Medical Forum / Diseases and Disorders / Arthritis / September 2006
OTP: PING Ginnie
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Rosemarie Shiver - 02 Sep 2006 21:05 GMT You're posting? Before I got around 2 calling you.Ya had the eye surgery and it went well? C'mon, spill. <g>
Gimp Hugs from Rosie
 Signature "If you wanna get it done, you gotta fight for yourself." -- Meat Loaf, Bat Outta Hell II
Ginnie - 02 Sep 2006 22:45 GMT I'm posting with one working eye, and gimped from the shoulder blades up to the tippy-top of mah achin' haid. But I'm not complaining, mind you, just stating facts.
HAH!!!
I could use a little whine, but actually it went as well as expected, except in the pain meds department. My sturgeon paid no attention to the report from my PM about me needing larger doses of pain med since I'm so tolerant of opiates. The recovery room nurse was good about more frequent Fentanyl in the IV, but that only lasted about 2+ hours until they put me in a room for the night. There, it was two 10/325 Lortabs every 4 hours, and I was a *TAD* uncomfortable.
I hadn't slept well the previous 2 nights, so I kept conking out and [snide] snoring so loud (HINT??) that the nurse finally decided I needed my CPAP machine on ME instead of sitting on the nightstand. [/snide]
This morning, I woke up feeling like I'd been rode hard and put away wet AGAIN, and feared I was getting a flare, but 2 pain pills, a Flexeril, and 3 cups of real coffee (which I don't usually drink) later, I was just tolerable again. The anesthesia man stopped by to see if I survived, and he apologized for the 'rode hard' part, that I'd had my head bent back on the table whilst they were doing grisly things to my eye.
And as for seeing out of that eye, it's padded shut, because blinking isn't a Good Thing right now. I tried my new non-prismed glasses on the left eye, and I can't read with them, so I don't know if it's the new glasses or my left eye is on a sympathy strike for my right. Means I also can't tell if the surgery was successful in lining them up again.
Having no depth perception is a trip! (get it? can't see feet....trip?...) <sigh>
It'll all be better tomorrow, after I've had some sleep in my own bed, in my own clothes, with my own cat, and my own PILLS. heeheehee
BTW, there's good news in the SO department, but you'll have to call me to hear it.
Pirate Hugs, Ginnie >^..^< ...Clooney sez DIBS on the parrot!
You can catch more flies with funny than vinegar. __________________________________
> You're posting? Before I got around 2 calling you.Ya had the eye surgery > and it went well? C'mon, spill. <g> > > Gimp Hugs from Rosie Kelly - 03 Sep 2006 01:05 GMT It is going to be hard to tell until both eyes are working together whether it worked Ginnie (that doesn't sound right does it). Also takes a short bit for the brain to be retrained when they do things to the eyes so be patient. Sure wish the doctor would have listened on the pain meds though - why do they always have to reinvent the wheel.
Glad you are at home and in your own space with your own care. No more tripping - we will get the arthritis police after you!
Thinking of you, Kelly
> I'm posting with one working eye, and gimped from the shoulder > blades up to the tippy-top of mah achin' haid. But I'm not complaining, [quoted text clipped - 52 lines] >> >> Gimp Hugs from Rosie Ginnie - 04 Sep 2006 02:55 GMT Thanks, Kelly!
The surgeon is a very good human, but he likes things the way HE likes things. He doesn't get many eye surgery patients that, because of their OTHER medical histories, the anesthesiologist refused to operate on in an ambulatory setting AND demanded a 23-hour MOP (monitored) overnight stay to avoid complications.
He's used to doing the surgery, leaving a script for Tylenol with Codeine (which I can't take due to the codeine itching crazies) and "see you in a week for follow-up", patient goes home a few hours later, everyone's happy.
With me, his surgery coordinator forgot two MAJOR things after they rescheduled my surgery from July to Sept. 1st: the hospital requires all surgery patients to have a history and physical by their PCP within a month before surgery, and the paperwork IN the computer for recall in the pre-op area. AND she forgot that in July she and I had the discussion about the anesthesiologist demanding a 23-hour MOP. So she was having a tizzy with me being a problem patient, like it was MY fault, AND she neglected therefore to tell the surgeon about the overnight stay.
All of which impacted directly on the pain meds issue. My pain doc had already given me a script for 8 Norco (1o mg. hydrocodone/325 mg. Tylenol) a day for post-op pain at home. But since the surgeon had to write orders for pain meds for the IN-hospital stay (which he wasn't used to), he actually got a pained look and attitude when he started writing his normal Tylenol #3, and I had to correct that to Norco due to the itching. Not part of how he likes things. And when I added to his 'pain' by saying that my pain med doc said I'd need more than a normal amount of pain meds immediately post-op, he didn't write anything other than the 2 Norco every 4 hours.
It was just good karma that the recovery room nurses have a LOT of latitude as to how much Fentanyl they can give immediately after the surgery. And I got more Fentanyl every single time I asked for it, and damn quick, too. She even *offered* me a dose when I just *looked* uncomfortable, and that's a first for me after maybe 20+ trips through recovery rooms! I wanted to kiss her!
And when she looked at my orders for the 'floor' and saw just the 2 Norco ea. 4 hours, just as they were wheeling me out to my room, she offered me "one (fentanyl) for the road?" She gets sainthood in my book. Just wish I hadn't been so out of it to not get her name... I wanna send that woman flowers and decadently good chocolates!!
(In case I didn't tell you guys what the surgery was -- having a fog moment - I inherited a paralyzed top-of-the-eye muscle from my dad, Superior Oblique Palsy, that made my right eye aim higher and to the left, like misaligned headlights. Since grade school, had ever-thicker prisms added to my glasses to pull the two different images together. The surgery shortened the muscle on the bottom (opposite side) to counteract the "dud" muscle on top. They had to get my eye out of its socket and peel back the "white", which is now almost solid red for the next few weeks. With all the swelling, I look like someone sucker-punched me!!! Heeheehee... too bad it ain't Halloween, I could pass for Quasimodo if I just add the hump.)
I just looked and realized this is one long post, but you raised good issues, Kelly. The retraining of the brain IS a big deal... When I don't have any glasses on, and blink from one eye to the other, it looks like he DID get the "bad headlight" alignment leveled out, so I'm really stoked happy about that. But now, my old glasses with the prisms won't let me see well - because the prisms are now distorting my vision, not aligning it. And my new no-prism lenses won't let me read close up, even with just my good left eye. I can see my monitor well enough with one eye, but it's tiring to hold my right eye shut, so I may have to go back to patching it shut, and just not stress it for a few days.
When the surgeon first examined me a few months ago, he said my brain had never made the off-kilter two eyes into one image, so I hope like mad that my brain will let the image become normal again.
Thanks for the reminder about patience... I'm learning that even subtle assaults on the eye can take a long time to sort themselves out. And I'm antsy with hope that the corrected alignment will have some positive effect on the daily headaches/migraines I have. Every little bit helps/hurts. Keep your fingers crossed that my *patience* holds up!!
Ginnie >^..^< ...she's home and she's all MINE!
You can catch more flies with funny than vinegar. __________________________________
> It is going to be hard to tell until both eyes are working together whether > it worked Ginnie (that doesn't sound right does it). Also takes a short bit [quoted text clipped - 7 lines] > Thinking of you, > Kelly Kelly - 04 Sep 2006 04:47 GMT patience is hard Ginnie when it comes to seeing and hearing! I can understand that. Sounds like a bit of a bondoogle - so glad it sort of turned out okay. I too am allergic to codiene and all it's derivitives as well as morphine. Last time in the hospital one of the doctors decided I should not take demerol - it was not a good painkiller to take. i was kind of out of it and he gave me something else (my brain is not working tonight.) Of course within 1/2 hour of a low dose I started the itches and threw up. Can you say large dose of benedryl and a sheepish doctor. Unfortunately for me and fortunately for him I managed to reach the disposable container - his shoes were saved but if he had been hit I don't think he would have forgotten that very quickly.
Keep you patience - it will come. Retraining eyes takes time.
Kelly
> Thanks, Kelly! > [quoted text clipped - 105 lines] >> Thinking of you, >> Kelly d'huit - 03 Sep 2006 03:24 GMT auuuwww right! (except for the pain meds, bummer) be better quickly, sweetie!
kate
I'm posting with one working eye, and gimped from the shoulder blades up to the tippy-top of mah achin' haid. But I'm not complaining, mind you, just stating facts.
HAH!!!
I could use a little whine, but actually it went as well as expected, except in the pain meds department. My sturgeon paid no attention to the report from my PM about me needing larger doses of pain med since I'm so tolerant of opiates. The recovery room nurse was good about more frequent Fentanyl in the IV, but that only lasted about 2+ hours until they put me in a room for the night. There, it was two 10/325 Lortabs every 4 hours, and I was a *TAD* uncomfortable.
I hadn't slept well the previous 2 nights, so I kept conking out and [snide] snoring so loud (HINT??) that the nurse finally decided I needed my CPAP machine on ME instead of sitting on the nightstand. [/snide]
This morning, I woke up feeling like I'd been rode hard and put away wet AGAIN, and feared I was getting a flare, but 2 pain pills, a Flexeril, and 3 cups of real coffee (which I don't usually drink) later, I was just tolerable again. The anesthesia man stopped by to see if I survived, and he apologized for the 'rode hard' part, that I'd had my head bent back on the table whilst they were doing grisly things to my eye.
And as for seeing out of that eye, it's padded shut, because blinking isn't a Good Thing right now. I tried my new non-prismed glasses on the left eye, and I can't read with them, so I don't know if it's the new glasses or my left eye is on a sympathy strike for my right. Means I also can't tell if the surgery was successful in lining them up again.
Having no depth perception is a trip! (get it? can't see feet....trip?...) <sigh>
It'll all be better tomorrow, after I've had some sleep in my own bed, in my own clothes, with my own cat, and my own PILLS. heeheehee
BTW, there's good news in the SO department, but you'll have to call me to hear it.
Pirate Hugs, Ginnie >^..^< ...Clooney sez DIBS on the parrot!
You can catch more flies with funny than vinegar. __________________________________
Rosemarie Shiver wrote:
> You're posting? Before I got around 2 calling you.Ya had the eye > surgery > and it went well? C'mon, spill. <g> > > Gimp Hugs from Rosie DeeTee and Bob Taggart - 03 Sep 2006 14:50 GMT >My surgeon paid no attention to the report from my PM about me needing >larger doses of pain med since I'm so tolerant of opiates. This is my Bob's biggest complaint. I tell him what went on in my appointments and he rants, "Why won't they LISTEN to the patient?" He goes ballistic about this. LOL I told him I want him in the doctor's office with me next time.
DeeTee
> auuuwww right! (except for the pain meds, bummer) be better quickly, > sweetie! [quoted text clipped - 76 lines] >> >> Gimp Hugs from Rosie Ginnie - 04 Sep 2006 03:46 GMT Thanks, DeeTee,
Don'tcha feel like the messenger they're gonna kill when you try to educate them about your condition/special needs? I love my PCP dearly, but with the 20-some specialists I deal/dealt with, *I'm* the one who has to coordinate the info that they all need. He just doesn't feel the need to wade in there and be the point man for coordinating my care/needs with all of them.
One thing I've found that increases my credibility with the different, and especially the new - specialists, is a very detailed medical history that I keep on my computer, and update every few months. I've had several doctors express great admiration for this document, and even if they don't say anything about its scope, *it buys me a lot of credibility*!!!
It's a bear to set up, and sometimes a bear to maintain when I've gone through a spell of a bazillion medical issues happening. But there's NO way I can ever retain all these details, AND some of the 'go figure' unexplainable phenomena listed actually came together and made perfect sense when I was finally diagnosed with Chronic Fatigue this March.
The whole first page has a table of contents at the very top (it's 10-12 pages long), and the rest of Page One is an exacting list of every current Rx and OTC *maintenance* med I'm currently on, dosage and strength, initials of who prescribed it, set or PRN dosing, purpose, and date that I started taking it.
Then there's a short section that lists the same info for PRN OTC's that are rarely used. And below that is a short list of the drugs I recently discontinued, dates I took it, etc. Basically, when I move a med from the current list to the not-any-more list, I just copy the detailed listing intact, and just tack on the date it was discontinued.
The second page has a very concise list of existing conditions and anomalies, listed in order of most bothersome first. Then a short section of basic health stats like BC, lipids, no exposures to whatever, dates I quit smoking and drinking, and 2 paragraphs, one to radiologists about the internal staples and stents I have, and another to anesthesiologists that states all the stuff they need to know, like my sleep apnea pressure setting, "no narcan" due to fentanyl patches, my own teeth, need GERD and nausea meds before being woke up, inhaler if I wheeze from the anesthetic, etc. EVERYTHING an anesthesiologist would need to know If I showed up, unable to speak.
Then, there's a section describing very tersely all the surgeries I've had, dates, hosp, doc name, listed by year, in reverse chronology, most recent first. Then a similar section of non-surgical hospitalizations, injuries, illnesses, again most recent first, dates and dr/hosp name. Then a section of Tests, listing every scan, blood draw, whatever, and where so they can retrieve the data.
Then a list of inoculations, including Flu and Pneumonia, with dates, including stuff like tetanus boosters and dates. Then a two-part list of allergies/sensitivities, first part are the killing-kind like penicillin, second part is drugs that I need to avoid, listing the bad or questionable reactions I experienced.
Then there's a very terse Family History of blood relatives, their health conditions/causes of death, birth and death dates, and goes back to my grandparents' generation. And listing any genetic stuff that has been handed down, like my eye prob. AND listing the almost total lack of family history of major diseases like cancer, early heart problems, diabetes, etc.
Then there's a list of all my docs/specialists topped by my PCP, and listed alphabetically by specialty otherwise, phone #, address, hospital affiliation. Followed by the name, location, and phone # of my druggist, which is also at the bottom of page 1 with all the drug listings on it.
Then there's TWO (!) pages, double column, listing every drug by brand and generic name, that I've ever used successfully.
Then I attach the reports from my most recent lumbar and cervical MRI's. Then - when I can get it to *stay the same* from one month to the other (!!) is the alphabetical list of every nutritional (etc.) supplement I take, and the dosage. The only two supplements that aren't on THIS list are on Page One, because these 2 are taken as though they are Rx medications for my Chronic Fatigue Syndrome.
AND... after this recent surgery pain med snafu, and considering the bunion, THR and TKR I have coming up, I'm going to ask my pain doc to write a document for inclusion in my history that DOCUMENTS my opiate tolerance problems, with suggestions for pain drugs ands dosages. No more Shoot The Messenger for me!
Anyhoooo, for whoever has waded through this long post, if you have one already or set up a new history document for yourself, I hope it helps buy you more credibility with your docs.
Ginnie >^..^<
You can catch more flies with funny than vinegar. ___________________________________
>> My surgeon paid no attention to the report from my PM about me needing >> larger doses of pain med since I'm so tolerant of opiates. [quoted text clipped - 86 lines] >>> >>> Gimp Hugs from Rosie Ginnie - 04 Sep 2006 03:53 GMT I just reminded myself about something else I want to add to my med history document... I want a letter from my Chronic Fatigue doc about my dx and special needs, and the same about my Fibro. Things like having more Substance P in my spinal fluid making me exsquisitively sensitive to pain, that I have "thick blood" and need blood thinners, can't donate blood, all the important factors that an unfamiliar doc needs to know about those conditions as they affect me.
Ginnie
DeeTee and Bob Taggart - 04 Sep 2006 04:28 GMT I tried that. It got me labeled as a first rate hypochrondriac. Now all I present is my card with all the diseases/conditions and the meds I take for them. That seems to get the ball rolling a little better.
Hugs, DeeTee
> Thanks, DeeTee, > [quoted text clipped - 190 lines] >>>> >>>> Gimp Hugs from Rosie Ginnie - 04 Sep 2006 02:57 GMT Thanks, kate! I'm working slow and comfy to get better. Take a look at what I posted to Kelly about the pain meds snafu.
Ginnie >^..^<
You can catch more flies with funny than vinegar. __________________________________
> auuuwww right! (except for the pain meds, bummer) be better quickly, > sweetie! > > kate Rosemarie Shiver - 03 Sep 2006 03:44 GMT Well hey, Wonder Woman!
They gotta get that pain meds.stuff going right b4 your orthopedic surgery fersure. Can ya get yer PM guy in on the action definitely? Plus seeing to it that your CPAP is actually your CPAP?
I'm glad it went well and you're thru it, mostly. Yup, your own bed will be a real luxury. :-)
You amaze me most of the time, Gin.
Our Glub friend really works FAST -- I'll give ya a 9/3/06 call to find out all the juicy details. But I expect it's a fella with the patch on the other eye so that between ya it's 20/20, right? <g>
Wow Hugs from Rosie
 Signature "If you wanna get it done, you gotta fight for yourself." -- Meat Loaf, Bat Outta Hell II
> I'm posting with one working eye, and gimped from the shoulder > blades up to the tippy-top of mah achin' haid. But I'm not [quoted text clipped - 69 lines] > > > > Gimp Hugs from Rosie Ginnie - 03 Sep 2006 06:59 GMT > You amaze me most of the time, Gin. Howso? Just doing what I gotta do.
> Our Glub friend really works FAST -- I'll give ya a 9/3/06 call to find > out all the juicy details. But I expect it's a fella with the patch on the > other eye so that between ya it's 20/20, right? <g> Who said the SO news is about Glub friend's matchmaking? I'm talking about the existing SO. Heeheehee...
> Wow Hugs from Rosie WooHOO hugs from Ginnie >^..^< ...I've left cat paw prints ALL over her.
You can catch more flies with funny than vinegar. ___________________________________
Rosemarie Shiver - 03 Sep 2006 15:50 GMT Because you're a Gimp and a Fibromite and I myself might have gone from the hospital to the jail due to not having the needed pain meds. 'cuz I really do fight for myself. You deal with it better (more rationally) than I can.
Callin' ya later and hopin' it rings at yer home.<g>
Gin Hugs from Rosie
 Signature "If you wanna get it done, you gotta fight for yourself." -- Meat Loaf, Bat Outta Hell II
> > > You amaze me most of the time, Gin. [quoted text clipped - 16 lines] > You can catch more flies with funny than vinegar. > ___________________________________ Squirrely - 05 Sep 2006 15:30 GMT Ginnie,
Praying the surgery did a good job for you eye and that you have a quick healing.
 Signature Love and hugs Jo
(\__/) .~ ~. )) /O O ./ .' {O__, \ { / . . ) \ |-| '-' \ } )) Warning: squirrels. .( _( )_.' '---.~_ _ _&
> I'm posting with one working eye, and gimped from the shoulder > blades up to the tippy-top of mah achin' haid. But I'm not complaining, [quoted text clipped - 45 lines] > > You can catch more flies with funny than vinegar. Ginnie - 06 Sep 2006 07:20 GMT Thanks, Squirrely,
It's a little hard to tell with an almost-constant layer of ointment in the one eye, but I think he got them pretty well leveled out. My follow-up appt. is this Thursday, so we'll see.... (see? SEE?... get it?) <sigh>
Hugs, Ginnie >^..^<
You can catch more flies with funny than vinegar. __________________________________
> Ginnie, > > Praying the surgery did a good job for you eye and that you have a quick > healing. Nann Bell - 06 Sep 2006 18:36 GMT > Thanks, Squirrely, > [quoted text clipped - 5 lines] > SEE?... get > it?) <sigh> heehee, my dad would have loved him! He was so into puns - loved getting groans and grimaces from us far more than laughter!
Keep us posted, ok?
 Signature Nann remove the Gator cheer to email me Simply the thing I am shall make me live --- William Shakespeare
Ginnie - 07 Sep 2006 00:13 GMT Yep, I will keep y'all posted.... and punned. That was my pun, not the doc's (in fact, he's a tad humor-deprived). Years ago, I was part of a team of punsters who put together a pun-of- the-day calendar for our own amusement. Wish I knew where it vanished off to.
One girl won a fish pun contest with "If I scale the wall, can I perch on top?" <groan>
And like yours, my dad was into terrible puns and jokes... completely wasted on my mom. I miss him a lot.
Ginnie >^..^<
You can catch more flies with funny than vinegar. __________________________________
>> Thanks, Squirrely, >> [quoted text clipped - 10 lines] > > Keep us posted, ok? Ginnie - 08 Sep 2006 01:08 GMT Well, good news today from the eye surgeon... more or less. At least what I could gather from the few split-seconds I had with him. I mean, he wasn't in the room for five minutes. But at least he was smiling while he waved his white light around, and my eyes did their thing of trying to follow it.
He said that having the muscles act correctly looking straight ahead -- meaning if I stare at a word on my monitor, and repeatedly blink each eye open one at a time, and the word stays on the same level -- that's good. (My right eye used to make the word jump up diagonally to the left.)
While I'm looking above or below, and they 'blinkin' don't line up, that's okay for NOW - being as how I just had the surgery 6 days ago. And I learned not to move my eyes real fast -- it makes me billious, so I avoid that.
I still get pain below my eye when I look way left or right, but that's the spot that just got stitched, and it's still not a happy camper. But pain-wise, I'm sooooo much better than I was last Friday. And the "reds" are almost all "whites" again, so I don't freak out small children and squeamish adults.
I'm still seeing double, and my new glasses make it impossible to READ a printed page... thaaaaaaaat might pose a problem or two before my next visit... in THREE months. He says he won't change my lenses 'til then.
We'll see...
Ginnie >^..^< ..now I have to read the funnies to her.
You can catch more flies with funny than vinegar. __________________________________
Duckie - 08 Sep 2006 01:59 GMT Don't forget that wal-mart and other places have over the counter glasses which might help while you wait. Had a cataract done and lived througth that waiting period in partial blurriness while the eye healed enough to have it refracted and a new script written. Duckie
> Well, good news today from the eye surgeon... more or less. At > least what I could gather from the few split-seconds I had with him. [quoted text clipped - 30 lines] > You can catch more flies with funny than vinegar. > __________________________________ Harvey R. Stone - 08 Sep 2006 13:38 GMT > Don't forget that wal-mart and other places have over the counter glasses > which might help while you wait. Had a cataract done and lived througth > that waiting period in partial blurriness while the eye healed enough to > have it refracted and a new script written. > Duckie That is true and I have a half dozen pairs of different strengths to fit the need at the time. They have the same frames that we pay hundreds of dollars for,,,, ya know...
:-) Harv
Ginnie - 09 Sep 2006 10:18 GMT Thanks for the Wal-Mart idea, Duckie and Harv. I'll give it a try this weekend. But one eye reads better than the other, so I don't have much hope that their same-same lenses will help. But I will try. Reading with the Rx ones gives me a headache.
Ginnie >^..^<
You can catch more flies with funny than vinegar. ___________________________________
>> Don't forget that wal-mart and other places have over the counter glasses >> which might help while you wait. Had a cataract done and lived througth [quoted text clipped - 7 lines] > :-) > Harv ladylove77 - 08 Sep 2006 04:34 GMT So glad you have a cat that can read, Ginnie! Glad things are going well. Gwen
> Well, good news today from the eye surgeon... more or less. At > least what I could gather from the few split-seconds I had with him. [quoted text clipped - 30 lines] > You can catch more flies with funny than vinegar. > __________________________________ Squirrely - 08 Sep 2006 08:31 GMT Glad to hear you are doing so well so far. Hope it keeps healing quickly and well.
 Signature Love and hugs Jo
(\__/) .~ ~. )) /O O ./ .' {O__, \ { / . . ) \ |-| '-' \ } )) Warning: squirrels. .( _( )_.' '---.~_ _ _&
> Well, good news today from the eye surgeon... more or less. At > least what I could gather from the few split-seconds I had with him. [quoted text clipped - 30 lines] > You can catch more flies with funny than vinegar. > __________________________________
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