Sounds like some holiday. Well, not exactly…
So I finally had it done! The manipulation under anesthesia for my frozen shoulder. After many cancellations and postponements, the planets aligned and the date was set with no hitches this time…….so we think…..We are to be at the surgery center at 6:30am and the procedure will start at 7:30am. I have not gotten out of bed before 10:00am at the earliest since I got this disease! Sometimes I am not getting to sleep until 4:00am! Anyway, I drag my ass out of bed and we get there right on time. The gal at the check in window says I will be taken back soon and they will do the manipulation which will only take 10 minutes or so and then when the anesthesiologist gets here at 9:00am he will do the nerve block………………………………….Now, if you guys have been following this story, the whole idea of the nerve block is to reduce pain associated with the manipulation. Therefore, it needs to be done BEFORE we start! Well, the gal doesn’t know what to do. She says the administrator will be in soon and we can talk to her. UNBELIEVABLE! So the administrator gets there and explains that the anesthesiologist didn’t want to do the block beforehand because he was afraid the anesthetic would get disturbed during the movement of the arm. PLUS, he was coming from Santa Barbara. So, I am here, my ass out of bed at 6:30am, lets just do this.
I like the surgery center. It is quiet, they give you nice warm blankets that come out of a food warmer like cabinet and make sure you have enough pillows. A far cry from the hospital. The nurse comes over and tells me she is going to hook up the IV and asks me where I prefer she put the needle. I really don’t care, what ever is easiest for her. She says she finds a nice vein on top of my left hand. Great! Should be easy then…………you would think so, I mean, how many of these do you think she does in a day. So she starts, I sense some trouble. I ask her if she got it and she says “I think so, lets try it”. Encouraging. So she starts the drip and I see its not working by the blister forming under my skin. She says “nope, missed it”. No shit. So she has to pull everything out, bandage me up and find another spot. “Lets try the bend in your elbow”. O.k. “I found a smaller vein, so I can use a smaller needle”. Fantastic……………………Hows it going? “Good, just don’t move”. At this point my arm is hanging off the bed, not to comfortable. I ask can I at least lift my arm on to the bed? “Well, O.k., just be careful not to move anything. It is barely in there”. WTF?
So the nurse anesthesiologist comes in to tell me about the general anesthesia I will be under and that they will give some propofol first for anxiety. I thought cool, because I didn’t have any until I was treated like a pin cushion. Then, the NA looked at me and said “don’t I know you from somewhere?” I said ya, from here. I had my shoulder surgery done here in March. She said “Oh ya, I remember you. Well, you’ve got great hair”………..I said oh, thanks…….I have never had anybody EVER say that to me. I consider my hair average at best……..so bizarre……Please give me some propofol……………..
Now we are in the OR and suddenly my left elbow where the IV is starts burning like crazy. I tell the NA and she comes over and looks at it and swears under her breath and takes the whole thing out. She then says she needs to put it in one of my feet (cause they are running out of holes). Problem is, I have CRPS in both feet! This could be a problem. So I tell her hook me up and juice me as soon as you can with some good stuff. Next thing I know I am waking up in recovery. I am pissed off because they haven’t taken me back for the manipulation yet. I could tell by the nurses laughing It might have been done already. My bad.
Now I am waiting for the anesthesiologist to get there and do the nerve block and he gets there within 5 minutes. So back to OR we go, more propofol, count backwards……..Again I wake in recovery, feeling no pain. The anesthesiologist comes over and looks at my right eye and says “yup, we got a good block, your eye is bloodshot”. Side effect of the block. So I go home and pretty much immediately sleep for about three hours. I wake up and don’t feel much pain, my CRPS is not acting up abnormally from the trauma, so far so good.
In the morning I go to physical therapy for my shoulder. First thing we do is take some measurements to see how much more range of motion I got from the manipulation. It looks like about 50% more all around, very good. Then she bends my arm a little more in different positions until I tap out and we are done for the day.
Now one thing I am noticing as well is I seem to have improved range of motion in my hand. I can bring my fingertips all the way to my palm! almost a fist! Also, I can bend my wrist back and forth without pain. Apparently this is all do to the nerve block. I am getting longer relief this time it seems. This good! I go to hand therapy on Friday and the therapist is blown away! So we made some good strides with the hand as well. Now, there is no telling how long this will last, but my pain level all around seems to much better. Going from a 5 or 6 to a 3.
So, last night I did have some raised level of pain in my left foot which was discouraging. But it didn’t last as long. And today my right arm muscles are pretty sore as expected. As a result, my hand is pretty swollen. But pain seems to be ok. Keep those fingers crossed…Jon