Tuesday, August 2, 2016

Back Surgery #3

November 10, 2015, the day of my back surgery was finally here.  As I was one of the first ones to have surgery I had to be at the hospital at 5:30 in the morning.  I was taken back to get ready and then I had to wait probably close to an hour before the different doctors and nurses started showing up.  A resident anesthesiologist came and started my IV.  I wasn’t very happy with him because he didn’t bring an ultrasound machine with him like it specifically said to do on my chart.  He was kind of arrogant and said he didn’t need a machine to get my IV in, I wasn’t convinced.  He did get the IV in on the first try but had to dig around my hand a lot to get the vein.  It was pretty painful and I wasn’t impressed with him.  Soon after that my neurosurgeon came in and went over everything with my parents and me again.  My pacemaker was then checked to make sure it was good and then I was taken back into the operating room.

Once I was in the operating room another anesthesiologist came into the picture as well as other O.R. nurses.  I was given an oxygen mask to hold over my nose and mouth while the resident anesthesiologist placed my arterial line.  Since I hate the smell of plastic I did not place the oxygen mask over my nose and mouth, instead I held it a good distance away from my face.  The first attempt at an arterial line did not work so I had to endure the pain once again as the anesthesiologist tried placing it in my other arm.  Having an arterial line placed is more painful than having an IV placed.  For the arterial line an ultrasound machine was used and the line was finally placed successfully.  I always dread having an arterial line because I always have to be awake when they are placed.  If I didn’t have heart problems then I would never have to have one.  Once all my lines were in place the anesthesiologist took over the oxygen mask I was holding and put it up to my nose and mouth.  Thankfully I didn’t have to endure it there that long before I was given medicine that made me fall asleep.   Normally once I am given the medicine to make me fall asleep I am out until I reach the recovery room and slowly start to come to.  That didn’t happen this time around.  After I had fallen asleep I was intubated and then I woke up, which wasn’t supposed to happen.  I understand enough medical terminology to know what was being said by the nurses and doctors.  They were about ready to turn me onto my stomach to start the back surgery.  I was freaking out!  This had never happened to me before.  I couldn’t open my eyes and I felt like I was paralyzed.  I tried to move my head, arms, hands, and legs, anything that would let someone know I wasn’t asleep.  At the same time I was praying as hard as I could that someone would notice.  I don’t know if someone noticed or if they just decided to give me more medicine because I was soon out of it again and this time didn’t wake up until I was in the recovery room.  That had to be one of the scariest experiences I’ve ever been through. 

I stayed in the recovery room for about a half hour where I slowly started waking up and had to keep asking for pain medicine and anti-nausea medicine to help with my nausea.  I was then taken to the neuro acute care unit where I would stay, while in the hospital.  Once I was settled and made sure my parents were in the room I fell asleep again and tried to sleep off all the anesthesia.  When I woke back up I was a little more with it and then more doctors were called to set up my epidural and other pain pumps.  In order for them to get to the epidural I had to roll onto my side.  It was kind of painful, although I remember it being more painful when I was nine.   Everything got set up and I was given a button I could push whenever I was in pain.  It would administer pain medicine when I pushed it.  I had the pain pump and epidural in while I had to stay flat on my back for two days. 

During my first night my oxygen levels started dropping into the low 80’s, upper 70’s.  Every time I would drop a machine would start beeping.  Since my oxygen would drop every time I was asleep I had to wear a nasal canal to make sure I was constantly getting oxygen.  I hated it and tried to fight it but I didn’t win.  When I was awake I was able to take off the nasal canal because my oxygen would stay in the 90’s but I never stayed awake for very long.  Once I was off the pain pump and epidural my oxygen levels stayed in the 90’s and I no longer had to wear the nasal canal when I slept. 

One of the things I was dreading after the surgery was having my legs being hyper sensitive like they were the last time I had back surgery.  I was hoping this wouldn’t be the case this time but wasn’t surprised to find out that both of my thighs were hyper sensitive.  It’s a very strange feeling and extremely painful.  A single touch to my thighs would cause immense pain.  When blankets were put on me it had to be done very carefully.  The slightest touch of a blanket would cause pain.  My doctors were puzzled by this and gave me some nerve medicine to see if that would take away the sensitivity.  It didn’t.  My dad remembered a medicine I had taken when this happened to me when I was nine.  The doctors didn’t believe that the medicine my dad had mentioned was the right one because at the time it was being tested as an asthma medicine.  After doing some research the PA working with my neurosurgeon came back and told us that it did help with nerve pain.  I was given this medicine but it didn’t really help so I eventually stopped taking it.

Before I had surgery I had in my mind a vision of how the surgery would go.  The surgeon would get all the scar tissue out that had built up from two previous tethered spinal cord surgeries, I would be up and walking a couple days after surgery, and I would be home by the weekend.  Unfortunately that’s not what happened.  That first night after my surgery I asked my parents how it went.  My dad asked me if I really wanted to know.  From those words and my dad’s tone of voice I knew that the surgery didn’t go as planned.  I was told that only a part of the scar tissue could safely be removed.  The rest of the scar tissue had already fused itself to my spinal cord and is strangling it.  The surgeon couldn’t tell what was scar tissue and what was spinal cord.  Not wanting to do anything dangerous he decided to end the surgery and closed me up.  He told my parents that I can never have this kind of surgery again and he didn’t know what the future held for me.  I was surprised by this news.  It definitely wasn’t good and not what I was expecting.  But there wasn’t anything I could do about it.  The surprises didn’t end there.  After two days of lying flat on my back I was finally allowed to start moving my bed up and get into a sitting position and eventually get out of bed and start walking.  I made it to a sitting position and moved to sit on the side of my bed alright.  It was painful but I could do it.  When I got out of bed I had my dad and a nurse help me which was a good thing.  I went to stand up and I pretty much collapsed and fell back onto my bed.  I was dead weight.  It took my nurse, my dad, and couple CNA’s to get me back up in bed.  I found out that I couldn’t stand, balance, or walk.  It took me a couple of days to process this.

  The weekend came and two therapists came to evaluate me.  They helped me stand by my bed but had to hold me up because I couldn’t do it myself.  My parents and I were told that I was a candidate for rehab and that my case would be discussed on Monday.  My brother and his family came to see me and my dad had my brother help him move me to a chair so I could get out of bed.  It took a lot of strength for them to get me from my bed to the chair which was only a couple feet away.  After my brother and his family left my parents and I started discussing all the pros and cons of me going to rehab versus me going home.  The idea of going to rehab did not sit well with me.  I did not want to go.  I wanted to go home and was convinced that I would make more progress at home.  I was pretty emotional all day because I couldn’t believe this had happened to me.  This wasn’t supposed to happen.  After thinking about what to do my dad asked me if I had prayed about it.  I told him I hadn’t.  I hadn’t prayed about it because I was afraid that the answer would be that I needed to go to rehab and I didn’t want that answer.  But I decided to pray about it because I really didn’t know what to do.  My first prayer when something like this, “Heavenly Father, I can’t walk.  I don’t want to go to rehab, I just want to go home.  What should I do?”  I waited and didn’t get an answer.  I then thought about when the savior was in gethsemane and was praying to the Father asking him to take away the bitter cup but then said “not my will but thine be done.”  I decided to change my attitude and I prayed again.  This time my prayer went something like this, “Heavenly Father, I can’t walk.  I don’t want to go to rehab, I just want to go home.  But if I need to go to rehab then okay.  What should I do?”  I waited and after a minute or so a scripture came into my mind.  I turned to this scripture and continued to read past the one verse that came into my mind.  It was D&C 121:7-10.  I likened it to myself and this is how I read it.  7. Sarah, peace be unto thy soul; thine adversity and thine afflictions shall be but a small moment; 8. And then, if thou endure it well, God shall exalt thee on high; thou shalt triumph over all thy foes.  9. Thy friends do stand by thee, and they shall hail thee again with warm hearts and friendly hands.  10. Thou art not yet as Job; thy friends do not contend against thee, neither charge thee with transgression, as they did Job.   This was the answer to my prayer.  I needed to go to rehab.  I wasn’t happy but I accepted the answer.  I told my parents I got my answer and then I just had to wait to hear if my case would be accepted and if the insurance would approve rehab.


 Throughout the weekend I had different physical therapists come and work with me.  They would help me stand up and hold me up as I practiced swaying my body from one leg to the other.  They also had me do some other exercises to help build my muscle strength in my legs which was gone.  Since I figured I would be going to rehab I decided I wanted to be able to kind of walk by the time I got down there.  My dad liked to keep me exercising and working my legs and he asked me on Sunday afternoon what exercise I wanted to do.  I told him that I wanted to walk and that I wanted to take a shower.  He was all for it and he held onto me while I held onto his arms and I started to walk.  I was slow and both of my knees liked to buckle but I made it into the bathroom and was able to shower.  It felt great to have accomplished something.  From that point on I started walking more with my dad. 

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