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DEaVF1 Essay 6 Tuesday, April 20, 1982 6/23 (26%) 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

[... 3 paragraphs ...]

It seemed to me that once medical science got hold of you it wanted to justify its existence, to exercise its wonders for those fortunate or unfortunate enough to be considered “proper candidates” for its full ministrations.

[... 1 paragraph ...]

Being a proper candidate meant that I would turn my life over to medical science in the hospital for at least a year: a year spent in therapy, surgical procedures, and more therapy, until I ended up having at least four separate operations. My knee joints and hip joints could thus be replaced.

My condition had certain drawbacks, however: The two sides of my body were uneven, so I could end up with four bright new metal and plastic joints and still not be able to walk properly. I might need a cane, or a walker. Medical science would be willing to try, however. Out of the goodness of its heart, all of its scientific procedures would be put at my disposal. True, the amount of money required for such surgical possibilities was staggering, but insurance of one kind or another could be found to carry the cost. (We didn’t have nearly enough money, but could qualify for adequate insurance by fulfilling the terms of an 11-month waiting period.) But regardless of cost, one orthopedist saw me staying right in the hospital—now that I was there—until the entire procedure was finished. Particularly if, again, I proved to be a proper candidate.

(Long pause at 9:02.) Being a proper candidate meant getting rid of those bedsores, for one thing, as well as taking extensive physical therapy. As I listened to the doctor talk, poor hearing or no, I could almost feel medical science starting up all of its gears, ready to go to work on my behalf—and I wasn’t ready to make any such decision right then. I wanted to see how my body would react to the synthetic thyroid hormone and to therapy first. I wished to hell I could (underlined) run, I thought, for boy, I’d have run right out of there, fast!

[... 11 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.

[... 1 paragraph ...]

Let me quickly add that all of the doctors who examined her advanced their suggestions while trying to be helpful, and in the name of “truth” as they saw it—with individual variations, of course. To us, however, in all but one case their general unconscious biases were negative. The exception was the youngish doctor Jane had referred to at the very end of her last session. As it happened, he was the one who’d had her admitted to the hospital to begin with. He’d offered Jane encouragement as she is, and she had felt an immediate psychic rapport with him. But he was a neurologist, and we saw less and less of him as it was determined that his special skills wouldn’t be of continuing help in Jane’s situation. In the overwhelming medical view, then, as Jane said, the operations were the only way for her to go….

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