l2tchr 
"Be an example of what 49 should look like!"
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| Created: | 06/05/2009 |
| Total Visits: | 182 |
| Total Blog Entries: | 13 |
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November 9, 2009
I dated these so they would read in order from the beginning of the story to the current "end" So you need to read down, not up to see things in order. Are you totally confused now?
Posted in Training
November 9, 2009
Posted in Training
November 9, 2009
If you’re interested in seeing exactly what takes place in a hip replacement you can check out this YouTube video. Don’t worry, it’s an ANIMATION.
Posted in Training
November 9, 2009
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About nine years ago I ran the 2000 LA Marathon as a way of thumbing my nose at entering my 40’s. “Ha! Age is just a number!” And now nine years later Karma said, “Yep, you’re right! And your number’s up!”
I continued running and weight training. Then a little nagging pain in my right hip appeared, but I workout hard and am used to being sore so I figured that’s all it was. It went away…… For many years.
Four years ago my boyfriend and I were vacationing in Hawaii. We ran together in the mornings (He’s kind enough to patronize me and pretend my pace is exercise for him.) During these runs the pain increased enough that I would have to stop and walk a bit and then run again. I was miserable on the plane ride home. It hurt so much to sit in those “roomy” econo-class seats. I knew something was wrong.
It would keep me up at night shifting my body to find a position that wasn’t painful. It didn’t bother me standing up or walking, but running was definitely OUT.
Finally went to the doctor.
1st visit to Sports Medicine - “It’s periformis syndrome” = physical therapy for several weeks
2nd follow-up visit = “Lets give you a cortisone shot into your hip joint, and maybe we should order and MRI, just to see.” = shot and trip to radiology and a LONG wait for results so I asked my doctor sister to peek. She calls saying “Oh the news isn’t good about your hip….”
3rd visit to Orthopedics = “You have AVN, You’re femur is dying,

You need hip replacement NOW!” = Huh? Why does the brochure about the procedure have grey-haired people pictured? Go take x-rays.
4th visit to second opinion = “Nah it’s not AVN. It’s osteoarthritis. 
You can wait on surgery until you’re tired of the pain, but you’ll need it eventually.” = OK now who do I believe?
5th visit to first ortho doctor = Dr: looking at old x-ray “You have Osteoarthritis”
Me:”What, you told me I had AVN the last time I was here?
Dr: ” I said that?”
6th visit for third opinion = “Osteoarthritis it is, but you also have it in your lower lumbar area so some of the pain may come from there. Let’s inject the joint with lidocain and see how much pain is left. That would be from your back.
7th visit to x-ray for injection = a little topical numbing then a HUGE needle inserted through my thigh and into the actual joint. Pain free later? Sort-of…..
8th visit to follow up on injection = Scheduling for surgery. Summer? Nope all booked. October. Dang need a long term substitute and LOTS of logistical planning at home. Pain in the ass……. HA! little did I know.
9th visit to lab for pre-op screening= urine, blood, ekg = UTI, low potassium and a normal heart rate (like I didn’t know that) = antibiotics and potassium pills.
10th visit to Hip Class = “Here’s a tool for pulling up your pants. Here’s a tool for putting on socks. Here’s a tool for washing your legs. No bending more then 90 degrees at waist, no crossing legs, no crossing ankles, for 3 months after surgery or you can dislocate your new hip. Have a good day!”
Now all that was left was to find someone to drive my kids to and from school for 4 months, make lesson plans for the sub, stock the house with supplies, get insurance papers, advanced directive and trust fund in order (just in case) Get into the gym as much as possible before I sit on my butt for 4 months turning marshmallow…….
Finally the night before surgery…………..
Posted in Training
November 8, 2009
I had spent the day yesterday looking for a “grabber”. One of those long handled things the elderly use to pick stuff up because they are unable to bend down without falling over. I finally found a 36” long one at Lowe’s. (they can be found next to the shovels, in case you need one to pick up your beer from the table so you don’t have to get out of the Lazy Boy). I also wanted to get a raised toilet seat, but i just couldn’t bring myself to buy one. $40? How bad can sitting on a toilet be? Mine here at home don’t seem that low. I’m not supposed to bend at the hips more than 90 degrees and it didn’t seem like I was when I checked.
I wanted to try to get to sleep early because my father is picking me up at 4:45 AM to take me to the hospital. My check-in time to the Kaiser “Hotel” was 5:30. I stuffed a few things into a small bag. Pajamas, slippers, and then some underwear. I tried to pick out the pairs that didn’t have holes in them and I wouldn’t mind getting betadine on, and well since I wouldn’t be worrying about pantylines, I left the thongs at home. I threw in a pair of shorts just in case I could use them with physical therapy. I packed a little case with a toothbrush and toothpaste, gum (gotta have gum), my various medication bottles, Chapstick, and a hairbrush. I really have no idea what I really need. I checked online to see what other people suggested and went from there.
I just kissed my boys goodnight and crawled into my bed. Kalani is here with me. I’ll be so glad to wrap myself around him because is will be about 6 weeks before we can sleep like this again………..
Posted in Training
November 8, 2009
My alarm went off at 4 AM, but I shut it off and laid myself back over Kalani’s chest. “I don’t want to go,” I whined like a child not wanting to get up for school. “My hip feels pretty good today, actually….” He kissed my forehead and said, “You’ll be fine. Probably back running up the Mills before you know it!”
“I hope so…….”
We climbed out of bed and I showered with the “wonderful” antibacterial soap I was provided at the Pre-Op appointment. Then i slipped on a pair of oversized sweatpants and a long sleeved T-shirt. I put on my blue flip-flops and headed downstairs to wait for my poor 80 year old father to pick me up. (Afterall, he’s still my daddy….). I hadn’t had anything to eat since 7:30 the night before and I wasn’t really hungry anyway. I couldn’t even have a drink of water.
Kalani waited with me being his almost annoyingly encouraging self ( a little pity would have been acceptable…), until my dad pulled up in his car. Kalani walked me out and put my things in the trunk. He kissed me good-by and helped me into my dad’s car.
“How are you feeling?” by father inquired.
“Oh, just peachy…” I replied with a hint of sarcasm. Truth was, I really wasn’t scared or nervous. I just really wanted to get on with it, get it over with, go through the anticipated pain that was to come and get out of the hospital.
Dad parked the car in the parking structure and we walked into the Kaiser building’s main entrance. We were supposed to report to the Admitting Office on the first floor, but the instructions didn’t exactly say how to get there. Now if you have been to Kaiser Fontana and walked through Building #3, oldest building, you know that the place is like a labyrinth of hallways that all look the same. So we began what became a major trek, to the Admitting Office. We followed the signs on the walls turning left and right and left and left and right and straight. Every turn found a new sign. Although my 80 year old father is spry of mind, his poor 80 year old heart isn’t. We had to stop a few times so he could catch his breath, but Dad never complains. Never.
Finally we get to the office. (I later realized had we just gone straight into the hospital building and NOT the office building we would have cut our walk in half). There was already two other pairs of people waiting there in the small narrow room. Dora the Explorer was playing on the TV although no one in the room, except me, was under 60.I gave my name to the secretary who told me to have a seat and they would call me in a minute.
30 seconds later I walked into the screening office where a rather ghetto looking gentleman asked me a bunch of questions, took my Advanced Directive for my file and banded my right wrist with the customary identification bracelet. I also received a red bracelet warning of my supposed allergy to penicillin (according to my mother). I then returned to the waiting room which had filled with at least another four pairs. No one was talking, except Dora.
About 15 minutes later a nurse-like lady came and asked all of us to follow her including the people who we had come with. She wanted to show everyone where the recovery room was and where our families could join us after surgery. Then she said, “Say good-by for now and give your family your belongings.” We did. I kissed my dad and said, “See ya in a few.” He smiled took my bags and my grabber and began his walk back to the waiting room. I worried about him walking so much.
The patients-to-be and I followed the nurse down the hall a little farther. It felt rather sci-fi. Like those movies where people think that there’s really a surgical facility behind those metal swinging doors but it really turns out to be processing plant for Soylent Green. (look it up)
http://en.wikipedia.org/wiki/Soylent_Green Read the rest of this entry »
Posted in Training
November 7, 2009
«blink,blink» dim lights, ceiling…………..fade to black «blink,blink» nurse next to bed typing………………….fade to black «blink,blink»someone’s talking to me, I think……………….fade to black «blink,blink»”How are you doing?” fine…………………fade to black «blink,blink»how long was I in surgery? “Two and a half hours” fade to black………
I’m so groggy and still feeling dreamlike, dizzy. I can’t keep my eyes open. Two people in surgical attire (minus the masks) come and begin to push my bed. I’m assuming to get me to my room. Florescent lights buzz by overhead in a smeared stream of light. The aide at the end of the bed smiles at me (I think). He looks like a maniacal Jim Carey and he’s pushing that damn bed at what feels like light speed. Taking turns like an idiot teenage driver trying to emulate the Fast and the Furious. Bump! Into the elevator. 4th floor. Doors open and Evil Knievel is at it again. We get into the room and at this point I’m so dizzy and nauseated that I know I’m going to vomit. They help me into the bed and then hand me a pink plastic box over which I retch and retch, but thankfully, being that you aren’t to eat or drink before surgery, nothing came up, except the feeling of bile not quite making it to my mouth. “Are you all right?” Jim Carey inquired? I probably would have been I thought, handing him back the empty box, if you hadn’t taken gurney driving lessons at the Ontario Motor Speedway. I lay back and rest. I close my eyes because the room is spinning. I think I fell alseep again.
My dad was there by my bedside putting my little bags on a table behind the bed. He inquired with the customary question, “How are you feeling?” Sometimes I think, isn’t it obvious…. like crap. But I didn’t say that, I smiled instead, because talking was way too complicated a movement at this point. He moved around the bed, careful to step over the foley catheter that was conveniently collecting my urine and around the IV tower that had several bags of clear liquid dripping their contents into my vein. The nurse entered with a machine which she placed at the foot of the bed. She strapped a velcro booty around each foot and turned it on. The booties filled with air alternatingly, right, pshhhhhh, silence, left, pshhhhhhh in a neat little rythmn, pumping against the soles of my feet. It’s to keep the blood moving in your legs and help prevent blood clots (which can break off and get into your lungs or brain and KILL you) she smiled.
Dad sat with me and watched some TV. I was lousy company, for sure. I was still sick to my stomach, and refused my dinner tray when it arrived. Just the thought….. I couldn’t move my legs because they had been velcroed to a large piece of V-shaped foam to prevent me from moving the operated-on leg past the mid-line of my body, a BIG no-no with hip replacement. My upper body was raised to a slight upright position and at that moment, I felt, as Pink Floyd might have said “comfortably numb.” Read the rest of this entry »
Posted in Training
November 7, 2009
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Part 1 — Pressure Problems
This could really be just a continuation of the day before because in a hospital one never gets a full night of uninterrupted sleep. One day just melds into the next, in hour after hour of repetitive actions. Vitals, blood, check IV, food, repeat every few hours until discharge…….
I was still woozy and nauseous so breakfast stayed on the cart. I was uncomfortable because I was still in a slight sitting up position, and my back was beginning to cramp. How to move? Above my head was a triangular trapeze contraption, so I reached up as far as I could with my right arm, barely managing to wrap the tips of my fingers around the bar. Then I pulled my body slightly up so that my left hand could reach and tried to adjust the angle of my hips a bit so as to get off the spot that had fallen asleep. It was a move I would do many times in the four days I remained in the hospital. Thank goodness for upper body strength. See, all that time in the gym had some purpose.
6AM
I flipped on the TV, mostly to drown out the noise coming from the nursing station right outside my door. Those people were having WAY too much fun, in my opinion. The nurse came in with my medication, pills that I already take at home but must continue taking here. I had brought my own vials as had been suggested, but they provided me with Kaiser copies. How nice of them to allow me to save my own supply (other than the birth control pills. I had to use my own. Hidden meaning? I wonder.) Each pill was in a separate bar coded blister pack. The nurse would scan a bar code on my bracelet and then scan each pill as she popped them into a tiny cup. This was then recorded on one of the computers that is located in every room. Accountability and drug management, and probably a way of insuring the right person got the right medication. I swallowed them all at once with a drink of water, which by the way, was the most horrible tasting water I’ve ever had. (mental note: ask Dad to bring bottled water) So when not swallowing pills, I would drink only the water that melted from the cup of ice chips. For some reason, that tasted normal.
“On a scale of 1 - 10 how is your pain level? One being no pain and ten, unbearable,” queried the nurse.
I stopped a moment to take stock of my pain. “I guess about a five or six”
“OK, I’ll see what we can do.” She left and returned with my friend the “Vitals Machine” and took my blood pressure. It was low, I’m guessing very low. 80/54. “I can’t give you any pain medication until we get your blood pressure up, otherwise you’ll bottom out and we don’t want that to happen.”
Bottom out ? I pictured it like leaping off a cliff and “bottoming out” on the canyon floor hundreds of feet below. Nope definitely did want that to happen. BUT I did want to do something about the pain that was beginning to crawl out of the anesthesia cave and light the surrounding countryside on fire with it’s dragon’s breath. The nurse left to consult about what to do with the blood pressure issue.
She returned with another IV bag of fluid in her hand “The doctor said we can’t give you any pain medication until we get your blood pressure up.” She proceeded to hang the bag on the IV stand and connect the tubing. She adjusted the flow and said, “Well give you some extra fluids and see if that does the trick. An hour and a half.”
“Wait,” I said as she turned to leave,”Can you take this foam thing out from between my legs? I’m really uncomfortable,” She pulled back the blankets and unvelcroed my left leg. Then she moved to the other side of the bed to do the right. She had to lift my leg to get the strap off. I winced, tears coming to my eyes. The slightest movement sideways would send a sharp twinge up my leg into my hip. “Sorry,” she apologized genuinely sympathetic. “Well get you something for the pain as soon as we get that pressure up. All this liquid should help.” She smiled
Funny how you can feel the cold liquid from the IV enter your vein and travel down your arm. I looked at the bag. Drip…….drip……drip……drip. It was ticking away at a faster pace in order to get the fluid in me as quickly a possible. I turned the TV back on and tried to ignore the pain. I kept the room dark because I was still dizzy and I found it more peaceful feeling somehow.
The nurse returned shortly to inform me that the doctor wanted the catheter out. “This wont hurt” she said tugging on the tube up my urethra. She was right, it didn’t hurt at all, just a little disconcerting. “You have to pee within the next 6 hours or we have to put it back in,” she said, almost like an admonishing mother saying “Eat all your vegetables or you’ll have to go to your room!”
Pee? Wait a minute. That entails getting out of bed and walking to the little bathroom, which is about 5 or 6 good steps from the end of my bed. And then there’s the sitting down part to consider… and …. The thought of the pain all that would cause made me ask, “Uh, will I be walking to the bathroom?” my face twisted in an anticipatory wince.
“Well, no. You can use a bed pan.” she suggested matter-of-factly.
Bed pan? Hell NO! I thought to myself. I smiled outwardly and cringed inside my head.
“Physical therapy will be here later this morning to help you get up and start walking.” she mentioned on her way out the door. Oh goody! I thought. That oughta be loads of fun. Read the rest of this entry »
Posted in Training
November 7, 2009
My nurse came in to reattach the IV. “Do you have to pee, yet?” My answer was no. I had no urge at all which seemed odd to me because they had been pumping bag after bag of fluid into my arm. I pushed on my bladder to see if it felt full. It did. But I still had not even an inkling of needing to relieve myself. She looked at me and scolded me like she was my mother, “You don’t want me to have to put that catheter back in now do you?” I smiled and then sighed. I thought why is every little thing so complicated?
The nurse poked her head around the privacy curtain that hid the bed from view if the door was open. “Anything yet?” I shook my head. “Wanna try?” I relented and let her bring a bedpan, which turned out to be a shallow pink (OK mauve) triangular shaped bowl. I thought how the heck does this work without getting very messy? Answer: It doesn’t. She lifted the blankets and my lovely dressing gown and slipped the pan under my tush. I looked at her with curiosity, “What if I miss?”
“I’ll clean you up.” she smiled.It must be weird to be used to wiping adults’ butts.
The pan was awkward and I felt my butt cheeks touch the bottom of it. How on earth am I supposed to pee without getting it one me, I thought. I tried to relax. I looked at the ceiling and thought about waterfalls, and faucets and getting a catheter put back in, when low and behold a trickle of liquid made it down and around my butt and into the pan. It wasn’t much, but maybe enough to hold off the catheter. I pushed the “help” button on the bedside controller, the one that also works the TV and the lights. The feeling of sitting in my urine was disturbing and I wondered why the nurse wasn’t coming to fetch the nasty thing out from under me. (OK, I know urine is sterile and clean, but still).
The nurse returned, “All done?” she said reaching for the pan with a towel in the other hand ready to catch the pee that would drip from my cheeks. I stayed arched as she wiped me clean (one must swallow all pride and sense of privacy when in a hospital). She looked at the volume of my efforts. “Is that all?” she scowled like I was deliberately withholding my urine. “Well I don’t think this will be enough. You have to pee.” She took the pan into the bathroom and dumped its minimal contents into the toilet. Apparently the powers that be also agreed I should have done better, because she returned not too long after with the promised catheter. “Sorry,” she apologize while lifting up my gown and searching my privates for the place to insert the tube. (Remember that thing about giving up your dignity?) “Take a deep breath.” and as I did, she shoved that tube up me until it felt like it was going to be in my stomach. “Maybe tomorrow.” she smiled and left.
Blood pressure still too low for meds.
Dinner once again stayed on the cart.
Posted in Training
November 7, 2009
9 PM
Evening came and the dragon that lived in my hip was clawing with such gusto so that I couldn’t lie still for more than a minute or two. My torso was aching from the pressure of gas caught in the upper regions of my body and refusing to move towards the exit. I felt full and nauseous. And then a sudden horrible urge hit me. “Oh my god! I think I have to poop!” Here I was attached to the IV machine, and a catheter hanging out my ‘hoo hoo.” and I thought, there is no way in HELL, I’ll take a dump in the bedpan! I didn’t care how much it was going to hurt or how hard it would be to get me to the bathroom, the idea of lying in my excrement was motivation enough to leap tall buildings in a single bound if necessary.
I pressed the nurse button. I could hear the little attention bell dinging in the distance and I thought, how do I tell them I need to go potty without sounding like a child or an uneducated dolt? “Yes, can I help you?” came the voice over the speaker. “Er…. yeah….um…. I have to …. um go to the bathroom.” the words rushed out of my mouth, because by this time I thought it was nearing an emergency. “OK, I’ll be right there.”
She came in holding a bedpan. “Uh, I’m sorry I really want to do this in the bathroom.” I pleaded.
“Are you sure?” she asked eyeing the equipment attached to me and remembering that I was still without pain meds. “This is something the therapist are supposed to do.” she added like she was taking a risk at a lawsuit if something went wrong.
“I don’t care!” I said without hesitation. She left and returned with her assistant. They moved the IV stand closer to the bathroom door and unhooked the collection bag from the side of my bed and laid it next to me. I began to scooch myself down the bed while turning my body until my sore leg was just at the edge of the bed. “You’ll need to hold my leg.” I explained, “while I get my other leg off the bed. Try to keep it the same distance apart.” I warned remembering my earlier experience. The nurse managed to hold onto my leg until the last minute when she let it slip from too high a point to the floor. “OWWwwwww!” I cried, as tears of pain welled in my eyes.
“Sorry.” she said with remorse.
“That’s OK.” I said through breathy puffs of air trying to work through the pain so I could stand up. I genuinely meant that too, because I knew she was trying her best to help me do something that I probably shouldn’t have been doing.
I grabbed onto the walker that was left in the room and the nurses helped me stand up and gingerly walk to the bathroom. I looked at the toilet seat and found it interesting and frightening that my toilet was just an ordinary hospital type potty. You’d think that in an orthopedic ward a toilet would be equipped with a special seat to raise the height to an acceptable level. So with a deep breath and my back to the toilet seat, both nurses helped steady me as I bent my legs to start what seemed like a long descent into a bottomless cavern. My leg was screaming with pain as I tried to control the speed at which I was moving. About one hour later (OK, a gross exaggeration, but that’s what it felt like) my backside landed on the seat. (mental note to self: ask Dad to get a raised seat for home) The nurses guided my various tubing out and shut the door so I could have some privacy.
It was gas.
Posted in Training
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