Dr. Hawkes’ Peculiar History as a Doctor

 

Dr. Hawkes and his family moved from the Salt Lake City area to Vernal for a reason…to practice medicine.  Dr. Hawkes was a former UofU football player turned medical doctor.  So his specialty was sports related injuries on shoulders and knees.

 

He was a Vietnam pilot who sustained a big helicopter crash and other war related injuries. He underwent many neck surgeries and other treatments to keep him functioning as a normal human being.  This caused quite a strong dependence on pain killers and muscle relaxers as would happen to anyone with such pain and affliction for life.  It’s kind of like the TV series with Dr. House, everything has already been done to mitigate the pain and it’s still too great, so you’re told as a last diagnosis to live with the pain.  Either you live a completely miserable life or less miserable life with an addiction.  When levels of pain are that high, it’s hard to judge against why he had a dependence.

 

                He had his wife working with him in the clinic who was a sweetheart and both were pretty good people in the church and community.  He had a son about my age that was a promising athlete and wrecked his knee also.  So when I went in with my Patellar Tendonitis at age 17 (having had the symptoms for over a year now), he was very sympathetic and did anything immediate to keep me on the football field.  He was probably more interested when he found out I was getting recruitment letters from the University of Utah and other schools.  In fact, it broke his heart to see me go through this.  Not just me, but anyone who liked sports and had some reason for the coach to keep him on the field.  So all-in-all, this small town boy thought Dr. Hawkes was a pretty awesome guy. 

 

                So for his treatment of Patellar Tendonitis, it consisted of a series of NSAID (Non-Steroidal Anti-Inflammatory Drug) cortisone shots to dampen the pain and swelling.  There is no cure for this disease and staying off it isn’t an option.  Just like tennis players with “tennis elbow” keep playing…there are ways to manage the pain.  He was quite liberal with the NSAID shots…2 shots was normal, 3 to 5 was unheard of, and I received 7 all together (this was learned all in retrospect, of course).  Man they were painful.  He was also quite liberal with the pain pills (which were samples from the cupboard that a drug rep had obviously given him).  Remember, this is before the pain pill craze was “thought up.”  In today’s world it’s obvious, but in 1994 the ideology of getting high or getting a buzz off these things wasn’t thought of yet…at least not on a wide spread scale like it is today (you can’t disregard the ‘70’s thinking they never thought of it).  I thought they hurt my stomach and didn’t do any good pain-wise and since they were sample drugs he got out of his clinical room cabinet, I thought they were just “things that might help.”  They hurt more than they helped and caused too much drowsiness in school.  Plus pills don’t fix the problem, they just delay the pain until after the game.

 

                Then came my senior year, coming off a state championship the year before (and starting on both sides).  I really needed a strong knee to perform well and prove that the recruitment letters weren’t a fluke.  I was consistently logging 4.4 seconds for the 40 yard dash which was really the only thing going for me.  I experienced the “terrible triad” in the 3rd to last game before the season ended.  It was a blown, sweep where the QB gave the play away on a non-routine audible.  I still made the first down, which counts in the ESPN world of domination, but I took a helmet to the knee from a spearheading linebacker who knew the play beforehand.  No one’s fault, just the nature of the game.  So that was the 1st sport-caused injury that gave my career the jumpstart I needed to maintain a track record of bazaar, unwarranted injuries.

 

                So instead of immediate surgery, Dr. Hawkes had me wait for a month or so for the swelling to go down (which you don’t normally need to do…at least with the last 4 surgeries, that wasn’t the case).  During this time I had a state championship in track I was shooting for and speed of recovery at this point was mandatory.

 

                So after an annoying month or two of wondering what was really wrong and hiding a knee injury from recruiters that were promising high flying expectations of their future program, I was finally cleared for surgery.  The method he used was a Thermal Energy Laser.  The idea was that one could heat the ACL and cause it to twist back on itself like a strand of rope in a double-helix formation; thus shortening the ligament and eliminating the need to replace it.  It never healed.  In fact it indirectly caused another injury in track that year that cost me a spot in the 100m state championship heat.  My Ethiopian thighs combined with over-average fast-twitch muscle fibers virtually snapped my cuneiform bone in my foot upon extreme exertion.  You can only tape a broken foot so long.  Due to the knee injury not healing, I could never get a quad-pump to get my thighs in pre-injury condition no matter how hard I worked out.  The same thing happened to Bo Jackson on his hip.  His muscles virtually snapped his hip bone.  (Of course, the athletic builds and successes aren’t comparable at all; just the nature and mechanics of the injury).  The best I did was read the Saturday morning paper of the state track championship results while in a foot cast, fully knowing I could have at least taken 3rd.  Many in sprinting category went on to play major college football. 

 

                Even as a volunteer representative for my church in Portugal, it never healed and bothered me immensely the entire 2 years...EVERYDAY.  Later on my Dad, got a couple surgeries from Dr. Hawkes that were much more aggressive than what he had done to me.  He’s suffered ever since from the procedures Dr. Hawkes performed.

 

                Well during my service in Portugal, I got a letter saying Dr. Hawkes died of an overdose.  Wether intentional or accidental, it doesn’t matter, but I’m sure he had a lot weighing on his mind.  Add the chronic neck pain and Vietnam injuries with a potential realization that he performed many non-accepted procedures (even on his own son) and you’ve got a recipe for some depressive emotions alamode.  One could deduct that financial trouble over multiple lawsuits wasn’t helping either and they probably came in like Pez dispensers.  Through associations with the hospital in Vernal and familial contacts with the Hawkes’ in-laws years later, this was found to be the case.  We weren’t part of America’s epidemic of get-rich-quick malpractice lawsuits though and don’t have any intentions of ever doing so.  So we never intended or even discussed suing.  Doctor’s call their profession a practice because that’s what it is…a practice (not always a fix-it shop).  Plus money and lost grief doesn’t buy you a new knee or a college scholarship…only a porche in which to drive around you and you’re ruined knee.

 

                All these findings were discovered on retrospect after the dealings were done of course.  While away for 2 years, Allen had an ankle and knee surgery with Dr. Kimball and that’s where the transition to Dr. Kimball came in to play.  Dr. Kimball had known about Dr. Hawkes’ story as soon as we mentioned it.  We said, “Dr. Hawkes always liked to be on the edge of technology.”  And Dr. Kimball said, “Well, he was actually over the edge of technology.”  He made my ACL a “brittle candy cane” with his laser and did worse to my dad.  Vernal is a great place to move and practice your visionary procedures away from the city slicker know-it-alls.  Our small-town naivety and lack of luxury to shop for specialists proved to be a horrible lesson learned.  Go ahead and argue that genetics caused knee injuries in the family, but environment won this one. 

 

                I should note that through more injuries and more surgeries, Dr. Hawkes’ complications have nearly reversed themselves in my case and I came out pretty well.  I’ll always live with some slicing and dicing he did on my trochlear notch, though.  Due to lack of synovial fluid, my knee creaks like an old hinge but it’s not that bad.  My life isn’t ruined by this surgery alone, just a few years of agony in my 20’s…years where I could have played college football a little longer and suffered less in Portugal.  However, it’s still “18 and life to go” because this surgery did ignite a spark that led to other surgeries and other injuries.  But, I got away with less agony than my Dad has and will have to sustain throughout his life.  The main difference being that I am younger and get the advantage of 20 years of extra technology on my side.