Monday, February 22, 2021

Twist & Shout

As I awaited the results of my MRI (Into the Unknown), I became more and more anxious.  Not that I believed anything to be horribly wrong.  Or that I couldn’t be “fixed”.  But I wanted to know.

To know what exactly was going on with my shoulder.  What exactly the treatment plan would be.  How much time would I be away from the gym.  Just tell me already.  What.  Is going on with my shoulder?

Finally, six days after my MRI, the doctor’s office called.  I said to the nurse, “This is just the call I’ve been waiting for!”  Except she wasn’t calling with the results.  Rather, she was calling to set up an appointment so that my doctor could discuss the results.  Which makes sense.  I get it.  He’s the doctor!

But she wouldn’t even give me a hint.

And so I waited.  Another five days.

As I waited in the patient room.  I gave the old shoulder a whirl.  The swinging motion which would, 100 percent of the time, yield the clicking and popping I’d become accustomed to over the last four months.  Yep.  I twisted.  I shouted.

He opened the door.  A smile beneath his mask.   He sat down.  And sighed.

“Well,” he said, “there’s no easy way to say this.”  “Oh boy!  Here we go”, the thought bubble above my head.

“You have a full-thickness tear of your rotator cuff.”

WHAT???  How could that be?  My jaw went slack.  And I recall repeating, “I was SO not expecting THAT!”

As if to drive home the point, he slid his chair closer, showing me the MRI results.  He reviewed them himself, just to be sure.  And he agrees with the findings.  Underlining, on the report, the words, “full-thickness tear” and “supraspinatus”.

In discussing my options, it became apparent that truly, the only option available, should I wish for my shoulder to be fully functioning ever again, was to have surgery. 

Alrighty then.  Let’s get this over with.  I’ll take the first available appointment.

Naturally, I had questions.  What does recovery look like?  When will I be able to get back in the gym?  When can I start rucking again (What the Ruck?).  After all, I had a race to prepare for.  One that I had planned to take on last year, but …. Covid happened … and now was looking forward to making the trip to Leadville again (Where the Air is Thin).

The good doctor spoke of me being in a sling for six weeks, was non-committal when discussing PT (“It all depends on how you’re progressing.”), something, something, three months, something, something six months.  It was a blur.  I didn’t really hear anything past “sling for six weeks”. 

I was SO not expecting THAT!

I received notice that my surgery would be at 1:00.  Dangit.  Not his first case of the day.  And … ohhhhhh.  Wait just a minute!  That’s a long time to go without food and water.

I thought of my Dad, who, whenever he’s scheduled for surgery, will get up at 11:30 at night and eat something.  Because midnight was the usual cut-off time for food and drink.

Thankfully, on the surgery prep notes, the fine print read: Don’t have anything to eat or drink within 8 hours prior to your surgery time.

After a very restless night’s sleep (Lord knows, I did not want to miss my wake-up call!), Keith and I got up at 4:30 and he fixed breakfast.  It was difficult to sleep after, and eventually we crawled out of bed and puddled around the house.

I kept myself busy:

  • Folding and putting away laundry.
  • Picking up and putting away groceries.
  • Making the bed
  • Prepping and putting ribs in the crockpot for dinner (which, by the way, I won’t get to eat because (1) I was afraid they would be too spicy and (2) it sounded disgusting to me post- surgery anyway).


Surgery prep was pretty standard:

  • Take temperature,
  • Answer Covid Screening Questions,
  • Complete registration, 
  • Take temperature (again.  as if it would change in 10 minutes),
  • Complete Covid Screening Questions (again …),
  • Take blood pressure,
  • Have an EKG,
  • Have an IV put in (I hate needles!  Don’t look!  Ouch!),
  • Talk to the surgeon,
  • Fit me for my immobilizer (alas, I was not to have the big, black, bulky sling – I was given something a little different),
  • Talk to the anesthesiologist.

All except one thing:  Keith couldn’t be there with me

A cast of characters, important in the process of repairing my shoulder, introduced themselves.  The pre-op nurse, the operation room nurse, the anesthesiologist, and of course, my surgeon.  The operating room nurse fed something through my IV to relax me and began to wheel me away.

The last thing I remember was stopping in front of the doors to the surgical suite and the nurse stepping aside.  I think she said something about the anesthesiologist and my IV.

And that’s the last thing I remember.

Until … I hear someone say “Mr. Miller?  Yes, she’s ready to be picked up.”

Apparently, I was awake.

All modesty faded away, as my nurse helped me to the restroom.  And when we returned to my curtained cubicle, Keith is there to help get me dressed.  I believe, but cannot be positive, that it took both of them to hold me up and steady as the three of us attempted to dress me.

It did not go unnoticed (by me) that they began with my panties.  Wait.  My panties?  I remember distinctly prior to surgery, that they told me I could keep them on.  Which I found strange, but hey!  Okay!  I asked Keith later, “did you guys have to put my panties on me?” and he said yes, I was definitely not wearing any when they were dressing me.

I feel violated.

I’m all dressed and ready to go.  The nurse situates my new constant companion, my immobilizer, around my waist.  My entire right arm is without feeling as I had agreed to the use of a nerve block.  So when she lifts my arm to put it across my waist and adhere the straps accordingly, I watched my arm move, all the while, it felt as if it were STILL BY MY SIDE.

WHOA!  WHOA!  WHOA!  That’s freaky!

And the nurse giggled.

Once home, Keith became quite the busy bee.  Helping me to the restroom.  Getting me situated in my recliner - complete with a pillow to place under my arm. 
 


And feeding me.  Finally.  The best cup of chicken noodle soup in the history of chicken noodle soup! 

A new take on our usual date night.



He fended off the dogs, who were want to jump in my lap (our pups are very attune to showing affection to whoever is not feeling well.  Doggie healing powers being what they are.)  Until he relented and placed both of them on my lap.



A knock on the door revealed a box of warm cookies on our doorstep.  My sweet friend Sarah and her dream of a nugget, Addie, had sent Tiff’s Treats to aid in my recovery.




As bedtime approached, Keith ever-so-gently helped me into my pj’s, fed me a pain pill (just in case the 36-hour nerve block somehow magically wore off in the night), and we retired to our recliners.  My husband wanted to sleep by my side. It’s no wonder I love him.  (Prince Charming) 

Sleep is blissful (thank you, hydrocodone).

The next morning, I wanted a sponge bath and Keith was happy to oblige.  He wanted to put me in (our rather large) jacuzzi tub, filled with just a couple of inches of water.  In attempting to get out of the slippery tub, I got to my knees, braced myself with my left arm, and stopped.  “Keith!”, I panicked, “you’re going to have to help lift me out of here!”  I was terrified of falling. 

Between the two of us, I managed to get to my feet.  All the while my right arm swung like a pendulum (something my surgeon told me expressly not to do!) and I can’t do anything to stop it.  I. Have. No. Control.  Also … WHOA!  WHOA!  WHOA! 

The next sponge bath will NOT be completed in the bathtub.

I spent the weekend mostly in my recliner, in front of the TV.  I mean … where was I going to go exactly?  Except to the restroom. The pups unwilling to let me leave their site.  You gotta love ‘em.



Our friends Mark and Melissa stopped by with a care package.  And an extremely thoughtful one at that.  Talk about covering the essentials!  Complete with a mini-air horn with which I can call Keith as needed; they contemplated a bell, but we agreed it was unlikely he would hear it (insert inside joke here from our rucking adventures).


Sometime around the 35-hour mark post-surgery, the nerve block wore off and feeling returned to my arm and more importantly, my hand.

That night, Keith gently removed the dressing to reveal a series of incisions and bruises – a rainbow of color spread from my shoulder to my elbow. 

Keith volunteered to help me shower.  Yeah … about that.  We know to be cautious in the shower.  We’ve already experienced one accident, which he refers to as “the time (he) broke my face”.

Just two months into our dating life, we took a shower together, in anticipation of … a trip to Fiesta Texas. (Get your mind out of the gutter!)  Innocently enough, he knelt down to scrub my feet (no one seems to believe me when I tell this story, but as God as my witness, this is how it happened!).  His legs came out from under him.  Clipping my legs from under me.  And down we went.  My cheekbone landing on his rather hard forehead.

And that, my dear maxillofacial surgeon, is how I broke my cheekbone.

So yes, we know we have to be super cautious when in the shower.

For a week, Keith was responsible for showering me (in case you were wondering, no, he didn’t mind), blow-drying my hair, and dressing me.  He also took on the responsibility of cooking dinner and folding clothes.

As the first two weeks progressed, I slowly began to do more things for and by myself.  And trust when I say, most were not without their challenges.  

Imagine these things without the benefit of your dominant hand/arm:

  • Showering,
  • Towel drying,
  • Brushing your teeth,
  • Blow-drying your hair (I have a whole new hairstyle now!),
  • Dressing yourself (I have two words:  bra and shoes – bonus points if attempting to get into a sports bra and to Keith, who was so good about tying my shoes for me when I just had to wear tennis shoes),
  • Putting on makeup (ever try and put mascara on the eye opposite the hand you’re using?),
  • Folding clothes,
  • Pushing a shopping cart,
  • Washing hands,
  • Taking makeup off,
  • Cutting your own food,
  • Using the computer (mousing and typing one-handed was exhausting!).


Not to mention, the inability to put contacts in; and I certainly was not going to ask Keith to stick his fingers in my eye.

I ventured out to grab a couple of meals with friends.  Each one having to cut my food for me.  What are friends for?  And one even zipping up my coat because, well … zipping is kind of difficult one-handed.  Thank you, Heather and Angel!

In the midst of The Great Texas Snowpocalypse of 2021, I squeezed in my follow-up appointment with my surgeon.  Or rather, his PA.



Upon entering the room, Dr. McSteamy says, “It’s so nice to see you again.”  My eyes must have easily conveyed that I had never met the man before.  He said he was in the operating room the day of surgery, standing right next to my surgeon.  Not surprisingly, I have no recollection of this.

He goes on to tell me that they discovered the cause of my injury was a bone spur at the top of my clavicle that had basically shredded my muscle with every movement of my shoulder, eventually causing the tendon to detach.  So, to all of the CrossFit naysayers out there (I’m looking at you, mom 😉), this was not entirely caused by CrossFit.   In addition, I had a small tear in my labrum (a muscle on the outside of my shoulder). 

That would explain the popping.  And clicking.  And pain.

So what are the next steps?  I’ll remain in the immobilizer for another four weeks.  PT will begin with once/week sessions, increasing after the four-week target date. 


Dr. McSteamy also delivered two pieces of good news:  I can return to the gym, focusing on lower body work only.  Oh Happy Day!  AND I no longer have to keep my wrist bound by the immobilizer.  Freedom!

I can now tie my own shoes.  I’m a big girl now!

I know the road ahead is a long one.  And I’ll be good as new.  Or maybe even better than before. 

I’ll twist my shoulder once again.  

And the shouting will be Because. I. Can.