My Surgery

[KiranA]

Yesterday was a pretty intense day. I, along with my mum and dad, met up with Dr. Dvorak, the surgeon who will be preforming my scoliosis corrective surgery in June. After looking at the xrays, he explained the procedure they will be preforming on me. To begin with, in his estimation, I will be six inches taller once the procedure is done, and he is somewhat concerned that this will affect my ability to do my daily routines, simply because my arms may not be long enough if I cannot bend. So, he is recommending that I have a vertebrae removed, so that I am still as straight as they can get me, but I will not be so tall that I cannot preform my daily routines. They will be placing screws in between each vertebrae, from what I understand, and then will also cut a wedge in an upper vertebrae to correct the upper curve. Then they will be fitting two rods along my spine to straighten me out. These rods will run from t4 to s1. They will also be fusing the rods to my pelvis to ensure that the rods fuse to the bone properly and that everything is stabilized. He has told me that I will be in post-op recovery for three to four days, and then I will spend a month in hospital, allowing my back to heal and relearning everything like transfers, dressing, daily care, etc. He estimates that by September, if my surgery is not bumped in June, I should be able to return to school.

However, for those two months that I recover, he has recommended that I use a power chair because he does not want me to be doing any light strenuous activity. In all honesty, that was a hard thing to hear. To be a para, pushing a manual chair and then having to go to using a powerchair was a bit hard to swallow. I realize that it is only for two months and so I probably have no right to complain but I'm just being honest here. He said within five months I will be back to doing most of my regular activities.

After my meeting with him, we headed over to the actual ward I will be staying on. There, I met up with the head surgical nurse, my PT (who also happens to be a friend on my race team) and my OT (who is exceptionally attractive). My little sister joined us there because she wanted to see where she'll be setting up her sleeping bag for four weeks :D

The nurse went over EVERYTHING. And I am talking EVERYTHING. She covered what will be done to me in surgery, what sort of tubes will be coming out of me when I wake up, which is apparently a lot. The procedure itself, according to my doctor, will take a full day, which means a lot of blood transfusions and also a lot of liquids my body will be retaining. I will wake up very swollen and the nurse told my mum and sister to be prepared to not be able to recognize me. My sister was being really strong throughout the entire session, but that was somewhat hard to hear. I had been fighting back tears through it all.

Anyways, the tubes will be to drain out all the fluids, one coming out of my chest and one coming out of my back. Because the surgery will take all day, they will also have a tube running down my throat to assist me in breathing and they may possibly have a tube running down my nose to also drain some fluids. They will have already started administering pain medication while I am still on the operating table and will be religious in administering it afterwards. Apparently when you wake up from a surgery like this, it feels like you've been hit by a train, and the damage done to your body is similar to what would happen if you were hit by a train. She explained how I will be controlling the administration according to the amount of pain I will be feeling. She also discussed how I will be out of it for a couple of days and that I may experience hallucinations, and it is important that I let them know if I do. At this point my sister started laughing, and said she wasn't going to tell my brother that detail, or else he would show up at my hospital room, dressed in a snowman costume, trying to convince me I was seeing snowmen in the middle of June. :D I also asked the nurse if I was likely to say anything vulgar or inappropriate while under the pain medication because I knew that my siblings would use it to their advantage after I was done recovering. Heh heh.

The nurse also discussed the side effects the pain medication would have, and also how the surgery will affect my bodily functions. Apparently I will be out of wack for a good week. I'll be hooked up to an IV though, so I don't need to worry about trying to eat at first. After that first week, they will start trying to get me to sit up and then eventually move around. I will be learning how to breathe properly and then it will move to general rehab, where I get to learn all the fun stuff all over again.

I know I'm missing some detail, but I'm just trying to remember everything. It was really overwhelming as there was a lot of information, and some of the gory details were hard to hear, I'll admit. When I was injured in the car accident, I had no idea what was going to happen. I just woke up in a hospital room and just did what I was told. I also was never operated on, as back then, they used body casts and those hotdog beds (forget the name) to stabilize the spine while a person healed. This is the first time I will undergo any form of surgery and it's a doozy.

Anyways, I posted this for my friends who had been inquiring about what the surgery will entail. Sorry for the lack of technical info or attention to detail. I was just typing it off the top of my head.

[betheny]

My God, this scares me, you must be terrified. Thank God for your family.

Only one thing you didn't mention, do they understand fully about neurogenic bowels? I've never seen a non-rehab hospital that does, so please be sure. Also pressure sore prevention, they sound good so I'm sure they are on top of that. Have they done this to a para before? (Sorry I have so many questions.) It must be reassuring that they are so fully prepared. Isn't one of your sisters a doctor? Hopefully she'll be nearby. If Canada is ANYTHING like the US, an advocate in the hospital is the best defense.

Yayyy for eye-candy OT's. Goodlooking men brighten the worst of times. :D

Tell your siblings a lady in Oklahoma thinks they rock completely.

Surely they won't bump you? You have to go to school in the fall, right?

Be warned, waking in recovery is scary. Everybody is out of it, I always think they messed up and I'm in the morgue. Being in recovery 3-4 days is unreal.

I know you're gonna be fine. You're so young and strong and in the prime of health. I expect you to heal much faster than anticipated. I'm going to be praying for you lots.

ETA: 6 inches taller! Hot damn but that is cool! (Jealous of tall thin curvaceous future Kiran!)

[adi chicago]

o my god...double check kiran if you realy need this surgery.
good luck.

[Myc0]

Good lord, all of that sounds kind of extreme for scoliosis correction. There's not a simpler way to treat that? Yikes. Well I don't have any informative advice, I would just say examine all of your options. I hope you can get through this without any unnecessary pain or problems, good luck.

[LaMemChose]

OMG Kiran. This is a lot to face.

You're facing it already in your post with your usual grace, intelligence, style and humor. Those qualities, your family, friends and more will see you through.

LOL on your thinking about your brother showing up in a snowman costume. Leave it to brothers. :D

The relationship between you and your Sister rocks it, Kiran. I know you'd have your sleeping bag with her for a month, too, were the situation reversed.

Sending you many good thoughts, positive energy your way now as you face this and later as you go through it.

Many *hugs.*

[Obieone]

You will be completely bathed in a rain of light Kiran http://bestsmileys.com/stars/3.gif ..... worry not ... I'm already workin' on it (glad you gave me a head start though :D)!! Be strong we're with you !

Obieone

[Jadis]

(((KIRAN)))
I will keep you in my thoughts and prayers -- to me, any surgery is an aprehensive situation, but especially the intense ones!

glad to hear u have a great suppport system.

btw, i tried to go add a comment to your myspace the other day and you weren't i my friends list anymore. I know a few were lost to myspace glitches, but don't know if u were one of them or were cleaning house.

[john smith]

Kiran;

You are one of the toughest people I know. You will breeze through this while everyone else is fainting. Your family is like Ghostbusters! They can handle the details while you are in the nether world fighting the slimers.

You mentioned blood transfusions. I am A Positive. I would drive to Vancouver if you need blood. Lemme know.

Much love and good wishes.

John

[JenJen]

Kiran,

Best of luck to you. Sounds like everyone is well-prepared and informed. I will keep you in my thoughts.

[canuck]

Don't worry everybody Dvorak is one of the best spine surgeons in North America.

Kiran as far as breathing be prepared for the feeling that the train that ran you over, backed up & parked on your chest to finish the job off. I hope they put the NG tube down your nose while you're still under. I still have not so fond memories of that NG being put in 21 years after the fact!

NO offers of blood donations here, I like running with my tanks full thank you very much:p But I can try & send some good looking forest fire fighters your way.

[Wheelie_girl_]

Yesterday was a pretty intense day. I, along with my mum and dad, met up with Dr. Dvorak, the surgeon who will be preforming my scoliosis corrective surgery in June. After looking at the xrays, he explained the procedure they will be preforming on me. To begin with, in his estimation, I will be six inches taller once the procedure is done, and he is somewhat concerned that this will affect my ability to do my daily routines, simply because my arms may not be long enough if I cannot bend. So, he is recommending that I have a vertebrae removed, so that I am still as straight as they can get me, but I will not be so tall that I cannot preform my daily routines. They will be placing screws in between each vertebrae, from what I understand, and then will also cut a wedge in an upper vertebrae to correct the upper curve. Then they will be fitting two rods along my spine to straighten me out. These rods will run from t4 to s1. They will also be fusing the rods to my pelvis to ensure that the rods fuse to the bone properly and that everything is stabilized. He has told me that I will be in post-op recovery for three to four days, and then I will spend a month in hospital, allowing my back to heal and relearning everything like transfers, dressing, daily care, etc. He estimates that by September, if my surgery is not bumped in June, I should be able to return to school.

However, for those two months that I recover, he has recommended that I use a power chair because he does not want me to be doing any light strenuous activity. In all honesty, that was a hard thing to hear. To be a para, pushing a manual chair and then having to go to using a powerchair was a bit hard to swallow. I realize that it is only for two months and so I probably have no right to complain but I'm just being honest here. He said within five months I will be back to doing most of my regular activities.

After my meeting with him, we headed over to the actual ward I will be staying on. There, I met up with the head surgical nurse, my PT (who also happens to be a friend on my race team) and my OT (who is exceptionally attractive). My little sister joined us there because she wanted to see where she'll be setting up her sleeping bag for four weeks :D

The nurse went over EVERYTHING. And I am talking EVERYTHING. She covered what will be done to me in surgery, what sort of tubes will be coming out of me when I wake up, which is apparently a lot. The procedure itself, according to my doctor, will take a full day, which means a lot of blood transfusions and also a lot of liquids my body will be retaining. I will wake up very swollen and the nurse told my mum and sister to be prepared to not be able to recognize me. My sister was being really strong throughout the entire session, but that was somewhat hard to hear. I had been fighting back tears through it all.

Anyways, the tubes will be to drain out all the fluids, one coming out of my chest and one coming out of my back. Because the surgery will take all day, they will also have a tube running down my throat to assist me in breathing and they may possibly have a tube running down my nose to also drain some fluids. They will have already started administering pain medication while I am still on the operating table and will be religious in administering it afterwards. Apparently when you wake up from a surgery like this, it feels like you've been hit by a train, and the damage done to your body is similar to what would happen if you were hit by a train. She explained how I will be controlling the administration according to the amount of pain I will be feeling. She also discussed how I will be out of it for a couple of days and that I may experience hallucinations, and it is important that I let them know if I do. At this point my sister started laughing, and said she wasn't going to tell my brother that detail, or else he would show up at my hospital room, dressed in a snowman costume, trying to convince me I was seeing snowmen in the middle of June. :D I also asked the nurse if I was likely to say anything vulgar or inappropriate while under the pain medication because I knew that my siblings would use it to their advantage after I was done recovering. Heh heh.

The nurse also discussed the side effects the pain medication would have, and also how the surgery will affect my bodily functions. Apparently I will be out of wack for a good week. I'll be hooked up to an IV though, so I don't need to worry about trying to eat at first. After that first week, they will start trying to get me to sit up and then eventually move around. I will be learning how to breathe properly and then it will move to general rehab, where I get to learn all the fun stuff all over again.

I know I'm missing some detail, but I'm just trying to remember everything. It was really overwhelming as there was a lot of information, and some of the gory details were hard to hear, I'll admit. When I was injured in the car accident, I had no idea what was going to happen. I just woke up in a hospital room and just did what I was told. I also was never operated on, as back then, they used body casts and those hotdog beds (forget the name) to stabilize the spine while a person healed. This is the first time I will undergo any form of surgery and it's a doozy.

Anyways, I posted this for my friends who had been inquiring about what the surgery will entail. Sorry for the lack of technical info or attention to detail. I was just typing it off the top of my head.

Hey Kiran,
I had this surgery, and its pretty routine ,it sounds scary but you will see that it worth it in a long term.. when is it exactly? I'll come and see you.. is it at UBC or VGH? stay positive...

[Kristi]

Oh my gosh Kiran! You are very strong and I have no doubts that you will come through this with flying colors. It sounds very scary nonetheless, but you have a very supportive family to help you through everything. I know it's not til June, but I'm sending you positive thoughts your way now as you prepare for this surgery.

[Steven Edwards]

Good luck, Kiran.

Bah, you won't need luck!

Kick some serious butt. You'll pull through.

Steven

[dan_nc]

Best wishes, Kiran. I am sending positive vibes.

[darkeyed_daisy]

Its excellent they explained all this in such detail... Try not to worry but coming from a "worrywort" like me..I know that is impossible.

((((Hugs and prayers)))) Wow 6 inches more height to catch the eye of all the good looking medical professionals you will have contact with.

[Lizbv]

kiran, best wishes with everythng, wish the best for you

[van damn]

WHOA!Hope everything works out for the best.:pray:

[KiranA]

Thanks all for your well wishes.

Trust me, if I could avoid this surgery, I would. I have a severe 'S' curve which has now begun to rotate greatly, with the top curve measuring 67 degrees and the bottom curve measuring 71 degrees, approximately. I have also developed kyphosis and lordosis and that is why this surgery is going to take an entire day to correct. It's a little more complicated than your average scoliosis surgery.

I've researched ALL of my options for a very long time as I am very athletic and could not imagine giving up that sort of lifestyle. But my quality of life for the past two years has begun to deteriorate and right now I'm pretty much a pile of mush formerly known as Kiran because I almost literally have no backbone to support me.

I'm a strong kid and I'm more than confident I will get through this and bounce back as a newly improved version of me. The great news is that I will be able to take up sports again and I will not be sacrificing my independence in the long term. If I want to start a family, my chances of carrying to full term with less health complications improves greatly. I'll be able to breathe properly which I haven't been able to do in a very long time and I won't be missing a great deal of school because I just don't have the energy to fight to have to hold myself up. My internal organs won't be compressed and my right hip won't be grinding my right ribs anymore either.

And although this is a small benefit, I'll be able to sit at a booth or on the couch with my friends and maintain eye contact with them instead of being this small, crumpled body.

It's also great that the ward I will be staying on is the Spine unit, which means a lot of the patients are SCI and the staff is very familiar with my needs. I'll be well taken care of, so I can have peace of mind in regards to that. I'm okay with all of this if it will give me a new lease on life.

[davesgirl aka anty]

My prayers will be with you Kiran :) anty

[611]

I will include you in my prayers.

[Le Type Français]

Kiran,

Good luck to you and I pray it's as painless as possible. Heal quickly!

Love,
Todd

[Jeannette]

That's a massive intense surgery! It sounds like you've got a good team building for you, may you have the best of care and a record healing time!

[SCI-Nurse]

Our thoughts and prayers will be with you. It sounds like you have done the necessary preparation, and I hope that the outcome will be all that you hope for. Get back on-line to us as soon as you can.

(KLD)

[metronycguy]

kiran, it sounds like a big surgery, i am pulling for you!
it will be worthwhile in the long run, hoping this is one final hump in your life! keep us informed !

[Zeus]

Kiran,

Reading your post brought back so many memories. The marathon surgery (I had two rods put in two weeks apart). The tubes! The hallucinations!!! Actually, the hallucinations were kind of fun. Oh, and being an 18-year-old guy surrounded by a team of 20-something nurses was fun too. :D

It really sounds like you did your homework. If you want a chat about my personal experience we can organize a Skype-chat soon. The two things I really remember were: I got seriously constipated, apparently a common event after major surgery; I got a lot of sweating (autonomic dysreflexia) for months afterwards when I'd sit up.

But within 6 months I knew I'd made the best decision to go through with the surgery. You forget what it's like to just sit and breathe. You forget what it's like to go through a day with propping yourself up at least 50 times. You forget what it's like to catch your reflection and see a person with a normal-length torso!

Best of all, despite my surgeon setting very low expectations (he loves to over-deliver!) I am far more mobile than I ever expected. I have grown increasingly confident over the years, but in the first year or two just be a little sensitive about lifting heavy weights etc. Ultimately bone grows around the rods and that's what supports you long-term. Just be gentle to begin with!

I'll keep you in my prayers Kiran. Wishing you as smooth an experience as possible. Ultimately I'm sure you'll be glad you did it - I've never regretted it for a day.

Chris.

[Timaru]

All the very best of luck.

Positive vibes coming over from the UK.

[cali]

good thoughts and prayers your way. i know you'll do great!

[Scorpion]

Wow.

I know you've been struggling with this decision for years. I wish the day you were back to regular Kiran was tomorrow.

Since I'm sure you've already thought of everything ten times over when it comes to even the simple things post-op, like picking out your belly-button lint, I don't have any suggestions, except, um... kick some ass. :) :hug:

[christopher]

Good luck Kiran. :)

You'll get through it, you're a superstar.

[stephen212]

Kiran, you are a most formidable woman. Or do I mean indomitable? I think probably both!

I hope that part of your post-surgery planning includes preparing yourself for the possibility of coping with depression, as this is a frequent, if transient, sequelae to surgery.

My best wishes for a speedy and complication-free recovery.

[Liz321]

mend quick!

[KiranA]

Kiran,

Reading your post brought back so many memories. The marathon surgery (I had two rods put in two weeks apart). The tubes! The hallucinations!!! Actually, the hallucinations were kind of fun. Oh, and being an 18-year-old guy surrounded by a team of 20-something nurses was fun too. :D

It really sounds like you did your homework. If you want a chat about my personal experience we can organize a Skype-chat soon. The two things I really remember were: I got seriously constipated, apparently a common event after major surgery; I got a lot of sweating (autonomic dysreflexia) for months afterwards when I'd sit up.

But within 6 months I knew I'd made the best decision to go through with the surgery. You forget what it's like to just sit and breathe. You forget what it's like to go through a day with propping yourself up at least 50 times. You forget what it's like to catch your reflection and see a person with a normal-length torso!

Best of all, despite my surgeon setting very low expectations (he loves to over-deliver!) I am far more mobile than I ever expected. I have grown increasingly confident over the years, but in the first year or two just be a little sensitive about lifting heavy weights etc. Ultimately bone grows around the rods and that's what supports you long-term. Just be gentle to begin with!

I'll keep you in my prayers Kiran. Wishing you as smooth an experience as possible. Ultimately I'm sure you'll be glad you did it - I've never regretted it for a day.

Chris.

Chris, I had no idea you had had this procedure done. I've tracked down a couple of locals who have had it, but they had their rods put in while they were in the pre-pubescent stages and as a result, their spines did not grow. I was told when I was 12 that a curve was forming and surgery would be inevitable, but I'm glad I put it off so that I could grow a couple of more inches. I will install Skype tonight because it will be such a relief to speak about this with you. Thank you.

Thank you also to everyone who has offered to donate blood. I wish you could know how much that means to me. I think it will probably be easiest for me to get local donors just because all of my CC family is scattered all over North America, but as long as you keep me in your thoughts, that will help me a lot.

I didn't anticipate many people reading this thread but all of your kind words have provided some much needed reassurance.

Stephen, I haven't heard anything regarding depression post-op. What is the depression related to? Is it the pain, or the lack of mobility? If this is something worth inquiring about, I will, for sure.

[Wheelie_girl_]

Chris, I had no idea you had had this procedure done. I've tracked down a couple of locals who have had it, but they had their rods put in while they were in the pre-pubescent stages and as a result, their spines did not grow. I was told when I was 12 that a curve was forming and surgery would be inevitable, but I'm glad I put it off so that I could grow a couple of more inches. I will install Skype tonight because it will be such a relief to speak about this with you. Thank you.

Thank you also to everyone who has offered to donate blood. I wish you could know how much that means to me. I think it will probably be easiest for me to get local donors just because all of my CC family is scattered all over North America, but as long as you keep me in your thoughts, that will help me a lot.

I didn't anticipate many people reading this thread but all of your kind words have provided some much needed reassurance.

Stephen, I haven't heard anything regarding depression post-op. What is the depression related to? Is it the pain, or the lack of mobility? If this is something worth inquiring about, I will, for sure.
mademoiselle I live 2 min from VGH so I'll come and hang out with you... I'll bring some dvds to watch too.. oh my blood type is O so if you ever need a donor just call...loveeeeeeeeeee you

[duge]

Kiran, You will come through this with flying colors. You are one of the strongest ladies here on CC. Will be keeping you in my prayers! The waiting will be the worst part!
Doug

[artsyguy1954]

You are in my prayers, Kiran. You'll be fine. You'll be in good hands with Dr. Dvorak. Maybe I'll find a cheap Westjet flight and come down and hold your hand.;) Be strong, girl. I know you'll come thru this with flying colours.

[Lynne]

May everything go smoothly...........prayers from here as well.

[stephen212]

Stephen, I haven't heard anything regarding depression post-op. What is the depression related to? Is it the pain, or the lack of mobility? If this is something worth inquiring about, I will, for sure.
Kiran,

I don't think that a bout of depression is by any means inevitable following a major surgical procedure, but when the body is subjected to an invasive "insult," it's not surprising when depressive feelings arise. Who can predict precisely how the body's neurochemistry is going to be impacted in its struggle to heal.

And beyond the physical brunt of the surgery, there's the loss of independence/increase in dependence that frequently accompanies a protracted convalesence. Unfortunately, even being aware to the possibility that you may experience a measure of depression is not necessarily a preventitive against it. But at least you won't be completely blindsided by it should it occur -- which, again, is not inevitable -- an that's worth something.

Judging from your many, many posts, I wouldn't imagine you to be particularly at risk, but seeing as you're doing such thorough due dilligence with respect to your physical aftercare, you should be hip to the potential mental health bumps in the road as well and prepare accordingly.

I Googled this article, "An "Understandable" Complication Coming to terms with postsurgical depression" (http://www.harvardmagazine.com/on-line/0700109.html) -- FWIW.

Hope this helps.

[canuck]

I think the anethesia & narcotics involved with surgery might also play a part. I know I get the post op depression & I'm more comfortable in a hospital enviroment/operatiing room then at my "real" job.

As far as Spanos mention of constipation, its not just the lack of movement that causes, I'm pretty sure its a given fact that most of the opiates used as pain killers can cause constipation. Nurses & Wise correct me if I'm wrong.

My bowel routine goes to hell in a handbasket for a couple of months after any major surgery it seems.

[Zeus]

As far as Spanos mention of constipation, its not just the lack of movement that causes, I'm pretty sure its a given fact that most of the opiates used as pain killers can cause constipation. Nurses & Wise correct me if I'm wrong.
I've heard the same thing Karl - it's a side-affect from the pain-killers & anesthesia.

Chris.

[CLC379]

hope all goes as planned

Kiran;)

[Shawn]

Good Luck and God Bless!

[Leif]

Good luck to you - seems like a heavy procedure, hope it will turn out good for you. As for blood, you could have gotten half of mine too, although it would have been a bit shaken and stirred before it got over the pond.

[rcechser]

Kiran, sounds like you have a great family, hope you heal up quickly and are back playing sports soon.
Good Luck Mike

[Shannon]

Sending you best wishes.

[Foolish Old]

Best Wishes for a smooth operation that heals quickly and provides maximum benefit.

[bird3ts]

Alls I'm going to say is that I love YOU!!!! Me and ava will be thinking, praying and sending you good vibrations!!!!!!! *here's to a fast recovery", LEx

[alan]

Good luck, and I hope you wind up straighter.

I don't weigh enough to donate blood, which is a shame, as I donated before my injury (I weighed 123 lbs. then - post-injury around 100 lbs., and 110 is the lightest for donation.)

[SCI-Nurse]

Kiran-
It sounds as though you and your family have been through a lot. The surgeon you are using is awesome and I have no doubts that he will spend the time that you need to answer anymore questions or allay your fears. It also sounds as though the nurse(s) and therapists are on board and have dealt with similar things. Just remember to have an advocate there- especially in the beginning when you will be out of it.

Good luck to you- you will be in my thoughts and prayers.

CKF

[KiranA]

Thank you all. I just found out the date of my surgery and it has been set for May 29th in the hopes that if it is bumped (which is highly likely due to bed shortages), I will still have it done in the early summer, so that I have enough time to recover, go through rehab and return to school.

[dan_nc]

Kiran--we're all sending positive vibes your way! Stay Strong!

[duge]

Kiran will mark it on my calendar and keep you in my prayers that day. You will make it through Great!!!!!!!!!! You are a very strong lady! :)
Doug

[cheesecake]

Kiran~ Sorry you won't be in DC this year but very understandable as to why. Stay strong, good vibes as well as prayers coming your way. Pleaselet us know if it gets postponed. My calendar is already marked.

[Karen'sMom]

Kiran, I wish you a successful surgery and a quick recovery, but it sounds like it will take a while to recover from this. It sounds like you have an excellent Doctor and it's good that he took the time to explain it all very thoroughly with you and your family. I assume you are having the surgery in Vancouver, but please let me know if you are having it in Victoria, which is where I live.

You are a brave and determind young lady and I am sure you will be pleased with the outcome. My thoughts and prayers are with you. Keep pushing that pain-relief button when you get it! Keep us posted.

Best wishes,

Darlene
www.karenbrain.ca (http://www.karenbrain.ca)

[Chris Chappell]

Kiran - best of everything with your surgery and recovery. You're in my thoughts and prayers :pray:

Onward and upward :)

[Wise Young]

Kiran, I hope that everything goes well and you have a speedy and uneventful recovery. Wise.