Taking another break from emptying buckets and driving myself
crazy with worry ... I promised y'all more info on the wrist
situation.
My two biggest fears regarding my wrist -- a fracture (since a
fracture that keeps not healing is a sign of badness)
and arthritis -- have been put to rest. The x-ray images are
clean: healthy bones, nothing to see here, move along. The
problem is with the tendons. The doctor's proposed plan, subject
to approval from the finance department (since I can't afford
to pay full price and none of this is covered by the state plan)
is to start me on an NSAID to get the inflammation down and give
things a chance to heal themselves, aided by cortosone delivered
via phonopheresis (which is administered by a physical therapist,
which is the referral that needs approval from on high), and if
that doesn't work then a more aggressive approach in a month.
He started out suggesting a cortizone injection. I mentioned
that I'd had a very bad reaction to a cortisone injection ten
or so years ago. He said that reacting badly to the cortizone
itself was unlikely, and that I had probably reacted to one or
more other chemicals (preservatives and whatnot) in the solution
alongside the cortizone, but he did at that point switch to
wanting to use phonopheresis because it's even less likely to
generate a bad reaction, and we'll try injection if this doesn't
work.
I can continue playing guitar in the meantime, but I am to
ice the wrist a whole lot every day. (Argh. Already
feeling cold too much of the time, y'know?) And
especially ice it before performing (which I'd already been
doing). He and I seem to see eye to eye regarding playing the
long game here, with full recovery and long-term health being
far more important than a quick fix. His comments on that
score referring to my being musician gave me the idea that
he really understands the ramifications of a patient being
a musician. Not all doctors get it.
When I asked whether I could play tomorrow, he said, "What
difference does it make? You're going to play whether I say
it's all right or not." (Okay, he gets that aspect
of musicians, too ...)
I replied, "I'm concerned enough about the long term, that
I'll miss a few gigs if I need to to get better." Then he
said that I should be okay tomorrow as long as I ice the wrist
well.
I like this doctor so far. He was pretty patient in explaining
things to me, answered all my questions, explained his reasoning,
not just his conclusions, and said some of the same things about
the state of the US health care system/industry and the nature
of corporations that I have said.
So I need to fill this prescription (and refill a bunch of
others while I'm at it) once I have enough cash on hand, and
wait for someone to call me to say whether I'll be getting the
phonophersis treatments.
The problem with the x-ray CD was probably that my Windows XP
installation is screwed up somehow, preventing the program on
the CD from loading or installing correctly. It worked on the
orthopedist's computer. (I'm still confused about my inability
to read the files with other tools; the description
of DICOM made it sound like it was supposed to be a universally-readable
format rather than each vendor's files needing their own tools ...
but maybe I've got some more subtle problem going on with my
computers.) Anyhow, he was quite happy to show me what he'd
been looking at, where he looked for signs that would have
cast doubt on his initial diagnosis and such -- instead of just
saying, "your x-rays are clean, there's nothing to see there,"
he said, "would you like to have a look?" and led me from the
examination room to his office to show me.
Now if only I could've gotten to this point a bit earlier
instead of six or seven months after the problem started!
(I did, of course, Google deQuervain's tenosynovitis after
I got a break from flinging buckets of water out the window
and improvising a raincoat for two servers downstairs. I'm
wondering what counts as 'early' in the line on the
Mayo Clinic web site that says, "If started early on,
treatment for de Quervain's tenosynovitis is generally
successful.".
Perhaps my experience here isn't an adequate response to
anti-universal-health-care folks who intone that universal
care "will mean long waits for treatment", since I am, after
all, already on a state-run plan. But I had longer waits
for treatment than my Canadian friends even when I was with
regular HMOs that employers paid for. Seven months is a long
time to spend wondering whether a treatable injury is turning
into something permanent from lack of treatment. I'm relieved
to hear today that I should get completely better, but would
I have had to wait so long to find out if I were in Canada?
Okay, now to see whether I have anything I can use to make
a siphon to get water flowing out the window. I feel like
I'm "running out of cope" -- I keep feeling as though it's
hours later in the day than it is (woke up way early for me,
after far too little sleep, on a grey day that's messing with
my sense of time anyhow); I'm tired, I really want to go to
sleep, every time I think the rain is tapering off it starts
up again, and every time I start to do something else the
sound changes and I discover water showing up in a new place
when I investigate. I keep getting dripped on, and since it's
rain, the drippimg water is cold. So I'm cold, wet, tired,
frazzled, and not sure when I'll get to stop moving; my wrist
hurts, as do my back and both shoulders. It's kind of like
the fifth day of a six-day rainstorm in a leaky tent at
Pennsic.
*sigh* But I guess Pennsic at least counts as a sort of
training for adventures like today's, eh?