What a long, strange trip it's been! I said to myself, and it was only January 16. This year has had a rather bizarre start. If it's any sign of what's to come in 2020; the only certain thing is to expect the unexpected.
January 2, I went for my annual exam. All was routine until my doctor felt a lump in my right breast. I left with a referral for an ultrasound and mammogram. The next day, I scheduled the tests for Jan 15. I was sure it was nothing, but I'd be lying if I didn't admit I was a tad nervous. Things have been so good.... I know life has an ebb and flow; nothing lasts forever. The good, the bad, it is all temporary. Most days are somewhere in between. I didn't stress, but it was definitely in the back of my mind.
I'm turning 40 this year so I've not had a mammogram previously. I intentionally did zero research, I did not want to be anxious over it. The technician explained that she'd take a few slides, send them to radiology for review, and then, I'd likely be sent on my way; and the ultrasound might not be necessary. The positions are awkward especially since I'm not blessed in the chest, but it wasn't as painful as my mom had made it sound many moons ago. Perhaps technology has improved things?
I was set to the waiting room while radiology got familiar with my girls. I was brought back in for a better look and more detailed shots in specific areas. Then, I was shuffled over to ultrasound.
I'm told to lay on the table; they'll take a few snapshots - easy peasy. She stopped in her tracks and said she'd return; she needed to send slides to radiology for review. Left alone in the room, chilled and exposed it was hard not to think the worst. I mean both scenarios did not go as easy as explained. I'm sure it's nothing... But doesn't everyone have that pep talk in this position? Shit. Plus, there is family history. I decide there and then whatever it is, is beyond my control, and I'll take it as it comes.
The ultrasound technician returns and takes several more photos and dials into a specific area she listens, records and collects more snapshots. Finally, I'm free to go and I'm told to contact my doctor in 48 hours. I left feeling more concerned than when I entered, but at least I knew they were thorough.
My heart sank when the doctor's office called the next day. Why so soon?! "Do you have a moment to discuss your test results?" Uh huh... I take deep breath; and her words came so slowly, it felt like eternity. "Your scans had no change." Wait. Huh? This was my first time! There's nothing to compare it to, no change from what? "Oh, I'm sorry. It was clear." Are you sure? I question. "Yes," I'm told. I confirmed some details to be sure.
I hung up the phone and let out a sigh of relief. It's not lost on me that every day hundreds of people receive the same call, without the all clear. I know how lucky I am.
Thanks to legislation passed by advocacy groups I learned by letter sent to my home that I have heterogeneously dense breast tissue. This means it is more difficult to detect cancer. A mammogram alone is not an effective screening. Those affected by dense tissue have a higher risk of cancer. I am fortunate to live in a state that requires notice be sent. Otherwise, I would never have known. I had never heard of such a thing. Joys of nearing 40, I suppose.
On lighter note, there was the whole firing of Coach Gallant. I am still stunned. I come from Chicago, we lose for years and accept it. This was a four game losing streak!
My initial reaction when Frank shared the news was damn! they mean business! I thought it was shitty to fire them on the road like Gallant experienced before with the Panthers. I did not learn until later that he was being replaced by Boer. I mean... EW! Why our rival?! And the Sharks fired him, why do we want him?! Man, I hope I eat those words. I'm currently processing the stages of grief. The only silver lining I can find is the day we beat the Sharks in the fortress with their former coach or later this season we are lifting the Stanley Cup or at the very least gaining bonus hockey. I don't know the sport without the post season. I like hockey beyond March! Last year was a hard enough pill to swallow.
I have a long way to go before I reach acceptance.
Oh, and there's also the fact that my sister is currently providing foster care for an adorable little girl that is 2.5 years old. That's a story for another day. In the meantime, we are taking it as it comes and expecting the unexpected. I am very thankful for good health and life's blessings. Thanks for the mems, Coach Gallant.
Showing posts with label health. Show all posts
Showing posts with label health. Show all posts
January 31, 2020
December 31, 2018
Last thoughts of 2018
Our travels have taken me to four countries, a dozen states and countless cities: US (AZ, CA, CO, MA, RI, CT, VT, NH, NJ, MS, LA & FL. Mexico (Tijuana, Los Cabos, La Paz, Cabo Plumo, Loreto), Costa Rica (San Jose, La Fortuna, Santa Teresa and Jaco) and England (London).
I have fallen HARD for hockey, but also traveled for my first love of baseball and my second, football. Saw so many great concerts and made wonderful memories with friends and family near and far.
I've watched my family take on new challenges and exceed their goals. I couldn't be more proud!
This year we celebrated 21 years together. It's been an amazing adventure. I'm so lucky to have him by my side.
After a run of some really tough years; this one has been so good, I don't want to let it go. Let's hope it's just beginning.
May 2019 be the year to thrive.
March 8, 2018
Bags are Packed...
Eating is only a problem after my weekly adjustments. Once the discomfort fades I can eat without much trouble. Greens still give me trouble and I haven't had steak or anything tough. I try to keep my carbohydrate intake at a minimum, but rice and potatoes remain a large part of my diet. Despite that, I'm losing weight so I'll take it. More recently I've noticed that as my upper jaw expands I'm having more trouble biting into things since my lower jaw sits so far back and under; it's a struggle to have the teeth meet. My next in office adjustment is next week so I'm anxious to learn how much longer I'll have that obstacle. I fear it will be quite sometime, since I was told I'd wear this appliance for six months. I'm hopeful for less time, however.
After being sick all of January, I felt better for a couple days and then my sickness returned with a vengeance. The flu was going around like something fierce so I wanted to stay out of the quick care clinics, I opted for another virtual visit. This time, I was given antibiotics. I didn't start feeling better until day 7 after starting the Zpack. I was sick for six weeks. I still have post nasal drip and a cough that lingers. I don't know if it's allergies, now, or what. In any case, I am very much looking forward to feeling well again.
January 11, 2018
8 Days In
Last Wednesday evening, I stood in front of my bathroom sink for nearly an hour... Just to practice spitting. Gross, right? Thankfully, I've since gotten my saliva somewhat under control. I'm no longer gagging or insistent that I'll drown in my own spit, but there is still an abundance. I have a sore throat, clogged ears and sinus pressure. Sounds like a cold, right? But I'm not sick. I'm beginning to wonder if some of the achiness I feel is from my salivary glands working overtime? Maybe creating post nasal drip or something. The first couple days I had brutal acid reflux like I used to get before my allergy shots.
I go to the doctor tomorrow with any luck he'll provide me a better understanding of what's going on. I've never been so excited to go, I want my ears examined so badly. There is so much pressure, sensitivity, clicking, crackle and echo - I'm so over it. They haven't felt this bad since I had an ear infection two years ago. I'm actually hoping that there is an infection and all it will take is a round of antibiotics to begin feeling better. It definitely sounds like a better alternative than the source of the discomfort being this appliance or the latest TMD symptom.
Fortunately, my speech improved fairly quickly. I could barely form words without gagging the first day. By the third, I could say most words. It just sounds like I'm chewing gum or sucking on a cough drop. Though, some words do trip me up and a lisp is occasionally clear. I practiced by speaking aloud, reading anything in sight. I have to speak slower and enunciate more, but there is no more gagging - thank goodness. My jaw just grows tired and saliva increases the more I talk. ...The more my throat hurts. I'm sure you can recognize the cycle. Anything with carbonation is somewhat soothing. Needless to say, my diet coke habit has doubled or even tripled.
My teeth brushing, flossing and cleaning of the appliance routine is down to ten minutes from thirty. I've eaten a few things of substance like a burger from Freddy's and a grilled cheese. I tire easily and it takes me a long time and I rarely finish anything, but I can chew... sorta. I can eat soft noodles, I made chili thinking I could manage, but the chunks of tomato were too hard to chew. I pureed it and doing so provided great relief. The meal was no longer a chore. My hands and lips are dry as can be from (toothpaste) brushing 3x/day. I no longer snack and I drink protein for breakfast to save me one brushing. I've developed an ulcer on the right side of my tongue. It doesn't feel like there is enough room for it and this appliance in my mouth. I wanted to wait for the first adjustment to see if it helped the positioning. So far, today, it is better. But it didn't develop until the forth day or so, so I'm not confident that the problem is corrected. I fear once it settles in, it will bother me again.
By settling in, I mean that when I first got the appliance it didn't seem to really fit. Pressure on my teeth was more intense and there was a large gap between the roof of my mouth and the appliance. As the week went on, the gap got smaller. The more snug it got less food was captured, my speech was better and my muscles relaxed a bit. I was feeling pretty confident yesterday. My discomfort was easing up, chewing wasn't quite as hard and my speech felt almost normal. I wasn't popping ibuprofen every four hours. Then, it was time for the first adjustment. One crank of the key and I was back to feeling like I did last week. Everything was harder again. I'm so tired today as a result. I'm afraid this will be the drill over the next 6 months. Which if that's all it would take, I could cope a bit easier. But I have an incredibly long road ahead of me. When I outgrow this appliance then, it's on to the next which is sure to have its own set of aches, pains and learning curves.
Oh my goodness! Sneezing is the worst. I was a violent sneezer as it was, but now it's companied by the worst spray because I cannot close my mouth. It is the most awkward feeling. Let's pray I don't catch a cold.
The tension in my neck is considerably higher than it used to be. At first, I thought it was a good sign maybe I was using muscle that's been ignored for too long. Like the day or two following a good work out. No pain, no gain. But it's so stiff and it won't let up. The tension just builds. I sought out an osteopath hoping they can help. Of course, only one in the valley takes my insurance so my appointment is two months out. I pray I find relief much sooner than that, but at least its on the calendar just in case.
It's not all bad, though, otherwise, I'd probably throw in the towel. The left TMJ joint does feel a bit more relaxed in the morning. Also, I kissed Frank last night and my jaw didn't lock or pop. So, there are a couple victories to counter all my other defeats.
I go to the doctor tomorrow with any luck he'll provide me a better understanding of what's going on. I've never been so excited to go, I want my ears examined so badly. There is so much pressure, sensitivity, clicking, crackle and echo - I'm so over it. They haven't felt this bad since I had an ear infection two years ago. I'm actually hoping that there is an infection and all it will take is a round of antibiotics to begin feeling better. It definitely sounds like a better alternative than the source of the discomfort being this appliance or the latest TMD symptom.
Fortunately, my speech improved fairly quickly. I could barely form words without gagging the first day. By the third, I could say most words. It just sounds like I'm chewing gum or sucking on a cough drop. Though, some words do trip me up and a lisp is occasionally clear. I practiced by speaking aloud, reading anything in sight. I have to speak slower and enunciate more, but there is no more gagging - thank goodness. My jaw just grows tired and saliva increases the more I talk. ...The more my throat hurts. I'm sure you can recognize the cycle. Anything with carbonation is somewhat soothing. Needless to say, my diet coke habit has doubled or even tripled.
My teeth brushing, flossing and cleaning of the appliance routine is down to ten minutes from thirty. I've eaten a few things of substance like a burger from Freddy's and a grilled cheese. I tire easily and it takes me a long time and I rarely finish anything, but I can chew... sorta. I can eat soft noodles, I made chili thinking I could manage, but the chunks of tomato were too hard to chew. I pureed it and doing so provided great relief. The meal was no longer a chore. My hands and lips are dry as can be from (toothpaste) brushing 3x/day. I no longer snack and I drink protein for breakfast to save me one brushing. I've developed an ulcer on the right side of my tongue. It doesn't feel like there is enough room for it and this appliance in my mouth. I wanted to wait for the first adjustment to see if it helped the positioning. So far, today, it is better. But it didn't develop until the forth day or so, so I'm not confident that the problem is corrected. I fear once it settles in, it will bother me again.
By settling in, I mean that when I first got the appliance it didn't seem to really fit. Pressure on my teeth was more intense and there was a large gap between the roof of my mouth and the appliance. As the week went on, the gap got smaller. The more snug it got less food was captured, my speech was better and my muscles relaxed a bit. I was feeling pretty confident yesterday. My discomfort was easing up, chewing wasn't quite as hard and my speech felt almost normal. I wasn't popping ibuprofen every four hours. Then, it was time for the first adjustment. One crank of the key and I was back to feeling like I did last week. Everything was harder again. I'm so tired today as a result. I'm afraid this will be the drill over the next 6 months. Which if that's all it would take, I could cope a bit easier. But I have an incredibly long road ahead of me. When I outgrow this appliance then, it's on to the next which is sure to have its own set of aches, pains and learning curves.
Oh my goodness! Sneezing is the worst. I was a violent sneezer as it was, but now it's companied by the worst spray because I cannot close my mouth. It is the most awkward feeling. Let's pray I don't catch a cold.
The tension in my neck is considerably higher than it used to be. At first, I thought it was a good sign maybe I was using muscle that's been ignored for too long. Like the day or two following a good work out. No pain, no gain. But it's so stiff and it won't let up. The tension just builds. I sought out an osteopath hoping they can help. Of course, only one in the valley takes my insurance so my appointment is two months out. I pray I find relief much sooner than that, but at least its on the calendar just in case.
It's not all bad, though, otherwise, I'd probably throw in the towel. The left TMJ joint does feel a bit more relaxed in the morning. Also, I kissed Frank last night and my jaw didn't lock or pop. So, there are a couple victories to counter all my other defeats.
January 4, 2018
And So it Begins
As I previously mentioned, some big changes are in store this year. The first of which has begun. I'm embarking on what's to be expected as a two year (maybe three) journey to correct my bite and provide relief and (hopefully) repair my temporomandibular joint. About seven years now, I've had TMD symptoms, but the severity has worsened in recent years. It's become a daily burden. Back in August, my symptoms became pretty severe hindering every day activities like chewing, yawning, kissing, etc. No matter what I tried to ease the discomfort, nothing provided relief. I was referred to a TMJ Specialist. I underwent a series of exams, tests and imaging. My issues were clear from the very first panoramic xray and everything else supported the diagnoses. First, I have a Class II Division 2 Malocclusion. My overbite is so bad, my upper teeth completely cover those on the bottom. I've chipped a tooth and the one next to it has become loose. My lower jaw has receded over the years. I also have significant damage to the left TMJ joint and both joints show signs of arthritis. The left disc is displaced and the condyle which is the bone that fits into the joint has been worn flat. Normally, these are rounded. When my jaw opens and closes it shifts to the side sort of like a misaligned jewelry box. This causes pain in the joint, ear, tension in the neck and shoulders and headaches. I have bone deposits on my skull from the tension - the muscle on the right side of neck is tight like a banjo. No amount of manipulation releases it. It is literally a constant pain in the neck.
My treatment plan includes multiple appliances over the course of a year (or two) followed by another year in wire braces. Or in other words, I'm on my way to gilding yet another joint in gold. Yesterday, I received my first expansion appliance. This is a custom fit, with three sets of screws. I will turn only one for now once per week. This will push my two front teeth outward. Down the road, I'll start adjusting the other two which will expand/grow the roof of my mouth. Which is much too narrow. Once the expansion takes place, I'll transition to a twin block which will encourage forward growth of the lower jaw, and finally the braces will align everything as it should be. Correcting the bite will allow the joint to sit in the proper position which should promote healing. I'm told I should feel relief from TMD symptoms shortly because it will be under less stress.
I'm only a day in, but right now, it seems unfathomable that it will feel comfortable to have equipment in my mouth 24/7. The only saving grace is that the appliance is removable. If it were fixed, it'd be a deal breaker. I'd have countless panic attacks if that were the case. I'm only to remove the appliance for cleaning when brushing my teeth. Currently, I have an abundance of saliva. I'm told this will improve. It is difficult to swallow and a challenge to speak. I keep practicing so I'm hopeful for a quick adjustment. Eating is the most difficult task. Only my front teeth feel free so little bites are all I can handle. But, I can't really push food again the roof of my mouth. It just gets stuck around the appliance. It feels awful and it is utterly disgusting how much gets caught up in the crevices and around the screws. There will be a large learning curve.
Fortunately, sleep came easier than I expected. I thought for sure I'd drown from the amount of saliva and inability to fully clear it. But there was no gagging - so some of my troubles are more anxiety driven. Usually, I wake with a sore jaw and teeth. This morning my jaw felt more relaxed which was nice. However, I have a weird sensation in my ears. They were clicking like mad this morning, but it's improved throughout the day. My nose, upper lip have felt tingly and today I feel a lot of pressure behind my front left tooth. The tension in my neck feels higher today than usual and a headache set in last night and hasn't let up. Below you can see how differently my mouth closes in a resting position. I have sensitivity on the left lower molar that's new. Hopefully, it is only temporary.
My treatment plan includes multiple appliances over the course of a year (or two) followed by another year in wire braces. Or in other words, I'm on my way to gilding yet another joint in gold. Yesterday, I received my first expansion appliance. This is a custom fit, with three sets of screws. I will turn only one for now once per week. This will push my two front teeth outward. Down the road, I'll start adjusting the other two which will expand/grow the roof of my mouth. Which is much too narrow. Once the expansion takes place, I'll transition to a twin block which will encourage forward growth of the lower jaw, and finally the braces will align everything as it should be. Correcting the bite will allow the joint to sit in the proper position which should promote healing. I'm told I should feel relief from TMD symptoms shortly because it will be under less stress.
I'm only a day in, but right now, it seems unfathomable that it will feel comfortable to have equipment in my mouth 24/7. The only saving grace is that the appliance is removable. If it were fixed, it'd be a deal breaker. I'd have countless panic attacks if that were the case. I'm only to remove the appliance for cleaning when brushing my teeth. Currently, I have an abundance of saliva. I'm told this will improve. It is difficult to swallow and a challenge to speak. I keep practicing so I'm hopeful for a quick adjustment. Eating is the most difficult task. Only my front teeth feel free so little bites are all I can handle. But, I can't really push food again the roof of my mouth. It just gets stuck around the appliance. It feels awful and it is utterly disgusting how much gets caught up in the crevices and around the screws. There will be a large learning curve.
Fortunately, sleep came easier than I expected. I thought for sure I'd drown from the amount of saliva and inability to fully clear it. But there was no gagging - so some of my troubles are more anxiety driven. Usually, I wake with a sore jaw and teeth. This morning my jaw felt more relaxed which was nice. However, I have a weird sensation in my ears. They were clicking like mad this morning, but it's improved throughout the day. My nose, upper lip have felt tingly and today I feel a lot of pressure behind my front left tooth. The tension in my neck feels higher today than usual and a headache set in last night and hasn't let up. Below you can see how differently my mouth closes in a resting position. I have sensitivity on the left lower molar that's new. Hopefully, it is only temporary.
October 11, 2016
Down with the Sickness
I was sicker than ever once we got back home. My level of exhaustion reached new heights. Coughing fits were endless. I had some of the worst headaches I can recall. My blood pressure was sky high, likely, from all the cough and cold medicine. I never had an ear infection before, funny how it felt like sinus pressure just without all the nasal congestion and/or runny nose.
I finished antibiotics a couple days ago, I'm feeling way better, but not fully 100%. I'm not convinced my ear is back to normal. I still feel like it needs to pop. I'm pretty hoarse, but thankfully, the coughing fits have ended. Sleep comes easy and tiredness seems to have no end in sight. I'd like to think it's all behind us now, but I fear it's only begun. 'Tis the season, I suppose.
June 24, 2016
The Very Worst Part of Living with Kids
No doubt about it. Hands down! Germs are absolutely the very worst part of living with kids!! I've been sick more this past year than in the last five years. It's crazy! I think they are little incubators breeding, fostering and sharing the strongest and most intense germs known to man. They put everything in their mouths, touch every surface and no matter how much you disinfect, wash your hands, etc. there is no escaping it. Colds, the flu and viruses are just part of life with little ones.
Somehow it seems all that's needed to invite those buggers into our home is making plans. Funny how that works, isn't it? I had big plans for Restaurant Week, I had dinners coordinated with friends, reservations were made, and then it struck... Poor Lexi was the first to show signs, followed by Addy, and then, Frank. By the time, Frank was full blown sick, Lex was so dehydrated she had to be hospitalized. That's when we learned it was Rotovirus. Addy also needed fluids, but she was never admitted. It was bad, bad, bad. Frank was miserable, but heavy doses of Pedialyte kept him from needing medical care. Just when we thought we were on the path to wellness, not even I could escape the inevitable. All the hand washing, scrubbing, bleaching and disinfecting wasn't enough. Nick, Amy and Jeff must have immunity of steel because they were unaffected. The rest of us, though... Man, it was the pits.
Without kids of my own, I've never had to care for kids under the weather. With Amy and Jeff both working, I look after the kids 3-4 nights a week. The two weeks while the virus ran through the house was incredibly challenging. Sick kids are just pitiful. It's the saddest thing to see their spirit drained. You want nothing more than to scoop them up and make them well. Hospitalized babies just split your heart in two. I'm thankful that Lex was able to get the help she needed and only needed to stay for two nights. I know many families aren't so lucky and time in the hospital can be more common than time at home. I cannot imagine what they go through, but thank goodness for pediatric doctors and nurses that work so hard to make them well.
Somehow it seems all that's needed to invite those buggers into our home is making plans. Funny how that works, isn't it? I had big plans for Restaurant Week, I had dinners coordinated with friends, reservations were made, and then it struck... Poor Lexi was the first to show signs, followed by Addy, and then, Frank. By the time, Frank was full blown sick, Lex was so dehydrated she had to be hospitalized. That's when we learned it was Rotovirus. Addy also needed fluids, but she was never admitted. It was bad, bad, bad. Frank was miserable, but heavy doses of Pedialyte kept him from needing medical care. Just when we thought we were on the path to wellness, not even I could escape the inevitable. All the hand washing, scrubbing, bleaching and disinfecting wasn't enough. Nick, Amy and Jeff must have immunity of steel because they were unaffected. The rest of us, though... Man, it was the pits.
Without kids of my own, I've never had to care for kids under the weather. With Amy and Jeff both working, I look after the kids 3-4 nights a week. The two weeks while the virus ran through the house was incredibly challenging. Sick kids are just pitiful. It's the saddest thing to see their spirit drained. You want nothing more than to scoop them up and make them well. Hospitalized babies just split your heart in two. I'm thankful that Lex was able to get the help she needed and only needed to stay for two nights. I know many families aren't so lucky and time in the hospital can be more common than time at home. I cannot imagine what they go through, but thank goodness for pediatric doctors and nurses that work so hard to make them well.
December 14, 2015
Day by Day
Can't stop now, it's been too long
Day by Day, I will grow stronger
Strides I take, they will grow longer
Day by Day, step by step,
Live my life, no regrets
Day by day, I will keep movin' on, day by day"
- Day by Day, Dirty Heads
This Friday marks the 12-week mark after surgery. Recovery has been slow and frustrating, but I feel I'm in the home stretch now. I've made great strides the past couple weeks. My walking is improving, I moved back upstairs, I can wear two shoes, and I even started driving with only the right foot. I was released from the boot at 10 weeks. An ankle brace was the next step; however, if I wear it all the time, it will restrict my range of motion. Which seems counter-intuitive, the doctor was in agreement that it is best to improve range and gain strength. If I walk on uneven surfaces, in crowds or long distances I'll lace up. The rest of the time I want to put my foot and ankle to work to get all those parts moving in unison as they should. I still have a lot of work to do, but I've definitely turned a corner. I'm feeling more like myself everyday. I've not been able to walk four of the past seven months, the remaining three have been a struggle. It has really taken a toll on me, but I feel like a return to normalcy is near.
Getting out and about is great for lifting my spirits. We've had a couple meals out (Joe's and Sage - Yum!), enjoyed time with friends... even solo trips to Sam's Club feel liberating. Our Thanksgiving was quiet, but nice. We we were only a small group this year so we simplified the menu for ease. Frank went to Chicago. So, it was just Mike, Amy & Jeff, the kids and me. My double oven has been wonky since we moved in, but with the help of a infared thermometer gun - dinner was a success. I never would've thought Frank's impulse buy would be so useful, but I rely on it often. I roasted the turkey, and made sausage stuffing and cornbread casserole. Amy whipped up mashed potatoes, gravy and green bean casserole. We had pumpkin and apple pie for dessert.
When Frank returned home, we celebrated his birthday at Sage. Then, a few days later, Bob and Hugh came for a quick visit. We took them to Mariscos Playa Escondido for dinner. It remains my favorite restaurant and it never disappoints. We also spent sometime downtown bar hopping on East Fremont and we did a little gambling at El Cortez. We found two gems at the Container Park. First, Oak & Ivy has fantastic craft cocktails. I was a big fan of the Whiskey Smash... typically, I don't like whiskey so this was a feat. Second, we stumbled on Jinju Chocolates. This petite chocolate shop is hand crafting the most delectable treats. And they have free samples!
We spent an evening at Gameworks, and then went to see Absinthe at Caesars Palace. Frank and I saw the show about a year ago, but I was still excited to see it again. I love that it is a variety show offering the best of everything. A couple acts have changed, but overall it is still highly entertaining and full of non-stop laughs. They do offer a local's discount too.
I cannot believe Christmas eve is 10 days away. The holiday will be bittersweet. Christmas was my mom's favorite by far, so it stings a bit that she will not be with us this year. Especially since Amy, Mike and I will be together; A first since 2002. It's been fun to see the joy of Christmas through Addy and Nick's eyes. Addison redecorates my tree daily and 'ooohs and ahhhs' every time I light it. Nick tracks Magico's (Elf on the Shelf) every move and anticipates his chocolate treat from his advent calendar. Even I'm excited for Christmas morning. My dad will be visiting for the holidays. He arrives tomorrow and he'll stay through the new year. We're all excited to visit with him.
The days of 2015 are winding down. I'm very much looking forward to the new year. The last two have been my most difficult. I'm ready to put them behind me, and hope the best is yet to be.
November 20, 2015
The Road to Recovery
After two weeks in the splint it was time to upgrade to a cast and have the stitches removed. I didn't know what to expect, but the incisions were cleaner than I imagined. I had two small ones along the top of my ankle from the arthroscopy, and of course the large one pictured below from the Brostrom-Gould procedure and peroneal tendon repair. It sort of looked like a freaky smiley face. It probably would have been better had I not stopped pain medication days prior. I had healed so nicely, the stitches were a bit stubborn to remove. The burning and stinging was tolerable, but definitely uncomfortable. I was relieved when it was done.
Then, my frankenfoot was prepped for a hard cast. I was given my choice of colors, but I let Nick make the selection. He chose blue. And so, the next two weeks went by at a snails pace. I much preferred the splint. It wasn't as heavy and it allowed for swelling. It also didn't snag my bedding. I fought claustrophobia a few times, I know how silly it seems, since the cast only covers the foot and all, but when my foot would swell, it would really freak me out. It was difficult to find comfortable positions, my heel would routinely go numb. My toes remained numb since the surgery too, so overall it was really uncomfortable. I was relieved when I found a pocket in pillows that allowed me to rest - at least for a bit. I lusted over sleep, but it so rarely came.
Finally, on the 22nd of October it was time to remove the cast. Showering without a garbage bag taped to my leg seemed like such a luxury. I was so hopeful that sleep would come easier, it took time, but it eventually did. My incision was healing nicely. I transitioned into the boot, though, I was still unable to bear weight it came as great relief. I no longer fought the claustrophobic episodes. It's amazing how being in control can reduce anxiety.
I anxiously awaited the next two weeks to fly by. My next appointment was at 6 weeks post-op, I was eager to get cleared to walk. I was also excited to be able to use the hot tub again. I did receive the doctor's blessing to begin walking, but when I tried I realized I didn't know how. I was crushed. It might have been foolish of me, but I really thought I'd just be able to walk. I thought it would be like all the times I sprained it before - it would hurt, but I could muster steps, and they'd gradually improve. No such luck, my foot was lame. So much so, I'd swear my foot didn't exist; it felt like I was standing on a stick. The numbness and pain was too much to bear. It was simply too weak and stiff. My range of motion was so little I couldn't walk, no matter how badly I wanted to. I wanted to start physical therapy immediately and be aggressive with the schedule. I thought since my deductible was met, I'd only be responsible for co-insurance. However, I was mistaken. Visits would run $75 each visit. Paying $900/mo was out of the question. Who could afford that?
It took an hour and more than a dozen phone calls, but I found a facility that was covered and could see me a few days later rather than weeks. I'm opting to go only once a week, for now, my therapist gives me lots of homework in between sessions. I've only gone twice, but after the first week I was able to take my first steps since having the surgery. I can only do so in the boot, but I'll take it. He pointed out that my heel was not touching the ground & you must if you'd like to walk. It seems like the simplest task to sit flat footed with your heel to the ground, but let me tell you, I had to work at it for five days before it began to feel somewhat normal. The pins and needles sensation remains, unfortunately. It may be a long time before it improves. It's possible, I'll never regain full feeling. I certainly hope it's not the case, but at least I can prepare for it, if it happens to be.
At seven weeks, I started walking extremely short distances in the boot. By the eight week mark, I'm weening from the knee scooter and building my endurance walking. I cannot wait to take a step without the aid of the boot. I keep trying with the help of the walker at home, but I tire easily. In the meantime, I'll keep at my exercises, building strength and improving range of motion.
Then, my frankenfoot was prepped for a hard cast. I was given my choice of colors, but I let Nick make the selection. He chose blue. And so, the next two weeks went by at a snails pace. I much preferred the splint. It wasn't as heavy and it allowed for swelling. It also didn't snag my bedding. I fought claustrophobia a few times, I know how silly it seems, since the cast only covers the foot and all, but when my foot would swell, it would really freak me out. It was difficult to find comfortable positions, my heel would routinely go numb. My toes remained numb since the surgery too, so overall it was really uncomfortable. I was relieved when I found a pocket in pillows that allowed me to rest - at least for a bit. I lusted over sleep, but it so rarely came.
Finally, on the 22nd of October it was time to remove the cast. Showering without a garbage bag taped to my leg seemed like such a luxury. I was so hopeful that sleep would come easier, it took time, but it eventually did. My incision was healing nicely. I transitioned into the boot, though, I was still unable to bear weight it came as great relief. I no longer fought the claustrophobic episodes. It's amazing how being in control can reduce anxiety.
I anxiously awaited the next two weeks to fly by. My next appointment was at 6 weeks post-op, I was eager to get cleared to walk. I was also excited to be able to use the hot tub again. I did receive the doctor's blessing to begin walking, but when I tried I realized I didn't know how. I was crushed. It might have been foolish of me, but I really thought I'd just be able to walk. I thought it would be like all the times I sprained it before - it would hurt, but I could muster steps, and they'd gradually improve. No such luck, my foot was lame. So much so, I'd swear my foot didn't exist; it felt like I was standing on a stick. The numbness and pain was too much to bear. It was simply too weak and stiff. My range of motion was so little I couldn't walk, no matter how badly I wanted to. I wanted to start physical therapy immediately and be aggressive with the schedule. I thought since my deductible was met, I'd only be responsible for co-insurance. However, I was mistaken. Visits would run $75 each visit. Paying $900/mo was out of the question. Who could afford that?
It took an hour and more than a dozen phone calls, but I found a facility that was covered and could see me a few days later rather than weeks. I'm opting to go only once a week, for now, my therapist gives me lots of homework in between sessions. I've only gone twice, but after the first week I was able to take my first steps since having the surgery. I can only do so in the boot, but I'll take it. He pointed out that my heel was not touching the ground & you must if you'd like to walk. It seems like the simplest task to sit flat footed with your heel to the ground, but let me tell you, I had to work at it for five days before it began to feel somewhat normal. The pins and needles sensation remains, unfortunately. It may be a long time before it improves. It's possible, I'll never regain full feeling. I certainly hope it's not the case, but at least I can prepare for it, if it happens to be.
At seven weeks, I started walking extremely short distances in the boot. By the eight week mark, I'm weening from the knee scooter and building my endurance walking. I cannot wait to take a step without the aid of the boot. I keep trying with the help of the walker at home, but I tire easily. In the meantime, I'll keep at my exercises, building strength and improving range of motion.
October 30, 2015
Recovery - The First Two Weeks
My ankle surgery was scheduled on September 25, and as it turned out it was only one week after my mom died. I debated putting it off, but the choice was clear when I found myself furious at the thought it could be postponed; after having received a letter from my insurance questioning whether it was an in-network procedure. After confirming with my insurance that the doctor, facility and procedure were covered there was no turning back. I didn't waiver despite the nurse doing my pre-op registration encouraging me otherwise. I was reluctant, but I knew it had to be done.
The morning of my procedure, Frank flew to Portland. The trip was booked long before I knew about surgery. Scheduling with the hospital is tough, and I didn't want to wait even longer for the next availability so I took the first available date. I figured I could have Mike or Amy, or a combination of the two get me there and back home. I planned ahead, and set up the spare bedroom & bath downstairs with everything I thought I would need. What I selfishly didn't consider was how much help I was going to need in those first few days. Amy was stuck with the brunt of it. She took me to the hospital, and stayed with me until they whisked me away to prep for surgery. She felt the anxiety of waiting to hear all went well, which came a little slow. She took me home, but first stopped for In-N-Out because we were both starved and at the pharmacy to get my prescription. Because my attempts at filling it beforehand failed; apparently, Las Vegas is suffering from a shortage of pain pills. She waited on me, made my meals and dealt with my range of emotions and did what she could to keep me comfortable. All while growing a human and caring for her two kiddos. I don't know what I would've done without her. I felt terrible for being such a burden.
Surgery a week after a major loss is not recommended.
While grieving it's fairly common to question your own mortality, and it's also amplified when facing surgery and/or the need for general anesthesia. I don't think it's uncommon to feel on edge when you're in a position that asks you about advanced directives. The night before my surgery I was wrecked with worry. I had barely slept all week, the pure exhaustion only fed my fear. Thankfully, the morning of I was holding it together, but I knew I wouldn't feel relief until it was over. I appreciated that the staff was kind and patient. I confirmed with every new face, and those that were familiar, that it was my right ankle that was being operated on. I was incredibly paranoid that the wrong foot would be done. The doctor signed the proper foot to confirm that no mistakes would be made in the OR.
My skin was dry and itchy from the body wash they gave me to shower with the night before and that morning. Plus, they had me wipe down with antimicrobial wipes before putting on the hospital gown. The gown was one of those new contraptions that blow warm or cool air for comfort. When it wasn't running, I found it incredibly sweaty. My skin couldn't breath due to the fabric. I'm sure my nerves encouraged me to perspire too. I was moist, yet still my skin felt too tight and itchy. To make things even less comfortable, I started my period that morning, so I was given a hospital pad and net panties to wear. If you're lucky, you've never had the pleasure... Needless to say, I was eager to get the show on the road. After meeting with the anesthesiologist, they wheeled me back for a nerve block which would help with pain. Somehow, I missed this little detail when discussing the surgery with my doctor. It was for the best, otherwise I would have stressed over the injection to the back of my leg. When it came time for it, though, I remembered I took a giant needle to the neck in March - I could do this, piece of cake. It wasn't too bad. I was most worried it didn't take, because it wasn't numb. It didn't become obviously numb until they asked me to move from the gurney to the operating table. They secured me in place, the last thing I recall is checking the dry erase board to be sure it was my information on it and I breathed a little easier when I saw that the right ankle was notated.
When I woke in recovery, I sort of recalled that the surgery went well and there was need to repair the peroneal tendon, in addition to the arthoscopy to remove scar tissue and the Brostrum Repair. I asked again just to confirm. Yes, I made it! It was over, and I felt pretty great. No nausea, pain wasn't an issue and I felt rested. I had begun to forget what that felt like, since sleep had become so rare.
I was discharged, we scarfed down burgers and fries, everything was great until I had to pee. It came on strong and quick, Amy was in the pharmacy. She left her phone in the car. When I couldn't wait no more, I called the store and asked her to come outside. I knew I needed to hurry things along. It's probably less than two miles to home, but my goodness it felt like eternity and wouldn't you know it we were stopped by every stop light. We got to the house and I took off on crutches, I felt like a horse being released from the gate at the Kentucky Derby. I made it just in time. I really don't think I had a minute to spare. That's when I learned the first rule of not being able to walk. Do not wait to use the bathroom.
That first night went way better than expected. I was in a splint for the first two weeks to allow for swelling, I kept my leg propped up on four pillows to keep it properly elevated. I took the pain meds to stay ahead of the pain and two per dose were suggested, but I opted for one. I really didn't think I needed them, and I certainly didn't want them, but I followed doctor's orders. I figured they knew better than me. I was confused by how long the nerve block would last, I heard different answers - as little as a few hours and as long as 18-20. I was good until sometime the next day. Then, it was clear why they suggest two pills for each dose for the first 72 hours. I took two every four hours. There was no losing track of time. My body was very alert, it knew when the meds were due.
The next few days were a blur. It was an extremely uncomfortable time. My skin remained dry and itchy. I developed a rash, anti-biotics or pain meds? I'm not sure, but it did clear up when I weened myself of the Percocet. That's likely to blame. They say general anesthesia makes you hyper-emotional, maybe it does, but I also was grieving and overwhelmed with the duties that come with the death of a parent. I was a mess. The pain was strong. I depended on the pain meds more than I would've liked. They caused constipation. Anytime my foot wasn't elevated was extremely uncomfortable because the throbbing would increase in intensity. All I could do was lay in bed, I'd take deep breaths and repeat "This is only temporary" it's been my mantra for weeks now.
I had great expectations of watching Netflix, reading, and writing. But I couldn't focus, my days and nights were spent trying to find a comfortable position, fighting for sleep, and re-watching all the episodes of Sex & The City. The highlight of my days were visits from Nick and Addison. Frank returned from his trip. I couldn't help but feel envious of his adventure. I'd give anything to escape my thoughts or the four walls that surrounded my bed. I was so stir crazy and anxious the first few days, I had no idea how I would survive two weeks off work, and stuck in bed. My outings were limited to errands dealing with my mom's death. I enjoyed the warmth of sunshine (even if the sun felt too bright) and the fresh air the outings provided. Even if it was a struggle & painful to leave the confines of my bed.
I couldn't help but reflect on the last year, and my heart broke for my mom. I was only recovering from ankle surgery and on pain pills for 10 days. She was battling cancer, while fighting to breathe... she had no choice but to depend on stronger and stronger medicines for pain. And all the awful side effects that come as a result. I suffered only a month of the insomnia she complained of for year, and I was going mad. I did all I could for her, I did my best, but now that I found myself in a similar hell. I wished I had been more patient, more compassionate. That's all I could think at all hours while I laid awake, praying for sleep, in the very bed she'd lay during her stays at my house.
Coming off the pain meds seemed to improve my mood, and by then the routine became familiar. I still felt isolated and depressed, but my spirits were lifting. I was eager for the next step in my recovery.
The morning of my procedure, Frank flew to Portland. The trip was booked long before I knew about surgery. Scheduling with the hospital is tough, and I didn't want to wait even longer for the next availability so I took the first available date. I figured I could have Mike or Amy, or a combination of the two get me there and back home. I planned ahead, and set up the spare bedroom & bath downstairs with everything I thought I would need. What I selfishly didn't consider was how much help I was going to need in those first few days. Amy was stuck with the brunt of it. She took me to the hospital, and stayed with me until they whisked me away to prep for surgery. She felt the anxiety of waiting to hear all went well, which came a little slow. She took me home, but first stopped for In-N-Out because we were both starved and at the pharmacy to get my prescription. Because my attempts at filling it beforehand failed; apparently, Las Vegas is suffering from a shortage of pain pills. She waited on me, made my meals and dealt with my range of emotions and did what she could to keep me comfortable. All while growing a human and caring for her two kiddos. I don't know what I would've done without her. I felt terrible for being such a burden.
Surgery a week after a major loss is not recommended.
While grieving it's fairly common to question your own mortality, and it's also amplified when facing surgery and/or the need for general anesthesia. I don't think it's uncommon to feel on edge when you're in a position that asks you about advanced directives. The night before my surgery I was wrecked with worry. I had barely slept all week, the pure exhaustion only fed my fear. Thankfully, the morning of I was holding it together, but I knew I wouldn't feel relief until it was over. I appreciated that the staff was kind and patient. I confirmed with every new face, and those that were familiar, that it was my right ankle that was being operated on. I was incredibly paranoid that the wrong foot would be done. The doctor signed the proper foot to confirm that no mistakes would be made in the OR.
My skin was dry and itchy from the body wash they gave me to shower with the night before and that morning. Plus, they had me wipe down with antimicrobial wipes before putting on the hospital gown. The gown was one of those new contraptions that blow warm or cool air for comfort. When it wasn't running, I found it incredibly sweaty. My skin couldn't breath due to the fabric. I'm sure my nerves encouraged me to perspire too. I was moist, yet still my skin felt too tight and itchy. To make things even less comfortable, I started my period that morning, so I was given a hospital pad and net panties to wear. If you're lucky, you've never had the pleasure... Needless to say, I was eager to get the show on the road. After meeting with the anesthesiologist, they wheeled me back for a nerve block which would help with pain. Somehow, I missed this little detail when discussing the surgery with my doctor. It was for the best, otherwise I would have stressed over the injection to the back of my leg. When it came time for it, though, I remembered I took a giant needle to the neck in March - I could do this, piece of cake. It wasn't too bad. I was most worried it didn't take, because it wasn't numb. It didn't become obviously numb until they asked me to move from the gurney to the operating table. They secured me in place, the last thing I recall is checking the dry erase board to be sure it was my information on it and I breathed a little easier when I saw that the right ankle was notated.
When I woke in recovery, I sort of recalled that the surgery went well and there was need to repair the peroneal tendon, in addition to the arthoscopy to remove scar tissue and the Brostrum Repair. I asked again just to confirm. Yes, I made it! It was over, and I felt pretty great. No nausea, pain wasn't an issue and I felt rested. I had begun to forget what that felt like, since sleep had become so rare.
I was discharged, we scarfed down burgers and fries, everything was great until I had to pee. It came on strong and quick, Amy was in the pharmacy. She left her phone in the car. When I couldn't wait no more, I called the store and asked her to come outside. I knew I needed to hurry things along. It's probably less than two miles to home, but my goodness it felt like eternity and wouldn't you know it we were stopped by every stop light. We got to the house and I took off on crutches, I felt like a horse being released from the gate at the Kentucky Derby. I made it just in time. I really don't think I had a minute to spare. That's when I learned the first rule of not being able to walk. Do not wait to use the bathroom.
That first night went way better than expected. I was in a splint for the first two weeks to allow for swelling, I kept my leg propped up on four pillows to keep it properly elevated. I took the pain meds to stay ahead of the pain and two per dose were suggested, but I opted for one. I really didn't think I needed them, and I certainly didn't want them, but I followed doctor's orders. I figured they knew better than me. I was confused by how long the nerve block would last, I heard different answers - as little as a few hours and as long as 18-20. I was good until sometime the next day. Then, it was clear why they suggest two pills for each dose for the first 72 hours. I took two every four hours. There was no losing track of time. My body was very alert, it knew when the meds were due.
The next few days were a blur. It was an extremely uncomfortable time. My skin remained dry and itchy. I developed a rash, anti-biotics or pain meds? I'm not sure, but it did clear up when I weened myself of the Percocet. That's likely to blame. They say general anesthesia makes you hyper-emotional, maybe it does, but I also was grieving and overwhelmed with the duties that come with the death of a parent. I was a mess. The pain was strong. I depended on the pain meds more than I would've liked. They caused constipation. Anytime my foot wasn't elevated was extremely uncomfortable because the throbbing would increase in intensity. All I could do was lay in bed, I'd take deep breaths and repeat "This is only temporary" it's been my mantra for weeks now.
I had great expectations of watching Netflix, reading, and writing. But I couldn't focus, my days and nights were spent trying to find a comfortable position, fighting for sleep, and re-watching all the episodes of Sex & The City. The highlight of my days were visits from Nick and Addison. Frank returned from his trip. I couldn't help but feel envious of his adventure. I'd give anything to escape my thoughts or the four walls that surrounded my bed. I was so stir crazy and anxious the first few days, I had no idea how I would survive two weeks off work, and stuck in bed. My outings were limited to errands dealing with my mom's death. I enjoyed the warmth of sunshine (even if the sun felt too bright) and the fresh air the outings provided. Even if it was a struggle & painful to leave the confines of my bed.
I couldn't help but reflect on the last year, and my heart broke for my mom. I was only recovering from ankle surgery and on pain pills for 10 days. She was battling cancer, while fighting to breathe... she had no choice but to depend on stronger and stronger medicines for pain. And all the awful side effects that come as a result. I suffered only a month of the insomnia she complained of for year, and I was going mad. I did all I could for her, I did my best, but now that I found myself in a similar hell. I wished I had been more patient, more compassionate. That's all I could think at all hours while I laid awake, praying for sleep, in the very bed she'd lay during her stays at my house.
Coming off the pain meds seemed to improve my mood, and by then the routine became familiar. I still felt isolated and depressed, but my spirits were lifting. I was eager for the next step in my recovery.
December 13, 2011
Hey, Stranger!
So, I suck. I thought I'd figure out how to better juggle my time by now, but work is just crazy. I am enjoying the challenge, though. Once I adjust to the learning curve and adapt to a new schedule I'll find my ebb and flow. After, the holidays are behind us, it'll be less chaotic, too.
I'm happy that I've managed to get my decorations up, Christmas cards sent, shopping done and presents wrapped. I'd like to get some holiday baking done, maybe I'll squeeze it in this weekend?
This past weekend we ran off to Laughlin, my mom and Mike joined us. It was nice to getaway, even if it was for a few hours. We had fun showing them around.
The best news of late is I'm finally out of the boot. It's been four months since I injured my ankle, it's about time it's feeling better. I still have some achiness, but the pain is minimal. Swelling hasn't been much of an issue. I do worry it may swell now that it's not immobilized but I'm hopeful I'm past that hurdle. I need to work to build strength. That's my focus now. My goal is to be back to normal by our trip to San Francisco next month.
I recently had blood work done, and it shows I'm low on Vitamin D. I'm going to start a daily vitamin and calcium citrate, with any luck that'll help speed up the healing process. If not, it should at least mean stronger bones. I've also been told to keep hydrated because I'm prone to gout or kidney stones. Otherwise, I was pleased to hear I'm very healthy. I have no signs of diabetes and my cholesterol is low and my HDL is high. Once I shed the pounds I've gained over the last four months. I should be in tip top shape. The past week I've loosely followed the 17 Day Diet for new ideas to jump start my metabolism, I've lost three pounds. Considering, I can't exercise I was thrilled with the results. I'll continue to use it as a guideline as I continue my weightloss journey. At least until I can get back to my tried and true method of eating less and moving more.
That's the gist of happenings of late. I hope to be back with more tales from the last month sooner, than later.
I'm happy that I've managed to get my decorations up, Christmas cards sent, shopping done and presents wrapped. I'd like to get some holiday baking done, maybe I'll squeeze it in this weekend?
This past weekend we ran off to Laughlin, my mom and Mike joined us. It was nice to getaway, even if it was for a few hours. We had fun showing them around.
The best news of late is I'm finally out of the boot. It's been four months since I injured my ankle, it's about time it's feeling better. I still have some achiness, but the pain is minimal. Swelling hasn't been much of an issue. I do worry it may swell now that it's not immobilized but I'm hopeful I'm past that hurdle. I need to work to build strength. That's my focus now. My goal is to be back to normal by our trip to San Francisco next month.
I recently had blood work done, and it shows I'm low on Vitamin D. I'm going to start a daily vitamin and calcium citrate, with any luck that'll help speed up the healing process. If not, it should at least mean stronger bones. I've also been told to keep hydrated because I'm prone to gout or kidney stones. Otherwise, I was pleased to hear I'm very healthy. I have no signs of diabetes and my cholesterol is low and my HDL is high. Once I shed the pounds I've gained over the last four months. I should be in tip top shape. The past week I've loosely followed the 17 Day Diet for new ideas to jump start my metabolism, I've lost three pounds. Considering, I can't exercise I was thrilled with the results. I'll continue to use it as a guideline as I continue my weightloss journey. At least until I can get back to my tried and true method of eating less and moving more.
That's the gist of happenings of late. I hope to be back with more tales from the last month sooner, than later.
October 26, 2011
Are you ready boot? Start walkin'
Tired of this ankle saga yet? Yeah, me too.
In short, I met with the Ortho yesterday. I like that he sat with me and looked at the MRI images. Each one, he pointed to show what was normal and what was not. Based on my symptoms, he was quite pleased with the MRI results. With time and proper treatment, a complete recovery is expected. I have thickening of the achilles tendon, thinning of the ATF ligament and swelling & fluid around the peroneal tendon.
I believed it was my peroneal tendon that was giving me grief. That's where the majority of the pain is. It's where I swell most. It's where it's tender to the touch. The podiatrist completely dismissed it since it was not on the MRI report. I do not believe he ever reviewed the actual images.
After reviewing the images, and an exam, the ortho reccommended 3 weeks in the boot, to start - more depending, to immobolize the tendon. No PT or daily stretches, at most I can cycle with minimal impact. He believes the sprain was traumatic given my lengthy healing process and current symptoms. Also, he thinks PT started too early. He says that's often the case. Tendon issues like mine can swell for 3-4 months on average. They take time, even when treated spot on.
I made mention of the cortisone shot and he said they should be performed in a radiologists office with ultrasound so be certain that the proper injection point is located. If injected into the tendon it can cause tendon weakness. I wish I was informed before having my cortisone injection in the podiatrist's office. Lessoned learned, research before agreeing to most anything.
My boot had enough miles to get around San Diego, let's hope there's more left for San Francisco.
In short, I met with the Ortho yesterday. I like that he sat with me and looked at the MRI images. Each one, he pointed to show what was normal and what was not. Based on my symptoms, he was quite pleased with the MRI results. With time and proper treatment, a complete recovery is expected. I have thickening of the achilles tendon, thinning of the ATF ligament and swelling & fluid around the peroneal tendon.
I believed it was my peroneal tendon that was giving me grief. That's where the majority of the pain is. It's where I swell most. It's where it's tender to the touch. The podiatrist completely dismissed it since it was not on the MRI report. I do not believe he ever reviewed the actual images.
After reviewing the images, and an exam, the ortho reccommended 3 weeks in the boot, to start - more depending, to immobolize the tendon. No PT or daily stretches, at most I can cycle with minimal impact. He believes the sprain was traumatic given my lengthy healing process and current symptoms. Also, he thinks PT started too early. He says that's often the case. Tendon issues like mine can swell for 3-4 months on average. They take time, even when treated spot on.
I made mention of the cortisone shot and he said they should be performed in a radiologists office with ultrasound so be certain that the proper injection point is located. If injected into the tendon it can cause tendon weakness. I wish I was informed before having my cortisone injection in the podiatrist's office. Lessoned learned, research before agreeing to most anything.
My boot had enough miles to get around San Diego, let's hope there's more left for San Francisco.
October 20, 2011
The saga continues
Yesterday's appointment with the podiatrist provided me with good news and bad news. The good? He believes there is nothing keeping me from recovering. The bad? He can't "fix" it. It will take time. The MRI showed I have a chronic ankle sprain with thinning of the anterior talofibular ligament (apparently, the tendon is ok. That was thought to be the issue before). He suggests physical therapy. This is after 6 weeks of therapy and being told at the last appointment that he thought I wasn't responding to treatment.
I asked about future sprains. He says they are likely and a rupture is possible. He recommended I wear an ankle brace.
That's that, then? What about the swelling and bruising? "Not sure," he says, then adds "Keep it elevated, iced and continue to take ibruprofen."
Nothing else can be done? "I can give you a cortisone injection." HELL NO!
It is what is. I leave. Today, I scheduled an appointment with an orthopedic surgeon specializing in foot and ankles. Tomorrow, I pick up Xrays and MRI films. Tuesday, I learn more.
I asked about future sprains. He says they are likely and a rupture is possible. He recommended I wear an ankle brace.
That's that, then? What about the swelling and bruising? "Not sure," he says, then adds "Keep it elevated, iced and continue to take ibruprofen."
Nothing else can be done? "I can give you a cortisone injection." HELL NO!
It is what is. I leave. Today, I scheduled an appointment with an orthopedic surgeon specializing in foot and ankles. Tomorrow, I pick up Xrays and MRI films. Tuesday, I learn more.
October 19, 2011
Stubborn!
So, this lovely ankle of mine is one stubborn pain in my... foot. After New Orleans, I did three more sessions of physical therapy. Swelling and bruising continued. I even started popping more blood vessels, my physical therapist thought it was due to the swelling. I kept up my dose of Ibuprofen 3x/day and I was seeing no improvement.
I had my follow up appointment with my doctor, last I was there was when I got the cortisone injection. I went in knowing something wasn't right. It had been over 8 weeks since my sprain and improvement was minimal. Most sprains heal in 6 weeks. I supposedly had a minor sprain. Yet, here I was, a mess: swollen, bruised and tender to the touch. I haven't made strides in PT, the cortisone shot was no help AT ALL. I wanted a MRI. Before I could even ask for one, my doctor suggested that was the next step. I was relieved. I was concerned I'd have to seek out another doctor at start at square one. He said the MRI will catch whatever he's missing, and we'll go from there. If the MRI comes back normal, all he can do is cast me to give the tendon time to heal. He's avoided doing it so far for obvious reasons, but since I haven't responded to other treatments that would be the next step. He also suggested I go to PT therapy twice a week, because I wasn't benefiting from the 3x/wk routine. I chose to cancel all my appts until I got results back from my MRI.
Swelling has reduced greatly since I stopped Physical Therapy. In turn, the discomfort has been far less. Achiness remains, as does the tenderness, and I still can't walk down stairs normally, but the reduced swelling is welcomed.
I had the MRI done last week. I see my doctor today for the results. I'm nervous, but anxious to find out what's up so I can get back to normal. I'm coming up on 10 weeks of gimpiness and to say I'm over it is an understatement.
I am fearful of what's next. November has shaped up to be extremely busy - San Francisco, Amy and Nicky's visit, Dirty Heads concert, my dad's visit, Thanksgiving, Black Friday shopping, and the weekend in Oakland/San Francisco. I need to be mobile.
I had my follow up appointment with my doctor, last I was there was when I got the cortisone injection. I went in knowing something wasn't right. It had been over 8 weeks since my sprain and improvement was minimal. Most sprains heal in 6 weeks. I supposedly had a minor sprain. Yet, here I was, a mess: swollen, bruised and tender to the touch. I haven't made strides in PT, the cortisone shot was no help AT ALL. I wanted a MRI. Before I could even ask for one, my doctor suggested that was the next step. I was relieved. I was concerned I'd have to seek out another doctor at start at square one. He said the MRI will catch whatever he's missing, and we'll go from there. If the MRI comes back normal, all he can do is cast me to give the tendon time to heal. He's avoided doing it so far for obvious reasons, but since I haven't responded to other treatments that would be the next step. He also suggested I go to PT therapy twice a week, because I wasn't benefiting from the 3x/wk routine. I chose to cancel all my appts until I got results back from my MRI.
Swelling has reduced greatly since I stopped Physical Therapy. In turn, the discomfort has been far less. Achiness remains, as does the tenderness, and I still can't walk down stairs normally, but the reduced swelling is welcomed.
I had the MRI done last week. I see my doctor today for the results. I'm nervous, but anxious to find out what's up so I can get back to normal. I'm coming up on 10 weeks of gimpiness and to say I'm over it is an understatement.
I am fearful of what's next. November has shaped up to be extremely busy - San Francisco, Amy and Nicky's visit, Dirty Heads concert, my dad's visit, Thanksgiving, Black Friday shopping, and the weekend in Oakland/San Francisco. I need to be mobile.
September 21, 2011
Discouraged
With vacation looming, I'm more anxious than ever to get my ankle back to normal. Well, what I know to be normal. I know it'll never be as good as new. I'd like to pick up pace, walk down stairs and get around without pain or swelling.
I saw my doctor on Monday. He ordered three more weeks of physical therapy, prescribed ibuprofen and determined my tendons are extremely inflammed. I asked if I could resume exercise, I was shot down. "Absolutely no treadmill," I was told. The elliptical is a possibility, if there is no pain and I use no incline or resistance. He injected me with cortisone to reduce the inflammation. I was told I should feel improvement in 48-72 hours and I was told return in three weeks.
The injection was very uncomfortable, but over quickly so I didn't squirm for long. I went home and made dinner as usual. As the night wore on, my foot swelled and felt very heavy. It became painful and extremely difficult to walk. About 9 o'clock, I took a strong dose of ibruprofen, went to bed and iced the injection site to bring down the swelling. I prayed for sleep, but it was after midnight before I was able to drift off.
Waking up yesterday morning, I felt a bit better. My foot no longer felt like there was a 55-lb weight attached to it. It was about 20 pounds lighter, but still very tender, and walking was a difficult task. Walking is an overstatement, all I could do was hobble. I elevated and iced it all morning, by afternoon I was able to get some swelling down. I went to my PT appt as scheduled. What a waste! They added new exercises, but I couldn't even do majority of the old ones. All I did was 10 minutes on the bike, heel raises, ABC's and stood on my right foot for 30 second invervals, 4x. That last one was new, I was shaky and had to grab on for balance. No ultrasound was done and they could hardly work on me for massage. They did suggest I try the treadmill. I told them no per doctors orders. Also, talking with my physical therapist he sees one success for every failed cortisone shot. I feel so discouraged. I feel like a guinea pig with no end in sight. I'm hopeful the cortisone works as it should, I hate to see it cause regression. Either way, I'm not doing another one, so I certainly hope it allows me to move on. Techinically, I should notice a difference as early as tonight, if not tomorrow. I'm skeptical. Today's only improvement is less swelling and tenderness at the injection site. The tendons themselves feel no different. Phooey.
I saw my doctor on Monday. He ordered three more weeks of physical therapy, prescribed ibuprofen and determined my tendons are extremely inflammed. I asked if I could resume exercise, I was shot down. "Absolutely no treadmill," I was told. The elliptical is a possibility, if there is no pain and I use no incline or resistance. He injected me with cortisone to reduce the inflammation. I was told I should feel improvement in 48-72 hours and I was told return in three weeks.
The injection was very uncomfortable, but over quickly so I didn't squirm for long. I went home and made dinner as usual. As the night wore on, my foot swelled and felt very heavy. It became painful and extremely difficult to walk. About 9 o'clock, I took a strong dose of ibruprofen, went to bed and iced the injection site to bring down the swelling. I prayed for sleep, but it was after midnight before I was able to drift off.
Waking up yesterday morning, I felt a bit better. My foot no longer felt like there was a 55-lb weight attached to it. It was about 20 pounds lighter, but still very tender, and walking was a difficult task. Walking is an overstatement, all I could do was hobble. I elevated and iced it all morning, by afternoon I was able to get some swelling down. I went to my PT appt as scheduled. What a waste! They added new exercises, but I couldn't even do majority of the old ones. All I did was 10 minutes on the bike, heel raises, ABC's and stood on my right foot for 30 second invervals, 4x. That last one was new, I was shaky and had to grab on for balance. No ultrasound was done and they could hardly work on me for massage. They did suggest I try the treadmill. I told them no per doctors orders. Also, talking with my physical therapist he sees one success for every failed cortisone shot. I feel so discouraged. I feel like a guinea pig with no end in sight. I'm hopeful the cortisone works as it should, I hate to see it cause regression. Either way, I'm not doing another one, so I certainly hope it allows me to move on. Techinically, I should notice a difference as early as tonight, if not tomorrow. I'm skeptical. Today's only improvement is less swelling and tenderness at the injection site. The tendons themselves feel no different. Phooey.
September 15, 2011
Rehab
For the past two weeks I've my rehabbing my ankle in Physical Therapy three times a week. It's my first time experiencing this song and dance. It's unfun, but it seems to be beneficial and I wished it had been suggested to me six years ago after breaking my ankle. I really don't think I ever recovered from that injury, sure it healed and I eventually learned to move it, but it's never been the same. Its instability has proven itself with the multiple sprains I've had over the last few years.
After three weeks in the boot, I healed well enough to earn some freedom. Wearing my robo boot in triple digits was very toasty to say the least. So I was thrilled when I retired it, and it better be for the last time, too, dammit! I've gotten far more use out of it that I had ever intended.
Those three weeks allowed enough time for the medial ankle bruising and swelling to vanish. I was left with swelling on the lateral ankle. My Achilles ached and just beside that, up to ankle was tender and swollen. I was told I was suffering from Achilles tendinitis and one ligament from the sprain was slow to heal. That's when I was told to start Physical Therapy.
My initial exam showed very little range of motion. Very little is an understatement. I was shocked how stiff and limited it was. That's when I was released from the boot. My physical therapist wanted me mobile to gain strength. I was shaky at first, but I quickly gained stability. I was just slower than molasses. I'm a bit faster now, but I'm still moving at turtles pace.
I've been treated with ultrasounds, stim and ice therapy. I have a laundry list of exercises, I pedal on the recumbent bike and I fight the BAPS board and elastic bands. It's beyond frustrating being told to complete a simple straight forward task and think "it's a piece of cake" only to learn what a nightmare it truly is. Each day I give it my all. Some days are better than others. Apparently, sitting on my ass at work is causing fluids to pool so I have to keep my foot elevated to keep the swelling down. My ankle still gets really puffy but it does keep it from feeling like my toes are grapes ready to explode at any given minute. Every time I'm given a new exercise it really pisses my ankle off and I deal with an angry ankle for at least 24 hours. Inversion exercises with the bands got me last night. I'm still waiting for the soreness and swelling to subside. I hate feeling like this before even beginning the day's PT session.
Good news is it's all not for nothing. Yesterday, I had a progress report done. We reevaluated my pain and ability to complete tasks, and measured my range of motion. My most impressive improvement is my ability to stretch outward (think pressing on the gas pedal), I gained 14%. Last Tuesday was when I noticed my breakthrough in that regard. It was then I realized I could reach both the gas and brake with my right foot. I'm still driving two footed, but I'm using the left to brake less and less. I improved 2-5% in other areas. Counter and clockwise circles are tough and inversion and eversion exercises are my nemesis. But I'm determined to conquer them, I can't trade this ankle in for a better model so I gotta do what I can to get this one in better shape.
After three weeks in the boot, I healed well enough to earn some freedom. Wearing my robo boot in triple digits was very toasty to say the least. So I was thrilled when I retired it, and it better be for the last time, too, dammit! I've gotten far more use out of it that I had ever intended.
Those three weeks allowed enough time for the medial ankle bruising and swelling to vanish. I was left with swelling on the lateral ankle. My Achilles ached and just beside that, up to ankle was tender and swollen. I was told I was suffering from Achilles tendinitis and one ligament from the sprain was slow to heal. That's when I was told to start Physical Therapy.
My initial exam showed very little range of motion. Very little is an understatement. I was shocked how stiff and limited it was. That's when I was released from the boot. My physical therapist wanted me mobile to gain strength. I was shaky at first, but I quickly gained stability. I was just slower than molasses. I'm a bit faster now, but I'm still moving at turtles pace.
I've been treated with ultrasounds, stim and ice therapy. I have a laundry list of exercises, I pedal on the recumbent bike and I fight the BAPS board and elastic bands. It's beyond frustrating being told to complete a simple straight forward task and think "it's a piece of cake" only to learn what a nightmare it truly is. Each day I give it my all. Some days are better than others. Apparently, sitting on my ass at work is causing fluids to pool so I have to keep my foot elevated to keep the swelling down. My ankle still gets really puffy but it does keep it from feeling like my toes are grapes ready to explode at any given minute. Every time I'm given a new exercise it really pisses my ankle off and I deal with an angry ankle for at least 24 hours. Inversion exercises with the bands got me last night. I'm still waiting for the soreness and swelling to subside. I hate feeling like this before even beginning the day's PT session.
Good news is it's all not for nothing. Yesterday, I had a progress report done. We reevaluated my pain and ability to complete tasks, and measured my range of motion. My most impressive improvement is my ability to stretch outward (think pressing on the gas pedal), I gained 14%. Last Tuesday was when I noticed my breakthrough in that regard. It was then I realized I could reach both the gas and brake with my right foot. I'm still driving two footed, but I'm using the left to brake less and less. I improved 2-5% in other areas. Counter and clockwise circles are tough and inversion and eversion exercises are my nemesis. But I'm determined to conquer them, I can't trade this ankle in for a better model so I gotta do what I can to get this one in better shape.
August 20, 2011
Going back to Cali, Cali
Our last hurrah before football will be spent in So Cal. We'll be visiting friends in Oceanside. Then, we'll stay a night in Del Mar. Where we will go to the track to bet ponies and check out the Gourmet Food Truck Festival. We'll sample a treasure trove of delicious and eclectic foods served up by Southern California’s top food trucks.
Sunday we'll check into the Bristol in downtown San Diego. We'll catch a Padre's game and spend the rest of the day in La Jolla. We'll be sure to fill up on all of our favorite eats. Nom. Monday we're free to do whatever we please. Then, Tuesday we head up to Anaheim to see the White Sox for their last series of the season against the Angels. Wednesday we'll drive into LA for tasty eats and then catch another White Sox game before heading home.
My ankle might be immobile, but I am mobile. Thank goodness, I was really nervous before getting x-rays on Monday. Hopefully, I have enough miles left in my boot. I cannot believe I sprained this ankle again, it's only been a year since the last time. And it's my fourth injury since I broke it in Mexico in 2005. I really need to trade it in for a better model.
Sunday we'll check into the Bristol in downtown San Diego. We'll catch a Padre's game and spend the rest of the day in La Jolla. We'll be sure to fill up on all of our favorite eats. Nom. Monday we're free to do whatever we please. Then, Tuesday we head up to Anaheim to see the White Sox for their last series of the season against the Angels. Wednesday we'll drive into LA for tasty eats and then catch another White Sox game before heading home.
My ankle might be immobile, but I am mobile. Thank goodness, I was really nervous before getting x-rays on Monday. Hopefully, I have enough miles left in my boot. I cannot believe I sprained this ankle again, it's only been a year since the last time. And it's my fourth injury since I broke it in Mexico in 2005. I really need to trade it in for a better model.
June 3, 2011
Aye!
It seems there was no escaping a sinus infection this allergy season. Last year, the allergy shots kept me healthy. This year, there was no match for the wicked winds. I've had a sore throat since New York, and I fight congestion on and off. But the latest bout of winds, the ones that dropped our temps from 90 to 70 over Memorial day weekend, kicked my ass. Pressure began to build fiercely on Monday. Tuesday, I was absolutely drained. Wednesday, I thought my head would explode. By Thursday, I was contemplating buying stock in Kleenex, because I had just polished off a new box in less than 24 hours. After two days in bed, watching movies and finishing Sons of Anarchy, I was feeling a bit better and I was too bored to stay home. I'm back at the salt mines today. Just waiting for the clock to strike four. I'm anxious to return to my bed.
In other news, I did muster up enough energy yesterday to write my last article for Living-Las-Vegas. After much thought, I decided to quit my weekly writing gig. Work is picking up and free time is harder to come by. Rather than stressing about how I would juggle it all, Itook the easy way out simplified. This way my free time, is mine. I can do with it how I see fit, and I can explore more of what's out there. Unleash more creativity, perhaps?
No worries, I'll still be blogging regularly, sharing adventures and giving the scoop on new dining finds.
My last article is a write up on the latest food and music festival to hit downtown, last month was the first opportunity I had to check it out; it certainly will not be the last. Vegas Values: StrEATS.
In other news, I did muster up enough energy yesterday to write my last article for Living-Las-Vegas. After much thought, I decided to quit my weekly writing gig. Work is picking up and free time is harder to come by. Rather than stressing about how I would juggle it all, I
No worries, I'll still be blogging regularly, sharing adventures and giving the scoop on new dining finds.
My last article is a write up on the latest food and music festival to hit downtown, last month was the first opportunity I had to check it out; it certainly will not be the last. Vegas Values: StrEATS.
March 30, 2011
Food. It Makes Me Happy.
Food, much like sunshine makes me happy. I have missed it these past 12 weeks. Our efforts have been worthwhile, however. I have lost 13 lbs, and I am now able to see a difference. Clothes are fitting better, some are even too big. Soon, I'll have to dig out some older stuff I had outgrown. Frank has had tremendous success. He has exceeded his first goal by losing 35.5 pounds. He feels great, and he's in need of a new wardrobe. He will hold off and settle with a few new staples because he has another goal in mind. This loss, puts him and his team in the running for first place in the "Get Fit Challenge" it will take a couple weeks to tally the results and announce the winning team, but Frank's team is hopeful. They have a good chance.
Yesterday, we celebrated the completion of the "strict healthy lifestyle" with lunch at Raising Cane's. We both enjoyed the fried salty goodness. Then, for dinner, we kicked off our "everything in moderation, but with health still in mind lifestyle" with Italian beef sandwiches and hot dogs from Windy City Beefs N Dog. Boy, did that hit the spot!
Then, we were off to the Artisan for a Yelp event. I've driven by the boutique hotel hundreds of times, but I've never actually been. I've heard it's a neat place for drinks, but I never understood until I stepped inside. The event that brought us here had a "Clue" theme. The location was perfect. It's dark, ornate, and there are so many areas to discover. Beyond the lounge, patio, and restaurant, there is also a library, indoor and outdoor chapel and pool area. We were divided into teams and each team had to complete a list of challenges, when done successfully we earned clues to solve the murder that had taken place. Our team finished in second. If it weren't for a small hiccup, we would have solved the crime first. Mr. Green was the culprit. Funnily, that was the character Frank went as, I should've know it was him all along. It was good fun! Artisan was great for letting us have the run of the place. Frank and I must return to try Mood, which is the restaurant there. I'd even consider staying at the hotel, rates are from $59. It's definitely a departure from the usual Las Vegas vibe.
Raffles are always held at these events. This time, Frank and I both won prizes. I won tickets to Rent tonight at Green Valley Ranch. Frank won a toy revolver. It's actually perfect, because I know a special little boy that will love to have it. It was a great way to end a nice day filled with fun and tasty eats. Especially, the eats.
Yesterday, we celebrated the completion of the "strict healthy lifestyle" with lunch at Raising Cane's. We both enjoyed the fried salty goodness. Then, for dinner, we kicked off our "everything in moderation, but with health still in mind lifestyle" with Italian beef sandwiches and hot dogs from Windy City Beefs N Dog. Boy, did that hit the spot!
Then, we were off to the Artisan for a Yelp event. I've driven by the boutique hotel hundreds of times, but I've never actually been. I've heard it's a neat place for drinks, but I never understood until I stepped inside. The event that brought us here had a "Clue" theme. The location was perfect. It's dark, ornate, and there are so many areas to discover. Beyond the lounge, patio, and restaurant, there is also a library, indoor and outdoor chapel and pool area. We were divided into teams and each team had to complete a list of challenges, when done successfully we earned clues to solve the murder that had taken place. Our team finished in second. If it weren't for a small hiccup, we would have solved the crime first. Mr. Green was the culprit. Funnily, that was the character Frank went as, I should've know it was him all along. It was good fun! Artisan was great for letting us have the run of the place. Frank and I must return to try Mood, which is the restaurant there. I'd even consider staying at the hotel, rates are from $59. It's definitely a departure from the usual Las Vegas vibe.
Raffles are always held at these events. This time, Frank and I both won prizes. I won tickets to Rent tonight at Green Valley Ranch. Frank won a toy revolver. It's actually perfect, because I know a special little boy that will love to have it. It was a great way to end a nice day filled with fun and tasty eats. Especially, the eats.
February 11, 2011
I Cheated...
And it was wonderful! Yesterday, to celebrate our one month without red meat, we went to Windy City Beefs N Dogs. I ate a beef sandwich with mozzarella and hot giardiniera. Goodness! It was DELICIOUS. Tender well seasoned beef nestled in a Gonella roll topped with gooey cheese and vinegary veggies. Um, yeah, yum! It was the first meal out just Frank and me. I enjoyed it, probably far more than I should've. I haven't been giggly over food in a month, and it was so nice to have that feeling back. Frank got two beef sandwiches, but his eyes were bigger than his new smaller appetite. We skipped the fries altogether. The beef was splurge enough. After eating my hands smelled like beef sandwich. It was like the world's best smelling perfume. I was reluctant to wash my hands. Probably sad to admit, but it was true.
That was third meal I ate this week that I didn't prepare. The breaks have been nice. I think the dishwasher is even appreciative. It's gotten such a workout this month. Sunday, friends grilled pollo and carne asada. I had myself a tasty chicken burrito. Then, on Monday, we had dinner with my uncle that was visiting from Chicago. We had dinner at Grand Lux. I had my favorite wedge salad. It was good, but not nearly as enjoyable as that beef sandwich. All the home cooking, calorie counting and healthy choice making has paid off. In one month, I've lost 9 lbs and Frank has lost 24. We've made great strides, and earned those beef sandwiches. Dammit.
And gosh! Reliving our Circo meal when writing this week's article was tough. I so badly wanted to pick up the phone and call in a reservation, but I resisted. Perfection is worth the wait. Vegas Values: Tuscan Treasures.
That was third meal I ate this week that I didn't prepare. The breaks have been nice. I think the dishwasher is even appreciative. It's gotten such a workout this month. Sunday, friends grilled pollo and carne asada. I had myself a tasty chicken burrito. Then, on Monday, we had dinner with my uncle that was visiting from Chicago. We had dinner at Grand Lux. I had my favorite wedge salad. It was good, but not nearly as enjoyable as that beef sandwich. All the home cooking, calorie counting and healthy choice making has paid off. In one month, I've lost 9 lbs and Frank has lost 24. We've made great strides, and earned those beef sandwiches. Dammit.
And gosh! Reliving our Circo meal when writing this week's article was tough. I so badly wanted to pick up the phone and call in a reservation, but I resisted. Perfection is worth the wait. Vegas Values: Tuscan Treasures.
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