So, this morning’s appointment went very well.
I’m not going to lie, I was very concerned and stressed about the appointment. To make a long story short, I tore my left biceps muscle changing a flat tire back in January. (I thought I’d jacked the car high enough to remove it; it wasn’t until I pulled on the tire that I realized it just as blinding pain flashed through my arm–from the fingers to the shoulder.) It hurt badly, but as a former athlete and personal trainer I am used to muscle strains and pulls. It felt like I’d pulled it, which has happened any number of times over the years (I couldn’t even. begin to tell you how many times my hamstrings have been pulled; both calves as well). It felt just like that–the pop and then the pain. The muscle looked weird, but my calves looked weird until the pull healed, and of course, I couldn’t see how my hamstrings looked as they healed. I had my biannual physical/check-up scheduled with my primary care physician for Wednesday that week, and I thought, as I drove home after running my errand, well, if it still hurts tomorrow I’ll go to the emergency room; if not it can wait till I see him on Wednesday. It stopped hurting that night unless I actually flexed the muscle, and it felt like I just had a charley horse…so I figured it was a pull, but best to ask my doctor just in case. My doctor didn’t think it was a bad thing, and suggested I wait and see how it goes until I saw him again in July. By July, I knew it wasn’t a pull and it wasn’t healing and maybe I should have pushed my doctor more and advocated for myself better than I did (something I am always lecturing my clients about, almost on a daily basis: “advocate for yourself! You know how you feel better than they do!” But…
I don’t like conflict, I don’t want to be a pain in the ass, and I always have had that “need to please” thing going on, which I am working on shedding.
Needless to say, the muscle was actually torn not pulled; and a tear requires surgery. I was referred to an orthopedic surgeon and visited him a few weeks ago, which was when I learned Dr. Google was correct; a biceps tear needs to be repaired within six weeks of the injury, or the tendon will continue to retract. The muscle is attached to the forearm muscle (sorry for not having technical terms) with a tendon, and that tendon is what tore. If you have the surgery before the tendon retracts, it’s easy to reattach it. The problem is the longer you wait the less stretchability the tendon has; it’s kind of atrophied. So THAT specialist didn’t feel comfortable doing the surgery because he wasn’t that specialized, hence the need to go to this morning’s appointment at the Tulane Institute of Sports Medicine–this is a more common injury with athletes–and so this morning I got up and headed uptown.
I have to say, I can highly recommend the Tulane Institute for Sports Medicine. Everyone was so nice, and polite, and made sure I was comfortable the entire time, always checking in on me whenever I was waiting, and so forth. I had some X-rays done of both my shoulder and elbow, and then I met with the surgeon. What a wonderful experience it was! He was kind–which matters so much more than anyone ever thinks it does in those situations–carefully explained how the surgery worked, how it would be done, the prognosis (I won’t ever get 100% strength back in my biceps, but it should be 90% at the least; and that was a big relief). There will be two incisions made, one on my inner forearm about an inch below the elbow, and another right below where the biceps muscle is sitting right now. If the tendon won’t stretch, they will sew in a cadaver tendon to reattach the muscle. The scarring will be apparent, but will be much smaller than I feared, and I’m glad that I can put my mind in ease. We scheduled the surgery for the Tuesday before Thanksgiving, so I won’t be going to Kentucky for the holiday (kind of relief, in a way, I was dreading the first one without Mom) but it means I’ll have to go up there some other time over the holidays.
I’m still angry at my former primary care physician for not really giving the injury anything more than a cursory, dismissive glance in January–and there were several other issues with him as well, so I fired him and have found a new primary care physician, who I will be seeing for the first time next Friday. She is my PrEP provider at Crescent Care, so I’ve been seeing her for several years now, I work with her on behalf of my clients, and I am comfortable with her and I also know she’s thorough. I don’t know why I didn’t switch over to her completely years ago, but…live and learn and I suspect it had more to do with laziness than anything else.
So, that’s out of the way and I just have to wait for someone to call me to schedule an MRI before the surgery, but there’s plenty of time for that so I don’t need to be anxious about it.
And now back to work at home chores.
Queer and Loathing in America 