Thursday, July 21, 2011

Drama Trauma

Chapter 1:  PRP, the future is now.
So in my attempt to avoid season ending shoulder surgery, I opted for Platelet Rich Plasma (PRP) Therapy to repair my torn rotator cuff. Faster recovery, less pain, and just as good or better recovery rate, what's not to like. I found a place with the recommendation of friends and finally got in. Scheduling an overnight road trip with a 3 month old added complexity to the trip, but baby RC was a trouper and we made it across Missouri. The next day we woke up, had some breakfast and headed to the clinic bright and early. Filled out paperwork and was ushered into the room at 8am. Chat with the nurse and doctor, and they offered to inject my knee too. Awesome! It has been a 25 year problem for me with knee replacement as the only proven prognosis. So I have been waiting on the high tech treatments, like spray foam injection or something. If this works, I may not be able to run marathons, but hopefully I will be able to jog farther than across the street without paying for it. "Yes, please!" Blood was drawn from my arm, then rolled me over and jabbed me with railroad spikes to take marrow from my hip and some fat cells from my muffin top. The juices were filtered and sprinkled with magic grow dust in preparation for reinsertion. Then guided with a sonogram the parts were injected, 4 times in the shoulder and just once in the knee. With local anesthesia, pain was at most a moderate discomfort, most so in my shoulder, as the deeper and more intricate joint, I think. In and out in 2 hours, sent on my way with post care directions and a script for pain, which was filled with our first stop! Lunch and a 4 hour car ride as my shoulder starts stiffening up, half way home I take the hydrocodone/apap, but is didnt seem to have really any effect. Oh well, we made it home, with less whining from the baby than me.

Chapter 2:  to ER is human.
Upon getting home, I let Xan unload the car and I got the mail and cooled off. When I took my shirt off, I realized I had bled though one of the patches on my back and stained my nice new seersucker shirt. We sat down on the bench in the dining room to change the dressing on my back. Xan got the first one done and was cleaning up the mess on the second when I started to feel woozy. I tried to hold on while she finished the second then the next thing I know I am looking up at a concerned looking wife talking on the phone. First thing I said was, "I'm OK." Evidently I passed out, falling backwards against her hitting my head on the hardwood table before getting laid on the bench. Unable to detect breathing or pulse, she punched my chest a couple times, then grabber her phone and called 911. Firemen then EMT's showed up as I was still trying to regain my wits and hooked me up to various monitors and cuffs. I tried to sit up, but soon felt woozy and my extremities where tingling almost painfully and had to lay back down. The crew had to rearrange the living room to get the stretcher in, so when asked if I wanted to go to the hospital I agreed. With the medical bills already paid this year we have got to be close to our out of pocket max with insurance, and I have never ridden in an ambulance, and Xan wouldn't have let me not go, better safe than sorry... they loaded me up and away we went. Xan grabbed a shirt and, unsure if I had any pants on, a pair of shorts, as well as the baby and met me at the emergency room. It was a busy day in the ER, as I think they all are so it took a while. But a couple liters of saline, a blood draw and umpteen probes and feet of tape stuck to hair, a head CT, an EKG, 5 diaper changes and 6 hours I was declared healthy. Some vasovagal episode, not sure of the trigger, dehydration, stress, pain, sitting... well, hope it doesn't happen again, I don't think Xan liked it very much.
I am taking it easy today, this blog will be the most effort I will put out today. Hydration, medication and staying cool are my goals.

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