Orthopedic surgery, things going right for now!

LoboGunLeather

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Up at 4:00AM yesterday, out the door at 5:00 for the drive to outpatient surgery clinic 60-odd miles away. Got checked in for pre-op, IV started, sedative administered on the way to OR, then a nerve-block injection that pretty much turned my left shoulder and arm into a chunk of dead meat. General anesthesia administered, arthroscopic procedure to deal with bone spurs, arthritic deposits, damaged bursa, rotator cuff, and biceps tendon.

Wide awake by 10:00AM. Fitted with a complicated shoulder restraint containing cooling coils connected to a portable ice chest and pump to circulate chilled water through the coils as a means for controlling swelling, etc. Sent home with 10 days supply of morphine sulphate, 30 days of oxycodone, the recommended laxative to deal with opiate-induced bowel difficulties, and leg compression devices to guard against thrombosis (blood clots).

Peaceful evening at home without much discomfort. Took one of the morphine tablets as a precaution before bed. Slept very well for about 6-1/2 hours, then woke up clear and focused with no more than moderate discomfort. No swelling or inflammation. Everything feeling pretty good.

Unless some rude event sneaks up on me I doubt that I will need any of the pain meds, which also precludes the need for constipation meds. I'll be in a sling for 2 to 4 weeks, probably keep some ice packs around in the event of need.

So far, I am pleased to report that sometimes things just go right! Good doc, great nurses and professional staff. This was provided by the VA, by the way (those folks who seem to catch a lot of complaints in the media and social forums).
 
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Thats Awsome news heal quick.

I was off pain pills the same day after full hip replacment. Pills droping blood psi too low. Two days for open heart valve replacment. Only time I every real needed any pain managment is kidney stones and kidney stone surgery. And had to be juiced for that
 
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I'm very happy your surgery went well

I had some shoulder surgery last year that used the nerve block. It's great for the first 24 hours of post op pain. Totally removed it.

Ten years ago I had some shoulder surgery that didn't use the nerve block: they had to load me up on pain meds just to get me out of the recovery suite.
 
Thank your lucky stars. I'm 2 1/2 weeks post op from a knee replacement. Still have some pain, but not taken any meds for it for 3 days now. I went through all the bowel problems, (5 days w/o movement) and the laxatives, etc. Slight infection in incision, and now on Keflex antibiotic the last three days and starting to clear up, but it has the side effect of loose stools, so no more laxatives needed. Then I came down with a cold, verge of pneumonia, and today is the first day I actually started to feel human.
 
IT'S STILL KINDA EARLY.

SO FAR SO GOOD. :) My first thought was, that sounds like a lot (30 days worth) of pain meds for an arthroscopic surgery. A follow up appointment with the surgeon in a week - 10 days (WAS) common, & more pain meds prescribed then IF NEEDED. I saw more of the "big gun" pain meds for SEVERE (breakthrough) type pain, with a lesser pain med like Vicodin for lesser "discomfort". I'd lock those narcs in the safe with a FEW close at hand. They have a tendency to disappear. NO NEED TO ADVERTISE that you have them. Rehab is the one area that the pt has the most input into, IMO. Go slow, think before you move. You won't get extra points for being a hero or martyr, so IMO use the pain meds if needed, & it's "best" to stay in front of the pain, rather then waiting until it is unbearable. All the best for a speedy recovery. :)
 
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Yep-there are some good, dedicated folks at VA. It's the one's "upstairs" that are competing for bonuses that are the problem. Glad you had a good experience.
 
SPEAKING OF THE VA.

There's a job opening for a new top dog. "he couldn't work under the toxic conditions". :rolleyes: I guess all his great work is why him & his family needed a vacation on our dime. ;) GUESS WHAT, your busted! Got caught with your hand in the cookie jar! MAN UP & admit it. Don't let the door hit ya where the good Lord split ya. The swamp got a little lower. :)
 
Never 2nd guess the docs on meds - stay ahead, always on pain meds, once you fall behind, you WILL hurt. Especially the first 2-5 days - don't try to be tough or work through the pain, take the meds as required and you'll be happier! :)

Always stay ahead of the pain, not behind and don't worry about getting 'hooked' - even 30 days won't hook you unless you have that need. Trust me, you'll over-do something and hurt yourself, because you'll be feeling good :)
 
Wow! The cooling coil/circulation thing sounds like just the ticket. Haven't heard of that before. You must have been pretty miserable decide to go through with this. Good luck on healing up, Lobo. I'll bet you will be good as new

PS - I'm enjoying several of your holsters.
 
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Since nobody else mentioned it, eat something before you pop a pain pill. Some of those things will eat right through an empty stomach. Don't wash a pain pill down with a beer either.

Your physical therapist is as important as the surgeon. Ask around, interview them if possible, make sure they understand you want to return to as near normal as possible as far as your use of that arm.

In the coming weeks keep the arm supported to keep pressure off the joint. Small throw pillows or hand towels rolled up and stuffed in tube socks work well for this purpose. Support the arm when you sleep.

Lastly, try to maintain a positive attitude during PT, and look for every tiny improvement in your arm.

You will need a pulley, such as I bought. You can also take a bare pulley, like the second photo, run about 8' of cord through it, make handles out of an old broom handle. The pieces should be about 4"-5" long with a hole bored through the middle to tie the cord through. A bow tie shaped piece of leather long enough to go over a door is attached to the eye bolt of the pulley. Usually by cutting a piece of leather strip in one end, looping it through the eye of the bolt, punching a hole and attaching with a Chicago screw. You know more about leather than I do.
 

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The advice from nachogrande and Weimar about staying ahead of the pain was right on. I had both knees replaced in the same week, and my ortho surgeon was adamant that I stay ahead of the pain, and not try to tough it out. No problem for me to take his advice! At the slightest hint of discomfort, I popped a hydrocodone. As a result, I healed quickly (you heal faster when you are pain-free) and was completely off the pain meds three weeks after surgery. I never experienced any pain from the surgery or during recuperation. Only during physical therapy did I experience pain, and it was brief and endurable. I also had twin knee coolers. I used them religiously, and I believe their use contributed to a rapid recovery.

I hope you're back to normal soon!
 
4 months out on shoulder repair. Was fine until nerve block wore off! Holy Sheet!! Never had anything hurt that bad! I was a tough guy and did not take pain meds and got behind the pain curve. Never again. Best advice! Take PT seriously and do the home exercises! After 4 months X3 week, 90%+ ROM at 71 YO!
 
Now about 48 hours since the surgery, and about 37 hours since my one and only use of the pain meds. Arm remains in a sling, largely immobilized. Sleeping through the night has not been a problem. Moderate discomfort that is well short of anything I would describe as serious pain requiring attention. No inflammation or swelling.

Stripped down and washed myself with soap and water this morning, which helps with a positive outlook. Ready to start physical therapy next week.

Since I am not taking the narcotics I am not prohibited from driving, so I will run over to the club this afternoon, play some cards, keep myself well hydrated with Anheuser Busch products, let my wife have a few hours without me underfoot all the time.

After nearly a year of examinations, physical therapy, X-rays, MRI's, and cortisone injections I am happy to at a stage where it looks like a permanent solution can be had.

Best regards.
 
Please post a photo of the cooling unit the doctor put on you.

Good luck with the Physical Terrorpy. It gets intense.
 
THE BEST & OLDEST PAIN/ANTI INFLAMATORY MED.

FROZEN WATER. Glad things are going well so far. You don't get macho man points for enduring pain, but that is up to you. If you can sleep, the pain aint all that bad IMO. There just may be some good reasons the doc gave you so many strong pain meds, IE a lot of "digging around" finding/ stretching/ re-attatching the bicept tendon??? He just may have some experience in what to expect. Be aware if drinking & you do decide to take one of the pain pills, driving may be unwise.
 
Please post a photo of the cooling unit the doctor put on you.

Good luck with the Physical Terrorpy. It gets intense.
I remember the first time I ran into one of the "orthopedic" coolers. Poor gal had major surgery to rebuild her ankle and had the cooling hose imbedded into her cast. Cooler was an Igloo with a submersible aquarium pump in it. Looked like something an inventive surgeon had pieced together at Wally World!!! But, I was thinking "Wow, why didn't I think....."

Then she somehow managed to crash her wheelchair!!!! Add a few more scrapes and bruises to the existing problem, but fortunately no additional injury to the ankle.
Her attitude was unbelievable, even was laughing about her situation....

Sent from my SM-J320P using Tapatalk
 
I have had serious pain medicine a few times. I learned that apple sauce is my friend. It has quite a bit of water in in, some sugar to provide energy, and fiber. It really helps avoid constipation.
 
"It best to stay ahead of Pain" is Correct
However, some people have Very High Pain Thresholds
I have had 25+ Orthopedic Procedures
and Rarely Needed or Took Post-Op Pain Meds
 
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