Wednesday, July 30, 2008
The last 10 days were pretty long ones and I had been counting the days down to Tuesday, the day the stitches would be removed. As I sat there waiting in the doctor's office, I wondered how the ole finger would look and feel afterwards. It was as I thought - a most wonderful feeling. The stitches were pretty tight and had been pulling the skin so removing them was almost liberating, if you will, and was such a great feeling. I'm glad my finger can now get back to normal. I have it wrapped with some thin vet wrap, just to help keep the swelling down a bit and to protect it, at least for a few more days. Dr. Joseph suggested that I "baby" it for the next few days. Now, how in the heck do you "baby" a finger that you need to use?
Anyway, as Dr. Joseph bid me farewell after the office visit, I told him that I had termed my finger "Frankenfinger", thanks to my friend Heather who called it that herself. It's got so many scars on it so that it truly is a Frankenfinger. Unfortunately, Dr. Joseph didn't see the humor in my comment. Those darn specialists are so dry, aren't they? But they do excel at their specialty, thank goodness!
Anyway, here is an excerpt from the Operative Report that the good Doctor gave me before I left his office.
"Patient taken to the operating room and given 1 gm Ancef IV. General anesthesia was induced without complications. Standard prep and drape. Extremity was exsanguinated. Tourniquet was inflated to 250 mmHg.
Using 3.5-loupe magnification, previously marked mass about the lateral aspect of the left ring finger was identified and approached through a 3-cm longitudinal incision incorporating the previous incision. A very ill-defined vascular lesion was identified. This was excised. A large part of the lesion was underneath the middle phalanx. This was unroofed. The mass was excised. The area was agressively curetted down to bleeding bone. All involved tissue was removed. Dense scar tissue was removed. Some excess skin and scar tissue was removed converting the incision to more of an elliptical incision. The defect underneath the middle phalanx was again curetted, irrigated, electrocauterized and packed with a small amount of Gelfoam soaked in 0.5% plain Marcaine. The area all around the dissection was electrocauterized with the hopes of further preventing recurrence of the vascular tumor.
The skin incision was then meticulously closed with interrupted 5-0 nylon. Proximal block with 0.5% plain Marcaine was performed. A sterile compressive dressing and dorsal split were applied. Tourniquet was released.
The patient tolerated the procedure well and was transferred to the recovery room in stable condition."
I don't know or understand alot of the medical jargon, but I do believe it sounds like my finger received an overhaul. And who's finger doesn't need one of those?
Interesting thing about the Marcaine, (I looked it up) which is a local anesthetic. It is often used in dental procedures and obstetrics. One of the doseages I received (0.5%) is commonly used for epidurals. And my finger received two of those! This might explain why it was numb for three days solid. The doctor told Kim (who was in the waiting room waiting to take me home) that he "shot it full of Novocaine" (same thing) and he wasn't kidding.
All in all, I'm so glad it is over. I hope the "thing" that grows inside doesn't reappear anytime soon as I don't want to go through that again, at least not for quite some time!