L5S1 Prodisc-L

[Dulishun]

SURGERY DATE:5/26/09

AGE AT SURGERY DATE:39

SURGEON:Dr. Artur Pacult

SURGERY LOCATION/CLINIC:Roper Hospital, Charleston South Carolina

DEVICE(s), LEVEL(s): Prodisc-L, L5S1

COST = $59,278 (Still waiting for final bills, but this is what quote was)
AMOUNT BILLED:
INSURANCE ALLOWED: United Healthcare Refused to Cover
OUT OF POCKET:$58,278
TRAVEL: 0
EXPLANATIONS?Refused Coverage by UHC, lucky that I have local Doctor that had my utmost confidence. Going to have a hell of a lot of reward points on my credit cards!


ONSET OF LUMBAR PROBLEMS, DATE OF INJURY, CAUSE, ETC...: Original problem resulted from injuries on a trip to Kenya in 1990, re-aggravated in 1992 and then 1996. This was followed by 9 uneventful , blissful years. In 2005 pain just moved in after 2 year old son jumped and landed with his butt square on my lower back. Non-stop pain ever since (maybe 14 non-consecutive days of no distracting pain in 4 years).

PRIOR SPINE SURGERIES AND PROCEDURES (IDET, ESI, etc...):9 or 10 Epidurals, Chiropractic, Acupuncture, Physical Therapy three separate times running a few months each time, rejected as candidate for IDET by 2 doctors.

PRE-OP MEDICATIONS:Hydrocodone daily, Parafon Forte (best mild muscle relaxant), Tramadol, Percoset, Flexeril

PRE-OP DIAGNOSTICS (discogram, nerve root blocks, etc...):2 Discograms, 9 or 10 epidurals

PRE-OP NEUROPATHIES (what, where, & degree of pain, numbness, tingling, sexual/bladder/bowel symptoms, etc.):Lower back pain out to end of hip bone and down to thigh, numbness and tingling when exercising

PRE-OP CONDITION (Please include %leg pain/% back pain, pain levels, type of pain, ability to work and function, disability status, etc.... be direct, but be as verbose as you need to): 95% back pain, 5% leg pain, pain often like someone's knuckle digging in and constantly pressing, sometimes burning, sometimes shooting down leg under kneecap and ending in toes. Never missed more than one day of work in a month, but was only able to do that by taking pain medication everyday.

TIME POST-OP AT ORIGINAL POST HERE: 10 Days Post-op

DESCRIBE YOUR SURGICAL EXPERIENCE:Got to Hospital at 6:00 AM for 8:00 AM surgery. Waited in surgical prep area for Doctor's and Anesthesiologist, after given initial anesthesia no memory of anything until I woke up although I was told I was "conscious" when they wheeled me into operating room. Woke up in hospital bed and spent the next 2 days in hospital. Incision was glued instead of stapled. Surgeon said procedure went perfectly as did vascular surgeon.

RATE FUNCTIONALITY / SATISFACTION AT INTERVALS BELOW:

FUNCTIONALITY:

6. Excellent: no limitations. If I walk to far though I feel it and have to be very patient.

SATISFACTION:

5. I'm very glad I did my surgery, but still have a realistic wait and see attitude. Some days since have been rough, but usually because I pushed myself to walk further than I should have and paid a dear price with pain in back and front.

[Dulishun]

Hi Everyone. It's been 2 weeks since the surgery and all in all, I feel great. Not that I am not without limitations. I went to a movie on Sunday ("UP", it was really good especially if you are with a 4 yr old and 6 yr old) and it was a LONG time to sit down. I had to keep lifting my body up a little with my elbows on the armrests to take the pressure off my lower back. If I had it to do over again I also wouldn't have drank the 55 gallon drum of soda that came with the popcorn. I was sore after and exhausted from walking to and from the car, but it felt more like muscle soreness. I still have some back pain, but nothing like what I had before. Still have to take pain meds once or twice a day, but have reduced the amount by 75%. I have had some bad days, but I just shut it down for a day and do nothing and I am back to feeling good the next day. One of the crappy things about having back problems is that every time you try a new therapy or treatment you have to "buy in" for it to work. If it doesn't work there is a period where a little voice starts whispering in your ear that it might not be working and slowly but surely you come to the realization that you have reached another dead end. This cycling of hope and disappointment takes a heavy toll over time and at some point you get gun shy about hoping too much. It's like and old bluegrass song "I'm always on a mountain when I fall". So I am starting to hope and I feel better than I have felt in a long time. I feel horrible about some of the stories I have read from other people who have not had such a good experience. My heart goes out to all of you and I feel a little guilty writing such a positive account when so many are struggling. I was a perfect candidate for this surgery and I think that patient qualification is essential with ADR. Maybe I am just lucky. I'll try to keep up with the updates.

[dshobbies]

Two weeks out is still VERY early and if your body is telling you that sitting through a movie is too difficult, you should probably pay attention. Exhausting yourself walking to and from the car is not as beneficial as smaller walks.

It's a normal impulse - once your old pain is gone, you want to resume your 'normal' life as soon as possible, even before your body is ready. We've all paid the price of pushing too hard and for the most part, did no real harm. However, that doesn't mean it's not possible to hurt yourself and though I may be more cautious than most, everyone who has been through this surgery agrees on one thing SLOW AND STEADY WINS THE RACE.

Be kind to your new back and let it get used to itself, Dale

[Dulishun]

3 Week Update

Well yesterday was 3 weeks since the surgery and I still have good days and bad days. On Monday I went for the follow-up with the Neurosurgeon and had x-rays taken. He told me everything was perfectly placed and wanted me to keep taking motrin for another 2/3 weeks as an anti-inflammatory. He said that they have seen artificial discs "lock up" before and the general thought was that the anti-inflammatory would alleviate this possibility. I asked about the discomfort that I have that I believe to be mostly muscular and he told me that it is an adjustment for the body to make and it takes time for everything to settle down. I went to work after the appointment and worked for a while. When I woke up on Tuesday I was very sore and had enough pain to take a painkiller, which annoys the hell out of me because I want to END IT with the pain pills. On the other hand, being in pain doesn't help anyone so... After about 1:00 in the afternoon I rested for a while. I also got a good night sleep and felt much better today. Discomfort, but no need for meds. Still feel like I am progressing well. Doc also told me that the anesthesia stays in your system for a while and contributes to the problem of getting tired easily. If anyone has any specific questions, just let me know.
__________________
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L5S1 Herniation and Annular tear
Over 10 epidurals,
DDD, 2 discograms (positive),
Countless attempts at conservative therapy.
Surgery date 5-26-09

[dshobbies]

I know it seems like a step backwards if you take pain meds but you're right, being in pain does no one any good.

Just fyi, some of us need anti-inflams on a permanant basis. I have been able to get off every med (except as needed) except Celebrex. I have tried every year and my pm agrees it worth a try but we may be partners for life.

I do hate the need for all my meds but at the same time, am grateful they are there. I feel like I ingest a medicine cabinet every morning and night. It is what it is.

Take what you need when you need it and don't worry about it. Keep up the good work and listen to your back. It talks!

Dale

[mmglobal]

My lumbar ADR was an amazing success. My short term post-op recovery was way worse than average. I think that about 3 times in the first 6 months, another time in the next year and again at 2 years post-op I had setbacks that worried me so much I ran to the local orthopedic surgeon's office for xrays... "fit me in today!"

The roller coaster is not uncommon. Take it easy. If you have a sudden onset of new symptoms... you need to let your doc know. You need to keep them in the loop and let them decide what is normal recovery and what needs to be investigated. Having said that, you sound like you are way better than I was at 3 weeks. At 3 months, I was playing tennes. See the 'life after surgery' website linked in my signature file below.

Good luck... please keep us posted. All the best,

Mark