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24 May 2013 @ 12:45 pm
Going Under  
So i went to my appointment yesterday afternoon and the doctor told me there was definitely damage along the top of the bone that ought to be corrected. He also preemptively reassured me that he'd consulted with some of his colleagues and they'd all agreed with his prognosis. (I wasn't actually planning on asking for a second opinion or anything, but i guess enough people do that he wanted to try and head me off at the pass?)

After realigning the bit(s) of bone they're going to install a plate to keep everything in place. Apparently they can go in and surgically remove the plate later, but the usual procedure is to just leave it in place. That'll be... interesting. Hopefully it won't be any more prone to set off airport security than my bracelets are? Also, i wonder if the plates are available in adamantium? :) I assume i'm also going to get a cast on the outside and not depend entirely on the plate on the inside, but i didn't actually think to ask about that at the time.

He actually had the time to do the surgery today, and he really thinks it ought to be done as soon as possible since we're hitting the two week mark now, so they tried to rush through the request. Unfortunately we ran into problems with... guess what? The referral! I think i heard something about the person who handles referrals, either at the hospital or at the local insurance branch, i dunno which, having gone home for the day =P

So instead my wrist is going to get another five days to freeze up and the surgery will happen on wednesday. They said the operation is generally a, er, that term that means you get to walk out the same day that i'm forgetting, but i sure hope they're still planning to put me under all the way and not just do local anesthetic. I don't want to be conscious when they have to chisel and pry the two bone pieces apart so they can reposition them properly =P I _almost_ wonder if i ought to be wiggling my hand around until it hurts just to keep it from setting any more, but i suspect at this point it's probably well enough attached that it's not going to budge except for anything that would involve extreme amounts of pain on my part.

So for fun while i was there and the doctor was off doing whatever i grabbed some quick pictures of the scans that got taken of my wrist. Of course when not viewing them through a low-quality picture of a computer monitor they're much more clear. If i remember i'll have to see if i can get digital copies of the images or something.


X-Ray


CT Scan

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Laura Parkinson: Broodingstormfeather on May 24th, 2013 09:33 pm (UTC)
Uuuurgh, well, good luck with the cutting going smoothly and quickly?
DonAithnendonaithnen on May 24th, 2013 10:51 pm (UTC)
Thanks :)
Steuardsteuard on May 24th, 2013 10:26 pm (UTC)
[Scrolling down through first x-ray:] Huh. Not sure what I'm looking at here.
[To Kim:] "Boy, I'm not a doctor."
[Scrolling down through second x-ray:] "Oh! Oh oh oh oh oh oh!"
DonAithnendonaithnen on May 24th, 2013 10:54 pm (UTC)
Well like i said, the original images are clearer, but they're both about equally clearer (i.e. the proportion in clarity of the problem remains about equal between them.)

The first one is the X-Ray that made the doctors say "this might be a problem, we should get a CT scan."

The second one is the CT scan they had done, which made the doctors say "Oh! Oh oh oh oh oh oh!", or rather "yes, this is definitely a problem and you should probably get surgery." :)
balivatn: geysir fieldsbalivatn on May 24th, 2013 11:54 pm (UTC)
Same day surgery, or outpatient surgery is the term I've always heard used for a surgery you don't get admitted to the hospital for. You probably could request general anesthesia and see what response you get - you might want to see if anyone can drive you home afterwards.
Sister Atom Bomb of Courteous Debateakiko on May 25th, 2013 01:51 am (UTC)
I'd recommend a driver for sedated local anaesthesia.
Steven DeFordwillworker on May 25th, 2013 08:46 am (UTC)
1) Probably not totally out, but they'll usually give you some sedation; you'll likely not remember it.

2) No, probably not-- usually they're titanium plates these days.
DonAithnendonaithnen on May 30th, 2013 07:41 pm (UTC)
They did apparently put me totally out, tube down the throat and everything. From my perspective though it didn't feel any different than the other two times i've been put not totally out. Although possibly with a little more retrograde amnesia. At least i remember him telling me he was going to give me something first to relax me a little, "like you've had a couple drinks", and not anything after that.
Steven DeFordwillworker on May 25th, 2013 08:47 am (UTC)
3) Probably no cast, but YMMV.
DonAithnendonaithnen on May 30th, 2013 07:42 pm (UTC)
Yup! No cast. Just a splint and a huuuuuuuge bandage, which they say will come off in about a week, at which point they'll have me go back to the brace for awhile.
Melissa Bthumbie on May 25th, 2013 07:31 pm (UTC)
Oh my gosh. Been massively behind on LJ so missed a lot of this before. Do you need someone to drive you on Wednesday? We can help out. *hugs*