Today, I wanted to go over the drugs that were given to me intravenously when I had my surgery. I am a third year pharmacy student and would like to share the information I looked up on the drugs used for my surgery. The first thing to note is that I was not allowed to eat or drink for 12 hours before I entered the facility. Once I was admitted, I was put on a lactated ringer which is a combination of sodium, lactate, potassium and calcium. The reason that I was given this over Normal Saline or Dextrose was the fact more electrolytes would help hydrate me during the surgery. I asked the anesthesiologist what medications he was going to use to sedate me. The drugs that he stated were Diprovan, Versed, Fentanyl, Nitrous Oxide and Toradol. To start, Diprovan, a.k.a. Propofol, is an anesthetic used for general anesthesia and the onset is anywhere from 9-51 seconds. Versed, Fentanyl and Nitrous Oxide are used as adjuncts to Diprovan and are meant to help with the sedation and amnesia. Lastly, Toradol is an NSAID used to help manage pain during the surgery. Overall, the last thing that I remember from the surgery is laying on the table and having the anesthesiologist state “ I am starting to push the diprovan” and me laying there for a few seconds conscious.
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For the past week, I have been tapering off the Norco 5/325 mg as it was prescribed every six hours as needed for pain. For the first couple days, I was taking it four times a day, but progressed to alternating with ibuprofen 600 mg. Later, I started taking ibuprofen just a couple times a day meanwhile having a pain score of about 2-3. Starting yesterday, I have not had to take any medication for pain management and have had a pain score of less than 2 a day. I'm starting to put pressure on my heel when I use my crutches and have not extreme pain. I received a call from the Physical Therapy place I have been assigned to and will start going there after I have my sutures removed.
Today, I went to my podiatrist for my first post-op visit. I've been wearing a boot and gauze around my foot since my surgery and have not seen my foot. He unwrapped it and showed my foot as seen in the pictures above. He said I could start putting weight on it with crutches. I tried putting weight on it today and used my crutches, but afterwards I experience a lot of pain. I took Norco and Ibuprofen (one of each), but the pain was still intense. The pain would throb and be anywhere from a 6 to a 3 on a scale from 0-10. My little brother took off the boot and put frozen vegetables on it. It took about 5 minutes, but my pain went down to a solid 2. I will take note of this and use this later as that pain was pretty intense. My next post op appointment will be next Friday and I will have my sutures removed.
First, sorry for the late update, I have been adjusting to my situation. So, first, on surgery day I was placed in a bed and have my vitals taken. Then I was hooked on a lactated ringer IV to hydrate me since I was not eating or drinking anything since the previous night (12 hrs). Then I was wheeled into the surgery room and the last thing I could remember is the anesthesiologist saying "I am pushing the Propofol." Later, I was awake in the recovery room and was told that it was over. I looked at my foot and there was a wrap around it and my foot was completely numb. They then proceeded to put a black boot on and wheeled me out. Since then (April 21, 2017), I have been in bed with my foot raised on pillows and I use crutches to go to the restroom. It took about a day for the numbness to go away and the pain to kick in. I have been prescribed Norco 5mg/325mg and Ibuprofen 600 mg. I used the Norco every 6 hours initially, but slowly have been tapering off. I would like to thank my family (Laura Garcia, Leonel Garcia Sr., Mireya Ayala and Jacob Garcia) as they have been cooking for me and helping me with my medications. I also want to thank my friend Cherry, as I have been using her Netflix account to keep me from being bored. Tomorrow, I have an appointment with my doctor and will let you know what happens.
Hello! My name is Leonel Garcia and I am creating this blog to help people who are considering getting their Accessory Navicular bones removed or for people who want to see how surgery and recovery process is experienced through a patient's perspective. For a couple years now, I have had a lot of pain with my right foot, more specifically the arch. After going through many podiatrists and trying different a variety of treatment options including expensive custom orthotics and special shoes, I finally found a podiatrist that had me get an MRI. The MRI showed that there was inflammation between my navicular bone and the accessory navicular. As you could see from my pictures, the right accessory navicular is more out than my left one. I used to be very active in MMA and kick boxing about 5 years ago. The doctor said that the reason for my pain could be because I experienced trauma to the right foot during that time. Today, I am going to get surgery to remove the accessory navicular in my right foot. I noticed that there are a few blogs that discuss about their surgery process, but not what happened afterwards, which made me a bit more anxious as there's not too much information about this condition. I plan to post pictures and blog about how my recovery process goes as well as follow up on if the surgery was worth it to me, because I want other people to know my experience.
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Leonel Garcia Jr.I made this blog to talk about my experience with Accessory Navicular Syndrome |