From:      bounce-scoliosis
To:        scoliosis-digest@ai.mit.edu
Subject:   scoliosis V1 #1330
Reply-To:  
Errors-To: bounce-scoliosis
Precedence: bulk


scoliosis               Saturday, 25 September 1999    Volume 01 : Number 1330

Today's subjects for scoliosis, scoliosis-medical, scoliosis-child
and scoliosis-teens:
  Re: Working with Pain Management Doctor                    [Bogima@aol.com]
  Re: Pain Management (Andrea)  ["Andrea Ishigami [Health Technology]" <aish]
  Re: In response to Elizabeth Mina       [Amanda Daly <amandad@aldiscon.ie>]
  Waterbeds?                        [Carol Anderson <ceeanders@netscape.net>]
  Re: Post Op Depression                                 [VSlaybaugh@aol.com]
  Re: Post Op Depression (Carol/Tina)                      [Rockdigs@aol.com]
  Re: Working with Pain Management Doctor  ["Karl E. & Penny Coan" <coank553]
  Re: Working with Pain Management Doctor  [Marie Jones <ma_jones@muskingum.]
  Re: I just found out I have to get surgery                 ["Stabin" <stab]
  Replies,Surgery                                         [Funky2317@aol.com]
  Re: Height                                             [Sunflwrbjs@aol.com]
  Re: Mineral testing                ["Sherri Linsenbach" <sherril@abac.com>]
  Re: Depression, Mood Swings, Fatigue  ["Sherri Linsenbach" <sherril@abac.c]
  Re: Post surgery question                    ["Brande" <b_l_p@my-deja.com>]
  Anger (Valerie)                      [Susan Whitmore <susanw@orshakes.org>]
  Scoliosis Links page                 [Susan Whitmore <susanw@orshakes.org>]
  Hemivertebrae                                          [Jenjen7272@aol.com]
  Waterbeds?                        [Carol Anderson <ceeanders@netscape.net>]
  Re: Height                                [Karen Pilmer <pilmer@ncweb.com>]
  Re: Height                                [Karen Pilmer <pilmer@ncweb.com>]
  Re: Waterbeds?                                             [CRBwow@aol.com]

----------------------------------------------------------------------

From: Bogima@aol.com
Date: Fri, 24 Sep 1999 10:25:16 EDT
Subject: Re: Working with Pain Management Doctor

Hi Carol, 

In addition to what George has already said, make sure to tell the doc about 
any sleeping problems you've had.  Sleeping problems can indicate 
insufficient pain relief.  Also, make sure to tell the doc about your 
reaction to each and every pain med you've tried.  And know the number of 
millegrams of the meds you've taken.

Good luck!!

Bonnie



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From: "Andrea Ishigami [Health Technology]" <aishigami@epo.hsc.sunysb.edu>
Date: Fri, 24 Sep 1999 10:32:19 -0500
Subject: Re: Pain Management (Andrea)

Dear Carol,
Thanks for the support!  I'm just so frustrated and tired.  It's been 
six years of constant pain and due to that, other things have also 
gotten screwed up such as my endocrine system.  I'm feeling worse and 
worse every day to the point where I debated early retirement and am 
still thinking about working only part-time if they'll give me enough 
money to support myself!  I guess the most frustrating part is that I 
have always felt so young and have always been so active and now I 
like nothing better than to lie in my recliner and sleep and watch TV 
all day! Getting to work is a monumental chore (some days I work from 
home so I can lie down periodically) and thankfully no one has said 
anything about my coming in late and leaving early. This is not the 
life I want but the fatigue is so overwhelming, I really can't fight 
it. 
Good luck to you also.  I hope your pain management works well.  
Please keep me up to date on how and what you are doing.
Andrea

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From: Amanda Daly <amandad@aldiscon.ie>
Date: Fri, 24 Sep 1999 09:54:45 +0100
Subject: Re: In response to Elizabeth Mina

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Hi Nancy,

I had a spinal fusion 4 years ago and just read your email, Could you
please tell me what is crankshafting I have never heard of this
condition??? I also agree with you I think it is better to have surgery
earlier rather than later if you are told by the doctors that the spine
is likely to keep progressing. I sometimes wish I had my surgery when I
was 45 degress and not waited till I was 68 and even at that degree I
only got a 30 degree reduction.

Thanks
Amanda



Jeff + Nancy Kennedy wrote:

> Elizabeth,I wanted to respond to what you said about avoiding surgery
> especially for those with small curves. I, wholeheartedly, agree that
> surgeons certainly don't give their patients enough information about
> ...

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<!doctype html public "-//w3c//dtd html 4.0 transitional//en">
<html>
<body bgcolor="#FFFFFF">
Hi Nancy,
<p>I had a spinal fusion 4 years ago and just read your email, Could you
please tell me what is crankshafting I have never heard of this condition???
I also agree with you I think it is better to have surgery earlier rather
than later if you are told by the doctors that the spine is likely to keep
progressing. I sometimes wish I had my surgery when I was 45 degress and
not waited till I was 68 and even at that degree I only got a 30 degree
reduction.
<p>Thanks
<br>Amanda
<br>&nbsp;
<br>&nbsp;
<p>Jeff + Nancy Kennedy wrote:
<blockquote TYPE=CITE><style></style>
<font face="Arial"><font size=-1>Elizabeth,I
wanted to respond to what you said about avoiding surgery especially for
those with small curves. I, wholeheartedly, agree that surgeons certainly
don't give their patients enough information about future implications
of surgery. I would also like to state that it goes the other way too.
Sometimes waiting too long is not good either. The year before my daughter
had her surgery she was at 55 degrees. It took a year to finally get a
action plan from the surgeon and by then she was at 80 degrees. Because
they had to break apart her old fusion from five years ago and remove her
hemivertebrate she only was corrected to 30 degrees. I can't help but wonder
if she would have had a better correction if this had been done a year
earlier when we first discovered her spine was crankshafting. This is such
a complex disease. One thing I thankful for is that my daughter's new surgeon
is a new breed and so open and honest about what could happen in the future.
I sometimes feel frustrated that my daughter had to go through two surgeries.
If she had the surgery she had in June the first time which actually eliminated
the cause of her scoliosis (the hemi-vertebrate) I am pretty sure that
she would be much straighter than she is now. And she would have only had
one surgery to have gone through.Nancy</font></font></blockquote>

</body>
</html>

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From: Carol Anderson <ceeanders@netscape.net>
Date: 24 Sep 99 12:50:41 PDT
Subject: Waterbeds?

Does anyone know whether a waterbed is good, bad or whatever for a a post-op
spinal fusion patient?
Thanks.
Carol in La Puente CA

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From: VSlaybaugh@aol.com
Date: Fri, 24 Sep 1999 18:08:42 EDT
Subject: Re: Post Op Depression 

In a message dated 09/23/1999 5:49:19 PM Pacific Daylight Time, 
ceeanders@netscape.net writes:

<< I am six weeks post-op and
 have been fighting depression BIG TIME.  Most of the time, the bad feelings
 seem to come from out of the blue and I will find myself saying, is it going
 to be like this FOREVER?  Then I start thinking about all the other things in
 my life that I am not happy with.  And a lot of those things are NO BIG DEAL
 when one steps back and takes a look at them.  but they seem like a big deal
 to me.  And so then I am miserable and sobbing away! >>

Carol,

It is so interesting to see how you expressed your post-op depression.  I 
also battled post-op depression from my 4th week post-op in almost exactly 
the same ways you described it for you.  I would sit and cry and think that I 
would always be that way and it wouldn't get any better.  Nothing anyone did 
for me pleased me.  We had bought new living room furniture for better 
comfort in my recovery period and I hated that, too, after it finally arrived 
during my 3rd week post-op.  I think a lot of that had to do with the new 
smell of the furniture and it turned my stomach.  We kept it covered with 
quilts for almost another 6 weeks before I was able to stand the smells 
again.  At almost 6 weeks post-op my family doctor put me on a prescription 
of Paxil for 6 months for my depression.  He told me that it was not uncommon 
for people who had gone through the type of surgery that I did to develop 
depression in the recovery stage.  He said it was something biological.  I 
just wish I had known prior to surgery that depression was a possibility and 
maybe I wouldn't have been so surprised by it.

Anyway, the depression did subside and of course things got a lot better over 
time.  I think my big turning point in my recovery came at the end of my 6 
weeks post-op...when my doctor gave me the OK to drive again.  That was my 
"ticket to freedom" once again and I began feeling more dependent and less 
dependent on others.  And once I got off the narcotics and on to only Tylenol 
by the end of my 8th week post-op, then I really began to get my old appetite 
back and my old self back.  The narcotics sure had an effect on me.

Thanks for sharing.  It was nice to see that others also experienced what I 
went through.

Vicky
fused T2-L1, 2/23/98, Isola rod instrumentation



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From: Rockdigs@aol.com
Date: Fri, 24 Sep 1999 15:20:28 EDT
Subject: Re: Post Op Depression (Carol/Tina)

Dear Carol,
  When I read about your problems my heart goes out to you.  You should not 
have to be dealing with this at 6 weeks post op.  My surgeon did not try to 
cut back my pain meds for 3 months, after that my family doctor gave me 
Vicodin 3 x a day, and he still prescribes Vicodin for me now.  
  I don't know how you can even function at all.  They say to walk as much as 
you can at first, but how can you even feel like it if you are in so much 
pain.  I forget your age, but your fusion was long and your degree was very 
severe.  The older you are, of course plays a big big part, & your curve was 
very severe.  We also are all very different. I remember my doctor told me 
that he was surprised when he operated on me that my bones were very very 
hard & strong, & that the operation before mine on another woman, that her 
bones were a lot softer than mine. I was corrected from 91 and 78 degrees to 
57 and 53 degrees, only a 40% correction-probably because of my age, I was 38 
at the time.
  How can you exercise & get better if you don't feel like moving because of 
your pain? I would like to see how they would feel. They don't know what it's 
like to have rods put in your back.
   I hope that the pain clinic will prescribe pain medication for you because 
that is what will help you to feel like getting up and going for that walk. 
You do need to move & exercise to promote healing and recovery.
   Good luck,  Sandy in Colorado

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From: "Karl E. & Penny Coan" <coank5531@bigplanet.com>
Date: Fri, 24 Sep 1999 13:06:08 -0700
Subject: Re: Working with Pain Management Doctor

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Hello; my name is Karl several years ago I had a teompary pain pump installed it gave me total
pain relief. I was a victim of a violent crime in I was shot in 66 in 85 I underwent a fusion
that did not take. The Dr. found I had scolsis and several other spinal problems the pump help
them all you might ask you Dr. about it, they only use it as a last resort but it works I also
was put on a drug that was not approved at the time but it sure worked. The Dr. I have been
seeing is Dr. Edward Talmage in Houston, Texas phone # (713) 4961006 he is a pain manage
specialist
Iif you want further info. give him a call he is very good.




Good Luck
Karl Coan
  ------------------------------------------------------------------------

Carol Anderson wrote:

> Hello, All!
>
> Thanks to EVERYONE and believe me, I got tons of support and great advice when
> ...



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<HTML>
Hello; my name is Karl several years ago I had a teompary pain pump installed
it gave me total pain relief. I was a victim of a violent crime in I was
shot in 66 in 85 I underwent a fusion that did not take. The Dr. found
I had scolsis and several other spinal problems the pump help them all
you might ask you Dr. about it, they only use it as a last resort but it
works I also was put on a drug that was not approved at the time but it
sure worked. The Dr. I have been seeing is Dr. Edward Talmage in Houston,
Texas phone # (713) 4961006 he is a pain manage specialist
<BR>Iif you want further info. give him a call he is very good.
<CENTER>&nbsp;</CENTER>
&nbsp;
<BR>&nbsp;

<P>Good Luck
<BR>Karl Coan
<BR>
<HR WIDTH="100%">
<BR>Carol Anderson wrote:
<BLOCKQUOTE TYPE=CITE>Hello, All!

<P>Thanks to EVERYONE and believe me, I got tons of support and great advice
when
<BR>it came to dealing with this post-op pain!

<P>I finally got approval and even an appointment to see a Dr. Rothman
with
<BR>Cedars-Sinai Pain Center in Los Angeles next Monday, Sept. 27.

<P>For those of you who have dealt with or are under the care of a pain
<BR>management specialist, I would greatly appreciate any guidance, advice
or tips
<BR>to make sure that the meeting with Dr. Rothman is as productive as
possible.

<P>Thanks in advance!
<BR>Carol in La Puente CA

<P>____________________________________________________________________
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&nbsp;</HTML>

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From: Marie Jones <ma_jones@muskingum.edu>
Date: Fri, 24 Sep 1999 11:41:02 -0400
Subject: Re: Working with Pain Management Doctor

I had a first appointment at a pain management center on Wed of this week.
My advice would be to think about exactly how to describe your pain before
you go...is it sharp? grinding? constant? intermittent?  If they give you a
pain scale that asks you to choose these kinds of words, ask them for a
description of any term you aren't sure of.  "Lancinating" has a specific
meaning.  I discovered that my pain is "grinding" in their terms, although
I wouldn't have used that as a personal description.

One chapter of the following book gave good descriptions of the terms:

                          Back talk : how to diagnose and cure low back
pain and sciatica / Loren
                          Fishman and Carol Ardman

It didn't address scoliosis specifically, and really wasn't much help in
the treatment area, but it did cover the terms well, and made me more
articulate when I saw the pain management doc.

Marie
ma_jones@muskingum.edu
Reference & Bibliographic Instruction Librarian
Muskingum College, New Concord OH
(740)826-8157 (office)
(740)826-8404 (fax)




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From: "Stabin" <stabin@hotlink.com.br>
Date: Fri, 24 Sep 1999 07:54:10 -0300
Subject: Re: I just found out I have to get surgery               

Lisa,
Surgery's not too painful, after a while. The first day, all I could do was
lay there, I couldn't turn on my side or anything, and it hurt SO much, but
that could be because the nurses got the dosage instructions for my pain
medication wrong. Once the anesthesiologist found out and corrected it, I
was much better, except that twice they gave me these intramuscular
injections that were supposed to help with the pain but all they did was
make my arm ache SO bad for an hour afterwards. But you probably won't have
to have those.  

Another thing that helps after surgery is to ease back in to your normal
activities. Like I only stayed an hour and a half my first day at school,
but I kept adding time to that until I could stay for a whole day. I
managed to get back into school about a month after surgery, but most of
the other people I hear talking about their surgeries say that it was more
like six weeks before they went back to school. (I'm a little confused
about this; why did everyone else have a longer recovery time than me?) 

Laura
stabin@hotlink.com.br



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From: Funky2317@aol.com
Date: Fri, 24 Sep 1999 16:31:06 EDT
Subject: Replies,Surgery

a clue what is going on? 
 
I have a few questions for anyone with surgery:
1.  Can you swim afterwards? Rollerbalde? Ride roller coasters?  Dance?  
Bend?  Twist?  Ride horses?  Play sports?
2.  How many doctors do the surgery?  Is it just your doctor and a nurse?
3.  Is there any therpy involved afterwards?
4.  How many days in the hospital?  How long until you can go back to doing 
everything?
 Thanks,
Liz
Funky2317@aol.com

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From: Sunflwrbjs@aol.com
Date: Fri, 24 Sep 1999 17:13:26 EDT
Subject: Re: Height

I thought I was kinda short but I am 5'5 and a half and I might grow a little 
taller.  No offense to the rest of you a course.  You guys must have huge 
curves because mine is 30 and 15 degrees.  Well, Just thought I would put my 
10 cents in.
Bethany

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From: "Sherri Linsenbach" <sherril@abac.com>
Date: Fri, 24 Sep 1999 11:47:14 -0400
Subject: Re: Mineral testing

Re: Mineral testing

Pam,

To determine the levels of minerals, toxic minerals, etc., you can have a
hair analysis test.  This costs approximately $50, can be done by reputable
nutritionists, naturopathic physicians, or chiropractors, takes only a few
minutes, and the test results come back fairly quickly.

Sherri Linsenbach
SherriL@abac.com





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From: "Sherri Linsenbach" <sherril@abac.com>
Date: Fri, 24 Sep 1999 12:03:43 -0400
Subject: Re: Depression, Mood Swings, Fatigue

Re: Depression, Mood Swings, Fatigue

Jennifer,

Some researchers believe that mood swings, depression, and chronic fatigue
often go along with scoliosis. This is probably due to the hormonal problems
that some with scoliosis experience.  An endocrinologist would be able to
determine if you're experiencing any hormonal problems, and would be able to
treat it accordingly.

Also, nutritional problems can also lead to mood swings, insomnia,
depression, fatigue, etc.  These include low tissue calcium (sometimes
caused by hormonal problems), low copper, low iron, as well as other
nutritional deficiencies.  Our son (who has scoliosis) had several
nutritional deficiencies and experienced some of these problems.  He has
digestive problems and problems with absorbing some of these minerals, so it
is something he will have to continue to treat and monitor.

Scoliosis is a very complex condition, but a doctor who understands the
complexity of it will be able to treat it properly.  Hope this helps.

Sherri Linsenbach
SherriL@abac.com





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From: "Brande" <b_l_p@my-deja.com>
Date: Fri, 24 Sep 1999 11:13:14 -0700
Subject: Re: Post surgery question

Hi Everybody,

How are you?

I had Phatom Pains in mostly my Right
Shoulder Blade area after both Sets
of Anterior and Posterior Spinal
Fusions that I had! For me they
lasted quite a long time....and I
still get them every once in awhile!
There were no rhyme or reason to them,
they were kind of like a stabbing, 
electric pain! 

It may be different for her, but that
is how it was for me!

Take Care,

Brande
b_l_p@My-deja.com

In the last 3 days she has complained about a very sharp 
>pain in her left shoulder area.  The pain seems to occur with little or no 
>notice and there is no consistency to bring it about in terms of her activity 
>at the time.  I am wondering if it would have something to do with all the 
> ...


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From: Susan Whitmore <susanw@orshakes.org>
Date: Fri, 24 Sep 1999 09:38:52 -0700
Subject: Anger (Valerie)

Hi Valerie - You asked:
"I was wondering about toileting, reaching everything she needs
when in the restroom, and stepping up to get on the bus."
We haven't found these things to be a problem.  The brace stops slightly
below hip-bone level but slightly above where the leg bends, so it
doesn't affect how high she can lift her knee.  Also doesn't affect
sitting (on either chairs or toilet) - just make sure you get underwear
a size bigger than usual so the waistband can go over the brace - then
it's easy to pull down.  The thing she'll have to adapt to when reaching
for things is bending from the hips rather than from the waist.
Actually, the only thing my daughter has trouble doing is putting on
socks and shoes with the brace on.
There is a really good picture of the brace on the Boston Brace Co.
website, which will give you a good idea what you'll be dealing with.
It's at www.bostonbrace.com.
I also really recommend the Scoliosis Links page at
http://users.cybercity.dk/~nmb10880/scoliosis.html

All best wishes,
Susan



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From: Susan Whitmore <susanw@orshakes.org>
Date: Fri, 24 Sep 1999 09:42:15 -0700
Subject: Scoliosis Links page

I just want to publicly thank Claus and Jeanette for their fabulous work
on the Scoliosis Links page at
http://users.cybercity.dk/~nmb10880/scoliosis.html
I recommend it highly to everyone, especially those new to this list and
looking for information - truly a wealth of info at your fingertips!
- --Susan in OR

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From: Jenjen7272@aol.com
Date: Fri, 24 Sep 1999 14:35:18 EDT
Subject: Hemivertebrae

Since joining this list a week or so ago, I have heard the term 
"hemivertebrae" several times.  I still don't know exactly what it means, can 
someone please enlighten me?  Thank you.

Jennifer



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From: Carol Anderson <ceeanders@netscape.net>
Date: 24 Sep 99 12:50:41 PDT
Subject: Waterbeds?

Does anyone know whether a waterbed is good, bad or whatever for a a post-op
spinal fusion patient?
Thanks.
Carol in La Puente CA

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From: Karen Pilmer <pilmer@ncweb.com>
Date: Fri, 24 Sep 1999 20:57:47 -0400
Subject: Re: Height

For health class we had to do all these different measurements of my body and
mine says I'm gonna be 5'8 so now I'm kinda confused.

Erica

Funky2317@aol.com wrote:

> Erica
> 5' 6 is not short at all! Average for a women is 5' 4. Be tall stand proud!
> My mom had friends who are like 5 foot , you will be tall!
> ...




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From: Karen Pilmer <pilmer@ncweb.com>
Date: Fri, 24 Sep 1999 21:00:21 -0400
Subject: Re: Height

I am exactly as tall as my mom.

Erica

Stabin wrote:

> Erica-
> 5'6" isn't short at all! I'm 5'6", or pretty close, and my mom says that
> that's the perfect height for a woman since it's about the height that most
> ...




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------------------------------

From: CRBwow@aol.com
Date: Fri, 24 Sep 1999 21:13:36 EDT
Subject: Re: Waterbeds?

This is just a thought, but wouldn't the test be whether the waterbed is 
helpful in maintaining whatever position it is that is most comfortable for 
your surgical site?  It would seem to me that there is not a great deal of 
support to provide  a stable platform for you to lay on, in a water bed.  
However, not  having had surgery like that, I can only theorize, and maybe 
the stable support is not what your body needs at this point.  Any place 
where you can go and lay on a water bed for a while, just to try it out, and 
see what your body thinks?  Seems to me that would be a logical approach.  
Maybe even clear it with the manager of a store that sells water beds.  Heck, 
if it made your back feel better, that might even be a bonus for him if he 
could say he had someone who bought the bed, specifically because her 
recently operated upon back felt better on it than on a regular bed.  Just a 
thought or two.  No real experience to draw upon.

Blessings,

Cecile



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