My stitches are out, phew. They were really grossing me out already. My appointment went well, actually, this is probably the best appointment I have ever had. There was no talk, mention or suggestion of a future surgery! I think I turned a new page! Dr. Kelly was happy with my ROM so far, and even secretly pleased that I had been in bed for so long since it seemed to help the hip a lot. He showed me all of the scope pics, there were tons, I think more than my other 2 surgeries combined. Also the before and after x-rays. He had tons of pictures of my psoas, it looked beautiful! He said he was really nervous going in that the psoas was really going to be an issue and he had promised me he wouldn't cut it. "You were right" he said, and repeated it!! I explained that I hadn't meant to give him a hard time about it, but I truly believed from the bottom of my heart that the psoas was fine. I explained that it had always been tight and tender but hadn't changed in the whole interim of pre and post surgery and rehab. He even had a final shot of the psoas as he was coming out, just to make everyone happy!
He said there was a lot of scar tissue that he removed. The cartilage on the femoral head looked great, it was not perfect on the acetabulum but not too bad. It had been damaged slightly from the cam impingement. Now for the cam.....it was there. Duh, haven't I been having impingement for a while now! The CT-scan should have picked it up, they measured the alpha angle, I have to look up the report, I believe that an alpha angle under 50 is normal and mine was 34 (don't quote me on that). Well, it turns out that I had 'special cam impingement'. It was not typical, which is why it was initially missed, it was very subtle, but not mild, meaning, it sure as hell was there but difficult to see. Just my luck! So he shaved it down and gave me a normal looking femoral head which no longer impinges ! YAY!!
I explained about the nausea and he regretted not being able to get my beloved Dr.Jules for anesthesia, but at least being in bed and doing nothing has helped with the pain. He wants me to take it easy with rehab, go slow, especially in the beginning and not to overload the other leg. Right now, it is good, and has not lost anything!
So now it all falls in the hands of rehab! I think we can handle this!!! :-)
Oh, I forgot to ask for my op-report, I will call first thing Monday morning!
Showing posts with label anesthesia. Show all posts
Showing posts with label anesthesia. Show all posts
Wednesday, November 21, 2007
Tuesday, July 3, 2007
Nitty Gritty II
Since I am stranded in bed with no one else awake, I will continue with my detailed story!
I left off when I kissed J and was taken to the OR. With my first surgery, I arrived in the OR and it was bustling with action, there must have been 15 people in there, all of who ignored me!
This time, I arrived, and it was just the anesthesiologist, the room didn't look like it was ready either. She had me lie on the operating table and immediately gave me sedation, last time, the sedation immediately knocked me out, this time it just made me foggy. For some reason, I have some recollection of her inserting the the needle in my back, but it didn't hurt, I just felt pressure, and that was all I remember!
I woke up 3 hours later, to someone saying "its over"! I opened my eyes and said "is Dr.Kelly here?" "no", "they said, "he is speaking to your husband". Now remember, I am a control freak, despite the fact that I was sedated and had just woken up from surgery, and was still in the OR, I needed to know what he had done and what he had found. "Is his fellow here"? "yes" they answered. So I asked him what they did (he must have thought I was crazy...but I am, so that's ok!). I think he said something about shaving the acetabulum and the femur....but then I fell asleep again.
I woke up in the PACU, shaking like crazy. They plugged me back into the gown heater, and covered me with about 7 heated blankets, but I kept shaking. They explained that the OR was cold, they use cold IV fluids, I was exposed....so it all adds up to this crazy shaking. I then asked for my CPM (J says I'm a pain in the ass....being that I work in the health field, I know you need to speak up to be heard). It finally came, I was still shaking. That lasted about 2 hours (by this point, all the other 8am surgeries had gone home). I still could not move my feet and was picturing another lovely day wasted in the PACU.
A little while later, the nurse came to see how the anesthesia was wearing off, she said it was down to T10 since I had some feeling near the top of my leg/ bottom of my stomach. Then I had a burning sensation near (where I think) the incisions were, but really, awful burning. So I had her turn off the heater. She asked me if I wanted pain meds...YES, but I had to eat first. At this point, I did not want think about food, look at food, and much less eat food! My choices were tuna sandwich, turkey sandwich or cheese sandwich....under normal circumstances, I would not have gagged at this, "how about some crackers" I said.
So they sat me up, and I got REALLY dizzy and lightheaded, so they brought the bed down a little. A lovely volunteer brought me 10 crackers, what a joke! I ate 1/4 of one, and she said I had to eat more if I wanted the meds. She also brought me my all time favorite hospital drink, apple juice, this I drank!
Finally,I called the nurse, I NEED pain meds, so she brought me darvocet, but warned me to take them every 4 hours round the clock for the next few days because they are not that strong. I took 1, and it didn't make a dent in my pain, then I took another, 15 minutes later, I still had pain. It was so bad that I was on the verge of tears, I think she noticed and gave me a shot of dilaudid in my IV. A little later I had this again! The Dilaudid made me a little sleepy, but I really wanted to go home, and at this point, I REALLY had to pee, I had gone through one huge IV bag, and part of another, plus a cup of apple juice. I needed to go now!!
The only problem was that this required getting out of bed, into a wheelchair and then into the bathroom, and I still had pain, despite everything I had already taken. I also had no idea that the epidural catheter was still in my back, so this had to come out as well. It didn't hurt,other than when she had to remove all the tape it had been attached with, it felt like a bad waxing job!
I finally peed, and was taken to phase 2 of recovery. At this point, they disconnect your from your IV bag, but keep it in place, just in case you need more fluids, they help you get dressed and you have PT.
I had my own crutches from my first surgery, they are Millennial crutches, I highly recommend them, they are spring loaded and really comfortable on your hands. The PT in recovery tried them out and she really liked them as well. I stood up, she put on my lovely hip brace, and I walked with the crutches.I don't think I did a great job, but well enough to be sent home!
I left off when I kissed J and was taken to the OR. With my first surgery, I arrived in the OR and it was bustling with action, there must have been 15 people in there, all of who ignored me!
This time, I arrived, and it was just the anesthesiologist, the room didn't look like it was ready either. She had me lie on the operating table and immediately gave me sedation, last time, the sedation immediately knocked me out, this time it just made me foggy. For some reason, I have some recollection of her inserting the the needle in my back, but it didn't hurt, I just felt pressure, and that was all I remember!
I woke up 3 hours later, to someone saying "its over"! I opened my eyes and said "is Dr.Kelly here?" "no", "they said, "he is speaking to your husband". Now remember, I am a control freak, despite the fact that I was sedated and had just woken up from surgery, and was still in the OR, I needed to know what he had done and what he had found. "Is his fellow here"? "yes" they answered. So I asked him what they did (he must have thought I was crazy...but I am, so that's ok!). I think he said something about shaving the acetabulum and the femur....but then I fell asleep again.
I woke up in the PACU, shaking like crazy. They plugged me back into the gown heater, and covered me with about 7 heated blankets, but I kept shaking. They explained that the OR was cold, they use cold IV fluids, I was exposed....so it all adds up to this crazy shaking. I then asked for my CPM (J says I'm a pain in the ass....being that I work in the health field, I know you need to speak up to be heard). It finally came, I was still shaking. That lasted about 2 hours (by this point, all the other 8am surgeries had gone home). I still could not move my feet and was picturing another lovely day wasted in the PACU.
A little while later, the nurse came to see how the anesthesia was wearing off, she said it was down to T10 since I had some feeling near the top of my leg/ bottom of my stomach. Then I had a burning sensation near (where I think) the incisions were, but really, awful burning. So I had her turn off the heater. She asked me if I wanted pain meds...YES, but I had to eat first. At this point, I did not want think about food, look at food, and much less eat food! My choices were tuna sandwich, turkey sandwich or cheese sandwich....under normal circumstances, I would not have gagged at this, "how about some crackers" I said.
So they sat me up, and I got REALLY dizzy and lightheaded, so they brought the bed down a little. A lovely volunteer brought me 10 crackers, what a joke! I ate 1/4 of one, and she said I had to eat more if I wanted the meds. She also brought me my all time favorite hospital drink, apple juice, this I drank!
Finally,I called the nurse, I NEED pain meds, so she brought me darvocet, but warned me to take them every 4 hours round the clock for the next few days because they are not that strong. I took 1, and it didn't make a dent in my pain, then I took another, 15 minutes later, I still had pain. It was so bad that I was on the verge of tears, I think she noticed and gave me a shot of dilaudid in my IV. A little later I had this again! The Dilaudid made me a little sleepy, but I really wanted to go home, and at this point, I REALLY had to pee, I had gone through one huge IV bag, and part of another, plus a cup of apple juice. I needed to go now!!
The only problem was that this required getting out of bed, into a wheelchair and then into the bathroom, and I still had pain, despite everything I had already taken. I also had no idea that the epidural catheter was still in my back, so this had to come out as well. It didn't hurt,other than when she had to remove all the tape it had been attached with, it felt like a bad waxing job!
I finally peed, and was taken to phase 2 of recovery. At this point, they disconnect your from your IV bag, but keep it in place, just in case you need more fluids, they help you get dressed and you have PT.
I had my own crutches from my first surgery, they are Millennial crutches, I highly recommend them, they are spring loaded and really comfortable on your hands. The PT in recovery tried them out and she really liked them as well. I stood up, she put on my lovely hip brace, and I walked with the crutches.I don't think I did a great job, but well enough to be sent home!
Monday, July 2, 2007
Home at Last
I am home! I will try to keep this short bc I don't know how much is me talking and how much is meds! Hopefully tomorrow I will post all the details of the day, now I will give a quick rundown!
My biggest concern for this surgery was throwing up post-op and anesthesia, since last time I was in recovery forever.
So.....surgery was at 8AM, it ended at 11AM, that is a long time for a hip scope! I just found out that I had a bone spur on the acetabulum, a bone spur on the femoral head-neck junction, and a labral tear, as well as loose bodies in the joint. I didn't get to speak to my surgeon afterwards. He did speak to my husband but J does not know the right questions to ask!!!
My surgeon is Bryan Kelly in NYC, he s awesome!!! I highly recommend him to anyone with similar problems.
I had a combined spinal epidural (I have to google this later), the anesthesiologist thought I would recover quicker this way, she also kept the sedation lighter than last time. It's a good thing we went this route since the surgery lasted so long, she said the spinal would not have lasted that long.
Most people who had 8am surgeries went home around 12 or 1pm, I went at 3:30, better than last time!!!!
I took 2 darvocet in the hospital and was given dilaudid in my IV, I threw up twice already!
I am hoping it was the anesthesia, I cannot handle more puking, I prefer pain, which is why I am without pain meds at this time, if I lie perfectly still, I am ok!
I will post all the gory details later or tomorrow, hopefully I will be more lucid! I also have PT at 9:30 tomorrow morning so tomorrow I will have a lot to talk about!
My biggest concern for this surgery was throwing up post-op and anesthesia, since last time I was in recovery forever.
So.....surgery was at 8AM, it ended at 11AM, that is a long time for a hip scope! I just found out that I had a bone spur on the acetabulum, a bone spur on the femoral head-neck junction, and a labral tear, as well as loose bodies in the joint. I didn't get to speak to my surgeon afterwards. He did speak to my husband but J does not know the right questions to ask!!!
My surgeon is Bryan Kelly in NYC, he s awesome!!! I highly recommend him to anyone with similar problems.
I had a combined spinal epidural (I have to google this later), the anesthesiologist thought I would recover quicker this way, she also kept the sedation lighter than last time. It's a good thing we went this route since the surgery lasted so long, she said the spinal would not have lasted that long.
Most people who had 8am surgeries went home around 12 or 1pm, I went at 3:30, better than last time!!!!
I took 2 darvocet in the hospital and was given dilaudid in my IV, I threw up twice already!
I am hoping it was the anesthesia, I cannot handle more puking, I prefer pain, which is why I am without pain meds at this time, if I lie perfectly still, I am ok!
I will post all the gory details later or tomorrow, hopefully I will be more lucid! I also have PT at 9:30 tomorrow morning so tomorrow I will have a lot to talk about!
Subscribe to:
Posts (Atom)