In the Hospital
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Long, painful, boring.  What more can I say?  If you are in really good physical condition there is a chance that your pain level won't be too bad and you can get off the IV pain meds and home relatively quickly, that is if it's not a complicated fusion.  I was in ICU for about twenty four hours and in the hospital for a total of four or five days (it's all kind of a blur). 

bulletIf you are anything like me you won't care much about reading, eating or watching television for the first day or so.  
bulletIf you are having posterior surgery, your face will be quite puffy post surgery.  This is due to being face down for so long.  The longer the surgery, the puffier the face.  Warn family and friends so they aren't concerned when they see you after the surgery.
bulletI was unable to sleep more then an hour or two at a time and was basically pretty miserable.  This may have been one of the reasons I was in there a day longer then I had hoped to be.  Try to sleep.  If there is anything the nurses can do to help you sleep, let them know.  The first night, while I was in ICU, I had the sweetest nurse who came in every hour or so and rubbed my back.
bulletCoughing is an important part of post-op recovery.  Use a pillow over your incision and hold it down while you cough.  Ask a nurse to help show you how to cough the first time.
bulletGetting out of bed the first time is not as bad as you might think, it's not a walk in the park either, but it's a very important step towards getting home.  (You are probably getting the idea now that my main objective from the time I stepped into the hospital was to get home.)
bulletEat what you can.  It's another important step towards getting home.  The doctors and nurses will watch your stomach to make sure everything is working well.  Please tell them if you are having any problems or ask them any questions you may have.  One of the big concerns with anterior fusions, probably any surgery,  is stomach problems so be aware of what's going on and communicate.
bulletThe nurses are there to help you.  They have a lot of patients to take care of so if they can't answer your call button right away, and it's not an emergency, try to give them a little time.  It may be because they are helping a patient that is in distress.  Be sweet to them.  They work long hard hours and their main reason for being there is to give you comfort.
bulletYou will be visited by various doctors involved in your surgery during your stay.  They are making their rounds so don't have much time to spend with you.  Try and write down and questions or concerns you may have so you are prepared when they arrive.  There is nothing more frustrating then remembering a question after they have come and gone.
bulletIf you are getting some of your tools (cane, walker, toilet booster, etc.) from the hospital be sure to bring this up with the physical therapist no later then the day before you are supposed to go home.  The day you get to go home you won't want to be sitting around for an extra hour or so while they track down your equipment.
bulletIf you are being told that you are going to be released the next day and you don't think you are ready talk to your doctor.  He/she needs to know your concerns and won't want you going home if you are not physically ready.
bulletOn the other hand, if you think you are ready to go home and the doctor says he/she wants you to stay an extra day it is best to stay.  They are the best judge of your post-op condition, especially if there are concerned about an infection or a cold/flu.  These things can flair up so quickly and be very dangerous.  

Recommended Books

Please e-mail me with any questions, additional suggestions, or criticisms.

 

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Revised: February 14, 2000 .
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