Search Improvements, Arm Improvements

Red Squirrell Peering OutI spent a great deal of the day toiling away at improving the df.com Search widget in the left hand menu. Please feel free to give it a try. It works great. You’ll also notice that if for whatever you don’t seem to find what you’re looking for with our in in house search you can fallback to our customized Google Search. That Google based search is now conveniently found at the bottom of any in house search results page. I think that makes finding anything you may want on the site all the more accessible and insures that you can double check your search results with ease.

I’ve also added a countdown clock to the left hand menu as we continue moving towards a new digitalflood Pirate Radio episode (coming on 11/28/09). We’re about 18 days away at the time of this posting. Feel free to watch the seconds tick away in real time… or not.

Today I had my first physical therapy session. I had to fill out about 15 minutes worth of paperwork explaining what I was there for and how severe my pain was doing various tasks. The physical therapist then did a range of motion test with my arm and prescribed four more exercises to limber up my right shoulder joint. The first was shoulder shrugs, the second was rotating my upper arm in circles while in a down position, third a bicep curl, and fourth was a neck stretch. I have to do this in both forward and reverse 10 times each (except the stretch– that’s 15 seconds held on each side three times). My therapist told me the first few sessions would be to stretch and loosen the upper arm, neck, tendons, and back muscles. She will then begin slowly increasing stress on the joint with new exercises over succeeding sessions until I regained most of my range of motion. I will then be able to do the exercises on my own for another six weeks to finalize my recovery. I still also have to do the “wrecking ball” 5 minute arm hang as well, which was prescribed by my orthopedist. Each exercise session is about 15 minutes. I have to do three sessions a day everyday. One interesting thing I learned was the majority of my back pain I’ve had for the last few years can be attributed to how my shoulder has been sitting all these years.

The therapist showed me that because of the weakened muscle structure in the front of my arm I had been letting that shoulder shrug forward and compensated by keeping my elbow tucked in to hold the joint together. The result is I have been putting severe strain on my upper and lower back. I’ve also been pulling my other shoulder causing pain there as well. Again, the plan is to remedy all this over time. It was nice to figure out why I’ve had so much back pain the last few years though and that going forward there’s something I can do to remedy it.

The therapist has prescribe three PT sessions a week (about 1.5 hours per session) for the next six weeks. We’ll then take it from there. I was forewarned that the therapy will be grueling and at times painful, but that sticking with it and continuing to move is key to healing correctly.

Finally, as many of you may know my house has been plagued by two red squirrels for about the last two years. I cannot trap them. Cannot poison them. They’re pretty smart little critters. My wife won’t let me get a BB gun to shoot them (probably a good idea). Worse yet, I haven’t been able to figure out how they were getting in.

That was until yesterday morning. I noticed both of the squirrels were running out to a walnut tree by my landlord’s office building. They would then run back and disappear seemingly right under my kitchen window. I could then hear them in the wall of the kitchen. It was at that moment I realized I’d been looking on the wrong side of the house. I immediately went outside and stood back from the house. Sure enough after about 10 minutes of standing perfectly still the squirrel ran right by me and disappeared under a stone on the edge of my back patio. Three minutes later it popped back out from under the stone and ran back out to the tree.

I walked over and lifted the stone (which was on the ground flush with my house). Sure enough there was a trench dug under the stone and right to a huge hole in the back wall of my house (all which was hidden by this one patio stone). I called my landlord’s wife and supposedly he’s going to come by to look at it. In the meantime, I’m thinking of how to best seal the back wall off (my landlord tends to not be the most reliable fix it helper– I’m used to taking matters into my own hands and then billing him for it). It’s an old house and for whatever moronic reason the wall supporting the one side of the rear of the house does not have concrete poured between my back porch wall and the southern wall of the house. Even stranger– the rest of the house does have concrete poured around the foundation. So why they didn’t finish that side is probably either laziness or concerns over the both the sewer, as well as, the water main coming in through that wall about 12″ below top soil. This span is about 15′ in length and what this does is provide an easy way for rodents to dig down below ground level by about 6″ and be able to then burrow up into the field stone foundation revealing access into the rear wall. This is the little trick the squirrels use to get into my house. How they figured it out is a miracle of nature. How I’m going to seal it will be a miracle of old fashioned good old boy engineering.

I still have a one way chicken wire shoot on the hole in the eve of my house. I left it there purposely so once I did find the bottom access point and sealed it, they could then exit through that top hole (which used to be their primary entrance/exit before I sealed that) and be stuck outside. Dead squirrels in walls do not smell good even during winter.

You’ll find a picture of said squirrel in the top part of this post. It was taken back on 8/16/07. He’s peering through said chicken wire shoot, but smart enough not to come out of it.

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Quick Note: Pirate Radio Link Moved

Just a quick note… I moved the digitalflood Pirate Radio link into the top menu under “Music” (if you hover over the category it will show up in the drop down menu as well as the page itself). If you recall, in df v10 it used to be there; but when we went to v11 I had some complications getting the link to work. I had a bit of a break through this afternoon and realized a easy way to pull it off. So now things are back to where they should be. I also tidied up and compacted the right hand menu items to keep things easy to navigate.

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DF.com Rebranded, Pirate Radio Countdown!

Digitalflood Pirate Radio

Digitalflood Pirate Radio

If you’re staring at this on our web site (df.com) and not from one of the many places we aggregate updates to (such as Facebook, Twitter, etc…) you can already see I’ve redone the site branding to be more “Pirate Radio” in nature. SURPRISE! If you haven’t checked out the new site, be sure to click through and see what we’ve done. You’ll notice all the pirate goodness (depsite M’Weezy’s assertions that ninjas can be beat pirates– we all know that pirates rule). I’ve been hard at work with this new df.com rebranding and it’s one of the many surprises to come over the next few weeks. We’re right now on df.com version 11.1.2 (final). I’m hoping you enjoy the new look. As always, let me know what you think.

On to the big news, DF Pirate Radio will be recording over the next few weeks and I’m looking to drop the first episode to you by Thanksgiving weekend on 11/28/09. While my arm is still pretty sore and mostly unusable, I’ve figured out ways to work around my limitations. I should be able to mix the show without a hitch. If not, it looks like some lucky cast member will be getting a crash course in DJ mixing (should be a blast). Watch for a live countdown timer to appear on the site in the next 24 hours that will countdown to go day, which is 11/28/09!

Hoist the line! Tie down the yard arm! Weigh anchor! Set sail, no quarter! ARRRRRR.

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Divided We Stand

Grand Old Party RepublicansIf you’re a regular follower of df.com you know that for some time I’ve been talking about the growing divide within the Republican Grand Old Party political organization. Specifically I’ve been talking for some time about the Conservative minority leadership within the GOP that seeks to push out all moderate Republican leadership. The Conservatives have never more so been on the move to take over the GOP and squash any differentiation in opinion that may exist among Republicans as a whole. The sad part is the Conservatives have their own party with which they could adamantly rule, but because the Conservative name is so marred in its own inability to be successful they have instead opted to focus on keeping their enrollment within the Republican party and have the Conservative party “endorse” specific Republican candidates they approve of.

In the past those endorsements came pretty carte’ blanche. In effect, whomever was the Republican candidate on the ballot was also the Conservative. The Conservative party itself has a small membership by registered affiliation (again—they’ve always pushed to have Conservatives register within the GOP so they can push up candidates on the ballot and then endorse them).

Worldwide the Conservative Party name is used by many organizations, but within the US there are really three organizations (two of which are National in nature and one that is state):

The NY Conservative Party is of particular interest and is one of the strongest ultra Conservative organizations within the US. The party was founded in 1962 by frustrated Republicans who at the time felt the mainstream GOP had become too liberal. The party does support National candidates, but can only put their candidates on the NY State (or lower) ballots. Again, this makes it mandatory for National Conservative candidates to come out of the much larger US wide ballot pool by supporting the GOP candidates. As a result there has been both a sense of frustration and need for cooperation between the more conservative GOP party members and the NY Conservative party members who both hope to get extreme right wing candidates on the GOP ballot. New York states itself has a particularly weird rule that allows a candidate to run under multiple party lines. The result is a candidate can appear on the Conservative and Republican party voting rows with votes in either row counting towards their victory as one consolidated vote in the final tally of votes. This rule is known as accumulative voting and is reason the NY Conservative party could even conceptually exist as their membership is so small compared to the larger National Conservative parties aforementioned.

The benefit for the GOP candidate is if you can get yourself in with the NY Conservative party you’re guaranteed a voting block of decent percentage of core voters who will blindly vote for you in one block. Even more so, the ability to dump your name into the Conservative row gives you almost a blind seal of approval amongst the larger conservative voter base as a whole allowing you to pick up Republicans, Independence, Libertarian, Right to Life, and other right wing voters who vote on affiliation alone. The two add up to leveling the playing field in heavily Democratic New York State whose metro-NY City voting block almost always seems to lean left and help give the GOP candidate a chance to get pull from the more right wing leaning greater upstate New York State area.

Rush LimbaughMeanwhile the Conservative Party USA is more a Libertarian like movement. Their main focus is on stripping down the Federal government and to empower the States individually. The primary reasoning being that the Constitution of the USA does not in clear writing give the full breath of power and responsibility to the Federal Government that it undertakes today. The US Conservatives do not normally put their own home grown candidates on the ballot and instead usually leverage GOP candidates as their own. The main difference is while Libertarians endorse a smaller central government they do so with more liberal values in mind such as open borders, laissez-faire Capitalism, and lose drug control. In contrast, the US Conservatives still want to make sure that gay marriage, loss of gun rights, and liberalism as a whole are not the end result of electing a given candidate. In such, they become counter opposites of the other in some ways as Republican are to Democrats. The US Conservative Party’s ultimate goal is to break from the GOP eventually and to establish a “back to basics” party who idolizes itself as the true successors to the US’s founding fathers. Membership wise though they are even smaller than the NYS Conservatives right now.

The arguably largest group of right wing voters are the American Conservative Party. Again, most of their candidates are from the GOP party line and much like the NYS Conservatives have in recent months come to be the seal of Conservative approval. Most of their “members” are not actual party members. Members actually usually belong to another major party legally as far as voter registration goes. Member affiliation is therefore not legal required and more fluid in membership than a formal party. They draw a large crowd of Conservatives, Republicans, and Libertarians who endorse the party’s back to basics style of government. They are seen as less radical than the American Conservative party and that helps maintain their legitimacy. They also tend not to talk about splitting the GOP party (though clearly by pushing candidates on other party lines than the GOP itself that’s what could end up happening). The American Conservative Party is the youngest organization (about a year or so old) and are very loosely affiliated across the Internet and local chapters countrywide. They are not a true “party” yet as they don’t appear on any particular state ballots as a party line, but are working towards an official organization as a long term goal. Think of the group as more of a Facebook networking club for Conservatives and less of a formal party.

The Republican Party itself is who stands the most chance to suffer from these aforementioned Conservative movements. The GOP is a National Organization with state chapters in all 50 US States. As one of the two big political parties in the USA, the GOP has been around since 1854 and garners right wing leaning voters of all kinds. Arguably this diversity has been one of its strengths allowing it to survive a century of change mostly intact, but those days may be coming to an end.

With the election of George W. Bush as President of the USA in 2001, the GOP was at the height of its success. Republicans had turned back eight plus years of Democrat control and taken both the Executive branch, as well as, gaining majority in both the Senate and House of Representatives (Congressional branch). The sitting Supreme Court branch was every day leaning more right as well as its members grew older. From there though it’s been all downhill. When Bush was reelected in 2004 to President with an overwhelming majority of votes in his favor (in contrast to the near 50/50 voting he got against Al Gore in 2001) he was quick to label the win as a “mandate by America” for Conservative politics. Within weeks of his new term Bush sought with renewed urgency to put into law a slew of Conservative items that he pushed through (with or without Congressional approval). Bush moved from his previous term’s centrist politics and focused on pushing out all of but the most Conservative members of his staff. This included losing Colin Powell as his Secretary of State. Powell had long been seen as both a key African American in the GOP and a moderate in nature who garnered support from both sides. The problem was Powell’s views were not liked on the GOP fringe and particularly this peeved off the hidden Conservatives within Bush’s staff including Dick Cheney (the Vice President of the US at the time) who long had been seen as the de facto leader of the Conservative movement in the US since 2001. Cheney encouraged Bush to move forward with the “mandate” and any number of political SNAFUs we are currently stuck with took root including two wars (Iraq and Afghanistan) being escalated, a new Star Wars military program called the “Missile Shield” culling a new cold war with Russia, and continued outsourcing of jobs to South America courtesy of the NAFTA trade agreements.

By the end of Bush’s term in 2008 the GOP was under scrutiny by the American people as a whole. With the election of Barrack Obama in 2009 as President, the “mandate” was seemingly over turned. Congress shifted left again as well with a 55% Democrat majority. The Democrats saw renewed vigor thanks to a new majority of American voters signing on with the Democrats. The Democrats were in 2004 able to name 72 million registered party members to the Republicans’ 55 million party members. Even more concerning were the some 44 million Independent voters with no particular affiliation with either the Democrat or Republican parties. Obama managed to draw the vast majority (some 90%) of Independents to support the Democrats and in wake of 100 million to 55 million potential votes the GOP was toast.

FNew_York_District_23_109th_US_Congressast forward to the late 2009 elections that just took place in November and the next round of GOP “mandates”. Conservatives were growing tired with the majority of the GOP and with members such as myself in the moderate position voting for Democrats as well they called for blood in the form of “Tea Party” movement. The Tea Party movement was another loosely knit group of Conservative voters similar in nature to the US Conservative party (if not the same) calling themselves the Tea Party Patriots. Much like the US Conservative party they preached limited government, fiscal responsibility, and back to basic right wing values mandates. The Tea Party kicked off a bus tour where they would call on local Conservative and GOP members to speak against any number of things Democrat. All was well in good at this point and it looked like Ronald Reagan’s core GOP values of the 1980s were back on the rise. The problem is while the movement gained traction throughout the greater Midwest and Southern States; it had little to no effect on the majority of voters within the West and East coast. The voters on the coast were still choosing more moderate politics in wake of the extreme right wing underlying tenants preached by the Tea Party and Conservatives as a whole.

This enraged the Tea Party who somewhere late in the year decided the minority was the majority and put moderates under the scrutiny of the GOP party leadership. The witch hunt began with Rush Limbaugh (just out of drug rehab and sporting his new Slimfast waist line) calling for all moderate GOP members to quit the party immediately so Conservatives can take back politics. How splitting off 80% of the party and expelling some 40 million out of 55 million members would help the GOP is beyond any one to understand including myself. Even more confusing is as mentioned above there are already two national Conservative parties that Rush could help build into a legitimate third party (who would have some 20 million votes and be one of the largest minor political National Parties in the US). They could even pull some members from the Libertarians and Green Party believe it or not. No, that is not Rush’s way to do things. Instead he calls for Moderate Republicans to “leave the tent”. Within hours Glen Beck and Sarah Palin jump on the bandwagon calling for a new Conservative movement. They quickly call out the national and NY Conservatives, as well as, Tea Party members for support. Next thing you know Palin is on the Tea Party Express bus tour making stops to tout these views in person.

The circus escalates when Limbaugh and Palin decide the Republican candidate for the US House of Representatives in New York State’s 23 Congressional District is not Conservative enough to be on the GOP ballot. They weren’t alone. Flashback a bit first though to September 29, 2009 when NY Governor David Patterson calls for a special election in the district. The previous Representative for the District (John M. McHugh) had accepted President Obama’s offer to become the new US Secretary of the Army on 9/21/09. McHugh was a Republican and the concession was seen as centrist move by Obama. McHugh was moderate in nature and had a great record of civil service behind him. NY’s 23 District had had a Republican representative in its House seat since the 1850s. The GOP was founded in 1854 to recap—it’s therefore fair to say since there’s been a GOP there has been a GOP representative sitting in the House seat for that District. The 23rd District is in upstate New York and includes Watertown. The area is moderate to conservative in nature (some 70% Republican) and has a mostly agriculture based economy. It’s an area that epitomizes atypical upstate NY. Simple agriculture small town life. Good hard working people.

In NY special elections for US House a primary is not required by law. Instead candidates are nominated within a given party by standing county leaders of that party by popular vote. In this case the State GOP committee leaders would selected by popular vote one GOP candidate to go up against the other parties’ candidates. The Democrats and other various parties would do the same with their final picks appearing on the November 4, 2009 Election day ballot. The GOP ended up nominating State Assembly Woman Dierdre “Dede” Scozzafava. Scozzafava was a moderate GOP member and again had a very similar voting record to her predecessor McHugh. Republicans eyed here as a shoe in win. Scozzafava would also win the Independence Party candidacy as well.

NY Democrats nominated local attorney Bill Owens. Owens would also get the Working Family candidacy nod as is par normal for a liberal Democrat candidate in NY.

800px-BlackriverwatertownnyWhat was not normal was what the Conservative Party decided. The NY Conservative Party had already decided that Scozzafava was not Conservative enough to get their nod despite being on the GOP Republican ticket. No, they were upset that Scozzafava supported abortion rights and gay marriage. As such, they opted to nominate accountant Doug Hoffman. Hoffman had been one of the alternative candidates under consideration by the GOP for their candidacy who had been overlooked for Scozzafava. Hoffman was far more right wing than Scozzafava and an easy Conservative pick.

This is where things got strange. Mid-October Palin and Limbaugh start talking about this election as if it was Armageddon. They cited Scozzafava not being a true Republican for not keeping ALL values considered default for a GOP nod. In Limbaugh and Palin’s mind (and words) no Republican candidate should ever support abortion or gay marriage even remotely. Palin and Limbaugh said you either towed the entire party line or you shouldn’t even be considered for the nomination. They accused the NY GOP of completely messing up with Scozzafava’s pick and short of claiming heresy said NY chapter was not doing the GOP justice. Within days the Tea Party Express was in Watertown, NY touting the need to support the Conservative candidate Hoffman.

When the mainstream Republicans continued to support Scozzafava (including GOP National Party Chairman Michael Steele, US House Minority GOP Leader John Boehner,  and GOP leader alumni Newt Gingrich) this only enraged the far right Republicans/Conservatives. That’s when aforementioned the “leave the tent” speech came out by Limbaugh. By October 31, 2009 Scozzafava had quit the race after being faced with Conservative mud slinging and decided it was not worth running under such scrutiny. Her fear was even if she did win (and she probably would have) the Conservatives would hound her at every turn. Scozzafava felt the GOP extreme right had made her a pariah for Conservatives and with that huge amount of pressure she gracefully bowed out of the election race citing “personal reasons”. It seemed like the Conservatives had won after driving the moderate GOP candidate out of town. Their Conservative minority was indeed able to be majority if it just made enough trouble for the GOP as a whole. Who needs majority votes anyhow? That’s un-American! Fear tactics is where it’s at!

Just before election night something strange happened though in the form of a Republican backlash against the Conservatives. It started when Scozzafava quickly announced her support for Democrat Owens and noted her supporters should not vote for the Conservative Hoffman. It was literally a last minute announcement on Election Day, but the effects were resounding. 62,662 voters picked Owens. Votes for Owen crushed Hoffman who only received 57,572 votes. Scozzafava (though officially not a candidate, but still on the ballot) garnered 7,041 protest votes to boot.  Yes, voters for the first time since the Republican party existed voted in a Democrat in NYS’s 23 District. Worse yet, in the wake of the all this talk about Conservatives only being allowed in the GOP, the Democrats decided the win wasn’t enough. They fired the final political shot at the Conservatives.

Democratic leaders immediately stepped up the fight another notch with VP Joe Biden saying, “They may not have any room for moderate views in the Republican Party upstate anymore, but let me assure you: We have room.” Yes, Democrats were putting out an open call to accept Mr. Limbaugh’s “get out of the tent offer” and to take in en masse any moderate Republican who wanted a warm welcome, as well as, the ability to voice their opinion to the party even if it wasn’t 100% in line with the Democratic party banner. Unexpectedly, his words would make the already bigger Democrat tent potentially even bigger and spread the very thing Limbaugh and Palin sought to squash: Liberalism.

Sarah PalinThere is the irony. Through all this talk Conservatives have not fixed issues within the Republican party by pushing anyone out. It’s seemingly just the opposite. With two big Gubernatorial wins this year in Virginia and New Jersey the GOP does have a chance to take back America. What will save the GOP is not two more states with Republican Governors though. No, what will save the Republican party is voters not deterred by fringe politics and extremist views. Here’s the insight into how Republicans won Virginia and NJ: The races where won by garnering the Independent vote for GOP; not the Democratic vote for the GOP. Those same Independents (some 44 million) who a year ago elected Obama are the same voters who gave the GOP the win in both NJ and Virginia. Exit polls by multiple sources confirmed that trend in both last year and this year’s races.

It’s the only way for 55 million GOP voters to overcome 72 million Democratic votes. Yes, the GOP can win an election—but only when those candidates are able to pull in the moderate majority of America. After all, we are a political system based on majority rule and even name calling cannot change that. The key to victory for a candidate in America these last two years in a row has been the ability for that candidate to garner the centrist moderate vote whether it be Democrat, Independent, or Republican (or whatever) in flavor. If you can pull in the majority of America (who is moderate) than you can win the election. Extreme right or left wing candidates thus don’t have a chance on a National or even statewide stage. Extremists (thankfully) don’t appeal to the majority of mainstream America.

With that, Mr. Limbaugh and Mrs. Palin I will not leave the tent. I am staying. You can go if you wish. There’s many options for you, but being a Moderate Republican is very different than being a Democrat. I don’t support abortion, but I do support its legal right to exist since it’s protected by our Constitution. I do believe in smaller government, but don’t support pure uncontained Capitalism. Small government shouldn’t be weak government. I want social health care in the form of a public option and it doesn’t bother me that the rich will foot the bill for the poor who were put there by the outsourcing of American’s blue collar jobs by very CEOs who will get hit hardest by the taxes. That is only fair in my opinion. I will not leave the tent, but it appears as the tent may leave you. And yes, Reagan was a Democrat in the beginning of his career (look it up). Trickle down economics failed miserably (look it up). And his administration was mired in scandal (Iran-Contra anyone?). So please keep your Reagan GOP views—I’ll gladly keep my moderate Lincoln GOP views as well. It makes the tent all that more exciting.

And as far as history goes with Tea Party Conservatives misreading it– What do you expect from a group of politicians who cannot tell the difference between the Declaration of Independence and the US Constitution? You can keep your Tea Parties—I like coffee better any how. I know the Constitution preamble verses the Declaration of Independence preamble. I don’t need to keep it in my pocket and wave flag to talk up my patriotism.

I ask again—for the fourth time. Are you listening Conservative leaders? Do you get this yet? Probably not, but at least I feel better after venting.

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Shoulder Surgery – 2 weeks in

Open Bankart SurgeryI received a surprising amount of hits from my recent shoulder surgery updates and also received a bunch of questions from viewers, as well as, those of you who are considering surgery yourself. So I figured now that I’m well enough to type this would be a good time to catch you up on where I stand today two full weeks after my surgery.

Two weeks ago (10/21/09) I underwent Open Bankart Shoulder Surgery (info here) to fix continuous dislocations of my right shoulder. I had a large group of muscles in the front part of my shoulder torn (see older article here on that). I had to undergo an initial X-Ray to confirm the dislocation was occurring and then a closed MRI to confirm what muscle groups were torn. Once that was determined they did a follow up physical and scheduled surgery.

The whole process (from final severe dislocation to surgery) took about a month to go through.

Surgery itself is described as walk in and walk out. That is if all is well and there are no complications. In my case, the muscle damage was far more severe than they thought. The doctor could only determine this once he had me fully opened. My doctor feared there was more damage than the MRI showed and that’s why he went with the open verses  Laparoscopic, which has much smaller incisions then the open. The risk with Laparoscopic is the surgeon may not see the full extent of damage. Laparoscopic and open incision both have the same healing time requirement (12 weeks) though I’ve been told the initial pain from Laparoscopic is much less than open incision as there is less cutting. Open incision has the higher success rate according to my orthopedic surgeon and again– also is the most painful surgery to recover from.

shoulder-joint-ligamentsSurgery preparation was less than an hour. The night before I had to shower completely, dry off completely, and then apply an antiseptic scrub to my entire arm and right torso (scrubbing the body for 10 minutes). The next morning I had to scrub for 10 more minutes and put on a new shirt (button up style so it’s easier to get on/off). I could not eat or drink after midnight of the proceeding night to my surgery. I also could not take my stomach acid medicine. When you get to the hospital you strip down to your underwear and put on a medical gown. I was dropped off by my wife around 10 am and actual prep started at about 11 am. They then have you meet with the post-op nurse, the operation room nurse, the anesthesiologist, and finally the doctor. You fill out allergy paper work, sign over consent to operate to the doctors, and also consent to being sedated. You also confirm what body part you’re having operated on and what type of surgery (they do this some five time orally and two times in written sign off). The doctor marks your arm with a marker. Again, this all takes about an hour.

You are then given an IV so they can administer liquids direct to your circulatory system. I had the IV put in my left hand in the vein on the top of your hand. There’s a severe pinch and it will be sore for at least 24 hours. You have to just deal with it. You lay down for 10 minutes and get comfortable on a cot.

You’re wheeled on a cot into pre-operation where they begin with liquid anesthesia. You are then given (if you agreed to do so during the questioning earlier) a nerve block by the anesthesiologist. This is four needle shots into four different nerve endings in your neck. Each shot you tell the anesthesiologist  what part of your arm is numb. After all four shots you whole arm goes numb within five to ten minutes. Once they are sure your numb (you’re still somewhat awake and can tell them) they roll you into the operating room. You’re covered with blankets and a tube is put under them that blows hot air. The operating room is very cold to keep germs down (as is most of the hospital). Once they are sure you’re both warm and comfortable the surgeon ask you if you’re ready to begin. Once you say yes they give you the final liquid anesthetic. They hook up all the heart and breathing monitoring tabs on your body. Within one minute you’re asleep.

Once you’re asleep they put a tube in your throat via your mouth to administer oxygen. They then being the procedure.

You wake up in recovery, which is near pre-op staging. Your arm is in a sling and entirely numb. You have oxygen being given through your nose. Your throat is sore from the previous throat administered oxygen though the tube is long gone. The sore throat will last about two days and is minor in nature.

I was supposed to be under for two hours tops, but because they found so much damage I was under for almost four hours. You’re still covered by blankets and on the IV. The anesthesiologist checks on you first and asks you to move your fingers. He then tells you to take deep consistent breaths to “blow off” the anesthetic. For whatever reason there was only one nurse in recovery. For reasons still confusing to me she throws a fit that there are two patients in there and says she cannot watch us both. They send for my operating room nurse who then moves me into pre-op. She sits with me for the next twenty minutes while I come to.

The orthopedist then visits with me to tell me about the extent of the damage and that all went well. He tells me my blood pressure is a bit high (170/90) and that when I get fully awake they’ll give me pain killers to take it down. He states it’s from the extended length of sedation. They then wheeled me back into the first room I was in when this all started (the general recovery area). I sit there another twenty minutes and slowly come to. I can feel the heavy amount of pain in my arm despite the nerve block. Because of the nerve block I cannot move my right side. They then called my wife and let her know she could come to see me, as well as, maybe bring me home.

Twenty more minutes go by and it’s nearly 6 pm when my wife arrives. I tried to stand up, but I’m still too weak from being under so long. Because I was still in pain, they give me a percocet pain killer. This makes me instantly nauseous. By 6:30pm I’m able to stand long enough to use the bathroom and urinate. At this point my blood pressure is down to 140/85. Still not normal, I’m still dizzy, still in pain, and still cannot stand. The post-op nurse decides to admit me for over night monitoring.

They wheel me up stairs in a wheel chair and move me into their orthopedic recovery wing, which I’ll later find out is self care. How partially crippled people end up in self care is beyond me, but fortunately the nurses do help out a lot more than they probably are supposed to.

The hospital would rather you did not stay over night for two reasons. First, because keeping me there under 24/7 monitoring is mighty expensive. Second, because the longer I’m there the more risk there is I’ll catch something as the nurses move between the orthopedic recovery wing to the general population recovery area (where the swine flu sufferers hang out amongst others), which shares the same floor as my room and is the next hall over.

They sit me in an upright position in the hospital bed and immediately I feel better. The hospital bed is much wider and had a better mattress than the same day surgery cots. The room is slightly warmer as well. I’m on the same IV bag from downstairs and they hook me up to a blood pressure machine. I’m sharing the room with one other patient and it is the smallest room in the hospital for two of the largest guys they arguably have there. My roommate, Nick, is 49 years old and in for complete right knee replacement. It’s around 7 pm so I missed dinner. They bring me a small cup of chicken broth and crackers. I get another percocet and am told they’ll give me another one in four to six hours.

Nick and I decide to watch ESPN. We each have our own flat screen TV with a limited DirecTV line up, but there is no way in a room barely big enough for our two beds we could have both going at once. Fortunately we’re both into sports and stick with that theme for the night.

Around 10 pm my blood pressure comes down to 130/75 and they take me off the machine. The liquid anesthesia has worn off, but the nerve block will last until around 4 pm the next day. I fall asleep around 11 pm. I’ll be woken up every six hours from there in by a nurse who will take my temperature, my blood pressure, check my IV, and give me pain medicine. This goes on 24/7 whether you’re sleeping or awake. The bath room is shared between two rooms and has no shower. You cannot get up anyway.

The next morning is horrible. As you approach 24 hours from the beginning of surgery the pain starts to come through. They up your pain meds at that point. I can get up with a lot effort and walk. My blood pressure is finally down to 120/70 and my doctor/orthopedist stops in. He checks me over. The anesthesiologist also stops in. I let him know as each finger starts feeling again I get spasms in my arm. He lets me know that’s normal.

By the time my wife is allowed to take me home the nerve block has worn off. They put me on two 5mg Oxycodin with 325mg of Acetaminophen (I’m told this is Vicodin but who knows) every six hours. I’m told to keep my arm in the sling 24/7 and am allowed to only move my hand and lower arm. I’m also told I can sponge bathe, but cannot get the bandages under the sling wet. While bathing I can have the sling off, but must support my arm with my other good arm.

I don’t think about bathing at that point. I basically lay in bed from the time I get home Thursday (10/22) night to Saturday morning (10/24). I get up only to urinate. The first 72 hours are complete Hell pain wise. Every day gets better from there.

I start on 10/24 being able to wash my face and brush my teeth. The next day (Sunday- 10/25) my wife is able to have me stand long enough so she can wash my hair. I then sponge bathe quickly with baby wipes. This is about as far as I move for the first week. Just shy of a week (Tuesday 10/27) I’m finally able to walk around in minor discomfort. My wife is then able to help me through my first sponge bath. I’m also able to finally walk downstairs to eat so I don’t have to sit in bed completely all day. Since coming home I have not worn a shirt. I cannot get it on without being in severe pain. My lounging around shirtless becomes as common as most of the guys you see being chased in “Cops” on TV. I finally am able to pass stool on 10/28. Apparently the Vicodin constipates you for a bit.

On 10/29 my appetite finally comes back. I’d mostly been eating light meals until that point. I’m able to walk around on Halloween (10/31) for trick or treating for about an hour and half. After that I’m exhausted and back in pain again. I also manage to wear a shirt for about three hours while I’m out and at my Mother’s with the family.

On 11/1 (just two weeks shy into recovery) my meds are reduced to one Vicodin every six hours. I can sponge bathe myself at this point except for washing my hair. 11/3 I have my first post-op follow up with my orthopedist. He takes off my bandages and tests my arm. Everything is intact and I have no infection in the wound. They stitched me back up with clear self dissolving stitches so they don’t have to pull anything out of me. They do have to cut each end off of the stitch though that was left for slack and to keep it secure while I healed. The stitches then pull into your skin and will dissolve on their own from there. During the check up I pass out briefly while they test the limits of my range of motion. I’m told this fairly normal. I’m out for no more than 10 seconds. They lay me down, put cold towels on my neck and forehead, and raise my legs. I come to and am back to normal in 10 minutes.

When I get home I’m allowed to take my first full shower. I do so happily. I also only need to wear the sling at night. I’m given an exercise I must do three times a day (you basically use your body to move your arm while it hangs at your side) and am told my only limitation is I cannot raise my bicep any higher than my collar bone line. I’m also given a prescription for physical therapy and told to along with the Vicodin take two tablets of Ibuprofen three times a day.

Since then I’ve been doing my exercises. I’ve also been told to type to spur blood flow in my right arm (a great excuse to make this blog). I can finally also wear a tee shirt. Tomorrow I’m going to call a physical therapist who is nearby. I’m hoping to either line them or another local PT who accepts my insurance provider for payment so I can get my therapy going. I’ll have to go there twice a week for the next twelve weeks.

I hope this answers a lot of your questions and gives you some insight into the recovery process. I’m about 35% back to normal as far as my arm goes. I’m told within six weeks I’ll be at 50% with PT. I’ll be sure to post any milestones as I go through the process so you can see how this whole shebang progresses.

I have not been at work since the day of surgery. It hurts to stand or do any sustained activity for more than an hour or so. That makes work tough, as well as, a lot of other things. Therefore sick time is a must if you plan on getting shoulder surgery and you should clear at least six weeks with your employer from the day of your surgery. I did this by saving up my sick time over the last two years and banking as much time as possible knowing eventually I’d need it for shoulder surgery. If possible, apply for FMLA and short term disability to protect your job. Talk with your HR or local government benefits official to find out more about that. You’ll have to do some preliminary paper work and your doctor will also have to do some. There is a few follow up forms and I’m expected to give NY state monthly medical reports on my recovery. I cannot return to work until I get a note from my orthopedist saying I’m cleared to do so. As such, I’ve setup a six week follow up appointment on 11/23 with the intention to get clearance to return the following week. I should be four weeks into PT at that point if all goes well.

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