Wednesday, February 29, 2012

Photos from my Scoliosis Journey

Recent photo from 02/29/2012 Kevin and I went down to the concrete boardwalk near Pier 60 at Clearwater Beach (just 4.5 miles from our home =) for my walk! Felt amazing to get in the sun and feel and smell the Gulf breeze. Everyone around was so relaxed and happy, and big plus I bought a gorgeous sun dress at a little shop before we left! Amazing day <3

I was very deformed pre surgery


This is a photo of my Spinal Stim or Bone Graft Stimulator

Holy moly, this is what I looked like in the ICU with my NGT Tube, or as I call it the "Nose Hose" = miserable

Bandage over the small hole where they inserted the IVC Filter through my groin around my leg into my lower back (through my veins and arteries) and into my renal gland. Poor quality pic but you can see a little green tint. I had terrible bruising all over my thigh and hip.

They used a giant needle to insert a wire into an artery and then move it around through my hip into my lower back near my kidneys and into my renal gland. I was not aware this was what I was signing up for. If I had, I possibly wouldn't have been able to go through with it. Now it's just a tiny red bump slightly raised. A waste since I had it removed 6 days later. 

Again a poor quality photo my upper thigh was terribly bruised all the up into my hip.



A pic of my bandage after my IVC Filter removal when my body rejected the device only 6 days after having it implanted

This was SO uncomfortable. I couldn't turn or bend my head or neck AT ALL. They put this very tight compression bandage because they removed the filter through my jugular.

Once I removed the bandage. Small incision, but major irritation from my allergy to latex, natural rubbers, and adhesives.

You can see the indentation in my neck from how much pressure they applied on top of the removal site above my jugular vein.

Scary Sherry lol! This is why they did not allow children under the age of 12 onto this floor. My stomach was so swollen from the meds I look like I am in the maternity ward.

Pictures of my old and new spine

Below are pictures of my incision, x-rays, etc. Just to give an idea of what to expect if considering a fusion. After seeing how many and how large the screws are, my pain makes a lot more sense.If you look at the post after this I have pictures of what my back looked like before corrective surgery.



An incision photo. Dr. Moreno personally stitched my tattoo so I don't have to have it re-done.

Back Before Surgery
Another scar photo. Notice how much straighter my hips, shoulders, and shoulder blades are.

This is a photo of my new spine plus instrumentation. I have 26 screws and two 14 inch rods holding it together plus my own bone marrow and some from a cadaver fuzing it together.

This is a side view of the screws going through my spine holding the rods and my new improved spine in place.
An up close picture of the screws, ouch!

This is an xray from 11/2/2011 of my Scoliotic Spine pre-op.
Another xray before surgery. My ribs were twisting out of place dangerously and my lumbar spine was twisting inward which is very dangerous. That is why some of the screws go straight back, some sideways, etc.

Tuesday, February 28, 2012

My V-Neck Is Straight

Even though I am going into week six of basic bed rest all day in our bedroom, which has begun to feel like a prison, I am getting markedly stronger each day. I still get frustrated and may start to cry a little because it is very frustrating and difficult to be in pain all day every day, into the night non stop and barely be able to sleep. For the most part though, 80% of the time people can barely tell I even had surgery. Unless of course I am wearing my brace and using my walker. Or doing my funny hobble walk.

From the evening I woke up out of surgery until today, I am an entirely new woman. We went down to Clearwater Beach today. I could definitely use some sun from having three surgeries in a month, four blood transfusions and one platelet transfusion in a year and a month. We take a walk every day around our neighborhood which is shaped like a horseshoe, but it's gotten boring. We went and walked on the boardwalk running along Gulf Dr, cement for the walker there, and ended up walking a mile over an hour and 15 minutes! It was sunny and 80 but there was a cool gulf breeze that felt amazing.

Yes, we made this walk with my brace and walker. I must admit, I still look fabulous. Other than my Twilight looking skin tone. People were looking, at my brace and walker or maybe my hot boyfriend with his shirt off lol, and one woman even approached us and told us her daughter had to wear a brace in high school. We explained my story briefly and told her I am 5 weeks post-op and she said her family will pray and was very sweet. None of that bothers me in the slightest. Staring, wondering, questioning. I am proud of myself for finally having finished it. Healing and recovering as quickly as I am. Staying positive and only spending energy on things that will bring me success in life, happiness, love, within my circle of friends and family, etc. This life changing surgery has really changed my priorities and the way I look at so many things in this world. Mainly relationships. They are the single most important thing in this world. Other than personal happiness of ones self. 

On the plus side the couple times I have gotten out everyone is complementing me on how wonderful I look. "Supermodel" is the word that was used by more than one person lol! I am now 5'5 and around 115 pounds. Okay, I am probably closer to 110 but I was only 5'2 before! The amazing part is that I was petrified of losing all my muscle mass and even more weight, and luckily neither has happened. I have lost one pound and continue to gain more muscle. Most people post-op lose 10-15 pounds. Luckily, I have had to massively overcompensate for the total lack of use of my entire back. My arms, entire stomach, legs, and knees are taking the brunt of all of my weight. I was getting out of the shower a couple days ago and Kevin started poking my stomach and pointed out to me I have a pretty nice six pack. My biceps and shoulders are as nice as my goaled Sarah Jessica Parker (not at her current or creepiest of course, old school Sex and the City Carrie)! Even while laid up in bed and using a grabber to turn on my fan and light lol! It is very hard for me to sit still. I have broken the rules and pushed our small canister vacuum and wiped the bathroom counter, toilet, and sprayed out the shower and tub a couple times. I can push the shark steam mop but it causes intense electrical feeling shooting pains after about 10 minutes. When I stand for extended periods of time my lower  back begins to ache and burn like fire and I can feel the weight of all the metal. Then I look at or feel the bump and it freaks me out. Best to take it very slow. Let Kevin handle things. Just relax and work in bed. 

I have to share this because anyone considering a major spinal fusion for Scoliosis or multiple discs needs to know that the good vastly outweighs the bad. As long as you have researched your surgeon and they know what they are doing and you feel comfortable with them and their procedure. The finished product, IF you do everything you are ordered to by your surgeon, is amazing.

We took before surgery pictures and my surgeon wants to take afters and asked to show them to potential patients as a success story. Big pat on the shoulder for me. I'm the best at everything even when I'm not trying. That's not totally truthful. Pre-op I had gone into a crazed workout mode where I toned every inch of my body. I went into this and I kept saying things like, "I'll only be in the hospital 5 days, going to make a record!" (For the record Dr. Moreno said he thought I could get out of there in 5 days, we didn't anticipate the complications) Not! I was there almost 10 days and in the ICU almost 5 and neurological/brain trauma Critical Care the remainder. Can't win em all. I was up walking the very next day though, even with EXTREME distention and pain I walked further than any other patients did. 

The turning point of this entire thing happened a couple evenings ago. I went into the kitchen to put my glass in the sink and I could see my reflection in the kitchen window. I stood for a minute looking at myself and realized my shoulders are totally straight and the v-neck of my nightgown is laying in the middle of my chest. I haven't had that since I was a very little girl. My v-neck always pulled to the right and up a tiny bit because of the unevenness of my shoulders. My bras and bathing suits had to be constantly adjusted and never fit right. I had to get things altered it was so inconvenient and depressing.

I waddle shuffle hobble limp walked into the living room to tell Kevin. I looked at myself in the mirror above him and when I started to talk I began to cry. Tears of happiness from the sheer fact that I'm working my way down the other side of the mountain just started to pour out of my eyes. He jumped up and hugged me and got a little emotional too and told me how happy he was to see me really healing so quickly and on my way to being pain free. The relief and the reward of having my body made into what it was intended to be is just an astounding added bonus.  

Week to week I am having drastic improvements. It's easier for me to squat and kneel to get down to the ground. I can stay down longer. It's easier for me to get back up. I can bend forward about 4 inches now where before I couldn't even tilt my head down. I can reach quickly to the right and the left and before I could not really move my arms to either side or reach at all. I can stand almost completely straight up. I have sat in the living  room twice in the last couple days for more than 30 minutes! That is a big deal! We went to Sushi one evening. We went to the mall once to get my hair washed and blown out, some new underwear for my swollen Terminator lower back (we find out tomorrow if that goes away, lets cross our fingers!), and of course my own personal crack...Yankee Candle. I had to get a motorized wheelchair though. I still have to ride one at the grocery store as well. Three grocery store trips under my belt. Oh and of course the fun drive I have to put myself through to take Kevin through the drama his ex has drug everyone through. Plant City, Tampa frequently, and meeting the wicked witch Downtown. That's okay, there's nothing I wouldn't do for Kevin and his son.

I am able to stand in the shower for almost 15 minutes, but I still can't shave the outer-side of my legs. Kevin has to do that AND style my hair curly, which he did a phenomenal job of I must say. I'll post pictures of everything to make sense out of it.

I go see Dr. Moreno again tomorrow morning and we have a two page list of questions for him. I get the exact measurements for my new spine, pictures that will be posted, an assessment of my progress and pain, and the hopeful go ahead to begin physical therapy. I have cut my meds in half. I do not wake up in the evening to take pain meds. The morning is very difficult because of it, but I am getting stronger. I may have to gain 5-10 pounds to compensate for my new height, but that's okay because I AM TALLER NOW WOOOO!! Anyone in my position, or similar, understands.

I always said my growth was stunted. We didn't really realize until I finally was able to stand to hug Kevin in the kitchen and we stopped and he said, "Wow. I think you really are taller. You used to be down here." A couple inches shorter at the bottom of his chin. Now, I am able to kiss him without needing to tip-e-toe. We also judged it by standing next to Heidi and my Mom because we knew what that felt like. I can't wait to shop and buy new bras and bathing suits. My dresses look better, my nightgowns look better, everything.

The pain is finally noticeably lessening and I am beginning to feel a slight bit of relief. I have been working a lot more. Again, I couldn't be luckier to have such an amazing boyfriend and an equally understanding and supportive boss. The fact that my office is 4 miles from my house makes everything much easier. Emergencies and seeing my boss or his parents, the big bosses, at the last minute and Kevin picking up and dropping off deposits, accounts payable, leases and other paperwork for me weekly to enter from my home system my boss set up for me. When I was, and will be up and moving around again, showings were always very easy to plan because I was never more than 13 miles from any property or tenant at any time as long as I am at the office or my home. I am so lucky to have found this position and if not for this career I would not have been able to have my surgery as successfully with this surgeon at such a great hospital without a ridiculous unreasonable, and heck honestly un-rational cost to me.

He will never understand how grateful I am. I try to show him through working harder at all hours possible. I get him appropriate gifts during holidays. I tell him at least once every couple weeks thanks you and each time our health insurance premiums are due, I thank him again.

I am so glad to be really making improvements and starting to feel less robotic. I can't wait to see Dr. Moreno and get a real update on my progress and start a new physical therapy routine. He is my savior and hero. I know that sounds mushy and ridiculous, but he is the most amazing surgeon I have ever met. And I've met quite a few. Will update tomorrow with the hopefully good news and photos! Wish me luck! 

Inspirational thought of the evening, "Have faith in your own abilities, do not just wish for a thing, take action and get it." ~ C Pulsifer

Always With Karma,

Amanda

Wednesday, February 22, 2012

I Can't Believe I Did It

So today is (was) exactly 3 weeks post-op. I truly can not believe that I actually went through with the surgery and am lying in bed at home recovering. When I woke up in recovery I thought I was about to go into surgery and was telling the nurse about my latex allergy and she said, "Honey, you're in recovery. You're done. It's over." And I was like, "What?!? It's over? I'm not paralyzed? No complications? I really did it?" And she told me yes and I started yelling, "I did it I did it it's finally over!" A part of me never thought the day would come or that I would have the strength and courage to go through with it.

But here I am, making a miraculous recovery. Physically, I am healing very well. My scar looks amazing. My hips are so much straighter and even and my shoulder blade doesn't protrude as much as it used to. My shoulders are more level. Dr. Moreno couldn't do as much cosmetic tweaking as he wanted because I started bleeding badly during the surgery and they couldn't stop it or get it under control so he had to rush to finish my reconstruction/instrumentation implant/fusion and close me up. I only needed two blood transfusions, but I also needed a unit of platelets. I guess from all the loss during surgery. It only took a little less than 8 hours, but he wanted to spend longer had it not been for the hemorrhaging they couldn't control.

Surprisingly, I was very lucid and coherent from the moment I woke up in recovery. Which was quite a double edged sword. I was totally aware of all of my pain, the ICU nurse having no idea how to put in an IV and stabbing me about 9 times before my mother insisted on another nurse putting it in. Then on day three of recovery in the ICU came the constipation from the dilaudid (similar to morphine I guess, pain medicine through IV). So they shoved a giant tube, the circumference of my pinky finger, through my sinuses, down my throat, and into my stomach to suck out any food/anesthesia and release built up gas. My stomach was so swollen I looked like I was going to give birth to triplets.

The tube insertion was SO painful and uncomfortable. The tube was notched and I had to try to swallow it down while also gagging and dry heaving, bleeding profusely from my nose, and drooling everywhere. They had to toss and change my sheets and blankets from the blood. It was so traumatic my step-mom started crying and had to leave the room, my dad was holding my hand and started tearing up and had to look away, Kevin said it was hard for him to watch me in so much pain and so uncomfortable with nothing to do to stop it. THEN came the 5 day ice chip only diet! Oh, AND all of my oral medications had to be crushed up, mixed with water, and flushed through my nose hose! NGT Tube is the correct terminology according to my father. Miserable. So miserable. Any time I spoke, swallowed, took a breath, coughed, sneezed, moved, I could feel it in my throat and moving in my stomach. We'll get into the trainee nurse turning the pressure up too high and it suctioning to the side of my stomach and my blood pressure and heart beat sky rocketing another time.

I couldn't wear my abdominal brace (Abdominal Orthosis Donning Brace) because of the stomach distention so I was bed ridden about 90% of the day other than when I would get up once or twice and walk around the unit. I did 350 feet day two and three and 700 feet on day four. With no brace! It hurt, was done with very small baby steps and of course the assistance of my featherlight walker, but most patients struggle with taking 100-150 steps. I was in the hospital 9 days. I was actually becoming comfortable towards the end. I had a very nice private room at TGH with a view of the bay. A little cot/bed for my guests. Kevin stayed with me most of the time but my mom and dad each stayed a couple times as well. My father still comforts and eases my fears more than anyone in the world, other than Kevin of course. There is something about your dad, a man that raised and protected you at a very young age that transcends into a woman's adulthood and I'm really luck to have that.

I had lots of visitors and many flower and plant deliveries. All of which I was and am extremely grateful for. I was never alone. Not for one moment. There was always someone around helping to monitor and take care of me and make sure the nurses didn't mess up my medications, physical therapy, etc. You would be surprised, if we had not kept a log and asked every two hours when they came in the room they would have forgotten and or over medicated me multiple times. I spent either 4 or 5 nights in the ICU and the rest in critical care on the neurological and trauma floor. There were some very seriously injured and sick people and it made me feel like my surgery was insignificant and nothing too large to conquer at all. Compared to the woman across the hall having tumors in her brain removed and screaming and moaning in pain at all hours of the day and night, I felt thankful.



A lot of my dead nerves are starting to wake up a little. My friend Monique that is 4-5 months post-op said that it is a marathon, not a sprint. I have to keep reminding myself of that. I saw Dr. Moreno on Valentine's Day and I see him again next Wednesday. I will upload some pictures from my journey. From the IVC Filter implant, rejection, all the way through my surgery, recovery, and even my knew straight x-rays and my terminator back full of metal.

I was not prepared for how much metal was going to be in my back, forever. When I think about it I start to sweat and my heart races. I have 26 screws longer than my middle finger going through the side of each vertebra in 13 discs. Then there are two 14 in rods going length wise down either side of my entire spine. They harvested bone marrow from my spine and the remainder from a cadaver to fuse it all together. Luckily he didn't harvest it from my thigh like most surgeons. He says there's no reason since you're already tearing about the entire spine to cause me the pain of a bone marrow transplant from my thigh before a major back surgery. I agree lol!

I have been bed ridden for the last 5 weeks. It is boring, frustrating, and excruciatingly painful. But it's nothing compared to standing up. The weight and the pressure of all the metal, I can feel it where my top curve used to be and in my lower back. It's very uncomfortable and it hurts like nothing I could ever explain.

Luckily, my body hates narcotic pain medication so I can't take much. Addiction and all that garbage that come with it will never be a problem for this gal. I have really been trying to keep up my appetite because I can't stand to lose any more weight. I am now 5'4 and weigh 110 pounds. We are going to measure this Wednesday but we're pretty sure I am two inches taller! I busted my butt to get down to that size and maintain it after a brief but large weight gain between 2006-2008. I lost it all and have maintained it for 4 years. It's not easy. I will NEVER get large again though. I don't think it will be much of a problem with the extra stress on my stomach, thighs, arms, and especially my knees. I can't do much of anything for myself. I can only bend forward about two inches and the metal catches me and that's it. I have just started to be able to turn my head a little to the left and the right and I can reach very very slightly to the right to get medicines out of my nightstand drawer. I can only squat and it's very hard and painful if I want to get lower. I still can't handle even sitting up on the couch or in the recliner even with pillows propped up. For the most part I can't lean, twist, turn, bend, in any direction for any reason. CAN'T. Not won't or choose not to because of the pain. I don't think I can ever ride rollercoasters or fair rides again. Didn't think about that before. There are a few large con's, but the pro's so vastly outweigh them it makes no difference.

I am so thankful to Dr. Anthony Moreno for saving my life. For giving me back my quality of life and boosting my self esteem and self image. My scar is so small and hardly noticeable. He actually sewed up my back where my tattoo is himself to make sure it was perfect so I don't have to get it redone. You get what you pay for. I won't give an exact number because it's not appropriate. But this surgery cost over a half a million dollars to my insurance company. I got the Maserati version of spine surgeries. I have only found Kia's and Hyundai's, maybe a Toyota or two in the last 13 years, but Dr. Moreno is the Maserati of Spine Surgeons and Bone Grafting Specialists.

I look amazing for only being 5 weeks post-op. I can walk really far now and have pushed my canister vacuum and shark steam mop a few times. Kevin told on my to my at home nurse that came every other day and she really got onto me. They said that's still off limits. So are the dishes and all other housework. I still can't go to my office because I can't climb the stairs. I'm really lucky I have such an understanding employer. He bought me a brand new Lenovo right before Christmas because my old one had a bad battery because I work from home a lot. Of course Kevin has been the most amazing at home nurse, I couldn't ask for better. The kitchen could use a cleaning, but I can't really go in there so oh well lol! My family and friends have all been so supportive and wonderful. I just wish the time would go by quicker and I could be mostly better and starting my normal life again.

I will finish tonight with my most recent inspiration quote, "I've been motivated by overcoming challenge and overcoming the hurdles and obstacles that face me. There still is plenty out there to get motivated by."  ~ Andre Agassi

As Always With Karma,

Amanda 

Saturday, February 18, 2012

Pics From My 1st Post-Op Outing / Ashton's 18th BDay!

Kevin & I at Mom's for my youngest brother's 18th Golden Birthday-and my first time out of the house post-op. I only made it an hour but it was nice to get out of the house and see friends and family.

<3 My soulmate, savior, best friend, and love of my life <3 Always there to support me through everything. I'm the luckiest woman in the world.



Katherine Rose & I. I love my beautiful youngest female cous <3

<3 My heart and soul minus our brother Adam <3

My Mom and I

Jane even came out! So great to see her!
My Mom and Aunt Vicky

Kevin & I


Happy 18th Golden Birthday Ashton!