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Old 11-26-2012, 06:58 PM
NerPain4 NerPain4 is offline
Junior Member
 
Join Date: Mar 2010
Location: Pacific NW
Posts: 37
10 yr Member
NerPain4 NerPain4 is offline
Junior Member
 
Join Date: Mar 2010
Location: Pacific NW
Posts: 37
10 yr Member
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Quote:
Originally Posted by LiveLoveandTrust View Post
Hello everyone, I'm looking forward to getting to know ya'll! I thought I'd share my story and ask a few questions.

The whole big mess started my Junior year in high school in 2003....That is until 2008 when I had an acute bout of pain in my left shoulder. I freaked thinking I messed up my shoulder but I was told by my PCP that it was just bursitis and I was sent to PT. 6 weeks into PT I was still in the same amount of pain until one day when I woke up and it was just gone....
Now this is where I'm most frustrated because it was never really explained to me at this point what TOS was and how serious/progressive it could be. I was sent to a neuromuscular physical therapist which didn't work and I just dropped it because no one seemed to think it was that big a deal. I dealt with the pain with my flexeril and tramadol which didn't need to be used all too often until I realized that I wasn't really having good days anymore and my bad days had gone from being around a 4 on the pain scale to about an 8. I was sent for an MRI of my neck; this was now in summer 2012...wow, really? .... Yet ANOTHER orthopedic. ...I went to the new orthopedic ...
Of course, he sent me to a Vascular Surgeon who does not diagnose TOS so I ended up seeing a different one. The first time I went down to his office (over an hour away) he was stuck in surgery and I was seen by a medical student and a PA. They took half a medical history and told me that bilateral TOS symptoms didn't happen so I probably didn't have it but to feel free to come back again. The medical student told me that it was all in my head.
I did come back. I was seen first by the medical resident who said I didn't have TOS because I was not losing my pulse but when the doctor came in he stated that the resident did it wrong and I clearly did. I now have an appointment to see the Thoracic surgeon that will be doing the surgery with the Vascular surgeon and they will schedule a first rib resection and scalenectomy in January. I've been told there is involvement of the artery, vein and nerve.
So FINALLY I have my answer. It took years because of my other medical issues but they finally got it. The weakness, fatigue, loss of dexterity, the pain and the numbness will with any luck be a thing of the past.
What I want to know is about your experiences with surgery. I've read past threads but there are a few things I would really like to know.

Secondly, can you share what medications you were taking both in the hospital and upon discharge? I am currently a lactating mom and I need to be able to research when/if it will be safe to give my baby my milk.

Thirdly, what can I expect pain-wise and function wise week by week? Specifically, how able will I be to pump breastmilk? Shower? When will I be able to hold my baby (she'll be 15 months old by surgery time)? How much sleep will my body crave? I need to know these things so I can plan to have help for my significant other. He and my mother will be able to be with me at all times but they will need breaks too I'm sure. I know it will be exhausting to watch after both me and my daughter so I want to make sure I schedule other people for breaks but I was wondering how far out to do this.
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Congratulations, you made it through the "TOS doctor shuffle"! Depending on the severity and presentation of one's symptoms, patients can be passed from doctor to doctor without a clear diagnosis for a long time.

You can improve your own experience with this by reading up on TOS as much as you can and focusing on just the "diagnostic" doctor visits, that trims down the extra history that each subsequent doctor has to review.

If you are currently nursing it may not be a good idea to have your surgery right now for the health of your baby. Sometimes after surgery your arms and hands are extremely weak and you may not be able to pick up and hold your baby easily. I had severe functional difficulties and my surgical side was basically limp for 3-4 months after my surgery but my experience is not typical. Patients recover at various rates and there could be nerve bruising so you could be back to normal in 2 months or 2 years.

I'm not sure how long you are planning on nursing, as that is a very personal question, but if your TOS surgery is not urgent, perhaps you could plan the surgery for after you stop nursing.

The medications that you will be on are very strong pain medications, Opiates and Nerve pain meds. I think I was on over 7 or 8 medications. Please feel free to PM me if you want some examples.

Good luck and take care with your decision! TOS surgery is not something to take lightly as it could be very life-changing. It could also be very life-improving and your baby will hopefully help you cope in a positive way!
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