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Medical Forum / General / General / April 2007

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EXTREMELY WORRIED

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mustknow - 06 Apr 2007 19:27 GMT
My husband, 78,  had a Laminectomy on Sept 12, 2006, from which he has
not totally recovered yet.  His gait is unsteady & very shaky and he
still has back pain.

He also had two knee-replacements a few years ago.. One knee is fine;
the other so-so.

His OS wants to do laminectomy to his upper back (neck area) and some
fusion as soon as possible although, as he told us yesterday, it is
very serious and risky procedure.  My husbank could die on the
operating table or he could be in a wheechair for the rest of his life
if he goes ahead with the surgery.  If it is successful, then I will
have worried for nothing!

The prognosis, if my spouse does not have the surgery is grim.  He
could end up paralyzed  or even die.

I would like for him to wait another year until he is fully recovered
from the last oepration,  but the doctor cannot tell us if it would be
too late by then to perform the surgery.

Does anyone ever had to face a similar situation and if so, how did
you deal with it?

Thanks for any insight into this dilemma. . . .

Jackie
sci.med - 07 Apr 2007 06:36 GMT
> My husband, 78,  had a Laminectomy on Sept 12, 2006, from which he has
> not totally recovered yet.  His gait is unsteady & very shaky and he
[quoted text clipped - 23 lines]
>
> Jackie

Regarding facing a similar situation and dealing with it, my mother-in-law
is 84, frail, has heart failure, and has a rectal prolapse. She has decided
to go ahead with surgery to repair the prolapsed rectum even though it is
high risk due to her heart condition, and there is no guarantee that the
prolapse will not return. The surgeon has told her that there is a 50/50
chance that the prolapse will recur in the first year. The alternative is
not to have the operation and remain incontinent of faeces, having to wear
incontinence pants, and in pain from the prolapse. That wouldn't be directly
fatal but would probably accelerate her decline due to the effect on her
morale of this living hell.

She has made the decision to have the operation on the basis that she has
nothing to lose; the operation might kill her but her life isn't worth
living in the state she is in. The family fully supports her decision.

From your description your husband is in a similar situation in that the
outlook seems hopeless if he doesn't have surgery, and there is a glimmer of
hope if he has surgery. What does he feel is best for him? Decline an
operation bearing the potential benefits (if any) and risks, delay an
operation bearing in mind the potential benefits and risks, or have the
operation bearing in mind the potential benefits and risks. Is he placing
the onus on you to decide, or has he made his decision but you don't agree
with what he has decided?
mustknow - 07 Apr 2007 13:31 GMT
> > My husband, 78,  had a Laminectomy on Sept 12, 2006, from which he has
> > not totally recovered yet.  His gait is unsteady & very shaky and he
[quoted text clipped - 49 lines]
>
> - Show quoted text -

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Thanks for replying to my message

My husband is eager to have this surgery as soon as possible,
expecting a positive outcome, but if this does not happen he says he
would sitll be better off than deteriorating day by day.

My feelings is that we can find in North America ,Europe, or anywhere
in world, a surgeon or a clinic which has developped a successfull and
PROVEN method of MINIMALLY INVASIVE surgery with some measures or
reassurance as to the outcome. I would want my darling husband to have
a chance as such a procedure.
sci.med - 08 Apr 2007 12:01 GMT
> Thanks for replying to my message
>
[quoted text clipped - 7 lines]
> reassurance as to the outcome. I would want my darling husband to have
> a chance as such a procedure.

Have you asked the surgeon whether he knows of such a treatment, whether it
actually exists or would be appropriate in your husband's case?
 
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