Showing posts with label surgery. Show all posts
Showing posts with label surgery. Show all posts

Sunday, June 8, 2008

Me and My Friend John

I am not an athlete.

I fall down a lot.

My hands and eyes do not speak to each other, much less coordinate.

My life has been shaped by a free-floating fear of balls of all shapes and sizes. Today I might be a wealthy partner at an important law firm were it not for the fact that early in my career there I burst into tears when a senior partner insisted I play on the firm softball team. Trust me -- that's what's known in the legal world as a career-limiting gesture.

Yet strangely, it turns out that John Smoltz and I have something in common -- at least enough that if we ever find ourselves next to each other at a cocktail party, we will have something to talk about besides the weather.

Who is John Smoltz, you ask? What does he do? Here is a picture to help you out.



As you can see, Mr. Smoltz throws balls. (Just typing those words scares me.) Apparently, he has done this very, very well for a long, long time.

His shoulder is not happy about this. It's so unhappy, in fact, that Mr. Smoltz announced last week that tomorrow he will undergo arthroscopic surgery on his shoulder to figure out just why it is so pissed that it is making noises about ending his career.

Which brings me to our connection.

Some of you may recall that a couple of posts back I said I'd be having surgery on my own shoulder on June 5. That didn't happen, because on June 2, I finally saw the highly touted Rock Star surgeon, and decided he was The One. This was in no small part because Rock Star and the more senior physicians in his practice have become the orthopods of choice to people who tear up their knees, elbows, and shoulders the old-fashioned way -- by using them to earn millions of dollars as professional athletes.

Like John Smoltz.

Mr. Smoltz and I do not actually have the same surgeon, but we will sit in the same waiting room (although when i think about it, he probably doesn't have to wait long) and stand in front of the same X-ray machine and perhaps even lie upon the same examining table.

This is as close as I will ever come to athletic greatness.

Meanwhile, I am thinking of proposing to Rock Star that his practice get some new photographs for their examining rooms. Like the other orthopedic surgeons I've visited, Rock Star's rooms are decorated with photos of famous athletes. While I waited for Rock Star (who looks so young that I swear his Mom has to drive him to work each morning), I counted at least seven pitchers in mid-hurl (I was so afraid I was cowering on the floor). I have no doubt that once Mr. Smoltz's shoulder is healed, he will autograph an 11 x 14 of himself, which Rock Star's mom will have framed and which he and his colleagues will hang with pride in their lobby.

Frankly, this concerns me. "Do you ever operate on Regular People, or only professional athletes?" I asked Rock Star.

"Actually, the athletes are a minority," he said. "Most of the people I operate on are like you."

Well, if that's the case, Rock Star and Company need some new photos. I have some suggestions.

Since I tore up my shoulder by being clumsy, what about this:


(Work with me, people. Google assures me this is a photo of a person who's fallen forward. Since I tend to do this a lot, perhaps next time I could have myself photographed in mid-fall, autograph it, and present it to Rock Star as a token of my appreciation.)

Since I can't get my jacket on without help, how about this:



Ironing is not as enjoyable as it used to be, so he might also try this:



And it's nearly impossible to blow-dry your hair with a bum shoulder, so how about this?


(The fact that this woman is smiling proves that she does not have shoulder issues.)

And since my shoulder makes it completely impossible to show affection to anyone on my left, I'd also suggest this one:



I'll be thinking of Mr. Smoltz tomorrow. From what I hear, the week he's got in front of him will not be pleasant. Hell ... the summer he's got in front of him won't be much fun, either.

Which is why I've postponed my surgery until after we go to the beach in July. After all, here's another thing you can't do with a bum shoulder:



And every summer needs a little fun.

Thursday, May 29, 2008

May 2008 -- The Month of Living Crappily

Hi! Remember me? I used to blog here.

Then some stuff happened, and some other stuff happened, and some of it I could talk about because it happened to me, but other parts of it I couldn't talk about because they happened to someone else, and in the World According to Betsy Bird, you only have free rein to blog about it if it's your stuff. If it's someone else's, maybe not.

No one's dying, and no one's getting divorced. No one's been arrested, and no one's run away from home (although I've considered it). All I can say is that the words "New Post" at the top of my Blogger screen tonight might as well have been "Welcome Home." I've missed this space.

So if you'll indulge me, I'd like to write about what I can, a sort of "Since I've Been Gone" for the blogiverse.

1. I kept running ... for awhile.

As some of you may recall, not long ago me and my great whites began a Couch to 5K running program, with a goal of running an actual, real-live, finish-line race the end of June. Last week, a miracle occurred. I actually ran 3/4 of a mile, walked a half-mile, then ran another 3/4 of a mile. Celestial sounds poured forth from the heavens. Birds sang along. Rainbows appeared.

And then I got bronchitis.

Not to be a wimp, I decided to keep running anyway. This was a bad idea. By last Friday night, as the Memorial Day weekend began to suggest itself, I was really sick.

But I didn't take my bed. Are you kidding? I'm the mom. Instead ...

2. I packed Billy off for a trip to the beach with some friends.

How nice, you're thinking. Well, yeah.

Except for finding out 48 hours before he left that he and his friends would be staying in a place by themselves. "Don't worry," the host mother told me. "We'll be just down the beach."

Oh, and there was also the part about how, since they were renting a place FOR THE TEENAGE KIDS, MANY OF WHOM HAD JUST TWO DAYS BEFORE GRADUATED FROM HIGH SCHOOL, TO STAY WITHOUT ADULT SUPERVISION, we would need to contribute $150.

Billy's one of these kids who's never given us a reason not to trust him. Sometimes those are the hardest kind. In the lengthy time we had to weigh all our options and thoughtfully consider the pros and cons of letting him go on this trip, which of course had been planned for weeks -- in other words, 30 minutes -- we decided he'd earned the right to go.

Let the worrying begin.

Before we knew it, the phone rang. It was Billy, who'd insisted it was a really, really great idea to take his new, 140,000-mile Volvo, seeing as how he needed to come back earlier than the other kids they day after Memorial Day.

"Mom," he began. "We stopped at KFC, and when we got back in the car, the check engine light came on, and now it's driving sluggish, so we went to an auto parts place, because we thought they'd know how to fix it, but they don't, and now I need to know what to do."

Oh.

"Call Daddy," I said. There's a time and a place to take a feminist stand but this wasn't it.

Daddy concluded that Billy and his friends should join the other cars and leave his car. Which meant that we got to spend the first day of the Memorial Day weekend driving to a little town, which didn't have much more than a KFC and an auto parts store, to figure out why the check engine light was on.

Which it wasn't.

Meanwhile, I coughed. I coughed so much that

3. I spent Memorial Day at a Doc-in-the-Box.

Previously in this forum I have taken a stand against Z-pak abuse. Like a child raised in an alcoholic home who grows up to abstain, I was raised by people who toss back antibiotics like some folks eat M & Ms.

But there's a time and a place for everything. After a weekend of fever and coughing up stuff the same shade as this year's most fashionable paint colors (one of these days thousands of Americans will wake up and realize they painted their living room walls the color of infection), I would have robbed a pharmacy for some antibiotics.

But we don't have a gun. So instead, I went to a so-called "urgent" treatment center.

Apparently "urgent" means different things to different people. To me, it meant get there and back before the Law & Order Memorial Day Marathon ended. To the 137-year-old doctor on duty that day, it meant treat me before the end of the month.

In theory I think doctors should wait for the results of a blood test before doling out antibiotics. In practice, when the blood is drawn by a nurse who apparently hasn't seen a vein since Christmas, and when it takes two hours to get the results back, during which the nurse and the doctor and some other folks sit around and eat pizza while I wait alone in an examining room where the paper won't stay on the table, I think we should see if the Mafia would be interested in pursuing a new line of business.

Eventually, and with considerable help from me ("Well let's see, what could we try?" "I've done well on Zithromax in the past." "Say ... now there's an idea."), the doctor "treated" me and went back to his pizza.

Did I mention he never listened to my chest? Isn't that Bronchitis 101? Maybe that's why I'm still sick.

But I have to get well, because

4. I scheduled my shoulder surgery for next Thursday, June 5.

I still haven't 100% committed to a surgeon. As you may recall, I had issues with the first surgeon. So last week I went to see Shoulder Guy.

I liked Shoulder Guy. Yes, he had on cowboy boots, which seemed a little "I'm so cool that I wear cowboy boots in a seven-story medical office building 10 miles from the closest horse," but he was nice, and he explained lots of things, and best of all was he said that actually what needs fixing is not my rotator cuff but my cartilage. This may not sound important, but apparently cartilage heals a lot faster, which means my shoulder won't hurt as much or as long, and my summer won't suck nearly as much as it was sounding like it might a couple of weeks ago. Besides, Shoulder Guy has had his own shoulder cartilage fixed. He didn't do it himself, of course, and I didn't feel comfortable asking who did. But it certainly didn't sour him on the procedure. "I LOVE doing these," Shoulder Guy said.

Of course, I love doing crosswords. That doesn't mean I'm any good at them.

Stay tuned ...

Thursday, May 15, 2008

Everything You Always Wanted to Know About Rotator Cuffs But Were Afraid to Ask

My two-handed typing days, it seems, are about over.

As it stands right now, a week from today a surgeon will make some tiny cuts in my left shoulder, wiggle a little camera around in there, remodel a couple of bones, and stitch up my torn rotator cuff. Then he'll send me home with a pain pump, a gigantic ice cuff connected to a cooler, a sling, and some sort of bolster-on-a-belt designed to keep my arm out to my side. Which pretty much nips my newfound running obsession in the bud. (5K racing, we hardly knew ye...) As well as the aforementioned two-handed typing.

This all comes as something of a surprise, and not just to me.

Apparently determining why a shoulder hurts is like trying to figure out what's making a newborn cry. You put the baby down for a nap, pick it back up, feed it, burp it, change its diaper, feed it again, bounce it around on your forearm, give it a pacifier, drive it around in the car, call your mom and ask what she thinks, change its diaper again, burst into tears yourself, and finally decide it has colic.

With a shoulder, it's not all that different. First you try Aleve. Later you try more Aleve, and distracting yourself. If that doesn't work -- and it won't -- you try physical therapy. When all that fails, you have an MRI.

Now, as some of you may remember, I attempted to have an MRI last week. Such was not to be, however, so it was not until two days ago that I finally got the chance to be left alone inside a metal tube with a jackhammer banging in my ears.

The noise and the claustrophobia and the nagging neurotic concern about what would happen if the MRI technician was a sadist and left me in there alone with my hands strapped to my sides? Those actually weren't the worst parts. The worst part was the part before all that.

To figure out why the newborn is crying a shoulder continues to hurt when it should have stopped already, you have to put dye inside it. You probably would rather I not describe how the dye gets in there, so I will spare you. What I will share is that the phrase "Gosh ... 99 times out of 100 this thing goes in without a hitch" is not what I was hoping to hear. My butt may be as big as a tractor wheel and my thighs may be great whites, but apparently my shoulder joint is dainty and petite.

Eventually, though, my shoulder was full of an iodine-and-saline cocktail (I am pretty sure it was on the rocks), and a technician shoved me and it into the MRI tube. I was actually quite excited when they handed me radio headphones and asked me my favorite station, but it was impossible to hear NPR over the MRI steel-drum sounds, and I was not a happy camper.

Still, it ended soon enough, and they sent me off with a CD (probably the most expensive one I've ever touched) showing the inner workings of my diminutive shoulder.

Wednesday, I handed the CD to my friendly orthopedist. Thirty minutes later, having watched it on her computer (I forgive her if she checked in with TMZ while she was at it -- I mean, how interesting can the inside of a shoulder be?), she came back and, using her little finger and a pretend knife, demonstrated how my infraspinatus tendon had been cut halfway through, presumably by my fall in California.

No one, most particularly me, had expected this. The prevailing theory was that I'd torn some cartilage. Which just goes to show that maybe, uh, doctors, uh, guess sometimes. (Which reminds me of the time a few years back when one of my pupils got way bigger than the other. (Long story. And yes, it DID involve an MRI.) The doctor in the ER looked at it, scratched his head, said he'd be back in a few minutes, left, came back, and told me he'd just pulled out a bunch of his old textbooks to try to figure out what was going on. "Hell if I know," he said. I loved that man.)

Sometimes doctors advise people with partial rotator cuff tears to try more physical therapy. But before I could even ask, my orthopedist told me, "If it were me, I'd have surgery on this one." Yes, you're right -- I don't have any way of knowing whether she was wearing her "trust me --I made a 100 on rotator cuffs in med school" hat or her "hell if I know" hat. But she has me convinced.

So, after another 45 minutes or so of waiting, she sent a surgeon in to chat with me. This guy met my Number One requirement in a doctor: I understood everything he was telling me. That, and he said I was "almost guaranteed" not to have pain anymore once I got past the surgery and the rehab. (Shhhhh ... I can hear what you're thinking.) So I said yes, and we set a date: May 22, 2008.

Next up was the surgeon's nurse, who also happened to be his wife. Contrary to her happy-go-lucky husband, Mrs. Surgeon made this sound like it would not exactly be a walk in a park. I learned, for example, the following:

1) I won't be able to drive until I finish taking pain medicine. Given what sort of things the surgeon said he was going to be doing while he was in there, I suspect that means I will need a chauffeur for awhile.

2) "Most of the ladies find it more comfortable not to wear a bra for a week." Oh really. Well then most of the "ladies" must have ripped their rotator cuffs while they were still girls, with young and perky girl-breasts. What are old hags grownups like me supposed to do -- wear a strapless bra? Maybe that's why they'll be giving me pain pills.

3) I will need to wear a sling and this pillow thing on the side of my waist for, oh, about three of the hottest weeks of the year. Between that and the lack of chest supplementation support, I feel pretty already.

Once I got home, I figured out some other stuff.

Like, there's no way I'm going to be able to continue training for a 5K race on June 28 if I have to run braless with a sling and a shelf around my waist. But if I put the surgery off until after the race, I'll have to wear the same paraphernalia on the beach in mid-July for a couple of weeks. (Maybe I could get one of those cigarette-girl setups and prop it on the pillow and sell seashells at the seashore.)

And that it's going to be sort of hard to do my job, seeing as how it involves typing only about, oh, all the time. Unless I can find a keyboard with the left-hand keys about two feet to the left of the right-hand keys.

And that it's going to be harder that it already is for me to get meals on the table and clean clothes in the drawers. How do you chop an onion with one hand?

And that I'm going to have to become adept at posting all sorts of visuals real quick if I want to continue blogging with one hand.

And that before Mrs. Surgeon became Mrs. Surgeon, she was just the surgeon's nurse and there was a different Mrs. Surgeon, who is now known as the former Mrs. Surgeon. Coincidence? I think not.

With all this newfound knowledge, I decided today I wanted to stall get a second opinion, and maybe a different surgeon. Yes, he met my Number One requirement of Being Understandable, but Being a Nice Guy is way up there too, and in my book philanderers generally aren't. Maybe that's prudish. But it's my money and my rotator cuff, and I have a perfect right to make a moral statement with them if I so choose. Besides, I heard from two different people that he's had some unhappy customers.

So now I have an appointment with a second surgeon. This one is a Shoulder Guy. But then of course the doctor at the ER that time was an Eye Guy, and we all know how that turned out.

Meanwhile, I plan to spend this weekend looking for a one-armed bra and the world's widest keyboard.