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DEaVF1 Essay 6 Tuesday, April 20, 1982 3/23 (13%) candidate joints hospital surgical replacement
– Dreams, "Evolution", and Value Fulfillment: Volume One
– © 2012 Laurel Davies-Butts
– Introductory Essays by Robert F. Butts
– Essay 6 Tuesday, April 20, 1982

(8:47 A.M. Our original idea was to insert the session Jane gave this morning in one of the earlier essays. This would have been a very mechanical approach. More, it would have involved altering dates, and changing or eliminating some of the copy to make the rest of it fit—all things I dislike doing. After Jane came through with her dictation I told myself I’d know what to do with it, and awoke the next morning with the clear understanding that her session should be presented just as is, and when we received it. Jane said okay. The subjects discussed are deeply charged for us, and the physical and psychological aspects of some of them could be devastating if we allowed them to be. Presenting the session in a more isolated manner here, then, may give the reader a clearer idea of how we felt during Jane’s early days in the hospital [and later too, for that matter]. This course also lets the session serve as an automatic bridge to some of the material in the earlier essays.

[... 18 paragraphs ...]

Short of outright failure, however, some of the articles I’ve collected contain the information that a conventional artificial joint replacement—for a knee, say—usually lasts only from four to seven years before loosening. A most discouraging prospect! What does one do when the insert begins to wobble? None of the doctors we’d talked to had mentioned such a possibility. (One can always claim that being able to walk for even four years is a lot better than not walking at all!) Jane and I also read that through experiments with animals medical designers are working to perfect an artificial knee joint with porous surfaces, to promote better bonding of bone to metal; it could last 15 years or more. Someday, I told Jane, and regardless of whether or not we ever choose to take advantage of any of them, we’ll be questioning orthopedic surgeons very closely about what “surgical procedures” are available.

As I wrote in the first essay, “the trouble with having something diagnosed as rheumatoid arthritis is that not only do you have it when you go into the hospital, but when you leave it.” Even if Jane had all of those operations—even if she ended up able to walk after a fashion—she’d still have arthritis. She was suffused with it. Our beliefs said so. So did her body, as everyone could see. “Your joints are destroyed,” Dr. Mandali told Jane, after getting the opinion of the young out-of-town rheumatologist she’d asked to examine my wife. “Do you want to spend the rest of your life inside, in a wheelchair? That’s a pretty limited existence you’re talking about there….” And Jane, trying to protect herself from the negative suggestions that had been administered to her like psychic hammerblows, ever since she’d entered the hospital, could only weakly demur on the subject of operations.

[... 1 paragraph ...]

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