Operative Report Surgery was 01/13/09

Operative Report Surgery was 01/13/09

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claudia
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Operative Report Surgery was 01/13/09

good Morning all, well i had my reconstructive surgery on 01/13/09 they decieded to go 2 levels higher the L-2 was going bad so i guess fix now or pay later and this is WC issue slip/fall in 2004 was in lite duty for 4 years any hoot, why did i have a revision if the first OP did everything right i had L-4 L-5 S-1 in Nov 2006!!

On every page i read it said THERE IS NO EVIDENCE OF ANY FUSION ECT,,, had 3 opinions!!All recommened a revision!!
Also Evidence of faled hardware!! Failed right S-1 screw!!Hardware was removed L-4 L-5 and S-1 was bilaterally with the finding of failed SCREW!!
the fusion was inspected and explored and there was evindence of complete PSEUDOARTHORSIS without any evendence of any FUSION MASS!! at L-4 L-5 and S-1 Bilaterally so doc did an L-2 L-3 revision of L-4 L-5 S-1!! and said the part of the procedure was challenging the screw would not move broken in half ohhh yes i have the rods and screws that were taken out souvioner ya know!! they needed a universal kit to remove that half of the screw welll the other was stuck in my BONE somewhere and the bones were bleeding oh thank goodness i went in on time who would know what would have happened !! all i know i was getting worse burning pain l/r butt aches!! I donot understand how can i have NO DEFINITE BONE FUSION??

Now i got the first Doctors Operative report which say he did everyhting right!! except did not notify me that i had a Blood transfusion i know i signed the waiver but it would have been nice if someone told me!! one thing i did read is that he tighten the screw then loosened it then tighten it again ohmigod the RODS are so un-even oh yes i have all the !! now i have 5 screws on each side i know i should not keep reading this BUT I WANT OT KNOW WHAT WENT WRONG MAYBE SOME ON U GUYS CAN HELP!! i ASKED THE DOCTORS IS IT SOMETHING I DID AND THEY ALL SAID NO I ASKED HOW CAN U TAKE THE DISC OUT AND LEAVE ME WITH A HOLE WITH NO BONE THEY SAID THEY DONT KNOW!!SCAREY HUH.. MAN I WISH I KNEW WHAT HAPPENED I JUST WANT TO GO ON WITH MY LIFE IT IS SO DEPRESSING, AND DIG THIS EVERYTIME I WENT BACK TO THE FIRST SURGEON HE SAID THERE IS NOTHING WRONG WITH ME HE ADVISED ME NOT TO SEE A PAIN SPECIALIST... AND GO AND SEE HIM IN 2 YEARS YEAH DUD U GOT PAYED ALREADY SO HE BASICLLY KICKED ME TO THE CURB IT SUXS GOING THROUGH THIS PAIN ALL OVER AGAIN CRYING EPISODES... NOT GETTING SLEEP I WALK WALK WALK UP AND DOWN IN MY APARTMENT!! I AM 4 WEEKS POST OPT.. I AM DOING WHAT I AM SUBPOSE TO WEARING THE BRACE 2 MORE MOTHS I SAY,, GUYS I AM SORRY THIS IS SOOOO LONG BUT TRYING TO FIGURE OUT THE MYSTERY THANK YOU , ALL FOR EVERYTHING.

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Lo
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i'm sorry you're feeling so

i'm sorry you're feeling so terrible. i hope it gets better for you.

i don't think it is a mystery. surgery isn't guaranteed... and it happens plenty of the time... failed back surgery. hardware issues. it's a common thing, unfortunately. it doesn't necessarily mean the doctor did anything wrong. everyone heals differently and sometimes surgery doesn't work for a patient, && at times even makes them worse.

melto9
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Dr should have treated you better

I'm sorry, I know all surgeries don't work, but I think he owed it to you to try and fix it, and not treat you with indifference. I'm sorry that has happened to you.

claudia
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OPERATIVE REPORT

bUT EVERYTIME I WENT TO SEE HIM AT OFFICE VISIT, THE DOCTOR SAID EVERYTHING IS FINE !AND I FUSED, AND THAT EVERYTHING WAS ALRIGHT AFTER X-RAYS ECT ECT, SO HOW CAN I GO THROUGH THIS AND THE DOCTORS SAY I WAS NEVER FUSED THAT IS WHAT IS SO, DEPRESSING,

diamonde
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Hi Cluadia,, Wow, you've

Hi Cluadia,,
Wow, you've been through so much!! Like the others have said... it happens, but jeeez i know thats not comforting when it YOU that it happened to Doh ! I'm no legal eagle... but if doctor number 1 said 1 thing... and doctor number 2 says something else... and you have the x-rays, mris etc... is there any scope for you to get a legal opinion on doctor 1's eh em abilities???? (cough cough). The main thing to focus on now is your recovery! You know it takes time, so be patient, come here and vent to your hearts content! FIngers crossed this op will relieve your symptoms and that you're on the road to recovery Wink

L4-L5 fusion 1998; ACDF C4-6 2008; DDD

claudia
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OPERATIVE REPORT

DIAMONDE THANKS, YEAH U R RIGHT EVERY TIME I READ THE FREAKEN REPORT I CRY,,, WHY WHY DID I HAVE TO GO THROUGH THIS AGAIN AM I SUCH A BAD PERSON DID I EVER ASK TO GET HURT AT WORK!!! I MISS MY FRIENDS ECT ECT OH AND I DO HAVE THE SCREWS AND RODS AND THE RODS ARE SOOOO UN - EVEN, MY FRIENDS SAY GET LEGAL ADVICE BUT TO AFRAID THAY IS A LONG PROCESS HOW CAN HE LIE IN THE REPORT AND EVERY VISIT HE SAID I AM FINE!! AND NOT TO SEE A PAIN SPECIALIST I HAVE THE COPIES,,, FOR THE FIRST 8 MONTHS I WAS COOL THAN BOOM AND WHAT HURTS NO- ONE BELIEVED ME EXCEPT MY PAIN SPECIALIST WHO WAS IN SURGERY THIS TIME W/ ME AS THE ANASTOLGIST I TRUST HIM AND WHEN HE SAID I WOULD BE FINE I AM WALKING I CAN MOVE MY TOES BUT DOCTOR SAID IT IS A VERY LONG RECOVERY AND THEN HE GAVE ME A HUG I GOT SCARESD A FEW WEEKS AGO MY UPPER THIGHS WERE SO HEAVY WHEN I WALK , I THOUGHTR SOMETHING WAS WRONG WENT TO E.R SAID IAM FINE VERY SWOOLEN THAN NEXT DAY DOC DID X-RAY AND SAID U MUST REMEBER U WENT THROUGH MAJOR RECONSTRUCTIVE SURGERY TAKE IT EASY PLUS 2 LEVELS HIGHER ME NO- PATIENCE BUT LEARNING VERY FAST. ICRY BECAUSE I DO NOT DESERVE TO GO THROUGH THIS !! HOW CAN U LEAVE A HOLE WHERE THE BONE WAS SUBPOSE TO GO ... IF U WERE TO SEE THESE REPORTS YOUD FREAK OUT,, SCAREY A----- S----

ernurse
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Claudia

OK, sweetie, first of all, turn off the caps lock! I know you probably really are screaming right now but it's hard to read(especially on meds and laying on the couch!) Smile

Let me try to understand one thing-you have a new surgeon who did the last surgery and he is helping, right? Your issues are with the first surgeon, is that right? Please correct me if I misunderstood your post.

If that is true, I'm glad you got a new guy. I ALWAYS think 2nd opinions are good, even if someone liked their doc, it doesn't hurt to have one.

Screws can break. Seems impossible that those titanium things can break, but they can. That is a normal possible risk.

Fusion or lack of(pseudoarthrosis/pseudarthrosis): It's hard to see early fusion on xrays or CT because hardware causes so much artifact(interference) that it happens a lot where a doc thinks a patient starts to fuse and then doesn't. "Proof" of early fusion can only come from direct visualtion(surgery.) There are things docs can look for, but early fusion is hard to detect. Also, if you had BMP, it can cause some bone reabsorption. So, one xray may show some bone growth and then next xray show less to none. Kind of a 2 steps forward 1 step backwards sort of thing.

Most people do fuse, some of us "lucky" ones don't. Risk factors for non-fusion can include smoking(inhibits bone growth), NSAIDS(inhibt bone growth), steroids, obesity, inactivity, hardware problems(like too big, or movement of screws or cages the wrong size or moving around), osteoporosis among other things. Having said those risk factors, some docs will prescribe short courses of NSAIDS or steroids to calm down irritated nerves after fusion just to help you get through. There are folks who did every one of these things and still had really solid fusions. Then there are some of us who did exactly what the doc said to do and don't fuse-whether it be the surgeon's fault or just our darn luck. Sometimes you can have the best surgeon in the world and still not fuse.

As far as pseudoarthrosis goes, the statistics I've seen say that very few real non-fusion patients have pain from the non-fusion. If they have pain, it is likely from other things. Sounds like you have been through the ringer. This whole thing sucks then you throw work comp on top of it and it complicates everything!

You mention legal advice. Get a copy of your consent form and make sure that it says one of the possiblities is non-fusion. Docs usually cover themselves with that. If you feel like you need to pursue legal advice, do it quick, your statute of limitations may run out. In my state, it is 2 years unless the permanence of the injury would not have been apparent then I think(again I think, not know) it is 3 years. Every state is different. If you believe he lied, I would make an appointment with the hospital's risk management department and explain your issues.

If you get nowhere and feel that he has falsified your records, there is a government agency that specifically accredits hospitals you can speak with. http://www.jointcommission.org/ I am sure the hospital he is affiliated with is accredited by the Joint Commission(remember this is a federal government agency, not just some survey company) and hospitals have panic attacks over routine inspections from this agency. http://www.jointcommission.org/GeneralPublic/Complaint/qi_review_criteria.htm This link lists what things they consider reportable events and what priority they rank them. If you really feel the first guy did wrong, this is the government agency you contact. Don't expect the hospital to be happy with you(even though there is a no retaliation policy from Joint Commission.)

As far as pulling out screws and leaving a hole in your bone, I guess it's no big deal and will eventually fill in? That's how I am. What I am concerned about is where I am not fused how will that permanently effect me. Like, when can I ride a roller coaster? I expect I'll hurt a bit after an amusement park, but if I have levels that are not fused, what is safe?

Doesn't sound like your first surgeon was a good personality for you and didn't want to deal with you when you started having complications. I hope this new surgeon is able to help you more and listens to you. I don't think the holes in your vertebrae(just my opinion, don't know for sure) are a big deal, I think it's important that the new guy is listening to your issues. Do I understand that right or did I misunderstand? Hopefully work comp will still pay for everything and this recovery will go well.

You know it's a long haul in recovery, sounds like you are quite agitated(rightly so.) You might consider asking for an anti-depressant if you think it might help. Sometimes it just helps you think better and takes the emotion out-surgeons don't deal well with crying, screaming patients in their office(thankfully Mr. ER comes with me to most appointments so I sound rational and I also have my zoloft!)

Please, correct me if I misunderstood anything and also post updates. As a work comp patient with 5 surgeries in less than 2 years and non-fusion issues among everything else, I really am interested in your situation.

Good luck to you,

Angie

charry
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Hi Claudia

I also agree with ERNurse to get a 2nd and 3rd opinion. You've been through alot and perhaps you need more answers. I know it's hard not to but try to get some rest. Do you have something to help you sleep? I hope you can get another Dr. to help or give counsel. Even to contact the patient care manager of the hospital. They do an inquiry into things on the inside and up to and including their own lawyer to go through things. Find out their number online of the hospital. It's very difficult to be so young and have these surgeries. I hope you're able to heal well now that you have more support. I haven't had spinal surgery yet so I'm limited of what I can say to help. Just know I hope you come out of this more healed and wishing you less pain. Take care. Charry

DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN

claudia
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angie

Well you explained so much to me , and thank you so very much. wearing my brace for 3 months than they have me using a spinal stim for ar least 2 hours a day , I do feel good bout my neorsurgeon first i went to orthapedic. So how do the rods become un -even also , and when they took the disc out left a hole, I guess you can say iam hurt angry, you know you have been through lots also, noy really looking to a lawsuit i guess his word against his but you know doctors really do not go against each other,,, yes it is a long recovery, all i want to do is heal and go on with my life and take a vaca well i am rushing because its only 4 weeks, me personally have no patience, But tes the first Surgeon is my personal injury lawyer best friend and i do like my lawyer do not want to cause problems and the process is so long//But yes everytime i went to see him he only did an x-ray and said i was fine thank god i got help now or we know it would have gotton a lot worse my pain specl said stay away from him not worth it so yeah i just need to calm down and recover and yes i had cage and bone, subpose to but i thank you angie so much.

claudia
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Charry

the first time i did no such thing my lawyer recomended this doc went with him, and DID NOT get a second opinion, well this time i did and all recommened revision os surgery and 2 levels higher. i guess going nuts in this crib i do walk lots and you guys are so right i do need rest, and serious have to stay away from those reports, i just want to get back to the gym do my cardio and go on with my life, doc said recovery will be a while he said as he gave me a hug so sweet you have to take it easy you had major reconstructive surgery,,thank you so much i appreciate all of you so much

ernurse
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Claudia

I am glad I was able to explain a little. We all have to look out for each other!

Seriously, I would be concerned about the falsification of medical records. I would go to hospital's department first, but if no satisfaction, report to Joint Commission. If he did it to you, you know he did it to someone else.

Most important thing is that you are on the road to recovery. You will get better, you seem like a determined person and seem like you will not let this get the best of you. Yeah, times will be tough, but you really sound like a fighter to me.

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