Preparing for Surgery
I read that preparing as much beforehand as possible is helpful. I probably went a little overboard with this. My other problem was that it was my right arm and I'm right-handed. Even things I didn't think would be difficult after surgery were, in fact, hard as Hell. Hear is what I did, including info on what helped, what didn't, and what was overkill.
- If you have the luxury of time before your surgery, just spend a few days being really aware. When I came out of surgery, anything that involved moving the arm away from the body was prohibited and, frankly, impossible with the sling I was in. Really, we underestimate just how much that involves. For example, did you know that turning a doorknob activates the biceps? I didn't, but I found out. So even things that you think won't hurt or be problematic will be. But this should give you a good idea of how you can adapt your environment to make it work for you.
- Pants: I forgot that dressing has more to consider than just getting clothes on your body. You also have to be able to get back out of the clothes to bathe, to change. The pants you choose will have to come on and off as you visit the bathroom. I didn't think of this, so one of my days immediately post-op, I had Hubs help me put on jeans, only to later discover that, every time I had to pee, he would have to go into the bathroom with me. Fine at home, but eventually Hubs wouldn't be there and sometimes, even with Hubs there, we wanted to go out in public and he couldn't go into a women's restroom with me. I learned my lesson and from that point, I only wore super-soft stretchy pants that I could pull on and off one-handed. Just now, in about the past month, I am finally able to navigate jeans independently. You just don't realize the strength it takes to button and zip jeans that actually fit you.
- Tops: Tops are something I thought out ahead of time. They couldn't be too bulky to fit under the sling, I had to be able to get them on and off without moving my shoulder. This could be accomplished in two ways: something that buttons or zips all the way down, or something that is stretchy and can be pulled on and stretched over the arm. I ended up going to a cheapo store and buying the biggest zip-up men's hoodies I could find and lived in them. I spent about $30. I also took some older ones and cut the sleeve off and cut the arm openings so I could just slide the whole arm, sling and all, through them. That was overkill. The big hoodies I purchased were plenty adequate, comfy, and warm. Added bonus, the hood under the strap for the sling provided comfort. Your neck can get raw and sore from the sling strap and I didn't have that problem for that reason.
- Bras: I read somewhere that women should consider just going bra-less in the immediate post-op period. Ha! I'm not going to embarrass myself by going into detail here, but this is not an option for all women. So I decided to go and get cute about it. I figured that it was just a matter of the strap on a shoulder, so I planned on getting a convertible bra where you can change up the straps. Just don't waste your money. Getting it on, getting it off.....I can just now tolerate a bra strap, for starters. And I can just now get one on by fastening the hooks in front and then twisting it around my upper body so the hooks are in the back where they go. But I still, to this day, cannot take one off. I cannot get my bad arm up that high on my back, and I'm not some stud who taught himself how to unfasten a bra one-handed during a make-out session. A tube style bra would work, but if you're chesty like me, that isn't even an option. Instead, I opted for stretched pullover sports bras. They aren't supportive at all, but they make me feel better than going without. For more support or to go out in public, I double them up.
- Shoes: Didn't think shoes would be an issue, but they were. Slip-ons are perfect, like Toms or laceless Vans or Converse. I didn't buy any special shoes. I took my running shoes and fixed the laces so that I could slide them on and off without using my hands. You won't be able to reach. There was no way I could've tied my own shoes.
- Deodorant: This was tough. I've been wearing regular deodorant for about a month now, but for right after surgery, I got some aerosol. It's hard to find, but it still exists out there. To put it on, all I had to do was lean over and let my arm dangle, aim and spray.
- In the shower: shampoos, conditioners, and body washes with pumps worked best. It was too hard to maneuver a bottle without moving both arms. Even when I graduated to moving both arms, it was still painful to manipulate caps. And just like you use your biceps to turn a doorknob, I was told by my therapist that you also use it to make a twisting motion to pour. Just buy pump bottles. If your favorite brands aren't available in them, you can find inexpensive empties in the travel section at the store.
- Toileting. Yeah, really. TMI. But it was too hard to wipe with my left arm. I never felt clean, so I bought those wet flushable wipes. I'm not going into any more detail here. If you're lucky and it's your non-dominant arm that is affected, this shouldn't be an issue for you.
- Around the house: Just look around. Can you sit and watch television and reach a drink on the non-affected side? Can you reach a glass in the kitchen to get yourself a drink, or are they on too high a shelf? We usually buy 2-liters and I was unable to manipulate those caps and manage to pour from them for awhile. We bought our drinks in cans until I could. It's little things like that that were a huge help.
- Hair: I honestly just gave up here. I usually straighten my hair. Instead, I just used gel and scrunched it and pulled it back in a headband. Hubs once tried to help me put it in a ponytail. It was a disaster and we gave up. But the messy hair was okay, because I lived in hoodies, yoga pants, couldn't do my makeup for several months. So at least it was a cohesive look and nobody said a word because my right arm was in a sling. It was pretty obvious.
- Ice packs: I didn't buy the cold therapy devices that they sold at my surgeon's office, They were pricey and insurance wouldn't cover them. Instead, I bought several of the big sheet-style cold packs at Wal-Mart. I bought multiples, because ice was one of my pain management necessities. So when one would thaw and lose its coldness, I would swap it for the fresh one already in the freezer. I spent maybe $20 instead of the $120 I would have paid for the machine.
- Sleeping: I bought more pillows. Lots more. Those cheapo pillows on the end caps at Target? I bought 4 of them. We don't have a recliner, but we do have a large chair-and-a-half with matching ottoman. That's where I slept. Pillows behind my back to prop me up, pillow under my bad arm and beside my bad arm to take some of the weight off of my neck from the sling. I still had to wear the sling to sleep, but with it propped like this, it wasn't hanging there. You can find these pillows for like $5 a piece. They aren't going to stay fluffy forever because they're cheap, but mine are just now starting to wear out and now I don't need them anymore. You will not be able to tolerate laying flat. Don't even try.
- Meds: I made sure I had the following on hand, and I'm glad I did: Tylenol and Tylenol PM, Advil and Advil PM. Why all of these? Well, most pain reliever have acetominophen in them and you can't mix Tylenol with them or you'll wreck your liver. And sometimes the pain meds aren't enough and need some help. When I was on those, I took Advil with them during the day and Advil PM at night. When I switched to antiinflammatories (Mobic, Naproxen), I couldn't take ibuprofen with those or I could have GI issues. Enter the Tylenol. And I still need them today, so just buy the big bottle and save some cash.
Okay, enough for now. Part 3 will be the actual surgery.....