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John Neslen



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PostSubject: A tough and scary decision to make   September 13th 2016, 4:22 pm

Since many of us on this site know what the so called "Golden Years" mean, is there anyone who has had an Anterior Lumbar Interbody Fusion or know someone who has?  L2&3 are behind the kidneys which adds another mark in the high risk column.  It is not an easy choice to make and has my wife worried more than I and I don't know what to do.

John
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PostSubject: Re: A tough and scary decision to make   September 13th 2016, 5:35 pm

Does it have to be done John? I was told I need it in another area than you and I just deal with it.

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PostSubject: Re: A tough and scary decision to make   September 13th 2016, 5:59 pm

I would travel to Spokane, Boise, etc. or farther and see what a renowned specialist or two say.

The Orthopedists around here are all butchers but 75 miles away there is a group with a good track record. It may be the same near you.

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PostSubject: Re: A tough and scary decision to make   September 13th 2016, 6:35 pm

John, I got no knowledge here, only love and good thoughts.

Don't buy the first surgeon's advice if serious. Get a second and 
third opinion. They won't care if you do... If they are honest. Keep 
'em honest and know what you are buying. Even the best play the averages.

I can tell you I have regretted some medical 'Help' in the past. Not all. 
Most works. Some? They seemed like BS. Miracles do happen.

Pray. Talk with loved ones honestly... (I know you shield your wife) and 
make the call you feel best with. 

That is all we can do. We will trust you and your choice. We will do what we 
can to hold you up.

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PostSubject: Re: A tough and scary decision to make   September 13th 2016, 7:24 pm

John

Providence hospitals and medical groups in Spokane have some of the top arthropods/neurologist around the region. Clair works for a doc here in CdA and did all the referrals for my two orthopedic surgeries this past spring. Email me as many of the details or concerns and lets see if we can't help alleviate concerns.

Doug

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PostSubject: Re: A tough and scary decision to make   September 13th 2016, 9:15 pm

I haven't had to deal with back problems, John, but I support the opinions here about getting a second opinion.
When I was told that I need an aortic valve replacement, I sought a second opinion. The second cardiologist gave the same diagnosis as the first. That gave me the confidence to go ahead with the surgery.
I wish you all the best with the decision you make.
Ron

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PostSubject: Re: A tough and scary decision to make   September 14th 2016, 6:49 am

How bad does it hurt John? Can you live with it? I've heard about so many back operations that ended up worse. I can never let anyone cut my back open.

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John Neslen



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PostSubject: Re: A tough and scary decision to make   September 14th 2016, 8:24 am

Thanks everyone. No time to respond now as I am getting ready for a four hour drive to see a doc, spend the night, see another doc on Thursday and then head for home. More later.

John
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PostSubject: Re: A tough and scary decision to make   September 14th 2016, 12:02 pm

Good luck and I wish you well. I know you'll make the right decision.

Ray................

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John Neslen



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PostSubject: Re: A tough and scary decision to make   September 17th 2016, 5:04 pm

At this time I am lost in what to say/type. I seem to get overwhelmed and go blank when trying digest all the information and stats given by both doctors. I need to think on this and will post more in a few days.

John
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PostSubject: Re: A tough and scary decision to make   September 17th 2016, 6:37 pm

Prayers for you and your family
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PostSubject: Re: A tough and scary decision to make   September 18th 2016, 12:13 pm

@John Neslen wrote:
At this time I am lost in what to say/type. I seem to get overwhelmed and go blank when trying digest all the information and stats given by both doctors. I need to think on this and will post more in a few days.

John

Research it on the internet. See what Mayo Clinic has to say about the procedure.

http://www.mayoclinic.org/diseases-conditions/back-pain/basics/causes/con-20020797

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John Neslen



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PostSubject: Re: A tough and scary decision to make   September 23rd 2016, 5:09 pm

Thanks for the prayers and thoughts.

 I will try and make answers short.

Muley......yep, it hurts like hell and that is why I have pretty much been house bound for about three years. However the pain is much less now that I have been on methadone for 45 days and I can even get out and do a little work. But the pain management doc said he cannot keep giving me pain meds if surgery will cure pain.

KC and RonC......the two surgeons that would do the procedure are the third and fourth opinions in three years.

The odds of surgery eliminating pain are 50/50, is high risk for infection, survival rate is 99/100 meaning one life is lost per 100 procedures.

I would rather keep taking methadone than risk my life with the given odds. Both docs said it could always be done later if meds did not control pain. They were up front about the risks and were concerned about my well being.

My pain med doc is to read both surgeons reports by next Tuesday and get back to me. Until then I am in a holding pattern.

My wife has built me blinds in two of our upper irrigated fields where a nice buck antelope has been visiting with his harem. The season opens day after tomorrow so I will be reading westerns while waiting for him to get in range of my .58 ca 1841.

John
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PostSubject: Re: A tough and scary decision to make   September 23rd 2016, 6:19 pm

John

looks like you've got a plan and a plan at least is hopeful.........can't wait to see you and that big buck........hopefully you're bride will share in the glory (photo) for building the blinds...what an awesome help mate!!!!!!

t up

Praying for your continued healing and the docs will have the wisdom how to proceed!

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PostSubject: Re: A tough and scary decision to make   September 23rd 2016, 7:12 pm

Ok, if you need those kind of meds to just get out you need to do something. I can handle a lot of pain, but there is a limit when it just wears you down after awhile.

Do what you have to do. Only you know what you can take. 50/50 are bad odds, but you have 0/0 odds now.

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PostSubject: Re: A tough and scary decision to make   September 23rd 2016, 9:50 pm

My Dad refused a hip replacement for years because a neighbor 
had one and died due to complications. (Think decades)

It did not matter to him that he did not know the details of the health of the man... 
or, that surgical technique has advanced well beyond those days. 

I never pushed. I should have. 

He is now nearly an invalid. When he gets out of bed, there is a great physical cost. 
He is nearly always in pain.

Now, it is way too late for surgery to be of help. 

I offer this in way of a hind-sight 20/20. Do what is right for you, but know there is 
going to be a cost no matter which path you choose. I would choose the one that 
offered relief and better days. For me... You may have a different priority.

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PostSubject: Re: A tough and scary decision to make   September 24th 2016, 8:08 am

KC............I also need a hip replacement. I take this and it really helps. I just have to be careful doing any steep climbs when hunting. I use to scout for the best hunting area. Now I scout for best flat hunting area. No such thing as flat for elk hunting, but I try to find not flat, but not steep areas.

Take a look. I take 6 a day.

http://mendamine.com/order-now/

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PostSubject: Re: A tough and scary decision to make   September 24th 2016, 8:25 am

My surgery had a mortality rate of 4% (96% survival). On researching it, I found that most of the mortality was due to people who were very ill to start with.
The results of not doing the surgery are dramatically different. In my case, the mortality rate of not correcting the problem was 50% in one year and 80% in 2. Yours is a issue of pain if the work is not done.
Before making any conclusions, I would do some internet research on who the 1% are in the mortality data with the proposed operations.
Ro

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PostSubject: Re: A tough and scary decision to make   September 24th 2016, 11:02 am

After my catheterization the cardiologist told me I had blockages of 100%, 95%, and 70%. My response was, "Can we do the surgery this afternoon?" They made me wait 4 days but I wanted it done right away.
My chances of success weren't 50/50 though. Those are crappy odds in my opinion especially with an orthopedist. There are disadvantages both ways. It's an individual decision that only the potential patient can make.

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PostSubject: Re: A tough and scary decision to make   September 24th 2016, 12:25 pm

@patocazador wrote:
 There are disadvantages both ways. It's an individual decision that only the potential patient can make.

Very true.

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