This is the pain part

I was cleared today by my doctor to put weight on my left leg.  And he told me it is very important to straighten my leg to the point of hyperextension.  Guess what two things hurt the most… So, pain in this case really does equal gain.

Physical therapy starts tomorrow.  I imagine the queen of pain will issue more excruciating orders.  I’m told it will involve bending my knee to 90 degrees.  Yeah, that hurts, too.

A smidgen of perspective popped out of the post-op folder tonight.  A little card on which I get to write a letter of appreciation to the family of the soul who donated my new ACL.  A heart was not life-flighted to me in the middle of the night.  Nobody gave me a kidney.  My life wasn’t saved and I had not been on a waiting list.  So, my words may not inspire millions.  But, here we go anyway…

Because of your loved one’s generosity I can ski and play soccer with my children. Maybe someone else was given the gift of sight.  Or hearing. Or freedom from a machine. Maybe someone received a new heart. In my case, the gift of a tendon allows me to again show my little girls what fun daddy can be.  A little more joy in a world that can use it. Thank you.

Okay, maybe I’ll just go with the first and last sentences.

D-day +2; self-inflicted pain and a slight fever.  Overall, though, I feel great.

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Streaming

I am not loopy but a weird kind of exhausted. I’m more sleepy than I can remember but every time I close my eyes my brain ratchets up. Strange cycle. This must be how insomnia vs feel.
All went well. I kept the joking to a minimum. First, because this is serious business and second because Doc received some serious news about his ailing father.
Maybe I’ll post again after some Vicodin.
Have a good Monday evening everybody!

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Anticipation

Feeling good today . Not nervous or worried or scared or even regretful.

7:03 – time to go to the hospital

7:34 – waiting in room

7:57 – just waiting for the iv

8:39 – iv on board

Typing with one thumb. I am excited!

Oh, Constance had a good one. Nurse said my wife can meet me in post-op. Constance looked at me and said, “you didn’t tell me your wife would be here!”

Funny stuff.

I’ll post this now in case they come in early.

See you on the other side!

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Nothing ever turns out how you imagine

Tomorrow I go into the shop for repairs. Snip here. Poke there. And I’ll be all fixed up. That is except for the aforementioned pain and suffering of rehab. I’m not nervous or scared and I don’t mind people asking me if I’m nervous or scared. I find myself thinking too much, though, about the logistics. And whether I’ve done enough to prepare. People who know me are not surprised. It’s my bad habit before all the big moments. I know, however, that my experience will be improved if I can remember and practice the following:

  1. Surrender to possibility.  There is freedom and power in knowing that the less control I try to exert, the more that is possible
  2. Relax (see number 1)
  3. Be present.  Regretting the past or worrying about the future takes me out of the moment.  Being in the moment and being present allows me to fully experience what I’m going through
  4. My surgeon is an awesome guy and one of the best knee guys in the world
  5. I’m tough
  6. I have my two favorite women in the world ready to take care of me

Here’s a teaser for tomorrow: I will post a brief “how am I feeling” note before I go into the twilight zone.  And then at some point in the afternoon or evening, I will post again.  All drugged up.  You do not want to miss this!

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Forgot to write last night!

I was so busy getting the basement and garage and house straightened up yesterday and then so worn out from same that I didn’t write last night.
I suppose that would have been the topic. That I’m doing as much as I can these past two days while my left leg still works. Constance can park in the garage now. Today I’ll make it so that there are fewer things for me to trip over on the path from sofa to toilet. Cuz I don’t care how bad off I am, we all know how I feel about my toilet time.
This counts for yesterday – T -2.
Tonight – the penultimate!

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Live like you’re __!!

If you knew that you had the full use of your left leg for only two more days, what would you do?

I thought about that on my way to work today.  What will it be?  Long walk?  Butt kicking contest? Super slide at the Children’s Museum?

Those thoughts caused me to think about last days.  Last days of school. Last days at a home. Last days at a job.  Last days with the full use of your left leg… What do you do? What can you do?  I think the only thing to do is get present with your whatever.  If it’s the last few days of school, stop, slow down, notice everything.  If you are leaving a job, experience it fully. Enjoy those last few days.  Look around you. Smell, listen.  Because years from now, all you will have left are the memory of those last few days.

And isn’t it a bit ironic that while we are sad to be leaving one thing behind, we are moving on to better things.  A new school, a new job, a new home – a new ACL.  While I will miss the use of my leg for a bit, I am looking forward to my brand new knee parts.

T-minus-3

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Friday… Saturday… Sunday… D-Day

It’s coming.  The day is coming.  My knee is hurting a little and it almost buckled again today. As if to remind me that I must have this surgery and I am not just doing it for fun.

Someone asked me if I am nervous about the surgery.  I answered honestly that I am not. Maybe I should be but I am not.  The last time I went under I was nervous.  I remember in 2003 driving to the hospital with my lovely wife.  We held hands in the car.  I remember looking around, making jokes like I do when I am nervous.  Turned out fine.  There was nothing to be nervous about.  And you know what?  The surgery was 100% successful. Not only did I not die. Not only did I not suffer very much.  But, the results of the surgery run up to me every day when I return home.  And the results of the surgery sat with me tonight and watched Willy Wonka for the first time.  And the results of the surgery absolutely changed me.  Well, to be fair, there was more work to do after the surgery had its intended effect.  And we did the work and the work produced… well, you know 😉

I guess it pays to have the right surgeon do the right work at the right moment.  And, the results can be (and have been) life changing.

T-4

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Pain

I asked a buddy who had knee surgery for some tips.  He said to do the rehab and do it hard.  Push myself beyond, he said.  Beyond where I think I should stop.  Do the rehab and do it hard.  I had no idea what that meant.  Still don’t. But I assumed it meant that I would get tired or sweaty or bored and I needed to push through the mental blocks to get my knee back in sand volleyball shape.  After all, the last guy to use the ligament died who knows how long ago.  He might even have been a lazy slob like me.  So, I need to get that ligament moving in a way that guy (may he rest in peace) may never have thought of.  That’ll take some perseverance.

Then came some advice from another “friend”.  It will hurt, she said.  It will hurt like nothing I can imagine, she said.  Push through it anyway, she said.  It became clear to me.  What my buddy had been trying to tell me was that I had to push through the pain.

So, that’s the period of future memory that I will go through on my way to running with the girls.  Before I can sand volleyball, I must endure and push through.  That’s okay with me.  Another buddy once asked me what my super power is.  I said it is that I have a bizarre capacity for suffering.  It’s a skill I developed at wrestling practice in 8th grade (I had to sit out 7th grade because of a broken finger).  Whenever I would suffer, I would just separate mind from body. I would separate my present consciousness from the physical suffering.  Pretty advanced stuff for a 13/14 year-old.  It got me through wrestling practice (on my way to 3rd place at the city tournament, by the way).  It got me through physical training in Army ROTC.  It got me through couch to 5K. And it will get me through rehab.

There’s a difference this time, though. Wrestling, ROTC, and whatever were things I needed to survive.  I transcended my physical discomfort to get through it.  To get on to something else.  This time, the suffering has a purpose.  I will endure the pain so that I can be strong again.  So that my physical ability matches my mental ability.  I will run and ski and wrestle and carry my daughters up stairs and swing them around.  Without fear.

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How I Imagine My Future

When I decided to have the ACL surgery, I immediately began to imagine how it would go. Not how the surgery itself would go but how the recovery period would go.  I imagined me laying on the sofa, unable to get up.  Sleeping. Convalescing. It was odd. I found myself picturing not how the surgery would improve my athleticism or my ability to play with my kids. I wasn’t picturing me in rehab, working my ass off.  I wasn’t imagining me skiing for the first time in 3 years.  I was fantasizing about the part where I’m laying around and having people look after me.  It’s an interesting thing.  I could have decided to have gall bladder surgery.  Or a big toe transplant.  What I was having done, or rather the benefit of what I was having done, did not enter into my mind for several days. Only that for several days I would be unable to be responsible for much of anything.  And that would be sweet relaxation for me.

“What was that about?” I asked myself today. I suspect it has something to do with my day to day grind.  Every day, I feel responsible for something and/or someone.  Kids, wife, home, project team, friends.  I am gratefully depended upon by people.  I say gratefully because I think it is in my genes to want to be important to people.  My mama and my daddy thrive on serving others.  Being there for others is as important as air for them.  And they’ve passed that trait on to me.  There is one trait, though, that I did not inherent and that I was able to develop on my own.  I think it is a love for being lazy once in a while.  I won’t lie.  I am not dreading laying around for a few days.

After a few days of that daydream, I decided that it was not the best plan for getting my knee back to sand volleyball shape.  I decided to begin imagining me skiing. Sandvolleyballing.  Running around and playing soccer with my girls.  That was nice.  But there was a section of future memory that I needed to begin imagining before I got to the running around part.  That’s another post.  A post called pain.

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I’m going under the knife and you’re invited along for the ride

A week from today, I will lay down on a bed and let someone inject me with drugs that will paralyze me and render me unconscious.  Then, with advance knowledge but no ability to stop it, someone will cut open my knee and stick someone else’s piece of knee in me.  My ACL is ripped up like a stretched out slice of bacon.  The surgeon will shave it out, drill a few holes in my knee bones, and screw in a segment of shin ligament from a cadaver.  For all I know the other poor bastard is still walking around today and has no idea he’ll be donating a body part to me in 7 days.  I don’t know how fresh these things need to be.

ACL = Anterior Cruciate Ligament. It’s the thing in your knee that keeps you from collapsing when you turn a corner.  Unless you’re me.  Then, if you take a quick left turn, you’ll buckle and wince. Until a few months after next Monday.

The other thing my very capable surgeon will do is take a look at the shock absorber (aka medial meniscus) in the same knee.  Apparently, the MRI showed a hole that isn’t supposed to be there.  The plan is to take a peek and fix it if fixin is what’s needed.

So, here is my commitment to you.  I’m going to write every day through this ordeal. You and I can experience this together.  I really don’t know what to expect.  Other than some anxiety on Monday morning.  Some loopiness Monday afternoon and evening. Some pain Tuesday morning and afternoon.  And lots of laying around, rehabbing, and a caring loving family.

Let’s do it!

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