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Hi, Stephen, and group...
"Stephen Trapani" wrote in message ... Skip Gundlach wrote: My preference is to wait until, say, September, and get a good long rehab before making the boat as perfect as we can, and heading out November 05. That would also get us past the requirement to come back from wherever we were to see her son graduate in December :{)) Good long rehab sounds good. How long it needs to be depends greatly upon how much you will be required to use it and when. This depends I guess, on your style of boating and your crew's/wife's strength. For example if you will not be required to use the shoulder heavily *at all* you could easily bring along an exercise device or two and continue the latter half of the rehab during your travels. Our style is very active. Noting, of course, that this year and the two before, I was without full use of my shoulder... However, this year, during our shakedown cruise, we were fortunate enough to be offered some heavy weather - nothing really threatening, but very lumpy and windy, to which we eagerly looked forward. The good news is we had a blast. However... My attempts to get something to hang on to while in the bouncing dink off the stern, pending the manual letdown of the 15HP, for which I'd want my good hand free, was a wake-up call to the complacency which had developed. Meanwhile, I've been wanting to go back for a couple of years, but had to wait for the pre-existing condition period to elapse for insurance purposes, so have had a long time to consider this. Unfortunately for my planning, it never occurred to me that the first operation might have simply failed altogether. I got complacent about thinking how long I'd be in rehab, expecting either that I'd not have any hope ("sorry, nerve damage, can't fix it") or something simple ("yeah, you've got some adhesion there, we'll slice it off so it moves again and off you go to rehab"). The primary two keys to rehab a 1)Protection from excess forces (which should first be very great and *gradually* decrease as healing occurs 2)Introduction of movement and force (which should start off very light and *gradually* increase as healing/strengthening occurs). Failure in the correct starting point and gradual progress of either of these are pretty much the only causes of rehab failure. Often one mistake is all it takes, but if you can avoid that one mistake you can rehab pretty much anywhere. Word is, now, having heard back from them, it's a couple of weeks of just motion exercises, and if that is successful, then 4 more weeks of increasing that to the point where I'm then sent off to rehab, without having to have the arm restricted. Expect 6 months for comfortable use, and improvement as far out as 18 months. I don't know how or why the first one failed. Certainly, I didn't experience any pain that I could associate with it. The operative report suggested that the bone wasn't hard enough to use the screw anchors they'd originally expected, and so did drill holes and sutures. Whether those failed, or the attachment never took, or the tendon tore at the stitch, I don't know. However, I'm going to be pretty aggressive about my rehab and following the recommendations of the surgeon. If he can bring major leaguers back from pitching injuries, I figure I can get it happening, too. However, there's still only a tossup chance that I'll have improvement. I'll just have to make sure that I don't do anything to jeopardize the chances... Thanks for the input... L8R Skip -- Morgan 461 #2 SV Flying Pig http://tinyurl.com/384p2 "And then again, when you sit at the helm of your little ship on a clear night, and gaze at the countless stars overhead, and realize that you are quite alone on a great, wide sea, it is apt to occur to you that in the general scheme of things you are merely an insignificant speck on the surface of the ocean; and are not nearly so important or as self-sufficient as you thought you were. Which is an exceedingly wholesome thought, and one that may effect a permanent change in your deportment that will be greatly appreciated by your friends." - James S. Pitkin |