Up and Down Week

After returning home on Saturday I felt comfortable until the early morning on Monday. I then experienced a multiple day fever (with flu like symptoms) that was eerily similar to one I had after my first pain blocker surgery a few months previous. Fortunately most of the swelling from my brain surgery had subsided by Tuesday night so my headaches where mostly gone. The fever broke by Wednesday, but by late evening I started getting a sharp pain in my abdomen, just to left of the sternum. By Thursday noontime I could no longer control this pain with my medication so I had to be re-admitted to Karmanos for another pain block procedure called a tunnel epidural.

Aside from the nerve block surgeries I've had up to now, most of my home pain control has been through oral medication and pain "patches" that stick to my skin. These are effective for most forms of pain but deliver the medication to my entire body, instead of just the areas where I need it. At the hospital they usually administer my pain medication through an IV, which quickly delivers it through the whole body via my bloodstream. An issue arises when you need a lot of pain relief in one part of your body the oral and IV methods deliver too much pain medication to your brain, which can make you loopy/sleep or even nauseous.

The tunneled epidural procedure places a semi-permanent catheter tube directly in the spinal cord fluid near the center of pain. Pain medication is administered through the catheter and only affects the spinal nerves to about 4 inches from the entry point. The procedure went flawless on Friday morning and had given me immediate relief after waking from surgery. I stayed Friday night at Karmanos just to make sure that things were okay before I returned home. Everything seems to be fine with my abdomen pain control and headaches so it looks like I'll be heading back home as soon as I get my "at-home" epidural pump (connects to the catheter tube to administer the pain medication). I've been told that this should reduce or completely eliminate the oral/patch pain medication I've been taking up to now, which will be great.

I've become cautiously optimistic when returning home from the hospital; you can imagine my disappointment having to return this week after going through the whole neurosurgery experience just days previous. Please pray that the tunneled epidural stays effective as I return home and that there are no complications (i.e. headaches/swelling/tumor regrowth) during the recovery from brain surgery.

Nate