Kootenai | Kootenai Health | Issue 3, 2020

when we discover the cause of their pain, it becomes obvious that surgery is long overdue.” Leaps andbounds While nobody looks forward to back surgery, the science and technology behind best surgical practices have made leaps and bounds in recent years, greatly improving the patient experience. “Our techniques and technology are much better than they used to be,” Dr. Raber said. “Many patients have the expectation of being bedridden in the hospital for days, when in reality I often have patients up and moving the same day as their procedure.” This vast improvement is largely due to developments in robotic surgery. Last year, Kootenai Health purchased the ExcelsiusGPS, the newest addition to Kootenai’s robotic arsenal. It combines a rigid robotic arm and full navigational capabilities for the most precise alignment possible. Robotic surgery offers more precision, flexibility and control than is possible with conventional techniques. Kootenai is the first in the Inland Northwest and among fewer than 50 hospitals in the U.S. to have an ExcelsiusGPS, putting Kootenai at the forefront of image-guided neurosurgery. “Robotic surgery greatly improves our accuracy and our patients’ outcomes,” Dr. Raber said. “It’s exciting to have this here, but it’s also exciting to watch new technologies and treatments on the horizon.” Take the first step Dr. Raber is a neurosurgeon with Kootenai Clinic Neurosurgery and Spine in Coeur d’Alene. For help, visit KH.org/neurosurgery or call (208) 625-3800 . Steps to Success If you are nervous about seeing a neurosurgeon about back pain, a little preparation before your appointment could help put you at ease. Dr. Raber recommends doing the following before your visit. • Manage your expectations. You may not have all the answers after your first visit. Expect to discuss your medical history and explore options for next steps. • Bring your questions. Make a list of questions you have or topics you’d like to discuss and bring it to your appointment. This will ensure all of your concerns are addressed efficiently and thoroughly. • Begin weaning off of nicotine and tobacco products. Dr. Raber said these can lead to degenerative spinal issues, reducing your body’s ability to heal properly and putting you at risk for poor surgical outcomes. • Mobilize as much as you are able. Movement is key to having a healthy spine. Working with a physical therapist before surgery can help you and your body prepare for what comes after surgery. “We live such sedentary lifestyles now, and that can really have a negative impact on our spines,” Dr. Raber said. “Preparing our bodies before surgery—or ‘prehab,’ as I call it—will help in anticipation of surgery. Likewise, being diligent with your rehabilitation following surgery will help ensure your best possible outcome.” KH . ORG 13