{"id":1928,"date":"2008-04-17T11:02:00","date_gmt":"2008-04-17T06:02:00","guid":{"rendered":"http:\/\/chris.dwan.org\/?p=1928"},"modified":"2008-04-17T11:02:00","modified_gmt":"2008-04-17T06:02:00","slug":"stuff-and-things-too-2","status":"publish","type":"post","link":"https:\/\/chris.dwan.org\/?p=1928","title":{"rendered":"Stuff, and things too!"},"content":{"rendered":"<p><a href=\"http:\/\/redmed.livejournal.com\/\" class=\"lj-user\">redmed<\/a>s mom came to town for a few days to help out the invalids!  The plan <b>had<\/b> been for her to chauffeur <a href=\"http:\/\/redmed.livejournal.com\/\" class=\"lj-user\">redmed<\/a> around while I was in Maryland.  Instead, she finds herself with both of us.  Setting aside my pride in my self-sufficiency, I&#8217;m really glad she&#8217;s here.<\/p>\n<p>We all went out to dinner last night, and someone asked &#8220;were you in an accident?&#8221;  It was awesome.<\/p>\n<p>Now I&#8217;m gonna channel <a href=\"http:\/\/simianpower.livejournal.com\/\" class=\"lj-user\">simianpower<\/a>&#8216;s frustration with the medical establishment:<\/p>\n<p><!--more Venting-->Went to the doc yesterday, and it was wholly unsatisfactory.  Basically, I saw a PA (Physician&#8217;s Assistant) who had me take off my shirt, looked at my shoulders, and said &#8220;yeah, that&#8217;s a pretty big defect.  You&#8217;ve got a separated shoulder, I&#8217;ll get you a sling and a prescription for Vicodin.&#8221;  We kinda pushed, and got an appointment on Friday with an orthopedic surgeon.  <\/p>\n<p>I feel like I&#8217;m getting the brush off from the medical establishment.  I&#8217;m fully aware that, unsatisfying as it is, the correct response is sometimes to do nothing rather than to intervene with knives and saws.  However, I would like to talk to someone who:<\/p>\n<p>a) Actually examines me, including range of motion, strength, and a baseline measurement of the separation in my shoulder so we can tell whether it&#8217;s getting better or worse over time.  I&#8217;m also curious about how severe the tears in my ligaments are.  Total separation?  Partial?  <\/p>\n<p>b) Can give me a plan, rather than a sling and more narcotics.  If surgery usually doesn&#8217;t help people in this condition, that&#8217;s fine.  I&#8217;ll believe it.  That said, how would you decide whether it was warranted?   Is it my age?  If I&#8217;m slinging and medicating, what signs should concern me?  How do we tell if this current plan is working?<\/p>\n<p>c) Is willing to talk about long term prognosis.  I understand that nobody in medicine makes any promises.  Nobody will ever promise &#8220;no pain&#8221; or &#8220;full functionality,&#8221; however, I would like someone to tell me whether I ended my judo career on Tuesday.  If \/ when I might consider returning to the mat.  I would like to know how I would tell (based on measurements and time) when I can start jogging \/ lifting \/ etc.  Yes, I&#8217;m okay with statistics &#8230; but I would like to know. Also, how much of this &#8220;defect&#8221; can I expect to have in, say, two years?  How about loss of strength?  I know that nobody will promise anything, but I want someone to share the spread with me.<\/p>\n<p>Also:  Vicodin is very much like Oxycodone, except that it lasts a bit longer, makes me uncomfortably warm, and knocks me the heck out into a drooling, open mouthed, snoring slumber.  For all my evening needs, Vicodin is the way to go.  During the day I&#8217;m down to the over the counter pain meds.  It really doesn&#8217;t hurt all that much.  I even carried a full cup of coffee in my left hand today!  Go me!<\/p>\n<p>&#8211;UPDATE&#8211; <\/p>\n<p>To continue ranting:  I also know exactly what&#8217;s going to happen with this surgeon on Friday.  He&#8217;ll say &#8220;wow, that&#8217;s a big defect, I need an MRI to see what&#8217;s going on with the soft tissue.  Go ahead and schedule that, and then schedule a follow up with me.&#8221;   Said MRI will start off two weeks hence, I will throw a minor fit, and it&#8217;ll be available tomorrow, but across town.  Then I&#8217;ll need to schedule my follow up with the surgeon.  That will start off at THREE weeks hence, I&#8217;ll throw a minor fit, and it&#8217;ll get moved up as well.<\/p>\n<p>Next time I do this dance, I&#8217;m going to go to BUMC and sleep in <a href=\"http:\/\/redmed.livejournal.com\/\" class=\"lj-user\">redmed<\/a>s call room, bothering each person in turn.  This series of two to three day delays adds up to a plan of &#8220;wait two weeks and hope that it&#8217;s not healing all ker-fuckity.  Unacceptable.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>redmeds mom came to town for a few days to help out the invalids! The plan had been for her to chauffeur redmed around while I was in Maryland. Instead, she finds herself with both of us. Setting aside my pride in my self-sufficiency, I&#8217;m really glad she&#8217;s here. We all went out to dinner [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1928","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/chris.dwan.org\/index.php?rest_route=\/wp\/v2\/posts\/1928","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/chris.dwan.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/chris.dwan.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/chris.dwan.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/chris.dwan.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1928"}],"version-history":[{"count":0,"href":"https:\/\/chris.dwan.org\/index.php?rest_route=\/wp\/v2\/posts\/1928\/revisions"}],"wp:attachment":[{"href":"https:\/\/chris.dwan.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1928"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/chris.dwan.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1928"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/chris.dwan.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1928"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}