Happy New Year

Trying something a little different... a video blog entry!!

Yeah, I couldn't figure out how to imbed my video...

Wow. My hair is getting really long. Now you get to see my face and hear my voice for once. :)

Post Op Appt

Just got in from my latest post op appointment with Dr Rohde. Have I mentioned how much I like her? Cuz I do. She gets my weird humor and gives it to me straight. My kinda Doctor!

Today I actually asked if I could have copies of my xrays and asked if I had her permission to use her name in this little blog o' mine. She gave an enthusiastic "yes!" and even asked for the URL. So if you're reading, Doc, "hi!"

It was a pretty straight forward appointment. Cast cut off, arm xrayed, follow up with the doctor. Its not quite where she wants to see it, so the cast is ace bandaged back on until I can get it splinted. She had suggested using one of my old ones... but they all have a bend in the wrist, and I no longer do. So custom splint it is!

I popped over to hands/OT after my appointment and gave them my script and scheduled my appointment for tomorrow. Then I will be FREE from this cast! YIPPEE!!!!

So progress is being made and I'm a happier camper than I was the other day. Pain still sucks, but it's gradually getting better.

Here's my show and tell moment!

Alrighty, first set of x-rays are pre-op (before my surgery). I was nice and put the left on the left side, and the right on the right side. SO! The right side is a fairly normal/healthy wrist. The left side is pretty jacked up. From the side you can see how my metatarsals (hand bones) are not lined up with my radius and ulna (forearm bones). There is a definite disconnect when you compare them side by side.

The dysfunction is even more obvious looking from the top down. Look at my right hand. You can see all my little carpals (wrist bones) lined up nice and pretty. Then look at the left - they are all over the place! Some are even up on top of the others! Definitely not quite right...

And here we have it... The postop (after surgery) final product. This is my wrist. My hardware. My plate and 8 screws. My hand is crazy atrophied (where the muscle shrinks away from disuse), so it is super skinny. My middle finger metatarsal is also slightly crooked to the left, so it gives my hand a slight bend to the outside... but I suspect as I build the muscle back up in my hand, it will flesh out and not be so noticeable.

There you have it, folks. I'll post pics tomorrow if my splint is finished.

Post Op - 2 weeks

Here we are, 2 weeks post op.

I'll be completely frank. This surgery SUCKED. Pain management was really an issue for the first 5 days... but everything is under control and I am completely off prescription pain medications. Yay. There were several nights tho that I really was having a hard time... I feel very lucky that I had one of my best guy friends to talk to at 3am on several occasions, otherwise I may have gone mad.

So this begins my journey of learning how to use my arm/hand all over again. Everything is going to be different on that side... Everything.

Heres a couple pictures for those who are curious. If not, scroll quick. ;)

Shortly after surgery. Very swollen and uncomfortable. 

11 days post op - bandages come off and incision is revealed. Its lovely!

Detail of incision. Internal sutures and dermabond (skin adhesive glue)

I went with a nice black cast this time... Black goes with everything and is slimming, right? ;)

As for the actual surgery... Doc said it was "jacked up" in there, and she feels 100% confident this was the best choice. I'm also her youngest wrist fusion to date. I asked if that earned me a metal... "Why yes," she said. "Its in your arm!"

Very clever... ;D

I was missing cartilage in some spots, had mutating cartilage in others... it was just a mess. Now it will be so much better!


OH! I've also started the application process for disability. No clue how that will pan out, but I gotta give it a try.

T Minus 3 Days...

3 days until the fusion commences... and of course I get a wicked outer ear infection. I swear I need to do something about my OCD ear cleaning fetish. I started antibiotics yesterday and just have my fingers crossed it will be cleared up enough by Thursday for us to move forward. I've been taking Tylenol and alternating hot and cold compresses. I've also been using garlic oil drops. Stinks like crazy, but is pretty soothing too. Ready for that nonsense to calm right on down.

Ugh.

Fusion It Is

June 27th I go back under the knife, hopefully for the last time for this body part. I can't believe my surgery is only 10 days away. I'm a little excited, but mostly terrified right now. I made the mistake of researching the surgery further and watched a video of an actual procedure.

This is going to hurt so bad initially... So bad...

I'm sitting here trying not to cry at the moment. I'm just feeling so overwhelmed, yet I feel like I can't say anything to anyone. I've hinted that I'm nervous to family and friends... but this is more than just nervous. This is it. This is the absolute end of my massage career. There is no turning back after this surgery. Granted I can't do massage NOW, but with my wrist fused, I have to look at alternatives to everything going forward.

Driving (won't be so bad, I drive that way now)
Eating (will be tricky. Try cutting your food with one hand immobile at the wrist...)
Typing (until my hand is fused AND I can pronate my hand again, I'll be typing one handed.)
Showering (I HATE bathing with a garbage bag on my arm... but it is what it is.)
Grooming (since my elbow will also be immobilized during the cast process, my hair will be an absolute mess. Which reminds me... I should think about dying it next week so I don't have horrible roots right away)

I'm nervous.

Another Surgery?

Saw the Orth. Dr today. They took x-rays of both my wrists. The right one looks good - I have a pinched nerve from sleeping on the couch with my arm curled under me. I just have to sleep with it straight and it should clear up.

 

My left hand is a whole other story. She said the xrays were "ugly." The carpal bones are all twisted around and not sitting right. One of the bones that is supposed to sit in a little "socket" isn't even close. SHOCKER! But she said my options are few. Either leave it alone, or fuse the wrist. If we leave it, the wrist will remain unstable and will cause me pain for the rest of my life. It's not going to "get better" on it's own. It just is what it is. With the surgery, my wrist will be ridged, and basically stuck in the same position as when I wear my wrist brace. So I'll still be able to flip my hand over, type, etc... I just won't be able to flop my hand up and down (which I currently can't do anyways).

 

The surgery would be pretty brutal. Longer incision and some permanent hardware. They would strip all of my cartilage off my wrist bones and break a couple to promote bone growth. Then they would all just grow together. It would be similar to the first wrist surgery as far as post-op. It would be out patient and I would have another pain pump post op. Cast for 6-8 weeks and that's it.

 

Maybe I'm crazy, but I'm leaning towards surgery, and sooner as opposed to later. I know it would be another summer in a cast, but with the fusion, I should be able to be WAY more hands on with the kids - as I won't be guarding that wrist and my pain will become zero after the bones heal.

 

Decisions Decisions...

Falling Apart... Again

Todays therapy did not go well. Tendon is subluxing again which would lead one to believe the internal tissues that the synthetic tendon sheath were adheared to are too unstable to hold. The wrist is crunching again and I'm trying so hard not to fall apart emotionally too.

I'm disappointed.

I'm in pain.

I don't understand what the hell is happening to me.

To top it off? My right wrist is starting to hurt too. I'm feeling useless and broken. I haven't been really helping out at home. Granted, I'm technically not supposed to... but I've been sticking to it as I'm physically unable.

I'm getting frustrated with being in pain all the time. Its starting to affect my relationships with people. I'm typically a very quiet person when it comes to my personal life. At times, getting me to open up and share is like pulling teeth. But lately, I feel myself withdrawing from everyone. I guess I'm tired of people asking "how's the hand?" and me not having anything positive to say. When people ask, they don't want to hear anything other than "things are going great!" I admitted things were not going well to a patient at work the other day and the look of pity she gave me...

I don't want anyone to pity this shit I've been dealt. I do that enough for myself, thank you very much.

Tonight is a rough night for Keeping It Together...

Pushed Too Hard?

Had my 5th session of OT on friday. It did not go well. I had pushed myself pretty hard the day before with my home exercises and was pretty sore. Get into OT and my wrist was very stiff and swollen. The therapist starts to do a gentle stretch and...

*POP*

We both froze. I looked at her. She looked at me. Neither of use moved a muscle for a good 3 hard seconds. I swollowed. Hard. It started to hurt. She backed off the therapy for the day and taped my wrist. Told me to take a break from home exercise and just rest my hand/wrist the rest of the weekend.

"The tendon slipping has me concerned... I'm hoping that doesnt happen again."

Me too, lady. Me too.

I'm too depressed to say much else today. It was a bad pain day.

Occupational Therapy Begins

This morning I had my initial evaluation with the occupational therapist. First visits are always boring. Basically all she did was look me over, talk about my health history, and get my current range of motion measurements. The real fun starts Friday when I go in for my first session. She did give me a packet of exercises to start today, as well as scar massage she wants me to start.

I was pretty put out by how limited my ROM is. I cant yet turn my hand over. I know I need to be patient and this is going to be a learning process, but still. The notion of a "new normal" is something I'm having a hard time with. There are just so many "new normals" I'm trying to deal with all at once. Not sure which way is up. And I'm afraid to make personal demands... To really ask that my needs be met. I have to make it to these appointments and I need to make sure that I am demanding I have a means to get there. Sucks, but I have to make it work. With only one car, makes it interesting.

Blah.

Ooo! Pretty!

Well, my cast came off this morning. I forget how painful moving joints post-op after they have been immobilized is! Yeeouch! I'm taking it easy until I can get in to see an occupational therapist. And now that the cast is off, I can schedule my physical therapy too. I see the rheumatologist again on the 24th of October, so I'll probaby get lab results and what not then.

So here's my wrist post op... the incisions really arent bad and they will heal up lovely!

back of wrist: tendon repair and scope

palm of hand: nerve release

I still have zero feeling in my armpit from the nerve block and pain pump, but that may (or may not) come back in its own sweet time.

My hand looks so skinny in that picture... LOL! Gotta love atrophe!