Day of Surgery with Dr Peter Nakaji @ Honorhealth Scottsdale Osborne Medical Center at Scottsdal, AZ - June 17th, 2026

Hi all,

I am about 6 hours post-op staying in a room at Honorhealth Scottsdale Osborne Medical Center overnight. I would like to share (what I remember) from my experience.

Check in was at 8am. I got here at about 745am. Multiple people throughout the day, starting with the first admin person I spoke to about signing all the paperwork, mentioned I was the second person checking in for this procedure with Dr. Nakaji today.

After doing all the check in stuff, I was immediately taken back to start prepping for surgery. They connected the IV in my left forearm. Then, despite the nurse telling me the arterial entry point would be in my left wrist, the nurse who came to do it said it would be the right wrist. I asked her to double check because the previous nurse was pretty confident it was on the left. She made a comment about that nurse mixing up her directions often but she checked the paperwork anyway and it said right so she proceeded. When the previous nurse got back I teased her about lying to me about which wrist it goes in.

She turned white and said to the nurse who had just finished, “NO! , ITS SUPPOSED TO BE ON THE LEFT!” The nurse replied that the instructions said right and the first nurse said she made a mistake and forgot to change it.

They immediately called the anesthesiologist, who was in the OR, presumably with the person having the same surgery ahead of me, and asked him if they need to do it again on the left. He told them it was okay but while she was on the phone, the situation freaked me out a little and I fainted. A pretty unpleasant experience.

Thankfully, those two things were the only drama of the day. I was wheeled back for surgery shortly after around 11:15am

I woke up in my current room around 4pm (though I was not paying close attention to the time). Neck pain was about 7 or 8/10. Throat pain (from the intubation) was like a 9/10. My throat was extremely sore. I felt like I swallowed a pine cone, whole. They gave me some water, an Oxy, and, a little bit later, some Toradol. The water helped a little. The Oxy did not make a discernable difference, even after an hour. The Toradol totally took the edge off. I sit here typing this around 9:30 pm and the neck pain is probably a 6/10. Throat pain is probably a 5/10.

I did not get a chance to talk to Dr. Nakaji post-op. The nurse’s said he would likely visit tomorrow to discharge me. He did tell my family that the surgery went “very well”. The incision is the smallest I have seen in any pic of decompression surgery. I tried to upload a picture but the upload button just doesn’t do anything when I press it so I will try later.

Overall, day of surgery was about 7/10. I am only deducting points for the whole arterial wrist entry fiasco because everything else was great. No major complications. I am already eating solid foods without issues and walking around. I know the pain will get worse in a few days from all the inflammation but right now it’s fine.

Edit: According to my spouse, I did in fact talk to Dr. Nakaji post-op. I just had no recollection of it.

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@Tusker Well done! Dr. Nakaji usually comes around with his team early in the morning the day after surgery

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@Chrickychricky, good to know! The nurses seemed to think we would have came yesterday so I was waiting to see him. They said he has to show up today in order to discharge me.

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For some reason, I can upload a picture now. The wound looks quite a bit different than other pictures I have seen and I plan to ask Nakaji about it. It seems short in length but not very uniform like I have seen other wounds. This was a few hours post-op.

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@Tusker - Lack of uniformity in incision is due to the suturing. I guarantee it will heal in a nice neat line that will be barely visible. I’m glad all went well with your surgery once the initial excitement abated. I hope you’re able to control your pain w/ ice & pain meds over the next week. Consistency with taking pain meds on schedule (don’t forget daily laxative/stool softener if you’re taking Rx pain meds) & icing every couple of hours + sleeping w/ significant head/shoulder elevation at night will go far toward helping with that. :blush:

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Hoping you have an easy recovery and relief from your symptoms!

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Glad that you’re safely through the surgery, and the pain is relatively under control…good that you can eat already! I hope that the surgery is successful, and that over time you see symptoms improve :folded_hands:

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I also had surgery with Dr Nakaji, and my incisions looked very similar. One is a little longer , but it was a more complicated procedure. I think yours will heal nicely. Wishing you the best with your recovery!

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Thanks for all the helpful and thoughtful replies! I actually went back and looked at @Chrickychricky’s post-op incision from Dr. Nakaji back in 2024 and I think it looks remarkably similar to my own so I’m not so concerned anymore.

I met with Dr. Nakaji a little while ago. He said everything went remarkably smooth. He told me about various nerves he came across during the surgery:

The Facial Nerve

Dr. Nakaji intentionally left a tiny 2mm stump of the styloid near my skull base. He stopped there because the surgical monitors showed my facial nerve was starting to fire, letting him know he was getting too close. He wanted to protect it completely to ensure I wouldn’t wake up with any facial paralysis or weakness.

The 9th and 10th Nerves (Glossopharyngeal and Vagus)

My 9th and 10th nerves, which control my throat and swallowing, looked great and were completely silent on the monitors throughout the entire surgery. Because they weren’t irritated or touched, Dr. Nakaji is confident my severe sore throat is strictly from the breathing tube stretching my neck, not from any surgical nerve damage.

The 11th Nerve (Spinal Accessory Nerve)

Going into surgery, Dr. Nakaji had some concern that my 11th nerve could be stuck to the bone, which can cause permanent shoulder weakness if they have to pull it out of the way. It turns out my 11th nerve actually runs in a slightly different place, so they didn’t even have to mess with it at all.

The Vagus Nerve (Anatomical Position)

It turns out my vagus nerve sits unusually far forward across my jugular vein instead of being safely tucked in the back where it normally is. Dr. Nakaji suspects that my random, panic-attack-like symptoms were actually being caused by this nerve getting physically compressed from time to time due to its weird position.

I didn’t wake up with any numbness, weakness, or tingling ANYWHERE. I think the procedure went about as well as it could possible go.

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Thank you for the surgery details, @Tusker. I’m really glad you finally got to talk to Dr. Nakaji. It does sound like everything went about as perfectly as it could during your surgery. I’m really happy for you & also hope your recovery is easy & moves forward steadily.

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All good news then, now you just need time to heal :folded_hands:

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@Tusker You mentioned you saw my post-op image so I thought I would send you a current image…can’t tell which is a crinkle and which is the scar! Wishing you a speedy recovery

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Wow @Chrickychricky! You can’t see it at all! Thank you for the update!

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I have an unfortunate update. From the moment I woke up from surgery, I have had severe throat pain. Worse than any pain in or around the incision. The nurses and even Dr. Nakaji told me that’s not terribly common but it does happen.

Last night, I finally decided to take a look for myself. What I saw was absolutely ghastly. I have a ~1 inch laceration at the back of my throat. Gemini thinks this happens when the anesthesiologist uses the rigid metal laryngoscope blade as a lever against the roof of the mouth, rather than lifting the jaw forward.

I’m pretty upset that no one told me or bothered to check when I was constantly complaining of severe throat pain.

I have a post-op appointment with Dr. Nakaji today and I plan to ask him about this. This has really soured my whole experience here. How did no one even think to look?!

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I met with Dr. Nakaji a short while ago. He was perplexed by the injury and wasn’t certain exactly where it came from. He said he would investigate and talk to the anesthesiologist to try and find out what happened. He said he had never seen a laceration like this from this type of procedure.

He said the wound will be uncomfortable but should heal up on its own. He suggested I pick up some numbing throat sprays and lozenges to get me through it.

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You’ve healed very nicely & invisibly @Chrickychricky!

@tusker that looks extremely painful. I am so sorry, hopefully it heals quickly and you are able to see the benefits of surgery soon!

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Thanks @MGORNEAU. It is indeed quite painful.

Dr. Nakaji called me back after doing some investigating. They cannot be certain but they think it was caused by the Nerve Integrity Monitor (NIM) tube. Apparently, I had to be extubated fairly abruptly and it’s possible one of the wires sliced into by pallette and caused this laceration.

An unfortunate event in a pretty long series of unfortunate events. I have full faith in everything Dr. Nakaji handled personally but there was just so mistakes throughout the process by his team and the team at Honorhealth that just made the experience poor overall.

Sitting here now, dealing with this excruciating throat pain, I don’t know if I could recommend this experience to anyone else. Maybe I will feel differently when the pain calms down. Overall, I am pretty disappointed right now.

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Hello @Tusker, glad that the surgery went well. So sorry to hear about the laceration in your throat, I can fully understand that souring the experience a tad. But hopefully the rest of your symptoms will subside and the healing will be quick. Also, appreciate all your insights on the eaglesyndrome Reddit!

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@Tusker, for some reason I didn’t see the picture of your throat when I posted earlier. Not sure how I missed it!! I am very appalled & so, so sorry that happened to you. It must have bled when it happened since the throat is so vascular, & it sure seems someone should have noticed if you had blood coming from your mouth. With as gnarly as that looks, I wonder why Dr. Nakaji didn’t offer to suture it as closing it would help keep food out of it which will also help it not get infected. Gargling/rinsing w/ salt water can also help keep it clean & prevent infection - 1/2 tsp salt to 1 c. warm water several times/day.

I hope this is the last bad experience hurdle you need to jump over on your surgical journey & that healing moves along quickly with all your symptoms beginning to resolve early on. :folded_hands:

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