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In hospital...for how long?

Mar 04, 2015 8:17 PM

Bids on how long they'll keep me? Had anterior lumbar disectomy/fusion surgery tuesday and ohhh boy this hurts like nobody's business. And i have an extremely high pain tolerance! Next up is ALIF (Back surgery, double-triple fusion, going thru stomach). Surgeon had booked that for 2.5 weeks out (sees it as emergent) but I am trying to delay i feel like carved meat.

Anyway, was scheduled for discharge tomorrow morning but didn't meet goals. Still on oxygen, weakened lungs, pain to a 10 at times (never self report that) before meds which are only minimally controlling it, dilaudin every 2 hrs, valium 4, & prednisone and other iv for inflammation, and can barely ambulate 8 feet (to bathroom - bedpan till earlier this afternoon), with assistance then almost throw up from pain. Also can't swallow...apparently due to inflammation of esophagus too?

What do u think? Am I going home tmrw? They haven't given me a time yet...said "play it by ear" when I asked when hubby should be here, have not showered, have not been able to meet with social work regarding adaptive equipment for home (need shower rails, walker, arm rails where stairs are etc). And no bm..i dunno if that matters?

I don't want to be some whiny baby about it but I feel extremely helpless and vulnerable and I don't see how I'm anywhere near ready for discharge. Can't believe hubby is gonna be able to do all this with our 2 toddlers at home!

Thoughts?
Thank you!

Mar 05, 2015 12:40 AM

The bm is important because pain killers can constipate, so yes it is probably something they're going to want to happen before you discharge just to make sure everything is back in working order.

As for the rest, unless they were planning on some home care then you're right, you probably aren't ready for discharge right now. A lot can change in 12 hours though so don't lose all hope for leaving tomorrow.

Here's to a quick recovery for you!

Mar 05, 2015 5:35 AM

Therapist Unveiled you are not a whiny baby your body has gone thru a pretty serious surgery. I'm not sure with everything that is going on that you will make it home today. But like mountain girl said a lot can change in 12 hrs., they won't let you leave without having a bm it's very important to make sure everything works. I know you want to get home to your babies. I think you need to let them know that you need something stronger for pain if you could get it under control you migbe able to move a little better.The pain is probably making you tense up more and stressing you out. Your lungs are adding to the stress. Maybe you could get your nurse to put a chair in the shower and help you bathe or even give a sponge bath might make you feel a little better. You might ask for some throat spray to help you swallow, can't think what it's called now, but when I had my last surgery they gave me some because my throat was sore and it hurt to swallow. It helped me it numbed my throat so it didn't hurt to swallow. My throat wasn't as bad as yours but maybe it could help. I will keep you in my thoughts and prayers. God Bless

Mar 05, 2015 7:19 AM

Therapistunveiled, You're only 2 days post op and the anesthesia does affect your bowels.It is very important that they know your bowels are functioning because if not it can cause other problems. In order to get the bowel motility active you would need to move around (walk) more. In order to walk more you need to keep the pain as minimal as possible. There's no shame in asking for stronger meds or more. You're in the hospital for professional care, so take advantage of it while you're there. Ask for throat spray or lozenges or candy or ice to keep your throat moist. I'm betting due to the type of surgery and your bodys response, you won't leave until Saturday or Sunday. But trust me, if you leave too soon you'll wish you hadn't and you could end up having to go back. Do everything you can do to improve some of your functioning every day. But if you try and can't don't beat yourself up. Your body will let you know what's ok and what's not. Do they have you coughing now and then for your lungs? They brought in a respiratory therapist for me, because I was having problems breathing deep, and I have asthma. When you walk, ask if they can bring you a walker to support yourself.

As for the other surgery the doctor is planning, ask him to either move it up so you can get it all done and over with (instead of 2 1/2 weeks return to Hosp), or delay it 3-6 months or more. Ask him to explain why its so urgent. Its going to be even harder to deal with the back cut and a stomach cut at the same time, especially with the pain you're in. You need to keep the pain under control to walk more. Like weezie12 said, if you're feeling the pain too much you're going to stress & tense up more, making you hurt more. Let the nurses & doctor know you're in pain.

And don't worry about your husband and kids right now. I'm positive they are doing just fine. But he needs you to focus on yourself so when you do get out you're the best condition you can be. (I say all this from experience, when I had neck surgery my kids were the same age as yours, and my husband did surprisingly well). And maybe you can not only get theassistance devices for your home, but also home health personnel to come 1-3 days a week. My sister got it with her knee surgery.

I'm praying for you, that you start to feel less pain so you can become active and go home. Rest & don't stress over anything, just focus on you, your body's needs, and getting better. Take it one day at a time Wishing you a better day each day than the one you had before... God bless you! πŸŒΌπŸ™

Mar 05, 2015 1:44 PM

Therapistunveiled, you are NOT a crybaby... You are only two days post-op. Generally they prefer that you have a bm before you're released so they know that your motility is working and hasn't been diminished from the anesthesia and the pain meds. Also remember, you're not totally ambulatory yet and that doesn't help with your digestive tract working at its full capacity. Also, after surgery, especially what you're dealing with, it's not unusual for your pain levels to be up. The problem with your trachea and being able to swallow properly is probably due to the endotracheal tube they put down your throat to keep you breathing during surgery. (For your lungs, make sure you use that plastic thing with the hose to get your lungs stronger and your lung capacity better. You will need to use it 3-4 times a day). You may need to stay one more day. If that is what you need, better to be where you can get the meds you need and doctors and nurses right there when you need them. I hope that you feel better soon and have a quick and complete recovery. You'll be in my prayers. (On a side note, you should tell them you feel dirty and they will come in and give you a sponge bath. Believe me, when you feel grungy and aweful, the sponge bath feels wonderful!!!).

Mar 05, 2015 3:43 PM

Hi all, just wanted to update you guys. I will be here one more night. Doc came in and changed up my orders this morning. Much better...and i was able to shower today yay!

Will be sent home with walker, shower chair and at home nurse care. They really are taking care of me here.

I do want to see some follow up with my non-existant bm, & chest stuff. So we'll see what tonight brings!

Thanks!!

Mar 05, 2015 7:05 PM

That's really great news! I'll keep praying foryour recovery.

Mar 05, 2015 10:02 PM

Therapist that's wonderful ,I know that shower felt good. Hope you continue to get better. Will be praying for your full recovery.

Mar 06, 2015 12:49 AM

Thank you all so much for your thoughts and support! Just woke up due to pain but took oral perkocet vs dilaudid because trying to get used to no iv narcotics for home :) We'll see if i can get back to sleep. I'll give in if must be.

Thanks all i will keep you posted.

Mar 06, 2015 6:31 AM

Praying you have a better day today.
πŸ˜ƒ

Mar 07, 2015 3:11 AM

Awesome news, therapistunveiled!!!! I will be praying for you that you continue to steadily improve and continue to feel better. My thoughts are with you and healing wishes being sent your way. πŸ™πŸ’•

Mar 07, 2015 7:46 AM

I wish you a speedy recovery 🌼🌻🌸🌹🌝

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