Surgery Recovery

A couple of weeks ago, I had my first surgery involving general anesthesia. About three weeks ago, I had a little low-speed scooter accident and broke a knee–broke it into several pieces, apparently. After a week on my back in traction, I was in surgery for six and a half hours. Then two more weeks in the hospital, still on my back, and finally today I was allowed to come home. I’m still mostly on my back, but I can sit up long enough to type a little.

I realize that knee surgery is probably pretty simple compared to major organ surgery. My best friend had a liver transplant a year ago, for crying out loud, and no doubt that was many times worse. Still, in my relatively comfortable 47 years, I had simply never had any idea that anything could be so unpleasant as the first 12 hours after waking up. I came to in a bright, clean room, so bright and so clean I thought I was in a science fiction movie. I felt nothing at first. The doctor was saying something about how the bone alignment looked pretty good. After that his mouth kept moving, but I could hear nothing except what seemed to be a howl coming from the floor, ceiling and walls, as I was engulfed in a tsunami of pain. I became aware of physical sensation in the following stages.

First, I noticed that my damaged leg was in a massive vise, and a huge ogre of some sort was pounding my heel with a sledgehammer. (The traction had been effected by means of a hole drilled through my heel; I suspect that was responsible for the heel pain.)

Next, in spite of the apparent cleanliness of the operation room and our location in the Orient, somehow an Amazonian Candiru fish had lodged itself in my urethra and was spreading its spines. This later turned out to be a catheter, which seemed quite unnecessary to me. I hadn’t had a drop of fluid in any form for 16 hours before surgery–how much urine could I have passed? Seems to me a diaper would have done just fine. It isn’t as though I had much dignity intact at that point anyway. The worst thing is that they left the thing in for the following night. Even after surgery, a sleeping man tends to get erections, and they proved so painful with the catheter installed that I woke abruptly each time one began. It was a very sleepless night. When someone removed the catheter the next morning, it seemed to have been lubricated with sand.

After my urethra, I became aware of my throat. I tried to speak, to croak out a demand for euthanasia, but my throat was so dry that my tongue stuck to the top of my mouth. I tried to clear my throat, and damaged my uvula in the process. It ached for a week. (What the heck is that thing for, anyway?) Although my throat was so dry I thought it had been torched, I was not allowed any water for several hours. I’m sure there was a good reason, just like with the catheter.

Then I realized I was cold. As I was wheeled out into the hall, I started shivering. Not really shivering–I was convulsing, more like bucking. My wife and a couple of nurses had to hold me down to keep me from falling off the bed. Of course I was drenched in sweat a minute later, but I remained cold for the next few days.

Finally, I noticed that my pajama pants didn’t match the shirt. The pants had the old hospital logo, and the shirt the new. (Well, it matters to me.)

All this misery continued for about 12 hours. The next 12 hours were noticeably less horrible, but still very bad.

So I’m curious: was this typical? I think of knee surgery as relatively minor, but I swear that if I could have found a stray scalpel somewhere, I would not be writing this now. For days (and sometimes still) I thought it would have been better if I had just been shot in the head as I lay on the curb waiting for the ambulance–they used to do that with lame horses on the old TV shows, and I doubt that I’m as valuable to anyone as a horse was to an old-time cowboy. Am I just a total wimp? I’ve always thought of myself as having a pretty average threshold of pain, but I seriously, seriously wanted to die. Eventually I did get some pretty strong “pain killers,” which didn’t seem to do much for the pain but did give me some extremely bizarre visions. I wish I were a good enough artist to recreate them.

Does anyone have a story to share that might make me feel better about my wimpitude? If you insist, you can even tell about the time you chewed off your own leg to escape from a bear trap, then dragged yourself 15 miles to the nearest camp, all without so much as an aspirin, though that won’t make me feel better.

The one time I was under general anesthesia it was for a lithotripsy, and so involved no cutting. No real pain either. But what I hated was the grogginess, the gradual swimming up to awareness. One tries to concentrate, but it takes all you have to merely understand simple words being spoken.

Then there was the nausea. A lithotripsy is very simple and non-invasive, but the and I was supposed to go home same day. But I almost didn’t, because I couldn’t stop throwing up, even though I had had to fast before the procedure. And dry retching is worse than when there is actually something there to come up. I finally quit with the heaves and went home, but it was close.

I imagine there are loads of variables, but I’m not surprised at all by your after effects. I have a cousin who is a nurse, I can ask her for info later.

I was under twice. Once for dental surgery and once for a quick procedure on my elbow. I felt absolutely awful coming out it each time. Especially from the dental surgery. I felt like several guys had beat me severely with baseball bats.

When I was a kid I had several surgeries, one pretty big, and don’t remember any huge unpleasantness about the waking-up part, except that after the BIG one they didn’t extubate me for a while (a few hours, maybe? I don’t remember) but I’d been warned about that ahead of time, thank God.

Imagine my surprise when, as an adult, I get put under and when I wake up I have nausea. Lots 'o nausea. Puking up green junk nausea. I was supposed to go home that afternoon but my mom, who was nursing me, flatly refused to take me home until I could at least keep liquids down. The first stuff they gave me didn’t work, but they tried another drug that knocked me even farther on my ass but did finally get rid of the dry heaves. Ohhh, that was horrible. I’m sorry it happened to you, but it’s not uncommon, I gather.

That must have been some knee surgery. My mom had knee surgery in the last couple of years but wasn’t put clear out for it, though thanks to the sedatives she doesn’t remember a thing about it.

When I was pretty little, I think in first grade I had a surgery to fix a “wandering eye”. I was put under general anesthesia and all. Now since they were operating on my eyes, when I woke up the dim lights above my bed blinded me. After I could see again, the hurling started. My whole family always has problems with anesthesia, and I was no exception. I do agree, dry heaves are horrible. I was vomiting so much and I felt so horrible, so I started to cry. Only I just had surgery on my eyes, so I cried blood. That horrified me even more, so I cried harder. What a horrible time. The whites of my eyes were blood red (literally) for like two weeks.

I’ve had general anesthesia several times, and each time it was actually better, which I attributed to improved medical techniques or drugs. I’m really surprised at the awful time you had. Have you asked your doctor if this is typical, or if perhaps you are especially sensitive to the particular anesthesia used? The convulsions, in particular, don’t seem normal to me. This could be important if you ever need surgery again. I’m sure there is more than one agent available.

In my first couple of surgeries, I had that awful swimming up from the depths feeling coming out of the anesthesia, but the last one was much better – I remembered the moments when I was getting the first dose, and the next thing I was simply awake.

Also, I’ve been told by people who are (unlike myself) medical professionals that the current thinking is to provide ample pain relief after surgery so that the patient is NOT in agony. Pain causes stress, which impedes healing. YMMV of course, and IANAD.

I’ve only ever had surgery once, and it was to remove my wisdom teeth. I came out of it just fine, and went shopping the next day. :slight_smile: I’ve learned that I have an oddly high threshold for pain. I had all four done at the same time, two bony impacted. Though I did have one odd side effect. My tongue turned green! I called my oral surgeon and he said it was a side effect of the anasthesia. I had never heard of that before, but he recommended getting a tongue scraper and it would eventually just go away. It did, but for a while there I had a green fuzzy tongue! Ewwww.

Hm, well once I get past dying on the operating table [I am sensitive to the drugs they use and my heart goes on vacation, since it is a known problem they are redy for it.] and the hypothermia [i wake up freezing my ass off, but now they know it happens i wake up in a heat blanket.] I don’t have much problems otherwise.

FWIW, last time through the chute, I fasted most of the previous week [lots of visits to radiology where i was bariumed in every available orifice, enema’d, mri’d and kittyscanned. I think they used everything on me because I was available as a teaching aid and a warm body. Got to love a military hospital where any patient is essentially co-optable as a training aid for corpsmen…] went in, got knocked out, and literally 7 minutes after they wheeled me into the recovery area popped fully awake and evesdropped on my corpsman’s conversation with the other patients corpsman about her trip to new orleans, so I opted to horn into the conversation and tell her several good resteraunts and touristy things to do. Since I was wide awake and coherent, they moved me back to the private room to finish recovery where mrAru was waiting with a 20 piece mcnugget, huge iced tea and fries. When the doctor wandered in 5 minutes later to tell me that when I could keep food down, and whizz on demand I could go home I was half way through the munchies, and had already pissed. Freaking barstids kept me for 4 hours because that is the minimum time the regulations there call for :mad:

Under the knife - lifetime total now is 9 general anasthetic operations, 1 under spinal combined with some extra stuff, and 4 under local for miscellaneous cuts and stuff.
:frowning:

MrO , thank you for sharing your experience. The next time the butchers want to assure me that chopping out part of the spine nature gave me is a “routine” procedure involving “adequate” painkillers, I’m going to read your post over, and over, and over. My experiences with so-called “pain management” have been almost as horrific as your own, and as disgusted as I am to hear how widespread the problem is, there’s also some cold comfort in knowing I’m not alone.

The Pit thread about surgeons that I’ve wanted to write but have been surpressing is threatening to come out again…

Hey MrO! :slight_smile:

You big wussy! I had surgery on my ankle when I was in high school… I torn a tendon in a horrible astronomy accident… but I was up and back to kick-boxing mere minutes after coming out of the anesthesia!

Pansy!
Seriously, though… dude! You crashed your scooter? Man, sorry to hear that! I’m glad that you’re (mostly) OK! Sounds like you had a really bad reaction to the anesthesia or some other medication, perhaps. I’m just guessing, here.

My surgery was fairly OK; I had a lot of pain afterwards, but nothing like what you describe. That sucks big time; I’m glad it went away, though.

Tell your wife I said “Annyong!!”

[sup]Send me an e-mail, man! Long time, no talk![/sup]

Doh! tore!!!

Dammit!

I blew out my knee skiing years ago and have since had several knee surgeries, all but one were general anesthesia to which I respond well, wake up fast and go home asap. For the last one my doc talked me into an epidural becasue he wanted me to move my leg during surgery so he could determine that he had adequately repaired the “kissing spurs” that had developed. Okay, even though my work has brought me in close contact with way too many misadventures in surgery and procedures involving the CNS, I agreed because in my head I knew the stats were on my side. Plus, those “kissing spurs” were a huge nuisance.

It involved a good amount of tourniquet time on the surgical leg. I even got to watch on TV so the surgery went fine and I kind of liked being awake. Problem occured when the non-surgical leg would not “wake up” after surgery. I could move the surgical leg without problem but the non-surgical leg continued to snooze soundly because it had gotten no tourniquet time and thus had been delivered much more anesthesia.

They finally decided to admit me. I begged to go home.

“Look, I’m a nurse. We all know what’s going on here. I promise to come back if anything changes.”

“You have one leg which is just post-op and one leg which is totally anesthesized. Plus you haven’t peed for us yet.”

“I can cath myself if I have to…come on give me a break…no pun intended.”

I spent the night in the hospital. When the night tech came to put me on the bedpan, I said, “Oh no, I don’t think I can do that.” She just laughed and said, “Sure you can.” Wham, bam and I’m on the pan.

:wally Nurses. We are the worst.

The surgery was a success. No more kissing going on in my knee. :wink:

Back in July I ruptured my Achillies tendon. More like it exploded, but anyway. I was under for approx. 2 hours, and am the proud owner of a 14" long incision/scar on the back of my leg(I am 6’5" and it goes from heel up to nearly the back of my knee).

I did have some of the effects you describe, chills, sweats, that “swimming” feeling, although not as bad. I mostly slept(If you can call it that) for the first 12 hours, but yeah, it was about what you describe, but not as bad. I attribute it to the drugs.

Seriously, I am not sure of the effects of anastesia but it has to be powerful to knock you out thru the massive trauma of being cut open, and you were under for a long time. After coming to I was on morphine drip/pca for 24hrs, then weaned onto Lortab, both of which are massively addictive. Go look up narcotic withdrawl symptoms and compare the effects, they are the same.

I am suprised they didn’t do more for the pain. I work in a hospital in a non-patient care role, and with no medical training(I am the network admin), and I still constantly hear how pain is bad and must be managed well in patients. I can’t count the number of times I have heard “Please rate your pain on a scale of one to ten, with one being none, and ten being the worst”(One nurse got really confused when I answered “pi”)

And as a side note from someone who is farther along in the process, when you are up and walking, keep an eye on your “good” leg too. I have a slight tear in my “good” achillies(great, here we go again) and a fair amount of knee pain on my non-injured leg from compensating and walking funny. Also, you’ll have a lot of rehab I am sure, as will I. I am finding out that the pain isn’t in rehab, it’s an hour or so after that. Also, “increasing the intesity/difficulty of the exercise” is PT/S&M speak for “this is gonna hurt tomorrow.”

Also, I almost forgot. Ace bandages rock, they will be your friend. They make these compress things that you can either throw in the freezer and use as a icepack, or toss in the microwave for a few secs and use as a heat. I have 4 or 5 now. And I bet I have 10 of their wraps.

Good luck man, I’m right there with you We’ll both get through the injuries and be better than ever, just gotta work through it.

Thank you for the responses, and I hope to see more. I didn’t really ask the doctor if my response was typical, because I was tired of hearing about how westerners don’t handle pain as well as Koreans do. (It is a very widespread and strongly held belief here. It may be true, but none of the people who told me that were suffering from a crushed knee.) About half the time when my blood pressure was checked, the nurse raised an eyebrow and said, “Not bad for a white guy.” I heard the same thing about my other vital stats. Many Koreans honestly, truly believe that they are superior, not only culturally but also physically, and I didn’t want to give anyone an opportunity to remind me of that.

The doctor did say that 5 hours is a kind of cut-off point. Less than 5 hours under is not so hard to recover from, but more than 5 pretty much means a rough time in recovery.

Astroboy, an astronomy accident? I guess astronomy is a more dangerous pursuit than I thought! Then again, I once hurt myself putting on a pair of socks.

Yes. In truth, astronomy is a fearsome endeavor… which explains why I didn’t go into it as a profession (well, either that or my lack of higher mental functions).

How to have an astronomy accident:

  1. Walk outside at night.
  2. Look up to see if the sky is clear so you can drag out the telescope.
  3. Step off a 36-inch-high porch while still looking up.
  4. Marvel at the sound of your tendon tearing in two. :eek:

You people have no experience of General Anesthetic :smiley: or surgery :rolleyes:
The following is an abbreviated spiel of an accident I had many years ago that I had to write for an incident recently at work…

On the 21st June, 1989, at approximately 0545, I was driving to Emu Plains train station to catch my normal morning train to work. I was struck from behind by a P-Plate driver and pushed into the path of an oncoming bread truck. The force of the blow from behind causing me to strike my head on the steering wheel, break a few teeth and also crush my chest against the steering wheel. The truck hitting the left side of my car caused my left humerous (upper arm) to snap and also resulted in 14 broken ribs, fractured sternum, crushed spleen, lacerated liver and various other internal injuries. According to the attending constable, I “died” in the accident.

Upon being transported to Nepean Hospital, I was admitted for Emergency Surgery. I cannot give an estimate of the time I was in, but I had 28 units of blood and 10 units of plasma transfused into me. I also “died” on the Operating table.

When I was put into Recovery, my parents saw me and commented, amongst other things, that I looked a bit blue. The doctors noted and decided to take me back in for more surgery. It was then found that I had a crushed spleen and all the blood they had transfused into me was leaking into my lung cavity and had caused my left lung to collapse. My spleen was removed and approximately 4 litres of jellified blood removed from my lung cavity. Again, I “died” on the Operating table.

I was placed in Intensive care and was in a coma for 10 days. Upon waking from the coma, I was on intravenous Morphine and also in traction (Stratford Cone Calipers, the application of which is the same as this) and I also had a cast on my left arm. For the next 30 days or so I was continually fed lessening doses of Morphine and higher doses of Pethidine (to wean me off the Morphine) and had a series of casts placed on my left arm until they settled for a pin (a Rush Nail to be exact.)

Upon being moved from Intensive Care to the General Ward, I was placed in a room by myself as I had contracted MRSA (Methicillin Resistant Staphylococcus Aureus - a form of Golden Staph) whilst in Intensive Care through one of the seven drainage tubes located in my body. The next 20 or so days were taken up with rehabilitation (learning how to walk properly again) and various other things (daily cleaning of my wound from the lung operation amongst them) and consultation with an Ophthalmologist as to the chances of recovery from diplopia (double-vision.)

Upon release from Hospital on 22nd August, I continually saw Specialists from the Hospital, a couple of different Dentists, a Maxillofacial Surgeon, a Chiropractor, and other specialists advised to me by the Chief Surgeon of Nepean Hospital.

Upon my return to work in February 1990, I was placed under the care of a Compensation Specialist and also an Occupational Health Nurse. Between them, they arranged for various measures to be put in place to ease me back into the work force.

:cool:

You should not have had to suffer like that without relief.

When I had my hysterectomy, my surgeon had promised me the good stuff so that I wouldn’t suffer needlessly. It was not forthcoming. They gave me something fairly mild and then a very bumpy ride to my room. I begged them to call the doctor’s office for something else, but they didn’t.

I finally told my husband to call his office and tell him that what they were giving me wasn’t enough. At that point they came through with what they should have given me to begin with. An angel with a beautiful face hovered over my bed long enough to give me a shot of synthetic heroin. (I think it was called delaudid or something like that.) Then whoever had been screaming stopped and people started smiling and I remembered my manners.

When I had the gastric by-pass, I think I was too near death to scream much. I was in intensive care the first night. By the next day I had one of those little buttons I could push for pain relief. It helped, but I still would have literally preferred death if I had not known that I was going to be a little bit better every day.

There are things worse than death and I can understand why people would beg to die.

You must ask your doctor about those convulsions. That’s something that you need to find out about, seriously.

Your account was perversely hysterical. Sorry to laugh so hard at your misery.

So what is your prognosis? And how are you doing now? Are you sure you didn’t get this knee injury while involved in some Liberal or Democratic activity? :wink: (I expect to go in for my bleeding heart any day now.)

Feel better soon!

Zoe’s post reminds me of another thing everyone should have when entering the hospital: A personal advocate. Someone who, like Zoe’s husband, will intervene on their behalf when necessary. When you’re by definition not well (otherwise wouldn’t be there), you often can’t get things done for yourself because you haven’t the energy or the mobility. Also as patients we often feel so vulnerable and dependent, and we want the people taking care of us to not be angry with us. Whereas an advocate can piss people off all day if need be, call the doctors, the patient representatives, the head nurse on duty, whoever. Or stand around at the nurses’ station being insistant.

Just curious what surgery you had which entailed “chopping out part of the spine.” My mom is having spinal surgery tomorrow, and they are removing a part of her vertebrae. Wondering if you had the same thing.

No need to apologize for laughing–I’m trying to do that myself. It helps keep this in perspective. I do realize that on the radar screen of suffering, this episode hardly raises a blip.

Now I’m resting at home, not exactly comfortably, but gradually getting better. I can make it from the couch to the bathroom on crutches before the swelling forces me to elevate the leg again. The doc says that I will walk again soon enough. I’ll start some sort of therapy late this month, and I should be hobbling around with a cane by mid-December. Too early to tell whether the cane will be permanent, but if so, what the heck. I can keep my students in line by brandishing it at them.

Oh, and the injury was not sustained while engaged in any subversive behavior. Funny, when I was a young long-haired freak with a big motorcycle, I was always pretty lucky. Now I’m an old fart with gray hair and a briefcase, going to class on a 125cc scooter, and I end up crippled.

Thanks for the good wishes!