Tuesday, August 25, 2015

A little bit...

...More awake, that is to say since I did get a better night's sleep last night, with my nose not running too much, only when I use the recommended saline spray, every two hours during the day.
Legs still numb, make that my thighs, twins.
Shoulder pain and wrist and hand on right side all being iced periodically; works better than moist heat for this type of pain.
Oh I almost forgot this reaction that I had all weekend is normal for this type of surgery; I Googled it again!

...Did make homemade chicken soup from leftover rotisserie chicken carcass, (we had quite a few meals from the rest, including chicken salad), thyme, kosher salt and black pepper, two sodium free chicken bouillon packets, frozen mixed veggies, mushrooms, fresh 1/2 of medium onion and four garlic cloves, water, no wide noodles in the house so added brown rice instead.
MMMMMMMmmmmmm good, mmmmmmmmmm, good and hopefully healing.    

Moving on...

Heard from Number One Son these last couple of days, and he lets me babble, what a great son.I suppose he has my listening skills; because I certainly don't.

 Had my new mail-order RX, Humana, send me two emails over the last week so I took inventory and found out that out the five medications that they wanted to send of those I only needed two after taking my own inventory. So I called and ordered my ninety day supply of the two, my thyroid one and one of the two antispasmodics that I take.
Hopefully the order will be here within the five to seven days that they state it takes to arrive.
The only reason I seem speculative is because they robo called me only a couple hours later asking if I would like to order my medications and then read the list, and I said no to all, thinking I had just ordered two of the five on their robo call list.
I over thought again and decided to call them to make sure that now they did not cancel the ones I had just ordered earlier, since I said no to the robo call same ones...oh boy does this seem like dejevu and a bit confusing.

 In a few more days I will be hopefully discussing other things than my ills...I do have a place of distinction I would like to give the additional publicity it deserves. So stay tuned!

Upward and onward eventually, and on that higher note allow me to be the very first to wish all of you a very happy good night and ask you all to kindly count your blessings and share all those overages with you know whom and we will too!

And next time please be here or be square, ya hear!   

 

Monday, August 24, 2015

And the beat goes on...

...Yep, no better yet, dang!
Today and yesterday my both legs are doing the non-gyration of burning twisting dance of silence, not to mention my shoulder pain and numbness so much so in those thighs that it was my Copaxone day and I did not even feel the shot at all in my right thigh; make any sense to you?
Not me either.
The best I can tell is that according to my Googling again that ridiculously it could be another exacerbation of the MS due to stress culminating from the surgery itself! Oh joy, here we go again.

And I have been taking all my medication except for the no no fish pill and aspirin, it said no blood thinners for two to four weeks after surgery. I have been taking the Tylenol, even though my temperature does go up with or without it; this is so confusing.
I did ask the hospital about the muscle relaxer in the IV and I was told not that particular one that I had mentioned two blogs ago, and so once again I was WRONG, but nothing new there, hmm?   

I do have an ENT appointment in the middle of the week, and I did speak with the doctor and he feels that it is the MS causing all this.
His wife also has MS, so I tend to believe him.
Although, I do not want to go on the IVs again, perhaps this will dissipate on its own?
Who am I kidding I am never ever am that lucky that is not needing medical intervention...so yes DANG!

On that note of what to do, what to do, maybe nothing is the answer, less is more and all that, allow me to be the very first to wish all of you a very happy good night and ask you all to kindly count all your blessings and share those overages with you know whom and we will too!

And next time please be here or be square, ya hear! 
 

Sunday, August 23, 2015

Latest development

Last night I continued to have that nasty sinus headache, not unlike a migraine that caused me to vomit up dinner, and today my low grade fever is back in spite of being on an antibiotic since last Tuesday, along with continuing myalgia from the risidual affects of the anesthesia, methinks.
Lest us not forget the antibiotic via my IV during this surgery too, hmm I am definitely baffled.
I did try extra strength Tylenol today again due to the fever going up to 99.8F and my aches and pains, it has come down slightly, but still above 99.3 and it has been two and half hours since I had taken the Tylenol?
I even verified that a low grade fever is one between 99 and 100, and it is a negative in overall health. And this one has been hanging around for months in the afternoon.   
The problem is that my doctors have addressed any of the possible causes, between my skin cancer biopsies and then surgery, optic neuritis with IV steroids, and my chronic sinus issues with antibiotics and surgery, even that bout with food poisoning a few months ago more antibiotics and a  colonoscopy due to occult blood and clots, mystifying actually and a bit crazy. 

What more can one do?
I suppose if it doesn't stop soon we  do  have both the Cleveland clinic and the Mayo clinic in state, at either end, oh well... 

On this note of gals just want to be well, a quality of life issue, truly, allow me to be the very first to wish all of you a very happy good night and ask you all to count your blessings and share all those overages with you know whom and we will too!

And next time please be here or be square, ya hear!

Saturday, August 22, 2015

What an interesting feeling that I am feeling...

BAD!
 Below is the link to the info I gleaned while trying hard not to give in and fill the hard drug script of medication the doctor gave to me, with an all telling smile of knowing what was going to happen. I did not fill it yet, instead I tried extra strength Tylenol and another Gabapentin that was upped during my herniated disc time and then it worked, but not this time. Tried both and they failed, so moist heat and icing, again.
And it's sort of my fault that when asked my the anesthesiology team about how difficult with my cervical stenosis for me to be intubated, all I said was I usually have a sore throat after.
Little did I know that there was a way for them to do it easier for them but not for the patient later dealing with the after affects. 
 What they do these days, although when I was also had a general anesthesia for my colonoscopy a couple of months ago they apparently did not do it since I did not have this problem... 

Achy like I was working out, doing a few hundred sits ups after not exercising all these years in the stomach region; so much so that it is difficult to get out of bed. My right shoulder that does have bursitis with a tear in the muscle causing the type of injury that would end a pro pitchers career I was told when found on a MRI years ago and perhaps rotator cuff damage by now, and yep nasty pain there too. And that sore throat too! Surgery a nasty business that should be avoided at all costs, but sometimes you have no choice like I was told I hadn't. So far my nose has calmed with the amount of blood coming out, no more clots just teensy weensy drips and mucous that I have dab not blow out no sneezing through it or coughing either only through the mouth, not easy I tell you!
Very congested today even with the vaporizer running, using saline, and the polysporin. Sleeping sitting up with pillows and that bed thingy you use for reading and TV viewing. I cannot let Gus our Havanese kiss me, bacteria and all, I miss his sweet loving licks; sadly he thinks I am angry with him, since when I tried to bend down to talk to him yesterday my nose started to hemorrhage with clots and everything,scary. They even put another antibiotic in my IV even with the pill one I am taking since last Tuesday!Staying in bed for that reason etc.
 Below it tells everything!  Thanks to Net Wellness:
The link is the same as it allowed me to copy and paste entirely below, shocker!
http://www.netwellness.org/healthtopics/anesthesiology/musclepain.cfm

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Anesthesia

Anesthesia and Muscle Pain

After surgery the incision is sometimes not the only area of discomfort. Discomfort can occur in relation to nausea and vomiting, sore throat, or muscle pains. You may experience an everyday sort of discomfort in the neck, shoulders, back, or chest that comes from lying for a prolonged time on an operating table designed not for comfort but for stability, durability and access. Perhaps surprisingly, muscle pain can also be a result of a particular drug used during anesthesia.

Postoperative Muscle Pain (Myalgia)

Severe muscle and joint discomfort that may be experienced after surgery is known as postoperative muscle pain (myalgia). This is a fairly common, quite distressing, but rather interesting condition. It usually appears on the first day after surgery, is often described as feeling similar to the pain one might suffer after unaccustomed physical exercise, and is usually located in the neck, shoulder and upper abdominal muscles.
There are a few theories about the cause of postoperative myalgia, but it is usually attributed to the use of a muscle relaxant drug called succinylcholine. Hence this is sometimes referred to as "scoline pain".

Succinylcholine and Scoline

If the muscle relaxant succinylcholine, also known as scoline, has been used during anesthesia, this may in some patients cause generalized aches and pains in the muscles for two to three days. This drug is sometimes used routinely, though less so now than years ago, and also has a special place in situations when the anesthesiologist needs to place a breathing tube in the patient's throat (intubate) very quickly. These pains, often referred to as scoline pains, are more prevalent in very muscular and fit patients.

What Causes the Pain?

Although the problem of postoperative myalgia has been recognized for many years, the exact way in which succinylcholine causes this muscle pain is not fully understood. Most believe that it is due to uncoordinated contraction of muscles that occurs a few seconds before the muscle relaxation that is the desired effect of the drug.

Prevention of the Pain

It is also not clear how best to prevent scoline pain, short of avoiding the use of this drug altogether. It is natural to ask then why we continue to use this medication, and the reason is that succinylcholine, despite a few significant side-effects, is a very reliable and quick-acting muscle relaxant that helps the anesthesiologist "secure" the airway (place a breathing tube).

Who is at Risk?

Muscle pain from succinylcholine is most common in young female patients, especially those undergoing ambulatory surgery (going home the same day as the surgery). The incidence of myalgia with succinylcholine ranges widely - in some reports it's as low as 1.5% but can be as high as 80 - 90%. To add to the mystery, some patients experience myalgia even when they are not given succinylcholine at all, and other patients, such as those given succinylcholine in the course of electroconvulsive (shock) therapy do not seem to complain of myalgia at all!

How long to the effects last?

Postoperative myalgia does not normally go on for a long time and usually it is symmetrical and affects muscles throughout the body Typically the pain lasts 2 or 3 days and it can be quite severe. Fortunately it does go away without specific treatment. Standard pain medicines, such as acetaminophen can be prescribed.

What You Can Do

Talk to Your Anesthesiologist

If you've experienced muscle pain after previous anesthesia, you or your anesthesiologist may be able to obtain the records of your previous anesthetic and hospital stay. This will supply clues about what happened to you during your last surgery. Be sure to discuss your concerns with your anesthesiologist, whose job is to evaluate you thoroughly and come up with a plan to provide you with a safe anesthetic, with minimum side-effects.

Alternative Drugs

The good news is that there are other muscle relaxant drugs than can almost always be used instead of succinylcholine. This will not guarantee that you do not have the myalgia again but probably makes it much less likely.
If the use of succinylcholine cannot be avoided, (this is rare), there are methods for decreasing the incidence and severity of the muscle pain, such as giving a very small dose of another muscle relaxant before the succinylcholine, or by giving a local anesthetic medication called lidocaine.

General Information on Succinylcholine or Scoline

SUCCINYLCHOLINE (Anectine®) is a muscle relaxant. It relaxes muscles during surgery or before investigational procedures. Generic succinylcholine injections are available. Succinylcholine is for injection into a vein, or infusion into a vein. It is given by a health-care professional in a hospital or clinic setting.

How much is given?

Your doctor or anesthesiologist will decide what dose of Scoline you will receive. This depends on factors such as your weight, age, the type of operation and the degree of muscle relaxation required.

How it is given?

Scoline is given as a slow injection or infusion into a vein (intravenous). It is only used after the anaesthetic has made you fully 'asleep'.

Could I overdose?

As Scoline is given to you only by trained professional, it is very unlikely that you will receive too much.

More articles about Anesthesia:


For more information:

Go to the Anesthesia health topic, where you can:
  • Read articles on this topic
  • Browse the previously asked questions
This article is a NetWellness exclusive.
Last Reviewed: Oct 05, 2010

Gareth S Kantor, MD Gareth S Kantor, MD
Assistant Professor of Anesthesiology
School of Medicine
Case Western Reserve University

Friday, August 21, 2015

Today was...

...My surgery and it went well. (Anyone wondering what surgery read last night's blog please)

I guess I am tired due to every time I get up my nosy drips bright red blood from its surgery, supposed normal.

Tomorrow I will say more...sore and in a bit of pain too...gotta go... thanks for listening.

Thursday, August 20, 2015

I dont know about you but...

As a kid to me surprises were wonderful, that is as long as they were good ones, not bad ones, sorry for that; I know duh.
Any-who, call me curious odd or just plain weird (but not to my face please) but I did Google my surgery for my septoplasty, sinus, deviated septum, that will be done in my near future, actually I am being vague due to safety reasoning's. 
And it was as simple as Googling it and then going over and watching the specific one from an ENT, ear nose and throat guy/doc in Seattle, fascinating!
Definitely not for the faint of heart or squeamish souls, but very interesting, truly. Although, I gave you the link below if you dare to go there:
http://www.dailymotion.com/video/xn4a80_deviated-septum-before-and-after-septoplasty-seattle-septoplasty-surgeon_lifestyle

I am one of those weirdos that did even enjoy watching all those orthopedic surgeries too, on that medical channel we had way back when we did have cable. Knee and hip replacements I found quite interesting, but thankfully to date I have not needed either of them. Perhaps it was helpful though when I became immersed in the Arthritis Foundation years later from being a board member to a fundraiser to a co-president of our local support group and a certified Aquatics instructor, besides dealing with eight of the more than one hundred different types of arthritis that I do have myself.  

Geez with all these accesses we are so fortunate, and makes learning as a daily process oh so that much easier.
Oh, I did have another rough sleeping night, even with the vaporizer running, icing my head, and having my middle of the night coffee break thus my choice of viewing pleasure, well not really pleasure more like curiosity, and was once again thrilled I will be out, under, as in general anesthesia.
Yep no fish pill or aspirin, again due to their blood thinning capabilities. In fact before, and on the day of surgery I will be allowed only five of my must have medications of my nearly twenty pills I take daily, including vitamins, which are not on the list.
I was surprised that my two anti-spasmodics, Baclofen and Gabapentin were not included; maybe a mistake, meanwhile I called the hospital and the person that wrote this up in the pretest department was gone for the day and a nurse in surgery told me to call the doctor so now I am embarrassed and concerned I am bothering him so close to surgery, oh well... but if I spasm on the table Hubby joked, not that funny, that I could end up with a third nostril!

So now I wait and pray that I did not anger another doctor, especially one with a scalpel.

On that note of I suppose whatever will be will be, allow me to be the very first to wish all of you a very happy good night and ask you all to kindly count all your blessings and share all your overages with you know whom and we will too!

And next time please be here or be square, ya hear!

PS with Hurricane Danny heading towards the Caribbean south of here... we will be watching him closely all weekend if he doesn't fizzle sooner. One can only hope, can't one?

PSS this just in: Dr. Moss, my ENT just called back and he laughed at Hubby's joke and said, no we wouldn't want that and that I should take the Baclofen and Gabapentin, yeah!

Wednesday, August 19, 2015

Male spoiler alert!

Brings me to the interesting fact of proof of what women have been saying forever that women think with their brains, thus a pink pill that its affects go directly to their brain, for increasing libido, as I just did say, and men on the other hand, stop giggling, think with their, dare I say, yep I will... not with their brains; thus their blue pill used for ED, erectile dysfunction, in case you missed their last provocative commercial on the topic...hmm I do find that validation for us gals.

I also find it interesting that pharmaceutical companies went the way too cutesy route by color coding the male pill-blue and female pill-pink in all their possible decisions. To them I say even Target is ahead of the curve with gender-specific color and mentioning boy or girl being removed from their toys' signage departments from their stores, that-a-way, go Tar-jay! 

Just thinking again, or not.

Moving on...

Today was eye doc follow up day and he has made an appointment for me with a neurological ophthalmologist to find out what is still going on after he once again checked my eye pressure, but in spite of it being within the normal range I am showing some edema in, would you believe, lefty? And my sight stinks with both.
After being on the IV Solu Medrol for three days, which is now nearly two weeks ago, but Geez of course can take longer to work and has for me previously, and having this nasty infection and being on a very strong  antibiotic, called Levofloxacin 500 mg. once a day for ten, second one taken tonight. I am not too fine.
So as you can well imagine I am waiting for its miraculous powers to kick in, probably in a few more doses, I suspect.
This icing your head thingy is annoying and is getting old, but now I also have a vaporizer running, as per future post surgery suggestion via ENT doc.
Weird how we use our central air-conditioner to remove the humidity and now we are putting some back in...
We had to buy one at he drug store; hadn't had one since our sons were little.
And no,  I haven't had the surgery yet but will be having it very soon.

On that once again proof note that I do still have a brain and can think, I think, I suppose its still a matter of opinion... allow me to be the very first to wish all of you a very happy good night and ask you all kindly to count all your blessings and share all your overages with you know whom and we will too!
 
 And next time please be here or be square, ya hear!

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