Thursday, August 22, 2019

Status of the Back Surgery

Jim's surgery lasted about an hour.  It took much less time than the fusion which was done two years ago.  Oddly enough, it was two years to the day.  Anyway, they lopped off part of the vertebra and then used a dremel tool (kidding, just kidding) to remove the bone spurs and widen the foramen so the nerve is not being pinched. 

Here is Jim, pre-procedure, demonstrating that he has a sense of humor.


The surgery was not without incident.  While the surgeons were working on the foramen, they nicked the dura.  The dura is the membrane that covers the brain and spinal cord.  They were able to put a stitch in the nick and close it, but some spinal fluid leaked out. 
The most common cause of intracranial hypotension, or low cerebrospinal fluid (CSF) pressure in the brain, is CSF Leak. ... When the volume of CSF becomes low, the brain will sag inside the skull, causing headaches that worsen when the patient is in an upright position (sitting or standing up).
Jim had to stay on his back, with no more than a 30% incline to keep the headache down.  So far he's had no pain, but he's also been laying flat.  It's really difficult to eat when you're on your back and really flat.  This could last up to 10 days to resolve.  So that was kind of a bummer. 

He's spending the night in the hospital.  Coming home tomorrow is very much desired, but not guaranteed.


10 comments:

  1. Thanks for this update. Glad he’s out of surgery and on the mend. Sucks about the dura, but that should resolve fully, right? May his body now heal and heal. Sending love.

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  2. Darn! tho I suppose it could have been worse.
    My back surgeon "nicked" the nerve that goes to my right calf muscle which cause me to lose the use of it. He said in should heal in 8 or 9 months, but it never did and now as atrophied and totally useless. Oh well...the rest of me is doing pretty good. I hope that stitch holds and you guy are back out biking and walking and hiking soon!!!
    mark

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  3. I'm praying for quick healing and he gets to go home sooner than expected. I imagine a few days flat on his back will be worth the lack of pain from the vertebra. Hang in there!!

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  4. Hope he continues to do well and comes home soon. Hospitals are full of sick people, you know, so it's best to not be there any longer than must. Milkshakes are good when laying flat and the best is made with cookies 'n' cream ice cream!

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  5. how is he supposed to get home if he has to lay flat on his back for 10 days? I guess the fluid will replace itself. here's hoping for a speedy recovery.

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  6. Got out of the hospital myself last night, 4 days, long story but feeling better. Got out my lone life friend sent me this, we grew up in that country, near Baker City. https://thatoregonlife.com/2016/10/elkhorn-scenic-byway/?fbclid=IwAR3FidBsTMAE8rOHamKC114QVIkxn1eQ6mbiPsRg7NFueksCdltAyhRhIW8 No idea if you will get that or if it will open, but here's hoping. Worth a look, bit steep for a motor home truck. Best, get well soon.

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  7. Hope your Jim is healing really nicely and quickly. My Jim had just about the same surgery (without the mishap) in 2012 and he is so glad he did it. We called it a rotor rooter job. But rehab was really important and he stuck to it thanks to me.

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  8. Good luck to Jim, whether it be lying on his back in the hospital or at home.

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