Medical Forum / Diseases and Disorders / Arthritis / August 2007
carpal tunnel release
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RoseB - 03 Jul 2007 07:56 GMT My sister Iris (the one with the stubborn knee infection, now gone) is having a carpal tunnel release done this Friday. Her surgeons see some urgency in doing this now because she has sustained damage as a result of using the walker for over the 18 months or whatever it was that she was battling the infection. Her doc says she could potentially lose the use of her hands if she delays. We are concerned about her having surgery so soon, and hope they know what they are doing.
How long is the post-op recovery usually? Rose @}>->-- Being educated means that rather than fearing the unknown, one seeks to understand it. RB
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Squirrely - 03 Jul 2007 08:25 GMT prayers coming that way.
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> My sister Iris (the one with the stubborn knee infection, now gone) is > having a carpal tunnel release done this Friday. Her surgeons see some [quoted text clipped - 10 lines] > > Please remove "Ima" to reply. Harvey R. Stone - 03 Jul 2007 13:43 GMT > prayers coming that way. > [quoted text clipped - 10 lines] >> Being educated means that rather than fearing the unknown, one seeks >> to understand it. RB Sorry Rose, I can't help you but like Jo,,, prayers have been said. Harv
jofirey - 03 Jul 2007 15:18 GMT > My sister Iris (the one with the stubborn knee infection, now gone) is > having a carpal tunnel release done this Friday. Her surgeons see some [quoted text clipped - 6 lines] > How long is the post-op recovery usually? > Rose @}>->-- It was one of the easier surgeries I've had. When I went in to the doc the next morning so he could take the mitt off my hand and replace it with bandages, all I wanted to know was how soon can we do the other one.
I never had any pain post op that came close to the pain from the hand before surgery. I think it was two weeks, no more than that I had to keep the incision covered. Its a nuisance to keep a bandage on the palm of your hand. I'd recommend plain cotton gloves that you can get at the drug store to cover the hand and keep the bandage. Double surgical gloves taped around the arm will keep it dry so you can shower and wash you hair. (No one should be expected to wash dishes or clean house till they recover completely. That's my story and I'm sticking to it)
Jo
Navy - 11 Jul 2007 20:36 GMT When I had mine done, the next morning, he took off all the big bandages (mitt is a good word), put on a bandaid and turned me loose. Told me to keep it dry until he took out the stitches. No soaking, in other words, though I could shower if I made sure to dry it well afterwards.
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> >> My sister Iris (the one with the stubborn knee infection, now gone) is [quoted text clipped - 22 lines] > > Jo Donna G. - 12 Jul 2007 03:36 GMT Rose,
How is Iris doing now? . . .
Donna . . . . 1. ANGELS EXIST, but some times, since they don't all have wings, we call them FRIENDS......
2. J.K.M.A.
RoseB - 12 Jul 2007 04:55 GMT >Rose, > >How is Iris doing now?
>Donna Hi Donna, She is doing well. She did not seem to be bothered by the surgery too much. I mean she is restricted in what she can do, but the pain level is manageable. Thanks for asking. Rose @}>->-- Being educated means that rather than fearing the unknown, one seeks to understand it. RB
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Donna G. - 12 Jul 2007 05:03 GMT Yay!!! Good for her! It's about time she caught a bit of a break with a surgical procedure!!!
Thanks for updating! . . .
Donna . . . . 1. ANGELS EXIST, but some times, since they don't all have wings, we call them FRIENDS......
2. J.K.M.A.
bhpatrick@gmail.com - 01 Aug 2007 13:12 GMT > When I had mine done, the next morning, he took off all the big bandages > (mitt is a good word), put on a bandaid and turned me loose. Told me to [quoted text clipped - 31 lines] > > - Show quoted text - I just had a Carpal Tunnel Release done on my right hand on Monday 7/30/07. I had been experiencing constant numbness in my middle finger for months.
The doc only made one 1/2 inch incision in the base of my palm and apparently applied some kind of glue instead of sutures to close it up and put a liquid bandage on top of that. I was told to keep it dry and clean for 2 days and don't need to go back to the doctor for 2 weeks. I had minimal recovery time in the hospital, I believe I was discharged less than a hour after the procedure.
I didn't really have any pain except when I tried to move my thumb, but even that is fading after only a couple of days. My hand was pretty stiff for about a day and a half and now feels about as dextrous (is that a word) as it was before, but it is still a bit weak ( I won't be opening any jars for a while). My middle finger is still numb but I've read that much nerve damage takes longer to heal. I should have more sensation in it in a couple of weeks.
Does anyone know what exactly happens to the ligament after it's been cut, does it reattach somewhere else? Seems like the hand would remain weaker if it stays detached. I've looked online but can't find any answers. Maybe I'll ask my doctor on my next visit.
jofirey - 01 Aug 2007 15:36 GMT >> When I had mine done, the next morning, he took off all the big bandages >> (mitt is a good word), put on a bandaid and turned me loose. Told me to [quoted text clipped - 72 lines] >that is released or cut to make it open enough for the nerve to be >comfortable. Of course I may also be full of it.
Do we have any arborists our there? I lost an Italian Cypress tree two years ago, and I think I'm losing another one. Since I still have fourteen, I really need to save them. If only to save the cost of having them removed? Any ideas what I need to do?
Jo
Thumper - 01 Aug 2007 19:08 GMT >> When I had mine done, the next morning, he took off all the big bandages >> (mitt is a good word), put on a bandaid and turned me loose. Told me to [quoted text clipped - 55 lines] >remain weaker if it stays detached. I've looked online but can't find >any answers. Maybe I'll ask my doctor on my next visit. It heals back together but is not as tight as before, I understand. Thumper
Thelma Roslyn Lubkin - 03 Jul 2007 15:50 GMT : My sister Iris (the one with the stubborn knee infection, now gone) is : having a carpal tunnel release done this Friday. Her surgeons see some [quoted text clipped - 3 lines] : the use of her hands if she delays. We are concerned about her having : surgery so soon, and hope they know what they are doing.
: How long is the post-op recovery usually? I had this surgery on my left hand in 2006. I think I was told that it should be back to full function in about six weeks. But it took more than three months, long enough to have me convinced that I would never again have the strength to open a jar, and I don't mean a jar that hasn't been started yet. But the excruciating pain in the wrist that drove me to have the surgery was immediately relieved, replaced by the les acute post-op pain
I was also told that I had waited so long that I could expect residual problems like tingling not to be relieved. That prediction, too, seems to have been wrong.
Apparently recovery time must vary sharply among patients.
--thelma who very recently easily opened *two* never opened jars.
: Rose @}>->-- : Being educated means that rather than fearing the unknown, one seeks to understand it. RB d'huit - 03 Jul 2007 18:20 GMT My sister Iris (the one with the stubborn knee infection, now gone) is having a carpal tunnel release done this Friday. Her surgeons see some urgency in doing this now because she has sustained damage as a result of using the walker for over the 18 months or whatever it was that she was battling the infection. Her doc says she could potentially lose the use of her hands if she delays. We are concerned about her having surgery so soon, and hope they know what they are doing.
How long is the post-op recovery usually?
the surgery itself takes only about 15 minutes. so, the post-op recovery from anesthesia is very short, too. i had a hand specialist do mine and remove a bone thing from the base of my thumb. still, mine took only 15 minutes.
my hand specialist strongly believes in ot for any hand surgery and i do, too. so, i had roughly 2 or 3 months of hand therapy. for almost any surgery, it generally takes about a year for the doctor to know that you are where you will be in the end result. it seemed to me that he/we knew at the end of my hand therapy because it went so well.
i think it is where the incision is made, in the palm or the wrist, that partly determines how long the sutures stay in. but generally, they are removed in 7-14 days. my incisions were in my palm and at the inside base of my thumb. but the incision site must be kept dry for a relatively short time afterwards. i forget, exactly, but i think it was about a month. my hand surgeon wanted me to gently start using my hand, with a palm-padded and protective leather glove, that reminded me of a bowling glove, as soon as the sutures were removed. hth
kate
Rose @}>->-- Being educated means that rather than fearing the unknown, one seeks to understand it. RB
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RoseB - 03 Jul 2007 19:40 GMT Thank you very much to all who replied. SJ and Harv, thanks for the prayers. Jo, Thelma, and Kate, thanks for sharing your experiences. I will pass the word on. Rose @}>->-- Being educated means that rather than fearing the unknown, one seeks to understand it. RB
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sweetpickleNO@SPAMknology.net - 03 Jul 2007 22:29 GMT Rose, for some reason my computer says it can't send my message to you about Iris. I'll repeat: I will be praying for Iris, her doctors, and everyone who is involved in her care. Gwen
> Thank you very much to all who replied. SJ and Harv, thanks for the > prayers. Jo, Thelma, and Kate, thanks for sharing your experiences. I [quoted text clipped - 4 lines] > > Please remove "Ima" to reply. sweetpickleNO@SPAMknology.net - 03 Jul 2007 22:23 GMT Rose, will be ptating for Iris, her doctors, and all who are involved in taking care of her. Gwen
> My sister Iris (the one with the stubborn knee infection, now gone) is > having a carpal tunnel release done this Friday. Her surgeons see some [quoted text clipped - 10 lines] > > Please remove "Ima" to reply. RoseB - 05 Jul 2007 05:36 GMT >Rose, will be ptating for Iris, her doctors, and all who are involved in >taking care of her. >Gwen Thank so much Gwen. Rose @}>->-- Being educated means that rather than fearing the unknown, one seeks to understand it. RB
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Kelly - 05 Jul 2007 04:36 GMT My sister in law was just over a week and she was using it quite a bit. Swelling went right down. Mine was different because it was the start of RA and the RA never did let the wrists go down.
It was a great quick surgery though with no pain results - I wouldn't delay it at all.
Kelly
> My sister Iris (the one with the stubborn knee infection, now gone) is > having a carpal tunnel release done this Friday. Her surgeons see some [quoted text clipped - 10 lines] > > Please remove "Ima" to reply. RoseB - 05 Jul 2007 05:36 GMT Thanks Kelly. I will pass the info on. Rose @}>->-- Being educated means that rather than fearing the unknown, one seeks to understand it. RB
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RoseB - 05 Jul 2007 05:44 GMT Hi Gang, I have copied/pasted all of your messages. I am sure she is quite touched to be on an international prayer list once again.
I don't know if I mentioned it or not, but when Iris was going through the worst of her infections, my sister Sylvia posted a prayer request on her cancer support group. Many people put her request on their prayer chains and as a result she heard from people all over the world from various denominations. Imagine her surprise when she received an email from a local woman who had received the prayer request from the US from a Catholic organization. LOL Her prayer request went full circle. Such is the power of the internet. Rose @}>->-- Being educated means that rather than fearing the unknown, one seeks to understand it. RB
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Squirrely - 05 Jul 2007 07:36 GMT Oh that is so cool. Wishing her the best and still praying. Hope it all goes well this time for her.
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> Hi Gang, > I have copied/pasted all of your messages. I am sure she is quite [quoted text clipped - 13 lines] > > Please remove "Ima" to reply. Harvey R. Stone - 05 Jul 2007 12:33 GMT > Hi Gang, > I have copied/pasted all of your messages. I am sure she is quite [quoted text clipped - 9 lines] > circle. Such is the power of the internet. > Rose @}>->-- Yes,,, and the power of the list or circle with our Lord. Harv
Harvey R. Stone - 05 Jul 2007 12:30 GMT > My sister in law was just over a week and she was using it quite a bit. > Swelling went right down. Mine was different because it was the start of [quoted text clipped - 4 lines] > > Kelly Yes, my daughter in law is facing that problem with both wrists with two kids under or about two years old and taking part in the work a-day world. She keeps putting it off. I just hope she does not do damage to her nerves trying to find a better time to have it done. So it goes. Harv
jofirey - 05 Jul 2007 13:28 GMT >> My sister in law was just over a week and she was using it quite a bit. >> Swelling went right down. Mine was different because it was the start of [quoted text clipped - 10 lines] > nerves trying to find a better time to have it done. So it goes. > Harv She is gonna be so mad at herself when she has it done and thinks about all the pain while she put if off.
Jo
Donna G. - 06 Jul 2007 15:07 GMT Rose,
Really praying that Iris does well with this surgery.
I am another one who let things go a bit too far and so the recovery took a bit longer, but it really is a fairly easy surgery to get past.
The pain relief was immediate.
When I had my surgery done, the hand was wrapped and kept dry for one week, then the bandages came off and we started light massage of the scar and some finger movements. I wasn't allowed any keyboarding and such for about 8 weeks, but that long of a period of time was because I had waited too long to get the surgery in the first place. Did do some hand OT/PT. Was probably a good 6 months or more before I had full strength back in that hand and could do things like open jars and put full weight on that hand without pain and some swelling. Again, the doctor said it was because I waited too long. Also, I had some inflammatory tissue removed from the RA during my procedure. Hopefully Iris sails right through this all and kicks herself for waiting.
Is Iris still using a walker? If so, that might be a bit of a challenge for a while with the surgery, but tell her to ask her doctor about that.
May this surgery go smoothly, may Iris heal quickly and without any complications what so ever!!!
Hugs,
Donna . . . . 1. ANGELS EXIST, but some times, since they don't all have wings, we call them FRIENDS......
2. J.K.M.A.
RoseB - 06 Jul 2007 19:19 GMT Hi DonnaG, Thank-you very much for your thoughtful words. Iris does not use a walker anymore, or any other device. She had done really well since her revision tkr. I will pass your message on. Rose @}>->-- Being educated means that rather than fearing the unknown, one seeks to understand it. RB
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Donna G. - 06 Jul 2007 15:08 GMT BTW, Rose, how are you doing? Are you still house hunting?
How's your mom and other sister doing? . . . .
Donna . . . . 1. ANGELS EXIST, but some times, since they don't all have wings, we call them FRIENDS......
2. J.K.M.A.
RoseB - 06 Jul 2007 19:29 GMT >BTW, Rose, how are you doing? Are you still house hunting? > >How's your mom and other sister doing? Hi DonnaG, My house is still on the market. Earlier in the year homes were selling well, but now the market is in a slump. I get the occasional looker, but otherwise it is quiet. I found a perfect house, although it was somewhat above my price range. I call it the handicapped house, as it was a house built for someone in a wheelchair. Although I did not see it, I am sure it would have suited me well, especially in regards to things like bathing. Sadly, the people took it off the market. In the meantime, I had an offer on a different home, which was nice too, subject to the sale of my house. The subject to sale date has now passed, and I have not renewed the offer.
Sylvia has been relatively stable. She can not do much physically because of her limitations associated with COPD and CHF. Harold is recovering well from his thyroid surgery. Unfortunately my mom now has dementia. We had considered for years that it was alzheimers, but her memory is fine. She does suffer from episodes of paranoia and confusion. At times she is great, her mind is crystal clear. At other times, though she has strange ideas, and has made decisions that have been difficult for us to take. She is still living on her own in a small apartment, but soon we will have to consider whether she needs placement. That will be very difficult. She gets regular home care so that is one valuable support. I think we want to allow her to be independent as long as we can. Rose @}>->-- Being educated means that rather than fearing the unknown, one seeks to understand it. RB
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sweetpickleNO@SPAMknology.net - 06 Jul 2007 20:31 GMT Rose, as the widow of an Alzheimers patient, may I make a comment, please? Keeping your mom as independent as possible as long as possible is a worthy goal, but remember at the same time that things can change quite rapidly in any dementia. Just be sure that she is monitored closely for changes in her condition so that if anything is needed, you will be aware of it. I'm assuming that she has had neurological care because dementia is caused by many different things, and some can be eliminated or improved. If she does need further care, do what you have to do without consulting her about it. It will be hard for everybody, but dementia patients really don't have the ability to make decisions, especially important ones. You might want to look in on alt.support.alzheimers just to get some ideas how others handle things that come up. Most dementias are similar in many things. The road you're all on is not easy, but good luck with everything. Gwen
>>BTW, Rose, how are you doing? Are you still house hunting? >> [quoted text clipped - 29 lines] > > Please remove "Ima" to reply. RoseB - 07 Jul 2007 07:23 GMT Hi Gwen, Thanks for the advice. I value your input. I did check on alt.support.altzheimers before and was reassured by the information that I found there. At that time she was having occasional lapses, now it is much more frequent. We are in daily contact with her. She sees her doctor weekly if not more frequently, and she has daily homecare. Her doc suggested that we put her name on the list now for managed care, because there is a waiting list, but it seems like such a big step. Because she still is so clear at times I think we are hopeful we can allow her to be independent for a bit longer. Rose @}>->-- Being educated means that rather than fearing the unknown, one seeks to understand it. RB
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jofirey - 07 Jul 2007 15:52 GMT > Hi Gwen, > Thanks for the advice. I value your input. I did check on [quoted text clipped - 7 lines] > can allow her to be independent for a bit longer. > Rose @}>->-- Clear at times also means not so clear at times. It is easy to get in the trap where your contact is always at the same time every day. It becomes a small routine she can manage. How does she sound at 5pm, 8pm, 10pm?
There is a phenomenon with Alzheimer's they call sundowning. Someone can be quite clear all day but get very disoriented in the evening. Mom was very much like that.
Making a move a little too soon means making it while she still has some capacity to become familiar with her surroundings and to adjust. A bit too soon is a great deal better than even a day too late.
Jo
RoseB - 07 Jul 2007 19:45 GMT >Making a move a little too soon means making it while she still has some >capacity to become familiar with her surroundings and to adjust. A bit too >soon is a great deal better than even a day too late. > >Jo Thank-you, Jo. Rose @}>->-- Being educated means that rather than fearing the unknown, one seeks to understand it. RB
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Kelly - 07 Jul 2007 20:47 GMT I second Jo's advice Rose. The care homes have ways of keeping people in "time" for longer and know what to look for. They also can see things we don't. For example when Gram went into the home she soon knew what day of the week it was. When getting up the nurse would say "Hi Lauretta - you are looking so well dressed on a Wednesday. Are you going to Wednesday exercise class or on the bus trip to the mall." The day was associated with activity, food, what she could look forward to. She had company and her hygeine improved as they had special bath "spa" days with the lifts, hair washes by staff etc. This helped again. By the time she was getting "vague" she knew some of the staff and was comfortable.
We waited far too long with my husband's aunt and uncle as they got good at covering things up. They weren't eating properly and had gone off some meds. It was a nightmare and they ended up in the psych ward for a bit as they couldn't handle the alzheimer ward. Was a pretty tough time for all. Not to say your situation would do this but would have been easier done earlier. Jimmy is doing well in the home now and is very happy. Pat's aunt had complications from not taking her meds while she was at home. She died in the psych ward unfortunately of kidney failure - the damage could not be reversed. Was sad as hers was not dementia.
Do talk to her doctor. It will take time to have her assessed and for openings etc. it is a tough decision but I know it can be a great one.
Sorry to hear about your house - don't give up yet though - early days yet.
Kelly
>>Making a move a little too soon means making it while she still has some >>capacity to become familiar with her surroundings and to adjust. A bit [quoted text clipped - 9 lines] > > Please remove "Ima" to reply. sweetpickleNO@SPAMknology.net - 07 Jul 2007 18:27 GMT Rose, it would be wise to find where you would like to place her and get her name on the list now so if something unexpected happens and you need placement in a hurry, you wouldn't have to take whatever you could get. There is usually a good waiting list for the better places, and you don't have to take it when her name comes up if she doesn't need it. Gwen
> Hi Gwen, > Thanks for the advice. I value your input. I did check on [quoted text clipped - 11 lines] > > Please remove "Ima" to reply. RoseB - 07 Jul 2007 19:46 GMT >Rose, it would be wise to find where you would like to place her and get her >name on the list now so if something unexpected happens and you need >placement in a hurry, you wouldn't have to take whatever you could get. >There is usually a good waiting list for the better places, and you don't >have to take it when her name comes up if she doesn't need it. >Gwen Hi Gwen, That is very true. With the way the system works here, if she needed emergency placement, they would find the first available spot, and it would not necessarily be locally. Rose @}>->-- Being educated means that rather than fearing the unknown, one seeks to understand it. RB
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Squirrely - 07 Jul 2007 22:40 GMT Sorry to hear about your mom's dementia. I hope things go well and she can stay in her house for a longer time. Good she has homecare too to help out.
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> Thanks for the advice. I value your input. I did check on > alt.support.altzheimers before and was reassured by the information [quoted text clipped - 10 lines] > > Please remove "Ima" to reply. Squirrely - 08 Jul 2007 04:49 GMT Rose,
sorry your house hasn't sold yet, I was hoping it would.
That would have been great if you could have gotten the handicapped house.
Glad to hear Sylvia is relatively stable. I can understand the restrictions with COPD. Glad Harold is recovering from the thyroid surgery.
Sorry to hear about your mom. But glad to hear she has help. You take care and hang in there.
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> Hi DonnaG, > My house is still on the market. Earlier in the year homes were [quoted text clipped - 25 lines] > > Please remove "Ima" to reply. toegyii - 07 Jul 2007 06:42 GMT recovery depend on duration , amount of pressure over median nerve and other medical problem,mostly recover form 3 wks to 6 th month. 1st remove the cause then rehabilition start. and pray.
> My sister Iris (the one with the stubborn knee infection, now gone) is > having a carpal tunnel release done this Friday. Her surgeons see some [quoted text clipped - 9 lines] > > Please remove "Ima" to reply. RoseB - 07 Jul 2007 07:20 GMT She actually seems to be doing very well. She was at the hospital for about one hour only. She even wanted to go for coffee tonight. She kept her hand elevated the whole time, but seemed much better than I thought she would be. Her surgeon said that the technique for carpal tunnel has improved significantly. I think she will have more pain in the morning from her wound, but tonight she seemed to be tolerating the post op pain very well. Rose @}>->-- Being educated means that rather than fearing the unknown, one seeks to understand it. RB
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jofirey - 07 Jul 2007 15:54 GMT > She actually seems to be doing very well. She was at the hospital for > about one hour only. She even wanted to go for coffee tonight. She [quoted text clipped - 3 lines] > the morning from her wound, but tonight she seemed to be tolerating > the post op pain very well. I never had any significant post op pain at all.
Jo
Kelly - 07 Jul 2007 16:48 GMT My post op pain was not as bad as my pre-op pain from the carpal tunnel Rose. Hopefully she will find the same. The hardest part was putting on my clothes and going to the bathroom. Had a wonderful pull on dress with no underwear that I wore around the house for the week - worked great.
Hope things go well for her this week. She has been through a lot.
Kelly
> She actually seems to be doing very well. She was at the hospital for > about one hour only. She even wanted to go for coffee tonight. She [quoted text clipped - 8 lines] > > Please remove "Ima" to reply. RoseB - 07 Jul 2007 19:48 GMT . Had a wonderful pull on dress with no
>underwear that I wore around the house for the week - worked great. > >Hope things go well for her this week. She has been through a lot. > >Kelly Thanks, Kelly. That is what I said as well ( re: the slip-on dress). When I had my broken arms that was the easiest thing to do. Rose @}>->-- Being educated means that rather than fearing the unknown, one seeks to understand it. RB
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Squirrely - 07 Jul 2007 22:42 GMT Great to hear she is doing so good. I hope it continues and that it was a miracle to fix the problem.
Sending healing thoughts.
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> She actually seems to be doing very well. She was at the hospital for > about one hour only. She even wanted to go for coffee tonight. She [quoted text clipped - 8 lines] > > Please remove "Ima" to reply. Nann Bell - 08 Jul 2007 14:04 GMT My carpal tunnel releases were done back in '89 when the surgery was relatively crude compared to today. Many docs now do it through very small incisions and the recovery is fast and easy. Even mine, with the larger incision, was far easier than my other surgeries. Of course, by now she is through the surgery and, I hope, well on the way to recovery again.
I used to know a woman who delayed her releases until she absolutely could not tolerate it any longer. Turned out she'd delayed so long she had permanent, irreversible nerve damage and faced years of suffering nerve pain. So, the docs may well be doing what is best for Iris. Hopefully, with the other infection all gone now, her recovery from this will be smooth and easy.
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