Monday, May 30, 2016

Discharged Home After Neck Fusion

One of the hardest things after any surgery is getting up out of bed and walking the halls. For me, there is a constant internal battle because half of my mind is saying, "I don't want to get up and walk because it hurts, and I'm tired," while the other half of my brain is trying to motivate myself by saying, "Get up and walk so you can get strong enough to go home."  
View from my new room of the Museum of Science & Industry. I would much rather be strong enough  to be outside, versus being in the hospital.
April 16, 2016 Post-Op Day 4:

It was a more "exciting" day because my sister stopped by to visit me. I was so happy to see her because she was able to get my hair up in a ponytail for me since I can't reach the top or behind my head. My hair had been driving me nuts because it was getting caught in my halo so she solved the problem. You might not realize that it is very hard to brush your hair while in a halo, and it's even more difficult to get it into a ponytail because you have to slide the front hair under the bar and behind the screws above your ears and it involves much more than I ever realized. My sister has officially been dubbed the, "Halo Hairstylist".
I have absolutely no idea what we were doing except being weird and she got me to smile. 
A+ for her getting my hair up and off of my face and neck
Once my hair was up, I learned my incision was longer than I initially had anticipated. When my hair was down in the previous post, I didn't realize the incision went up higher. Surprise!
Later that day after my sister had gotten my hair up, I went for a walk with the walker and arm supports with my parents and my sister. My sister was in charge of the camera because both of my parents were helping me move the walker because I was getting ticked off at it since my shoulders suck.
Me telling my parents how this thing is stupid and if somebody would find me a brace I would be able to walk without any assistance.
A quick "smile at the camera" as my parents and I were trying to walk all the way around the nurses station. This walker was a pain in the butt for me. 
Based off of the pictures that I have on my phone, nothing too eventful happened on this day. I know I kept asking for a brace of any sorts that I could use to immobilize my left arm. I then had the idea that maybe the physical or occupational therapists could tape my arm up like my physical therapist in Colorado did to help hold it up. I went as far as getting the picture to show them but apparently they didn't know how to tape it. 
This picture is from Feb. 2013. If my arm would have been taped like this, it would have helped to get the drag of my arm off of my neck.
April 17, 2016 Post-Op Day 5:

I was on a mission this day. What's the mission you might ask? To get my left my arm in a sling because I was officially fed up that I was in a hospital and nobody had any idea of what to do to immobilize it. The pain over my left scapula was increasing, and it was making me cranky. With every other obstacle that has ever been put in my path, I think, and figure out a solution to get around it. So this is how it all played out. The nurse, as well as the physical and occupational therapists had left my room saying there wasn't anything they could do. I could understand the nurse not having too many ideas since that's not their area of training, but I was not pleased with the physical or occupational therapists. If they weren't going to think of a solution then I guess I would have to figure it out myself.

My mom and sister were with me that day. I remember standing up and saying, "That's it! We're going to be 'old time mountain women' and go back to the old days and make a sling". I told my mom and sister to take the sheet off of my bed because that's what we were going to use to make a sling to immobilize my arm. I knew we could make something that would go around my torso that would not put any pressure on the halo, and it would not put any pressure on my neck. It took maybe 5 minutes to make a sling and the problem was solved. It wasn't rocket science. This was the final product and it worked like a charm!
Wala! Ladies & gentleman we made a sling out of a bed sheet which helped solve the problem and alleviate some of the scapular pain, as well as the added pain in my neck from my scapula (shoulder blade).
Walking unassisted! You should have seen the look on the nurses faces when they saw me out of my room without a walker, and with my arm in a sling made from a bed sheet. It was priceless!
Very fitting words that were right outside my hospital room. I did one lap around the nurses station and noticed these words when I got back to my room.
"Put one foot in front of the other!"
When you're post-op, one lap around the nurses station is exhausting.
Later that day, Dr. F had stopped by again to see how I was doing. He saw my sling concoction and said he was going to send somebody up from a brace place with a brace that might help me. At around 8 p.m. a man came in saying he has a brace for my shoulders. He showed me the brace and I immediately told him thank you for coming, but that brace is not going to work. What he brought is what you would call a "Figure 8" brace. It gets put on both of your shoulders and pulls your shoulder blades back. This was not my issue. I needed a brace to hold my shoulders up. The brace guy said I'll need to have something custom-made to solve my problem and he will have somebody call me tomorrow.

April 18, 2015 Post-Op Day 6 aka Discharged Home Day!

Yes, you will notice I am in the exact same clothes that I was in the day before. It takes a lot of effort to get changed and I didn't have the energy for it. If I were to change, that would mean I would have to take off the "sheet sling" we made the day prior, and my arm was in a relatively comfortable position. When you find those comfortable positions, you don't mess around. You take advantage of them for as long as you possibly can!

The day before, I told my parents, and Dr. F that I wanted to go home the next day. Dr. F told me there was no rush and I was allowed to stay longer if I wanted too. I was so uncomfortable at the hospital though. I knew I would be more comfortable at home in my recliner, and I wanted my dog Daisy. All I kept saying in the hospital from the moment I got out of surgery was that I wish Daisy were here. She helps keep me calm, and petting her is soothing; essentially, it's pet therapy.

My parents and I were hoping that I would be discharged in the morning since we were in Chicago, and we wanted to avoid rush hour traffic. It wasn't the end of the world, but I didn't get discharged until around 5:30-6:00 p.m. To those that aren't familiar with Chicago, that is rush hour hell with bumper to bumper traffic. Since we were at the hospital pretty much all day, it turned into a busy one. 

Before being discharged, I had to pass the protocol from the physical therapists perspective. She came by in the afternoon. This was a new physical therapist and she was a hoot. She came by to make sure I could walk okay, and had me do stairs because we have stairs in our house. She was very nice. I liked her a lot. I passed my walking, and stairs test with flying colors. She was impressed that I was able to walk so easily with the halo. She told me most people are pretty wobbly, and have trouble finding their center of balance. I told her I've had a lot of surgery, and I've been in a lot of various braces that have had me lopsided and this forced me to get good balance; in that respect, all those previous surgeries prepared me for the halo. I didn't have a hard time learning how to walk or do stairs with the halo. 
She was funny; she couldn't get over my height
Going up the stairs
Coming down the stairs
The nurse I had was wonderful. He had been my nurse for the past two days. He was constantly making sure I was okay, and that I didn't need anything. When it was time to take my oral pain medication, he was there before I had time to hit the "call nurse button". He is a very good nurse. In fact, all of my nurses were very good. I have no complaints at all. Make sure you tell your nurses please and thank you when they help you. They appreciate it more than you realize. 
My nurse and I. 

Later in the day, Dr. F stopped by with one of his associates. Once again, he told me that I could stay longer, and that he liked coming to visit me. I chuckled but told him I would be more comfortable at home and would be seeing him soon for post-op visits. While in my room he decided to take off the dressing that was applied over my incision. This was when I got a pretty good  idea of what my incision looked like. Those white pieces of tape are called steri-strips. They will fall off on their own.
Another "battle wound". To be completely honest, I'm kind of nervous for my halo vest to come off because I already have larger incisions over my shoulder blades. There are incisions over the backs of my shoulders, one in the middle of my back and now I get to add this one to the collection. I've been telling people,  it's going to look like I was bit by two sharks instead of just one.


While Dr. F was in my room he asked if I had any questions. Anybody that knows me knows that I always have questions. I was sitting on the side of the bed, and Dr. F was sitting on the couch across from me. A few of the questions are:

Question #1: What comes after the halo?

Answer: You'll be put in a vested brace to immobilize your cervical and thoracic spine that you'll wear for X amount of time. You'll also get a neck collar that you will wear to shower in. Eventually you'll only need to wear the vested brace to protect the rest of your spine. It's possible that we may need to fuse you skull-C3 in the future because it's not uncommon that the area above a fusion becomes unstable.

Question #2: What happens if you fuse me skull-C3 since I'm now fused C3-T2?
Answer: You'll have no mobility in your neck.

Question #3: What restrictions will I have now that I'm fused?
Answer: No heading a soccer ball (made us laugh because of all the headers I did in my soccer playing days). You'll need to wear the vested brace whenever you exercise to protect your spine.

Question #4: Why didn't any of the other doctors recognize this problem? How did it go from being told 9 months ago by a different doctor that I needed psychiatric care, and here we are today with a halo brace, 2 rods, and 14 screws holding my neck together?
Answer: There wasn't really one. Dr. F's lips tightened together and he just shrugged not saying a word. He looked me in the eyes and told me he wishes it was a psychiatric problem because it would have been a whole lot easier to deal with that than what he just did to me; the good thing now is that your head isn't going to fall off because it was only a matter of time before it did.
Final Question: Can I please take a picture with you because I get my picture taken with every doctor that has helped me? I think he was little shocked by this question but said, "Yes, here you can sit next to me on the couch." My mom went to take our picture but with the sun at our backs, you couldn't see our faces. So we had to stand instead, and he said, you're going to be taller than me if we stand. I told him I'll slouch down a little then. 
Dr. F & I
The time had finally come where I got to go home. At first we had no idea how I was going to get home. I wanted to sit in the back seat because that's where I usually go after surgery. We weren't even off the hospital campus and we were pulling over because the bumps were so bad causing a ton of pain in my head and neck. My dad ended up pulling the car over and I moved to the front seat. We propped pillows all around my head to take some of the brunt from the bumps. Once we did this, the ride home was more tolerable. 
Home at last!
I went upstairs and propped up in my recliner. Shortly thereafter, I fell asleep and Daisy wasn't too far from falling asleep herself.


There have been a lot of times where I've been told, "I don't know how you do it" or times when I've been asked, "How do you keep going?" Honestly, I feel like I have no choice but to keep going. There has to be a light at the end of the tunnel, right? Is it easy? No! It is the hardest thing I've ever done. I crave the day where my body is exhausted from being at work all day vs. dealing with medical stuff. There are days where I cry, and say, "I can't do this anymore". There are days where I keep saying, "I miss my old in-shape, athletic soccer body." There are days where I ask, "How is it possible that in matter of 10 years I went from being so athletic to having enough surgeries to match my age?" I also ask myself, "Why did this happen to me?" I will say, I don't know why this happened to me, but I have been fortunate enough to help some people along the way by simply sharing my story which makes dealing with everything just a little bit easier.  
Saw this quote and THIS is how I keep going: 


https://www.pinterest.com/pin/37225134393324190/

Next post will be about some humorous hurdles and obstacles that I had to overcome now that I was home.
If there is anybody that has Ehlers-Danlos Syndrome (EDS), is in/was in a halo that would like to connect, please feel free to email me at kingmeg19@gmail.com

You can follow me on Instagram at thetravelinghaloofhope

1 comment:

  1. Meg,

    I adore your intestinal fortitude. I know you push me to keep going when I want to have my arm and shoulder just cut off. When things get bad I think of our talks and your writing and know that my situation could be much, much worse. Keep up your spirit, your fighting will, and above all else, keep healing!

    When we talk next, I have a friend to tell you about. It does include the subject of Ehlers-Danlos syndrome too.

    Thumbs Up,
    Heidi

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