Showing posts with label Surgery. Show all posts
Showing posts with label Surgery. Show all posts

Sunday, January 22, 2012

Surgical Aftermath

I had surgery on my hand the other day. It was the second time for the same surgery on the same hand in the past five years. I’ve been told (twice now) that there’s no guarantee of success and that recurrence is not uncommon (I like the double negative assurance). Again this time, the surgery went without complication. I went through the procedure like a widget through a factory, a widget that’s gone through the same processing before, a mulligan as it were. I knew the routine and was appropriately stoic in the early morning prep, the interminable wait with nothing to do but watch CNN and check my email, and finally the march to the operating theater (they actually call it that, as if our performances will all be reviewed the next morning in the New York Times). I was of course out for the next two hours of the operation itself. I awoke vaguely over an hour or so in post-op, being asked about pain (“I’ll take some more drugs, thank you very much”) and generally what planet I thought I was on (“Uh . . . the round one?”) before being taken to final recovery where I was given a snack bar and water and pain pills (“thank you very much”). After a brief bout of nausea while trying to get dressed (with my wife’s necessary help), I finally was discharged into the snow and frigid temperatures of an Iowa January.

When confronted by others who can’t miss the prominent bloody bandage on my right hand, the first question is always, “What happened to you?” The first day or two I’d answer truthfully, “right little finger fasciectomy.” But after puzzled expressions, I changed my response to the more intrepid, “Bar fight.” The next question is inevitably, “Is it painful?” And the simple answer is, no, I haven’t had much pain at all since I left the hospital, I didn’t fill the prescription for pain meds the surgeon gave me because I don’t need them, I have an apparently high threshold of pain, and the real question you should be asking is, “Is it maddening to have limited use of your right hand?” Yes, it sure as fuck is. My right hand is my dominant hand and unless you’ve lost most use of your dominant hand you don’t realize that your life morphs into some bizarro universe where your right hand is useless and you have to rely on your left hand to do an amazing number of things that you’ve never thought twice about before – taking a shower (particularly shampooing), brushing your teeth, wiping your butt, making coffee, putting on your socks, tying your shoes, buttoning your shirt (or pulling it over the bandaged hand), getting dressed generally – it goes on, added to surprisingly as each day progresses, actions you have taken for granted that suddenly become frustrating, painful, strenuous, or comical. The presumption going in is pain. The reality is bother.

Tuesday, January 10, 2012

Another Surgery

I thought I was offering something of a joke when I suggested to my surgeon that it might be best to just cut off the pinky finger of my right hand, but I was surprised when he responded a bit too casually with, “Well, that’s a possibility, but I think we should try surgery again before amputation.” I suffer from Dupuytren’s Contracture (or disease or syndrome or fracture), a painless affliction, a hardening of the fibrous tissue beneath the skin of the palm that causes the fingers corresponding to the affected tissue to slowly flex or curl eventually into a permanent grip. Four years ago I underwent surgery (called fasciectomy) on my right hand to reverse the curling of the pinky finger, which had made it difficult to put my hand in my pocket or glove and impossible to use in typing. The surgery went fairly well, but I was told going in that it was not unusual for the condition to return. And it has. It’s more of an inconvenience, or at most a frustration, one more incessant reminder of age. I’m going in for another surgery. I don’t hold out much hope that it will alleviate the condition for more than a couple of years. But then that’s a couple of years before the next best option is amputation. And I can’t imagine a more defining marker of aging than when they start lopping off appendages.