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DEaVF1 Essay 6 Tuesday, April 20, 1982 8/23 (35%) 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.

[... 4 paragraphs ...]

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!

[... 2 paragraphs ...]

(A one-minute pause at 9:13, eyes blinking, then closing.) One doctor told me that my body’s mobility would be bound to change for the better as my thyroid gland …

(After a long pause in midsentence Jane began to doze. Her head dipped down. Her body began to slowly lean against the right arm of her chair in what has become a characteristic pose, for both her thyroid activity, and therefore her energy, are still below par even though she’s been out of the hospital for 24 days now. By 9:17 she was asleep. Watching her tilt more and more, I wondered whether she truly had the psychic and physical reserves to heal herself—whether anybody would under the circumstances. Perhaps her challenges were too much for her. What were her limits, how much more could she take after some 17 years of ever-increasing struggle, whether or not those challenges had been chosen—some of them far in advance—for whatever reasons?

[... 5 paragraphs ...]

Actually, I came to realize, Jane was so terrified by the thought of those operations that mentally she shunted aside all such prospects. Only when she was home did she begin to fathom the possible depths of the physical reality she’d created for herself, with my help. To coin a phrase, she was “truly, deeply shocked.” The doctors wanted to literally cut the major joints out of her body! To replace them with metal and plastic joints inserted into the bone ends and cemented in place. Jane cried. Her voice shook. “But in spite of everything, over all those years I never felt sick until I went into the hospital,” she wailed. The glowing reports we heard and read about successful joint-replacement operations meant little to her. “Sure, for one joint, or two, maybe,” I said, then shut up, not wanting to add my own fears to her fears. But four of those operations? And why stop there? If they fixed her knees and hips, what about her shoulders? She couldn’t raise her arms level with them. “Oh, they’d operate on the shoulders, too,” a doctor told me in front of Jane, without inflection, as though we were discussing an inanimate mechanism that needed rebuilding. Six operations, then. But what about my wife’s elbows, and her fingers? Somebody at the hospital —I forget who—told us that joint replacements for the fingers and/or knuckles usually weren’t all that successful: The bones in the hands were pretty small and delicate. But it could well be argued that Jane needed to be able to write with a pen or pencil, to express her basic creativity in that particular elementary fashion, even more than she needed to walk. (It would be great if she could at least use a typewriter!) So there could be eight operations, or ten, or …?

What might happen to the body, I wondered, even if its psychic tenant were willing to endure any or all of those “surgical procedures”? I answered my own question by remembering accounts I had on file, explaining how people of various ages had withstood numerous, incredible operations, sometimes over a period of years. But I was horrified to think that my dear wife might become involved in a similar reality, with or without my unwitting compliance. I knew that she was far from making any decisions about surgery, but I recoiled from pushing any such suggestions upon her, no matter how fine it would be to see her on her feet. Joint-replacement operations were irreversible procedures, and I also had on file material about how they sometimes failed.

[... 3 paragraphs ...]

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