After fighting with the insurance company since October, I've finally been approved for lumbar fusion surgery (L5S1 PLIF with large laminectomy) which is now scheduled for the end of the month. I'm hopeful this will greatly improve my quality of life but also pretty nervous since:
1. Just started anticoagulation for large DVT caused by lupus anticoagulant December 9th. Received APS diagnosis thereafter.
2. My INR is still not within the 2.5-3.5 therapeutic range set by my doctor. The falsely high INR readings due to the LA combined with the lack of APS specific knowledge of my gp and hemotologist really slowed things down. My highest number was today so we're movig in the right direction but patience isn't a strong point for me.
3. Due to the combination of my back issues and dvt and the amount of time I've been on meds I'm having trouble with tolerance to pain meds. This makes me nervous about how the post surgical pain management will go.
That all said, I am happy to have a date for surgery and hope for improvement. Thankfully someone more powerful than me is in charge- when I find myself stressig/obsessing I try to remind myself of that.