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My spine surgery journey: from preparation to recovery

I'll send the Littles to walk with you today. Little Wendell is out of sorts at home and would be happy to have a diversion.
Lovely to have their company :hug:
I hope you make progress at getting things on track. I am keeping you in my thoughts! :hug:
Thank you very much, Wendell.
I feel so grateful that our paths have crossed.

--
Well, what started out as an incredibly difficult and challenging day, has become a day of two big milestones!

I had a shower (non-hair wash, so the shorter shower variety) where I was able to stand the entire time, and I didn't feel weak or fatigued as a result!

And then my physio came and took me for a walk, and we did a loop of the whole ward!!
She showed me that I was capable of more than I had imagined of myself at this stage.
I walked the whole loop without any assistance.

She pointed out things that I need to take note of and fix, specifically my "t-rex arm" that we think was a subconscious balance tool, but one that I really need to work on removing as when I de-t-rex-ed myself, I still walked just as fine.

She also showed me that I can walk faster (we're not talking a power walk by any means, more just not a crawl speed if I don't need to be.

I got back to my room and got into bed. Tired, but not in an 'I feel awful' way but a 'I worked hard and now I can enjoy just lying in bed' type of way.
The pain nurse then stopped by, as she'd been too busy earlier to come past.
We have a plan for my tapering down of pain meds that I feel comfortable with, which I am glad about.
 
A little bit of a mope again.

This experience of having my surgery and being in hospital for an extended period of time (that people know about) has been very eye opening as to who (IRL) is actually there.

I've had a visit from one friend (bestie), but there are multiple others who said they would and have been total no shows.

I try to not let it get to me, but it sucks.
I hate feeling like I am not worth anything to people. I know that has strongly carried over from my abusive relationship, where he made sure I knew it. And I try hard to be grateful for the people (family + bestie) who have made time to come and visit, and not to think about those who said they would and have now ghosted.

But it's hard. And it hurts. It really hurts.
 
Oh jeez, you've been in this thread the whole time and I've missed it until now.

So glad to see how much you're getting better, @bellbird.

It sucks that you're not seeing some of the people you care about. But of course it says more about them than about how lovable you are, etc. I also want to suggest that not everyone is great with being in hospitals, or seeing people that they love in pain - so even though it's selfish, some of them they may not be visiting for those reasons and not because they really deep down don't care about you.

:hug:
 
Many people have problems with hospitals, so maybe it's that.

On another subject, that is great you are doing so well walking. Now if you would only start pooping. Hopefully as you wean the pain meds it will happen. Have they measured you yet to see how much taller you are? I missed your thread at the beginning too, but you have all my well wishes from the beginning, plus now, so you have an amazing amount of well wishes!
 
If it's any consolation, you're worth a lot to me :)
Thank you @ziter :hug:
So glad to see how much you're getting better, @bellbird
Thank you SRG :hug:
. I also want to suggest that not everyone is great with being in hospitals, or seeing people that they love in pain - so even though it's selfish, some of them they may not be visiting for those reasons and not because they really deep down don't care about you.
Many people have problems with hospitals, so maybe it's that.
Yeah, I can appreciate that this could be the case.
I just think that telling someone (in all cases they offered; I never asked) that you will visit them, and then completely ghosting them when you've heard that they are in hospital, is not the way to manage that trigger/stressor.
On another subject, that is great you are doing so well walking. Now if you would only start pooping. Hopefully as you wean the pain meds it will happen.
I have never wanted to poop so badly in my entire life :D

I think today will be enema #3.
I kind of hope we can do two enemas today, a few hours apart.
Clearly from past experience, one is not enough to provide a lasting effect.
But it is bizarre that I have so much enema experience now that I know there are two different types, and I know how they differ.
Have they measured you yet to see how much taller you are?
Not yet :)
I think this is something they will do at my 6 week post op check up, which will be the first time I see my surgeon after leaving the hospital.

At the moment, the pain of my preggo belly means I'm not able to stand up very straight.

I also have the interesting case where I would have grown some amount, instantaneously, when they straightened my lumbar curve in surgery.
But I will also continue to grow for a while after, because my thoracic curve which is smaller and exists to compensate for the lumbar one, has enough flexibility to readjust itself, without fusion, now that it doesn't need to compensate as much.
I missed your thread at the beginning too, but you have all my well wishes from the beginning, plus now, so you have an amazing amount of well wishes!
Thank you very much @DharmaGirl . I am so grateful for support at any stage along this journey.

--
Argh. Ok.
I seem to have sussed my night time pattern of pain.
~2am and ~6am wake ups are high pain times. I need to ask again if I can have a heatpack for my pain.

I've had some pain meds now (it's 6.30am), and I've got my tv on to try distract myself.

It's about an hour until the doctors come past.
Crossing fingers and toes it'll be cute registrar :inlove::laugh:

I think I'll get on with my recap.

I think where we left Day 0, was me waking up from anaesthesia.

My memories from that time are understandably very blurred.
I remember my nurse telling me to open my eyes, and asking me to squeeze her hands or wiggle my toes.

I remember some time later, hearing the voices of my parents. They sounded so far away. As if they were standing outside of the room and talking to me. My brother's voice, too.
They were telling me that I did well. That is was over.
I also remember thinking that they sounded ok, and that reassured me.

That was at about 5pm. So 9 hours since they said goodbye to me in the morning.
It was a long day.

My mum told me later that one of the first things I said to my dad was asking him if he'd got his hair piece yet (he's nearly bald) :hilarious::hilarious:

My family were there for a little while, but didn't stay. They could now go back to their beds for an actual sleep knowing I'd made it through.

And I think my night consisted of rounds of being asked to open my hands, wiggle toes, and squeeze hands.
My nurse told me later that I was very very excited that I could wiggle my toes, and that I kept telling her I could.
She was wonderful, that nurse.

My breathing rate was being constantly monitored. It had dropped quite dangerously low. I was breathing 4-6 times a minute, where normal breathing happens 12 times a minute.


Day 1: Friday 1 March

Few memories of this day, also.
More of the same consciousness exercises.
The hand squeezing exercise evolved to check for delirium; I had to squeeze my nurse's hand only on the letter A
"C A B A CDA BLA"

My parents and brother visited again.

I became more aware of my pain, and felt more awake. Or at least thought I did; I rang my friend D on that day, and she told me later that I was very stoned.

Understandably so; I would have been on all my machines at that stage still.
Ketamine infusion (constant)
Morphine PCA pump (available every 5 min)
Local anaesthetic through a catheter by my left collar bone (every 4 hours)
IV fluids
Urine catheter
Constant pulse, blood O2, BP measurements
Electrodes in place for ECG

That's the ones I can remember.

Oh and a chest drain.
How could I forget.
That motherf*cker was the single most physically painful thing I have ever experienced.
I had a pneumothorax, which meant I had fluid and air around my lung.
I had to do breathing exercises because I had a high risk of infection from that build-up.

I had to have chest xrays, to monitor my lungs. The radiographers came to me with a portable machine. Which was cool.
But oh wow. Having to sit up (hospital bed behind me) with a hard x-ray board being squeezed between your back and the bed, one day after a spinal fusion.

Not fun. Really really not fun.

I think Friday was the day that I was first allowed tiny sips of water. And tiny amounts of soft food. Bread with jam and margarine. But I could only eat very small amounts.

I think Friday was also the day I was fitted for a brace.
Whilst lying down.. in ICU.. one day post-op.
Also not fun.
So, I wasn't going to need a brace post-op. But, there was a minor complication in surgery.
One of my screws couldn't make the contact with my bone that they were hoping.
It was one of my top screws, so one of the least important ones (the most important screws were the bottom ones where my curve had been most severe).
But still not good.

When fusion is ultimately achieved, there will be no issue. But until then, and for the first 6 weeks post op especially, I need to wear a brace whenever I'm not in bed.
My brace can't fit over my preggo belly, so I can't wear it currently.
Now you can see how the issue with my abdominal distension extends far beyond the discomfort.

Day 1 Friday was also the day that my nurses tried to get me up for the first time.
It didn't go quite to plan.
They taught me the "log roll" which is a technique to get out of bed safely and without twisting my spine (which I'm currently not allowed to do).

First, I roll onto my right side (incision is on my left) by bending my left knee, crossing my left arm over my chest, and rolling over. With a lot of help at that stage.
Then I wiggle so I'm lying on my side with both legs hanging off the side of the bed.
And then sit up on the side of the bed.

My body wasn't having it.
We got as far as sitting up, twice, and both times my BP dropped, and I went into shock and almost fainted.

So we left it there till tomorrow.

I also learnt my breathing exercises.
Inhale through my nose, fully.
Hold for two.
Exhale through my mouth, fully.
Then, two "huffs" -- medium inhale through an open mouth, and breathing out with force as though you're trying to fog up a window.
Followed by a couple of coughs.

The different techniques are more effective when combined in series.
But god. It hurt like hell.

Friday was also the day that my surgeon came by and introduced me to his team (cute registrar said that was when we first met). Which kind of amuses me looking back because it seems kind of bizarre to be introduced to a team like you are supposed to remember them, when you are so off your face. And because I was more occupied with trying to tell my surgeon that I could wiggle my toes :laugh:

Yes. I think that was the extent of post-op day one.
And perfect timing, too; it's breakfast time :)
 
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Just got visited by an orthopaedic doctor. I didn't recognise him; I think he's just doing the weekend rounds.
He said someone from the team will visit me on Monday, so we'll have to wait to see cute registrar till then, sigh.

I did not imagine that this would be a feature of my hospital stay :laugh:

The registrar checked my incision and chest drain wound. Both are looking good.

He has also prescribed another enema.

I'd been trying to drink this awful new laxative this morning - it comes as a powder and mixes into water. But it has thick/oily qualities that were triggering the f*ck out of me, but it took me a little while to realise why. My ex made me drink oil, as well as other unpleasant things such as salt water.

I really needed to give this laxative a good shot though, because I can't just keep going with this preggo belly.
My nurse diluted it a heap, and mixed in cold water with ice. To try and hide some of the bad qualities.
I got through half of it, but now that the doctor prescribed an enema for today, I am in no hurry to drink the rest.

Time for another walk, I think.

ETA: Oh yeah, and I just had my final IV line removed; your gal is tubeless :)
 
Crossing fingers that you'll be able to poop eventually lol. Sorry for the trigger (and all the awful things your ex made you do). It seems like a complicated procedure you went through and it has affected you in many ways. Seems like a healthy way of getting through early recovery, by journaling about it here, so keep the updates coming, I enjoy following along!
 
that you will visit them, and then completely ghosting them

I really sympathise with you bellbird. This sucks... no excuses. They could have rung the ward and spoken to you if they are not able to visit in person. Sent a card, text, email... etc. Especially as you are now staying for a little longer. But honestly, if you can, deal with them later. Try not to distort their slack ass behaviour into self evaluation of your worth. That's not what is really happening.

I said to my dad was asking him if he'd got his hair piece yet

Good on you! Pain meds + anaesthetic = missing filter, no memory & no guilt!! :hilarious:

Are they giving you probiotics to help with the tummy? Glucomamman, strong coffee? Oats, psyllium? Are you drinking HEAPS of water? Maybe once your exercise is for regular etc., it will ease.
 
Poop talk coming up. Don't read if you don't want to. But I seriously need a space to vent.

Had enema #3.
The nurse didn't use any lubricant. It hurt so f*cking bad.
Waited the required 15-20 minutes.
Went to the bathroom. Sat on the toilet for 10 minutes. Nothing.
Got up, did some walking in the bathroom. Felt some things starting to move. Back on toilet. Some gas did get released, as well as some very watery diarrhoea, and some formed bits.

But I think it barely made a dent on what's still backed up.
Sat there for longer, still nothing.

In the end, I had to give up.
My back is absolutely aching. It doesn't have the strength to support me sitting like that for that long.

Now my stomach hurts. And my back hurts.
To the point where I can't not have pain medication.

But the pain medication is constipating.
So once again we are stuck in this f*cking cycle of agony.

I told my nurse, and she is going to contact the house surgeon to ask if they can prescribe another enema.
The other type.
But it's changeover now, so I'll probably have to wait another hour at least. But I think I would have had to wait that long anyway, because they'll want to see if this enema can produce any more results.

I don't think it is.
I've been in this cycle too long to have any unfounded optimism.

Sorry. Very negative. But this is where we're at.

Are they giving you probiotics to help with the tummy? Glucomamman, strong coffee? Oats, psyllium? Are you drinking HEAPS of water? Maybe once your exercise is for regular etc., it will ease.
No probiotics. Even though they literally have my probiotics because I had to turn over to the hospital every medication/supplement I take.

I'm on 3 kinds of laxative.
One is kiwi crush, which is a high fibre drink.
One is laxol tablets.
One is some other drinky one.

I don't drink coffee.

Yes, I am drinking a lot of water.

And I've done two decent walks today.
Sat up for both meals.
I'm doing everything right. And still nothing.
 

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