When I set out on this baclofen pump journey I never dreamt things could get so ugly, nor was I warned how invasive this surgery really is. I wasn't aware a bone was removed from the spine to allow space for the catheter nor was I aware such a large incision was made through muscle and cartlidge in the back. Worse off I was never warned about possible catheter migration, baclofen titration issues, withdrawal and the like. Shame on me, shame on Henry Ford Hospital Neurosurgery, Shame on us both? This process was presented to me like a walk in the park, and the Dr commented how his pump patients were among his happiest. Naturally I was "pumped." Either way I am worse off now than I was 9 weeks ago.
So here I sit, no lay, while the pump beeps inside me reminding me of the four emergency room visits, fifteen visits for titration of the medicine, two catheter migrations, and three incisions including two in my back to get the catheter to stay in my spine, which it hasn't and currently is floating around my back like a buoy in a lake, non functioning.
My several complaints as to this even more sedentary lifestyle seem to fall on deaf ears. I have been basically bedridden since surgery one, and knowing how trauma to the body exacerbates the condition of a patient with MS never in my wildest dreams did I expect this incapacitated invalid state I would be in. "Write a book," "watch all the Marx Brothers Movies," was the solution from the articulate yet callous neurosurgeon, who by most likely accounts has never had to spend nine weeks and 90 percent of his day in bed while his four kids, his business, and the rest of the world continue to try to function and continue without him.
Never in my wildest dreams did I see this kind of thunder and lightening on the horizon. I was driving, working a half day, getting out in my scooter, and now I am doing nothing of the sort. The pain and mental anguish I am experiencing is a test of only the highest magnitude imaginable. Worse off, my only option is still another surgery. Either I remove the components of this machine sewn inside of me, or I allow a third back slice and another shot at a hypothetical catheter anchoring, with no guarantee it will stay inside my spine. So its either shit or shit basically, and very surreal at this point. In fact it's a nightmare.
The stitches in my back were to come out today, and as they stretch and yank and burn and pull, the spasm and spasticity go from worse to torture. Naturally the Dr called in sick, par for the course, so it looks like I get to keep these bitches in another day and the black cloud hails overhead. How can this be happening?
Naturally I researched another Dr to get another opinion, and as luck would have it she was fantastic, knew every angle of the pump, has experienced fantastic results, and out of 200 patients has had zero catheter migration. ZERO!!! What happened to me? Surgeon ineptitude? Technical anchoring catheter problems? Greek spinal rejection? What the hell is happening here? Nobody has the answer. Either way I am stuck here in bed, in pain, mentally, physically, with spasticity beyond belief, and no matter how much oral baclofen I take I am not experiencing relief. I cannot sit in a chair due to weakness and spasm, can't work, drive or do any of those things I discussed earlier, and beep beep beep goes my dis-activated pump. WTF?
There are many more details to this saga, and this is merely a synopsis. One time in the ER they were so confused and had no idea how to program the pump that I had to call the rep on my cell, who traveled 160 miles to my hospital bedside to shut it down at 2:30 in the morning after wincing in pain for 6 hours prior! Should I be responsible for my own care in an Emergency Room of Henry Ford West Bloomfield, a major Hospital?
Moral of the story thus far: Do not take Medtronics Intrathecal Baclofen surgery lightly. Do your homework, Don't panic because your symptoms are so bad. Don't rush. Find competent and informed and familiar care. Find a surgeon that has done a ton of them and a Dr who has titrated the pump for many many patients. When the new Dr saw what was in my pump she had never seen a concentration like that. What the heck she commented? Meanwhile I have made around 14 trips to the Dr who was titrating and as much as I really liked him, it was as if I was merely spinning my wheels and had no idea what was in my pump was not the proper concentration. How would I? I was relying on his expertise.
Do these things and hopefully with a little luck you wont end up like me. Nine weeks lost, worse symptoms, traumatized, incapacitated, pissed, frustrated, remorseful, dissapointed, anxious, and at times very hopeless just lying in bed, clear minded yet trapped in a body that is frozen like the Tin Man. This is Bullshit my friends. It's wrong, unfair, has stressed my family, my finances, and confused me more as to my purpose in this life. The guy in this video is a putz but its the second alarm I get to hear every half hour, a reminder of this hell and the longer road ahead:(
So here I sit, no lay, while the pump beeps inside me reminding me of the four emergency room visits, fifteen visits for titration of the medicine, two catheter migrations, and three incisions including two in my back to get the catheter to stay in my spine, which it hasn't and currently is floating around my back like a buoy in a lake, non functioning.
My several complaints as to this even more sedentary lifestyle seem to fall on deaf ears. I have been basically bedridden since surgery one, and knowing how trauma to the body exacerbates the condition of a patient with MS never in my wildest dreams did I expect this incapacitated invalid state I would be in. "Write a book," "watch all the Marx Brothers Movies," was the solution from the articulate yet callous neurosurgeon, who by most likely accounts has never had to spend nine weeks and 90 percent of his day in bed while his four kids, his business, and the rest of the world continue to try to function and continue without him.
Never in my wildest dreams did I see this kind of thunder and lightening on the horizon. I was driving, working a half day, getting out in my scooter, and now I am doing nothing of the sort. The pain and mental anguish I am experiencing is a test of only the highest magnitude imaginable. Worse off, my only option is still another surgery. Either I remove the components of this machine sewn inside of me, or I allow a third back slice and another shot at a hypothetical catheter anchoring, with no guarantee it will stay inside my spine. So its either shit or shit basically, and very surreal at this point. In fact it's a nightmare.
The stitches in my back were to come out today, and as they stretch and yank and burn and pull, the spasm and spasticity go from worse to torture. Naturally the Dr called in sick, par for the course, so it looks like I get to keep these bitches in another day and the black cloud hails overhead. How can this be happening?
Naturally I researched another Dr to get another opinion, and as luck would have it she was fantastic, knew every angle of the pump, has experienced fantastic results, and out of 200 patients has had zero catheter migration. ZERO!!! What happened to me? Surgeon ineptitude? Technical anchoring catheter problems? Greek spinal rejection? What the hell is happening here? Nobody has the answer. Either way I am stuck here in bed, in pain, mentally, physically, with spasticity beyond belief, and no matter how much oral baclofen I take I am not experiencing relief. I cannot sit in a chair due to weakness and spasm, can't work, drive or do any of those things I discussed earlier, and beep beep beep goes my dis-activated pump. WTF?
There are many more details to this saga, and this is merely a synopsis. One time in the ER they were so confused and had no idea how to program the pump that I had to call the rep on my cell, who traveled 160 miles to my hospital bedside to shut it down at 2:30 in the morning after wincing in pain for 6 hours prior! Should I be responsible for my own care in an Emergency Room of Henry Ford West Bloomfield, a major Hospital?
Moral of the story thus far: Do not take Medtronics Intrathecal Baclofen surgery lightly. Do your homework, Don't panic because your symptoms are so bad. Don't rush. Find competent and informed and familiar care. Find a surgeon that has done a ton of them and a Dr who has titrated the pump for many many patients. When the new Dr saw what was in my pump she had never seen a concentration like that. What the heck she commented? Meanwhile I have made around 14 trips to the Dr who was titrating and as much as I really liked him, it was as if I was merely spinning my wheels and had no idea what was in my pump was not the proper concentration. How would I? I was relying on his expertise.
Do these things and hopefully with a little luck you wont end up like me. Nine weeks lost, worse symptoms, traumatized, incapacitated, pissed, frustrated, remorseful, dissapointed, anxious, and at times very hopeless just lying in bed, clear minded yet trapped in a body that is frozen like the Tin Man. This is Bullshit my friends. It's wrong, unfair, has stressed my family, my finances, and confused me more as to my purpose in this life. The guy in this video is a putz but its the second alarm I get to hear every half hour, a reminder of this hell and the longer road ahead:(

Man, this sucks. As if having MS wasn't bad enough.
ReplyDeleteFor what it's worth, though, you're doing a great service to the MS community by sharing your horror story. I've always felt that a baclofen pump is in my future. Because of your experience, and the fact that you are sharing it here, I will go in a much more informed consumer than I otherwise would have.
Thank you!
Its serious business mitch. Put a lot of thought into it. Lets face it, its a business!
ReplyDeleteAfter reading your well-written and informative article about the pump, I've decided that I can't put my son through this. I've cared for him, myself, for the last two years (traumatic brain stem injury 4 yrs. ago)and administer his baclofen & tizanadine through his peg tube. He can not talk, nor do anything for himself, so couldn't make me aware of anything he was going through; he'd only moan. I will go with my gut feelings after having read your writing and will no longer research this option. He hasn't had a good hospital experience, yet, and neither have I, having been with him. I'm amazed at the ineptness of medical staff. I guess that I will just continue to pray and do the best that I can do for him. Thank you for your assistance and I hope that things get better for you. I believe that God wants us all to teach that which we know and you, sir, have done just that. Blessings to you and yours, Dawn (had to sign as anonymous as don't know how to do other things that were offered. My email is dawnmarie053@yahoo.com, should you like to respond.
ReplyDeletethe ITB pump almost killed my daughter when the catheter kinked, the whole pump experience has been horrific and has not provided any real benefits, i would advise anyone seriously thinking about it to SERIOUSLY RECONSIDER. if i had known about the negative aspects (which the company glosses over), i would NEVER have signed for it. Now that i know more, i feel as though i have signed her life away... please consider this procedure very very carefully.
ReplyDeleteso sorry for you. going through titration process with nonverbal 20 year old son. wasted almost a year of battery life with no benefit yet. i will be thinking of you during our own journey.
ReplyDeleteGeorge died on March 3. Putting the pump in was a tragic mistake. From the first surgery until the third he got no pain relief, it paralyzed his legs never allowing him to ever stand or walk again, his pain levels in his spine became unbearable. He was never a candidate for the pump but conflicting medical advice caused him to try it. The constant doctor visits to try and titrate, the failures, the mental anguish, the recuperation from the surgeries all effectively caused the end of his life.
DeleteIt took away all his hope, his ability to turn over, to exercise his legs. The fear of losing the catheter for a third time took away the little movement he had in his body. He became a prisoner of not only MS, but the monster pump. The literature is so misleading, and the doctors were of little help in making a good decision. I agree...George's life was signed away when the pump when in.