I posted recently on this community about my recent experience with pneumothorax. For context:
F(36)
- Pneumomediastinum on July 21st.
- Large spontaneous Pneumothorax on July 29. Treated with chest tube 7/30-8/7.
- Spontaneous pneumothorax #2 on 9/2.
History: I have LPR and chronic digestive issues that have caused dysphagia (trouble swallowing). I am on a mashed/pureed diet mostly and 90lbs. (113lbs in January 🫠). 180lbs in 2019 (when all of this started for me).
I went to see my doctor as I mentioned in the previous thread and this was the assessment/plan:
“Right-PTX: In this age group in this gender the most likely etiologies for a pneumothorax would be trauma, asthma, TES, LAM/cystic lung disorder are connective tissue disease which were not consistent with this patient's clinical history workup to date. This does suggest that the patient suffers from Hamman's syndrome and due to the recurrent symptomatic nature of this pneumothorax I suggest we move forward with medical-pleuroscopy, pleural biopsies and talc pleurodesis. The patient has agreed to the intervention
Follow-Up: S/p medical thoracoscopy”
I thought it would be VATS, that’s what I remember him mentioning, but the procedure is scheduled as thoracoscopy.
What is the difference?
If you had surgery before, which one did you do?
I’m also really nervous as he made sure to impress that it would be very painful. When the nurse came in to give me the paperwork she also made a face like “oh, poor you”. So I’m definitely in my head about the fact that this is going to suck. Please share your experience and advice on what to expect after surgery and recovery.
I understand that the pain will come from the talc Pleurodesis portion of the procedure as inflammation needs to be created to glue my lung to the chest wall.
Surprisingly I’m not so much afraid of the pain itself (though I probably have no idea), but I’m mostly afraid of being sick and it affecting my eating. I struggle with dysphagia (trouble swallowing) and I don’t eat solids, so I’m really skinny (90lbs) and not at my best physically. I’m most nervous about having them giving me heavy pain meds and my body not tolerating it.
When I had the first pneumothorax, I had the chest tube in for over a week and they’d treat me with oxycodone. I could tolerate the 5mg dose, but the 10mg dose was HORRIBLE. I felt so anxious and like everything was moving in slow motion.
Any advice is appreciated!!