On December 27th we went to the city of Monterrey, which is 3 hours away from our hometown, to see the first doctor who suggested an arthoscopy so that he could explain the procedure in more detail, it was not what we expected, it was somewhat uncomfortable and gave me signs that this doctor was not the right one. We started by asking him a lot of questions, Toño also asked him questions, but the doctor started to say that Toño was being defensive and that he preferred not to take my case, Toño and I were surprised, because at no time we were rude nor aggressive, we were just asking questions and the doctor felt uncomfortable and frustrated. He gave us some very simple, vague answers. Then I thought if this doctor gets frustrated with a few questions I don't want to imagine how he might get when actually operating.
Then we went to another doctor who turned out to be totally different from the first one, he gave us accurate answers, he showed us a video of what the procedure he proposed would be like, he made drawings, he gave us a specific medical diagnosis.
The second doctor said that, in line with what other doctors have said, my shoulder is suitable for a reverse prosthesis because I have a massive rotator cuff injury, but that he is very conservative in going for this because with the prosthesis there is no going back, because the bone is cut. He explained to us that a reverse shoulder prosthesis has been seen in the United States to have a 15% risk of infections or that it does not work and for me 15% is a high percentage.
Though a prosthesis might work, what he proposes is, through arthroscopy, to reconstruct the rotator cuff tendon with a porcine dermis acellular patch, among other repairs in other areas of my shoulder, so that mechanically the shoulder gets back to work. If the patch gets accepted by my body it can last up to 10 years, if it rejects it, it can try to put it on again. After that I would have the shoulder immobilized for a few weeks and then do physical rehab for approximately 3 to 6 months.
The doctor has already performed this procedure and has been successful. I am thinking on going for this procedure because on an erosion scale I am grade 3 and I am still on the verge of having this soft tissue procedure, as opposed to being grade 4 where there is nothing else to do.
I feel that there is light and hope before doing something as definitive as the prosthesis, because as the doctor says it is definitive and if it does not work the only thing that will happen is that you will be changing the prosthesis over and over. What I understood is that I no longer have cartilage because of the RA but that is not the main problem of the malfunction of my shoulder, the main problem is the rotator cuff.
I thank you to keep praying for me, for my health, for finding capable and honest doctors, for having the internal and emotional strength to go ahead, and then if I decide to do the patch my body will accept it.