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Posts Tagged ‘doctor’

  1. Because One Cortisone Shot Wasn’t Enough

    June 22, 2014 by Diane

    Nurse with syringe

    I went to the doctor to get a second cortisone shot. Why? Because the first shot wore off. Because I still have bursitis in my right hip. Because when I walk more than one block without a cane my hip gets stiff and feels inflamed and I get shooting pains down my leg. Because at night I flop around in bed trying to find a position that feels comfortable, and in the morning when the radio pops on with something swingin’ from Sinatra I open my eyes and feel like someone has poured cement into my joints.

    So I went to get a shot.

    In the exam room, I slipped into a pair of paper shorts that ballooned out like the Hindenburg. I paraded around in them, and then hoisted myself onto the exam table and waited for the doctor.

    Instead, I got the doctor’s assistant, a woman with huge brown eyes who is skinnier than me, which I thought was an impossibility. No healthy grown woman could be skinnier than me. But there she was: a thin, healthy woman with huge brown eyes that protruded from their sockets, thrusting out a hand to shake.

    An unwashed hand.

    Now. Before I continue this story, let me point out that there is a flyer posted on the wall that specifically states: we will wash our hands after entering the room, and if you don’t see us doing so, let us know. I saw no hand-washing after her entrance. I sat there, debating on whether to let someone know, decided against it, and shook her hand. But with the least amount of effort, as if to say…well, all right, but don’t expect me to like it.

    Then she squirted antibacterial gel in her palms and rubbed them together.

    Wait a minute.

    Wasn’t she supposed to do that before she shook my hand?

    And did she offer any gel to me?

    Noooooooo!

    I considered asking for a squirt, and let it go.

    We made small talk about the possible ramifications of cortisone shots, and then I stretched out on the exam table and rolled onto my left side. She pressed her fingers onto my right hip bone and asked if it hurt. Nothing. She pressed her fingers above the hip bone and to the side of the hip bone and underneath the hip bone and in ever widening circles, and NOTHING. She suggested that I get up and walk around to see if I could feel the pain, and when that didn’t work she had me lie down again, and prodded all around the bone again, and then she tossed out the idea that since I wasn’t leaping in pain I might want to hold off on getting another cortisone shot.

    I agreed.

    We shook on it.

    Then I drove home.

    I figured the exercises that the orthopedic specialist had given me must be working. I figured as long as I continued icing it–maybe two or three times a day instead of just once–everything would be hunky dory.

    Okay, I chickened out. I caved! I mean, who wants to get jabbed with a giant needle? Not that I actually saw the needle, but in my mind it was huge.

    Two nights later, I didn’t care if it was the friggin’ Space Needle. I wanted that cortisone shot and I wanted it pronto.

    And this time I’d be ready.

    I marked the spot on my hip with a black ballpoint pen.

     


  2. The Gluteus Maximus Takes a Snooze

    June 15, 2014 by Diane

    old lady with cane

    Three months ago I had a cortisone shot in my right hip for bursitis, and the pain disappeared. For three glorious months I hiked, swam, and did one-legged squats as instructed by my physical therapist.

    And then the shot wore off.

    I emailed my doctor: The cortisone stopped working. The pain is worse now than it was before the shot. I can hardly walk two blocks. I have sharp pains shooting down my leg. What should I do?

    The doctor emailed back: Schedule another shot.

    I was in no hurry to get another needle jabbed into my bursa. Instead…I would use a cane.

    I would drive to the drug store and buy a black cane, the kind that creepy people use in old movies. I would use that cane to hobble from my car to my job, and then to thump up and down the stairs all day. If necessary, I would crawl on my hands and knees.

    And then…I would go to Costco.

    I would go to Costco and buy toilet paper.

    One-hundred and twenty rolls of super soft toilet tissue in a package that weighs three-quarters of my body weight. But to get to it, I would have to walk to the very back corner of the mammoth warehouse.

    And I would leave the cane in the car.

    And not use a cart.

    I would haul those one-hundred and twenty rolls, or what feels like one-hundred and twenty rolls, from the back corner of the warehouse all the way to the front registers, and I would resist stopping every five feet to sit and rest on the humongous package. I would heave it onto the belt, and hand over my card, and when the cashier tells me that the card is expired, I wouldn’t bat an eye. I would offer to haul those one-hundred and twenty super-soft rolls back to the very back corner of the gargantuan warehouse without a cart or a cane.

    Which I did.

    Except for the last part. I left the condominium-sized package on the belt and limped to my car, muttering.

    I scheduled an appointment with a physical therapist.  “You have no butt, woman,” she said. “And I don’t mean that in a good way.” The muscles had atrophied—a fancy word for shrank. But only on the right side. The left cheek was Mount Olympus. The right…Death Valley. The gluteus maximus and the gluteus medius had decided to take a siesta.

    Imagine a guy flipping burgers at McDonalds. The flipper takes a three month nap, and leaves all the flipping to other employees who already have their hands full washing lettuce and slicing tomatoes and unscrewing lids on pickle jars and whipping up McCafe Frappes. These other workers are forced to take up the slack, flipping millions of burgers every day, and they’re raging.

    That’s what was happening on the right side of my rump. The piriformis and the psoas and the IT band were doing the work that the glute-brothers should have been doing, and they were doing it poorly.

    The physical therapist sent me to an orthopedic specialist. The specialist put me through a series of muscle tests and announced that I had lazy glutes.

    “Those one-legged squats that you were told to do were just too hard! The muscles aren’t equipped to handle the job!”

    Imagine asking the burger flipper to snap to because he has thirty minutes to make Coq au Vin for the President and five hundred guests. Can’t be done!

    So the specialist gave me a series of easy exercises to do. I like easy. My lazy muscles like easy. This is like telling the burger flipper to 1: slide the spatula under the patty, and 2: flip it. Ten times.

    In addition, she told me to squeeze my right glute with every heel strike.

    And use the cane.

    Which I did.

    I drove to work. I got out of the car. I unearthed the cane from my trunk. I walked the three blocks as instructed, and I looked like an old lady squeezing a lemon between her thighs while holding back a fart.

    I’ve scheduled another cortisone shot for next Friday.

     


  3. There’s Nothing Up My Sleeve

    March 17, 2014 by Diane

    hand extended

    Whose big idea was it to consider handshaking an acceptable practice?

    According to Wikipedia (that trusted resource written by anybody with the ability to login and type), the handshake has been around since the time of the ancient Greeks. The custom was meant to show that the bearer of the hand had no weapon. “See? Nothing up my toga.”

    What compelled the other Greek to grasp the hand and shake it? Was it to see if anything fell out of the toga, if there was a weapon stuffed up the sleeve?

    What those toga-wearing philosophizers hadn’t considered was the lowly bacteria; the secret weapon invisible to the naked eye. That outstretched hand…who knows where it’s been? It could be lined with the plague. Or a skin-eating organism. Or fish from last night’s dinner.

    Usually I try to have my hands occupied so I don’t have to engage in mutual shaking. But there I was, sitting on the examination table in the orthopedic department at the hospital wearing paper shorts, when Dr. Bloomberg walked in, his hand thrust out for a good hearty shake.  

    The fact that Dr. Bloomberg hadn’t washed his hands first led me to believe that he wasn’t a real doctor. I came to this conclusion because the nurse, after ushering me into the exam room, told me there was a doctor in the department who used to be an air conditioning repairman in the hospital. This was in answer to my question, “What’s the difference between a physiatrist and a physiologist?” There was more to the nurse’s answer, but that was the only part I heard.

    The gloveless Dr. Bloomberg, I feared, was the repairman.

    “So, what’s going on with your hip?” the fake doctor asked.

    I explained that my hip hurt when I walked, it hurt when I slept, it hurt when I sit and it hurt when I got up from sitting. I told him I’d tried physical therapy and chiropractic and yoga, I’d tried ignoring it and babying it and icing it and heating it, and the pain had been going on for years now and I had a pretty good idea that what I had was bursitis, and I wanted a shot. I wanted a shot of cortisone, providing I wouldn’t suffer any horrible side effects, like sudden death. “And by the way, what’s the difference between a physiatrist and a physiologist?” I asked.

    He felt my hip, and then sat on his little rolling stool. “A physiatrist,” he explained, “works in rehabilitation departments. Physiology is the science of rehabilitation.” He said more than that, but that’s all I needed to hear; he sounded legit. Or well-read. When he had run out of story about his medical background, he gave his quads a light tap with his palms and stood.

    “I’m going to go fill up,” he said, “and then I’ll give you your shot.”

    And off he went.

    To fill up.

    Five minutes later he returned. Full.

    “Ready?” he asked. This time he didn’t offer a hand to shake, but they both looked empty. What had he filled? Was it stuffed up his sleeve? Those Greeks might have been onto something.

    I turned onto my side and faced the wall. He snapped on some gloves, slid the waistband of my shorts down, and felt around for the tenderest spot on my hip. Nothing. He asked me to find the tenderest spot. Nothing. “Well, I’ll just pick a spot,” he said, and did, and it must have been the rightest, most tenderest spot, because when he inserted the needle the pain lifted me off the exam table. I think I levitated for five minutes before he withdrew the needle.

    “There,” he said. “That’s it. You should feel better immediately.” Anything would feel better than having a needle jabbed in your bursa. He pulled off the gloves. “Let me know how you’re doing in a couple of weeks,” he said.

    And thrust out his hand to shake.