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- Mar 10, 2007
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Feeling a little lonely tonight and thought I'd reach out to my fellow SDN'ers. I was just wondering who else out there is struggling with significant health issues while in vet school and might be interested in talking some.
To start with, I am proud that I made it through this past school year after having to take time off for other health issues that are only mostly under control to this day, so making it through vet school with health problems is not new to me, it just seems like it keeps getting more complicated. I hope this is not too long-winded.
Since the end of 2011, I have been dealing with low back pain with radicular pain, paresthesias, and partial loss of sensation with extra clumsiness due to crappy proprioception. Except for modest improvement with the highest dose of Celebrex, it didn't respond to conservative therapy, and I had an MRI at the end of the school year that showed a large cyst (first MRI said arachnoid, repeat imaging said perineural originating around right S1 and growing back across midline) between L5 and S3 that was pushing on nerve roots and causing remodeling of the sacral canal, as well as spondylolisthesis at L5-S1 (which I knew about before) with severe disc degeneration and protrusion into the central canal. This summer, while waiting for a neurosurgery consult, things deteriorated to where I was basically not functional and making minimal progress on my summer research project - standing still caused pain and loss of sensation, trying to sit at a desk caused all of the above plus paresthesias, so basically I was left with lying down, reclining with my feet up, or gently walking around (which would still cause pain after a while). I couldn't even drive for more than about 20 minutes, even on 400 mg Celebrex and 4g Tylenol per day, I wasn't sleeping much, and I think the combination was contributing to a worsening of my preexisting depression.
At the end of the first week of July, I started developing mild/early/partial symptoms of cauda equina syndrome. After a couple days of pretending they were transient, a friend/mentor verbally beat me over the head a bit for being stupid and I went to the ED. They admitted me and I had my surgery the next week. Surgery took more than 9 hours and consisted of removing the cyst, removing the degenerated disc, realigning L5 and S1, and fusing L5/S1 both anteriorly and posteriorly. I was in the ICU for 3 days in an opioid fog, then in the hospital for another 4 days before the worst of the postop pain was controlled and I was able to keep food down. I have decided that, should I ever decide to get inked, the first tattoo would be next to one of my giant midline incisions saying, "no user serviceable parts inside."
So, surgery was 3 weeks ago to the day and I'm sitting here at home recuperating and trying to deal with the pain. The R S1 nerve root that was most encased in the cyst is still royally peeved about the whole thing and I basically have minimally controlled neuropathic pain despite a number of drugs. I toss and turn at night, the pain takes my breath away frequently during the day to the point of tearing up and cursing (out and out crying hurts when you've been split open front and back), and I have to take more drugs once or twice a night. Opioids are crappy for neuropathic pain, so the giant pile of hydrocodone they gave me (I refused to continue the MS Contin they were giving me in the hospital because I was tired of feeling sick to my stomach all the time and ralphing periodically) basically takes just the worst edge off this pain - the contrast is striking in that it worked fabulously for the initial incision/tissue trauma pain - and helps me be doped up enough that I can sleep and lie around the house despite the pain. I am on a fistful of stuff, the last drug that they tried to start me on (tramadol) was all but nixed by the pharmacist until I talk to my other doctors (who are hard to get a hold of) about the drug interactions, I hurt, and I'm not very functional.
I am very fortunate that my parents were able to pick up their work and fly across the country to be with me for my surgery and rehab. I guess it really is amazing that I am as functional as I am currently, given what I went through not that long ago - neurosurgery is some crazy stuff, and they did some serious furniture rearrangement WRT my spine. Because it's critical that I achieve a bony fusion to replace the function of the implants, I have to pretty much baby my back for a few months, including not bending over or lifting and not really interacting with unrestrained animals that might knock me down, pull on me, or slam me into the wall. Putting on my socks by myself and walking around the block with my walker is still a major achievement. Class starts in 10 days and I'm having trouble seeing how I'm going to survive being dumped right off the deep end into cardio. I don't have much choice, so I'll give it my best shot and will probably pass and do OK, but it seems like a daunting task to be rehabilitating from major surgery while doing vet school, and I still have a white paper to write to earn my summer stipend...
So, what are your stories?
To start with, I am proud that I made it through this past school year after having to take time off for other health issues that are only mostly under control to this day, so making it through vet school with health problems is not new to me, it just seems like it keeps getting more complicated. I hope this is not too long-winded.
Since the end of 2011, I have been dealing with low back pain with radicular pain, paresthesias, and partial loss of sensation with extra clumsiness due to crappy proprioception. Except for modest improvement with the highest dose of Celebrex, it didn't respond to conservative therapy, and I had an MRI at the end of the school year that showed a large cyst (first MRI said arachnoid, repeat imaging said perineural originating around right S1 and growing back across midline) between L5 and S3 that was pushing on nerve roots and causing remodeling of the sacral canal, as well as spondylolisthesis at L5-S1 (which I knew about before) with severe disc degeneration and protrusion into the central canal. This summer, while waiting for a neurosurgery consult, things deteriorated to where I was basically not functional and making minimal progress on my summer research project - standing still caused pain and loss of sensation, trying to sit at a desk caused all of the above plus paresthesias, so basically I was left with lying down, reclining with my feet up, or gently walking around (which would still cause pain after a while). I couldn't even drive for more than about 20 minutes, even on 400 mg Celebrex and 4g Tylenol per day, I wasn't sleeping much, and I think the combination was contributing to a worsening of my preexisting depression.
At the end of the first week of July, I started developing mild/early/partial symptoms of cauda equina syndrome. After a couple days of pretending they were transient, a friend/mentor verbally beat me over the head a bit for being stupid and I went to the ED. They admitted me and I had my surgery the next week. Surgery took more than 9 hours and consisted of removing the cyst, removing the degenerated disc, realigning L5 and S1, and fusing L5/S1 both anteriorly and posteriorly. I was in the ICU for 3 days in an opioid fog, then in the hospital for another 4 days before the worst of the postop pain was controlled and I was able to keep food down. I have decided that, should I ever decide to get inked, the first tattoo would be next to one of my giant midline incisions saying, "no user serviceable parts inside."
So, surgery was 3 weeks ago to the day and I'm sitting here at home recuperating and trying to deal with the pain. The R S1 nerve root that was most encased in the cyst is still royally peeved about the whole thing and I basically have minimally controlled neuropathic pain despite a number of drugs. I toss and turn at night, the pain takes my breath away frequently during the day to the point of tearing up and cursing (out and out crying hurts when you've been split open front and back), and I have to take more drugs once or twice a night. Opioids are crappy for neuropathic pain, so the giant pile of hydrocodone they gave me (I refused to continue the MS Contin they were giving me in the hospital because I was tired of feeling sick to my stomach all the time and ralphing periodically) basically takes just the worst edge off this pain - the contrast is striking in that it worked fabulously for the initial incision/tissue trauma pain - and helps me be doped up enough that I can sleep and lie around the house despite the pain. I am on a fistful of stuff, the last drug that they tried to start me on (tramadol) was all but nixed by the pharmacist until I talk to my other doctors (who are hard to get a hold of) about the drug interactions, I hurt, and I'm not very functional.
I am very fortunate that my parents were able to pick up their work and fly across the country to be with me for my surgery and rehab. I guess it really is amazing that I am as functional as I am currently, given what I went through not that long ago - neurosurgery is some crazy stuff, and they did some serious furniture rearrangement WRT my spine. Because it's critical that I achieve a bony fusion to replace the function of the implants, I have to pretty much baby my back for a few months, including not bending over or lifting and not really interacting with unrestrained animals that might knock me down, pull on me, or slam me into the wall. Putting on my socks by myself and walking around the block with my walker is still a major achievement. Class starts in 10 days and I'm having trouble seeing how I'm going to survive being dumped right off the deep end into cardio. I don't have much choice, so I'll give it my best shot and will probably pass and do OK, but it seems like a daunting task to be rehabilitating from major surgery while doing vet school, and I still have a white paper to write to earn my summer stipend...
So, what are your stories?