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Medical Forum / Diseases and Disorders / Arthritis / September 2007

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kinda OTP: something ain't right

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Nann Bell - 24 Sep 2007 05:34 GMT
I suspect I have developed an incisional hernia at one of the sites he used
for the laparoscopic curgery last week.  It's been quite painful all along,
from the first time I got up (and the nurse said it was normal then!).  Now
it's drifting towards the next site over as well.  First couple of days I
thought it was just part of the process, esp. after what the recovery room
nurse said.  But today the third site looks lovely and only gives an
occasional twinge, whereas this area just up under the ribcage screams when I
move.

I'm calling first thing in the morning and I suspect we are looking at a
couple of days across state while they fix me up and probably watch me for a
day afterwards.  Now I almost wish we'd used a surgeon closer by.  I thought
about calling today, but it doesn't seem to be an emergency situation and I
didn't want to have to explain it to an on-call doc 80 miles away, deciding
whether to head over.

And besides, Mike's car died in town Friday - his '89 Corolla.  If it's
minor, we'll repair it, otherwise it will have missed Mike's goal of 300k by
29k and we'll be used car shopping.  While I'm putting a call into the
surgeon in the morning, Mike will be talking to our mechanic about whether
it's worth it to tow the car out here to his shop.  It's looking like another
interesting month!

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Nann
remove the Gator cheer to email me
Simply the thing I am shall make me live --- William Shakespeare

d'huit - 24 Sep 2007 06:43 GMT
((((((((((((((((((nann)))))))))))))))))  nann, honey, it may or may not be
urgernt, but please don't guess.  call a friend with wheels and GO to your
nearest ER, asap, please.  you've just had surgery 4 days ago and this needs
to be looked at.  a local ER can handle this.  you don't have to go 80 miles
to have this taken care of.

kate
I suspect I have developed an incisional hernia at one of the sites he used
for the laparoscopic curgery last week.  It's been quite painful all along,
from the first time I got up (and the nurse said it was normal then!).  Now
it's drifting towards the next site over as well.  First couple of days I
thought it was just part of the process, esp. after what the recovery room
nurse said.  But today the third site looks lovely and only gives an
occasional twinge, whereas this area just up under the ribcage screams when
I
move.

I'm calling first thing in the morning and I suspect we are looking at a
couple of days across state while they fix me up and probably watch me for a
day afterwards.  Now I almost wish we'd used a surgeon closer by.  I thought
about calling today, but it doesn't seem to be an emergency situation and I
didn't want to have to explain it to an on-call doc 80 miles away, deciding
whether to head over.

And besides, Mike's car died in town Friday - his '89 Corolla.  If it's
minor, we'll repair it, otherwise it will have missed Mike's goal of 300k by
29k and we'll be used car shopping.  While I'm putting a call into the
surgeon in the morning, Mike will be talking to our mechanic about whether
it's worth it to tow the car out here to his shop.  It's looking like
another
interesting month!

Signature

Nann
remove the Gator cheer to email me
Simply the thing I am shall make me live --- William Shakespeare

Nann Bell - 24 Sep 2007 13:36 GMT
> ((((((((((((((((((nann)))))))))))))))))  nann, honey, it may or may not be
> urgernt, but please don't guess.  call a friend with wheels and GO to your
[quoted text clipped - 3 lines]
>
> kate

Thanks, hon, but it's already morning here!  No, it isn't a new pain, it's
hurt like this since I got up in recovery so I do believe I'm ok for now.  
Would have talked to someone yesterday just to ease the pain if they'd been
more local.  Actually felt better for part of yesterday.

Anyway, managed to sleep on the couch last night with strategies to keep
Puddin' off my tummy while I slept.  Best night's sleep of the past few days.
Better able to deal with it all now.  But they are open there now and I'd
best get on the phone.  See y'all later this week!

Signature

Nann
remove the Gator cheer to email me
Simply the thing I am shall make me live --- William Shakespeare

Diane - 24 Sep 2007 16:57 GMT
nann, i have missed a bunch of posts, but sounds like you were able to
have the surgery laparoscopically (sp?), which is good. i'm SO SORRY
that your doc is so far away which makes everything a hassle. I hope
you're feeling better today and the discomfort's easing up. if not, i
know you'll do what you should to get it taken care of.

mike sounds like my john with regard to cars. 29 miles short of his
goal--how sad. i hope the old girl can be fixed up.

diane
d'huit - 24 Sep 2007 19:05 GMT
On Mon, 24 Sep 2007 1:43:01 -0400, d'huit wrote
(in message <Fd-dnaiXL9zw02rbnZ2dnUVZ_v6rnZ2d@comcast.com>):

> ((((((((((((((((((nann)))))))))))))))))  nann, honey, it may or may not be
> urgernt, but please don't guess.  call a friend with wheels and GO to your
[quoted text clipped - 5 lines]
>
> kate

Thanks, hon, but it's already morning here!  No, it isn't a new pain, it's
hurt like this since I got up in recovery so I do believe I'm ok for now.
Would have talked to someone yesterday just to ease the pain if they'd been
more local.  Actually felt better for part of yesterday.

Anyway, managed to sleep on the couch last night with strategies to keep
Puddin' off my tummy while I slept.  Best night's sleep of the past few
days.
Better able to deal with it all now.  But they are open there now and I'd
best get on the phone.  See y'all later this week!

i was more concerned about the incision site changes you described, than the
pain, hon.  i'm glad you are making the call.  yayyyy for a better night's
sleep!  hope you feel better very soon.

kate

Signature

Nann
remove the Gator cheer to email me
Simply the thing I am shall make me live --- William Shakespeare

Harvey R. Stone - 25 Sep 2007 01:22 GMT
> i was more concerned about the incision site changes you described, than
> the
> pain, hon.  i'm glad you are making the call.  yayyyy for a better night's
> sleep!  hope you feel better very soon.
>
> kate

and a me too...
Harv
Squirrely - 24 Sep 2007 18:51 GMT
Oh Nann, I am praying and hoping for the best outcome for you and for Mike
and the car. I hope all goes well. Keep us posted to how it is going as you
can.

Signature

Love and Hugs to all
Jo the squirrely one

>I suspect I have developed an incisional hernia at one of the sites he used
> for the laparoscopic curgery last week.  It's been quite painful all
[quoted text clipped - 27 lines]
> another
> interesting month!
DeeTee and Bob Taggart - 24 Sep 2007 20:54 GMT
Let us know what the doc says.

DeeTee

>I suspect I have developed an incisional hernia at one of the sites he used
> for the laparoscopic curgery last week.  It's been quite painful all
[quoted text clipped - 27 lines]
> another
> interesting month!
Nann Bell - 25 Sep 2007 22:37 GMT
well, long story, but we didn't get me to the surgeon until today and
yesterday's conversations with the nurse left me a bit defensive, when i was
already borderline hysterical from the pain.  (I mean, seriously now, if
taking my darvocet around the clock (as I already was) would get on top of
the pain, WHY would I be calling?!??!?!?!)

I must have still been a bit over the edge today as the surgeon told me
flat-out that he didn't think I was faking or exaggerating it.  The verdict
is an inflammed and possibly spasming rectus abdominis muscle (the "6-pack"
muscle).  That laparoscopic "port" was the largest hole he made and it was
very close to the muscle.  He thinks that set all hell lose in the muscle.  
Kicked up my pain meds to vicodin and in higher doses, I'll take my zanaflex
regularly for a bit and we'll try to get through it.  And thinking in muscle
terms, I was hitting the Sore-No-More on the drive home (I keep some in the
car) and pulled an ice pack out of the freezer as soon as we returned.

Oh, he offered me a hand in getting up from the exam table and I foolishly
thought I could sit up normally with his assistance.  BIG MISTAKE!  On the
positive side, he got to see me doubled over, cursing for a couple of
minutes.  All these years I've been telling Mike to use his abs to lift
himself up when standing up and now I have to remember not to do it!

I really wish we had readily available acupuncture here; this really seems
like something that could benefit from it.  There is someone about 50 miles
away, but not anywahere we're traveling soon and Mike's spending lots of time
as my driver already.  Perhaps I can improve things enough to drive myself
there for a treatment.

I almost wish I weren't so accustomed to pain.  I'd like to be mean and
insistent wih doctors before I reach a steady 9 or 10 on the pain scale!  
Well, at least this isn't more surgery, but it may take a while to calm down.

Oh, and he'd gotten the path report back - more non-specific inflammation.  
sigh..........

Signature

Nann
remove the Gator cheer to email me
Simply the thing I am shall make me live --- William Shakespeare

Joan Carter - 25 Sep 2007 22:58 GMT
>I almost wish I weren't so accustomed to pain.  I'd like to be mean and
>insistent wih doctors before I reach a steady 9 or 10 on the pain scale!  
>Well, at least this isn't more surgery, but it may take a while to calm down.
>
>Oh, and he'd gotten the path report back - more non-specific inflammation.  
>sigh..........

Oh, Nann, I wish I could do more than offer empathy and sympathy,
but I can't. May this get well really, really, FAST.

Joan
DeeTee and Bob Taggart - 25 Sep 2007 22:58 GMT
{{{{{Nann}}}}} Gentle hugs, Sweetheart.

DeeTee

> well, long story, but we didn't get me to the surgeon until today and
> yesterday's conversations with the nurse left me a bit defensive, when i
[quoted text clipped - 39 lines]
> Oh, and he'd gotten the path report back - more non-specific inflammation.
> sigh..........
Diane - 25 Sep 2007 23:21 GMT
nann, i'm so sorry! this sounds miserable, with no treatment other
than heavier pain meds and time. . . and no answers in the path report
to boot. i feel for you, sweetie. please use us for venting purposes
several times a day.

hugs, diane
d'huit - 26 Sep 2007 00:29 GMT
well, long story, but we didn't get me to the surgeon until today and
yesterday's conversations with the nurse left me a bit defensive, when i was
already borderline hysterical from the pain.  (I mean, seriously now, if
taking my darvocet around the clock (as I already was) would get on top of
the pain, WHY would I be calling?!??!?!?!)

I must have still been a bit over the edge today as the surgeon told me
flat-out that he didn't think I was faking or exaggerating it.  The verdict
is an inflammed and possibly spasming rectus abdominis muscle (the "6-pack"
muscle).  That laparoscopic "port" was the largest hole he made and it was
very close to the muscle.  He thinks that set all hell lose in the muscle.
Kicked up my pain meds to vicodin and in higher doses, I'll take my zanaflex
regularly for a bit and we'll try to get through it.  And thinking in muscle
terms, I was hitting the Sore-No-More on the drive home (I keep some in the
car) and pulled an ice pack out of the freezer as soon as we returned.

Oh, he offered me a hand in getting up from the exam table and I foolishly
thought I could sit up normally with his assistance.  BIG MISTAKE!  On the
positive side, he got to see me doubled over, cursing for a couple of
minutes.  All these years I've been telling Mike to use his abs to lift
himself up when standing up and now I have to remember not to do it!

I really wish we had readily available acupuncture here; this really seems
like something that could benefit from it.  There is someone about 50 miles
away, but not anywahere we're traveling soon and Mike's spending lots of
time
as my driver already.  Perhaps I can improve things enough to drive myself
there for a treatment.

I almost wish I weren't so accustomed to pain.  I'd like to be mean and
insistent wih doctors before I reach a steady 9 or 10 on the pain scale!
Well, at least this isn't more surgery, but it may take a while to calm
down.

Oh, and he'd gotten the path report back - more non-specific inflammation.
sigh..........

((((((((((((((((((((((nann)))))))))))))))))))))))  oh, hon, i'm so sorry the
path report wasn't more definitive.  major bummer!  it sounds like they've
really got to hit the inflammation-stop button harder for you.

i just cringed while reading your doctor's appmt. account.  i hate that you
were in that much pain and couldn't get them to up the quality of your pain
meds over the phone, before your appointment.  it blows me away that he put
you on just darvocet!--especially, for that kind of procedure and him
knowing full well how close he came to that muscle.  (that darvocet stuff
never handled surgical pain for me, either.)  thank goodness he believed you
were in pain and gave you something that does help you.

rest, rest, rest, and take care of you, sweetie.

kate

Signature

Nann
remove the Gator cheer to email me
Simply the thing I am shall make me live --- William Shakespeare

Nann Bell - 26 Sep 2007 19:53 GMT
> ((((((((((((((((((((((nann)))))))))))))))))))))))  oh, hon, i'm so sorry the
> path report wasn't more definitive.  major bummer!  it sounds like they've
[quoted text clipped - 11 lines]
>
> kate

In the doctor's defense - he himself was rather surprised that I had such
major muscle issues post-op.  He pumped lidocaine into all the ports before
closing and says he *really* filled that one port.  I suscept my fibro and PA
issues made me more prone to this.  I might have asked for more lidocaine,
but this pain was there the first time I got up in recovery so it didn't numb
it all that much.  I now know that when it got worse over the weekend was
probably when the lidocaine was wearing off.  Meanwhile, I don't know exactly
how the nurse relayed my message to him, especially when the first part of
her return call was talking about pain being normal after surgery.  

But I'm realizing how much you use your abs for everything!  After years of
*trying* to use them to keep them strong, I'm now tortured every time I fail
to do something only with other muscles.  I KNEW there was some reason I
didn't want to do this biopsy!  I have to lean the seatback at about a 75
degree angle to tolerate the car ride cross state and even then have to hold
the shoulder harness away from my body.  Somehow the task chair at this
computer cradles and supports my back just right so as long as I sit up
straight in it, I'm in less pain than most places.

I just can't think of anything else to do to help this reverse itself.  I do
see my RD tomorrow so maybe he'll have a suggestion.  I wonder if a cortisone
shot would help

Signature

Nann
remove the Gator cheer to email me
Simply the thing I am shall make me live --- William Shakespeare

sweetpickleNO@SPAMknology.net - 27 Sep 2007 02:32 GMT
Nann, I'm so sorry your not wanting to do this biopsy proved to be a valid
concern.  I just pray your RD will have some good ideas to help with the
pain and healing.  And may it all happen very quickly.
Gwen

>> ((((((((((((((((((((((nann)))))))))))))))))))))))  oh, hon, i'm so sorry
>> the
[quoted text clipped - 49 lines]
> cortisone
> shot would help
Squirrely - 26 Sep 2007 22:24 GMT
I hope you heal quickly with this Nann, I have felt for you so much lately.

Signature

Love and Hugs to all
Jo the squirrely one

> well, long story, but we didn't get me to the surgeon until today and
> yesterday's conversations with the nurse left me a bit defensive, when i
[quoted text clipped - 39 lines]
> Oh, and he'd gotten the path report back - more non-specific inflammation.
> sigh..........

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