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Friday, September 30, 2016

When disaster occurs

I don't post regularly anymore, just periodic updates on how I am doing. But I saw this photo on the site of a major shoulder surgeon and just had to post it here.

The patient, a woman, fell and the worst possible thing happened...the bone into which the repacement rod was inserted broke just below the rod. Surgery was advised but she sought consultation with this group and was advised to wait and see. The arm was stabilized, the bone knit back together and she was back to normal, albeit with a metal rod in her arm.

The point is her fracture was treated conservatively, like a fracture in a previously unoperated arm, and the outcome was excellent.

Now, that doesn't mean we post RTS patients should be cavalier about staying vertical. We still need to be cautious and vigilant. For me, the stumble occurs, not when I am picking my way through a veritable obstacle course but, when I am at least risk of tripping, when there is no banana peel or skateboard or oil slick.

Just be careful out there!

Friday, August 5, 2016

Two years plus six weeks approximately PO

Has it really been more than two years since my shoulder surgery? I've totally lost track of how many days. There is probably an app or a website that could calculate it for me but I think 2 years plus 6 weeks is close enough now.'

I saw my surgeon for my two year post op visit in early July. Naturally the visit included an X-Ray. It always makes me wonder how doctors knew what was going on before X-rays were available, I thought I was totally prepared for the process; no metal like hooks on bras, no buttons so one does not have to undress for the X-ray. But the loose lace top I wore was a problem. The technician said knotty lace fabric (not naughty!) showed up as a jillion spots in an X-ray. So I had to change into the hated hospital gown.

I love how the X-ray is posted on the computer in the room and I can see what the doctor sees, My first orthopod did not have hat amenity in his office.  When I first broke my shoulder I asked to see the X-ray. All he could do for me was bring me a very poor quality print out that was worthless. He couldn't or wouldn't even take me back to where he was able to look at the actual films. I should have known then to change doctors!

Anyway, all  the pulling and pushing, hammering and screwing, stretching and crunching I have done in the last year seems to have had no ill effect and everything looks fine. My range of motion is amazing and he is very pleased with how I have done and his own handiwork. I have graduated to a "return in two years" schedule.

What Ihave learned as I enter the third post op year is that the healing is not over and the process continues. At one year post op I thought I was doing fine and had reached optimum recovery. But as I prepared for my two year post op exam I realized I had come along way in the second year. I bragged to my doctor about how well I was doing. Of course,I admitted, there were a few limitations but they were to be expected and, I believed, permanent.

Do I never learn? One of the "permanent" handicaps was the inability to hook a bra behind my back. I had to either do the front hook-twist maneuver or wear front closure bras. I was resigned even though I frequently tried. It was impossible. But within two weeks after my two year visit I unconsciously tried and I was able, with a bit of a struggle to do it! A small but significant step forward. Now I am almost always able to "hook up" normally. It's a little thing, I know, but a big step in feeling back to normal.

I do still have some discomfort. Some movements are no-nos. And sometimes there is a catch that accompanies an up and down motion that I don't like. If I overdo things my arm hurts but so does my un operated arm. It's good to have realistic expectations. The surgery was not a visit to the Fountain of Youth. But, even as I have been surprised by my progress in PO year 2, perhaps I will be surprised in PO year 3.

I hope so!

Monday, February 29, 2016

Catching up

It's been a long time since I posted on here. There's really nothing new to say. I've had lots of home projects over the past few months and my shoulder has met the demands well. I continue to slowly improve. For the longest time I could not peel off a t-shirt in the usual way but mostly now I can. My right arm is stronger. And I have more range of motion. It's been cold and the weather does seem to cause some discomfort. I read that the theory is that a falling pressure system allows minuscule swelling of our joints, hence some comfort.

I am now on a once a year schedule to see my orthopod so don't go back till June or July. I am quite satisfied, I hope he is.