I could do without hurting later, but did not

have any of the nerve pain that you describe. It's very common in our

population, so I guess I was odd (or lucky). I think Dr. Rand was

slightly surprised when I asked if I could go ahead and schedule

surgery, but he certainly didn't seem to think it was unnecessary.

I know lots of people have stories of being told to live with the pain,

that surgery would be much too risky, etc, etc. But once they found a

surgeon with proven skills in flatback revision the story changed

dramatically. Your Dr. Kasten may be one of those surgeons; I haven't

a clue. But my gut feeling is that another opinion or two is probably

in order.

By the way, I don't remember how low into the lumbar your fusion

extends, but for me adding the one additional level to the sacrum

didn't make an appreciable difference in flexibility for me, once I was

all healed and finished PT. If you're only fused to L3 or L4 there may

be more mobility to lose, and of course there are no guarantees surgery

can get you pain-free. But from what people have said here, that nerve

root pain tends to respond well to surgery by a true expert.

Sharon

************ ********* ********* ********* ********* *

Diane,

I would have to agree with Sharon, and also Cam's idea, that

you maybe progressing quickly with the speeding up of symptoms and

nerve generated pain, to where what Kasten said " you not being ready"

may no longer apply. Some just plain go downhill fast, in a matter of

months, unlike my slow progression of symptoms.Sharon was right on in

her suggestion to see a couple more surgeons, to get their play on

whats going on. Hanging your hat on one doc's opinion, doesn't give you

a complete picture, a place to weigh things from. Also things do

change, moved along by time, and that time doesn't have to be years

necessarily. Nerve pain hurts like the dickens, my hip and leg gave me

fits, and it's such a relief after that area of the spine gets

decompressed.

So I'd go see another couple of surgeons, see what they have to

say, as nerve pain can really limit your daily activities, as walking

and standing, and for some sitting, will get more and more

uncomfortable. It was that pain that got me active looking for answers

once again after years of being told to live with it, as mine hit more

frequently as time ticked on, I could walk less and less, stand less

and less, till I got to the point that I knew where every bench was in

town. I knew exactly how long I had up till it would hit, and lived my

life in snippets of time. I do a thing, pain would hit, I'd sit and

wait for it to resolve, get up and do another thing, pain would hit,

I'd sit till it resolved again. No way to live your life. I didn't do

any script med's, just ibuprophen, it helped a little, but not much,

sitting for me I was lucky resolved my pain, but the up and down life

of sitting and standing and walking for such limited times really took

a toll. So I get what you are feeling, and I'm sorry, thats a yucky

searing pain.

Talk the progression over with Kasten, see a couple more doc's,

and weigh.

Colorado Springs

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Dear Cam,

Thanks for all your time and answers. I do want honest answers. Even if they are frightening. I think I am actually just wishing I had the decision made. I think I'm afraid of making the wrong decision.

The P.T. only helped while I was in it, but I never did feel pain free even then, just thought about the pain less often. I did ask the P.T. about water therapy last Thursday, since you all have talked about water exercises being so good. She said she'd get back to me when she looked into it...they don't have a pool, but she was going to ask a colleague where he recommends since there are a few options here. I was supposed to see her today (for my daughter with some back trouble) but she had a gall bladder attack.

As for injections...I think Kasten may have mentioned them. I did call Kasten's office today after getting the courage from your earlier letters. Mainly to ask why I haven't gotten the notes from our visit since I filled out the paperwork for them. I should be getting it soon, as she said she'd mail it today (my request must've been misplaced). I thought I might see if I'd missed anything at the visit. I know it was rushed at the end. My hubby said he'd said something about other tests and injections...so perhaps he will order an MRI (I've only had x-rays). When I get the office notes I will make an appointment either with him, or if the notes give me the wrong vibes, I may call Bridwell's office and see if they think my symptoms are far enough along to warrant a trip to St. Louis.

I also got the courage today to call our insurance. I thought with the change in my husband's company (they got spun off from the parent company), I might need to get another referral to Kasten. I didn't need one, but I took the opportunity to ask whether they ever consider out of state coverage of an operation. She said they occasionally do, but that it is on a case by case basis, and that my primary care physician would have to request it. I'm sure I'll have to work up the courage to ask Kasten's office how many flatbackers he operates on in a year. I'm guessing not as many as St. Louis (doesn't take a rocket scientist to guess that one). I will have to also see if he has any patients he is willing to let me talk with to see their results. But I think if I think that far ahead I may get cold feet...one step at a time. Little steps for this timid gal.

Thank you for helping me look at my time constraints...I really do need to get this figured out if I'm going to go to Estes Park in Aug. '10. Maybe that info will get my husband a little more on the support train...he is doing overtime as much as possible, so I think he's doing what he can even though he's not so great at the emotional support side of things.

Thanks again for all your support!

Diane VDW

Michigan

Diane,Assuming you want our honest opinions here...I would say that until you see one of the bigger names here to get an opinion on what may actually be going on you are going to be frightened either way....scared that there is no solution, or scared that there is a solution but that it is surgical. Either way, you are kind of living in limbo with the idea that the "other shoe" is going to drop if you believe that your symptoms have progressed, and will continue to do so.I know you keep saying that PT helped. So....either you continue to be able to maintain that progress....or no matter what benefit it gave you 4 months ago...what does that mean for you now if you cant replicate it? Do you follow me? PT should be something that helps you either manage or make an improvement in your function or pain. Whatever benefit you got from it seems as if it was very transient...so you have to evaluate if you should go down that road again (or maybe follow a more intensive protocol on your own that is designed by a PT) because whatever happened in the past means nothing to how you are going to have to live your life in the coming years and months. (There may also be the possibility of injections to tone things down a little pain wise too....but I am guessing you would need to have that treatment directed by a surgeon or doctor who felt he had a pretty good "lock" on what your pain source was/is.)Remember that you are the patient/consumer here. You do not have to continue your relationship with DrKasten just because you consulted him. For any large health issues patients are ALWAYS encouraged to get 2nd, and sometimes 3rd opinions.....it is what is expected. Any surgeon worth his/her salt is going to be very glad that you have seem someone else and then decided that they were your choice. Why? Because it says something about your confidence in them and their treatment plan. I know DrKasten will be glad to see you again if you get another opinion and return to his care.So, sometimes I find it helpful to work a problem backwards. You want to be as healthy/comfortable/able as possible in time for a summer trip currently scheduled for summer 2010, right? Having absolutely no medical expertise or understanding of what your situation is....I will hazard a guess that one possible choice you will be offered is one more level of fusion, deferring the "full monty" to S1 until absolutely necessary. This option could buy you a lot of time and comfort. It also would be absolutley necessary that you try to have any "interim" fusion done by a surgeon who would be working the full plan at a later date if it became necessary....because that will insure that your global balance will be considered at that time. In order to open a door with a surgeon with stellar credentials assume you will need to wait 6-12 weeks for an appointment. If you called today, asssume you could get an appointment early June...then follow up testing would take another month, so assuming you didn't want to secure a 3rd opinion you are already at August before any surgery is likely or even possible. Thats only 11 months before the summer of 2010. Whether its a one level fusion or 3 levels....healing will take time, lets say at least 6 months until you are going to feel like vacationing, so consider that you really have a window that gets you in the timeframe you wish of establishing a good relationship with some surgeon who you trust no later than the next 4 months. That starts your "healing clock" no later than December 2009...feeling good enough for your trip in June of 2010.You don't have to set these appointments up today....but you could tell yourself that you will do it no later than June 1st. You can tell yourself that you are going to make appointments and reserve the right to cancel if you suddenly find that you are doing much better.Assuming you have insurance I think you will be surprised at what surgeons or hospitals may be possible choices for you. Make a list of second opinion doctors and call their offices and see where you get. At this point since you already have xrays and MRIs (right?) you are talking about mostly the office visit expense....probably $2-400. Most plans will cover out of network specialist, just at a lower percentage. So if instead of reimbursing at 80-100% an out of netwrk consult requires you to pay 30-35%...if you have your heart set on a particular surgeon wouldn't it be worth 10-15%....$40 or $50 for their opinion?? An opinion doesnt mean surgery. It means an opinion.Also only you know how secure (or likely to change) your current coverage is....but that is another thing to consider. Remember that you can always call your plan and ask if you don't understand their rules for requesting another surgeon or their reimbursement plan.I am thinking that from Michigan you should have relatively easy and inexpensive air travel choices to St Louis, Chicago, NYC or Boston.....they all will be lovely in the spring!Take Care, Cam

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Sharon,

I almost cried when I read your letter. I'm not the only one who struggles with these big decisions!

Honestly, I'm not so afraid about the pain of the surgery, I've lived through that before. I'm just honestly more afraid of seeing another physician that I'll have to make my case to. Also afraid if I don't the limbo will be worse!

I also have a lot of considerations besides myself to think of in the whole process...my kids. Some people say it'd be better to wait until the kids are older and out of the house...but that would be years...and like has said about her lost moments with the little ones, it about breaks my heart to not be able to lift up my 6 year old, and say I don't want him to snuggle on my lap because mommy's back hurts. And actually, my kids are pretty much running all the laundry and cleaning already due to my limitations. I'd just have to teach them a little better cooking skills. I'm sure they could do it since they have done some cooking. That and dishes is usually my domain, but they help a little. Necessity is a good teacher. Also, my dad and mom are in their late sixies in good health at this point, but might not be 10 years down the road. They help me a lot already. Mom makes a big Sunday dinner, and she sends leftovers home to last us a couple of days. My son will be driving by October, so that will help, too.

I do have the problem, though, that I homeschool and am responsible for 5 kids' education. It's a pretty big priority for me right now. My oldest is dyslexic, and 3 of them have peanut allergies, so I can't really envision being comfortable sending them off to school even for a short time. I suppose I could work with them during the summer so I could take time off for the surgery during school time...and I'm pretty sure I could coach them from the bed if I was coherent as long as I made good plans...sorry, thinking out loud again...well not exactly out loud, on paper, or should I say on screen.

Well, I'm a-ramblin' again. I sure appreciate you all walking through this with me with such caring concern. Thanks for saying I'm not a chicken...I sure feel like one...you'd think I'd have a "backbone," but I really don't! (A little pun there!)

God bless,

Diane VDW

Michigan

Chicken?! Goodness, no, girl; I don't think anyone who's ever been through spinal fusion surgery would think you chicken! My fellow old-timers in the group know I was on the fence for YEARS before taking the revision plunge. Suzanne and I were in competition for who could drag her feet the longest, and I lost but not by much. I was even second-guessing my decision after the surgery, in an, "oh, my gosh, what have I gotten myself into?!" sort of way. Because no amount of education and preparation can fully prepare you for that morning after. And, frankly, after all I'd read about how much better pain control is these days, I was surprised by how painful my particular experience was. (I did have an extra operation on my spinal cord which no doubt contributed to mine being a particularly painful revision.)As much commonality as we share in this group, we all have different cases and situations. I joke about having a "contest" with Suzanne, but really, if one or both of us had opted never to go for revision, that was certainly our choice to make (though fortunately we both have had good outcomes.) Far be it from any of us to "dare" others to undergo surgery.But I think Cam and are right on the money in their recommendations to get opinions and investigate your options. My surgeon, Dr. Rand, likes to refer to the decision to have revision surgery as an "owner-driven process", emphasizing that this sort of surgery can be considered "elective", not meaning, of course, that you'd have it if you didn't need it, but that you have a fair amount of say in the timing, choice of surgeon & hospital, and even, whether you ever have it or not. Since most of us had no say at all in the planning of our initial surgeries, I think he's especially sensitive to the need we're likely to have to be treated as adults and to feel to some degree "in control".Thanks for letting us share your journey, and I hope when all is said and done you will know that you've done what's best FOR YOU.Sharon

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Diane,

I would say you made a lot of forward progress yesterday....GREAT!

You (and all of us) deserve the very best from the orthos that treat us. While

we are not seeing the surgeons that originally performed our HR surgeries...the

profession, none-the-less, with the best of intentions DID do us harm. Like any

patient we are entitled to ask questions of our doctors and to continue to seek

the council of other medical professionals to make sure that we get the very

best care for ourselves going forward. We are not spring chickens anymore and

there will not be many chances for successful " do-overs " .

Please try to set aside any lingering feelings that " doctor knows best and must

not be questioned " attitudes. It really will not help you find the right medical

team unles you have full converstaions about your individual health concerns.

You are a paying customer/consumer/patient in need...and you have every right to

ask every question that comes to you. I can tell you that if you did not

understand the principle of " informed consent " you will really " get it " if you

should ever find yourself in the pre-op prep area with your surgeon in his

scrubs asking you to sign waivers saying that you DO understand everything that

is about to take place and all the attendant risks. THAT is not the time to have

doubts or more questions! Do it on the front side while you are " qualifying "

your prospective doctors.

I am not suggesting that surgery is even in your future at this point...but

having an identified cause for your pain and disfunction would go a long way

toward treating it. It may eminates from a functional standpoint....ie forward

lean, muscle weaknesses etc that may improve with targeted noninvasive therapies

(PT, massage, water therapy etc), or it may stem from nerves that are

compromised due to compression caused by stenosis, degenerating discs, scar

tissue etc. that likely wont resolve without surgical intervention. Other less

common causes of pain that have plagued HR patients, arachnoiditis comes to

mind, but at this point it seems like you haven't got a definitive diagnosis as

to what your problem is...thus it is mighty difficult for you to have any

confidence in getting a positive result.

I am a huge fan of the water as a way to help yourself. I don't pretend to be a

medical professional, but I can relay to you that my own surgeon said that even

at 9 weeks post op there was NO WAY I could hurt myself in the water (only

slipping on the pool deck or trying to use a ladder to enter exit the pool). He

told me that the way water supports the body on all planes was ideal for for me.

Most communities have indoor pools...at schools, YMCA's, clubs or hotels. If you

verify with your local PCP or ortho that it is safe to pursue a gentle aquatic

workout you should be able to find either an arthritis class that would be a

good intro for you, or you can find lots of information and resources online to

help you develop your own program.

I had such difficulty in bearing any weight prior to surgery that even the low

impact arthritis class did not work for me because it took place in the shallow

end and all the participants were standing in the water. I found that I was much

more able to work myself floating in the deep end, and this also offerred me the

chance to go to the pool at many more times of the day...as long as the pool was

open for adult users I could accomplish my workout. I did usually use the

community pool which happened to have aquajogger vest available for patrons to

use....but I often found that I had to go to the local hotel because of the time

conflicts. Then I would just " ride the noodle " ...sit astride a $1.50 foam noodle

you can get in any kids store...went to the deep end and did a variety of

steps/moves that brought my heart rate up and strengthened everything. And let

me tell you...when you are circling around in a hotel pool, riding a noodle, and

the only person in there is the life gueard....you do feel a little silly...but

hey...you gotta laugh! Point is, I dont think a 3x week commitment to feeling

like you are doing something positive for yourself has to be expensive or done

under the watchful eye of a medical professional...its just a matter of finding

out what you CAN do..and making it happen.

Final thuoght: you can go to the very best surgeon on this planet...but no

matter what, he is only a part of the equation. You will have to take as much

responsibility as possible for the body you put beneath his knife. Is it the

healthiest body you can summmon? It doesn't matter to me what your answer

is...the only person that needs to know the answer to that question is you. For

me....knowing that I spent those angst filled months wondering about surgery at

least doing SOMETHING that would benefit my situation helped me focus my energy

where it would do me some good. In retrospect, I wish I had done even more. I

would say that it has taken 3-4 years to regain my endurance and

fitness....which, in retrospect, tells me that I could have been in

signifigantly better shape going in to surgery. Probably why we heal better as

teenagers (and why injured athletes recover faster usually). Fitness matters.

So with that thought I am off to the pool for my 2nd session of the week!

Take Care, Cam

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I can vouch for Sharon, she fence hopped right up to the surgery date. I can

remember discussing it by her pond..feeding fishes.

> >

> > Sharon & ,

> >

> > I have been wondering the same thing...whether I should go see Kasten

> > again or also get another opinion. I know at the time I saw Kasten, I

> > was finishing up P.T. which had helped quite a bit at the time. I

> > also WAS feeling good that day at that time, but I DID tell him that

> > when the mobic wears off and at night I had a lot of pain. Evidently

> > my x-rays only show one collasping disc space. Ironically, the 1 1/2

> > hour trip to Kasten in the car was what seemed to start my downhill

> > progression again. Now everytime I think it is so painful that I need

> > to make an appointment, then I start feeling better so I don't call.

> > I think part of me is really scared and almost paralyzed to do

> > anything about my pain. I told my husband I can see wading through

> > one more year of school for the kids and maybe having surgery the next

> > summer, but I'm starting to think maybe this summer might be better.

> > (Besides, next summer we have a big trip planned for an extended

> > family reunion.) You are probably all reading this and thinking what

> > a chicken I am...change is so hard for me. Making life-altering

> > decisions is also hard for me. Especially when you have to deal with

> > insurance companies, etc. I know I'd like to just make an appt. with

> > Bridwell, but the whole insurance thing scares me. My husband is

> > taking overtime every chance he gets, but I doubt it would cover an

> > out of state surgery. I did tell my hubby that I don't think I'm

> > comfortable with Kasten if only for how he handled my question about

> > the loss in correction of my curvature. Not that drs. don't

> > have irritable days, but I'm not sure I could build trust with

> > him...my thinking is still confused on that, too. So many mixed

> > feelings right now that it is hard to make any decisions with clarity.

> >

> > By the way, Sharon, I'm fused to L3. I tend to have pain at L4, and

> > L5 is probably the trouble with the nerve to the leg and foot. The

> > thing is that if I don't overdo, I'm usually pretty good except first

> > thing in the morning. Usually Naproxen covers it. But doing extras

> > like shopping or leaning over a turkey to get the leftovers, will give

> > me some follow-up pain. Standing at church was fine except that then

> > I sat for quite a bit after all the standing...and who knows how

> > things shift to cause the nerve pain. It's like if I just had

> > constant pain, I'd probably be on the phone to the dr., but because I

> > have times of good, I just get this false hope thing going. Or I

> > think it's not so bad after all. This is the whole mixed up thing.

> >

> > Thanks again, I'm sure my emotional uncertainty here must get tiresome

> > for you all to hear, so thanks for listening and responding.

> >

> > Diane VDW

> > Michigan

> >

> >

> > ************ ********* ********* ********* ********

> >

> > Diane, after reading how badly your back is affecting your life, I

> > find it odd that your doctor doesn't consider your case to be surgical

> > yet. I did have a significant forward lean, and numerous limitations

> > as to what I could do without hurting later, but did not have any of

> > the nerve pain that you describe. It's very common in our population,

> > so I guess I was odd (or lucky). I think Dr. Rand was slightly

> > surprised when I asked if I could go ahead and schedule surgery, but

> > he certainly didn't seem to think it was unnecessary.

> >

> > I know lots of people have stories of being told to live with the

> > pain, that surgery would be much too risky, etc, etc. But once they

> > found a surgeon with proven skills in flatback revision the story

> > changed dramatically. Your Dr. Kasten may be one of those surgeons; I

> > haven't a clue. But my gut feeling is that another opinion or two is

> > probably in order.

> >

> > By the way, I don't remember how low into the lumbar your fusion

> > extends, but for me adding the one additional level to the sacrum

> > didn't make an appreciable difference in flexibility for me, once I

> > was all healed and finished PT. If you're only fused to L3 or L4

> > there may be more mobility to lose, and of course there are no

> > guarantees surgery can get you pain-free. But from what people have

> > said here, that nerve root pain tends to respond well to surgery by a

> > true expert.

> >

> > Sharon

> >

> > ************ ********* ********* ********* ********* *

> >

> > Diane,

> >

> > I would have to agree with Sharon, and also Cam's idea, that you maybe

> > progressing quickly with the speeding up of symptoms and nerve

> > generated pain, to where what Kasten said " you not being ready " may

> > no longer apply. Some just plain go downhill fast, in a matter of

> > months, unlike my slow progression of symptoms.Sharon was right on in

> > her suggestion to see a couple more surgeons, to get their play on

> > whats going on. Hanging your hat on one doc's opinion, doesn't give

> > you a complete picture, a place to weigh things from. Also things do

> > change, moved along by time, and that time doesn't have to be years

> > necessarily. Nerve pain hurts like the dickens, my hip and leg gave me

> > fits, and it's such a relief after that area of the spine gets

> > decompressed.

> >

> > So I'd go see another couple of surgeons, see what they have to say,

> > as nerve pain can really limit your daily activities, as walking and

> > standing, and for some sitting, will get more and more uncomfortable.

> > It was that pain that got me active looking for answers once again

> > after years of being told to live with it, as mine hit more frequently

> > as time ticked on, I could walk less and less, stand less and less,

> > till I got to the point that I knew where every bench was in town. I

> > knew exactly how long I had up till it would hit, and lived my life in

> > snippets of time. I do a thing, pain would hit, I'd sit and wait for

> > it to resolve, get up and do another thing, pain would hit, I'd sit

> > till it resolved again. No way to live your life. I didn't do any

> > script med's, just ibuprophen, it helped a little, but not much,

> > sitting for me I was lucky resolved my pain, but the up and down life

> > of sitting and standing and walking for such limited times really took

> > a toll. So I get what you are feeling, and I'm sorry, thats a yucky

> > searing pain.

> >

> > Talk the progression over with Kasten, see a couple more doc's, and

> > weigh.

> >

> >

> > Colorado Springs

> >

> >

> > ____________ _________ _________ _________ _________ _________ ___

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> >

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> >

> >

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Diane,

My little guy was 6 when I had revision. It was tough because he was king of the

pig piles and that had to stop. Even now, he doesn't get to pig pile me as he is

about 60 lbs now. Mostly though if you try to keep their schedules normal, it is

OK. I did things like tape a picture of me to the wall beside his bed. One of

him and I together in his lunch box. I left surprise notes everywhere he was

sure to find them, in his toys or favorite book etc. Don't get me wrong, is it

hard on them, heck ya, but if they can see it as Mom's going to be better then

it only stings for a little while. Kids are tough. They will be fine.

>

> Sharon,

>

> I almost cried when I read your letter. I'm not the only one who

> struggles with these big decisions!

>

> Honestly, I'm not so afraid about the pain of the surgery, I've lived

> through that before. I'm just honestly more afraid of seeing another

> physician that I'll have to make my case to. Also afraid if I don't the

> limbo will be worse!

>

> I also have a lot of considerations besides myself to think of in the

> whole process...my kids. Some people say it'd be better to wait until

> the kids are older and out of the house...but that would be years...and

> like has said about her lost moments with the little ones, it about

> breaks my heart to not be able to lift up my 6 year old, and say I don't

> want him to snuggle on my lap because mommy's back hurts. And actually,

> my kids are pretty much running all the laundry and cleaning already due

> to my limitations. I'd just have to teach them a little better cooking

> skills. I'm sure they could do it since they have done some cooking.

> That and dishes is usually my domain, but they help a little. Necessity

> is a good teacher. Also, my dad and mom are in their late sixies in good

> health at this point, but might not be 10 years down the road. They help

> me a lot already. Mom makes a big Sunday dinner, and she sends leftovers

> home to last us a couple of days. My son will be driving by October, so

> that will help, too.

>

> I do have the problem, though, that I homeschool and am responsible for 5

> kids' education. It's a pretty big priority for me right now. My oldest

> is dyslexic, and 3 of them have peanut allergies, so I can't really

> envision being comfortable sending them off to school even for a short

> time. I suppose I could work with them during the summer so I could take

> time off for the surgery during school time...and I'm pretty sure I could

> coach them from the bed if I was coherent as long as I made good

> plans...sorry, thinking out loud again...well not exactly out loud, on

> paper, or should I say on screen.

>

> Well, I'm a-ramblin' again. I sure appreciate you all walking through

> this with me with such caring concern. Thanks for saying I'm not a

> chicken...I sure feel like one...you'd think I'd have a " backbone, " but I

> really don't! (A little pun there!)

>

> God bless,

> Diane VDW

> Michigan

>

>

> Chicken?! Goodness, no, girl; I don't think anyone who's ever been

> through spinal fusion surgery would think you chicken! My fellow

> old-timers in the group know I was on the fence for YEARS before taking

> the revision plunge. Suzanne and I were in competition for who could

> drag her feet the longest, and I lost but not by much. I was even

> second-guessing my decision after the surgery, in an, " oh, my gosh, what

> have I gotten myself into?! " sort of way. Because no amount of education

> and preparation can fully prepare you for that morning after. And,

> frankly, after all I'd read about how much better pain control is these

> days, I was surprised by how painful my particular experience was. (I

> did have an extra operation on my spinal cord which no doubt contributed

> to mine being a particularly painful revision.)

>

> As much commonality as we share in this group, we all have different

> cases and situations. I joke about having a " contest " with Suzanne, but

> really, if one or both of us had opted never to go for revision, that was

> certainly our choice to make (though fortunately we both have had good

> outcomes.) Far be it from any of us to " dare " others to undergo surgery.

>

> But I think Cam and are right on the money in their recommendations

> to get opinions and investigate your options. My surgeon, Dr. Rand,

> likes to refer to the decision to have revision surgery as an

> " owner-driven process " , emphasizing that this sort of surgery can be

> considered " elective " , not meaning, of course, that you'd have it if you

> didn't need it, but that you have a fair amount of say in the timing,

> choice of surgeon & hospital, and even, whether you ever have it or not.

> Since most of us had no say at all in the planning of our initial

> surgeries, I think he's especially sensitive to the need we're likely to

> have to be treated as adults and to feel to some degree " in control " .

>

> Thanks for letting us share your journey, and I hope when all is said and

> done you will know that you've done what's best FOR YOU.

>

> Sharon

> ____________________________________________________________

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Hi Diane VDW, Janet,

I haven't been posting much lately so being new you probably don't know me, but I've been around here for years. My revision surgery was 11 years ago, with Dr. Boachie. I was 56 at the time.

I have to tell you that I agree completely with everything Cam, and Sharon have been saying to you. It's very important, I think, to see more than one surgeon before making any decisions about surgery. At least one of them, preferably all, ideally should be a doc who has done very many revision surgeries. Also, after reading these boards for years, it is obvious to me that any surgeon who pooh poohs your symptoms, or flatback in general, just is not capable of properly doing flatback surgery, and their stance is a cover up for their inability to deal with your condition.

Your indecision and your fears are perfectly normal. I'm sure that all of us have felt the same way at one time or another. Flatback is a big deal. You are just in the first stage of truly understanding what's going on with you. Of course it's frightening, on many different levels. So, please be kind to yourself. I also think that the time of decision making is the scariest time of all. Once things are decided and everything falls into place, which it will, I think you will feel much better. And if you do decide on surgery, remember that it's a good thing. It's what will help you, and your family. Also, kids are resilient. We all want our kids to have a wonderful, easy life. Wouldn't that be wonderful. But, for us, probably unrealistic. However, they are stronger than we sometimes give them credit for.

Take care, good luck and I will be thinking of you.

Bonnie

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Dear ,

Thanks for sharing about your experience. It gives me hope that things will work out. The suggestions for keeping their little hearts encouraged while mom is healing are great. My 6 year old understands...he just doesn't like it. He's a bit of a momma's boy I think because he was a preemie and so he got a lot of my attention during those early months of life...heavy bonding. I'm trying to get him more into dad's world, so maybe my surgery is just what he needs...who knows?!

Thanks again for your kindness!

Diane VanDerWerff

Michigan

Diane,My little guy was 6 when I had revision. It was tough because he was king of the pig piles and that had to stop. Even now, he doesn't get to pig pile me as he is about 60 lbs now. Mostly though if you try to keep their schedules normal, it is OK. I did things like tape a picture of me to the wall beside his bed. One of him and I together in his lunch box. I left surprise notes everywhere he was sure to find them, in his toys or favorite book etc. Don't get me wrong, is it hard on them, heck ya, but if they can see it as Mom's going to be better then it only stings for a little while. Kids are tough. They will be fine.

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Yup, I remember Hubby hitched my fence up behind our vehicle and I rode

it right up to where I donned my johnny and hopped onto the hospital

bed...

:^P

redmarmie wrote:

I can vouch for Sharon, she fence hopped right up to the surgery

date. I can remember discussing it by her pond..feeding fishes.

> >

> > Sharon & ,

> >

> > I have been wondering the same thing...whether I should go

see Kasten

> > again or also get another opinion. I know at the time I saw

Kasten, I

> > was finishing up P.T. which had helped quite a bit at the

time. I

> > also WAS feeling good that day at that time, but I DID tell

him that

> > when the mobic wears off and at night I had a lot of pain.

Evidently

> > my x-rays only show one collasping disc space. Ironically,

the 1 1/2

> > hour trip to Kasten in the car was what seemed to start my

downhill

> > progression again. Now everytime I think it is so painful

that I need

> > to make an appointment, then I start feeling better so I

don't call.

> > I think part of me is really scared and almost paralyzed to

do

> > anything about my pain. I told my husband I can see wading

through

> > one more year of school for the kids and maybe having surgery

the next

> > summer, but I'm starting to think maybe this summer might be

better.

> > (Besides, next summer we have a big trip planned for an

extended

> > family reunion.) You are probably all reading this and

thinking what

> > a chicken I am...change is so hard for me. Making

life-altering

> > decisions is also hard for me. Especially when you have to

deal with

> > insurance companies, etc. I know I'd like to just make an

appt. with

> > Bridwell, but the whole insurance thing scares me. My husband

is

> > taking overtime every chance he gets, but I doubt it would

cover an

> > out of state surgery. I did tell my hubby that I don't think

I'm

> > comfortable with Kasten if only for how he handled my

question about

> > the loss in correction of my curvature. Not that drs. don't

> > have irritable days, but I'm not sure I could build trust

with

> > him...my thinking is still confused on that, too. So many

mixed

> > feelings right now that it is hard to make any decisions with

clarity.

> >

> > By the way, Sharon, I'm fused to L3. I tend to have pain at

L4, and

> > L5 is probably the trouble with the nerve to the leg and

foot. The

> > thing is that if I don't overdo, I'm usually pretty good

except first

> > thing in the morning. Usually Naproxen covers it. But doing

extras

> > like shopping or leaning over a turkey to get the leftovers,

will give

> > me some follow-up pain. Standing at church was fine except

that then

> > I sat for quite a bit after all the standing...and who knows

how

> > things shift to cause the nerve pain. It's like if I just had

> > constant pain, I'd probably be on the phone to the dr., but

because I

> > have times of good, I just get this false hope thing going.

Or I

> > think it's not so bad after all. This is the whole mixed up

thing.

> >

> > Thanks again, I'm sure my emotional uncertainty here must get

tiresome

> > for you all to hear, so thanks for listening and responding.

> >

> > Diane VDW

> > Michigan

> >

> >

> > ************ ********* ********* ********* ********

> >

> > Diane, after reading how badly your back is affecting your

life, I

> > find it odd that your doctor doesn't consider your case to be

surgical

> > yet. I did have a significant forward lean, and numerous

limitations

> > as to what I could do without hurting later, but did not have

any of

> > the nerve pain that you describe. It's very common in our

population,

> > so I guess I was odd (or lucky). I think Dr. Rand was

slightly

> > surprised when I asked if I could go ahead and schedule

surgery, but

> > he certainly didn't seem to think it was unnecessary.

> >

> > I know lots of people have stories of being told to live with

the

> > pain, that surgery would be much too risky, etc, etc. But

once they

> > found a surgeon with proven skills in flatback revision the

story

> > changed dramatically. Your Dr. Kasten may be one of those

surgeons; I

> > haven't a clue. But my gut feeling is that another opinion or

two is

> > probably in order.

> >

> > By the way, I don't remember how low into the lumbar your

fusion

> > extends, but for me adding the one additional level to the

sacrum

> > didn't make an appreciable difference in flexibility for me,

once I

> > was all healed and finished PT. If you're only fused to L3 or

L4

> > there may be more mobility to lose, and of course there are

no

> > guarantees surgery can get you pain-free. But from what

people have

> > said here, that nerve root pain tends to respond well to

surgery by a

> > true expert.

> >

> > Sharon

> >

> > ************ ********* ********* ********* ********* *

> >

> > Diane,

> >

> > I would have to agree with Sharon, and also Cam's idea, that

you maybe

> > progressing quickly with the speeding up of symptoms and

nerve

> > generated pain, to where what Kasten said " you not being

ready" may

> > no longer apply. Some just plain go downhill fast, in a

matter of

> > months, unlike my slow progression of symptoms.Sharon was

right on in

> > her suggestion to see a couple more surgeons, to get their

play on

> > whats going on. Hanging your hat on one doc's opinion,

doesn't give

> > you a complete picture, a place to weigh things from. Also

things do

> > change, moved along by time, and that time doesn't have to be

years

> > necessarily. Nerve pain hurts like the dickens, my hip and

leg gave me

> > fits, and it's such a relief after that area of the spine

gets

> > decompressed.

> >

> > So I'd go see another couple of surgeons, see what they have

to say,

> > as nerve pain can really limit your daily activities, as

walking and

> > standing, and for some sitting, will get more and more

uncomfortable.

> > It was that pain that got me active looking for answers once

again

> > after years of being told to live with it, as mine hit more

frequently

> > as time ticked on, I could walk less and less, stand less and

less,

> > till I got to the point that I knew where every bench was in

town. I

> > knew exactly how long I had up till it would hit, and lived

my life in

> > snippets of time. I do a thing, pain would hit, I'd sit and

wait for

> > it to resolve, get up and do another thing, pain would hit,

I'd sit

> > till it resolved again. No way to live your life. I didn't do

any

> > script med's, just ibuprophen, it helped a little, but not

much,

> > sitting for me I was lucky resolved my pain, but the up and

down life

> > of sitting and standing and walking for such limited times

really took

> > a toll. So I get what you are feeling, and I'm sorry, thats a

yucky

> > searing pain.

> >

> > Talk the progression over with Kasten, see a couple more

doc's, and

> > weigh.

> >

> >

> > Colorado Springs

> >

> >

> > ____________ _________ _________ _________ _________

_________ ___

> > Digital Photography - Click Now.

> > <http://thirdpartyof

fers.juno. com/TGL2142/ fc/BLSrjpTDvmRR2 vbFR21DuDCSrB9UY

D14ezdaTzqJoNF4A HDIKJVXgmEPSqE/>

> >

> >

>

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Guest guest

Tee hee! Ha! Ha! Hardy har har! That was LOL funny!

Diane VDW

Michigan

Yup, I remember Hubby hitched my fence up behind our vehicle and I rode it right up to where I donned my johnny and hopped onto the hospital bed...:^Predmarmie wrote:

I can vouch for Sharon, she fence hopped right up to the surgery date. I can remember discussing it by her pond..feeding fishes.> >> > Sharon & ,> > > > I have been wondering the same thing...whether I should go see Kasten > > again or also get another opinion. I know at the time I saw Kasten, I > > was finishing up P.T. which had helped quite a bit at the time. I > > also WAS feeling good that day at that time, but I DID tell him that > > when the mobic wears off and at night I had a lot of pain. Evidently > > my x-rays only show one collasping disc space. Ironically, the 1 1/2 > > hour trip to Kasten in the car was what seemed to start my downhill > > progression again. Now everytime I think it is so painful that I need > > to make an appointment, then I start feeling better so I don't call. > > I think part of me is really scared and almost paralyzed to do > > anything about my pain. I told my husband I can see wading through > > one more year of school for the kids and maybe having surgery the next > > summer, but I'm starting to think maybe this summer might be better. > > (Besides, next summer we have a big trip planned for an extended > > family reunion.) You are probably all reading this and thinking what > > a chicken I am...change is so hard for me. Making life-altering > > decisions is also hard for me. Especially when you have to deal with > > insurance companies, etc. I know I'd like to just make an appt. with > > Bridwell, but the whole insurance thing scares me. My husband is > > taking overtime every chance he gets, but I doubt it would cover an > > out of state surgery. I did tell my hubby that I don't think I'm > > comfortable with Kasten if only for how he handled my question about > > the loss in correction of my curvature. Not that drs. don't > > have irritable days, but I'm not sure I could build trust with > > him...my thinking is still confused on that, too. So many mixed > > feelings right now that it is hard to make any decisions with clarity. > > > > By the way, Sharon, I'm fused to L3. I tend to have pain at L4, and > > L5 is probably the trouble with the nerve to the leg and foot. The > > thing is that if I don't overdo, I'm usually pretty good except first > > thing in the morning. Usually Naproxen covers it. But doing extras > > like shopping or leaning over a turkey to get the leftovers, will give > > me some follow-up pain. Standing at church was fine except that then > > I sat for quite a bit after all the standing...and who knows how > > things shift to cause the nerve pain. It's like if I just had > > constant pain, I'd probably be on the phone to the dr., but because I > > have times of good, I just get this false hope thing going. Or I > > think it's not so bad after all. This is the whole mixed up thing.> > > > Thanks again, I'm sure my emotional uncertainty here must get tiresome > > for you all to hear, so thanks for listening and responding.> > > > Diane VDW> > Michigan> > > > > > ************ ********* ********* ********* ********> > > > Diane, after reading how badly your back is affecting your life, I > > find it odd that your doctor doesn't consider your case to be surgical > > yet. I did have a significant forward lean, and numerous limitations > > as to what I could do without hurting later, but did not have any of > > the nerve pain that you describe. It's very common in our population, > > so I guess I was odd (or lucky). I think Dr. Rand was slightly > > surprised when I asked if I could go ahead and schedule surgery, but > > he certainly didn't seem to think it was unnecessary.> >> > I know lots of people have stories of being told to live with the > > pain, that surgery would be much too risky, etc, etc. But once they > > found a surgeon with proven skills in flatback revision the story > > changed dramatically. Your Dr. Kasten may be one of those surgeons; I > > haven't a clue. But my gut feeling is that another opinion or two is > > probably in order.> >> > By the way, I don't remember how low into the lumbar your fusion > > extends, but for me adding the one additional level to the sacrum > > didn't make an appreciable difference in flexibility for me, once I > > was all healed and finished PT. If you're only fused to L3 or L4 > > there may be more mobility to lose, and of course there are no > > guarantees surgery can get you pain-free. But from what people have > > said here, that nerve root pain tends to respond well to surgery by a > > true expert.> >> > Sharon> > > > ************ ********* ********* ********* ********* *> >> > Diane,> > > > I would have to agree with Sharon, and also Cam's idea, that you maybe > > progressing quickly with the speeding up of symptoms and nerve > > generated pain, to where what Kasten said " you not being ready" may > > no longer apply. Some just plain go downhill fast, in a matter of > > months, unlike my slow progression of symptoms.Sharon was right on in > > her suggestion to see a couple more surgeons, to get their play on > > whats going on. Hanging your hat on one doc's opinion, doesn't give > > you a complete picture, a place to weigh things from. Also things do > > change, moved along by time, and that time doesn't have to be years > > necessarily. Nerve pain hurts like the dickens, my hip and leg gave me > > fits, and it's such a relief after that area of the spine gets > > decompressed.> > > > So I'd go see another couple of surgeons, see what they have to say, > > as nerve pain can really limit your daily activities, as walking and > > standing, and for some sitting, will get more and more uncomfortable. > > It was that pain that got me active looking for answers once again > > after years of being told to live with it, as mine hit more frequently > > as time ticked on, I could walk less and less, stand less and less, > > till I got to the point that I knew where every bench was in town. I > > knew exactly how long I had up till it would hit, and lived my life in > > snippets of time. I do a thing, pain would hit, I'd sit and wait for > > it to resolve, get up and do another thing, pain would hit, I'd sit > > till it resolved again. No way to live your life. I didn't do any > > script med's, just ibuprophen, it helped a little, but not much, > > sitting for me I was lucky resolved my pain, but the up and down life > > of sitting and standing and walking for such limited times really took > > a toll. So I get what you are feeling, and I'm sorry, thats a yucky > > searing pain.> > > > Talk the progression over with Kasten, see a couple more doc's, and > > weigh.> > > > > > Colorado Springs> >> >> > ____________ _________ _________ _________ _________ _________ ___> > Digital Photography - Click Now. > > <http://thirdpartyof fers.juno. com/TGL2142/ fc/BLSrjpTDvmRR2 vbFR21DuDCSrB9UY D14ezdaTzqJoNF4A HDIKJVXgmEPSqE/> > >> >>

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;^)

sdvdw@... wrote:

Tee hee! Ha! Ha! Hardy har har! That was LOL funny!

Diane VDW

Michigan

Yup, I remember Hubby hitched my fence up behind our vehicle and

I rode it right up to where I donned my johnny and hopped onto the

hospital bed...

:^P

redmarmie wrote:

I can vouch for Sharon, she fence hopped right up to the surgery

date. I can remember discussing it by her pond..feeding fishes.

> >

> > Sharon & ,

> >

> > I have been wondering the same thing...whether I should go

see Kasten

> > again or also get another opinion. I know at the time I saw

Kasten, I

> > was finishing up P.T. which had helped quite a bit at the

time. I

> > also WAS feeling good that day at that time, but I DID tell

him that

> > when the mobic wears off and at night I had a lot of pain.

Evidently

> > my x-rays only show one collasping disc space. Ironically,

the 1 1/2

> > hour trip to Kasten in the car was what seemed to start my

downhill

> > progression again. Now everytime I think it is so painful

that I need

> > to make an appointment, then I start feeling better so I

don't call.

> > I think part of me is really scared and almost paralyzed to

do

> > anything about my pain. I told my husband I can see wading

through

> > one more year of school for the kids and maybe having surgery

the next

> > summer, but I'm starting to think maybe this summer might be

better.

> > (Besides, next summer we have a big trip planned for an

extended

> > family reunion.) You are probably all reading this and

thinking what

> > a chicken I am...change is so hard for me. Making

life-altering

> > decisions is also hard for me. Especially when you have to

deal with

> > insurance companies, etc. I know I'd like to just make an

appt. with

> > Bridwell, but the whole insurance thing scares me. My husband

is

> > taking overtime every chance he gets, but I doubt it would

cover an

> > out of state surgery. I did tell my hubby that I don't think

I'm

> > comfortable with Kasten if only for how he handled my

question about

> > the loss in correction of my curvature. Not that drs. don't

> > have irritable days, but I'm not sure I could build trust

with

> > him...my thinking is still confused on that, too. So many

mixed

> > feelings right now that it is hard to make any decisions with

clarity.

> >

> > By the way, Sharon, I'm fused to L3. I tend to have pain at

L4, and

> > L5 is probably the trouble with the nerve to the leg and

foot. The

> > thing is that if I don't overdo, I'm usually pretty good

except first

> > thing in the morning. Usually Naproxen covers it. But doing

extras

> > like shopping or leaning over a turkey to get the leftovers,

will give

> > me some follow-up pain. Standing at church was fine except

that then

> > I sat for quite a bit after all the standing...and who knows

how

> > things shift to cause the nerve pain. It's like if I just had

> > constant pain, I'd probably be on the phone to the dr., but

because I

> > have times of good, I just get this false hope thing going.

Or I

> > think it's not so bad after all. This is the whole mixed up

thing.

> >

> > Thanks again, I'm sure my emotional uncertainty here must get

tiresome

> > for you all to hear, so thanks for listening and responding.

> >

> > Diane VDW

> > Michigan

> >

> >

> > ************ ********* ********* ********* ********

> >

> > Diane, after reading how badly your back is affecting your

life, I

> > find it odd that your doctor doesn't consider your case to be

surgical

> > yet. I did have a significant forward lean, and numerous

limitations

> > as to what I could do without hurting later, but did not have

any of

> > the nerve pain that you describe. It's very common in our

population,

> > so I guess I was odd (or lucky). I think Dr. Rand was

slightly

> > surprised when I asked if I could go ahead and schedule

surgery, but

> > he certainly didn't seem to think it was unnecessary.

> >

> > I know lots of people have stories of being told to live with

the

> > pain, that surgery would be much too risky, etc, etc. But

once they

> > found a surgeon with proven skills in flatback revision the

story

> > changed dramatically. Your Dr. Kasten may be one of those

surgeons; I

> > haven't a clue. But my gut feeling is that another opinion or

two is

> > probably in order.

> >

> > By the way, I don't remember how low into the lumbar your

fusion

> > extends, but for me adding the one additional level to the

sacrum

> > didn't make an appreciable difference in flexibility for me,

once I

> > was all healed and finished PT. If you're only fused to L3 or

L4

> > there may be more mobility to lose, and of course there are

no

> > guarantees surgery can get you pain-free. But from what

people have

> > said here, that nerve root pain tends to respond well to

surgery by a

> > true expert.

> >

> > Sharon

> >

> > ************ ********* ********* ********* ********* *

> >

> > Diane,

> >

> > I would have to agree with Sharon, and also Cam's idea, that

you maybe

> > progressing quickly with the speeding up of symptoms and

nerve

> > generated pain, to where what Kasten said " you not being

ready" may

> > no longer apply. Some just plain go downhill fast, in a

matter of

> > months, unlike my slow progression of symptoms.Sharon was

right on in

> > her suggestion to see a couple more surgeons, to get their

play on

> > whats going on. Hanging your hat on one doc's opinion,

doesn't give

> > you a complete picture, a place to weigh things from. Also

things do

> > change, moved along by time, and that time doesn't have to be

years

> > necessarily. Nerve pain hurts like the dickens, my hip and

leg gave me

> > fits, and it's such a relief after that area of the spine

gets

> > decompressed.

> >

> > So I'd go see another couple of surgeons, see what they have

to say,

> > as nerve pain can really limit your daily activities, as

walking and

> > standing, and for some sitting, will get more and more

uncomfortable.

> > It was that pain that got me active looking for answers once

again

> > after years of being told to live with it, as mine hit more

frequently

> > as time ticked on, I could walk less and less, stand less and

less,

> > till I got to the point that I knew where every bench was in

town. I

> > knew exactly how long I had up till it would hit, and lived

my life in

> > snippets of time. I do a thing, pain would hit, I'd sit and

wait for

> > it to resolve, get up and do another thing, pain would hit,

I'd sit

> > till it resolved again. No way to live your life. I didn't do

any

> > script med's, just ibuprophen, it helped a little, but not

much,

> > sitting for me I was lucky resolved my pain, but the up and

down life

> > of sitting and standing and walking for such limited times

really took

> > a toll. So I get what you are feeling, and I'm sorry, thats a

yucky

> > searing pain.

> >

> > Talk the progression over with Kasten, see a couple more

doc's, and

> > weigh.

> >

> >

> > Colorado Springs

> >

> >

> > ____________ _________ _________ _________ _________

_________ ___

> > Digital Photography - Click Now.

> > <http://thirdpartyof

fers.juno. com/TGL2142/ fc/BLSrjpTDvmRR2 vbFR21DuDCSrB9UY

D14ezdaTzqJoNF4A HDIKJVXgmEPSqE/>

> >

> >

>

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Guest guest

I wasn't entirely convinced on the way to the hospital, either, but so many

people were having good outcomes and I was tired of being in pain. I am so

happy I did it! It is amazing how much better I feel. It is almost like being

a whole new person.

> > > >

> > > > Sharon & ,

> > > >

> > > > I have been wondering the same thing...whether I should go see Kasten

> > > > again or also get another opinion. I know at the time I saw Kasten, I

> > > > was finishing up P.T. which had helped quite a bit at the time. I

> > > > also WAS feeling good that day at that time, but I DID tell him that

> > > > when the mobic wears off and at night I had a lot of pain. Evidently

> > > > my x-rays only show one collasping disc space. Ironically, the 1 1/2

> > > > hour trip to Kasten in the car was what seemed to start my downhill

> > > > progression again. Now everytime I think it is so painful that I need

> > > > to make an appointment, then I start feeling better so I don't call.

> > > > I think part of me is really scared and almost paralyzed to do

> > > > anything about my pain. I told my husband I can see wading through

> > > > one more year of school for the kids and maybe having surgery the

> > next

> > > > summer, but I'm starting to think maybe this summer might be better.

> > > > (Besides, next summer we have a big trip planned for an extended

> > > > family reunion.) You are probably all reading this and thinking what

> > > > a chicken I am...change is so hard for me. Making life-altering

> > > > decisions is also hard for me. Especially when you have to deal with

> > > > insurance companies, etc. I know I'd like to just make an appt. with

> > > > Bridwell, but the whole insurance thing scares me. My husband is

> > > > taking overtime every chance he gets, but I doubt it would cover an

> > > > out of state surgery. I did tell my hubby that I don't think I'm

> > > > comfortable with Kasten if only for how he handled my question about

> > > > the loss in correction of my curvature. Not that drs. don't

> > > > have irritable days, but I'm not sure I could build trust with

> > > > him...my thinking is still confused on that, too. So many mixed

> > > > feelings right now that it is hard to make any decisions with

> > clarity.

> > > >

> > > > By the way, Sharon, I'm fused to L3. I tend to have pain at L4, and

> > > > L5 is probably the trouble with the nerve to the leg and foot. The

> > > > thing is that if I don't overdo, I'm usually pretty good except first

> > > > thing in the morning. Usually Naproxen covers it. But doing extras

> > > > like shopping or leaning over a turkey to get the leftovers, will

> > give

> > > > me some follow-up pain. Standing at church was fine except that then

> > > > I sat for quite a bit after all the standing...and who knows how

> > > > things shift to cause the nerve pain. It's like if I just had

> > > > constant pain, I'd probably be on the phone to the dr., but because I

> > > > have times of good, I just get this false hope thing going. Or I

> > > > think it's not so bad after all. This is the whole mixed up thing.

> > > >

> > > > Thanks again, I'm sure my emotional uncertainty here must get

> > tiresome

> > > > for you all to hear, so thanks for listening and responding.

> > > >

> > > > Diane VDW

> > > > Michigan

> > > >

> > > >

> > > > ************ ********* ********* ********* ********

> > > >

> > > > Diane, after reading how badly your back is affecting your life, I

> > > > find it odd that your doctor doesn't consider your case to be

> > surgical

> > > > yet. I did have a significant forward lean, and numerous limitations

> > > > as to what I could do without hurting later, but did not have any of

> > > > the nerve pain that you describe. It's very common in our population,

> > > > so I guess I was odd (or lucky). I think Dr. Rand was slightly

> > > > surprised when I asked if I could go ahead and schedule surgery, but

> > > > he certainly didn't seem to think it was unnecessary.

> > > >

> > > > I know lots of people have stories of being told to live with the

> > > > pain, that surgery would be much too risky, etc, etc. But once they

> > > > found a surgeon with proven skills in flatback revision the story

> > > > changed dramatically. Your Dr. Kasten may be one of those surgeons; I

> > > > haven't a clue. But my gut feeling is that another opinion or two is

> > > > probably in order.

> > > >

> > > > By the way, I don't remember how low into the lumbar your fusion

> > > > extends, but for me adding the one additional level to the sacrum

> > > > didn't make an appreciable difference in flexibility for me, once I

> > > > was all healed and finished PT. If you're only fused to L3 or L4

> > > > there may be more mobility to lose, and of course there are no

> > > > guarantees surgery can get you pain-free. But from what people have

> > > > said here, that nerve root pain tends to respond well to surgery by a

> > > > true expert.

> > > >

> > > > Sharon

> > > >

> > > > ************ ********* ********* ********* ********* *

> > > >

> > > > Diane,

> > > >

> > > > I would have to agree with Sharon, and also Cam's idea, that you

> > maybe

> > > > progressing quickly with the speeding up of symptoms and nerve

> > > > generated pain, to where what Kasten said " you not being ready " may

> > > > no longer apply. Some just plain go downhill fast, in a matter of

> > > > months, unlike my slow progression of symptoms.Sharon was right on in

> > > > her suggestion to see a couple more surgeons, to get their play on

> > > > whats going on. Hanging your hat on one doc's opinion, doesn't give

> > > > you a complete picture, a place to weigh things from. Also things do

> > > > change, moved along by time, and that time doesn't have to be years

> > > > necessarily. Nerve pain hurts like the dickens, my hip and leg

> > gave me

> > > > fits, and it's such a relief after that area of the spine gets

> > > > decompressed.

> > > >

> > > > So I'd go see another couple of surgeons, see what they have to say,

> > > > as nerve pain can really limit your daily activities, as walking and

> > > > standing, and for some sitting, will get more and more uncomfortable.

> > > > It was that pain that got me active looking for answers once again

> > > > after years of being told to live with it, as mine hit more

> > frequently

> > > > as time ticked on, I could walk less and less, stand less and less,

> > > > till I got to the point that I knew where every bench was in town. I

> > > > knew exactly how long I had up till it would hit, and lived my

> > life in

> > > > snippets of time. I do a thing, pain would hit, I'd sit and wait for

> > > > it to resolve, get up and do another thing, pain would hit, I'd sit

> > > > till it resolved again. No way to live your life. I didn't do any

> > > > script med's, just ibuprophen, it helped a little, but not much,

> > > > sitting for me I was lucky resolved my pain, but the up and down life

> > > > of sitting and standing and walking for such limited times really

> > took

> > > > a toll. So I get what you are feeling, and I'm sorry, thats a yucky

> > > > searing pain.

> > > >

> > > > Talk the progression over with Kasten, see a couple more doc's, and

> > > > weigh.

> > > >

> > > >

> > > > Colorado Springs

> > > >

> > > >

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