Monday, May 30, 2016

Discharged Home After Cervical Spine 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."  With Ehlers-Danlos Syndrome the more you don't move, the weaker all of your joints will get because your muscles will weaken. In EDS, strong muscles are key to keeping joints more stable. 
To walk or not to walk???

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 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. Fortunately she solved the problem. One might not realize how ridiculously hard it is to get your hair brushed while in the halo. It's even more difficult to get it into a ponytail because you have to slide the front hair under the bar that goes over the top of your head in addition to behind/above the screws over your ears. It involves much more than you'd ever realize. It's really time consuming initially because you're learning how to even do the task. My sister was officially dubbed the, "Halo Hairstylist". A few days before I had my halo application I went and had my hair cut shorter because I thought it would be easier in the halo. For me, I think having my hair shorter made it harder to get it up in a ponytail.
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 how high the incision went. Surprise!
Later that day, I went for a walk with the walker that had 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. Bad shoulders/scapulas and walkers are not a good combination. I was getting ticked off at it since my shoulders suck, and I felt like a dog on a leash with my parents "pulling" me along.
This was me telling my parents how this walker is stupid, and if somebody would find me a brace to support my left shoulder I would be able to walk without any assistance. When you're in a lot of pain you don't necessarily have the most patience. Little things upset you easier (at least they do for me), and there's a lot to cope with after surgery both physically and mentally. 
A quick "smile at the camera" as my parents and I were trying to walk all the way around the nurses station. You can tell just how thrilled my parents and I were.  
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. The answer was no. I then had the idea if 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. I remember saying I could instruct them on how to tape me but at that point it was pointless. Adhesive tapes do not agree with my skin at all, but at this point I knew it would have been the lesser of the two evils. I would have done anything to have a little scapula relief. 
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. This tape was more for my shoulder joint, but it would have helped my scapula too. 
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 more cranky than I already was. Between the neck pain, and the scapula pain I wasn't the most pleasant individual to be around; however, with every other obstacle that has ever been put in my path, I think, and figure out a solution to get around it. This was no different, and this is how it all played out. The nurse, as well as the physical and occupational therapists had left my room officially saying there wasn't anything they could do. I could understand the nurse not having too many ideas since it's not their area of training, but I was not pleased at all 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. 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 had my mom, and sister 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 honestly took maybe 5 minutes to make a sling. 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! It helped alleviate some of the scapular pain, as well as the added pain in my neck from my arm pulling on it. So if anybody has this problem in the hospital, make a sling out of a bed sheet. 
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". The man brought what you would call a "Figure 8" brace. It gets put on both of your shoulders, and pulls your shoulder blades together. This was not my issue. I needed a brace to hold my shoulders up. The man said I'll need to have something custom-made to solve my problem and he will have somebody call me tomorrow. The next day the office that makes the custom braces called and we scheduled an appointment for a few days later. The custom.braces they made ended up working incredibly well.

April 18, 2016 Post-Op Day 6 aka Discharged Home Day!

You may or may not notice I am in the exact same clothes that I was in the day before. I am one of those people who notices details. After surgery it takes a lot of energy to get changed, and do simple tasks. If it's not necessary to use that "energy storage" then don't. Save your energy to do something more productive, like walk. Also, in my situation, if I were to change, that would mean I would have to take off the "sheet sling". 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 I wanted to go home the following day (April 18th). I was so tired because nurses are always coming in at all hours of the day, and night to check vitals, and I was hurting. My shoulder/scapular surgeries were postponed due to the severity of my neck, and I knew I would be more comfortable at home. At this point I was on all oral medications so there really wasn't a need to be in the hospital. Dr. F told me there was absolutely no rush, and I was allowed to stay longer if I wanted to. I wanted my recliner, and I wanted my dog Daisy. 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. Being lopsided 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 at all. To anyone that may be having to face neck surgery, I would suggest getting your body in as best of shape possible. When you go into surgery strong, you typically have an easier recovery; that doesn't mean it won't be hard.
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 Dr. F 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. It was at this time when I got a better idea of what my incision looked like. Those white pieces you see that look like tape are called steri-strips. They help the incision heal, and 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 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 were:

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. (Little did I know I would be in the halo for a total of 8 months before these other braces came my way). 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. (Little did I know that I would be having my skull-C3 fused just 4 months later). 

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, 2 plates, 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 said, "I wish it was a psychiatric problem because it would have been a whole lot easier to deal with that than what I just did to you. 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." To this day those words play through my head. It had a whole new meaning when my skull-C2 slid into my throat on August 25, 2016.
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 before pulling over because the bumps were so bad causing a ton of pain in my head and neck. I was crying so much. I felt like I was going to puke. My body temperature kept alternating from hot to cold. It was horrible. The potholes were adding insult to injury. My dad ended up pulling the car over. I moved to the front seat and my parents propped pillows all around my head to take some of the brunt from the bumps. I cried pretty much the entire way home. I didn't really sleep. It was not fun. We were all thankful when we made it home over 2.5 hours later.   
Thumbs up! 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

Follow and "Like" Megs' Shoulder & Scapular Journey on Facebook for CURRENT updates. 

You can follow me on Instagram at thetravelinghaloofhope

3 comments:

  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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  2. Thank you for sharing your story. I relate to you. I also have EDS and have lived a life of injury and pain since childhood. It's funny because I've had so many surgeries that I also call my scars battle wounds. You are brave and sharing your story helps to bring awareness to our condition that I know so many others have and do not even know it. Xo.

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    1. Thank you so much for reading Sonia!! I'm sorry you've had many surgeries too. Battle wounds is a good name for our scars. We earned each and every one. Thank you for your kind message. It means a lot!

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