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Medical Forum / Diseases and Disorders / Arthritis / October 2005

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long pre-op day; update--mostly  good news; a little bad

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d'huit - 05 Oct 2005 01:26 GMT
long day.  just back at 3:30pm.

my dear friend, linda, picked me up at 8am and took me to my pre-op appmt.
i had her come in the examroom with me to help me remember stuff i wanted to
ask and answers and anything she could think of to ask, that i'd forget.

mri's were great news, in that he saw in them how he could do all the
repairs arthroscopically, with several incisions from different sides of my
wrist.  he felt plates were definitely out of his repair plan, too many
small bone pieces to make it stay in place.  traction during surgery is in,
to separate my hand from wrist, as it was stoved into my wrist and actually
shortened my total length, and to allow him room to work interiorly.  his
plan is to get all the fragments back wher they belong, within one-tenth of
a millimeter---w0w, that amazed me.   also in his plan is multiple internal
pins and lots of internal wires to hold the bits together.  also in his plan
are bone grafts from my arm and possibly my hip.  the fixator is definitely
in the plan for about six weeks.  he's hoping the fixator can be removed in
six weeks and that i might begin very gentle pt after then.  said i should
have most of my wrist functon working in six months, if i work hard for it,
though it will be weak and continue healing and strengthening for the
remainder of a year.

befoer he mentioned the pt part of his plan, i asked him 'does the bone
graft ppart mean we are going tobe fusing part of my wrist?'  he said, 'not
at all.  we are filling in where solid bone should be with grafting
material, kinda like loose mortar, the pin or wire.  i'm going to be moving
a lots of bone pieces around all over inside your wrist, so be prepared to
be uncomfortable for awhile, until connecting tissues are no longer bruised
from this putting pieces back where they should be.  i'm stressing this, so
you know.  all around inside your wrist, your whole wrist will be
uncomfortable.'

soooo, if the surgery takes 2 hours, which he thinks is possible, there will
be 2 hours recovery room.  more time in surgery, equally more time in
recovery.  he said doing this all arthroscopically will cut hours off what
we need to do.  meaning----JUST ONE OPERATION!!!!  YAAAAYYYY!

the bad news is--because of the itching i was experiencing, i stopped taking
the percocet until it stopped.  that stopped pain management and caused me
to feel the pain in other places that were not as severe as the pain in my
wrist.  like most of you know and i also knew, when you break a bone, pain
eases up in about 3 or 4 days, so it was something i knew i could handle.
well, because the percocet no longer masked it, i noticed what felt, to me,
like more broken bone pain up by my elbow.  so, i mentioned that to him.

he said i know what broken bones feel like better than many people, so let's
xray that, cause he wants to know if that will cause problems with traction
in OR.  sooo, i also cracked the radius up by my elbow, too, it seems.  good
positioning, and he thinks the splint can handle it, too.  ordinarily he
might cast it, but thinks he won't have to.  thinks it won't mess up
traction, because there are two main bones in the arm, but might mess up
grafts from the arm, so he'll go with my hip if he needs to have a different
donor site.

lordy, what a long day getting all the pre-op tests done at the hospital
that everybody and their brother were also getting tests at.  more xrays and
back to him with them to check on what i suspected.  and then getting the
post op pain killers and cephalexin to cover the bases so that my dormant
infection doesn't wake up during or right after surgery and cause post-op
problems.

i'm tired gang.  takes me a long time to type one handed.  think i'll go
rest for awhile.  i need to.

kate
Navy1 - 05 Oct 2005 02:06 GMT
Oh, Kate!  Better not try flying with all that metal in your wrist!  
That is great news.  Do keep us informed.  It looks like you will be
typing one handed for quite a while.  Wasn't there a thread on here a
while back about a program that works with the voice?  That might be a
thought.  I hadn't heard much lately.

Do keep you funnies coming in the email, I really look forward to
them.

Loujean

>long day.  just back at 3:30pm.
>
[quoted text clipped - 61 lines]
>
>kate
Jo Firey - 05 Oct 2005 03:12 GMT
> Oh, Kate!  Better not try flying with all that metal in your wrist!

LOL  Charlie has a heel full of metal from his fall last year, and I've got
a big chunk in the side of my head.  We've been scanned a dozen times since.
Sometimes they do look at us a little funny but no questions.

Jo
CQBHurts - 05 Oct 2005 03:38 GMT
Wishing you a successful surgery and a swift recovery.

My ankle is full of metal and I made it through the scanners at home
and coming back with no problems. I am the Titanium man!
Navy1 - 05 Oct 2005 14:00 GMT
>> Oh, Kate!  Better not try flying with all that metal in your wrist!
>
[quoted text clipped - 3 lines]
>
>Jo

I had a friend at work who had a pin in his leg and he had to show
them the scar every time.  He was the type that other vehicles aim
for! He had collided with a train, a truck, and, I think, an airplane!

Loujean
d'huit - 06 Oct 2005 08:27 GMT
back in 1974 when i had plates, screws and rods in my leg, la guardia (now
kennedy, i believe) made me walk a long distance to get to their basement
located body florescope machine, to prove my metal was surgical prosthetics.
they weren't interested in my scars, though mine wrer huge and obviously
orthopaedic.  and yes, ma'am---they were indeed scanning people for stuff
like that back then, because of the skyjacking stuff happening all over the
world at that time.  i still have some metal (more like scrapnel
bits--meaning screw heads) in my left quads.
kate
thinking . . . at 105 pounds with a pronounced limp, i must have looked like
a skyjacker.  bet my waist-length brown hair was the dead giveaway. LOL

Oh, Kate!  Better not try flying with all that metal in your wrist!
That is great news.  Do keep us informed.  It looks like you will be
typing one handed for quite a while.  Wasn't there a thread on here a
while back about a program that works with the voice?  That might be a
thought.  I hadn't heard much lately.

Do keep you funnies coming in the email, I really look forward to
them.

Loujean

On Tue, 4 Oct 2005 17:26:22 -0700, "d'huit" <threecedars@comcast.net>
wrote:

>long day.  just back at 3:30pm.
>
[quoted text clipped - 69 lines]
>
>kate
Kelly Cobb - 05 Oct 2005 02:09 GMT
Wow...good news over all! I'm very glad to see this. I thought about you all
day and hoped things went well.

I never type that much with two hands, you must be wiped out.

Soft hugs,
Kelly C.

> long day.  just back at 3:30pm.
>
[quoted text clipped - 61 lines]
>
> kate
Diane - 05 Oct 2005 03:13 GMT
well, mostly good news. and a very good doc. sorry about that extra
break you needed like a hole in the head. or like an extra break in the
arm. i'm confused about the date of your surgery tho. tell when so the
prayer machine can get in gear.

diane
d'huit - 05 Oct 2005 15:46 GMT
oh, you're right!  i was so tired yesterday, i forgot to say---surgery is
friday, oct. 7 at 9:40am, though i have to be there at 8:15am.
thanx, sweetie.

kate
well, mostly good news. and a very good doc. sorry about that extra
break you needed like a hole in the head. or like an extra break in the
arm. i'm confused about the date of your surgery tho. tell when so the
prayer machine can get in gear.

diane
Carole - 05 Oct 2005 16:34 GMT
You'll be in my prayers, Kate! I 'm sure all will go well for you :)

Hugs,
Carole

> oh, you're right!  i was so tired yesterday, i forgot to say---surgery is
> friday, oct. 7 at 9:40am, though i have to be there at 8:15am.
[quoted text clipped - 7 lines]
>
> diane
Squirrely - 05 Oct 2005 08:47 GMT
Kate I have to say I admire your being able to type that much. I also admire
that you are keeping the group up to date on what is going on. I don't think
I would have your gumption to do so. I would take the wimpy way out and ask
someone else to post for me. ;-)

Boy you really did yourself in. I so hope you heal quickly. You are in my
thoughts, prayers, and hugs and warm fuzzies, and lots of  TLC coming your
way. You take care and do not, DO NOT, in case I was saying that too quiet,
fall again. Please be careful.

Signature

Love and hugs to all
Good thoughts coming your way too.

Squirrely Jo

> long day.  just back at 3:30pm.
>
[quoted text clipped - 83 lines]
>
> kate
Charrlygrl1 - 05 Oct 2005 18:30 GMT
Kate,
Geez...this whole thing sounds pretty hairy.
You are so brave!
I hope that the surgery goes well and that everything turns out ok,
Charlene
Harvey R. Stone - 05 Oct 2005 14:15 GMT
If you are happy about it all,,, I surely am.  In am prayers,,,
Harv
> long day.  just back at 3:30pm.
>
[quoted text clipped - 83 lines]
>
> kate
vickie b. - 05 Oct 2005 14:59 GMT
(((((kate))))) You're in my thoughts and prayers today!

This past weekend was parents' weekend for freshman.  My son's roommate
made the mistake of buying rollerblades and rollerblading for the first
time just about the time that his parents were due in.  Well he fell
and broke his wrist!  Ouch!  

Take care,

Vickie B.
Navy1 - 05 Oct 2005 20:35 GMT
((((((((((((((((kate))))))))))))))))

That reminds me of what happened to my son.  He was skateboarding and
was supposed to be in a musical that night and do a dance.  You
guessed it - he took a tumble.  His dance was a little stiff, but
fortunately, he didn't break anything.  He sure was bruised, though.

Loujean

>(((((kate))))) You're in my thoughts and prayers today!
>
[quoted text clipped - 6 lines]
>
>Vickie B.

Loujean
God didn't promise us
that life would be fair.  
If it were, who would try
for the stars?  
Gwen Love - 06 Oct 2005 00:25 GMT
Dear Kate, you really don't do things half-way, do you?  Glad you stopped
the percocet so you could find out about the elbow stuff.  Pray the surgeon
will be able to do everything he mentioned, even better than he thinks he
can.  You know you will be in many, many prayers.
Gwen

> long day.  just back at 3:30pm.
>
[quoted text clipped - 83 lines]
>
> kate
johnie - 06 Oct 2005 03:08 GMT
 >You know you will be in many, many prayers.

yes you will...
johnie
Adelle - 06 Oct 2005 03:22 GMT
What a day!!

Good news and bad. Will be praying for you and your surgeons on Friday.
Think peaceful thoughts!

Adelle

> long day.  just back at 3:30pm.
>
[quoted text clipped - 83 lines]
>
> kate
d'huit - 06 Oct 2005 08:36 GMT
thank you, you guys, for hanging in there with me, for your commiserations,
prayers, healing thots, positive energies, help, wisdom and for laughing at
my goofy sense of humor and providing me with chuckles because of your own
wit.  i love and appreciate all of you.

kate
long day.  just back at 3:30pm.

my dear friend, linda, picked me up at 8am and took me to my pre-op appmt.
i had her come in the examroom with me to help me remember stuff i wanted to
ask and answers and anything she could think of to ask, that i'd forget.

mri's were great news, in that he saw in them how he could do all the
repairs arthroscopically, with several incisions from different sides of my
wrist.  he felt plates were definitely out of his repair plan, too many
small bone pieces to make it stay in place.  traction during surgery is in,
to separate my hand from wrist, as it was stoved into my wrist and actually
shortened my total length, and to allow him room to work interiorly.  his
plan is to get all the fragments back wher they belong, within one-tenth of
a millimeter---w0w, that amazed me.   also in his plan is multiple internal
pins and lots of internal wires to hold the bits together.  also in his plan
are bone grafts from my arm and possibly my hip.  the fixator is definitely
in the plan for about six weeks.  he's hoping the fixator can be removed in
six weeks and that i might begin very gentle pt after then.  said i should
have most of my wrist functon working in six months, if i work hard for it,
though it will be weak and continue healing and strengthening for the
remainder of a year.

befoer he mentioned the pt part of his plan, i asked him 'does the bone
graft ppart mean we are going tobe fusing part of my wrist?'  he said, 'not
at all.  we are filling in where solid bone should be with grafting
material, kinda like loose mortar, the pin or wire.  i'm going to be moving
a lots of bone pieces around all over inside your wrist, so be prepared to
be uncomfortable for awhile, until connecting tissues are no longer bruised
from this putting pieces back where they should be.  i'm stressing this, so
you know.  all around inside your wrist, your whole wrist will be
uncomfortable.'

soooo, if the surgery takes 2 hours, which he thinks is possible, there will
be 2 hours recovery room.  more time in surgery, equally more time in
recovery.  he said doing this all arthroscopically will cut hours off what
we need to do.  meaning----JUST ONE OPERATION!!!!  YAAAAYYYY!

the bad news is--because of the itching i was experiencing, i stopped taking
the percocet until it stopped.  that stopped pain management and caused me
to feel the pain in other places that were not as severe as the pain in my
wrist.  like most of you know and i also knew, when you break a bone, pain
eases up in about 3 or 4 days, so it was something i knew i could handle.
well, because the percocet no longer masked it, i noticed what felt, to me,
like more broken bone pain up by my elbow.  so, i mentioned that to him.

he said i know what broken bones feel like better than many people, so let's
xray that, cause he wants to know if that will cause problems with traction
in OR.  sooo, i also cracked the radius up by my elbow, too, it seems.  good
positioning, and he thinks the splint can handle it, too.  ordinarily he
might cast it, but thinks he won't have to.  thinks it won't mess up
traction, because there are two main bones in the arm, but might mess up
grafts from the arm, so he'll go with my hip if he needs to have a different
donor site.

lordy, what a long day getting all the pre-op tests done at the hospital
that everybody and their brother were also getting tests at.  more xrays and
back to him with them to check on what i suspected.  and then getting the
post op pain killers and cephalexin to cover the bases so that my dormant
infection doesn't wake up during or right after surgery and cause post-op
problems.

i'm tired gang.  takes me a long time to type one handed.  think i'll go
rest for awhile.  i need to.

kate
 
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