Moving on up

I’m not worried about me going up/down stairs, even though I know it makes those around me nervous. For one thing, I’m coming into this injury with a pretty strong, healthy body already. The effects of the general anesthesia wore off very quickly and the post-op nurse felt confident that my crutching skills were at least as good as my nunchuck skills, though not quite as refined as my bow staff skills.

Also, I’m gaining strength with every passing day. Yesterday I may have pushed my limits a bit by crutching up & down the 34 steps to my apartment; I was definitely wiped out & out-of-sorts by the end of the day. After sleeping a full night without waking for med breaks, however, I awoke feeling like myself and ready to suck the marrow out of this beautiful, sunny day.

One of the first things I did this morning was practice balancing on the crutches with my legs tucked up to my chest. It started out as just a fun little way to get some activity on the way back from the bathroom, but it definitely escalated into a competition with myself. My list of events for the Crutch Olympics is growing steadily longer & more involved.

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Other events include: crutch jousting, crutch vaulting, figure crutching, synchronized crutching, and…wait for it…crutch-nastics.

Unmedicate My Heart

…say you’ll drug me agaaaaaain! (Thank you, Toni Braxton)

They say, “Be careful what you wish for,” but now I think I may add a new proverb to the mix: “Be careful what you wonder.” In the name of science, I have now discovered what it would feel like to heal from ATR surgery on day 5 post-op…without medication.

The mom who’s been taking care of me did express concern that I might not be able to keep on top of the muscle spasms and the pain, but it didn’t seem like there were many alternatives. I did what I could and continued to set my timer to go off every 3 hours for my next dose of pain meds. The lack of contiguous sleep must’ve caught up with me. I did fine waking up through the Valium in the daytime, but last night I slept through 2 full cycles of oxycodone alarms. All in all, however, it’s not that bad! The second night (with full and timely doses of medication) was more painful than day 5 cold turkey, so far.

While I do plan on getting this pain right back under control of the drugs once I’ve got some food in my stomach, it sounds like it’ll dwindle significantly until I start on the angle changes toward dorsi flexion. I’m going to gradually reduce my dosage until I’m off the pain medication on purpose next week. Until then, has anyone seen my spoon?

Exceeding the limits of autocorrect

Day #4: the day I’d been anticipating as the first day the pain was to start dissipating & to start giving way to the unbearable itchiness of healing. (At some point, I should include some text that I’ve attempted to type while in the throes of my favorite side-effect so far drokejnjgcgmny = drowsiness)

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After saving this initial thought, I struggled to type roughly 4 paragraphs worth of gibberish (complete with intended translations) through several incidents of nodding off mid-word or mid-thought. Right as I was to press “publish,” gravity got the best of both my phone & me. I nodded off of my propped up position & my phone nodded to the floor. “Undo Typing?” was the option I accidentally selected upon retrieving my downed phone and my veritable gold-mine of exhausted-to-English translation text was forever lost.

I will now celebrate this valiant attempt at keeping friends & family updated (no matter the cost) by taking advantage of the 2 hours that remain until I need to wake again for the next dose (and possibly the next post).

Goodnight, sweet misprints.

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Such a Spaz

Sometime during the morning, I remembered to remove the Dramamine patch (or whatever they put behind my ear pre-op) and wash away the residue. I distinctly recall the pre-op nurse instructing me to do so. If I left it on too long, it would cause dizziness, nausea, etc. Unfortunately, it seems like that patch had been keeping the pain meds from causing nausea. Even with all of these side-effects running circles around my head, I’m still so blessed to not be lion-fodder!

Last night, I called the hospital regarding my muscle spasms. I can’t have my body trying to rip apart my freshly-mended tendon, now! The on-call doctor suggested I loosen the splint (without exposing it to air & thus opening a door to infection) and to take diphenhydramine.

I’m not sure yet if that has solved my spasm issue, but it sure has knocked me out for most of the day. If it turns out that I’m still having spontaneous contractions in that leg, I have a prescription muscle-relaxant waiting in the wings.

I already have quite the collection of medications going. Mayhaps I’m the Queen of Overkill, but they wouldn’t let me amputate the limb, so I have to settle for going overboard on variety of possible side-effects.

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“It’s better to feel pain than nothing at all.”

“Keep your head up, my love.”
I’ve heard that days 2 & 3 are the hardest of the whole post-op. Since I was no longer numb today, pain management became my #1 priority in life. Just to breathe. I’m rocking the maximum recommended dosage of my pain meds & my leg feels pains akin to the initial injury. Except constant, more intense, & in more places. I’m trying to imagine what I would be feeling if I had no meds whatsoever. Maybe I should stop that vein of thought! :-)
Prior to this pain, I could tell my nerve block was fading by the presence of sensation. I didn’t feel pain, but I could feel. Then, after one of the groggy medi-comas, I awoke to the full force of my fresh trauma. At times, it’s as though someone is alternately stabbing my leg & then yanking on whatever they can get their fist around in there.

As horrible as all of this is at the moment, I would rather have a week of this healing pain than the purgatory pain I had prior to surgery.

Pain management to augment the meds, my way:

Problem: I can’t keep my eyes open due to the pain meds, but I haven’t been able to fall asleep due to the pain.
Solution: Headphones in. Keep your head up. Choose your music, choose your mood. Playlist of choice is my happy morning person mix: “Morning Sunshine.”
Airstream Song
Compass

Problem: Not a single position that relieves physical discomfort.
Solution: Breathe deeply. Consciously relax leg muscles. Alleviate cramping.

Problem: Can’t think clearly. Fixating on pain.
Solution: Pray. Try reeeeeeally hard to focus on the words & stories of others. Help a 10-year-old with her writing homework. Remember the beauty & joy that stands in stark contrast to all kinds of pain. Smile!

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“He’s going to meet me where the mountain beats me. Carry me through.”

My calf has spasm’d twice tonight. This can’t be good for the sutures holding my tendon together & the pain it causes is almost unfair. I called the on-call doctor for ideas on preventing these powerful spasms. Now I’m afraid to fall asleep. Good thing my best friend is fairly nocturnal. She stayed up with me until a little after 5 am. That made all the difference in getting this pain back under control.

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Get Well Cards and Thank You Notes

I thought I wasn’t nervous because I had everything under control. Turns out I didn’t have time to be nervous. Or cover my bases.

At the hospital, my ride quickly became the sole reason I didn’t have anything to stress about. She rearranged her whole day in order to be available to take care of me & took me home with her so that a responsible adult would be with me at all times for the first 24 hours post-op. I could have done nothing without her. I’m forever grateful, as is my family since none of them live in Utah.

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Last night after practice (while I was in the first of many blissful oxycodone comas) one of the varsity captains stopped by with a card from the team. These girls have been so supportive of each other as teammates & of me as a coach (and also of me as an independent woman making it in a new state by herself). They helped me move into my first apartment here, they have had me over for team events, family dinners, birthday parties, & I’m sure they’d love a math study/tutor get-together! ;)

Lorna! They gave me Lorna Doone cookies in the hospital! I thought of you & Catie when I saw those. Haha

So many people (both near & far) have been offering prayers, goodwill, silly time, adventure, and many more such essentials. Like meals. And places to stay. And rides. And a pony. Okay, maybe just a piggyback ride, but that’s even better because no one thinks it’s weird when that pony talks back.

My life is filled with too many beautiful people to be able to thank them all in a way that accurately captures my gratitude, so I hope my life can be seen as a living thank you note. Just for you. THANK YOU!

ATR Surgery: the Rock Star Edition

Everyone at the hospital kept bragging about me: how fun I am, what good veins I have, how quickly I bounced back to bubbly from general anesthesia, my pain tolerance…they even liked my stories! What a great day. At this rate, I’ll be starting for the Lakers sooner than Kobe will.

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I had the best anesthesiologist in the state & one of the best surgeons in the area. (And they signed my leg! I’m never washing that leg. Haha) So incredibly blessed. I’m staying with the family of one of the girls I coach, so I’m being taken care of like family. (Which is amazing because I didn’t realize I’m allowed to do virtually nothing by myself right now.)

When I was waking up, the surgeon excitedly told me it was a best case scenario surgery & also that the 2nd complete tear from the MRI was only partial & just presented as complete due to swelling. I haven’t even gotten any nausea as the nerve block wears off & I transition to oxycodone! I remember too much to write it all since the pain meds keeps taking hold, but God is caring for every detail.

Slow, slow, QUICK, QUICK!

Tomorrow marks the third week-iversary of my injury. After seeing the results of my MRI (finally!), it will now also mark the first day of my recovery.

The news itself was pretty grim: 2 complete tears, one starting at the heel & another above the ankle; very little healthy tendon on either side of these; 20 days since the mechanism. However, since it was such a clear call (SURGERY), I didn’t hesitate or seek a second opinion. I’d spent all of yesterday packing because a part of me knew I’d need surgery. I even skipped the OTC ibuprofen both this morning and yesterday. Which…it’s a good thing I did.

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The surgeon had time to fit me in this morning for a consultation, explained the procedure (he’ll cut me open, see if there’s enough Achilles to stitch together, & possibly replace a fubar Achilles with the tendon that attaches at my big toe), & explained that he was available tomorrow or Friday (in 4 days). I thought I had work tomorrow, so we set it for Friday to give me time to pack everything (I’m moving!) & make care arrangements.

And then I was reminded that tomorrow is the ACT, so classes are short & I might not need to go in. One of the moms of the team I coach offered to give me a ride pre- & post-op if I needed to switch to tomorrow, so I called around to make sure I really could, and then spent the rest of the day confirming appointments & tying up loose ends during business hours.

Tonight has consisted of packing, making my room invalid-friendly, & neither eating nor drinking. I report to the hospital for surgery at 9:15 tomorrow morning. I’m not sure if I’m just being paranoid, but I almost feel like my gastrocnemius is creeping up my leg. That’s another reason I’m glad the timeline got rushed today. Gross.

Pins & Needles

Nearly 3 weeks ago, I finally made the injured list. I’ve been injured before, don’t get me wrong. Usually through some ridiculous shenanigans; this story is no exception. Turns out my Achilles is in a bad way. How did I manage this? Tag, of course.

I spent a week visiting a friend who is teaching in Tuluksak, a remote village in Alaska. There’s no road system (people travel by bush plane) and the temperatures were rarely above zero, so going for a run was out. Middle school PE was going to be my only physical outlet during the week, so I was not about to miss out on it! Plus, games are fun.

On Tuesday, February 11, Sharks & Minnows was the name of the game. It was the last round of the day & I was “it.” After tagging several students & getting a good seaweed garden going, it seemed like the day had been a success.

And then…

I lunged to run & tag a student on my right, but I couldn’t move because my right leg (which was behind me) had suddenly stopped working. Not knowing why the back of my leg had burst into flame, I stood on my left leg to assess the situation. Instinctively, I knew I could not bear weight on my right, so I sat down slowly. The dizziness faded into nausea as I fought to maintain my wits & composure; fought to self-diagnose; fought to hide the pain. I gestured to my friend that I was out, I was done. He said, “You okay, Fuegs?” I said no. I’ve never said no.

Right away, I could feel that it was my Achilles. To my shame, I downplayed it and let myself believe it was just a swollen ankle - only as injured as a solid punch. I hobbled around on it (partly because there was no doctor in the village to order me not to) for the rest of the week. I hobbled through airports, public transit, and the 2-mile walk to my parked car, all while shouldering an extra 30-40 pounds of travel.

All of this because a boy had run full-tilt through my outstretched leg when it was fully coiled & pushing off. The top of his foot hurt so much that he limped for a day and a half. I didn’t get off so easy.

The day after I returned, I went to urgent care. They took x-rays that came back clean and I let them put me in a padded walking boot at 90 degrees for a week. Every day got worse. When I finally got to the sports med specialist 19 days post-injury, the bruising was still impressive. After failing several strength tests & a visible loss of tendon definition, he rolled in the ultrasound machine to take a look. Neither of us liked what he saw.

To cut this long story short, he said:

“There’s what we call a partial tear and a complete tear; yours is somewhere in between. I’m going to have you get an MRI so we can see  what there is left in there for us to work with because I hardly see any fibers left intact.”

He sent me out in an aircast and almost added crutches to the caboodle when he saw my gait. Later that morning, the country music in my headphones drowned out the jack-hammering of the MRI and I slept deeply. When I awoke, the MRI techs wished me luck and sent the results to the doctor. That was 3 days ago. Forever ago. My follow-up is tomorrow morning and I will be grateful to end this period of not knowing. Recovery is a long road, but I’m ready to know what I’m recovering from and what kind of path I’m taking.