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Medical Forum / Diseases and Disorders / Arthritis / October 2006

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ok, somebody please explain this to me

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d'huit - 16 Oct 2006 09:34 GMT
don't get me wrong, i'm delighted, but i'm also quite puzzled.  my surgery
was wednesday.  it was deep.  i know there was bone and tendons involved
with the adhesions.  i know i had a very long acting local anesthetic.  it
was a painless surgery.  my surgeon was meticulously careful about that.

what i don't understand is this is sunday, well now, monday morning, and
there hasn't been any post-op pain.  for two, almost three days, i
deliberately skipped my usual pain medication for my spine (and entirely
skipped the oxycodone that was prescribed for post-op pain), just to see if
i was imagining this.

i haven't been imagining it.  my spine has been screaming at me for being so
unkind, as have my other joints.  but i haven't felt anything even remotely
like post-op pain since the operation, not once.  in fact, i've been using
this hand and arm, as if there hadn't been any surgery at all, and with no
ill effects.

yes, it is still bandaged.  though i did redo it, saturday, with less "gauzy
generosity" to free up my hand.  it looks to be about a 2 inch incision.

has this kind of post-op painlessness happened to anybody else?

it can't be my messed up neck numbing this, because my shoulder, atop that
same forearm where the incision is very near my wrist, is not a happy
camper.  i sure wish somebody would be so kind as to explain this to me.
and wouldn't it be lovely if it were repeatable!  and if it were, my surgeon
should spread that technique around to his colleagues.  or bottle it! or can
it!

i mean, i must have had close to 16 operations by now and enough stitches
(when you also include suturing up boo-boos) to tailor a modest wardrobe.
but even my boo-boos, that were sutured, hurt more than this ever did!  i'm
astonished, delighted, but wondering about why, cuz this is slightly
freakish to me.  i feel a bit like i should be hearing the theme song from
twilight zone.<smile>

has anybody ever, in their life, heard of an absolutely painless surgery,
post-op?  am i a first?  in SOMETHING.  FINALLY?!LOL

just a thought.  could my platelet count be so high that it healed up super
fast?  nah, dumb thought.

kate
Nann Bell - 16 Oct 2006 13:01 GMT
well, I know with my thumb he also put in a nerve block at the site before
closing.  It made the anesthesia wearing off much easier and didn't wear off
entirely for a couple of days - but I was hurting pretty good by this time!  
Maybe he did a little more than that because he was actually fiddling with
the nerve?  Or maybe that fiddling made things a bit numb for a while?  Ask
him when you see him and let us know!

Oh, and if you need to get rid of some excess pain meds.......  (wink, wink)

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Nann
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Simply the thing I am shall make me live --- William Shakespeare

d'huit - 16 Oct 2006 13:54 GMT
well, I know with my thumb he also put in a nerve block at the site before
closing.  It made the anesthesia wearing off much easier and didn't wear off
entirely for a couple of days - but I was hurting pretty good by this time!
Maybe he did a little more than that because he was actually fiddling with
the nerve?  Or maybe that fiddling made things a bit numb for a while?  Ask
him when you see him and let us know!

Oh, and if you need to get rid of some excess pain meds.......  (wink, wink)

i know he didn't use a nerve block this time, though he did twice before.
there's no numbness, like with a nerve block.  it just simply doesn't hurt.
i can feel my rubbing on top of the ace bandage though.  i will ask him.
maybe he did do something else that he didn't tell me about.  somehow
though, i'd think i'd have felt some kind of pain by now. i had a teeny-tiny
bit of burning the other day, but even that was hard to notice.   and i've
been waiting for it to hit.  this is the first time i'm happy to say my
expectations were not met.

ROTFL!  you're adorable!   with the way my neck, back, shoulder, ankles.
knees and hips have been screaming at me (bet they'd have cussed if they
could) for not taking them, i took some of my "excess pain meds"
tonight.<smile>  but i still haven't been able to sleep.  now i wish i had
some of that long acting local anesthetic leaking through my system
again.LOL

kate

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Nann
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Simply the thing I am shall make me live --- William Shakespeare

Harvey R. Stone - 16 Oct 2006 13:45 GMT
How is the feeling around the wrist area?  NUMB,,,, they might of got a
nerve in their doings.    It could be that other places just have shouted
down the wrist area.
Harv

> don't get me wrong, i'm delighted, but i'm also quite puzzled.  my surgery
> was wednesday.  it was deep.  i know there was bone and tendons involved
[quoted text clipped - 47 lines]
>
> kate
d'huit - 16 Oct 2006 14:09 GMT
How is the feeling around the wrist area?  NUMB,,,, they might of got a
nerve in their doings.    It could be that other places just have shouted
down the wrist area.
Harv

well the nerve he was concentrating on was not the one that serves the
outside (ulnar side) of my wrist.  it was the one for the other bone (i went
blank) side and middle of the top of my wrist and arm.  i can feel me
touching the ace bandage over the incision.  so, that's not numb.  just
painfree---bet it wouldn't be if i took a hammer to it, though.LOL

y'know harv, i was wondering if maybe everything else was "too loud for me
to hear it", as you suggested.  but even that would still be a first for me,
when it comes to surgical pain.

kate

> don't get me wrong, i'm delighted, but i'm also quite puzzled.  my surgery
> was wednesday.  it was deep.  i know there was bone and tendons involved
[quoted text clipped - 47 lines]
>
> kate
RhondaM - 16 Oct 2006 17:08 GMT
I am not sure what to think, but I do think that it is great that you do not
have pain right now..thank goodness.
I am glad to hear you are doing better . Lord knows you have been through a
whole lot lately.

> don't get me wrong, i'm delighted, but i'm also quite puzzled.  my surgery
> was wednesday.  it was deep.  i know there was bone and tendons involved
[quoted text clipped - 47 lines]
>
> kate
d'huit - 16 Oct 2006 22:19 GMT
thank you, rhonda.  that's kind of you.

kate

I am not sure what to think, but I do think that it is great that you do not
have pain right now..thank goodness.
I am glad to hear you are doing better . Lord knows you have been through a
whole lot lately.

> don't get me wrong, i'm delighted, but i'm also quite puzzled.  my surgery
> was wednesday.  it was deep.  i know there was bone and tendons involved
[quoted text clipped - 47 lines]
>
> kate
Sharon - 16 Oct 2006 18:45 GMT
> has this kind of post-op painlessness happened to anybody else?

Hi Kate,
    Yes, I had that experience once, when I had my ankle replaced in 2001.  
I was astounded.  Sure, the doc injected my leg with a nerve block after the
surgical anesthesia dissipated, and sure they gave me a dose of morphine to
get me over the first night with a few days doses of mild pain killer to take
home.  And yes, I took them, but more because I was supposed to rather than
because I NEEDED them.  After all that was done, though, and when I was
allowed to start weight-bearing, both occasions usually fraught with intense
pain...  nothing.  The man essentially cut off my foot and then repaired it
and I had not a lick of pain at any point.  I've had several orthopedic
surgeries in previous years and they were always agonizing afterwards.  Not
this one.
    I'm not sure what the difference is.  Some docs seem to be either
miracle workers or they have a secret new technique!

- Sharon
"Gravity...  is a harsh mistress!"
d'huit - 16 Oct 2006 22:17 GMT
In article <Y7WdnfUg077Q2a7YnZ2dnUVZ_o6dnZ2d@comcast.com>, "d'huit"
<threecedars1@comcast2.net> writes:

> has this kind of post-op painlessness happened to anybody else?

Hi Kate,
Yes, I had that experience once, when I had my ankle replaced in 2001.
I was astounded.  Sure, the doc injected my leg with a nerve block after the
surgical anesthesia dissipated, and sure they gave me a dose of morphine to
get me over the first night with a few days doses of mild pain killer to
take
home.  And yes, I took them, but more because I was supposed to rather than
because I NEEDED them.  After all that was done, though, and when I was
allowed to start weight-bearing, both occasions usually fraught with intense
pain...  nothing.  The man essentially cut off my foot and then repaired it
and I had not a lick of pain at any point.  I've had several orthopedic
surgeries in previous years and they were always agonizing afterwards.  Not
this one.
I'm not sure what the difference is.  Some docs seem to be either
miracle workers or they have a secret new technique!

- Sharon
"Gravity...  is a harsh mistress!"

w0w!  what a story! no pain even during rehab is wonderfully amazing!
thank you for sharing this, sharon.  it's nice knowing i haven't been the
only one to experience this phenomenon (for want of a better word).  did you
tell your surgeon about this and what did he say about it?

now that i know i'm not the only one who has experienced this, i'm getting
really curious, about how this happens.  i wonder if there's been a study
done about this and what has been learned about it.

my mom always seemed to go through surgeries painlessly.  but i always
thought it was because she had an incredible pain tolerance/threshold or
that she was incredibly stoic.  obviously, i am neither stoic nor have i
better than average pain tolerance.

kate
(i like your sig file.  it's very applicable to this gladys goodfairy, who
seems to take flight while leaving my wings somewhere else.<smile>)
Sharon - 17 Oct 2006 16:30 GMT
> w0w!  what a story! no pain even during rehab is wonderfully amazing!
> thank you for sharing this, sharon.  it's nice knowing i haven't been the
> only one to experience this phenomenon (for want of a better word).  did you
> tell your surgeon about this and what did he say about it?

    Yeah, but I think my surgeon was stoic.  His answer was kind of a
shrug, as if to say "what did you expect?"  He's one of *those* kinds of
doctors, though:  superlative technical skills, the kind of guy you WANT
cutting into you, but not so great at people skills.

> now that i know i'm not the only one who has experienced this, i'm getting
> really curious, about how this happens.  i wonder if there's been a study
> done about this and what has been learned about it.

    Yeah, that would be fascinating.  All of my previous surgeries had me
waking up from anesthesia wanting to scream from the pain.  It as very odd and
glorious to have none that time.  I remember when he told me I could start
weight-bearing and his instructions were "as much as you want or feel like".  
And I was like a cartoon character, squinting my eyes shut to prepare for the
pain... tiny bit of weight, no pain...  open one eye, add more weight, no
pain... open the other, go full weight, no pain.  Pinching to make sure I
wasn't dreaming!

> kate
> (i like your sig file.  it's very applicable to this gladys goodfairy, who
> seems to take flight while leaving my wings somewhere else.<smile>)

Ha!  It's actually a quote from The Tick (who was "nigh invincible") after
falling from the sky one time and crashing to the ground.  Very funny, but also
very applicable to anyone with joint disease.  We all know how harsh Gravity
is, right?  ;-)

- Sharon
"Gravity...  is a harsh mistress!"
d'huit - 18 Oct 2006 07:17 GMT
In article <bJOdncyM6eZza67YnZ2dnUVZ_oqdnZ2d@comcast.com>, "d'huit"
<threecedars1@comcast2.net> writes:
> w0w!  what a story! no pain even during rehab is wonderfully amazing!
> thank you for sharing this, sharon.  it's nice knowing i haven't been the
> only one to experience this phenomenon (for want of a better word).  did
> you
> tell your surgeon about this and what did he say about it?

Yeah, but I think my surgeon was stoic.  His answer was kind of a
shrug, as if to say "what did you expect?"  He's one of *those* kinds of
doctors, though:  superlative technical skills, the kind of guy you WANT
cutting into you, but not so great at people skills.

***LOL!  a non-answer.  the old "answer with a question if you don't know
the answer".LOL  i got lucky with this hand surgeon.  he, too, is
technically excellent, but also warm, in a grandfatherly way.  one of his
smiles feels like a hug.

> now that i know i'm not the only one who has experienced this, i'm getting
> really curious, about how this happens.  i wonder if there's been a study
> done about this and what has been learned about it.

Yeah, that would be fascinating.  All of my previous surgeries had me
waking up from anesthesia wanting to scream from the pain.  It as very odd
and
glorious to have none that time.  I remember when he told me I could start
weight-bearing and his instructions were "as much as you want or feel like".
And I was like a cartoon character, squinting my eyes shut to prepare for
the
pain... tiny bit of weight, no pain...  open one eye, add more weight, no
pain... open the other, go full weight, no pain.  Pinching to make sure I
wasn't dreaming!

> kate
> (i like your sig file.  it's very applicable to this gladys goodfairy, who
> seems to take flight while leaving my wings somewhere else.<smile>)

Ha!  It's actually a quote from The Tick (who was "nigh invincible") after
falling from the sky one time and crashing to the ground.  Very funny, but
also
very applicable to anyone with joint disease.  We all know how harsh Gravity
is, right?  ;-)

***LOL!  absolutely!

kate

- Sharon
"Gravity...  is a harsh mistress!"
Duckie - 17 Oct 2006 02:59 GMT
For two of my hand surgeries, even when in the hospital, I refused
medication until bedtime and that to just be sure I fell asleep and
stayed that way. Even with all that bone cutting and replacement, things
felt so much better that I just didn't hurt. lol
Well good for you. Now go take something for the rest of your joints.
Duckie

> don't get me wrong, i'm delighted, but i'm also quite puzzled.  my surgery
> was wednesday.  it was deep.  i know there was bone and tendons involved
[quoted text clipped - 39 lines]
>
> kate
d'huit - 17 Oct 2006 03:41 GMT
For two of my hand surgeries, even when in the hospital, I refused
medication until bedtime and that to just be sure I fell asleep and
stayed that way. Even with all that bone cutting and replacement, things
felt so much better that I just didn't hurt. lol
Well good for you. Now go take something for the rest of your joints.
Duckie

YAAAY!  i'm glad painfree post-op happened to you, too, duckie.  i am liking
this, hearing about other painfree surgeries and post-ops!  maybe and
hopefully, surgeons have been learning from all the past painful surgeries
and post-ops and are doing things differently.  one can hope.

sometimes, i swear you can see through your monitor, duckie!  a bit of the
witchie-po thing, there?LOL  ok, i will.

kate

d'huit wrote:

> don't get me wrong, i'm delighted, but i'm also quite puzzled.  my surgery
> was wednesday.  it was deep.  i know there was bone and tendons involved
[quoted text clipped - 47 lines]
>
> kate
Duckie - 18 Oct 2006 21:03 GMT
rofl  let's call it esp or psychic -- witches are those ladies that I
met in Salem MA who knew I was psychic and looked right through my soul.
Made me all cold inside. Creepy.  lol
Duckie

> "Duckie" ...  Now go take something for the rest of your joints.
> Duckie
[quoted text clipped - 4 lines]
>
> kate
d'huit - 28 Oct 2006 19:00 GMT
rofl  let's call it esp or psychic -- witches are those ladies that I
met in Salem MA who knew I was psychic and looked right through my soul.
Made me all cold inside. Creepy.  lol
Duckie

eeeek!  no. no!  i wasn't calling you a witch.  butch used to say i was
doing my "witchie-poo thing" whenever my intuitions turned out to be spot
on.  (witchie-poo was actually a character on the children's show
"huffinpuff".)  so, "witchie-poo thing" became synonymous with accurate
insights around here.  funny how different families develop their own
language forms, huh.

when i had that car wreck in 1971 and spent all that time in the hospital, i
actually had a nurse who claimed to be a witch (i don't think kaiser knew
that).  she used to come into my room with her crystal ball and stuff.  she
was a good nurse, though a very strange person.  but not quite as strange as
the guy who walked into my private room, dressed like a good humor salesman
(all in white, including hat that looked like a good humor hat), and wore
all kinds of metal warrior-type stuff on top of his clothing, like a samarai
sword, medieval gauntlets and stuff.  he made a lot of metal noises when he
moved and made me wonder where he left his marbles and if he'd hurry up to
find them soon.  now he was waaaay CREEPY!  and very scary.  i often
wondered if that particular kaiser hospital had a psych ward, because it
sometimes felt to me like they needed one desparately.

kate

d'huit wrote:

> "Duckie" ...  Now go take something for the rest of your joints.
> Duckie
[quoted text clipped - 4 lines]
>
> kate
Fire Chief - 24 Oct 2006 08:48 GMT
Kate wrote:

> has this kind of post-op painlessness happened to anybody else?
>
> has anybody ever, in their life, heard of an absolutely painless surgery,
> post-op?  am i a first?  in SOMETHING.  FINALLY?!LOL

Kate, I had zero pain from my THR 6 years ago.  I was up that evening,
walking the halls with PT/OP the next day, and moved to rehab on the
4th day.  They couldn't keep me in my bed/room - said I was supposed
to be out only when PT/OT was escorting me.  That would have been
a max of 30 minutes a day -- if the bastards ever showed up.  I would
have gone nuts in that room if I had to remain in it 23 hours a day.
<g>
I'm not a TV viewer (did watch 2 shows in 12 days) and the paper's
crossword puzzle takes only half an hour or so to complete.

So I used a walker and walked the halls 8, 10, 12 hours a day.  Heard
a lot of screaming and crying from other rooms.  The only explanation
I could imagine for my lack of pain is the excellence of the surgeon.
I
was extremely pleased with the results.

... (A)bort  (R)etry  (S)acrifice to random data Goddess?

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