collarbone


20
Jul 12

Just lying around

Went out for our weekly breakfast today to Price’s Barbecue House. The Yankee I ordered, I grabbed a table so I could find a seat safely. I’ve become very protective of my self since the injury.

I have the BLT with egg and cheese. She has a biscuit. We split an order of hashbrowns. We glance at the news, watch the people, and try to guess at the athletes that sometimes come and go.

My favorite time is after we eat. When we’re just sitting there in the quiet and slow late morning. That little part of the week is one of my favorite, and should last much longer.

After that we went to James Brothers Bikes, the local bike shop we chose to frequent because most of the people that work there are great, and none of them identify with flower power. They are great for advice and for all of the smaller things I might need to buy.

I prefer a bike shop in Homewood for maintenance, I think, because when I ask them about things, or to do things, they jump right on it.

But James Brothers is great. The Yankee bought me a trainer the other day and had to stop back by to pick up the front wheel mount. They’d been out of stock because no one buys trainers in the summer. That’s a winter activity. Or an injured activity. And since I can’t ride on the road for five or six weeks I need a new activity. Anyway, when they found out I was hurt (“He was just in here!” and I had been. I bought some chain lubricant just four days before I hurt myself.) they gave me a nice store-branded glass as a consolation prize.

(I can’t ride the trainer for several more weeks. I can rest my hand on the handlebars right now, but I can’t put any weight on it.)

So we picked up the front wheel mount and said hello. They asked about my recovery and I demonstrated my toughness by taking off the brace, which I don’t even wear anymore anyway. And then we promptly returned home, where I could sit in my chair and rest my aching shoulder for the rest of the day.

She’s keeping me company:

Allie

More of the same all weekend, too!


19
Jul 12

Reflex is a dangerous thing

I had a great day yesterday, coaxing myself into being studiously lazy. This, I thought over and over, will be good for my arm. So I did my little therapy and didn’t overdo it otherwise.

It is easy to overdo it, actually. Even the smallest general exertion can wear me down right now. I suppose that is the surgery and everything that comes with it. Or maybe I just pound the ground when I walk and my shoulder is tired of absorbing things. It feels like there’s a giant water balloon in there. If I fell in a pool right now I’d sink left shoulder first, I’m certain. Between that and being transfixed by the swelling and self conscious about caring for it have entirely changed my self-perception.

I talked with some of the little kids in my family on the phone today. Yes, I’m OK. No, I’m not in the hospital. Yes, I had surgery. Yeah, that hurt a bit. The helmet kept me from having truly horrendous, medical problems and I am very lucky, so wear your helmet, kiddos. This is my role to the next generation in the family, serving as a cautionary tale.

They asked me if I’d come ride with them at their house when I could. Of course I will. But for now I have to take it easy and rest and do everything one-handed and so on.

And then I was making myself a little grape snack later in the evening. I rinsed off the beautiful green treats and dropped them in a mug. I overfilled the mug and the last three grapes rolled off the mound, onto the counter and ultimately the floor. Naturally I reached out to try to catch them. Of course my left hand was the closest. And this produced the most remarkable pain in my shoulder and collarbone, the site of my Monday surgical procedure.

grapes

I spent the next few seconds yelling, and the next few moments remembering to breathe. Finally I had to look at the incision. Did I tear it? No. Did I break something? I don’t think so, there’s titanium in there now, after all, but still, this sensation … Did it hurt?

For four hours.

So, no, I’m not going to write about this every day. I’ll deliberately find other things to write about because I know you don’t care that much. But it is important to remember: don’t do that. Sometimes you have to allow yourself to lose a little produce. Moving without thinking can be a remarkably painful thing.

At least I can sleep in my bed again. Did that for the first time since I wrecked. And I slept about six hours last night, which might also be the best rest I’ve had in a week. Between that and already feeling improvements, morale is definitely high.

We walked around outside for a few minutes today talking about trees and shade and wondering why our elm sheds so much. If ever you need kindling, we can set you up. How there’s any tree left up in the canopy is a mystery.

Brian stopped by for a few minutes, on the way from here to there. He did not want to see my incision — not that I blame him — but we of course discussed the recovery since he was there two weeks ago for the injury.

Also this evening we visited the little vegetable store this that is tacked onto one of the plant nurseries in town. I took a lot of quick pictures there to post later on the Tumblr blog. I finished uploading the discarding fishing lures I found on the pier at Orange Beach there today, so it needs new content.

So be sure to surf over to my Tumblr and check that out. And if those pictures don’t captivate you, there’s always Twitter.

More, as they say, tomorrow!


18
Jul 12

Taking it easy

Those are my orders. Saw the orthopedist today, who told me to my incision looks good. We saw that for the first time today, it is much larger than we’d anticipated.

I am to lift nothing heavier than a glass of water. And I have been given gravity/pendulum therapy.

Bend over at the waist, let your arm dang freely. Move your hand back and forth, left and right, front and back and in circles. Do this daily. That’s my therapy for the first week. He did not tell me how many times a day to do this, or how many reps of each. I’d like a little more precision …

I can ride my bike in five or six weeks he said and a trainer in two. My complete recovery time, he said, was 12 weeks, making this the longest personal recovery of anything I can recall.

Anyway, since I’m sitting comfortably and resting, here is a picture. This is the tangerine bonsai tree that Kelly sent us:

bonsai

She’s so very wonderfully giving and thoughtful. Kelly says it will eventually yield us dainty fruits to enjoy. Also, I must take care of it daily:

Water daily through hot spells and every other day in the spring and fall. As needed in the winter. A well balanced liquid fertilizer should be used with every 2nd or 3rd watering. Citrus in general are heavy feeders, especially iron, manganese and zinc. The local nursery should have an adequate liquid feed available.

[…]

Prune to shape as you desire, keeping in mind the small- scale size of the plant and its container. Flowers will appear from small shoots that originate where the leaves meet the stem. Flowers sporadically throughout the year, heaviest in the spring. Remove the tree from its pot every 2-3 years and remove about 1/3 of the roots. Re-pot with a blended potting soil. This will encourage new roots and keep it growing happily.

Maybe I can trim a leaf with each week of recovery. Or is that too impatient for bonsai?


17
Jul 12

Fall risk: a warning, a memento

I woke up at 6:26 this morning. I know this because at 6:30 it was time for another dose of Lortab. My lovely bride had woken up punctually every four hours to give me the good stuff. We ignored the Ibuprofen dosages during the overnight, because that would have meant waking up every two hours. And one of us, we figured, should get some sleep.

Clearly my collarbone and greater shoulder area were ready for their next painkiller before the clock said I should be. But that’s OK. I had the chance to open the blinds and watch the sun play on the tangerine bonsai tree that Kelly sent us.

I considered the fate of my medical bracelets.

fallrisk

The white one, with the names and hospital UPC codes, is coming off. So is the red one, which warns the medical staff of allergies. The yellow one though … considering how I got here … well it seems appropriate.

The nurse told me yesterday that everyone that gets sedation gets the yellow bracelet. I think I’ll put it on my bike when I can finally hit the road again and wear it with pride.

The surgeon was right: I’m hurting today, but I feel a bit better today than I have since I broke my collarbone. I’m taking painkillers precisely on schedule, don’t get me wrong, but the post-operation pain is less and different than the post-accident pain.

The downside to this injury, I’m guessing, is that it becomes a very boring recovery. You sit and don’t overtax yourself. You rest a lot. You don’t hold things in your hand before rehab. You try not to wear on the nerves of the people around you. So I’m resolved to celebrate every highlight.

We got a Harry & David box, a thoughtful gift from dear friends. (A night we don’t have to cook!)

I received the kindest Get Well email from someone I don’t even know:

Regardless of your topic you are a joy to read. Thus, having learned of your recent accident, I want you to know that I’m thinking of you.

Please feel better soon . . . very, very soon . . .

Wasn’t that thoughtful?

I moved from the arm chair … to the sofa! I’ve been in the chair, even sleeping in it, for a week. (A great half hour of variety!)

I stood up for about 20 minutes. And then my arm insisted I sit down. (More variety!)

The Yankee got me an awesome Get Well gift, a CycleOps indoor trainer. (I can ride while hurt!)

She wouldn’t let me use it today, though.

The final highlight, just like at 6:26 this morning: more Lortab.

Back on Twitter today. Returning to Tumblr tomorrow.


16
Jul 12

Scalpel? Scalpel. The day of surgery.

nofood

We few, we hungry few, can smell your raw food and processed snacks as well.

Midnight is the arbitrary cutoff for people who are going to take the big medicated sleep and these rules applied to me today. I wasn’t nervous about the procedure. It is an out-patient thing. And while he wasn’t blowing us off, I got the impression that my surgeon has done a few hundred thousand collarbones. The details were just things to him, variables to move on feel and instinct. But I’m a detail guy, especially when they involve me being cut. I’d become a little nervous then, over the last week, about my unknowns.

And so it was that I found myself eyeing the clock at 11:56 last night, focusing on that one detail I could see, pounding down grapes.

That sign, by the way, was in the first waiting room of the surgery center. There were three volunteers there, all bent to the task of trying to help one man get access to the WiFi. There were also two administrative people across the room. They had the volunteers walk through the long waiting room to call out patients. Not sure why the administrative types couldn’t do it. Maybe they were shy. Maybe they were union.

Patients receive a little badge with a color and a number scheme to preserve medical privacy. I was Red Number Thirty. They called me up for paperwork. They called me up to make my co-pay. They called me up for more paperwork. They called me up to sign something that was a receipt for something I hadn’t received. I believe I purchased property in Phenix City.

After a short while, though, Red Number Thirty was called for a fourth time. The volunteer then walked us to an intermediate waiting room. There are stages of waiting. In this second room there were fewer chairs, fewer people and the real understanding that we were all getting closer.

We stayed there maybe two minutes. The volunteer in that waiting room took a handful of us to our pre-op destinations in a large group. This was where I had to leave The Yankee behind. But I had a nice nurse to chat with distractedly. We talked about military service — she’d been in the Navy — and education and hemoglobin.

The surgeon, an older gentleman who clearly has it together, came by and I asked him a few of my scripted questions from memory. The most relevant: I won’t feel any worse after the surgery. This was purely for morale. We talked about arm movements and rehab. The anesthesiologist, a robust Englishman, dropped by. I asked for a double of everything; he promised to take care of me.

Somehow we learned that I’d be waiting awhile, so the very nice nurse who’s name I can no longer recall brought my wife into my littler curtained staging area. While we killed time chatting the nurse slipped me the good stuff without my knowing about it.

About four hours later I woke up. My tongue was two feet thick, making it hard to explain they’d managed to get the head of an ax stuck in my shoulder blade. This, boys and girls, hurt. After I said this three times some unseen soul understood and bade the post-operative drugs do their bidding.

They later sent us home where I settled into my chair for a nap before a late lunch of soup. Probably a quarter of my torso is covered in gauze and betadine. I dozed, which was broken up by sleep, which was often interrupted by dozing. I had pasta for a late dinner. My appetite is healthy.

We go for our first checkup on Wednesday, where I’ll ask the doctor more questions, including “Will the titanium plate in my shoulder set off medal detectors?”