Ever had one of those? It could have any cause - a bug bite, an allergy, a rubbing irritation. Or, like me, you might combine any/all of these with a skin condition known as dermatographic uticaria. I heard that translated once as 'skin writing", where one could raise a lasting red pattern on the skin by simply gently scratching it! Short version - everything that can make your skin pay attention will
find it reacting as if to repel an invader, with a combination of red,
rising, and itchy surface patches. Yep, that was/is me.
There are meds for that, though they were just coming on the market back then, prescription only and pricey, back when I first was "blessed" with it. My first month's supply was $81. Some allergy meds hint at fighting it. Others are better tailored specifically for it. Those which fight respiratory issues "are not the droids you are looking for."
My first tactic, once I could afford insurance years ago, was to see an allergist, identify everything I react to, and get shots. As for the identification process, a patch was affixed to my back, with a grid where each square held a different common allergen. Once removed a few days later, the Doc can identify what one reacted to and start treatment, coupled with imparting knowledge of what to avoid. In my case my back was so solidly red they had to hold up a grid to figure out what I wasn't allergic to. The adhesive turned out to be one of the culprits. Lots of shots followed, coupled with one of those new drugs.
Mostly they work... pretty much. With the doc's recommendation, I still take twice the daily dose of my allergy pills. Fortunately the price is way down now, and they are widely available OTC. I'm told there are better ones out, but... $$$.
Now try adding a "sling" you have to stay encased in for weeks. Six lonnnnng weeks. And "sling" is so-o-o-o not a cloth triangle slung around your neck and holding the forearm loosely. Start with a bulky padded box, hard plastic straps encasing your fully dressed torso from multiple angles, with buckles mostly out of reach and beyond your strength, at least initially, tons of rigid velcro obviously made for strength, not softness or comfort. It is designed as a prison while your joint heals.
Really good job on that "prison " part, folks. Kudos. Mission accomplished.
One needs assistance with almost everything. Allegedly you MAY remove it for "hygiene". Of course it has to go back on, so maybe reconsider that first sling removal part unless you have memorized the reverse process. This means somebody else deals with your clothing, your bathroom duties, cleaning after your bathroom duties, and your clothing again. Whatever in your life requiring two hands now gets one, plus whatever another person can assist with... on their schedule. This last in no way is a comment on their willingness to assist, but an understanding that their schedule for waking, sleeping, time involved in standing and walking with a walker, etc., does not often accommodate a requirement for "Right Now!" The heart is willing, the flesh is older than my own. Even when help is quick, many times the body's demands don't wait at all. Oops. Just a warning. Prepare ahead if you can.
Don't be embarrassed now. Remember even astronauts and our current President wear diapers. Just a thought.
Then, just for grins and giggles, there's the factor of multiple layers of clothing. Shedding pants, the most frequent ones needing moving, is one thing more easily done, providing one has the right kind of clothing and sufficient need, with both layers at the same time. Replacing them can be done simultaneously or individually. Elastic and stretchy fabrics are pretty much a must. But occasionally, even in the best of circumstances, they do not come to rest in identical locations, resulting in an uneven pull against a moving body part, like a thigh top, as one changes from sitting to standing to walking. ITCH! Let's add the obvious complication of lumpy body shapes to deal with. It's mostly a good thing , because how else do pants stay up, (unless one uses suspenders, which also happen to require multiple hands). I adapt to doing it automatically. I know where all the lumps are. I make adjustments. Less familiar hands are still learning, so the process is a tad less perfect. Again, fabric binds, irritation grows, and ITCH!!!
Some of the issues are simply the wrong wardrobe to start with. I'm not allowed to lift one arm. It has to go into a sleeve or two anyway, staying vertically down during the process. The official clothing recommendation is have everything for your torso join in the front middle so each arm goes in independently. Of course they tell you that just before surgery. Perhaps your life is arranged well enough that you can just head out shopping, find the exact things you need, and prepare them for use, like by actually checking how they work, and laundering. My life hasn't been that accommodating recently. Browsing my closets and drawers turned up three such garments, all for cold weather wear. Two were hoodie sweatshirts with center zippers. Imagine those metal teeth plastered to your skin and grinding in with every movement. No? Not your ideal? All else in the wardrobe is essentially a tube with openings.
Exceptions which have front openings are coats, now ruled out - surprise! - due to the requirements of keeping the extremely bulky, never intended to fit inside any sleeve, sling. Do you have a coat sleeve which can accommodate your bent arm in a fat padded box with straps heading out from it in all directions? Me neither. Maybe a cape...? Don't have one of those either of course.
Start from the skin and go out. First, forget you ever heard of a bra. It's just too many complications in too flimsy a package, and at my age nothing provides support there anymore anyway. That ship fell off the dock and sailed away over another ocean. So, back to the skin layer, the only accommodation in my wardrobe is a selection of smooth knit summer tops with wide necks and almost no sleeve, donned by putting the surgery arm in first and then maneuvering the top up over yourself - with help - so one head and a second arm go into the appropriate holes. (You do have just one head and a single remaining arm, right? Not trying to be insensitive here, but I can't help you with ideas if that's not the case.)
Then of course, adjustments are made, some never considered. In fabric selection, a couple factors become important. First, said tops were not made to be worn for a long time inside another garment. They're for summer, for god's sake! Mine are loose, not snug. Every little wrinkle, trapped under a "sling" for hours on into days, depending on how many shirts fitting the bill well that you have to switch off, and what shape you are actually in when first home from the hospital, becomes an itch to swear at, loudly and long. Second, summer clothing just isn't warm. (Duh!) You need more layers to maintain body heat, or possibly a humongous bank account to accommodate really heating up your Minnesota winter home. My budget says no, so this might mean your solution is one of those zipper hoodies like I happen to have, added between layers. (Did you ever select cool weather clothing for softness and lack of skin irritation? If not, good luck. Me neither.) It might be a double polar fleece blanket you try to drag with you around the house without tripping over it, or snagging it on furniture when you come to a stop and try to cover up, but folds keep it in lumps anyway, leaving you to spend hours while minus that second arm trying to arrange it for best effect. Or all of that and more. My surefire plan for next time, if there is a next time, is to ONLY DO IT IN THE SUMMER!!!
I know you're laughing at all this now. You find this all minor. I can hear you! I'll forgive you for now, but just you wait till you find yourself in a similar situation for whatever reason. Listen then for me snickering back. I do recognize the absurdity. But you are forgetting all the movements under that contraption called a sling are resulting in dozens of reasons and locations for unsolvable itching! A stab here, another there, a wiggle won't ease it for more than a half second and you're back like a pig against the farm fence, rubbing, scraping, trying not to make new holes, praying that you can somehow ease the itch for more than a third of a second. (I'll imagine you oinking! I promise!)
What? Lotion, you say? Go back to page 19 in your post surgery care booklet if you can still find it in the stacks of handouts, where lotion is strictly forbidden. Recall your instructions from your occupational therapist in the hospital who stressed the same thing. The skin surface needs to be kept clean and dry for proper healing, especially to avoid infection, their worst case scenario post joint replacement.
I wonder if those people ever had an itch? Do they even understand having one?
I finally got fed up with most of this. I've seen the surgeon and healing is coming along well. I've been to the physical therapist who has some teenie weenie exercises I can/should do now and warnings against others. My son and husband have worked to get the "sling" on and off and back on so both are now experts in its workings. I've strengthened fingers so they can work the buckles loose and know which ones are needed in which positions to remove it. I'VE MANAGED TO TAKE MY VERY OWN SOLO GLORIOUS SHOWER! Even a one-handed shampoo. Yep, it took about 4 times as long, but I didn't have to wake up anybody to do it.
And I did not put the sling back on! Ahhhhhh...!
It isn't on now, though I have compromised by wearing it at night when I have no control over arm movements, and am holding my arm mostly in the needed position during the day, never in the forbidden one.
It turns out I have the perfectly placed pockets for tucking the hand in comfortably in a very cozy polar fleece vest I bought decades ago on a trip to Alaska. I treasure it and thus rarely wear it. The not wearing part just ended. It will show wear when this ends, the end of this month, but be well worth it.
Most of the chronic widespread itches are gone with the removal of the sling. But life is seldom perfect. There is one small, nagging issue. Overnight something pinched and rubbed under the sling AND ITCHES! Because of course! I have dug out the lotion, as that is nowhere near the surgery site. So far I've applied it twice this morning. It helps only until I stop. Again, because of course.
Later in the day I'll tend to laundry and hope some almost microscopic something will get flushed out of the fabric, and not replaced overnight from the sling again. See how optimistic I am? Considering how strong and brittle the velcro is, I suspect a single piece broke off and found a new home, hopefully in fabric, not me. I have heard, when I stretch a bit or turn in a torso twist, the loud sound of it sliding across whatever surface it was currently sticking to. I make sure then that it's fastened reasonably- in my definition - close to where it should be, and tuck it back down. Things do get weird that way, but hey, welcome to my world!
Three and a half more weeks......... Officially.