Thursday, August 5, 2010

Arley 3.0: This Won't Make The Highlight Reel

It's been over a week since the surgery and the really gross stuff is probably over. The incision is healing even though the staples aren't out; it's been nearly a week since my stomach behaved like it belonged to a sorority girl a few hours after a barn dance; and even though it still takes me 30 minutes to heroin-shuffle around the block in my workout clothes, my pain is decreasing and my nap-to-walking ratio is probably down to 2:1.

The problem is, however, that I'm settling into what is arguably the hardest part of having surgery, at least for me: the boring part. The "trying to decide between a re-run of a show that explores the complex world of Minneapolis 20-somethings trying to buy a house they can't afford and a re-run of a show that explores that complex world of a 30-something couple from Dallas trying to re-landscape their garden" part. The "being in the same position on the same bed with the same view wearing the same workout clothes for weeks at a time" part. The "having to rely on people to bring you every glass of water, spoon, or carrot stick and, when you're home alone, having to weigh whether it's better to stay hungry or drag your ass downstairs to find food that you can consume in the kitchen since you can't carry anything upstairs" part. The "having to take shuffle steps to close the door behind you in the bathroom because hip restrictions prevent you from twisting" part. The "not being able to sleep because I spend all day in bed and my so-called 'sleep hygiene' is poor" part.

Yeah, I better develop a fondness for wry British murder mysteries on PBS because I suspect that this is how it feels to be old. I know. Whiny, right? Anyhow, the point is that nothing that happens for the next 3 months will likely make it in the highlight reel when they make an action-packed movie of my life and that's a weird state to be in. I guess the good part is that at least I've gone through this once. The ass indentation in my bed in pre-indented. I am so adept at working the grabber it's like a Go-Go-Gadget arm. More importantly, however, I know that it will eventually pass. Eventually. In theory.

Ok, time to pack up the pity party. Tomorrow's my first day of physio and I need to be firing on all systems to deal with being out-run by 90-year-olds

Wednesday, August 4, 2010

What to Expect When You're Expecting to Become a Cyborg: The Hip Replacement!

When I started this blog nearly a year ago, my original intention was to write about my own hip-replacement experience so that people going through the same thing would hear something more than the "OMG, it's going to be the best experience ever! It's the surgery version of Disneyland! You will be skipping around in fields of wild flowers while lute music sweetly serenades you in no time!" you get from most people in the hip-replacement world. (Yeah, I might pretend to be the Mother Theresa of the Arthroplasty, but everyone knows my real motivation was fame and fortune. Google AdSense, you owe me $20.18!)

I may not be able to offer any useful tips (beyond "try not to have your ass fall off"), but I sure can provide a travelogue of the hip-replacement wilderness for future travelers. I'm like the Lonely Planet Guide, but instead of telling you about what hostels are less likely to give you fleas, I'm telling you about how it feels to be awake while someone takes a power saw to your midsection. If you're squeamish, you might want to move along to the next post while dreaming of fluffy kittens.

On the day of the surgery, I got up at 4:30 a.m. so that I could have a shower. You might be thinking, "Why not get up at 5 a.m. and skip the shower?" Quick answer: Because I knew that my next shower would be three or four days later when I would be dizzy, covered in pink antiseptic wash and sitting on a shower chair swearing a blue streak because a) I dropped my washcloth and there is literally no way to pick it up without breaking hip precautions b) every time I look down I see the 30-something staples along the side of my leg and c) I have to juggle a hand-held shower that is twisting in my hand like a cobra and spraying water all over my towel. (Okay, that wasn't a quick answer).

After you check in to the hospital, you go to a pre-op holding pen where you are visited by a never-ending stream of medical professionals. It's like being Scrooge in "A Nightmare Before Christmas" but with fewer figgy puddings and more needles. For some reason, most of these medical professionals turned out to be young, attractive males. At first, I was like "screw Plenty of Fish! Bring on Plenty of Interns With Incredible Earning Potential! Let's hope that sleep deprivation has the same effect as beer goggles!"

Alas, it ended up like the most disappointing romance novel ever. Instead of having the hot young intern give me his phone number, he signed his initials in felt pen on my upper thigh so that the surgical team wouldn't slice up the wrong leg. (It's actually still there). When I originally met the hot anesthesiologist intern, I was like, "Damn, you can slide your epidural needle into my joint space any time." After the 5 attempts it took him to get my IV in, however, I had to amend that to "no...seriously...any time now....whenever you're ready."

After an hour of that, it was finally go time. I was wheeled into the OR room and transferred on to the table to get my epidural. I mentioned in a previous post that it took two epidural injections, probably about 8 or 9 attempts, and over a dozen local anesthetic doses to get me frozen. Seriously, if I heard the phrase "you'll just feel a little poke here...." one more time I was going to give them a little poke with my fist in their face. Now, I had a terrible case of mono a few years back and the result is that when I get tired, dehyrated, hungry or...I don't know....all of the above while being jabbed with needles over and over again, I tend to faint. Long story short: I keeled over like one of those goats that George Clooney stares at. They had to finish the epidural with me laying on my side.

This time, they did the hip replacement through the back way, which unfortunately means that I cannot look at my proper, gentlemanly, pink-polo-shirt-wearing surgeon without hearing Howlin Wolf's "Backdoor Man." So that I could assume the back-door position, (I'm not being dirty! That's what they call it!) they set up some vises, laid me on my side, and clamped me on to the table as if I was a 2 X 8 on a sawhorse. The powertools laid out by me did little to detract from the effect. It was a little like being part of some "saw the woman in half" magic trick, since people kept draping me with fabric and, you know, actually sawing through my bones.

To sedate me, they gave me a little sip of the Michael Jackson cocktail, Propofol, so for most of the surgery I was in and out of consciousness. I could feel twisting and hammering and sawing and pulling, but was drugged up enough to feel that the most appropriate response would be to have a conversation with Hot Anesthesiologist Intern. Lord knows what we talked about. I shudder to think. (Maybe this is what I need to talk to guys....surgical-grade sedatives). My final memory of the surgery: seeing one of the assistant surgeons with his face shield sprayed with drops of my blood informing me that they were just stitching me up.

After that, it's on to the recovery room. Because of the problems with the epidural, I was frozen for much longer than expected, which means that I spent four hours listening to an endless parade of morphine-addled old people, one of whom would not stop noting aloud how sorry she felt for a nurse who was a recent single mother, how very, very sorry she was, how unfortunate it was that some poor children were growing up without a father. It also meant that they had to put a catheter in which, even though I was partially frozen, still wasn't the most fun thing to ever happen to my lady business. (Those of you asking what exactly would be the most fun that ever happened to my lady business need to check yourself). Yes, having a hip replacement definitely means checking your dignity at the door.

And on that sexy note, I'm going to go back to sleep. Yup, still blogging with a little help from Vitamin D...and I'm not talking about the kind you get from sunshine.

Monday, August 2, 2010

Arley 3.0: Now With More Morphine

It's 5 days after surgery and this post is brought to you by the letter D for Dilauded AKA Hydromorphone AKA "Surgery? What surgery? Why am I dreaming of cartoon hamsters?" Yes, after my second hip replacement I am "keeping comfortable" on the same drug that's keeping Lindsey Lohan "comfortable" while she's chilling in jail. The only difference is that she got it for a minor dental procedure and I had to stay another night in the hospital because of the difficulties of getting a prescription for it, even though someone took power tools to my hip's joint space. Man, celebrity has its perks. (On that note, how does Lindsey Lohan get counted as a celebrity? Who is jail is thinking, "Well, I know she hijacked a car and drove three terrified passengers on a coke-fueled police chase...but she did gift the world with the cinematic brilliance that was "The Parent Trap," so let's call it a wash. Feel free to load up on sketchy, easily abused prescription meds before you do your time, darling!")

I was hoping to blog more recently after the surgery, but unfortunately there was no wireless internet in the hospital and I'm pretty sure that for the first few days, my blog posts would resemble the rants you hear on Hastings and Main in Vancouver. That means that I've got a lot of ground to cover. I'm going to break it down into smaller posts over the next few days, mostly since the letters are already kind of swimming on the page and my nap-per-paragraph ratio is roughly 1:1.

So....Arley Version 3.0 Coles Notes Edition. The biggest headline is that it didn't go exactly as expected: They didn't attach the gluteus medius because there was too much scar tissue. They did, however, replace the socket and ball. And they went in through the back door (that's what she said) so the whole thing should be much more stable. After the surgery, Dr. SecondOpinion told me that the result "won't be one of those hip replacements where the person walks well." (Oh, you wanted one of those? You should have specified!) So far, however, the results feel a million times better than the first time around. My hip's not clunking around the way it was before and I'm walking pretty well considering that everything in the area is still like, "Dude, WTF?"

I will blog more about the surgery when every sentence I write isn't being co-authored by a morphine derivative, but here are some teasers:

  • Want to know what phrase you don't want to hear coming from a guy who's about to jam a big-ass needle into your spine? "Because I'm just learning, I'll be supervised by Dr. SoAndSo Here." And coming in a close second: "You're going to feel a poke....another poke....and another poke....Darn." (Perhaps the reason why it was so hard for me to get a Dilauded prescription is because of the track mark situation on my arms and back).
  • Want to know a phrase that you should never have to say after receiving a spinal epidural? "Um....so.....am I supposed to, like, feel numb yet?"
  • For the first few days, I dreamed of exploding cartoon hamsters, which struck me as such a stereotypical Oxycontin-fueled dream that I would amuse myself and wake up. You know you've spent too much time in academia when you are woken up by irony.
  • Day 1: I felt freaking fantastic. Little pain, no nausea. I was the Queen of Surgery, the Princess of the Post-Op, I was mentally reinacting that "king of the world' scene in Titanic. I was like, "Wait...you mean....something might actually go....right?"
  • Day 2: Let's just say there was more puking than a bulimic convention in an ice-cream shop.
  • Let's also say that I will never again eat pea soup with noodles. And that for days after I was still finding specks of dried neon-green bile on my hospital bed...my desk lamp....my bedside table..... (Too much information? Too much information).
  • The first day, my roommate was a guy who had broken both of his heels after his girlfriend threw $1800 of his money in $100 bills out the window and he jumped out the second-story window after it. (Suddenly, being single doesn't seem so bad).
  • For the rest of the stay, my roommate was an elderly Asian man who talked in his sleep in a mixture of Chinese and English, resulting in such gems as "You need 30% more birth control!'
  • I woke up this morning to my cat snuggling under my chin purring and sleepily licking my chin and was almost deliriously happy. Well, okay, the delirious part was probably the morphine, but still. Ah, cats: They love you and they never drop $1800 of your cash money out the window.
Okay, I'm off to drift into a drug-fueled slumber. Post more soon!

Tuesday, July 27, 2010

Arley Version 3.0

Well, tomorrow's the big day: My Freaky Cyborg Hip gets it hardware upgrade to V. 3.0 and I get to star in a remake of "Dude, Where's My Dignity?" (Actually, depending on what drugs they give me, it actually might be more like "Dude, Why Are There Small People Sitting on My Feet Singing 'Hey, Mr. Tambourine Man?'") IMPORTANT NOTE TO SELF: Do not update your work Facebook page while whacked out of your tree on painkillers. If only there was a way to lock your Facebook account so you have to take a skill-testing question to post a status update like there is with Gmail. Oh well.

As per usual, I've been overestimating my readiness for the surgery. Last time around, I was diligent: my walker, cushion, sock aid, shoehorn and elastic-laced shoes were lined up like little soldiers ready for battle. My rooms were de-cluttered with a post-hip-replacement body in mind. My bags were packed according to the hospital-approved checklist. I had read the "What to Expect When You're Becoming a Cyborg" (AKA the hip-replacement preparedness manual) back to front. I was like, "Dude, bring it on. I've got this."

This time around: It's 9:30 pm, I have to get up at 4:30 a.m., I have yet to pack anything, my post-hip-replacement bolster is covered in dust, there are piles of clothes strewn all over my room in a manner reminiscent of the $5 sale at Old Navy and I'm really more interested in downloading the "Angry Birds" game for my new Iphone. Yes, I am officially a card-carrying member of the Hipster Society. Good thing I can't wear skinny jeans for another 6 or 8 weeks due to post-surgical swelling, because you could write me off.

In the dreams I've been having about this surgery, I watch the operation while floating above as the events happen in fast-forward while the song "Grounded" by Pavement plays. Yes, even my subconscious is a hipster.



Oh well. Wish me luck. I check in at 6 a.m., my surgery will be around 7 or 8 a.m. and beyond that...Lord knows. Considering that the surgery plan is "open me up and see what's in there and hopefully put my ass back on," what kind of surgery I'll end up getting is really anyone's guess. Either way, Arley Version 2.0 will be a thing of the past and it's time for Arley 3.0: Now with Reattached Ass. And hopefully lasers.

Hopefully, the next time you hear from me, I'll be new and improved and only slightly spelling like a crack-addicted LOLCat. I'll try to update as soon as possible. Too bad I don't have a Twitter account because morphine tweets (Tweaks?) might be really awesome.

Thursday, July 22, 2010

Invisible Cartoon Old People Porn....YES!

As expected, the move back to Vancouver was rough (emotional Arley + emotional cat + wheelchair + heavy bag + leaving forever + impending surgery and months of recovery + tons of stuff to do for work + sleep deprivation + did I mention leaving forever? is not exactly a recipe for awesomeness), but we made it here in one piece. I could spend roughly 12,400 words rehashing my complex feelings on leaving, how much I'm going to miss everyone, and how heartbroken I am every time I see poor Mika curled up on A.'s shirt at the corner of my bed, nuzzling it as if she could make A. reappear by doing so, then laying down on it with her head between her paws with a look of pure feline longing. Cat heartbreak is the very worst heartbreak of all!


But let's leave the emo-ness to the cat because we have more important topics to discuss....Invisible Cartoon Old People Hip Replacement Porn!

The day after I got back from Illinois, I went to the OASIS hip/knee-replacement orientation session. In truth, I tried to weasel my way out of it on account of the fact that I am perhaps a little too well oriented in what to expect following a hip replacement. If anything, I would like to become less oriented so that the mere sight of that stupid "sock aid" sitting on a chair in my room ready to aid me in spending 15 minutes just to put on a single freaking sock doesn't give me PTSD flashbacks. I decided to go, however, for two reasons: 1) the lady on the phone insisted in a very firm voice that it was mandatory and I am nothing if not compliant and 2) the last time I did the OASIS program, some chick fainted and I like being around people whose coping skills are worse than my own.

I will spare you a rehashing of the OASIS session. Suffice to say that it is like kindergarten class for people who are getting their limbs sawed off and reassembled. Some nice lady with a calm, gentle, day-care-y voice teaches you to how to avoid post-surgical constipation and demonstrates the best way to inject your stomach fat with bloodthinners to avoid bruising. Just when I was thinking that the day was going to be a waste of time, however, I spied a thick booklet on a pamphlet rack by the OASIS lady's shoulder: Sex After Total Joint Replacement. Let the real lessons begin!

The first time around, all I got was a one-page handout discreetly tucked into a folder of other hip-replacement info. This time, however, they've pulled out all the stops. For starters, the manual stars an elderly couple who resemble the neighbor couple from Dennis the Menace...and let's just say that in this booklet, Martha's doing a lot more than needlepoint.




On one hand, I can understand the thought process behind the cartoon old people. After all, you don't want Doris Q. Hip-Replacement-Patient to be stuck in her fanciest flannel teddy staring at the handout thinking, "Well, damn. In the diagram, your breasts are supposed to be right here, but mine are down by my bellybutton....It's so confusing! I just can't make it all line up!" On the other hand, however, I'm not sure why they felt the need to include images such as this one:


Yes, ladies and gentlemen. That is a cartoon rendering of an old man counting the days until his lady love's post-surgical bruising has gone down to the point that he can rock her compression socks off.

Or this one, which I'm pretty sure depicts the same old guy waiting for his Viagra to kick in while the pamphlet warns about the post-surgical risk of...um....an arid climate in the lady garden:

Why does he look so downcast and alone? Is it because the clock on his chest is counting down the seconds until his sex-induced heart attack? Or maybe it's causing him to reminisce about the time he spent touring with Flava Flav? Who knows? Someone get this guy a Werther's Original because he needs to cheer the hell up. I mean, he's about to get some serious action. Perk up, buddy!

Of course, what would a post-hip-replacement sex manual be if elderly cartoon people didn't demonstrate the acceptable positions? I love some of the graphic-design choices that were made here. Eyes: no. Mouth: no. Perfect 1950s-old-lady updo: MANDATORY. Pearl earrings: ALSO MANDATORY. (Those of you about to make a 'pearl necklace' joke need to check yourselves). And if you ever want to know what exactly your beloved Gran-Gran and Pop-Pop were doing on that rocking chair you used to love as a child...the one with the hand-crocheted afghan....



I especially love the positioning of the artificial hip in this last position. It seems to say, "Oh, God, Walter. Take me with your four inches of medical-grade cobalt chrome! Don't stop!" (Too much? Too much).

But wait! Don't leave to go wash your eyeballs out with acid! It gets better. Do you want to know what this is? Do you want to take a guess?
If you guessed "an image of someone's Granny calling the doctor after she has f*cked her husband's hip right out of its socket," then give yourself a hand! Clearly, someone got a little in to the old cowgirl rocking-chair routine and is going to have a great story to tell to the Bridge Club. Apparently when you put a little Crown Royal in her Ensure meal supplements, she goes wild! You git it, girl!

But..see...here's the problem. I am single. It's bad enough that for ages post-surgery I'm going to have to greet potential suitors with the phrase, "It's nice to meet you. Let me put down this walker so that I can shake your hand." And I'm pretty sure that any sex that requires you to cross-reference your positions with any type of manual is not the kind of sex I want to have. But even if I did want to give some lucky gentleman this booklet as a little homework assignment, what do you think the reaction's going to be? "Thanks for this reading material, darling. I was worried about how to accommodate your post-surgical needs, but now that I mentally associate you with eye-less cartoon old people, I am suddenly overcome with wild feelings of lust! You can consider me officially in the throes of desire!"

Okay, OASIS program. Thanks a lot. You can consider me officially oriented. So oriented that I'm about to buy a few more cats and a pint of Haagen Daaz and call it a day.

Sunday, July 11, 2010

This Cane Was Made for Walkin'

For the past week, I've been trying to come up with something to blog about that isn't whiny. It's a week until I leave Champaign (for good this time...I promise!) and my inner monologue sounds like it came from the "Emily the Strange" diary of a 16-year-old girl. In theory, I should embrace the fact that I'm moving back to Vancouver and become excited for my new life. After all, Vancouver is one of the world's most livable cities. (A. keeps reminding me of this fact, and I keep reminding him that Vancouver is only the world's most livable city if you are cultivating an ironic mustache or you have a high tolerance to sunshine-deprivation-induced depression).

The bottom line is that Vancouver is a difficult city to make friends in at the best of times, and I am worried that loneliness will turn me into one of those people who goes to the library in order to rope the librarian into a detailed conversation about their psoriasis and then spends hours reading the newspaper and remarking, "Oh my god! That's so funny! That's so interesting!" aloud in the hopes that someone (anyone!) will ask them what's so funny/interesting. After all, it's easy to make friends when you're in school. It's less easy to make friends when you're by yourself and you worry that people are judging you on your post-hip-replacement elastic shoelaces.

See what I mean? Whiny.

Today, however, I finally came up with something positive to blog about: my newfound leg strength. Because I don't have a car in Champaign, I've been walking between two and four miles a day. While this is annoying since it's hot as balls in Champaign-Urbana, it is forcing me to develop the kind of leg strength needed for post-surgical recovery. My legs have gotten seriously muscular and even my anti-ass is becoming less concave. If this keeps up, I'll have to change its name to "actual ass."

The only problem is, however, that I am notorious for over-estimating my physical abilities. When you add this to the hot, humid weather we've been having lately, my over-reaching can occasionally get me in trouble. A few days ago, for example, the tip of my cane split. No problem, I decided. I'll just walk the 1.5 miles to the medical supply place. Well, it turns out that walking 1.5 miles when it's 97 degrees and so humid you feel as if you're stuck inside someone's mouth is no easy feat. By the time I got to the medical supply place, I was drenched with sweat, completely exhausted, and so sore that I was walking like a stroke victim. I could not fathom walking back.

I swallowed my pride and called A. and asked if he had any desire to rescue a (slightly sweaty) damsel in distress. Like any good friend, A. laughed for several minutes and then agreed to bring his noble steed (a Dodge Aries) to rescue me. I was so relieved that I bought him lunch at a nearby Mexican restaurant where we drank cold drinks, ate the world's worst burritos (seriously...a flour tortilla and a gray paste of ground beef do not a burrito make!) and watched World Cup soccer. It was cheaper and more fun than a taxi. Poor A. Not only does he have to watch my cat, calm my moving-related fears and occasionally do my dishes, now he has to play chauffer.

You might be saying to yourself, "Arley, there is this new-fangled invention known as 'the bus,' which will take you to places outside of your walking range on days when it is hot as balls." To you, I say: I am too impatient for the bus. (You can see why I'm such a joy to be around post-surgery). Every time I try to take the bus, I find myself waiting there thinking, "Why am I sitting here for 15 minutes waiting for the bus to show up when I can be out there walking and getting shit accomplished?" I therefore decide to start walking along the bus route in the hopes of catching the bus when it passes. Of course, I'm between bus stops when the bus passes, which means that I end up walking all the way to my destination. Also: I have a weirdo magnet and buses are recipes for "Arley getting to hear the life story of someone with a meth addiction."

Oh well. I have only a few more weeks of walking before I have surgery and will spend months taking 20 minutes to go once around the block. Sigh. I will not be emo....I will not be emo.....I will not be emo.....I will not.....

Sunday, July 4, 2010

The Theory of One Less Gross Thing

It's less than a month until my new surgery date and I'm trying to get mentally prepared for it. Granted, it will be nice to no longer have the surgery hanging over my head, so that I can get on with my life. I've been avoiding dating because I don't want to have to end some hot date by saying, "We'll have to do it again sometime soon....like next week, when I'll be using a walker and will be whacked out of my tree on morphine. Oh, and just FYI, here's a handout of acceptable post-surgical sex positions in case you make it to the third date." Yes, it's time to get the "walking properly" show on the road.

Still, I suspect that this time around will be harder than the last. Last time, I was relentlessly optimistic. I'd done my homework on the surgeon. I'd done a significant pre-hab routine to build up the muscles around my hip. I was young, I was fit, and visions of strutting around the hospital showing off my impressive recovery to the other elderly patients were dancing in my head. Even though it all went off the rails, I was able to power through it mentally by adopting the Theory of One Less Gross Thing. (Okay, I know that technically it should be One Fewer Gross Thing, but it doesn't quite have the same ring to it).

The Theory of One Less Gross Thing rests on the premise that the surgery is a one-shot deal and that every gross, humiliating, painful or unpleasant thing that occurs does so for the last time ever. When I was puking up fluorescent-green bile, I wasn't thinking, "Damn, this sucks," but "This is the last time I ever have to do this. This is one less gross thing I have to go through." When I was getting my staples torn out of my incision perhaps a few days too early by an 80-year-old doctor with shaky hands, I wasn't thinking, "Hot damn, remind me to apologize to all the stapled sheets of paper I have unwittingly violated over the years," but "This is the last time I ever have to do this. This is one less gross thing I have to go through." Shuffling along with a walker; trying to use a long-handled sponge probably created to bathe elephants to scrub the pink antiseptic wash off my toes; injecting my stomach with bloodthinners in a drug-induced haze: all of these were one less gross thing I had to go through, one less gross thing that was standing between me and my sexy new walk.

Well, of course it didn't work out that way and now I'm gearing up for the hip-replacement sequel. Like most sequels, this hip replacement promises to suck more than the first. Part of the reason is that the Theory of One Less Gross Thing no longer applies. I'll be going through everything again and, worse still, I know exactly how gross it will be. Actually, considering that I don't know whether I'll be weightbearing or not, if I'll be following hip restrictions or not, or whether the additional gluteus-medius reattachment will make it more painful than the last time, I could be up for even grosser Gross Things.

Oh well. I aim to make the most of my three weeks of freedom. I've been swimming, walking at least a mile a day, doing the elliptical machine, and doing little weight-training circuits with ab workouts. If I can't be optimistic, at least I'll be fit.