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Posts Tagged ‘Reverse Total Shoulder Replacement’

80 years old

Summer began around solstice time, with our 60th wedding anniversary celebration.  This was held at our condo clubhouse, so no one’s home got stressed out—but I promise we will not plan a big whoop de doo for our 70th, as our hard working children and grandchildren went many extra miles with planning, serving, and cleaning up after the delightful June 22nd event.

Above, is a photo of Mr. and Mrs. Joe Been—gleaned from our daughter Debbie’s FACEBOOK page and taken a week ago beside Debbie and Rick’s pool.  Although (fortunately) there are not 80 candles on the cake, that is how young I turned on August 8th, 2013.  I think I am freaking out my family and friends by telling them that now I can start being eccentric.  Predictably they are wondering, “Yikes, what’s next?”

In between these two family landmarks, I received my Reverse Total Shoulder Replacement.  The six weeks mark was reached last Tuesday, and now I am able to hang up the sling and walk around with two arms free.  It’s a treat to eat with my right hand again.  (Actually I eat with spoons and forks, but they are held in my hand).  I never did get graceful with the left, and I held my fork like it was a boat oar—very clutzy.

So now I’m watching the early morning mist form over our park, a characteristic of late summer.  How can the days whirr by so fast?  Constantly, I’m overwhelmed when I reflect on the blessings we enjoy every day and will never never take for granted!  My recovery from surgery has been a gift from God worked out through the prayers and benevolence of family members and friends.

I’m thankful for Joe’s daily concern and assistance in so many ways—including weeks of enjoyable eating out together at our favorite restaurants.  We began this two days after my surgery, along with resuming our rummaging adventures.  (There is something so essentially wonderful about doing “normal” things after the trauma of rather radical surgery, with a 6 inch incision scar to prove it!)

I’m thankful for our daughter Laura’s visit from Washington State, starting on my surgery day.  Laura helped me through those tentative first days when every move hurt and just getting washed, dressed, and groomed seemed like an insurmountable challenge.  And for Debbie’s every ready concern—checking in on us, bringing good food, and scrubbing our floors.  (Debbie knows how I love CLEAN!)  I’m thankful for the phone calls, letters, companionship, and encouragement of many over the past weeks.

I’m eternally grateful for the medical expertise which made an effective shoulder prosthesis possible for me.  The Reverse procedure is new within ten years in the USA.  Twelve years ago there would have been no way to fix the considerable pain which is no longer there, thanks to amazing technology.  The Standard replacement simply would not have addressed my issues.  I’m thankful for a surgeon who performs this new procedure, as many orthopedic surgeons have not begun.

I’m thankful for the quiet hospital just minutes from our home—with private rooms for all patients, and plenty of comfortable space for one’s spouse to stay over night.  I’m very grateful for the sweet young man, a Physical Therapist named Daniel, who encouraged me and helped me so much prior to my hospital discharge.  His soft-spoken, gentle kindness—while showing me the only movements I would be allowed for weeks to come—has stuck with me as a stellar example of professional expertise at it’s most personal best.*  There is nothing like quiet kindness to promote healing, and Daniel’s sensitivity has overcome any unpleasant or jarring memories I have had of my hospital experience.  Thanks to him, I’ve been able to “do it right” from start to finish!

I’m thankful for my precious Pembroke Welsh corgi, Dylan.  He never fails to make me smile.  I am certain that he understands most of everything I say to him, although admittedly I don’t launch into a lot of meaty philosophical discussions with Baby Dylan.

And here are photos (also gleaned from Debbie’s FACEBOOK page) of some other precious individuals (great-grandchildren) who never fail to make me smile:

too too sweet

My cup runneth over!!!

*I obtained all of my medical records of proceedings from the day of my discharge from the hospital on 7/3/13.  For a 90 pound person, I have a very strange body chemistry:  I sleep like a well-fed puppy on caffeinated beverages, while narcotic pain medications (which plow most people under) make me “bright eyed and bushy tailed”—and, I fear, loquacious.  So I was naturally curious as to my conversations and interchanges recorded by the medical personnel on discharge day, after I’d received 24 hours of morphine via IV.

Although I might have knocked Daniel over with my bright eyed and bushy tailed verbal input, he recorded me as “Doing very well”, “Able to verbalize movement precautions”, “Independent” in all listed categories, “No difficulty” in doing what needed to be done, and “Agreeable“.  Using the word “Cooperative”, my surgeon recorded the same observations in his write-up of our 7/3/13 exchange.

I was overjoyed to discover that I behaved myself like the lady I always desire to be!  🙂

Margaret L. Been, 2013

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Dylie & Mom

A week after surgery I still wear that pained expression, but Baby Dylan looks great.  Normally terrified of the Paparazzi, Dylan was captured off guard because he didn’t realize that a camera could lurk inside a cell phone.  His “Mommy” is not that advanced, as blogging is the outside extent of my techie-ness.  To me, a phone is a phone and a camera is a camera.  I’m certain this will be the last time we’ll be able to fool Dylan into saying “Cheese”!

Since inserting pictures is easier for me at this point than keyboarding a lot of text, here are some recent ones taken just before my surgery.  The pictures are worth thousands of words—of which I’ll add just a few for clarification:

Joe and a Flat

Any of you parents, grandparents, and great grandparents have undoubtedly had at least one “Flat” in your life.  Above you can see our third—“Flat Ethan”, a facsimile of Three Dimensional Ethan who lives far away in San Diego.  Flat Ethan was not prepared for the quiet life Joe and I enjoy in Nashotah, Wisconsin (who ever heard of THAT?)—but he coped beautifully whether buying produce, eating at our neighborhood Chinese restaurant, or simply perusing books while Joe, Dylan, and I slept.  (Since Three Dimensional Ethan loves books, it follows that Flat Ethan does likewise.)

Tuks & Grammy

Baby Adetokunba Bridget Josephine Adesokun at three weeks old.  (Now she’s nearly six weeks.)  Due to a stand off with MRSA and surgery, this was one of the last times I was able to hold Tuks—(rhymes with books).  But better days are coming, soon!

Been Guys and Grammy's Art

Left to right:  Joe, and our Denver grandsons Joel and Nathaniel Been with two of my paintings (framed in yellow) currently on exhibit at the Delafield Arts Center.

left handed art

With all my present restrictions, a few activities are allowed and encouraged:  knitting (only finger motion is required of my right hand when knitting), limited piano practice (again, fingers only in the treble clef), some keyboarding, and left handed art.  The art delights my heart as more each year I’m realizing that abstraction (with a slight element of representation) is my forté—the “Whom I Really Am” in this recently discovered passion.

A large factor in abstract expressionism is the discarding of presumptions, assumptions, and that human desire for “control”.  What remains?  A serendipitous freedom from agendas or any kind of “other generated” expectations.  This freedom is possible only in the arts!  We certainly wouldn’t want it anywhere else—that would be anarchy!!!

Late June Garden 2013

Finally, our Heaven on earth.  🙂

Margaret L. Been, 2013

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DSC01099

“So long for awhile, that’s all the songs for awhile . . . .”

Those of you who share my vintage years will recall the above words from the Saturday evening radio Hit Parade.  The ditty signaled the end of the program, to which I listened faithfully in the mid 1940s.  Now I am vicariously singing “so long” to you.

On Tuesday, July 2nd, I’m scheduled for a Reverse Total Shoulder Replacement.  This revolutionary surgery was developed in France in the mid 1980s, but not approved in the USA until 2003.  The first RTSR was performed in our country in 2004.  Before that, there would have been no help and no hope for my right shoulder and arm.

The procedure is revolutionary because it reverses the natural position of the shoulder joint—by reversing the parts of the prosthesis so that the ball is on the top and the socket (rotator cuff) is beneath the ball rather than on top of it.  When the rotator cuff tendons and bicep are severely torn, as mine are to a point where they can never be recycled into use, the Reverse procedure employs the deltoid muscle to empower the arm after a long period of healing.*

Unlike most joint replacements which mandate a regimen of Physical Therapy, the Reverse Shoulder Replacement requires inactivity for at least six weeks.  No Physical Therapy is allowed, with the exception of occasionally removing the arm from its sling and dangling it straight down—and very limited use of the forearm, which is to lift nothing heavier than a teacup.  I’ve been told that I’ll be able to do some finger work such as knitting and keyboarding, if and when pain permits.

I’m overwhelmed with gratitude, to have this medical miracle!  According to my web sources, many orthopedic surgeons have not yet begun doing the Reverse Replacement—perhaps due to the fact that the Standard version works for many people.  I’m blessed to have a hospital 13 minutes from our door, and a surgeon who does the Reverse.

The rest of my summer will be a hiatus indeed.  There’s a trace of humorous irony in this scenario, since I am a person who loves to (and thrives on) doing with my hands and arms—specifically making things.  Except for a bit of computer use, and possibly knitting a few rows now and then, my hobbies will be curtailed.  The Lord is showing me that I will have to get along without making things for the duration, and I’m getting the message. 

The post-op weeks will be a time for stretching and growing.  A time for extra praying, reading, resting, and returning.  A time for lying on our patio lounge and watching the clouds.  “So long . . . !”

Margaret L. Been, 2013

Note:  This condition of severe arthritis coupled with largely torn tendons is called Arthropathy.

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