Sometimes when people lecture me on being grateful, I want to punch them in the stomach…I never do which is a good choice on my part. I am growing up. I’m not sure anyone can look at anyone else’s life and decide whether you’re grateful or not. I think gratitude looks different in everyone.
I consider myself a “glass half full” kinda person. I look for reasons to be grateful. I put a positive spin on things, I’m excellent at reframing, and I like to give people the benefit of the doubt. I work to be aware of my gratitude…and my attitude…which can have a rough edge at times. But sometimes shit goes down and I fear I may never be grateful again. The circumstances scream WHAT THE ACTUAL FUCK?!!! And then I find myself grateful again, despite (or in spite of) my outer circumstances. I might surprise you. I shock the hell out of myself. I’m telling you sometimes I rise…me and the phoenix…fly baby fly!
Of course, all of this is leading to a point. I promise. I have the most amazing wife. She is literally my favorite person in the world…sorry P!nk. We got married on 11-11-11. We thought that would be a lucky day and its Veterans Day, so we got married on a Friday because our friends and family were off work. And now our anniversary is a national holiday…as it should be. Last year we weren’t able to be together for our anniversary, so this year we decided to start celebrating early. The plan was the beach…Treasure Island on Friday and Siesta Key on Saturday. We packed some bubbly (beer bubbles for her and Prosecco bubbles for me) and some snacks. It was a beautiful Friday. All sunshine all day. It was in the 80’s and so the water temperature was chilly but warm enough to swim. We floated out in the water and just hung out talking…about nothing really, and everything.
When we were getting out of the water, I noticed there was a small step up out of the water and onto the sand…created by the tide I suppose. I walk with a crutch, and I use it at the beach and in the ocean. My point being that I was being careful and lest you think what happens next was alcohol involved, I had had maybe 6 ounces of Prosecco a couple hours earlier. So, I was steady on my feet…or as steady as I ever am on my feet. I started to step up out of the water twice and stopped myself because it didn’t feel safe with the waves. Finally, I took a step and as I did the sand gave way under me and I fell. I fell forward and on my outstretched left arm, which I heard snap and felt break. As a bonus, my elbow was also dislocated. This would be the time to tell you, or remind you, that I have an elbow replacement in my left arm. My interpretation of my elbow dislocating was that the replacement was completely mangled. When I cradled my left arm with my right hand, after I told Gayle to call 911, because I was definitely not okay, I could feel my replacement jiggling around…or my bones…or both. It felt like it was in three pieces. That’s a gross feeling. Even with all the surgeries I’ve had and the years of chronic pain, this is the first time I have ever told a medical professional that my pain was a ten…and I meant a FUCKING TEN!!!!
People on the beach tried to help me stand up but I couldn’t take the pain of them trying to lift me under my arm. Finally, they pulled me by my shorts out of the water so I wouldn’t be knocked around with the tide coming in…I think it was coming in. I was getting wetter and colder by the minute. The paramedics carried me on a backboard to the ambulance. Slight side note, they put me on a backboard to the stretcher after I suggested it. I really think when you’re in a crisis you should not have to help the professionals with how to handle the situation. I’m making fun here, but they were great and very kind to me. Initially they were fixated on the idea of putting me in their wheelie chair thing and then confused by how they would roll it in the sand. So, the backboard was a welcome suggestion…a “good idea” even.
Once I was in the ambulance, the EMT asked me if I had ever had fentanyl (I’m resisting the urge to make a bad joke here) and I said, “Yes, and if you have some I would like it NOW please.” Look at me still polite even while in raging pain. If I was a screamer or a crier, I would have been doing so much of both. Lucky for them I learned young to be quiet when in pain. No one wants to hear all that crying and whining anyway, even if your arm is in three pieces. Luckily the IV was put in quickly and a dose of Fentanyl followed. Five minutes later I asked for more. The first dose didn’t touch the pain. After the second dose I was able to relax the grimace that had become my face. I even managed to doze some during the 45-minute drive…I wanted to go to Morton Plant hospital and the EMT’s agreed…even though it was far. They really were great.
Then I got to the ER, got jiggled around, had X-rays, and some IV Dilaudid before I ever saw a doctor…at least I don’t think I had seen a doctor…my memory has a lot of fuzzy places. So, imagine my surprise when the doctor came in and said my arm was broken…that’s not the surprising part…wait for it…He said, “We’re going to admit you and you may have surgery tomorrow.” Now maybe I should have been prepared for that, given the circumstances, but I was not…not even a little.
Shortly after the doctor came in, I was moved to the surgical floor where some angelic nurses helped me change out of my swimsuit. I told them to cut the top off because I was not going to be lifting my three-piece arm to undress. They managed to get it off of me pretty easily, and without scissors. Turns out I had half of Treasure Island in my swim shorts. And that is the danger of pulling people, by their shorts, through the sand. Sand went everywhere. You could have built a small sandcastle in my room. I felt bad because someone from housekeeping had to come and clean it up. I just kept apologizing.
I did not meet my orthopedic surgeon until the next day. Dr. Andrew Boltuch, who my sister says is “too pretty” for her. There was more than one nurse who asked who he was after he left the room. He is very pretty…even a lesbian could see that. Not only is he pretty, but he’s also THE GUY for elbow replacements around here. Talk about serendipity…by the luck of who’s on call, I get the best specialist in the Clearwater/Tampa area…it might be all of Florida…or the United States…or the Universe! It’s hard to know.
If you follow me, you know that I’ve had a lot of elbow surgeries, ten in fact. There have been repeated failures of the humeral component of my elbow replacement, and it has been revised four or five times in the past couple years. Including once when my joint got infected after surgery because of a sloppy stitching…and by that, I mean they left a fucking hole in my arm. That one surgery turned into three additional surgeries. Back to my point, my elbow is complicated. Even I know that. Dr. Boltuch told me that he had ordered a new humeral component with a longer stem so that it would go up beyond the fracture. He also ordered two cadaver bones to use to reinforce the fracture. So, there was no surgery Saturday. It took until Tuesday to get all the parts to put me back together again.
Tuesday, November 14th, I had a 6-hour surgery that began at 4:00 pm and ended at midnight. I realize that’s eight hours but that includes the getting me situated, asleep, sterilized, and then stapled back together parts. I love my doctor so much because whenever we’d ask him about the surgery, he’d think for a minute and then say, “It was so complicated.” I am hammered, glued, and nailed into place now. And except for the obvious healing pain, my elbow feels good. Better than it has in a couple years.
Now you may wonder, after ten surgeries and multiple revisions, why would I even consider having another implant put in. That’s a fair question and one my wife and I both asked. The doctor said he thought it was reasonable to try one last time with the new component parts and then if this one failed, he’d take the elbow replacement completely out. I would then be fitted for and wear a brace on my left elbow all the time. He said I’d have minimal use of my left hand. He also said that patients who have had that as their outcome are happy with it because they aren’t in pain anymore. Imagine that…no more pain. It made sense to me.
A small issue I haven’t mentioned yet is that the humeral component of my left elbow was already coming loose. When I would move my arm, the joint wouldn’t line up correctly and so I’d have to move it around until it was back where it was supposed to be. It was excruciating pain…although I only gave it a 9.5…because something could always hurt more…right? Anyway, I had an appointment with an orthopedic surgeon set for January to try and find out if anything could be done for my elbow…like injections or a brace. I had been told by the Mayo Clinic that unless something catastrophic happened to my elbow no one would ever do anything surgically to try and help it. At that time, I was already in pain every day…I’d say a 7 or 8…every day…every fucking day!
Now let’s be real…so far this story is pretty depressing. “Romantic day at the beach turns gruesome.” Some headline. I did start off talking about gratitude. And I did name this essay “Strangely Grateful,” so WTF?! The Fuck is that gratitude can find us, or be found, in the least likely circumstances. I was in excruciating pain all day every day because my elbow replacement was loose and moving around in me. With my history, no one was going to touch my elbow and I was depressed at the idea of living the next forty years in increasing pain.
Enter catastrophic event…unplanned, unforeseen, and very unintended. I was being so careful. I am always careful because I don’t want to fall. That event, that catastrophic event, saved me. In that moment the best elbow doctor in this area (or the Universe) happened to be on call and happened to spend a good amount of time figuring out how to fix me. He had the answer for the chronic pain. Either this surgery works and I’m not in pain or the replacement gets removed and I’m not in pain. There’s no elbow pain at an 8 for the rest of my days. Catastrophe, serendipity, no more pain. I am grateful. I am fucking grateful! If my beautiful doctor wasn’t married, I’d marry him…well, if he wasn’t married, and I wasn’t married…and if I wasn’t a lesbian…you get the idea…we’d never be married. I do love that man and I am forever grateful to him for helping me. I can’t even imagine how complicated my surgery was, but he was in there for six hours doing everything he could to end my pain and leave me with a functioning arm. He came to see me after my surgery at 3:00 am to make sure I was doing okay. I did finally ask him if he ever sleeps because he does work some long ass hours.
Catastrophe, serendipity, no more pain. That’s my formula. Although a huge portion of the “no pain” is working through the healing pain to get to pain cessation. There are just never any good fucking shortcuts. So, catastrophe, serendipity, work your ass off, healing pain, no pain…at least not in that moment. I suppose the danger is in thinking we ever get to “no more pain” as a permanent place of residence. The amazing thing is that the catastrophe can lead to the end of your pain. I guess maybe our lives, if we’re really living them is just one catastrophe after another, with healing happening all around and within us…all the time.
Catastrophe, serendipity, healing pain, no pain…and never forget love. None of this means anything without love. The kindness we give strangers by pulling them out of the water by their shorts, the tenderness of professionals doing their best to ease your pain, the kindness of caring for another human being, the love of problem solving and mastering the complicated…all because we can. Because it is the kind and loving thing to do. Because in the end all that matters is how we love people. Divine is the task to ease pain. Let’s ease someone’s pain every day. Let’s be real…in the end love wins…always.
**Here’s a bonus “end of 2023” special for you…a little something for New Year’s Eve. At midnight open your back door to let the old year out and open your front door to let the new year in…don’t fuck up the order or you might get the same year over again. It’s an Irish tradition I’ve been told. I know I’m ready to open the back door and wish 2023 a fond farewell.
Here’s to 2024 and all the catastrophes, serendipity, hard work, healing pain, no pain and love we can find, and we can share. Always share the love.
Happy 2024!

