Sunday, May 5, 2024

THE THING ABOUT NERVES...

Nerves don't like to be cut or squashed. Think of them as threads for tiny nerves and as strings or ropes, perhaps as thick as your pinkie finger, for the spinal cord.

The spinal nerves that exit the spine at different levels, in my case a problem nerve forks off the spinal cord at T-1, thoracic #1.  That nerve travels to my right upper back, then down the right arm. It is not happy because it is being compressed and pushed out of whack. The nerve causes pain along the path but mostly at my right neck in the back. It's torture when the twist or pressure on it is raging. An interesting result is that when I reach or extend my right arm to pick something up from the floor or reach to grab a glass from an upper cabinet shelf, the nerve screams at me because it is not long enough to do the job.

It seems simple to me: Do surgery to increase the space between discs or vertebrae that are involved. Don't make the guy or gal wait 5 years needing to take meds to ameliorate severe pain. 

I know that you have a relative or friend with a similar condition. They meet up with physicians who have been bombarded with new guidelines that limit their prescribing.  Nowadays, a prescriber's hands are tied by HMO rules, VA rules, pharmacists butting into their business, and what-all. The government wants doctors to treat pain patients from a mindset that their patients are faking and are physically or psychologically dependent on opioids. What garbage!

Sure, the DEA let Florida and West Virginia run wild for years with cash 'pain clinics,' but it's a big country with only a few percent of the pain patients being sketchy. Our lives as patients are wasted; fix us, dammit. Please.







Thursday, May 2, 2024

THE TEN-YEAR RE-DO OF YOUR SPINAL SURGERY

 May 1, 2024

In 2009, I finally got an Orthopedic Surgeon to fuse my neck from the front. She did C5-C6-C7.

She has been retired for several years. Damn! Before the surgery, she advised me that after 10 years I might need another surgery above or below the bones involved. She advised me that up to 25% of patients with that surgery get movement of spinal parts causing stresses over time that necessitate a second surgery. 

My pain began at about 8 years after surgery. As you know, people get old and parts wear out--like cars. 

Why don't today's surgeons know about the ten-year re-do? I have been to a neurosurgeon and an orthopedic surgeon. No takers.

This is just my neck; I have a myriad of problems with the lumbar back. I found excitement at age 20,21,22 riding bulls in practice rodeo. One bull had a personal problem with me and, after covering him the 8 seconds, rammed me into a steel corral fence. There was and end of steel pipe projecting into the ring and he threw me into it. I think he was trying to impale me. Well, one broken rib and a mysterious right lumbar injury that is a painful daily reminder of that ride. 

The only actual, formal rodeo in which I participated in was the Camp Pendleton Rodeo in 1979. Two broken lumbar vertebrae and a twisted neck from my one and only ride on a bareback bucking horse came from it. 

Oh, to be a young man again! Would I ride the rodeo? Try for a second go-round? I hate to say it, but maybe....