It seems
like it's the only thing i've been able to talk about for the last couple
of weeks. I knew the day was coming years ago, but the times when i
went to stand and my right leg just collapsed... those times were becoming
more frequent.
Ever since
i was a kid, i had been able to make this cute little clicky sound with
my knee. That didn't hurt, though most people cringed and moaned when
they heard it. As a kid, i'd keep time with music with my clicky knee.
When i wanted some attention, i'd whip out the clicky knee. Now that
i'm older and more mature, i usually just whip my cock out when i want
attention, but that's neither here nor there.
At any
rate, i served 6 years at the Institute of Socially Retarded Engineers
[aka Motorola] and much of my job required
that i stand on a steel grated floor. The pain started then. Then when
living in SF, the pain really started in. But it was ocassional; never
acute nor chronic.
A year
or so ago, i finally knew my knee had given out. The pain started being
more constant and the few times i tried running [people
actually do that shit for FUN ?], my knees paid a price.
I finally
visited Texas Orthopedics in May. Dr.
Bergin had a look, and frankly her response was pretty much the
same as the first Orthopedist who looked at me. That is, she was amused,
perplexed and baffled. When i convinced her that i had never injured
my knee, she was even more amused, perplexed and baffled. A week or
two later i had an MRI done. I'd love to post some of the images; they're
cool.
Her prognosis
[the short version]: the Anterior Cruciate
Ligament [ACL] in my right knee was lax.
This was causing a significant amount of mobility in my tibia, which
was slipping in and out of joint. This had caused my interior meniscus
disc to be torn.
An MRI
is a pretty damned cool thing, but it can't tell you everything you
need to know. In my situation, i faced one of two options: my ACL was
lax naturally and if that were the case, she was hoping to go in, scrape
out some or all of the interior meniscus disc and heat the ACL up to
cause it to contract. Though most people cringe when i tell them this
analogy, just think of a steak or a chickenbreast that you throw on
a grill. If you don't tenderize the meat with a meat hammer, the proteins
in the meat will contract and you'll end up with a chewy steak/ breast.
Though a ligament isn't quite the same as a steak, the principle remains:
heat it up and it will shrink.
Oh... the
2nd scenario? This one scares the bejeezus out of me and caused many
a restless night. Basically she also anticipated going in and see the
ACL was composed mostly of scar tissue. If that were the case, she would
remove my ACL and transplant it with a donor's. This would be in addition
to the partial or complete removal of the meniscus disc. The ACL would
be tacked to the femur and tibia with a nail composed of a thick, hard
starch that would eventually be absorbed by the body in a few months.
It goes
without saying that the latter scenario would be MUCH more painful and
would require MUCH more therapy and time to recover.
I went
ahead and made the appointment. St. David's, the morning of 17 august
2001. I did find comfort in the words of a friend of mine who said,
"Think of it like this: it's your first step to recovery."
I don't
know why i was being such a pussy and putting it off for such a long
time. No, that's not true. I know very WELL why i put it off. I can
deal with the pain of recovery; that kind of pain doesn't scare me [unless
we're talking bypass surgery, or something else equally invasive], but
the thought of having to rely on others... i simply CANNOT deal with
that. Part of it is stupid pride, but if you know my history, you know
that virtually everyone that i've ever depended on has ditched me eventually
[especially in the context of girlfriends].
I don't find it hard to trust people but i find it nearly impossible
to believe anyone is going to be more reliable to me than i am to myself.
I went
in. They had me fill paperwork, take all my clothes and put them in
bags. I was laid down in bed and poked and prodded and given more questions
to answer than a homocide suspect. My mind was at war with itself. Growing
up with my uncle and aunt, i was familiar with the culture of medicine
and science. It may seem cold at times, but when you're dealing with
the art of healing, the passion has to be reserved for the work itself
and not too much empathy with the subject. I understand i am a machine
composed of meat, blood, brain and bone. I understand parts of it are
broken and need to be fixed. But i am scared. I'm scared of what she'll
find when she gets inside me. The fear of having an ACL transplant is
making me a nervous wreck. The anaesthesiologist comes in to talk to
me first and asks me if i'd like a sedative before i'm wheeled in.
Yes.
Fuck yes.
He does...
and the world is a better place.
I remember
talking to Chad, Dr. Bergin's assistant about what he does [Physicians
assistant]. I talk to Dr. Bergin about mules versus horses [the
competition she puts her horses through is basically to make them perform
cowdog duties]. And then i wake up. I start vomiting a few minutes
later 'cause that's apparently what some people do in reaction to the
anaesthesia. Nothing comes up 'cause i haven't eaten in 16 hours. I
can't focus, so i start to slap myself in the face. Nothing hard mind
you, but the pain helps me focus. This causes some level of concern
with the nurse who doesn't understand how much i hate to be out of it
[this is the same reason i don't get drunk].
I gain enough conciousness and breathe a sigh of relief as i'm told
that the ACL was shrunk and not transplanted.
I can finally
sleep.
[oyasumi
nasai]
a
very special set of thank you's/ danke schön's/ domoo arigatoo
goziamasu's to Dr. Bergin, Chad, the staff at Texas Orthopedics [esp
Colleen], the nurses at St. David's, my sister for taking me
to the hospital, my boss Darrell and his wife, Pam for driving from
Austin to Round Rock then back to Austin just so they could pick my
groggy ass up and schlep me home. Oh... and another set of thank you's
to my sister [again] who brought me some
cereal and fruit [since i couldn't go out, i had
been living off the pizza i ordered friday morning]. Of course,
i need to also send some gratitude to the letter "M", the
number "4", to the guy who invented crutches and the country
of Khazikistan. Thanks to all of you....