Posts Tagged ‘total hip replacement surgery’

In praise of scars

“By the time you become Real, most of your hair has been loved off. Your eyes drop out and you get loose in the joints and very shabby.” –Margery Williams, The Velveteen Rabbit

Earlier this week, my friend Alice posted this empowering Caitlin Crosby video on her Facebook wall and I was moved to share it with everyone. The video reminded me of an essay I wrote, published in a metro-Detroit women’s magazine three years ago. Here it is:

How scars make us real

Once the anesthesia wore off and I could wiggle my toes again, my first concern was the new incision running down my left side. Ten inches long and an angry shade of red, it marked the place where my hip had been removed, packed with a bone graft, and totally rebuilt with a prosthetic implant. A long row of tiny staples closed the wound, making it look as if Dr. Frankenstein had sewn a zipper into my birthday suit.

Still woozy in the post-operative station, I imagined how awful the scar would look after it healed. And I wondered: Would I ever find the courage to wear a bathing suit in public again? Would my husband think my body was less attractive?

Coming to my senses the next morning, I tried to focus on my blessings. Those blessings included the skilled orthopedic surgeon who had agreed to perform the complicated three-hour surgery. Most orthopedic surgeons, including mine, prefer to reserve total hip replacement for elderly patients because they are less likely to need revision surgeries in the future.

I was only in my forties when I was diagnosed with degenerative osteoarthritis in both hips. But this sympathetic doctor understood that the quality of my daily life was “seriously impacted by my disability,” as he put it. Practically immobile, I’d already qualified for a handicap parking permit, and couldn’t even stand at the kitchen counter long enough to open a can of cat food or prepare a simple family meal. I’d been missing band concerts and mothers’ club meetings at my son’s middle school because I couldn’t climb the steps to the building. I’d started turning down lunch dates with friends, preferring to nurse my pain in bed at home.

I needed surgical intervention.

Of course, I knew I’d have several weeks of physical therapy and rehab during recovery. But I could also look forward to walking pain-free without canes or crutches again. So why did I let vanity dampen my hard-won victory?

Facing up to flaws

Scars of any kind are a challenge to recovering perfectionists. For years, I was one of those worried women who followed the advice given in beauty and fashion magazines. I invested ridiculous amounts of energy trying to conceal every personal flaw and foible. To expose my weak spots — or admit that I was ever damaged in any way — was too frightening to imagine.  No matter how many skin-perfecting creams I bought, or how many self-improvement books I devoured, I couldn’t stop believing that I didn’t quite measure up.

Ironically, I’ve always admired quirks in other people and in most of the stuff I own.  One of the early practitioners of shabby chic, I can list several rooms in my home that are furnished entirely with faded flea-market treasures and garage sale rejects.  Overgrown cottage gardens, non-pedigree pets, freckles, rusty tools, crow’s feet, and crooked smiles intrigue me. I’ve cherished childhood toys covered in stains and stitches, and I’m partial to an old leather jacket burnished by seasons of wear.

Scars and wrinkles are the emblems of a richly textured life — a survivor’s life. They document our personal histories and bear witness to how far we’ve traveled. Our scars and wrinkles prove we’ve survived childbirth, car accidents, skin cancer, military combat, messy divorces, failed business opportunities, and lost loves.

My long recovery from hip replacement surgery gave me a lot of extra time to think about these things.

Practicing my physical therapy, I was reminded that becoming real requires bumping up against adversity – and sometimes falling apart. It’s a deconstruction process. Whether you’re nursing a shattered limb, a bruised ego, or a wounded heart, it can take time to reassemble and repair the broken parts. But ultimately you heal and, hopefully, grow more interesting. You tighten the loose seams in your character along the way.

Five months after my first hip replacement, I returned to the hospital for the same surgery on my other damaged hip.  And today, six years later, I’m sporting a beautifully matched set of titanium joints that have given me back my mobility – and identical scars on each side. Over time, the scars have faded considerably, though you can still spot them several yards away on the beach.

Now I celebrate them – these two ten-inch valleys marking the surgeries that gave me a miraculous second chance. I have earned them, and they have made me real. – Cindy La Ferle

– In photo: collage detail from “On Beauty” (an altered book page) by Cindy La Ferle –

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The gift of receiving

Dreams are renewable. No matter what our age or condition, there are still untapped possibilities within us and new beauty waiting to be born. – Helen Keller

Have you ever found yourself in a position of extreme vulnerability — when you had to rely on others to help you navigate even the most ordinary routines? Most of my life, I’ve struggled to appear self-reliant and capable. My first hip-replacement surgery changed all that. You can read more about it in this week’s MIDPOINT column in the online edition of The Oakland Press.

–If you missed the introductory “Midpoint” column in The Oakland Press, click here.–

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Pay it forward

Last year, a dear friend of mine fell from a ladder while working on a home-improvement project. She needed emergency surgery to repair her shattered knee, and had to spend weeks recovering at home with a battery of medical equipment.

My injured friend had a family to care for — not to mention a full-time office job that had to be put on hold while her injury healed. Meanwhile, she practiced her physical therapy, learning how to use crutches and trying not to collide with the furniture. But her biggest challenge, as she put it, was “learning how to give up control” while she rested on the couch with her leg propped up.

Nobody likes being injured or ill, but I’m convinced it’s twice as hard for mothers who suddenly find themselves incapacitated for weeks at a time. It doesn’t matter if we’ve been hit by a bus or a flu bug. Moms are programmed to be nurturers and fixers. We roll up our sleeves and pitch in when someone needs to be fed, bandaged, or chauffeured to softball practice. We’re more comfortable offering help than asking for it. Sitting still goes against our maternal grain.

While the moral of this story could be: “Girlfriends, never do home repairs that require a ladder,” I promise it is not.

Watching my friend move gingerly on her walker, I was reminded of the time I found myself in the same position seven ago after I had bilateral hip-replacement surgery.

A serious health crisis can be an excellent teacher — albeit a tough one.  And this much I know for sure: I never would have grasped the full meaning of the word “generosity” had I not limped my way through several months of surgical rehab. During that time, a number of incredibly nice people conspired to make my life easier. Neighbors drove my son back and forth to school.  Friends baked casseroles and delivered them to my family while I recovered in bed.  In particular, I remember the savory chicken noodle soup a friend dropped off at exactly the moment I craved the taste of comfort.

I often wondered what I could ever do to return so much kindness. The answer came from one of the terrific nurses at William Beaumont Hospital who took care of me after my second surgery.

“Watch for opportunities to help someone else,” the nurse told me. “Be there when the time is right.”

Even the smallest acts of kindness, after all, are links in the great chain of generosity. Whenever we receive an abundance of love or care, our well overflows and we have more to share. Better yet, real generosity is boundless. It isn’t about keeping score or simply repaying the same people who’ve done favors for us. (I’ve been thinking about this a lot this week, after hearing President Obama’s call to community service.)

So, as soon as I learned about my friend’s accident, I headed straight for the kitchen and did what I’ve learned to do best in this type of emergency: I made enough minestrone to feed a family, then delivered it in Tupperware containers to my friend’s house. The following week, I made chicken soup and a batch of stew, alternating with other friends from church who had offered “meals on wheels.”

I don’t deserve special recognition for doing this; cooking for my friend was a selfish act. It made me feel better (or at least not so useless) in the face of her misery.

Recalling her long weeks of recovery, my friend told me recently that she couldn’t imagine how she’d ever “repay” all the generous people who’ve been so helpful. I told her that she doesn’t owe any of us anything in return, and I meant it.

“Next time someone else falls from a ladder,” I added, half seriously, “it will be your turn to bring the soup.” And I’m sure that’s what she’ll do.  – Cindy La Ferle

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