MEDICAL DISCLAIMER: The information provided on OrthoLength Pro is for educational purposes only and does not substitute for professional medical advice. Always consult with a qualified orthopedic surgeon.
Posted on May 29, 2019, 3:43 am
#11

Quote from: verticalpush on May 29, 2019, 02:25:51 AMWell my diary doesn't seem to be getting very much activity so far, so I'll make this update on day 5 very quick. I finally pooped! It's amazing how finally being able to pee and then finally being able to poop can feel like such awesome accomplishments, but here we are. I'm in a very positive frame of mind!
Congrats on making poop!  I got a couple of bad constipation at that time.  One time was like a week or so.  I tried for an hour on the toilet every day and failed. haha  Later I found the stool softener.  That was really helpful! 
Keep the good work!!

Like (0)
Posted on May 29, 2019, 4:02 am
#12

Quote from: Ghostfish on May 29, 2019, 03:43:26 AMCongrats on making poop!  I got a couple of bad constipation at that time.  One time was like a week or so.  I tried for an hour on the toilet every day and failed. haha  Later I found the stool softener.  That was really helpful! 
Keep the good work!!

Haha Ghostfish -- we probably both filed that under "things nobody told us prior to surgery"! I did ask for stool softener every day at the hospital but that had no effect. The last day the nurses gave me 2 cans of prune juice and milk of magnesia but still no dice. I was feeling bloated and constipated. I was going to ask them for an enema because I knew it would be easier to go at the hospital than at the hotel.

Once I got to the hotel I put together a grocery delivery order that included stool softener and dulcolax. I must've taken about 4 stool softener pills and 3 dulcolax pills. It finally did the trick! I finally feel like a normal human being again.

Like (0)
Posted on May 29, 2019, 6:39 am
#13

Yeah, you need to take max dose of softener multiple times to make poops. lol  When I finally pooped, wow it was a huge relief!  Seating on the toilet with broken and swollen legs for a long time was so uncomfortable.  I sweat like I was in sauna on the toilet.   
Take care!

Like (0)
Posted on May 29, 2019, 6:53 am
#14

How much have you paid? Hope you will get well soon!

Like (0)
Posted on May 29, 2019, 8:53 pm
#15

Quote from: Canon on May 29, 2019, 06:53:30 AMHow much have you paid? Hope you will get well soon!

Thank you for the nice words, Canon!! I believe it was $73,000 all in. I got a discount for doing PT at home after my 3 weeks in Vegas which I'll run through insurance. Fortunately no complications (knock on wood) and I felt comfortable enough in my (VERY) limited mobility to not use a caretaker. I cashed out credit card rewards to pay for the hotels in Vegas. I have some extra money on reserve but haven't needed to dip into that yet.

The way I look at it, it amounts to a nice sports car (except it entails far more pain!).

Like (0)
Posted on May 29, 2019, 9:27 pm
#16

Okay, sorry I was slacking. I'll give a quick Day 3 and then updates on days 4-6. Today is day 6.

Day 3- discharge day
Felt so much positivity today after successfully peeing yesterday. Pain was up a little bit more because I pushed myself a good bit in the second PT session yesterday. Today involved two more PT sessions - both very productive and I walked much farther. I had less of a "shuffle" with my feet. The PT encouraged me to lift my knees up. So, my gait still sucks but at least it sucks a bit less lol. Wish I could say the transition from bed to walker gets any easier the first few days but it doesn't really. The trick that works best for me is to treat it like a squat. Sit down on the bed and lean forward. Use your hands on the bed or the surface you're getting off from to help push you up. Keep going until your head is almost over the walker. I don't even put my hands on the walker until I'm about 75% vertical. So, I'm not really using the bars on the walker to pull myself up. One last shout out to Mandy the hospital PT. She knows what she's doing and it felt like she was the perfect combination of cheerleader / drill sergeant.

I wanted to poop before leaving the hospital. They gave me prune juice and milk of magnesia but nothing worked. Dr. Debiparshad came back again today to talk. We probably talked for an hour - he could definitely tell I was in better spirits. We talked more about why he decided to do CLL surgery, what his future plans were, what he's learned about other patients, patients that have approached him who he's rejected, things he learned from Paley, etc. It's interesting he doesn't make nearly as much money off this as you'd think he would. I learned I'm his tallest patient so far. I encouraged him not to set a maximum limit because this is more about what's in someone's mind and how they see themself. Having said that, I would never recommend someone taller than 5'11 or 6' go forward with this - it is NOT a walk in the park. And of course you are risking health issues down the road.

The food did not get much better the whole time I was there. There was rubber chicken, bland meatloaf, some sort of omelette, and some combination beef/spiral pasta that tasted almost exactly like you'd expect it to taste. The desserts were pretty decent. My favorite was the snickerdoodle cookie. I didn't eat more than half of each meal. It was getting close to discharge. I had to remind the nurses several times about it. One thing I give to their credit - they called security ahead of time and had my prescription drugs I brought with me sent to the room so I wouldn't have to wait hours for them to bring it up.

Ronnie from LPX came up and it was time to go. Without him I have no idea how I'd make it back. Ronnie's great. I wanted to pay him but he refused - he said his reward is knowing how he can help good people out in a pinch. Whatever, I found him on Venmo and gave him money anyway. He drives a sedan so the transfer from wheelchair to the car was NOT fun. It was about a 25 minute drive to the hotel (Hampton Inn South Henderson). Check in was smooth. Got free beef jerky (take that, my ex-girlfriend who said my obsession over loyalty programs was stupid). Placed an order for a grocery delivery for the next day.

That was it, I enjoyed being on a real bed and not having people checking in on me every 2 hours. Took my meds and fell asleep. I am NOT using a caretaker in the hotel. I know the risk that involves but I'm keeping my phone nearby in case anything goes wrong.

Days 4, 5, and 6.
Day 4 involved receiving my grocery order. I got protein bars, water bottles, gatorade, bananas, stuff to make PB&J sandwiches, stool softeners, and laxatives. Hotel overall is good. There's no room service but they will open the door to delivery services if you give them advance notice (but they make a bit of a fuss over this - the one guy said they can't really do that everyday).

Day 4 was Memorial Day so no PT. PT was to start on Day 5. However, it never happened. Teresa tried to get in contact with the PT but I guess they got their wires crossed. It's a bit frustrating because I want to push myself as hard as I can, but I made a few walks around the perimeter of my room. Standing seems to make a big difference on my muscles.

The biggest positive to come from day 5, as I noted above, was finally being able to poop. The combination of stool softeners and laxative pills did the trick. I started developing a sharp pain on the upper left side of my left leg. Overall the left leg is lagging behind my right leg in recovery. It doesn't move as well and there's a few cases of sharp pains when I bend my left leg a certain way. I HOPE this stops soon! Frustrated I had no PT but my body was pretty worn out today so I don't know how well I'd have been able to do anyway.

Day 6 is today. PT will be coming to the hotel in about a half hour. One minor annoyance is that after this session you have to figure out a way to get to the PT clinic. It's not as easy as hopping in an Uber, of course, so I'll need to call wheelchair transport companies which I'm sure will cost an arm and a leg. From what they told me, if you choose Homewood Suites in town (this and that hotel are on their preferred hotel page), they have a shuttle van that's wheelchair accessible and it will take you anywhere within a certain mile range for free. Anyway, I pooped again and this time it was much easier to sit and stand from the toilet. I still don't have very much of an appetite. I started lengthening today for the first time! I had two sessions already. The third lengthening session will happen tonight after PT. It's awesome to finally be doing the one thing I suffered through surgery to do. I read elsewhere on this forum that laying on the bed while using the machine helps - I can concur. I feel almost no pain at all when doing the lengthening. I texted Dan from Nuvasive to make sure I'm doing it right. You want to see the "X" on your leg in the crosshair of the machine. It's interesting the machine doesn't tell you if it's not aligned right though. That would be a good improvement in later iterations of the machine.

Here are a couple of pictures of the Nuvasive machine. One is the markings on my leg. I am to line up the crosshairs of the nuvasive machine with the "X" on my leg. The second is the screen of the machine.

Pain levels - left leg during movement = 6. Right leg during movement = 3. Both legs while resting = 2.

OK - we're up to date on my diary! I'll update as important things come up.

Like (0)
Posted on May 30, 2019, 3:14 am
#17

Quick update on day 6:

Guys, the medicine makes me EXHAUSTED. Dr. D has me on:
xarelto   blood thinnerone per daymorphine long term pain12 hoursdiazepammuscle relaxer8 hours as neededoxycodoneshort term pain4 hours as needed
And a vitamin D supplement I take once a week.

For the past few days, I've been trying to go longer between morphine doses. After talking to Ronnie and consulting the nurses at the hospital, I did a few things to reduce pain meds. First, I started splitting the oxycodone pill in half and taking half doses every 4 hours. As of today, I've cut the morphine out entirely. So, I'm taking only 1/2 the oxycodone pill and no morphine, but taking everything else.

Pain seems to be manageable. HOWEVER, after completing the third lengthening session, it's way easier for me to feel sharp pains (like an 8/10 for a few seconds) in my legs. Wondering if it's better to go back to regular dose of oxy for just before leg lengthening, or going back on morphine. Anyone who's had any experience I'd love to hear it! I know the first week or so of lengthening is difficult and it gets easy over time.

Like (0)
Posted on May 30, 2019, 6:58 am
#18

Great diary! Dr. D is my main CLL option in The States so I really appreciate all your writing. That being said, did Dr. D say why he rejected some of these people who approached him for CLL surgery?

Like (0)
Posted on May 30, 2019, 11:48 am
#19

verticalpush-

Thanks for writing such a detailed account of your experience. You'll be feeling a lot better and more like a normal human being again very soon. Keep up the detailed posting.

You mentioned that you are concerned about the cost of a wheelchair accessible van for transportation, considering getting in and out of a sedan can be a real struggle right now. Just want to give you a quick tip in case you weren't aware. Uber has the option of Uber-WAV on their App. Stands for wheelchair accessible van. Just order an Uber as usual, but scroll through the options of Uberx, Pool, etc... look for WAV and you're set, usually same price as Uberx, so very cost effective.

Like (0)
Posted on May 30, 2019, 12:28 pm
#20

Hey Vertical Push:

Congrats on a successful start to your journey!

Thanks for your detailed, informative write up of your experience so far. As a prospective CLLer (scheduled later this summer) this is very helpful. I instantly connected with many parts of your story, I'm also about 5'9 and I totally get you, yes we're considered average, but folks like us can still struggle with severe height dysphoria on a daily basis.

I know the struggles with addiction to using shoe lifts and the roller coaster that comes with it: the instant high and gratification of putting shoe lifts on, having success with women and ignorantly attributing the success solely to the shoe lift height, the anxiety of masking them and constantly thinking about getting exposed (e.g. in a situation that requires removing your shoes like taking a girl home or visiting a friends house) and the lows of going home, taking your shoes off and feeling like a fraud. I totally get you man and I'm seeking this procedure out for many of the same reasons, you are not alone! I'll be reading through your diary and rooting for you!

A couple of questions (more on the personal side):

1) How did you manage your career / job through this experience? I, like you, am financing this myself after having saved up through my 20's. I'm passionate about my career and have a job I love but am struggling with approaching my employer with a leave of absence request, or just accepting that I will have to quit this job I commit to dedicating myself 100% to this procedure and move forward afterwards.

2) Are you keeping the procedure private from friends and family? If so, how have you managed comms and what story are you telling them? Right now, I'm keeping it private. I love my family and friends, but, I'm a) fairly independent from an emotional perspective so I think I'll be ok without their emotional support and b)  I don't want to burden them with having to worry about me. I'm trying to keep up with a story as to why I'll be away from home for the next 3 to 4 months.

Like (0)

You must be logged in to post a reply.

Related Topics