The doctor allowed me to quit therapy - not that he would have had much choice: I can no longer afford it in either time or fuel. I am still supposed to keep working on it at home to try to expand range of movement, but my hand has improved so much that there are very few things that I cannot do and when I consider that I have always used my left hand almost (but not quite) interchangeably with my right hand, there is virtually nothing that I cannot do (except, of course, for those things for which I lacked the skill/ability prior to my injury - such as roping, automotive repair, shoeing horses, etc. - because if I don't put this explanatory note in here, my brother [smart aleck that he is] is bound to come up with some totally random activity that I *should* now do).
Indeed, I probably should have quit therapy some time ago - while therapy definitely still helps my hand (especially when it goes through those phases of being a bit painful), it has been quite a while since I have considered it to be absolutely necessary - for months I have been able to use my hand to do anything I needed to do (except open that dreadful apple cider vinegar bottle)... Or at least I have got it done anyway, I don't always pay attention to how much I use my left hand - when I start to pay attention, I discover I use my left hand ever so much more than I thought.
Making the decision to quit therapy was one of the hardest things that I have ever done. I have long since considered therapy as the favorite part(s) of my week - I have made new, dear friends. My heart aches as I sit here contemplating my week without any trips to Twin. As I walked out their doors for the last time Monday, I left a bit of my heart behind. I shall always be grateful that God sent me their way; I have been blessed to know them (and I intend to keep in touch).
A wonderful Saviour is Jesus my Lord...
He taketh my burden away,
He holdeth me up and I shall not be moved
He giveth me strength as my day...
I am so grateful to God for his kindness, mercy, answers to prayers, and healing. As I believe I have mentioned before, my hand has improved and regained more use than anyone (doctors, nurses, therapists -- all of whom have seen quantities of injuries) ever thought possible originally (when considering the severity of the injury).
You may recall that for a while now we have been waiting on the progress of my hand to see if two additional surgeries would be necessary. The first was a scar removal surgery; the second a tendon repair surgery.
The scar removal surgery is a dreadful sounding surgery and might not even add significant improvement. Obviously, it is a last resort - if therapy does not work. This particular surgery was originally talked about for my index finger which seemed to have gotten the worst of it - at least in terms of movement/scar tissue (I have a theory about that, but I won't explain it here - also, I am not a doctor so my theory may be entirely wrong). The idea of this surgery was more or less dropped months ago as my finger continued to improve. At this point, even though I don't have full range of motion in my index finger, there is enough movement to render this surgery impracticable. Most likely as time goes by and I continue to use my hand/finger (and if I remember to do my finger exercises- for about 6 months I managed to do really well at keeping up with my exercises... But then the flood/spring/summer happened and I kinda lost momentum), it will improve still more. I am thankful to God for His healing that has made this surgery unnecessary; I am thankful for a doctor who was willing to wait and see rather than rushing into a surgery; and I am thankful for therapists who are skilled and knowledgeable in the restoration of hands and who really care about their patients.
The second surgery we have discussed has now become necessary. The tendon in my middle finger was significantly shredded. Unfortunately, tendons don't exactly regrow themselves. However, the tendon was not entirely severed and I have always (at least since the doctor pulled the pin... which was actually NOT awesome) been able to lift (only very slightly) the joint of my finger. This fact also has always astounded the doctor as well - there is so little tendon left that he does not understand how I can move it at all.
But even so, he has again been willing to wait and see - there is no point in jumping into a surgery that might have proved to be unnecessary. Because the tendon is so weak, it tends to cause that joint to "droop" or "lag." I don't really understand all the ins-and-outs of it, but if it begins to droop too much, it begins to put tension on other joints (not a good thing). Unfortunately, over the last two or three weeks, the lag in the joint has increased enough that the doctor now considers surgery necessary. Since tendons don't regrow, it is only going to become worse as time goes by.
This surgery is not currently urgent - as long as my finger joint is still mobile/I can still move it, there is no danger to my other joints. They will take a bit of tendon from another tendon in my hand and graft it to the one in my finger. I am tentatively planning to have the surgery this fall - simply so I can get it over and finally have done. I need to do some planning and look at schedules and find out what time might work best.

