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

Tuesday, February 10, 2009

Ships & Shoes & Sealing Wax...

I thought it was a good time to do some updates. First, Twilight, our feral kitty. He comes down the walk to greet us now from any of his hidey-holes, none of which are the shelter we set up for him. He meows and looks meaningfully deep into his bowl when he feels it's getting low. Twilight will purr like a chainsaw when we feed and/or water him, and allows us to pet him when he's eating, although he still isn't big on his head being touched. Of course, I scrub up like crazy afterward, knowing that any cat dander near my nose or eyes is murder, but I pet him anyway.

Next, the surgery is off. The doctor really wanted to do it at his facility, because the hospital isn't nearly as up-to-date, and he cannot see as well with their equipment to do the procedure on the shoulder. BUT, my mega-crappy insurance (there are many joys to being self-employed; this is not one of them) only covers the hospital, and that with such an appallingly high deductible that I was really sweating it. So the doc asked us to come back in, free of charge (as the DH puts it, free is in the budget) to talk.

Meanwhile, I did some research on frozen shoulders. Turns out that first of all, as a diabetic, I am more prone to the condition. Nothing new, if there's anything out there, we'll get it worse or be more susceptible. Just gotta love those genetics. Anyway, they aren't sure WHY that is the case, possibly something autoimmune-related. Second, they almost always clear up on their own. But that can take up to two years. Now, see, this shoulder is the DH's favorite sleeping place, and I haven't been able to raise my arm up for him to do that, so I do not intend to wait two years. Third, according to the American Academy of Osteopathic Surgeons website, manipulation under anesthesia is a last resort after physical therapy. I hadn't had any.

Armed with this info, I went to the meeting with the doctor. Understand, this man and his family are clients, so I knew I had to be careful with how I approached this. I hate confrontations. Not out of fear, but because I know me. If I feel defensive, I attack, and I do it very very well. Not good with a client whose wife is a serious prima donna. *sigh* I decided to see first what he had to say, and have my oh-so-tactful DH take the lead if need be.

First thing that the doc said was that he had no idea of the restrictions of our insurance, explaining the difficulty of the hospital. Since the actual surgical procedure for the calcium deposit can literally wait years, we were only doing it to kill two birds while I had to be under already. So he proposed we just do the manipulation. At this point I said that even that might not be necessary. Doing some exercises I found online, I had already improved the front range of motion of my arm considerably, and the back, which is much more painful, somewhat. I said that perhaps I had not been clear, but that although PT is supposed to be the first line of defense, I hadn't had any.

Now, mind you, I'd been perfectly clear on that. Both on forms, during the intake, and to him. But it allowed him to save face, and me to feel crafty. LOL So he said, oh, I must have missed that, and in that case we should definitely try PT first. I think he was thrilled to have the lady with the crap insurance heading elsewhere, but I do go back to let him see my progress in a couple weeks.

Meanwhile, I started PT yesterday. Yes, it hurts, plenty, but I keep floating $$$$ in front of my eyes to remind me how badly paying the medical bills would hurt! He'll see me once a week while DH and I work the shoulder on our own. Thank God for my darling husband's help. When the pain is truly unbearable, him rubbing it lets me relax my muscles, which I cannot do if I'm the one rubbing it. Good ol' Lamaze training really helps there.

BTW today is the 16th anniversary of the first day I met my DH. The time has gone by terrifyingly quickly. The first thing he did was hug me, and he still gives the best hugs. Only Camo's little bitty arms come close. :-)

Finally, I have my pearl back in my hot little hands. Twinkie's idea of shipping it safely meant to have it in its poly bag, in the little square cardboard box in which I originally sent it, in a lightly padded envelope with about six bits of Styrofoam peanuts. What a twit she is! When I sent it, it was well-wrapped in sheets of bubble wrap. But it arrived safely, it is definitely my pearl, so all's well that ends. Period. I'm so glad to be out from under Flaky Twinkie!

Now that you're caught up (yawning behind a ladylike hand), you may return to your own humdrum existence.

Tuesday, January 27, 2009

The Good, The Bad, and the Ugly

The Good: This was old home weekend for me. Through a weird quirk of fate, I got to spend parts of the weekend with three girlfriends of mine from high school. Now, I live about 2 hours or so from the place I grew up, so I don't get this pleasure often. One is Karen, whom I haven't seen in about 17 years. Her eldest son is apparently quite a violinist, and was auditioning at a college a half hour south of us. We arranged to have dinner Friday with the second GF, Gabriele. Gabe lives locally, but we rarely see one another, both busy with family and work. Karen's sons who were along with us were impressed that there were no awkward lags, from reminiscing about It's Academic (a high school quiz program; Karen, a third member and I made the semi-finals) to catching up on all our families.

Saturday we decided on the spur of the moment to get the best burger around at Five Guys, and called our best buds Witt and Gary to come along. They'd eaten, but invited us to drop by afterward. We had a lovely time; we always do.

Sunday evening, Gabe, the DH and I got to see the third GF, Debbie, whom again I haven't seen in about 17 years. She sings with the National Christian Choir, a very talented group who came to perform in a local church. We didn't have much time together, but it was very meaningful to us. Deb and I grew very close our senior year, and the bond remains.

The Bad: I've been having some trouble with my left shoulder for about a year now. I think I initially hurt it lifting something too heavy (probably my purse!) with my arm hyper extended over the front seat to the back. It would feel better, then I would do something to it again. Eventually the pain was a low-grade hum that would occasionally shriek horrifically when I did some odd move, like try to shrug on a jacket. Unfortunately, I tolerate pain too well, so I tend to ignore it. Yes, I know it's dumb. My GP initially thought I'd just strained a muscle, suggested two naproxen sodium twice daily to help. Didn't. So he recommended I see the orthopaedic surgeon he would use himself, and I finally did today.

The Ugly: I have what they've diagnosed as a frozen left shoulder. To fix that, I would have to go under and have it manipulated. But in addition, there is a calcification on the shoulder bone that if left untreated will injure my rotator cuff, already weakened by the fact my shoulder is frozen. So I could put off having that done, but I'd rather have one anesthesia and one incredible amount of pain (insert whimpering here) than do it twice. I will then require, if I understood correctly, about a year's worth of rehab/exercise to try to improve and recover full function. AND if I don't treat the other shoulder with care, I could end up with similar issues there too.

Anyway, surgery will be at some time on the 12th, outpatient. Keep some happy thought for me okay?

And let the first be, "Good drugs!"