microdiskectomy

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For me, the title has double meaning: recovery from surgery but also from long-term use of opioid analgesics leading up to my surgery.  In order just to function day-to-day, I was on maximum doses of hydrocodone-APAP (otherwise known as Vicodin, Norco, Anexsia, Lorcet, Lortab, and the list goes on).  To put that in perspective, oral hydrocodone is considered to be 1.5 times as potent as oral morphine. 

The side-effects aren’t terrible, but the worst for me was the drowsiness and reduced mental acuity I felt every single day.  The technical term is “depressant effects on the central nervous system.”  In short, I often felt zoned out and lethargic.

Immediately after surgery, I wasn’t in much of a mood to get off drugs, but after 18 hours I stopped taking any pain medicine just to get it out of my bloodstream.  Even without Vicodin, the pain from the surgery site is probably only 20% of what I was experiencing in my left leg before surgical relief.  I can deal with that any day of the week.  I know that the surgical pain will lessen every day, so there is certainly hope ahead.

The great praise I have is that I am still completely free from the left leg sciatic pain.  The surgeon has put walking at the top of my “best activities” list, with a daily target of one mile.  I did that yesterday without a problem, so today I upped it to over 2 miles.  What a great feeling to walk without leg pain.

For anyone reading this who has exhausted the other treatments available, I would encourage you to at least consider the new types of back surgery available to you.  This is not your father’s back surgery with long incisions and lengthy recovery times.  My incision is just about 1.4 inches long.

I would, however, advise against watching the available online videos of microdiskectomy surgery before you decide.  Not such a good idea.  The results are certainly worth it in the long-run.

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The title of this post says it all.  As the surgeon predicted, removing the pressure on the sciatic nerve root going down my left leg brought instantaneous relief.  I’m told that the surgery went smoothly, and before I knew what was happening I was the occupant of Room 545.  I’ve been doing laps around the patient wing of the 5th floor, escorted by my ever-present IV pole, so it appears I’ll be checking out this morning.  Maybe then I can get the sleep that is so hard to get in the hospital.  Thankfully they didn’t follow the cliched script of waking the patient to give me a sleeping pill.  For me it was more about the constantly lighted room, the noises in the hall, and the blood pressure checks every three hours, thank you.

Even though I didn’t widely broadcast my surgery, a surprising number of people and groups made special time to pray, including our Provision ministry family (in chapel yesterday) and our Board of Directors by conference call.  When I add my family members as well as friends in the church and aviation community, the size of the group is humbling.  Thanks to all of you for your prayers that God heard and answered.

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After six months of nearly constant lower back and sciatica pain in my left leg, I leave for the hospital in 5 minutes.  I’m scheduled for lumbar microdiskectomy surgery on the L4/L5 disk at 8:30 this morning.  Having exhausted the conventional treatments (and at least one unconventional one!), this surgery started looking very good to me about a month ago. 

While I will  be under general anesthesia in a surgical operating room, this is considered “minimally invasive” and I might even be able to come home tonight.  It’s time to go, so I’ll give an update later.

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