{"id":312,"date":"2007-03-21T02:33:57","date_gmt":"2007-03-20T21:03:57","guid":{"rendered":"http:\/\/naveen.bachwani.com\/blog\/2007\/03\/21\/anatomy-of-a-surgery-part-1\/"},"modified":"2023-03-23T14:00:13","modified_gmt":"2023-03-23T08:30:13","slug":"anatomy-of-a-surgery-part-1","status":"publish","type":"post","link":"https:\/\/naveen.bachwani.com\/greymatter\/2007\/03\/anatomy-of-a-surgery-part-1\/","title":{"rendered":"Anatomy of a Surgery &#8211; Part 1"},"content":{"rendered":"<blockquote><p><span class=\"sizeLess20\">This post is not meant to discourage any one from opting from surgery.\u00a0 I believe that surgery may be the only viable option, in some cases.\u00a0 However, I also believe that, whichever course of treatment one chooses, one should be fully aware of what it entails and be pyschologically prepared to handle it.\u00a0 <\/span><\/p>\n<p><span class=\"sizeLess20\">This post is meant to offer a perspective of what <em>my <\/em>operation involved.\u00a0 Your own experience may be different.<\/span><\/p><\/blockquote>\n<p><strong><br \/>\nHow It All Began<\/strong><\/p>\n<p>It\u2019s been a while since my last post.\u00a0 More than a month, actually. The reason for my extended absence was a particularly herniated lumbar disc, L5-S1 to be precise.<\/p>\n<p>Initially, things weren\u2019t so bad.\u00a0 It started with some pain in my calf which was diagnosed as \u201c<em>referred pain<\/em>\u201d.\u00a0 The name was tame, but the pain was not.\u00a0 It kept getting worse, until I could move no more.\u00a0 Inspite of aggressive treatment and multiple episodes of bed-rest, my L5-S1 disc refused to heal.\u00a0 After the pain recurred twice in three months, it was decided that the only recourse was that it be surgically removed.<\/p>\n<p>According to the orthopedic surgeons I consulted, an operation performed to remove a herniated\/ruptured\/prolapsed disc was \u201crelatively commonplace\u201d in the world of orthopedic surgery.\u00a0 The technical term for the procedure was a <em>micro-discectomy<\/em> combined with a <em>laminectomy<\/em>.\u00a0 It was a major surgery, but nothing to worry about.\u00a0 If all went well, the operation would last a \u201ccouple of hours, and in a few days, I would be on my feet again!\u201d<\/p>\n<p>So I came home, armed with the inputs of doctors reputed in their field of expertise, and started researching the subject for myself.\u00a0 I learned of websites like <a href=\"http:\/\/www.back.com\/\" target=\"_blank\" rel=\"noopener\">Back.com<\/a> and <a href=\"http:\/\/www.spine-surgery.com\/\" target=\"_blank\" rel=\"noopener\">Spine-Surgery.com<\/a>.\u00a0 I learned of a machine in Staten Island, New York (DRX9000) which simulated a zero-gravity experience to perform spinal decompression <em>without<\/em> surgery.\u00a0 I found that there were a number of alternatives to surgery, and that, in most cases, a ruptured disc heals if you give it a chance to.\u00a0 But there were no way to know for sure, what was recommended in my particular case, except consult a good orthopedic with an MRI scan.<\/p>\n<p>I also discovered, to my horror, that there was practically no information on the World Wide Web on patients\u2019 post-operative experience.\u00a0 There were, however, many many stories of how some patients had benefitted tremendously by opting for surgery, and others had saved themselves considerable expense and risk by avoiding surgery and choosing more conservative options.\u00a0 Again, this was of little help to me, and only added to the confusion.<\/p>\n<p>The more people I consulted &#8211; both, doctors and wellwishers &#8211; the more confusing it became to decide.\u00a0 Finally, I had to take a call.\u00a0 So, I consulted one last doctor &#8211; someone who had a reputation of <em>not<\/em> recommending surgery unless absolutely necessary.\u00a0 One look at my MRI and he concluded that the extent of rupture in my case was more than 80% and not treatable, except with surgery.\u00a0 The decision was made.<\/p>\n<p><strong>To The Hospital<\/strong><\/p>\n<p>The visit to the hospital was a strange experience &#8211; almost surreal.\u00a0 I was walking about (with some pain). but otherwise, relatively healthy.\u00a0 There was no emergency at hand.\u00a0 I could choose a time convenient to me, hop into my car and get driven to the hospital, enjoying the scenery on the way (as opposed to lying on a stretcher, in an ambulance, unconscious).\u00a0 We \u201cchecked-in\u201d to a private room by evening and waited for the action to begin.\u00a0 My biggest complaint at this time : The TV in the room had no cable channels and only aired the free-to-air national programs!<\/p>\n<p>I will spare readers the painful details, but highlight most of the key elements of my experience.\u00a0 It began with a <em>catheter<\/em> &#8211; a life-saving device that is meant to help you pee without needing to get out of bed.\u00a0 This would help me tomorrow, when the surgery was over.\u00a0 Suffice it to say, that its insertion, and the hours that followed (till the next morning), were the most uncomfortable and among the most painful, I have ever encountered.\u00a0 Now, for the first time, I was beginning to get apprehensive about the operation.<\/p>\n<p>Next morning, 7 a.m., it was time to be wheeled into the Operation Theatre.\u00a0 My wife and mother were terrified, and my mother-in-law was nervous as hell.\u00a0 But, I was about to discover that the operation itself would be the <em>least<\/em> of my problems.<\/p>\n<p>I was taken on a gurney to the first floor where the OT was located.\u00a0 There, a kind anaesthesiologist spoke to me and explained that she would be injecting me with a drug that would let me fall asleep and, when I wake up, it would all be over.\u00a0 And <em>that\u2019s<\/em> how it was.<\/p>\n<p>I have NO idea what happened after that.\u00a0 The injection is all I remember.\u00a0 When I woke up, four hours had transpired (instead of the promised two), and I was being wheeled out of an \u201cObservation Room\u201d where I was lying for 45 minutes or so, post surgery.\u00a0 I was all bandaged-up on my lower back, and could not move at all.\u00a0 But, it was good to be alive and back in the conscious world!<\/p>\n<p style=\"text-align: right;\" align=\"right\"><em>Continued in <a href=\"http:\/\/naveen.bachwani.com\/greymatter\/2007\/03\/anatomy-of-a-surgery-part-2\/\">Part 2\u2026<\/a> <\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Initially, things weren&#8217;t so bad.  It started with some pain in my calf which was diagnosed as &#8220;referred pain&#8221;.  The name was tame, but the pain was not.  It kept getting worse, until I could move no more.  Inspite of aggressive treatment and multiple episodes of bed-rest, my L5-S1 disc refused to heal.  After the pain recurred twice in three months, it was decided that the only recourse was that it be surgically removed&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[1,20],"tags":[7],"class_list":["post-312","post","type-post","status-publish","format-standard","hentry","category-blog","category-personal","tag-life"],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/naveen.bachwani.com\/greymatter\/wp-json\/wp\/v2\/posts\/312","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/naveen.bachwani.com\/greymatter\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/naveen.bachwani.com\/greymatter\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/naveen.bachwani.com\/greymatter\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/naveen.bachwani.com\/greymatter\/wp-json\/wp\/v2\/comments?post=312"}],"version-history":[{"count":2,"href":"https:\/\/naveen.bachwani.com\/greymatter\/wp-json\/wp\/v2\/posts\/312\/revisions"}],"predecessor-version":[{"id":3905,"href":"https:\/\/naveen.bachwani.com\/greymatter\/wp-json\/wp\/v2\/posts\/312\/revisions\/3905"}],"wp:attachment":[{"href":"https:\/\/naveen.bachwani.com\/greymatter\/wp-json\/wp\/v2\/media?parent=312"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/naveen.bachwani.com\/greymatter\/wp-json\/wp\/v2\/categories?post=312"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/naveen.bachwani.com\/greymatter\/wp-json\/wp\/v2\/tags?post=312"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}