Tuesday, August 22, 2017

Post-Kyphoplasty

     It's over and I'm home! I gained a little over a 1/2" in height according to their measurements.  I'm managing without pain meds but was sore and taking it easy the first week.  They did T-6, T-8, & T-10.
     As you already know from the previous post, it was going to be a long day, but it got to be even longer when my 4:00 pm surgery didn't happen until 7:00 pm.  And, it's a little unsettling when your ortho surgeon is yawning through his pre-op consult with you after being in surgery since 7:30 that morning!
     I didn't sleep much the night before as I was busy getting ready and got up to eat a high-protein meal at 11:30 so it would carry me through the next day.  Am so glad I did that!  I was allowed 8 ounces of water at 6:00 am to take my medications.  We left the house a little after 2:00 am for the airport.  After we dropped Johanna and the kids at the airport, we drove back up the freeway a short distance so Steve could have breakfast.  I stayed in the car and told him not to even smell like food when he came back!  ha.... We then drove 1/2 way into SF and stopped at a rest stop where we always stop.  We slept there for several hours.  When we went to leave, the battery was dead!  Steve had the key on to listen to the radio and I was charging my phone.  Fortunately, we had an emergency battery pack and hooked it up to the battery to get it started.  We drove on into the city and sat some more in the hospital lobby until it was my check-in time at 1:40 pm.  Then we sat some more until they finally called me for pre-op around 6:00 ish.
    I was grateful for the skillful lab tech who was able to get an IV started in the back of my left hand.  My veins are damaged from an early round of chemo that was done without a port.  Turns out he was from our area and graduated from the local high school.  We had fun visiting! And, Steve kept finding nurses (Females) in my care who rode motorcycles! So there was a lot of motorcycle talk!
     Everyone on the operating team came by pre-op to introduce themselves and meet me.  My PA had to leave at 5:00 but there were others on the team - a dr doing a fellowship in ortho, a resident, a 4th year medical student.  The anesthesiologist was a resident who was going to be doing my anesthesia.  She was accompanied by her "attending" anesthesiologist.  My lips and throat sure took a beating and don't know if that was due to how they had to move me onto my stomach to work on my back or her "skill".  Somewhere in my stack of papers, I remember seeing a note that my ortho was the "attending" physician as well.  So I'm not sure who actually did the procedure. I don't remember much of anything after entering the OR until waking up in recovery.  My ortho doc is such a sweet, kind man. He went all the way down to the 1st floor to get Steve and took him back up to recovery.  Then talked to us both about the procedure and how things went well.
     I was given a private room that had a chair that folded into a futon for Steve.  The nurses gave him a pillow and blanket and he was soon fast asleep.  I slept, too, most of the night other than the interruptions from the nurse checking on me and checking my vitals.
     The nursing staff changed the next morning and we had the dearest middle-aged woman from the UK assigned to us.  She was sure we'd be out of there by 10:00 am.  We were so happy to hear that and anxious to head home.  However, my doc was in surgery again and there were no orders left for my discharge!  Finally, around 12:30 they got a hold of one of his PA's and told them we needed to get out of there for our long drive home and before the traffic got so heavy in the afternoon.  She brought the pharmacist who went over post-op meds and we opted for sending the prescriptions to our local Costco pharmacy so we could get going and not wait for them to be filled at the local Walgreen's. When they brought my discharge papers, we noticed he had accidently sent the scripts to a specialty pharmacy in Sacramento who fills my chemo pills!  It would have taken me 5 days to receive the drugs and I was to start on them as soon as I got home. Now it's back to tracking down everybody again and more waiting!  Finally got it sent to Costco and we left there just before 3:00 pm and drove into the heavy Friday afternoon traffic!  We didn't get home until 9:00 pm that night.
     When we arrived home the answering machine light was blinking so took a few minutes to listen to messages before falling exhausted into bed.  The pharmacy in Sacramento was calling about my prescription!!  Great!  They hadn't canceled it!  I called Costco as soon as they opened the next morning and found out they had the prescription but couldn't fill cause the other pharmacy had already entered it into the insurance computer.  She was able to come up with a solution, however.  They would fill the script and we could pay for it.  When we could cancel the other one on Monday morning, they would run mine through the insurance and we would receive credit for the difference.
     So there are all the details of my adventure with kyphoplasty.  I have to say the staff and nurses we encountered at UCSF were great!  They were just as frustrated with the poor communication as we were.
     There was a lot of waiting through the entire day.  I did nap a little but found it difficult to sleep much.  I read a book most of the time which helped keep my mind occupied. But overall, I would  have to say there was a calm and peace that I knew could only come from Above and the prayers that were spoken on my behalf.  


 

Monday, August 7, 2017

Kyphoplasty at UCSF

     Prayers are appreciated for this Thursday, August 10, as that is when I will undergo a procedure called kyphoplasty at UCSF.  It is a process of accessing the vertebrae with a small needle, inflating a small balloon-like device to try to restore some height then filling it with surgical cement. Three possibly four vertebrae will be done. This procedure helps repair compression fractures, prevent further compression and, hopefully, relieve the pain. Surgery is scheduled for 4:00 pm but by that time of day who knows how far behind schedule they might be! This is typically an outpatient procedure but since my surgery time is late in the afternoon and will be done under general anesthesia, I will be kept overnight.  Hopefully, all will go well and I can head home the next day. For a relatively simple procedure I spent over a week getting all the tests, lab work, doctor appointments and clearances to meet the requirements of the anesthesia dept.
     Thursday will be a very long day for us as that is the day Johanna and the kids head home to New York.  Their flight leaves Sacramento at 6:00 am so we will have to leave the house in the wee hours of the morning.  Then we head on into San Francisco for my check-in time at 1:45 pm.  We're hoping to catch a nap in the car somewhere in between.  It will be an especially long day for me as I am not to eat or drink anything after midnight!  However, my PA is hoping the assigned anesthesiologist with be open to a somewhat shorter window than 16 hours!  That information will be available on Wednesday.
     Titus was able to get a few days leave so Johanna flew to Germany to be with him.  The kids stayed with us.  Those two toddlers have way more energy than we do at this point in our lives!
     I have been able to lower my daily oral chemo dose by 100 mg.  If numbers are good again this month, I can lower it another 100 mg.
    Am thankful for my network of prayer warriors! Will post again soon after my kyphoplasty.