Ten days after surgery I went back to have the splint exchanged for a fiberglass cast – the next step. The cast tech told me the thing I thought was a suture was actually a metal pin, holding bone and ligament in the right places and coming out of the skin in the shape of an L. Normally they stick out above the skin but my pin had migrated, moved, and was embedded in my flesh. A felt pad meant to keep that from happening had slipped out of place. He didn’t seem alarmed and said that it wasn’t uncommon and was probably due to my being more active. I got another 30 seconds of doctor time and then the head of the pin was pulled out slightly, cushioned with felt again and the cast was applied.
This cast was less bulky and easier to live with than the splint. But a few days later I was still feeling that burning pain almost constantly.
I decided to send the doctor a note about the unsatisfactory pain level and it was agreed that I should have the cast checked. It happened that I was going up to the medical complex anyway, for Mom’s dermatology appointment so they agreed to fit me in. Most of our specialists work in a city about 90 miles away so logistics are always in play.
The same tech who put the cast on greeted me with “So, what’s wrong with the cast?”, in a somewhat defensive manner. I told him it was the pin I was feeling mad at, not his cast. And sure enough, when the pretty Packer green cast was sawed off we saw that the pin had rotated again and was making another dent in my skin. The doctor didn’t look at it this time – just told him to put it back in position and wrap it up again. He labored over finding a way to keep the pin out of the sore spot. Vaseline gauze, felt padding and layers of cotton batting went on, covered by the last layer of fiberglass – denim blue this time, which I like better (no offense to the home team). I went home hopeful, but worried because it still hurt from having the pin moved. I was beginning to wonder about the wisdom of putting a pin under a tight cast that will always be putting pressure on it. Does that sound like a recipe for pain?
Such a pretty blue – goes with so many of my outfits.
Today I was thinking of all the things I might not feel like doing for a week, or more (lots more) after the surgery.
There was the furniture moving, for instance. There were some heirloom pieces stored in the barn that I wanted in the house. They were things I’ve wanted to look at and enjoy for a long time – but it was unreasonable to get them to Florida. But now, I’m right here where they are so it was time.
One is a dresser that was in my grandmother’s bedroom for her whole life, I think. The other is her cook stove, a woodburning Monarch that weighs a ton even though it looks small. Years in the barn meant they were dirty. The cook stove even had ashes in the ash box from the last fire – I can only imagine when that was. Doing this kind of cleaning and handling of heavy things is probably why my hands hurt tonight and probably why they are in such bad shape overall. But isn’t work what hands are for? In my world, yes.
I did laundry. I shopped for groceries for next week. I talked on the phone to the pre-op nurse who asked me a lot of questions she already knew the answers to and told me to be at the hospital by 7 am on Monday. The surgery is at 9. I hope that means there aren’t too many people ahead of me, and that I will get home before the day gets late.
I’ve read a couple different accounts of how restricted I will be after the surgery. The video even showed how my hand will be wrapped up and cast. My doctor indicated that I will be in a splint of some kind until my first post-op appointment, when a hard cast will be put on. That will stay on for the next three or four weeks and then I will get a softer, removable cast for another month. My thumb will be immobilized but I think the rest of my fingers will be free to wiggle.
Initially the pain will be eased by the nerve block given during surgery. It must last a day or so, after which I will be switched to oral meds. So no driving while on pain medication. I will be dependent on my daughter to cart me around, if I feel like going anywhere.
One video I watched said that driving would be permitted as soon as I could grip the steering wheel with both hands. My doctor didn’t say differently, but she added that if there were to be an accident, my insurance might not cover it. I would be considered an “impaired” driver because of the cast. I’m thinking I will be less impaired than many others on the road – not going to worry about that.