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Surgery (Read 6966 times)
Erinmom2
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Mom to Malachi Moyamoya
surgery on June 28th
2010.

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Surgery
May 12th, 2010 at 9:36am
 
My son will be having his surgery with Dr. Scott in Boston on June 29th. His dad and I are terrified and have no idea what to expect. Any advice, tips or previous experience would be extremely helpful.

Thanks guys!!!
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Becky
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Stroke10/03, Diagnosed6/04,
Unilateral Surgery9/04

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Re: Surgery
Reply #1 - May 12th, 2010 at 12:26pm
 
Erinmom2,
Dr. Scott is one of the best. I did not have my surgery with him but from what i have heard.

What to expect: He will be exauseded and very sore the first two days. Recovery time varys from perso to person. I was in the hospital for 4 days (i think) then it took me another week to want to do simple choors and I got exauseded alot. Then about a month beofre I went back to work full time.

Let him take his time doing things and let him explore his new limits. be there for him and let him know it is ok if he needs to take frequent naps.

When you stay strong it will feed his recovery ability knowing he is safe to be extra crabby or extra tiered. That you understand this is hard and he is recovering.

I hope this helps.
If you have spacific questions please ask too.
Becky

PS I will pray for a speedy recovery.
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What doesn't kill us, makes us stronger. And sometimes leaves a cool looking scar.     STA-MCA bypass and EMS Surgeries done at same time at the Mayo clinic
 
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Mayhem
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Re: Surgery
Reply #2 - May 12th, 2010 at 9:42pm
 
Young folks recovery is faster than us old geezers. I was 36 when I had my first surgery and felt as if I had been run over by a truck for the first day afterwards. I had an incredible headache, to be expected since they were noodling around in my head, but that actually diminished as that first recovery day wore on. In four days I was out of hospital but took a few weeks to get back to where I was prior to surgery, as far as getting tired etc. Make sure he drinks plenty of water.
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Little Luca
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Re: Surgery
Reply #3 - May 13th, 2010 at 3:45am
 
Hi Erinmom2

The actual day of the surgery is going to be long, very long. Waiting for Malachi to get through the procedure is not fun. If there is something you can bring along to try take your mind off it, bring it. Personally, I paced the corridor all day.

If all goes according to plan, he will probably spend one night in PICU before being moved to the ward where he'll spend about 5 days recovering. Have a bottle of his favourite juice (or milk) ready for him when he comes around from surgery, although they might ask you to hold back until they are sure he won't just throw it back up.

The swelling of his face can be quite frightening, but will go down after a few days. Lots and lots of rest.

If I think of anything else, you'll be the first to know.

Good luck and stay strong. Malachi will draw strength from you.

Mark (Luca's Dad)
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1st stroke in September 2008, age 10 months
Bi-lateral mm diagnosis
2nd stroke in November 2008, age 1 year old
Left side surgery in December 2008
13 years on now
Doing just great!
 
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tammy66
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Re: Surgery
Reply #4 - May 13th, 2010 at 11:16am
 
My daughter had surgery in Boston on March 30th.  Dr. Scott and DR. Smith did a pial syna. on both sides.  We had the surgery planned since January, so everyday was hard thinking about what was going to happen.  So I can tell you a little on what to expect:   He will probably be admitted the day before.  We went to admissions,  signed in,  then got taken to the neuro floor.  The nurses and staff were friendly and all have knowledge on MM.  It's their routine because they see MM patients every day.  Most likely he will be sharing a room with another patient.  They will all come in and ask all the history questions (same story you'll have to give to a few people) so they can get it documented.  They should orient you to the floor and staff and what to expect.  Then he will be given an iv for IV Fluids.  Nothing to eat after midnight.  We met DR. SMITH in the evening and he talked with us for over an hour to discuss surgery, questions or concerns.  The day of surgery was rough.  They came around 7am, took Amanda to Operating area in her bed.  First they got her ready for eeg monitor. She watched tv during this, we met all of the team, surgeons, radiologist, anesthesiologist, nurses, aides, techs.  Everyone was nice, it just went really fast.  My other family members were taken to the waiting room to wait for us.  Then they gave her some "sleepy" medicine but told us to talk to her before she gets it because it works right away.  We told her we love her, they gave the medicine and right away she start falling asleep.  They took her to OR and that was rough!  Then you go to waiting area and sign in, the nurses there inform you about every hour with an update.  Dr. Scott came out after he was done with the first side and explained how it went (just like he said he would) he is very, very nice and tells you everything.  Then he explained what would happen next and DR. Smith came out when it was all done 3 hours later.  He did the same.  We had to wait 15minutes or so, then go up to ICU area.  They want to get the patient cleaned up and situated before you come in to see them.   Now this was the hardest part for me.  When I went into see Amanda laying in ICU with all the monitors and how she looked, it was hard.  We got through it though.  The only thing I would do different is made sure she was getting pain meds.  I assumed she was getting morphine every 4-6hours.  She only had it a couple times the first night and I think her recovery would of went smoother if I had her get it more.  She did pretty well though, it was amazing to see how strong and resilient my 8year old daughter handled what was thrown at her.  She slept most of the first night,  she was in pain.  She wouldn't move her head.  She was afraid when they got her up out of bed the next day.  They give steroids, nausea meds, and antibiotics post surgery.  Neuro checks are around the clock (and they should be).  Foley catheter comes out next day in ICU.  The IVF continue all the way up to discharge.  Amanda was nauseated but did not throw up.  She drank pretty good in the icu and started jello there too.  We went back to the Neuro floor in the same bed evening of next day and stayed there until d/c.  We got admitted on Monday and d/c on Saturday morning.  She had physical therapy for assist with walking and head/neck exercising.  The main thing was keeping her hydrated and tolerate eating ,  she wanted to stay in the room a lot.  Her big issue was really her spirit.  She was very depressed in the hospital, cried a lot and seemed very angry, mainly at me.  It was hard to see her like that, but she fought through it and she is back to herself!  I love her so much and am so proud of how strong she is.  She did get very swollen on the 2nd and third day but never black n blue under eyes.  It was hard seeing her look so different also.  Suggestion:  get involved with the play room and staff there, they can help if your son should get depressed or discourgaged,  I wish I would of done that sooner than the last day.  Take him out to the garden area, it was so pretty.  You will get through this,  right now it seems hard to think of where you will be 2 months from now, but have faith and just be strong for your son and take care of yourself so you can take care of him. 
I will pray for all of you and your family.  You are in very good hands with DR SCOTT!
TAmmy,  Amanda's mom
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Erinmom2
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Mom to Malachi Moyamoya
surgery on June 28th
2010.

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Illinois
Re: Surgery
Reply #5 - May 14th, 2010 at 8:04pm
 
How long was the surgery itself? I am worried because Malachi also has Down syndrome and can not communicate yet (hes not even 2). My fear is that he will be in pain and I'm not going to know it. Im also worried because Malachi isn't a juice or water drinker. He likes his soy milk and thats it. Would you suggest I work on getting him to drink juice/water?

So many questions.
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azhurds
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Re: Surgery
Reply #6 - May 15th, 2010 at 12:02am
 
Hi,

I'm new to the group and my daughter has not had the surgery but I would like to reply to your question about knowing when your son is in pain.  My daughter who just turned 3 also has down syndrome and she can not talk.  She can say a few words but communication is hard with her. As a parent you will know when your child is in pain, it is a gut feeling.  Also looks for signs such a being restless, crying or fussy.  Even things such has not wanting to open eyes or not wanting to eat or drink.  Also I would do what someone else suggested and I thought this was a great tip was you keep track of when the nurse gives your son the pain medication.   

Take care,
Tish
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tammy66
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Re: Surgery
Reply #7 - May 15th, 2010 at 9:31pm
 
I hope my story about surgery didn't make you more frightened because it wasn't meant to.  It's true that you'll be able to tell when your son is in pain.  Just watch for the cues and  just ask the nurse when he last had pain medicine.  He might not even need it around the clock.  I would just say make sure he gets something at bedtime and  when you think he is not acting right (restless, crying, tense facial expressions, sweating).  The nurses will help you with the drinking part.  Ask your pediatrician office about the soy milk, I' m not sure about that.  He will be hydrated  with IV fluids too.  Amanda's surgery took about 6 1/2 hours.  There is a lot of support for you and your family.  I was really scared too about the whole thing and today - you would never know that Amanda had surgery unless you looked real close at her head.  The incisions are looking better every day and her hair has been growing good.  I hope I helped you in some way.  I'll be praying for all of you.  Kids are tough and recover quicker from surgery.
Tammy
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joshandmom9770
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Re: Surgery
Reply #8 - May 17th, 2010 at 11:48am
 
Hi my 12 year old son had a left pial stenosis done in November, the one thing that scared me the most was post op the swelling a few days after surgery , his whole left side was swollen it looked like he got socked in the eye , it is normal just scary to see it get worse but from my understanding is normal and part of the healing process , !!! will be thinking of you on surgery date.
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azhurds
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Re: Surgery
Reply #9 - May 17th, 2010 at 6:35pm
 
Hi,

Has your son had any sugeries before and how did he handle it.  I would ask the doctor or nurse about drinking juice or water.  In my opinion I don't think it would hurt to get him to try and drink some juice or water.  You can play with different juices, watered down or not and see what he likes.  After the surgery he might be so "out of it" and hungry and thirsty that he might drink water or juice just to have something.  Also at the hospital you can bring in his favirote cup if that will help him drink something.

Does this help?

Tish
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Erinmom2
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Mom to Malachi Moyamoya
surgery on June 28th
2010.

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Illinois
Re: Surgery
Reply #10 - May 18th, 2010 at 4:34pm
 
Yes my son has had surgeries before. At 6 months old he had open heart surgery. Recovery was difficult for him and required a 3 1/2 week hospital stay.

I have tried everything different kids of juice. He refuses to drink it. He would rather go thirsty than drink it. I will continue to try...
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yunnanababy
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Re: Surgery
Reply #11 - May 23rd, 2010 at 1:38am
 
My 7 y/o has never been a water drinker.  Her favorite is milk.  After her surgeries, we discovered that she likes Gatorade, so I began buying G2 (it has half the calories and sugar of regular Gatorade) by the case.  At first, this was all she would drink, in addition to her milk.  But as time passed, I began sending only one bottle to school with her instead of two so the school nurse would substitue water in place of the 2nd bottle.  Eventually, my daughter reached a point where all 48 oz. she drinks at school each day could be water.  I still send G2 on occasion as a treat, and I still can't get her to drink water at home, but we're working on it.  Smiley
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LA
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Re: Surgery
Reply #12 - May 24th, 2010 at 12:20pm
 
Good thinking about the water and Gatorade !!!

Hope things go well for you all.

Linda
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Linda (LA)
 
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mg12061
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Re: Surgery
Reply #13 - May 24th, 2010 at 12:45pm
 
My daughter had her surgeries with Dr. Scott also. This was 8 yrs ago. She was also born with Down syndrome. At the time of surgeries she didn't communicate pain well either.(she was 5). she still doesn't tell me when she's in pain but I usually know. She tells me all the time "I'm fine".  The best advice I was given about the pain after surgery was to keep ahead of it right after surgery. Meds on a schedule will keep the pain away, it's much harder to get it under control once they start to "feel" the pain. From the time they start to cry about pain till you can actually get meds into them and time to work it can seem like forever. Kathleen was not a juice or water drinker either. She loved the Gatorade and I found the powder mix so I mix very little powder in the water and put lots of ice in it. We get a small spout jug that she can manage and she LOVES this. We get the small water bottles with the saftey cap twist top spout and she does really well with this too. I send one of each to school with her every day. So if she finishes the "gatorade" she drinks the water bottle. They're both easy to travel with. We also did lots of "snow cones" we actually bought one of those old kids crank snow cone makers, frozen yogurt, popcycles, grapes, watermelon, oranges, strawberries, and  Italian ice, these are just some of the foods that can hydrate your body.
   I think you will know right away that you are in the best of hands at Boston Children's Hospital. Please keep us posted.I will keep your family in my prayers.
The waiting I know can feel unbearable at times.
Mary Grace
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