I had a big anniversary last month but there was no celebration dinner, flowers or gifts, just my husband and I sitting together on the couch after the girls were in bed. He wrapped his arms around me and we stared at the TV, trying not to remember my total hip replacement surgery 10 years ago. We don’t look back on that time with any kind of fondness, even though it greatly improved my life.
“Remember your physical therapist?”
I giggled and that was all it took. Instantly, I was there again.
We spun around the loop driveway of Brigham and Women’s Hospital and Robert* tossed the keys to the parking valet.
I limped to the waiting room. When the nurse called my name, Robert gave me a quick smooch on the lips.
“I’ll be right here waiting for you,” he whispered. I nodded. I couldn’t speak.
The nurse led me to a large room with twenty or so other beds filled with people just like me. I changed into the dreaded johnnie and she took my blood pressure, started an IV and tried to make small talk.
After she left, I didn’t look around too much and wonder what the little girl with the dark ringlets was having done, or the young guy next to me, nervously shaking his foot. A few minutes later someone said, “Knock, knock,” and a young man with straight, black hair to his shoulders and ruddy, red cheeks poked his head through a separation in the curtain. He asked me my name, checked my admission bracelet.
“I’m your anesthesiologist. Any final questions?” He peered at me as if he knew a secret that I wasn’t going to find out until it was too late.
I shook my head as three more doctors who were assisting with the surgery asked my name, checked my bracelet, and wrote their initials in permanent marker on my left thigh.
“Just in case!” One of them chuckled, as if it would be really funny if they replaced the wrong hip.
“Ho there, young lady!” My surgeon came storming through the curtain causing a cool breeze to fill my area. I shivered. “All right then, this is fun, innit?” His accent was starting to annoy me. He signed my leg in huge, flowering cursive. “I’ll see you when you wake up, then!” He flew off. I breathed deeply.
Someone inserted something else into my IV. Things got quiet and I could sense the anesthesiologist behind me, adjusting my tubes and the machine next to my bed.
“You’re just going to fall asleep gently now,” he said soothingly. I couldn’t see him, but I was hoping he would put his hair up.
I felt no pain at all. I was wheeled into a set of push doors. Everything was white. I repeated the Hail Mary as many times as I could, the words getting all messed up in my head.
“Please just let me see my girls again, God,” I prayed, and that was it.
I knew the surgery was over because of the pain. I drifted in and out and remember seeing Robert’s face floating over me in the recovery area, but that’s about it.
I don’t know how much time had passed when I heard voices near my bed.
“She hasn’t pressed the button, yet,” someone whispered.
“Honey! A louder voice urged, “You have to press the button for your pain meds!” I kept my eyes shut. I was floating across the room.
“Maybe she doesn’t need it,” the first voice said.
“She needs to push that button,” the louder one said. I felt someone take something from my hand then put it back.
Were they talking to me?
I opened my eyes to a new scene. I was in a regular room now and my hip and thigh were throbbing. It was over. The level of pain was insane.
“Oh, my God,” I moaned. “Ohhh, my God, help me.”
Someone said something in Spanish. I turned my head and a little old lady with lines of gray through her long, dark hair was sitting in the corner of my room. She was wearing a johnnie under a thick, brown sweater. My roommate. She was knitting. She made a motion like someone on Jeopardy pushing their button to answer a question. I looked down at the device in my hand. I pressed the button. Nothing seemed to happen. The ache in my leg was washing over me so that it was all I could think about. I started to weep, my shoulders shaking.
“No. No, no, no. No cry,” The little lady said.
“It hurts,” I wailed, weeping openly now, bawling like a baby. A nurse shuffled into the room.
“The pain bad, honey?” She adjusted something on my monitor and took my pulse. I heard moaning from the hallway. Other people were in pain, too. I heard a loud scream. Great, I thought.
“Oh, my God,” I said simply.
“You didn’t press that button all afternoon. I came in and pushed it for you a couple of times but we were starting to worry about you getting behind the pain and not being able to get control of it.”
“I think I am past that point,” I said stiffly.
“You can press the button every minute but it won’t release any medication if you try to do it sooner than that. Try to keep a steady flow of medicine going now to see if we can catch up and get you feeling better.”
“Okay,” I mumbled. “Where’s my husband?”
“He’s around. He’s been in and out.” She left.
Tears leaked from my eyes and I stared up at the ceiling. I wanted Robert. I wanted to go home. I wanted to change my mind and not have the surgery. My left leg was in a sling and I couldn’t move off of my back. I had something attached to the area right below my hip, some sort of box. It was uncomfortable. Finally, Robert came in.
“Hey,” he said softly, grabbing my hand.
I said nothing while the tears just kept sliding down my cheeks.
“Is it bad?” He asked.
I nodded.
“You weren’t pressing the button, Hon,” he said.
I breathed hard and stared at the ceiling. If I was watching Robert go through this, I’d be like Shirley MacLaine in Terms of Endearment, when her daughter was dying of cancer and in so much pain that her mother ran around the nurses station yelling, “GIVE HER THE SHOT NOW!! GIVE HER THE SHOT!”
I tried to focus on what Robert was saying about how long it took, about calling my Ma, but all I could hear was the pain. I pressed the button again as soon as the second hand swept around the 12 of the huge clock that was hanging on the wall right in front of my bed. Very handy, that clock. It became my best friend for the next 24 hours.
I had a few visitors. My brother and his wife came and some friends who lived nearby. I was in and out of consciousness but I was glad my husband had people to talk to after sitting so long in the waiting room. We didn’t linger on our good-byes when it was time for him to leave.
“See you tomorrow,” he said, kissing me. I nodded.
I turned on the TV and began the process of getting through the night.
The pain did not let-up. It’s very hard to describe. I tried not to imagine the surgery. I didn’t want to picture the circular saw slicing into my hip and sawing through all the muscle and bone. I didn’t want to see the mallet in my head, used to crush the hip bones to remove them. I did think about the titanium rod, though. It is jammed down through a hole that was drilled into my thigh bone in order to connect the plastic and metal hip to my leg. That hurt the most right now. It throbbed. I thought about the Bionic Woman. Yeah, the drugs may have been kicking in, finally. They made me stronger, better than before. I must have fallen asleep.
The next day was better. I found out after breakfast that the device hooked up to my side took care of all the bleeding and fluids that seep from the six inch scar on my hip. There were no bandages or anything, just two little wires inserted into a space about one inch from my wound that somehow drew all the yuck out of the sore and into the box that hung on the side of my bed. From time to time, some lucky aide came to flush out the box. It was quite efficient. I couldn’t believe how good the wound looked. I mean it was pink, raw and deep, and the black stitches weren’t pretty or anything, but it wasn’t as bad as I thought it would be.
The surgeon came in to inspect my scar. I told him the pain medication was not enough. He told me he’d send the Pain Specialist in to see me that afternoon. The Pain Specialist. It sounded like a bad action movie.
Just when I was starting to wonder how I’d pass the morning, a little boy came into my room and removed my chart from the end of the bed. He started reading and his eyebrows shot up. Our eyes met.
“Hi,” I said.
“Hello?”
I nodded.
“I’m your in-house physical therapist, David.”
I just looked at him. What was he, twelve?
“You’re really young to have this surgery,” he said, as if he was reading my thoughts about him. “Were you injured?”
I sighed. “No, I’ve had Juvenile Rheumatoid Arthritis for over twenty years. There was no cartilage left in my hip.”
He bit his lip. I looked for braces on his teeth but found none.
“Okay,” he said, as if he finally believed it. Huh. He was questioning my age. That was rich. “Well, you have to be walking before you can get out of here.” He moved to the side of my bed, put the metal railing down, and removed the leg from its sling. He held it as he brought it down to the bed. It didn’t feel like mine. There was no muscle to help me make it move.
“Does that hurt?” He asked, looking at me.
“No, it’s a relief, actually,” I said.
“I’m going to swing your legs over the side of the bed now,” he said. I nodded.
“How are you doing, dizzy, or anything?”
“No, I’m okay,” I said.
“I just want you to try standing today, and we won’t do anything else.”
“Yup,” I said, a little doubtful. I couldn’t believe I would be walking when I got out of here.
He held me under my arms and supported my weight so that I could get into a standing position. He quickly checked the bottom of my socks for the rubber soles babies use when they first start walking.
“Very good,” he said, and I felt like standing the day after total hip replacement was very good. It was awesome, in fact. I was proud. But the pain. It was brutal.
“Let’s try it again,” he said, gently placing me back on the bed. I breathed and breathed. David seemed to approve. “Less me, more you this time,” he coaxed. I guess I was starting to like David. Even though he was a child.
I grabbed his arms instead of him taking mine, and I used my pure will power to heave myself up and onto my feet. Agony spread down my leg. I yelped.
“Okay, let me help now,” he said, gently placing me back on the bed.
“Tomorrow, we are going to take three steps. You’re getting your IV out this afternoon and they will start giving you Percocet by mouth. I am going to order your pain meds to be taken about twenty minutes or so before our sessions so that you won’t have so much pain during and especially after the session. In two days time, you will be going up and down stairs, so we have a lot of work to do. Are you ready?” He stood up.
“Yes,” I whispered. Stairs? Was all I could think.
He waved a sort of salute at me and left.
As promised, my IV was removed and I was put on Percs. No difference. The pain persisted stubbornly. Especially the metal rod. My brother drove my mom in to see me later on in the afternoon, after my roommate was discharged and I was settling into having my own room very nicely. After Ma left, I wanted to take a nap but I was so uncomfortable. I pressed the nurse’s button.
A chubby, blonde guy came in and I vaguely remembered him from yesterday. He was wearing a very bright tie-dyed T shirt with a huge marijuana leaf on the front and it said, “Legalize It” in smoky looking letters. I chuckled out loud. “Oh my God,” I said. He was wearing white pants so I assumed he was an orderly, but I was mistaken.
“I’m your 3-11 nurse, Anthony,” he said, “What‘s up?”
“I can’t sleep on my back any more,” I complained.
“Butt hurt?” He asked with a straight face.
“Yeah, I’m just so uncomfortable,” I said. “How long do I have to keep this pillow between my legs?” I asked.
He laughed. “Honey, you’re going to be sleeping with a pillow between your legs for the next year, so get used to it.”
“How?” I asked.
“I’ll help you.”
Anthony taught me how to roll onto my side, keeping the pillow intact where it was between my knees, and using the side railing and the triangle hanging from the ceiling to prop myself up a bit. Then he shoved another pillow behind my back and I immediately felt better.
“Oh my God, thank you.”
“No problem, girl,” he said, and he took off again like Superman. I fell asleep.
Robert came in after work when I was just waking up, and he had a French Roast from Starbucks with him. This was one of the reasons I loved him so much. He told me all about work and what was going on. He’d heard from my sister and the girls were doing well. At least they were sleeping, which was a small miracle. I thought to myself, fathers start with work then talk about the kids. Mothers would start right in with the kids first. And maybe not mention work at all!
“She said Violet took a few steps,” Robert said. “She said Mama today, too.” He watched me carefully. I didn’t miss a thing with our first child. In less than a year, I’d missed my second daughter’s first steps and she was calling my sister Mama. I wanted to scream and cry. I didn’t. I got quiet, and that’s when Robert knew I wasn’t taking his news well.
My supper arrived and Robert watched me eat, and then ate what I didn’t want. We watched a little TV together and before long, Robert was getting kicked out and I had survived another day. But I couldn’t stop thinking about Violet calling my sister Mama.
The next day my arthritis symptoms needed some attention. I pointed this out to the morning nurse and she got my regiment going again right away so I would be better by the time I was discharged tomorrow.
Tomorrow! Oh, it could not come soon enough. I wanted to get out of here and see my babies, sleep in my own bed. Drink real coffee.
“Hey there,” David said as he came bounding through the door. “I brought gifts.” He held up a pair of crutches that looked like they were made for a toddler they were so small. “I had a hard time finding a pair this tiny,” he laughed. “I had to call Children’s.”
“Oh, shut up,” I said, swinging my own legs over the side and proudly smiling up at him, as he had barely just gotten to the side of the bed.
“Whoa, impressive!” He said. I beamed.
He got me into a standing position and fixed the crutches under my pits. I took my first awkward steps and felt exhilarated. The next day, we did stairs. I was ready to go home! David gave me some cool tools like a grabber and a plastic thing with ropes attached so I could put my socks on myself. I would continue to have physical therapy at home for six more weeks but I would miss David. I thanked him over and over. He smiled like a kid who had pleased his teacher. I did the same. It was weird.
As we pulled into our own driveway on April 1, I was feeling good. The next few weeks would not be easy for any of us, but we would get through it and I would soon be running around after my girls, then as they got older, playing catch with them in the backyard and hitting practice balls to them. They would never remember this time at all, and I was glad for that, since it was with me forever.
Ten years have slid by and I because I was warned that by fifteen years I might have to have some maintenance work done, I had all the necessary tests done this year to check my hip. Everything still looks great, so I will take that as my anniversary present. Happy Anniversary to me.
*All Names have been changed.
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