Phrenic Nerve damage and paralyzed diaphragm: Anyone else have this?

Posted by jgreg1954 @jgreg1954, Nov 28, 2017

Phrenic nerve on the right side was destroyed due to radiation for breast cancer. Diaphragm is now paralyzed & taking away lung capacity. Anyone else experience this?

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@ssbionicknee

Hi @colleenyoung. My surgery was Wednesday. I have some random memories of the surgery and I was in distress. I remember a man came to give me a breathing treatment and he was upset that they called him. I was in and out of it. I remember him telling me I needed to see a specialist and that this was not normal. I also remember being in the OR and being shaken a lot and hearing them try to wake me up. The doctor never said anything to my friend when he talked to her. I have really been out of it and my head is just starting to clear up. I was sedated with Versed and Fentanyl. I have had trouble waking up from Versed in the past so the combo really knocked me out. That is noted in my charts and I told the doctor that before surgery. This is the first time I have had trouble breathing. I have also been feeling sick to my stomach. I have had a metalic taste in my mouth, my ear felt fuzzy, and I have had sweats and chills. They are trying to play it down like I just had some trouble waking up and breathing. I need to know what really happened that day. I need to see a specialist about the hypoxia and then I am trying to figure out where to go from there. I really could use some advice.This was not at the Mayo Clinic. I am a long way from there. I also had a total knee replacement in May and it went well and I was alert afterwards.

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@ssbionicknee I might suggest that you call Patient Relations or the Patient Experience Office at the hospital where you were treated.

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@colleenyoung

@ssbionicknee, when was your surgery? Have you talked to your surgeon about your ongoing respiratory issues?

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Hi @colleenyoung. My surgery was Wednesday. I have some random memories of the surgery and I was in distress. I remember a man came to give me a breathing treatment and he was upset that they called him. I was in and out of it. I remember him telling me I needed to see a specialist and that this was not normal. I also remember being in the OR and being shaken a lot and hearing them try to wake me up. The doctor never said anything to my friend when he talked to her. I have really been out of it and my head is just starting to clear up. I was sedated with Versed and Fentanyl. I have had trouble waking up from Versed in the past so the combo really knocked me out. That is noted in my charts and I told the doctor that before surgery. This is the first time I have had trouble breathing. I have also been feeling sick to my stomach. I have had a metalic taste in my mouth, my ear felt fuzzy, and I have had sweats and chills. They are trying to play it down like I just had some trouble waking up and breathing. I need to know what really happened that day. I need to see a specialist about the hypoxia and then I am trying to figure out where to go from there. I really could use some advice.This was not at the Mayo Clinic. I am a long way from there. I also had a total knee replacement in May and it went well and I was alert afterwards.

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@ssbionicknee

I just had shoulder surgery and was given a nerve block. I had trouble breathing and waking up. I was in recovery for about 6 hours and received a breathing treatment. I was just reading about Phrenic Nerve Damage and am wondering if that is what caused my problems. I am still having trouble breathing. I also noticed the symptoms for toxicity are what I have been having. Has anyone else had this happen from a nerve block.

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@ssbionicknee, when was your surgery? Have you talked to your surgeon about your ongoing respiratory issues?

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I just had shoulder surgery and was given a nerve block. I had trouble breathing and waking up. I was in recovery for about 6 hours and received a breathing treatment. I was just reading about Phrenic Nerve Damage and am wondering if that is what caused my problems. I am still having trouble breathing. I also noticed the symptoms for toxicity are what I have been having. Has anyone else had this happen from a nerve block.

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@alison2

Hi everyone I am also going through this but my injury was due to an ablation and the doctor hit the phrenic nerve. there is a doctor in New Jersey who is doing a surgery to repair the nerve I’m not sure if you Google the phrenic nerve and New Jersey doctor it will come up. There is also a surgery where they can staple your diaphragm down but it’s very invasive. I have been told I need to wait at least a year to see if it is permanent, that normally it goes away within a year. crossing my fingers!!

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what great news !!! weaned off oxygen... that is a big step !!!

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@shilo14

I also had my right phrenic nerve sacrificed during my surgery for squamous cell thymic carcinoma. My invasive tumor was involved with both phrenic nerves, and as my surgeon tried to free the right nerve it was damaged; he opted to not attempt to disentangle the left phrenic nerve to avoid putting me on a ventilator for life. I was told the damaged nerve can regenerate at one mm per month. My surgery was six years ago and while my nerve never regenerated, I have regained some breathing ability through my body adapting.
I now have very well developed neck muscles and was told I also breathe with y newly developed muscles in my intercostal spaces (between my ribs). I tried some specialized breathing PT, but didn't see any benefits. I have progressed from needing 3 liters of oxygen 24 hours a day, to just using O2 at night for sleeping, as it is difficult to move air in the reclining position, to now just using a CPAP machine at night, which splints my right lung open so that the left lung can function more efficiently.
I haven't researched having a phrenic nerve transplant in several years, but when I did, it sounds like very difficult surgery and had a low success rate. I certainly have limitations due to my breathing issues, but I can live with them! I can't swim laps, or climb any hills, or exercise really hard - but I can hold my new granddaughter, I've attended two of my sons weddings, and life is good. I don't get the hiccups and when I shiver or laugh really hard I struggle to breathe, but I'm happy to be alive after initially being told I wouldn't survive.

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@shilo14 I was happy to read your post that you went on an enjoyable vacation and hade a family reunion! Anytime you can get back a semblance of normal life is great for moral, even hearing about how others with the same health issues are successful at leading a "new" normal life is encouraging ! I plan on planting a few more perennials in the garden by the house. I work in my garden (even those further from the house) in several ways. My hose reaches about 2/3 down my garden or I tank a small tank out with me or on a good less humid day I go with out. Of course how long I stay out depends on how I feel and what method I use.

Sometimes I wonder if I am encouraging anyone or not with my life? It is great I have survived this long but can be difficult for the patients newer to this type of condition?injury? to accept this will be your new normal. I think it helps me to focus on what a gift I have been given just to be alive rather than what a struggle my life is. Most days my life is great ! It has taken me a long time to get to the point of speaking freely about my life at all and I think writing it down helps ME as much as anyone. What do you think?

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@shilo14

I also had my right phrenic nerve sacrificed during my surgery for squamous cell thymic carcinoma. My invasive tumor was involved with both phrenic nerves, and as my surgeon tried to free the right nerve it was damaged; he opted to not attempt to disentangle the left phrenic nerve to avoid putting me on a ventilator for life. I was told the damaged nerve can regenerate at one mm per month. My surgery was six years ago and while my nerve never regenerated, I have regained some breathing ability through my body adapting.
I now have very well developed neck muscles and was told I also breathe with y newly developed muscles in my intercostal spaces (between my ribs). I tried some specialized breathing PT, but didn't see any benefits. I have progressed from needing 3 liters of oxygen 24 hours a day, to just using O2 at night for sleeping, as it is difficult to move air in the reclining position, to now just using a CPAP machine at night, which splints my right lung open so that the left lung can function more efficiently.
I haven't researched having a phrenic nerve transplant in several years, but when I did, it sounds like very difficult surgery and had a low success rate. I certainly have limitations due to my breathing issues, but I can live with them! I can't swim laps, or climb any hills, or exercise really hard - but I can hold my new granddaughter, I've attended two of my sons weddings, and life is good. I don't get the hiccups and when I shiver or laugh really hard I struggle to breathe, but I'm happy to be alive after initially being told I wouldn't survive.

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Yes! Nine years! It is wonderful to hear that you are are still here and enjoying life! That is how I feel, just truly grateful to be able to experience what I still can, even if my reality is that I will not ever regain my ability to hije, bike, swim, and even just walk very far at all. I wasn't given any hope, and here I am.

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@alison2

Hi everyone I am also going through this but my injury was due to an ablation and the doctor hit the phrenic nerve. there is a doctor in New Jersey who is doing a surgery to repair the nerve I’m not sure if you Google the phrenic nerve and New Jersey doctor it will come up. There is also a surgery where they can staple your diaphragm down but it’s very invasive. I have been told I need to wait at least a year to see if it is permanent, that normally it goes away within a year. crossing my fingers!!

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Good morning Allison, I am for now weaned off oxygen. Previously, I had a large tank of liquid oxygen that NORCO would come and refill regularly. I could charge (fill) a portable backpack to take with me in the car. But for plane travel or extended travel to MD Anderson they'd assign me a POC. I would reserve both the portable oxygen concentrator and the batteries and the ac/dc adapter cord ahead of time and return it when I got back in town. For airline travel I had to complete paperwork (specific to each airline) and travel with enough charged batteries to cover my plane time. Much easier and safer than traveling with tanks. Sorry I've been so late to respond, we've attended a family reunion and then had company. Lovely time!

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It has been determined between my heart surgeon and pulmonary doctor to much time elapsed from my heart valve surgery to when I started having breathing issues. It was about a fourteen month time interval. The doctors have ruled out phrenic nerve damage. Somehow I must have been doing something that caused damage with that right diaphragm.

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@shilo14

I also had my right phrenic nerve sacrificed during my surgery for squamous cell thymic carcinoma. My invasive tumor was involved with both phrenic nerves, and as my surgeon tried to free the right nerve it was damaged; he opted to not attempt to disentangle the left phrenic nerve to avoid putting me on a ventilator for life. I was told the damaged nerve can regenerate at one mm per month. My surgery was six years ago and while my nerve never regenerated, I have regained some breathing ability through my body adapting.
I now have very well developed neck muscles and was told I also breathe with y newly developed muscles in my intercostal spaces (between my ribs). I tried some specialized breathing PT, but didn't see any benefits. I have progressed from needing 3 liters of oxygen 24 hours a day, to just using O2 at night for sleeping, as it is difficult to move air in the reclining position, to now just using a CPAP machine at night, which splints my right lung open so that the left lung can function more efficiently.
I haven't researched having a phrenic nerve transplant in several years, but when I did, it sounds like very difficult surgery and had a low success rate. I certainly have limitations due to my breathing issues, but I can live with them! I can't swim laps, or climb any hills, or exercise really hard - but I can hold my new granddaughter, I've attended two of my sons weddings, and life is good. I don't get the hiccups and when I shiver or laugh really hard I struggle to breathe, but I'm happy to be alive after initially being told I wouldn't survive.

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@shilo14 a granddaughter !! how wonderful I have 5 incredible adorable grandsons two of whom were born after my prognosis of 6? months...it has been 9 years!!!! Even with the struggles I wouldn't give up one day! We just have to find quieter activities sometimes.

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