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It seems like I always come back when something is going horribly wrong...

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  • It seems like I always come back when something is going horribly wrong...

    I always mean to come back to visit the forum when I am doing well to respond to everyone elses's threads. I just always end up doing a thousand things when I am feeling okay, and that keeps me off the internet.

    As usual, when I am posting, things are not great. I got rid of the old surgeon and was given a referral to the Mayo Clinic. It took from the end of June until the middle of November to get a reply. I made it through "second evaluation", and no further. They said that my case was not yet severe enough to pursue there.

    In the beginning of November I thought things were turning around. I was down to tramadol or at most a half a hydrocodone a day. We drove to Branson in my new (back friendly!) car, and I even went speleoboxing (albiet very carefully...and I only made it halfway through the box, still I considered it a triumph!). All the while I had popping and grinding, but I was dealing with it. I honestly thought I would be off all pain meds by December.

    About 2 weeks later the popping and grinding reached a new high, and the pain levels started escalating. I had a pain management appointment where I was switched to Oxycodone, and given some information on the Minneappolis Spine Center, as well as information on the chiropractic part of it (Not sure why...I am definitely NOT pursing that). My pain management Dr told me that I would "need to be careful because they tend to be a bit surgery centric and do more surgery than many other places would deem necessary". That made me nervous, so I explored other options. After talking to several local people with spinal fusions, I found out that there is a surgeon nearby that did his residency at Johns Hopkins and is very good with "complicated" cases.
    I went to my primary care Dr and got a referral. Meanwhile, that night (2 nights ago) I had as bad of a night as I had the night I came home from the hospital after the first posterior surgery. I called both my pain management Dr and my primary care physician the next morning (yesterday) and was told to either go to the ER and get an xray but that they won't want to touch me for anything else, tough it out until I find out if the new surgeon will take me on as a patient, or go back to the original surgeon who did the surgeries (lots of back story...my opinion of him is NOT good at all). I also found out it will be roughly 10 business days until I find out if I will even get an appointment with the new Dr.

    I know that 10 days seems like not much compared to the time spent waiting for the Mayo Clinic, but I am not doing very well at all, have tried just about everything, and at this point the swelling has also gotten so out of control. I am not normally a sweller, but I have had to start wearing underwear two sizes to big and the other night I had a red mark from the band where I had swelled up too much for the BIG underpants!!

    We purchased a hot tub recently and that had helped, but since the swelling started getting so bad I haven't used it, I have tried ice, but it seems to make the pain worse and the popping more frequent.

    I am not even sure why I am posting. I am just so unbelievably frustrated right now, and thought maybe someone might have a suggestion that i haven't tried yet to get the swelling/pain to drop just a little. :/
    25 years old
    double 70+ degree curves before surgery
    Anterior on 11/11/08
    Posterior on 12/2/08 with titanium rods
    nearly perfect correction
    fused t-10 to pelvis
    with a hemi-vertebral osteotomy at L4

    Broke right rod at L4-L5 on 06/26/09
    Broke left rod on 10/24/09
    Revision surgery on 11/5/09 with vitallium rods
    Broke both rods again

    Had posterior than anterior revisions on 03/11 at the Twin Cities Spine Center
    Declared "FUSED" on 12/6/11

  • #2
    Oh no! I wish I had some answers Les. I'm so sorry to hear about your pain. I hope you get some hopeful and helpful advice in 10 days which might start to turn things round for you. Please keep us up to date. We all need to know about these situations because any one of us could find ourselves in the same place. Good luck!
    Surgery March 3, 2009 at almost 58, now 63.
    Dr. Askin, Brisbane, Australia
    T4-Pelvis, Posterior only
    Osteotomies and Laminectomies
    Was 68 degrees, now 22 and pain free

    Comment


    • #3
      I am so sorry you are having these issues. I don't have much to offer as far as help goes. I know it's not easy, but just take it one day at a time. It is all you can do. Get up in the morning, tackle the day, and one more day is down-you can do it!

      I am not a medical specialist, but if it were me, I would try everything I could to keep it from being any more irritated. Baby yourself! I hope you find a surgeon and some answers. Keep us updated!
      Jenee'-52
      Bend, Oregon

      Braced 3 years in high school
      Lumbar 70'+ Thoracic 70'+
      I had 3" shrinkage in 6 months...

      Surgery Jan 10, 2011
      9 hours
      T3 to S1 with pelvic fixation
      Both curves now 35'

      Possible revison for Flatback Syndrome
      Non-fusion
      Loose/broken hardware-awaiting CT results

      Here is the link to my before and after pics..
      http://www.scoliosis.org/forum/showt......&highlight=

      Comment


      • #4
        FLT

        I cannot believe it.

        I personally would head up to Twin Cities, right away. I wouldn’t question their ability at all.

        SRS was founded there in 1966, and all the best came through there. Names would not be too hard to produce.....all the best, a long list, including my surgeon. Dr Bradford, Dr Boachie, Dr Hu, Dr Winter, Dr Moe...no need to continue.

        I’m so sorry this has happened.
        Ed
        49 yr old male, now 63, the new 64...
        Pre surgery curves T70,L70
        ALIF/PSA T2-Pelvis 01/29/08, 01/31/08 7" pelvic anchors BMP
        Dr Brett Menmuir St Marys Hospital Reno,Nevada

        Bending and twisting pics after full fusion
        http://www.scoliosis.org/forum/showt...on.&highlight=

        My x-rays
        http://www.scoliosis.org/forum/attac...2&d=1228779214

        http://www.scoliosis.org/forum/attac...3&d=1228779258

        Comment


        • #5
          The swelling is something about which I'd be a little concerned. I think you should go to the E.R. just to be certain this is not something serious.

          --Linda
          Never argue with an idiot. They always drag you down to their level, and then they beat you with experience. --Twain
          ---------------------------------------------------------------------------------------------------------------------------------------------------
          Surgery 2/10/93 A/P fusion T4-L3
          Surgery 1/20/11 A/P fusion L2-sacrum w/pelvic fixation

          Comment


          • #6
            At first I was so glad to see you posting but I'm so sorry about your major difficulties. It really does sound like you need to have this checked out very soon. I was interested in the Johns Hopkins trained dr. in the region since we are so close to one another. Maybe this person can help. Otherwise, T-Ed, I think, has the right idea--get to MN. For some reason, Mayo never seems to come up as the place to go for this--great in many things but haven't heard about it as a great scoliosis surgery spot. Let us know how you are doing and if you get some help. Good luck. Janet
            Janet

            61 years old--57 for surgery

            Diagnosed in 1965 at age of 13--no brace
            Thoracic Curve: 96 degrees to 35 degrees
            Lumbar Curve: 63 degrees to 5 degrees
            Surgery with Dr. Lenke in St. Louis--March 30, 2009
            T-2 to Pelvis, and hopefully all posterior procedure.

            All was posterior along with 2 cages and 6 osteotomies.

            Comment


            • #7
              I'm sorry I haven't replied back for a while. Again, got swamped. I am so trying to cool it, but unfortunately (at the moment anyway), I am a photographer, and Christmas photos are keeping me more than swamped.

              The surgeon near us ended up taking a look at my case three days later and ordering an MRI and a bunch of xrays for the next day. I have an appointment with him on the 21st.
              A side note:

              When I went for the MRI the tech came to get me just a few minutes after they gave me the information form to fill out. I mentioned that I wasn't done, and she said "oh, don't worry about it. That part is just for people with metal implants...you are way too young for that." I explained that I had vitallium rods and titanium screws, her reply was "hmm, I don't know if vitallium is okay in an MRI, I guess we'll find out!" (I immediately told her that it was, and that I had made sure). Then proceeded to say "Are you just doing this for pain? Because everyone with a fusion has a little pain every once in a while. I have an L1 to L2 fusion and I get sore every once in a while..." and continued on about how I had no reason to be there and probably had no pain tolerance and to suck it up. I just let her talk, because I knew she'd see the MRI in a few minutes. She decided it was not necessary to lower the table, so I climbed up, she tossed some ear plugs my way and made some other adjustments, and that was it.
              When she came in to put the dye in she said "Oh honey! I am so sorry! You are so inflamed!" She missed when getting the IV in (I'm a terribly hard stick anyway), and went rooting around for it, I apparently didn't flinch. Then apparently the vein blew and I guess that is pretty painful with the type of dye they use. She noticed it before I did and asked if I was in a lot of pain from it, I said "not really, it just feels different than it did before." She said "Oh wow, you are so conditioned to pain! Did you take pain medicine this morning?" I told her I had not, because I knew I'd need it more after the MRI than before or during. She offered to help with my shoes, get me a glass of water, a blanket, etc.

              Amazing the difference before and after. *rolls eyes*
              25 years old
              double 70+ degree curves before surgery
              Anterior on 11/11/08
              Posterior on 12/2/08 with titanium rods
              nearly perfect correction
              fused t-10 to pelvis
              with a hemi-vertebral osteotomy at L4

              Broke right rod at L4-L5 on 06/26/09
              Broke left rod on 10/24/09
              Revision surgery on 11/5/09 with vitallium rods
              Broke both rods again

              Had posterior than anterior revisions on 03/11 at the Twin Cities Spine Center
              Declared "FUSED" on 12/6/11

              Comment


              • #8
                Very interesting! With all that inflammation I would think they might speed up your appt. Hope you get some relief and answers soon. Janet
                Janet

                61 years old--57 for surgery

                Diagnosed in 1965 at age of 13--no brace
                Thoracic Curve: 96 degrees to 35 degrees
                Lumbar Curve: 63 degrees to 5 degrees
                Surgery with Dr. Lenke in St. Louis--March 30, 2009
                T-2 to Pelvis, and hopefully all posterior procedure.

                All was posterior along with 2 cages and 6 osteotomies.

                Comment


                • #9
                  This may end up on here twice--I'm redoing. It was a really interesting reaction of the technician. With all that inflammation I'm surprised they didn't move up your appt. Hope you get some relief and answers. Let us know. Janet
                  Janet

                  61 years old--57 for surgery

                  Diagnosed in 1965 at age of 13--no brace
                  Thoracic Curve: 96 degrees to 35 degrees
                  Lumbar Curve: 63 degrees to 5 degrees
                  Surgery with Dr. Lenke in St. Louis--March 30, 2009
                  T-2 to Pelvis, and hopefully all posterior procedure.

                  All was posterior along with 2 cages and 6 osteotomies.

                  Comment


                  • #10
                    They said that the 21st was the first available, but I am on the cancellation list. I've been swelling like this for a while though.
                    25 years old
                    double 70+ degree curves before surgery
                    Anterior on 11/11/08
                    Posterior on 12/2/08 with titanium rods
                    nearly perfect correction
                    fused t-10 to pelvis
                    with a hemi-vertebral osteotomy at L4

                    Broke right rod at L4-L5 on 06/26/09
                    Broke left rod on 10/24/09
                    Revision surgery on 11/5/09 with vitallium rods
                    Broke both rods again

                    Had posterior than anterior revisions on 03/11 at the Twin Cities Spine Center
                    Declared "FUSED" on 12/6/11

                    Comment


                    • #11
                      So, I went to my GP today, because a cold I got last week turned into bronchitis this week. She asked if I had seen my mri or xray results yet. Since I had not, she broke the news to me.

                      Both rods are broken again. They are gapping pretty badly on one side, and crushed together on the other. Apparently they are mobile enough to move around and scrape up things as they have caused some scarring and inflammation around the broken area.

                      Good news: the screws are fine. What my old surgeon had said about the pelvic bone and bolt is not true. Its been broken rods all along.
                      25 years old
                      double 70+ degree curves before surgery
                      Anterior on 11/11/08
                      Posterior on 12/2/08 with titanium rods
                      nearly perfect correction
                      fused t-10 to pelvis
                      with a hemi-vertebral osteotomy at L4

                      Broke right rod at L4-L5 on 06/26/09
                      Broke left rod on 10/24/09
                      Revision surgery on 11/5/09 with vitallium rods
                      Broke both rods again

                      Had posterior than anterior revisions on 03/11 at the Twin Cities Spine Center
                      Declared "FUSED" on 12/6/11

                      Comment


                      • #12
                        oh, and on a side note. I always want to post my well wishes on the first time surgery threads, but I am always afraid that even my signature will scare them more than need be!
                        Last edited by fierceliketiger; 12-15-2010, 09:23 PM. Reason: spelling correction
                        25 years old
                        double 70+ degree curves before surgery
                        Anterior on 11/11/08
                        Posterior on 12/2/08 with titanium rods
                        nearly perfect correction
                        fused t-10 to pelvis
                        with a hemi-vertebral osteotomy at L4

                        Broke right rod at L4-L5 on 06/26/09
                        Broke left rod on 10/24/09
                        Revision surgery on 11/5/09 with vitallium rods
                        Broke both rods again

                        Had posterior than anterior revisions on 03/11 at the Twin Cities Spine Center
                        Declared "FUSED" on 12/6/11

                        Comment


                        • #13
                          Fierce--
                          Answered your PM--a scaled down version--too many characters! Still can't believe they are broken again. Janet
                          Janet

                          61 years old--57 for surgery

                          Diagnosed in 1965 at age of 13--no brace
                          Thoracic Curve: 96 degrees to 35 degrees
                          Lumbar Curve: 63 degrees to 5 degrees
                          Surgery with Dr. Lenke in St. Louis--March 30, 2009
                          T-2 to Pelvis, and hopefully all posterior procedure.

                          All was posterior along with 2 cages and 6 osteotomies.

                          Comment


                          • #14
                            broken again...

                            Now that "the dust has cleared" a little, since I found out yesterday. I am kind of mad. Okay, really mad that for MONTHS I had been telling my surgeon that there was something wrong. That the rods were broken, I felt the pop, and he just blew me off! In fact once he told me to "Stop worrying about something that will not happen again." That I was "too preoccupied with worrying about it" that I wasn't living my life. That the swelling was no big deal, and that I could "fall off a 3 story building and still not break these rods!"
                            ARGGGHHHH.
                            I know there is nothing I can do about it now, but it ticks me off. A LOT.
                            25 years old
                            double 70+ degree curves before surgery
                            Anterior on 11/11/08
                            Posterior on 12/2/08 with titanium rods
                            nearly perfect correction
                            fused t-10 to pelvis
                            with a hemi-vertebral osteotomy at L4

                            Broke right rod at L4-L5 on 06/26/09
                            Broke left rod on 10/24/09
                            Revision surgery on 11/5/09 with vitallium rods
                            Broke both rods again

                            Had posterior than anterior revisions on 03/11 at the Twin Cities Spine Center
                            Declared "FUSED" on 12/6/11

                            Comment


                            • #15
                              It would tick me off as well. I can't believe your bad luck. Do you know if BMP was used in either surgery?

                              Wishing you the best of luck for whatever comes next.
                              Surgery March 3, 2009 at almost 58, now 63.
                              Dr. Askin, Brisbane, Australia
                              T4-Pelvis, Posterior only
                              Osteotomies and Laminectomies
                              Was 68 degrees, now 22 and pain free

                              Comment

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