matilda I am doing my list now. I shall add that. I didn't think to ask him specifically but was going to ask him what he means by 'treating conservatively' I also want to ask him about disc replacement. They do it in RDE (Royal Devon and Exeter Hospital) which I can 'choose' to be seen at, and there is a bloody good surgeon there which I was going to ask to see, but I had gone through the whole process for so long that when I got 'given' my neuro appt I didn't want to start it all over again by asking to be referred to there. I was so bloody relieved I just wanted to be seen (didn't know I would be waiting another 18 weeks or else I would have got referred to Exeter) and this surgeon does artificial disc replacement. I am under the impression that hospitals don't tend to share/discuss the successes/specialisms of other hospitals, even though it's all bloody NHS, as I mentioned this to the guy at spinal pathway team and he said I would need to speak to RDE surgeon directly and that would involve referral, but it's not advocated at my local hospital -mainly as there is no trained surgeon there
But, this guy also had told me fusion has to be done by orthopaedic surgeon and there is no one available to do it at my current hospital (because they don't necessarily advocate it at this hospital he says) but then one appeared at the hospital by the next MRI and meet up with this bloke and his view changed! As turns out my surgeon is that surgeon, and regularly does spinal fusion, his view is it goes hand in hand with discectomies, but I don't know for sure if he is the best person - they are two different skills aren't they 'carpentry' (ortho) and 'electrics' (neuro). but, he had to good at both as he did a laminectomy, and was expecting to maybe have to fuse the spine. they don't get two surgeons to do that. But, this surgeon in Exeter, he is known for fusion and replacement disc surgery. Certainly it's not common knowledge that fusion happens at my local surgery as I told school gate friend about possible fusion and her husband works in physio and he told her I must have it wrong/was it in local hospital as they don't do fusion in this hospital.
This reticence to commit to fusion makes my head spin and i don't want to go tomorrow as I don't want to talk about it.
I am not going to get any answers I want to hear. Once apon a time it could have been really straightforward like it is for some people - horrendous back pain that does not go away with conservative treatment, everything is tried, MRI shows significant nerve impingement and the conversation goes 'Mrs Pavlov you have a prolapsed disc, we can fix it by performing a microdiscectomy, these are the risks, these are the statistics of success, lets crack on' followed by surgery, recovery, back to normal. Job Done.
It's not going to happen this time. Whatever is going on in my spine, it cannot be 100% fixed and I know that now. He is going to either tell me he doesn't think surgery is a good idea for whatever reason, and i will be upset as that will only leave conservative treatment which has not been forthcoming to date and means that there is no fixing of this. Or, he is going to tell me he thinks I should have more surgery, for whatever reason, which means the conversation about 15 months ago I had with spinal pathway team about fusion being 'end game' when there is no alternative left that will work is now here, well it means that this is 'end game'. And I am scared that 'end game' is not 'we can fix this' but is 'we can make this better but not back to how you were or anywhere close' and that even if it does not go wrong/is not successful it is not going to fix me and it is hugely risky and I don't want more surgery, with no guarantees for me being ok again.
If I don't go, then I don't have to be disappointed/upset/afraid with whatever I am told, and maybe I can pretend on my good days that it's going to be ok. And I am going on my own as it's holidays so DH needs to be with the children and my BF who would normally come with me if I asked her is working so can't.
Obviously I am going to go. I have been on this treadmill of a waiting game long enough to know if I miss this I won't get another chance to talk to god himself the surgeon.
feel tearful, just want to curl up and pretend it's not a problem any more.