Reconstruction (update)

Pretty good day yesterday and a good night last night.  Up at about 5 this AM.

I had the first of what will be several home visits from Lee (nurse) and Laurie (PT) yesterday.  They both told me I'm doing a lot better than most of the people they see.  This is one of those things that you can't possibly take any credit for, but find it hard to say anything other than thank you.  Kinda like when somebody says you have beautiful kids:  "Why thank you - I made them myself, you know; and I don't mind telling you how hard it is to get all that genetic sequencing just right..."  Anyway, it's nice having a winning ticket on that little slice of Life's Grand Lottery.  Pain levels have been very reasonable so far, and the pain is what they worry most about.  If you can't knock down the pain, then you can't do the exercises, and it'll take longer to get back to a healthy state; and many times, you never get back to where you need to be.  So they send you home with a basketful of meds, most of which are aimed at the pain.

My drug regimen for the next couple of months has me taking a daily cocktail of 5 medications (all of which are added to whatever I was on before the surgery of course).  Luckily, I've always resisted the paradigm of Health Management by Prescription, so other than my One-A-Day vitamin supplement, I started with a more or less clean slate.

Coumadin (to prevent blood clotting)
Indomethacin (anti-inflammatory)
Tramadol (non-narcotic pain killer)
Oxycodone (narcotic pain killer)
Colace (stool softener - constipation is always number one on the list of side effects for pain meds)

Anyway, I have a set of 10 exercises that I need to do 2 or 3 times a day that are aimed at simply getting the musculature back into place to support the new joint.  God's design (particularly of the lower back and hips) became obsolete once we started walkin' around on our hind legs.  When the joint deteriorates to the point where you have to replace original equipment with steel and plastic, you have to cut away most of the tendons and ligaments, and rely on the body's amazing adaptive capabilities to substitute muscle as the support structure.  Obviously, they have to cut thru a good inch and a half of meat and then pry the muscles away from the bones to expose the parts of the joint that have to be removed and sculpted in order to accept the replacement parts. (Orthopods often refer to themselves as carpenters, btw)  So the rehab is all about training the muscles to take over the functions of keepin the joint in place as the wound heals and the muscles re-attach to the bone.

I'm still working on some of the different angles of this thing, primarily looking for the If/Then/Else algorithms that drive this weird system of ours.  Some of the costs outlined on the Explanation(s) Of Benefits we've gotten so far are a bit shocking, so more on all of that later.

Reconstruction (update)

Day 4 Post-Op:
OK night.  Still pretty stiff, and I've gotten some noticeable swelling going now in my left leg.

I came home with:
Coumadin (blood thinner)
Oxycodone (pain killer)
Tramdol (non-narcotic pain killer)
Colase (stool softener - to counteract constipation due to the pain killers)

Avoiding the oxycodone in favor of tramadol, just trying to stay as drug-free (and as uncomplicated) as possible.

Expecting first visits from Nursing and Physical Therapy this PM.

Debt Deal

The headlines are all saying a deal's been worked out; and of course, "the lefties" are up in arms because they see it as Obama caving to the demands of the Tea Partiers, while the wingnuts on the radical right say they hate it because it requires compromise and lacks the kind of purity they say God sent their guys to Washington to establish.

So I don't wanna be too centrist about all this, but when everybody makes a big show of being upset with something happening in DC, you can be certain of a couple of things:
1) Some very important constituencies are making loud noises about losing some of their clout.
2) Somehow, the really good politicians manage to stay in power through all this "upheaval and change".

Cutting to the chase, while not meaning to oversimplify: First, remind yourself that contributors are the ones who get a politician elected - voters are the people who go to the polls and confirm the results that the contributors have paid for in advance.

Second, that means we're talking about politicians representing their Contributors, while the Contributors represent various Voting Factions.  We've been more and more accepting of the notion that "government should look and act like a business" - well, we've largely achieved exactly that.  We've evolved a system that's installed a layer of Middle Mgmt (ie: Lobbying Firms, PACs, Think Tanks, etc), and those middle managers have taken on some very important tasks that used to be the responsibilities of the elected officials.  eg: We have Lobbyists who are hiring people to investigate, draft and negotiate legislation.  We have Representatives who are then acting like a Sales team as they try to convince the voters that this piece of legislation is a good thing.

There are many more wrinkles and convolutions of course, and I don't think I have a direct line to the truth here, but I think it's safe to say we're nowhere near the kind of democracy we were told about in school.

If I accept the premise that "government should look and act like a business", am I not also expected to draw the inference that "government should look and act less like a democracy"?

Taken together, I think this debt debate and the the fact there are Repub advantages in Governorships and Statehouse Majorities and on down to County Boards and City Councils means that Repubs believe they're on the verge of something pretty big.

I find it hard to disagree.  I think we could be one or two election cycles away from taking the final plunge.  They'll keep telling us this is what democracy is, and we'll keep trying harder and harder to believe we haven't completely fucked up the greatest thing ever - blue pills for everybody.  In a binary world, your only choices are conformity and death.

Hoping against hope that I'm wrong.

Reconstruction (predate)

I remember nothing from the time they came to get me in the Pre-Op room and when they installed me in my regular bed.  I was of course hoping to remember having said something witty and brave, but there's literally nothing there.  I must be incredibly susceptible to the affects of the narcotics they're using these days.

The original plan was to get to the room and try to get up and around that afternoon.  But that didn't work out, so they came in the next day.  I don't mind telling you I was shocked at the level of pain the first time I got out of that bed.  I don't think I managed my morphine very well.

Reconstruction (update)

Got here at about 8am Thur, 7-28; going home today (Sun 7-31) at about 11am.  It's weird because I don't feel that much different in some respects.  eg: It hurts a lot when I move in certain ways.   I have to remember that Dr Browne has fixed the main dysfunctions, and so the main causes of pain in my hip are gone now, replaced by new causes of pain, but ones which will heal and improve, and cause less pain as time passes.

There's a subtle shift in mindset that actually flips me over from entropy and disintegration, to  an outlook considerably more in keeping with my general expectations for improvement and advancement.

I think a lot of people see me as cynical, but I believe my outlook is pretty optimistic.  I think you have to work pretty hard to maintain an appropriate level of skepticism, so I'm sure that gets misperceived as cynicism.  What I'm talking about is pushing things forward, gently or aggressively, according to what the facts dictate is possible to achieve.  For the first time in a good stretch of years, I have the feeling that on a personal level, I have a real shot at making things better.  I'm enough of a Randian to understand that as I make myself better for myself, I have a better shot at making the rest of my little corner of the world better for everybody who shares it with me.  That's how it's always worked before anyway, so here's hopin'.

Reconstruction (update)

Prob'ly going home today.  2 pretty good nights in a row.  Mostly headaches are the big problem, because (I think) when I sleep on my back, slightly elevated, I end up with some tension in my neck that gives me the headache.  Dunno - could also be caffeine withdrawal - just guessing.  Nobody else seems to know much either.

It always amazes me that the hospital is where you go to get better, but for whatever reason, you feel bad the whole time you're there.

Reconstruction (update)

Day 2 Post-Op.  Difficult night, mostly because everything's uncomfortable.  There's no position - sitting or lying down - that works for any real length of time.  I feel hung over.  Kinda light headed and shaky and with a low-level headache, no appetite and mild nausea.

It makes some sense that discontinuing the morphine will make a big diference.  They were concerned enough to send me down for xrays a couple of hours ago to make sure there's no obstructions,  Waiting  to hear.

But, last nite and this AM, I was able to negotiate 3 trips to the bathroom to pee.  Much rejoicing.

Reconstruction

Here's an approximation of what my left hip looks like, compared with normal:

By this time tomorrow, I should be chillin' in the recovery room under the influence of heavy sedation, with my brand new, store-bought hip joint in place.

Not looking forward to 3 days in the hospital, and 6 weeks of nuthin' but rehab before I can start doing what I wanna do, but if I get to walk around like a normal human again, I'll take whatever they're offering.

I hope to be able to do some updates while I'm stuck in bed over the weekend.  If nothing else, I'll see y'all on the other side.

A Thought

It's never about what they say it's about.

What if the GOP crazies are willing to default on the debt because they think it's a clever way to fuck the Chinese?

Just wonderin'.

Elizabeth Warren And Today's Quote

Ask a smart and qualified woman what it means to her when somebody calls her a "know-it-all", and I'm guessing you'll hear back something like, "It means I kept using my brain even after no one wanted to fuck me anymore" -- to bastardize a line from Tina Fey (via Jason Linkens).

I think we're missing a huge opportunity to straighten out some serious shit by not getting Elizabeth Warren confirmed to head up the Consumer Financial Protection Bureau.  But now there's talk of running her for senate.  Could be interesting.