Anniversary can mean so many things

365 days of blogging... well, not really. More like 60-somethings posts. There were some breaks in there. But 365 days of recovery. Absolutely. And counting. 365 days of patience, perseverance, acceptance, frustration, sadness, gratitude, surprise, self-discovery, self-renewal, joy, support, learning, and love. Yes. Yes. Yes!

A year ago today I started this blog as a commitment to my health, to experiencing gratitude, and to living happily. Eight hours after my first blog entry - filled with optimism and sense of accomplishment, I crashed my bike on the side of the road and so began the most painful and frightening day of my life. About two years to the day, Alon and I signed our first lease together and I began to settle in to the most beautiful relationship of my life (sounds a little corny, but love can be that way sometimes and it's good!). Almost three years ago to the day, I found out my Mom was battling stage two breast cancer and I met Alon shortly thereafter. Four years to the day, I became part of a cohort at Naropa University who I would spend a year with studying transpersonal counseling psychology, mindfulness meditation, and wilderness therapy. Today, I find myself healthy and getting stronger, filled with gratitude for all things, people, and accomplishments in my life. And everyday - though sometimes it's a real struggle - I focus on and succeed in bringing more joy, peace, acceptance, and fulfillment into my life.

There have been just a few things I've learned this year... 1) the art of acceptance, 2) how to create more happiness and joy in my life, 3) how to tell a story, and 4) a great blogger updates people at least once a week and keeps her posts to 500 words or less (still working on that one).

That said, the new self-awareness I can share with you today includes... 

1) Transformation is beautiful, challenging, and awkward! (i.e. from extrovert to introvert)

2) I'm taking control of my life (to the extent possible) by making intentional choices focused on my happiness. (seems simple but it hasn't been!)

3) The courage to be me is always in demand.

4) I have enough. Right here. Right now.

5) I am perfect in every moment / every moment is perfect.

6) My truth and experience are valid, real, and worthy.

7) I experience a universal truth with you all, with everyone.

8) I am, without a doubt, a highly-sensitive person. (Yet another learning curve.)

9) I want to be a professional freelance writer. (gulp)

10) I am constantly learning and moving towards a higher goal / higher purpose.

And most of all... I AM SURROUNDED BY LOVE!!! From within me and all of you. Love is truly abundant and everywhere. Thank you to everyone who has made this year so amazing, so humbling, easier, sweeter, more comfortable, less comfortable, and more forgiving. I love each and every one of you!

A YES! Moment!

                         

This past Monday I completed an amazing Rite of Passage ceremony, surrounded by 11 amazing friends (12 of us altogether, a very symbolic number of its own - which was not intended), all of whom I consider an extension of my biological family. The ceremony resulted in the shaving of all of my hair, which will be donated to Locks of Love. The process involved deeper acts of (self) love and (self) acceptance, raw truth, trust, feelings of support and unity, letting go of past and stepping into a new me and a new beginning. 

The twelve of us gathered to support me in this significant step on my path. We had a beautiful, symbolic ceremony starting with a sacred circle where I created an alter honoring myself in the Four Directions, smudging, and Stating of Intentions.

The Four Directions read by Sarah, Mary, Jon, and Helen. Added to this were the Three Directions (Mother Earth, Father Sky, and Spirit) which were acknowledged by Candice, Alon, Megan & me):

SOUTH  - Fire - PassionGrowth in the South it is the time of Summer. From  the bloom we transform into the fruit of the labors.  It is the time of mid-day, the hottest part of the day, the part when the sun is overhead and no shadows are cast.. Maturing and growing into an adult to be that who was are. It is the time to accept the change and learn, to understand. Red is for fire, passion, time of fertility. The South is the place of passion in all things, sex, fertility, mating - the fires that burn within. The direction of fire, like the phoenix  we can rise from the flames, we take and rise again from childhood into being an adult in the direction of the South. Animals The animals in the South represent pride, strength and courage.  The eagle with keen sight and strong wings. The lion for the strength and courage to speak out and roar. The wolf so proud to be a team member of a pride.

EAST   - Air - Flight Beginings starts in the east - from where the sun rises we begin a new dawn. Each day is a good new day with a fresh beginning, a new start.  East is the direction of the physical body and newness including children and new borns. It is the time of change for all is a new beginning. New ideas and seeing the light. Change. Spring is the season when all things begin to grow and awaken. Yellow is the path of Life, to begin the walk as a warrior, to shine in all that you do. The sun rising in the east empowers each of us. The energy to do and to begin the action of the mind and heart is there. Animals Animals of wings and flight include hummingbird, the owl, and the hawk. Our words are given to the east that the smoke in the air or the voices in the air may be carried to Spirit.

WEST  ( Blue)   Water - Emotions Later adulthood the time of Fall, the time of the setting sun - twilight. The daylight fades and brings a new awareness in this time of gradual change. When the darkness comes we must look inward to find the light and have courage. To understand what we see in the darkness may not be real but only shadows.This is the emotional part of ourselves, like the flowing water we must learn to go with the flow of life. The time of the West is when we learn that we are responsible to all things and to each other.  It is the time to prepare, to finish things for the time of Winter is coming. We gather ourselves and family, working together to prepare for what is to come.   As the place of emotions it is the place of family and love - of responsibility from our hearts because of the love. It is hard work and team efforts. Black symbolizes change from this life. Animals The Beaver shows us of the team work and pre-paredness needed for the winter coming. The snake reminds us to shed our skin to grow and change.

NORTH  (Green)   Earth - WisdomAs we get older our hair turn white, as we come to our time of winter. White (and purple) also symbolize spirituality.  With experience and age we gain wisdom. Now we have time to rest and contemplate the lessons. North is purity and wisdom, a great place of healing.  This is the time after midnight, a dream time. The time to be grounded within yourself and deep within, like a bear in a cave. North is the place of winter. This reminds us to stop and listen. That we must have prepared for the long time of winter. Having been in action the other seasons we now rest and contemplate to understand the wisdom we have been given. Animals The white buffalo, Moose and Bear. Each prepared and have a layer of fat to sustain them through the winter. They are also the primary source of meat during the winter time for people. They rest and take things slow, not wasting energy, and with the understanding of what winter brings.

My Welcome & Stating of Intentions:

 "With my dear loved ones and friends present I am so grateful and joyful, and feel very supported. Alon, Candice, Mary, Sarah, Megan, Mike, Jon, Helen, Robert, Wynn, and Morgan. We are here today out of friendship and compassion. You are also here to be my witness as I acknowledge all of my self, my fears and pain and happiness, and practice an act of self-love and self-acceptance.Today is a rite of passage for me. Today I pass over a threshold of oldness and into the NEW!

"Your YES to being with me today during this head shaving ceremony is truly a reflection of the YES in me. I am saying yes to the past while simultaneously letting it go. I am saying yes to the present, to accepting where I am in my life on this very day. I am saying yes to the future, and all it's beautiful gifts, mystery, and love that it holds for each of us.

"Today I embrace the strength and courage of the lion. The lightness and freedom of the hummingbird as it takes flight. The transformation of the snake shedding its skin. And the patience and understanding of the great bear! Together, with the spirit of all our brothers, sisters, mother, fathers, great grand mothers, and great grand fathers, we are all united in the flow of nature and this great life!"

We had a final hair washing where friends took turns holding my head, pouring water, shampooing, conditioning, then combing. We washed away the past while honoring all of it's beauty and gifts it had given me. We danced the Five Rhythms, led by my dear sister-friend Candice, to let my hair dry out. At the end of the dance, everyone took a "shape" that was offered to me as a gift of love and support. It was so amazing and powerful! I cried and received it all openly and joyfully. 

The Five Rhythms symbolize the five developmental stages of life:

• FLOWING – infancy, in utero, the fluid, continuous, grounded glide of our own movements
• STACCATO – toddlers, childhood, the "NO" stage, the percussive, pulsing beat that shapes us a thousand different ways
• CHAOS – adolescence, puberty, the rhythm of letting go, releasing into the catalytic wildness of our dance that can never be planned or repeated
• LYRICAL – adulthood, courageous, truth speaking, the rhythm of trance, where the weight of self-consciousness dissolves, where we lighten up and disappear into our own uniqueness
• STILLNESS – elderhood, reflection, wisdom, the quiet emptiness, where gentle movements rise and fall, start and end, in a field of silence

When it came to the hair cutting, I chopped the first pony tail, then Alon, and my Mary and Candice did the rest. I asked each person to come and cut a lock of hair from the tosseled bit that was left. I read something that I was letting go of (from the vessels we created at the Heroine's Journey retreat)... and they stated something they were letting go; usually it resonated with whatever I stated - giving such power and flight to my words and our process! Then they snipped, and offered me a blessing. Adding the clipping to the vessel, wrapping the whole thing in white tissue paper, and smashing it with a rock on the hearth of our outdoor fireplace, then BURNING it! What fun! What freedom! What power! ;-) Everyone took turns "buzzing" my head at the ceremony. Periodically, a mirror was held up so I could watch the process unfold.

When the hair washing began, as I laid back in a comfy chair, I saw a majestic hawk circling and swooping, gliding effortlessly overhead against the sapphire blue sky. I heard it's resounding call! It was the first thing I heard and saw as I first looked up. In Susannah's words (random yet reliable source), the HAWK symbolizes the following:

In representation to humanity, the hawk is called messenger, protector and visionary. Keen vision is one of its greatest gifts. Hawks see things others miss.

The hawk comes to you indicating that you are now awakening to your soul purpose, your reason for being here. It can teach you how to fly high while keeping yourself connected to the ground.

We ate food and relaxed afterwards. Later in the evening, Alon shaved my head down to the skin. That was probably the most "awakening" moment for me and I loved it all! When I looked in the mirror that last time, I shrieked and squealed and screamed in disbelief, until I could finally gaze fully into my eyes and state, "I love you and accept all of you." Feelings were beyond words. And Alon, my partner, my beloved, was there to witness and guide me throughout it, diligently and patiently shaving my head to the last hair. He embraced me lovingly and kissed that bald head of mine!

That is the gist of the ceremony we had. In the days and week or so prior I journalled like crazy about this impending event. I talked through the fears, the beliefs, the pain with Alon and other dear friends and family. And the night before my head-shaving I woke up a 5am, just out of my dream state where I had witnessed all of the fear, chaos, sadness, and confusion within me and greeted it with loving acceptance and humor! There was so much light and white in my dream. At that moment, even though I was scared and sad, I knew I had fully integrated my decision, and was ready to cross the threshold into the NEW!

My dear friend, Wynn, documented the ceremony, since he is a professional photographer, so I hope there will be some inspiring, amazing photos to reflect back on and share with you all. I surely have some amazing memories and feelings that are with me always! 

I want to thank Victoria FittsMilgrim and the amazing women (Lynn, Christine, Heather, and Alice) at the The Heroine's Journey retreat on May 18th and 19th. You were afterall a wonderful catalyst for this amazing YES moment and my deeper found ability and willingness to fully embrace and accept me! I also need to acknowledge the last "YES!" post I had on this blog, which was my very first one on August 26, 2011... in a big way I feel I have come full circle since that pivotal day in my life.

Things are shifting

I had one of those days last weekend where I woke up with a great burst of energy and determination. I was not stiff or sore. No need to take any pain relievers (actually, as of today 1/18 - I went 6 days without any tylenol or ibuprofen; and took maybe 2000mg total over a 10 day period. AWESOME!). 

I set off for a one hour, intense work out at the YMCA at 8am. It felt fantastic and hard. Then it all changed. It felt like I had spun around 100 times, ran 10 miles, and was carrying a 60-pound pack through a thick, dark, musty swamp. My stamina was shot! Despite my long list of to-do items thoughtfully written out the night before including working from home, all my determination to be productive was gone and nothing got done except the essential which was walking to the bathroom or kitchen, grocery shopping and making a dish for our first Highland House pot luck dinner. 

My body and mind have not spoken this clearly and loudly in a long time... "STOP AND REST!". I had no choice but to surrender.

Sunday night our first week at the Highland House was capped with a delicious pot luck dinner and house meeting. 

I've noticed that my stomach has been sensitive to foods lately, even citrus in the morning. This tells me that I have some emotional build up. I've definitely had "emotional seeping"... where tears or a dip in mood come suddenly and unexpectedly in various situations. It's not great. I should probably create a container for some emotional release. I'm putting a lot of pressure on myself to perform my 40 hour work week, be present with clients and staff, friends and family and housemates. But I'm fading fast... 

I woke up tearful and exhausted beyond comprehension, crawling through the day at a snail's pace. Yet, not even thinking to take pain medication; I just didn't need it. Alon watched me struggle in the morning and gently held me and encouraged me to go to work. I acknowledged my feelings of wanting to stay in bed, feeling the weight of depression and fatigue come over me like a tsunami. I was almost breathless. With his encouragement, I carried on and was able to show up for my staff and my clients in a fairly low capacity but still present. I was glad for that but I still ask myself if it was the right choice. 

Next day... I feel like maybe my stride is picking up a bit. I had wonderful one hour massage this afternoon with Bree, which my leg and body were so hungry for. I feel much stronger in my morning routine, meaning when I get up out of bed I don't have to lean on the wall for a few minutes to stretch my leg or shake off the stiffness or gain strength. I can just get up and go (with a little limp). The pain and stiffness are just that much less. It's great! Lots of people are commenting on how much better I am walking during the day, so that's really nice to hear/see.

Little thing... A pillow between my legs while sleeping is still comforting, though I've realized not as essential. I still toss and turn a lot. I can lay on my back more comfortably allowing my left leg to relax (sometimes). That said, there is a new-ish pain and discomfort, a tightness perhaps, in my knee when I try to straighten my leg. More PT, more extension, more time will help it along.

Patience and not being hard on myself are by far the most difficult challenges right now. It was a lot easier to give myself a break when I was laid up at home for two and half months. After Christmas I was really hoping to resume a 40 hour work week, still attending to two-two hour PT appointments per week and other daily work outs at the gym. I'm realizing I just can't cut it... I feel like I'm letting myself down and others... though I was fairly reassured today by coworkers that I'm still doing a good job and working hard. My stamina and motivation at work are definitely suffering.
Cliches come to mind... We are our own worst enemy (and critic). If I don't have my health, I have nothing - it's true. I must take time again to really focus on the path that supports me in being the happiest, healthiest, and best person I can be right now. I'm struggling a bit with it, but I know I am where I am supposed to be, and all will work out.


Much love to all of you have been with me and supporting me during this crazy Rite of Passage! I love you all. Knowing your love and support are out there brings me up and gives me clarity in the really difficult times. Thank you!

I will never again take for granted the ability to walk!

It has been exactly 99 DAYS since my bike accident and surgery. In just the past couple of days I have been able to go without any walking assistance (no crutches) about 50% of the time, still wearing my brace. What a great break through!

At physical therapy today I showed April how I could walk down the hall, in my shuffle sort of way. She took the crutch away from me and said... "Get going! Last room on the right." So just a few hours ago there I was walking, no crutches and without my brace for the very first time. I actually felt really strong without the brace. It was liberating. I don't feel this way in the morning - and sometimes during the middle of the day, I feel so weak and tired and painful that I can hardly bear another step. But tonight I did a little dance (like waving my arms in the air) for April as I strutted down the hall to the examination room. After our bending session (where I went to 122 degrees), I raced April to the bike to start my work out. I flew through my PT routine in about 1 hour (versus the regular 2), iced up, and went and met friends for drinks!

Last weekend I watched people walk across the crosswalk at a nearby intersection while Alon and I sat outside Atlas cafe drinking tea. It brought tears to my eyes as I thought most of them take walking for granted. I was sad and mad and jealous. I'm never again going to take walking for granted. I swear it. I'll remember this experience and all these emotions for the rest of my life. Walking carefree and being "able-bodied" is such a gift.

All week my coworkers have watched me go up and down the couple of stairs to the back entrance of our building. Cautiously move around the building with more ease. Go a few more feet every day with one crutch, then no crutches. Venture up a flight of stairs to the second floor for the first time in several months. Walk from my office to the front lobby without any assistance. Every moment I walked another step on my own, I really relished in the moment. Every time I took a step was a diligent, tireless, purposeful effort of reminding myself to engage my leg muscles, flex my quad, straighten my back, engage my core, touch my heel to the ground, straighten the knee, push off the toe, bend the knee, plant the heel again. Tighten the muscles. STEP. Repeat. My walking has turned into a mindfulness practice, and it's been truly amazing.

Last night I coordinated with Alon to make us some smoothies for dinner. My coworker Jenny would drive me home from work at 5:30. Alon and I would scurry off to the gym for one hour, then we'd make it - albeit 40 minutes late - to the BCAP Annual World AIDS Day Concert at First United Methodist Church. The coordinated effort was critical and we pulled it off! As we slowwwly walked across the icy parking lot to the church at 7:35. That was an awesome effort!

The last couple of days have been particularly sketchy as we have had very cold temperatures, snow, and most walkways and roads hardened with slick ice last night and this morning. Everyone who saw me out and about said with a loving, cautious tone, "PLEASE be careful." And I was. I walked out of my house this morning to start the car as Alon was finishing up something inside. We were about to head out together. As I stood on the curb getting ready to step down into the street this morning and start the car, the reflection of glaring ice stopped me. I felt doubt, discouragement, and then, most of all rationality. This experience has made the most obvious EVEN clearer. I poked the ice on the road a couple times with my crutches and decided that I couldn't take the step knowing I would be safe. It would be pushing the limits. I was reluctant, yet I stood there with my head down, just staring, wondering if I could do it, HOW I could do it. I decided I couldn't do it without help. Mind and body fought for a while, but my body knew more than my mind. My ego reared it's head and then was cast aside. I still stood there, contemplating, staring at the ground - wishing for an alternate reality yet knowing the truth - until I was ready to turn around to go back inside and wait for Alon.

Just then Jenny drove by. Sweet little southern gal. What timing. She always drives by my house on her way to work in the morning, but I'd never actually seen her unless she was stopping to pick me up. Well, by golly, there she was! She put on the brakes just a bit past me and pulled over, rolled down her window, and yelled, "Hey Erin, do you need help?!" To which I replied, "Yes, I'm going back inside to get Alon!" "Ok. See you at the office!" Jenny yelled back. "Sounds good, thanks!" I said.

It's really hard to ask for help but if you listen REALLY carefully you know WHEN... and listen even more carefully and you know HOW and WHO to go to. It's amazing to me the friends, family, coworkers, and complete strangers who have come together for me lately to be my support team when I need it. To say to myself, "I can do a lot of things, but I CAN'T do this on my own" without feeling some sense of defeated self-worth is really difficult to come to terms with. But when I'm surrounded by people who just want to see me succeed and be happy, everything seems okay again. My decision by the curb this morning felt rational, solid, and self-assured. I knew I didn't want to get hurt or take a risk that could ultimately result in injury or set back. The love and support of those around me and those whom I hold in my heart help empower me to make the right decision. I acknowledged that I needed help, I sat with it - literally, as I stood there holding my crutches and stared at the ground without moving. Jenny reminded me that it's okay to ask for help. And I knew I could always count on Alon's patience, kindness, help, and loving understanding - even for the simplest of things. Even when he doesn't realize how awesome and helpful he is, he's that much more amazing to me.

This last week in particular there have been several times when I have felt strong and weak, tired yet determined all at the same time. When someone asks me if I have pain, I've learned to craft my answers in such a way that allows my body and mind a chance to respond genuinely and for "both" to be acknowledged. For instance, "Yes, I feel pain in my foot like I'm walking on a sprained ankle but the more I walk on it, the more blood flow it gets and the quicker it will heal. My quad feels weak and my knee is swollen and stiff, so I can't take a long normal stride but I CAN walk a little bit. See?" I'm where I'm supposed to be. I just need to keep working out and trying to walk and tell myself to walk even when I don't want to anymore. 

Life is really that simple: ONE STEP AT A TIME - while every step seems simple it is a challenge (to some degree) and requires the utmost dedication or else it simply will not happen.

Monumental past few days!

As I was updating my friend, Jane, of my recovery today over email I realized how monumental the past few days have been. Here's what I said:

"Holiday was good. Alon & I went down to Minturn (just past Vail) and spent time with his Aunt, Uncle, and bazillion cousins. Felt really good to get away and the long break was just what the doctor ordered! ...this was our first departure from Boulder in over 3 months.

"I am doing great! Last week had its hiccups, but I finally feel like I am fully transitioned to 100% weight bearing and using one crutch without much pain (still working on strength, balance, and stability). I still walk kinda funny, but we'll work on gait mechanics in PT [and in the pool]. I also took my first shower STANDING UP while we were in Minturn, so that was exciting... and made it to the second floor of BCAP for the first time this morning."

In addition, I made it out to coffee shops (Atlas and Trident) THREE times this weekend. THAT really makes me feel like I am getting back to my old self again. HOORAY!

Right now I am listening to Billy Joel's "We Didn't Start the Fire" and that also just adds to my good feelings and excitement to keep carrying on like a bad ass! Who doesn't want to dance when they here that song? :-) For your viewing and listening pleasure: http://www.youtube.com/watch?v=eFTLKWw542g

6 Week Update: Medical, Emotional, Mental, & Physical

MEDICAL UPDATE:

Here are the bullet items from my appointment with my surgeon, Dr. Fulkerson, yesterday (Thursday 10/6/11):

• I experienced a BI-LATERAL tibial plateau fracture (TPF). This was new to me. I thought only the lateral side was crushed but the medial side had a huge fracture down the entire length, splitting it off into a triangular piece. I became fully aware of this on Thursday when Dr. Fulkerson, Alon and I looked at the pre-op x-rays together. This is the first time I had seen the pre-op x-rays - they were troubling and interesting to say the least.
• Medial: closer to the body's midline. Lateral: closer to the left (in my case) or right side of the body.
• There is a Roman Numeral scaling system for TPFs that goes from I-VI (least severe to most severe). When you have a bi-lateral TPF both sides of the plateau are fractured and you are in the range of IV to VI, based on my internet research and chatting with my doc. I was likely a V. Had both plateaus (instead of just the one) been crushed or broken off completely I would have been a VI and likely a candidate for a full knee replacement! Holy crap, right? Imagine if I came out of the operating room with a scar from mid thigh to mid shin and a truly bionic knee, not just a plate and a 6 screws? This new news, increasing the realization of the devastation of my injury and need for a major comeback scared me immensely and totally overwhelmed me. As I write this (one day later), I still feel scared and overwhelmed.
• My injury: The medial side of the tibial plateau was severely fractured (like the picture of the left knee in the link above) while the lateral side was severely crushed (just small pieces of bone fragment and chunks of cartilage flaking off - patches of cartilage gone for good) - the latter was the primary concern during surgery.
• Lateral TPF: This is the side that was crushed, bone graphed and plated. The top contour, from front to back, of the lateral side of the tibial plateau was congruous (smooth) which is great, yet still lower than the lateral side which is, well, not so great but not surprising. The surface formation was also good. Dr. Fulkerson's goal was to raise that crushed side up as much as possible to its original state using the bone graph and plates. She did her best, and a great job at that. It is what is now and she is satisfied with the outcome. My call to action now is to strengthen the crap out of my left leg so I'm not weak in that area and have less of a "knock-knee" (that she predicts).
• Medial TPF: This is the side that had the jagged break that created a triangle piece of broken bone. Looks like it's healing ok. No surface damage or crushed bone here like the other side. Still SHOCKED that this side was busted too... oh well!
• Other fractures: There were two fractures along the shaft of the tibia that were clean breaks and are healing if not healed by now. The fracture at the top of the fibula that connects to the lateral plateau: same. 
• Weight-bearing: The non-weight bearing issue is basically related to the crushed plateau and how quickly that heals. It is possibly that I might be weight-bearing at ten weeks instead of twelve. Exciting! We'll see at my next follow up appointment in four weeks (Nov. 7th), which will be the ten week mark.
• Ligaments: The meniscus tear was in the back on the medial side. Dr. Fulkerson said she had to cut some of it in order to do the repair. She said there was an avulsion of the meniscus. The ACL, as I mentioned before, was not visibly torn, but instead tore off with a piece of bone attached to it. She gently, accurately placed the puzzle back together and is hoping for a complete recovery. She said it is possible that there were micro tears in the ACL, but of course impossible for her to tell since she is an awesome orthopedic surgeon but does not have microscopic vision. At this point, there is no way of knowing how either ligament is healing. We'll know more as I go through the physical therapy, etc.
• Physical therapy: I received a prescription from Dr. Fulkerson to start out patient physical therapy next week (exciting and scary!), one to two times a week until they can progress me to more visits per week. Part of me is thinking "Well, it's about a 3 mile walk to PT. I wonder when I can do that?" Then, a friend or loved one gives me this stare down like "You're crazy. Give it time." And I am reminded to "be in the moment!".
• Prognosis: Overall, Dr. Fulkerson is "reasonably optimistic" that I will make a "near full recovery". So that's about the best news you can get from the mouth of a reasonably cautious, very talented doctor.
• There is no additional surgery needed at this time. My assumption is, sometimes there could be additional surgery at this time if someone is healing properly. I have been encouraged to bend my knee as much as possible to avoid having surgery to "scope out scar tissue". Yuck. I am currently bending at about 85 degrees, but could go to 90 with an extra dose of courage (much needed at this point!). My goal is to advance my range of motion (ROM) by about 5 degrees every day. We have a new technique for this (see "gravitational flexion" below).

PHYSICAL/MENTAL/EMOTIONAL UPDATE:

So speaking of bending my knee. I am feeling very disconnected from this part of my body right now. I have been feeling this way for the last few days. Disconnected from my left leg in general. For six weeks I have been lifting my leg with both hands in and out of the brace or on and off the CPM when necessary or up onto a bucket to rest when I go pee, as if I was a paraplegic. This is incredibly frightening. The entire experience.

Yesterday, with Dr. Fulkerson we tested my range of motion in this way, Gravitational Flexion: sit up on the examination table, scoot to the end so that the knee is past the edge of the table. Brace removed, Dr. Fulkerson rests the heel of my left foot in one of her hands with her other hand supporting near the top of my calf. My leg is now out in the open air, supported solely by this woman, who I thought I felt trust and respect for. However, I was scared. My reaction to this test: I start to cry, shake, hyperventilate, tell to her stop, ask her what she is going to do next. NOTHING BUT FEAR. So much fear came over me: it felt like someone was pushing me out of an airplane with no parachute. 

Dr. Fulkerson immediately identified with what I was feeling. Told me it was understandable and reasonable, that she would probably react the same way AND that FEAR was going to be my biggest obstacle right now and then I HAD to get through it/over it. It was an earful - but she was right! Yes, I need to listen to my body (and I do) but the mind is a powerful thing that has the ability to convince of something that is not true or prevent me from progress, in this case. We talked about how my leg would not snap off and break in half, that the plateau fractures would not get re-injured in this way, and that I was okay and I was going to get through this.

We graduated to a bent leg of 75 degrees, off the edge of the table, allowing gravity to do it's work. It was actually easy in a sense. There was NO PAIN, only fear. 

The mental trip was this: I was dangling my limbs off the edge of Half Dome (a 2000 foot flat faced rock at Yosemite National Park - a favorite spot for experienced rock climbers - otherwise a place to embrace one's fear of heights reconciled by natural beauty). Dr. Fulkerson said I could likely bend to 90 degrees right then but she thought she had traumatized me enough. We both laughed! I said, "We could try 90," with like ZERO conviction. She said NO and slowly raised me back up to 180 degrees. Where I kind of shuffled to get back into my security blanket, the leg brace.

So I think I have some stuff to work with!

Alon had his hand on my back the whole time I was with Dr. Fulkerson. I could feel his gentleness and strength right there coming through his hand. It reminded me of a Hakomi (type of psychotherapy practice) workshop exercise I had done with a partner, where the precise placement of a gentle hand on someone's back can fulfill a need and provide the exact comfort one desires. Alon somehow knew exactly where and how to place his hand. I imagine the experience might have practically brought him to tears watching me, but he seemed okay. Alon shared later that I made a huge step toward normalcy today and that I was very strong overcoming more fear and uncertainty and re-discovering ability! Yay! for positive reinforcement!

I do have some leg muscles left; coupled with desire and will power. I am able to do leg lifts and slides much more easily than before and so I have been trying to shift my behavior from this assisted lifting with my hands to mindful, coordinated action of: engage the core, tighten the glutes, tighten the quad, flex the toes, lift the leg. Go. Annnnd REST. There is no question that this process is tiring, frustrating, strengthening, and courageous. Whether I'm doing some sort of necessary bodily function or activity (like walking or bathing) or doing PT or modified yoga poses, THIS extreme attentiveness is what it looks and feels like. Eventually, it will all become second nature again and I can bend my leg more and do things with but for now I have to be completely present with whatever action I need my left leg to do or it won't happen or I risk hurting myself. 

Despite all this, despite my modified yoga poses in the sunshine in the backyard which give me a few moments of bliss and accelerated heart rate... I still feel very disconnected from my leg, from my body. It sucks. It's depressing. It's scary. It makes me angry. It makes me sad. I feel lost and overwhelmed right now. I balled my eyes out this morning, soaking the shoulder of Alon's t-shirt with my tears. Alon and my care provider, Pauline, agreed after that moment that I've been so strong and positive up to this point, it's okay to be in this space, in fact, it is NORMAL in my situation to be exactly where I am right now, emotionally. Not the normal I want but the normal I've got! So, okay... I'll just keep putting one foot in front of the other, take one day or moment at a time, and breath in all the loving support that my friends, family, co-workers, care providers, strangers, and neighbors have to offer.

Alon, my love and support and sanity and saving grace through all of this assures me that I just need to keep doing what I'm doing and that I'm healing great, even the doctor said so! 

The other night when I was going to bed all could think about was the bi-lateral fracture. So I needed a way to get out of the negative thoughts and into the positive. I asked Alon to give me something else to think about and he said, "Think about your muscles and how strong they are going to be." He's also said that I can probably put a 70 pound pack on and go back packing in the back country again someday. That these activities are not off limits. And I soon drifted off to sleep, thinking of my soon to be Wonder Woman figure :-)

There will be days when I'm climbing up hill both ways in a blizzard and then there will be days when the wind is at my back. Nevermind DAYS. Try MOMENTS. Moments in my day when the "wind is at my back"... these are the things I need to try harder to keep track of and relish in, and to talk about and think about. Like all the positive aspects of physical therapy and being around all these people who love and support me (and Alon).

Each of us experience our share of suffering, loss, challenge and chaos. What about the moments when we truly feel supported, at ease, progressing, and happy? Whether those feelings come from within or surround me in my immediate environment, this is a difficult time in my life where it is imperative to deeply acknowledge those good feelings which can put that wind back in my sail propelling me through the rougher patches of open water.

Thanks everyone for taking this journey with me on my blog; and I hope some one else with injuries or challenges like mine find my sharing of my experience helpful in some way. I know I have gotten a lot out of the stories you all have shared with me recently in relationship to past injuries and recoveries you've made. Our bodies and minds are amazing! Love to you all!

Walking the razor's edge of fear, compassion and bravery

With great looking results from new tibia x-rays on Wednesday, optimism and good spirits still prevail in the Dupuis-Katz household!

Mornings or evening can be the toughest. It alternates because pain seemed to be at its worst as the afternoon/evening progressed for the last couple of weeks, but now pain seems to be subsiding overall. 

Yesterday morning and today were especially hard. I woke up just so damn soar and stiff all over, my low back feeling wrenched. I just wanted to jump out of my skin!

I breathed. I cried. I moaned. I breathed into the areas of pain, soreness, stiffness, discomfort... like they teach me in yoga. It kinda helped. I moved the CPM and lay flat on my back in bed. Savasana. 

I got up. I stretched. I lay down. I stretched. Spinal twists. Did PT. Made stuff up. Anything I could think of to relieve myself of these moments of discomfort.

Okay... that helped but I needed more. It had been almost 12 hours since my last medication dose, 7.5mg oxycodone/325mg Tylenol. See!? I'm doing better! So this morning I took 500mg of Tylenol and 5mg of oxycodone and 30 minutes later I was feeling "normal".

I talked to my sister, Bridget, for almost an hour and a half. We laughed and shared stories. She gave me advice and shared memories of her healing after her surgery about 9 years ago. I heard about her poor doggy's flee and dermatitis problems. I lay in bed, finally comfortable. With like four blankets on me (down, fleece, quilt, knit) because I was freezing with my ice pack on my knee for most of the night. Anyways, it all helped me feel BETTER.

Alon made me a beautiful breakfast... he has nearly every day, when someone else isn't here to help. Eggs, toast, tomatoes, cucumbers. Ahh. He is "the best in the west" my sister, Bridget, said. She is right! 

That all said, I cry at least twice a day. A lot of the time it feels like an emotional outpouring to regulate myself in a way. It might be dealing with some post-traumatic stuff, as folks say. It might be brought on by tiredness, inability to get and stay comfortable, or pain and soreness from one of my worst sprained ankles ever. The leg itself only has an occasional sharp shooting pain through the knee cap. I'm stretching the scar tissue on the CPM which is uncomfortable, but temporary. 

Mostly, I think, the teary moments are just from the sheer DESIRE and DETERMINATION to heal; the FEAR and the COMPASSION that are drawn so strongly out of me at times; the accompaniment of the PAIN and STRUGGLE and discovery of new INNER STRENGTH (bravery?) during physical therapy; and truly, the GRATITUDE I have for this body's ability to heal, my medical providers who continue to treat me with the the best of care, and my friends and loved ones, especially Alon, who continue to help me at every turn at all ours of the day and night.

Regarding PT, I am up to about 20 exercises per day I think. I haven't actually counted. I just had my last home PT visit from Deb yesterday. The exercises she has given me just keep adding up and I need to do them until I hit that 12 week mark (November 21st). This includes therapy for my left leg, foot and shoulder, since I fell pretty hard on it too and strength and range of motion have been compromised. In order to stay as strong and balanced as possible, I need to start throwing in exercises for the right side of the body too... sigh, it feels like a lot of work, but I'm going to get it all squared away this weekend I think.

My next step with PT is to make a spreadsheet.... since I miss doing them so much at work! This will allow me to track my daily progress... not have to think too much about what to do next... watch my ups and downs and give myself some recognition when I'm feeling beat or unmotivated. It will be similar to what I had going with my yoga schedule prior to the accident where I started with two classes per week and added a new class or two every three weeks.

Speaking of yoga, it's pretty cool what poses I've adapted to a walker! And what I've made up along the way just to get some good stretching in. Maybe I'll get Alon to take some pictures and post them here soon :-)

The morning today ended with a good dose of sunshine. I sat in the back yard, watching Ozy jump over rocks, hide, and hop through the grass chasing grass hoppers. She's all tired now and fast asleep in her bed next to Alon while he works. Anyways, I sat outside for about an hour, all propped up with a couple chairs and a few pillows, just taking it in. It was warm and good.

AND working on my short term disability paperwork with Gary, our HR Director at BCAP, over the phone. Alon scrambled this morning to pick up and drop off paperwork from the doctor's office to home to BCAP to home again. Let's hope that all goes through smoothly and quickly so I can at least get a portion (about 1/2) of my pay for the next couple of months while I recover at home.

Ooh! My left knee just "cracked" in the CPM! That was weird! Oh well, all is well I guess... that's just a new movement and sensation. Hm. Good I suppose!

E. Dupuis signing out... thanks for checking in again :-) xoxo

First at-home physical therapy and chakra healing

Healing from the best of both worlds... eastern and western medicine unite to bring me back to 100%. Maybe even 110% :-)

YESTERDAY started with a refreshing shower in my tub with my transfer bench and sealed trash bag leg and new shower head, all courtesy of Alon. It was bliss and I sorta felt like a little kid a because the ENTIRE bathroom turned into a puddle with soap and water everywhere, more or less. 

My best friend Candice came over with special get-well green super breakfast smoothies (homemade) for me, Alon and her... she also made us eggs and toast and brought some groceries. I love Candice as much as I love Alon. They are a dynamic, compassionate pair and I don't know what I would do right now without them. Probably be in a rehab facility.

My physical therapist Deb came at around 11am... paper work, paper work. Then we went through 4 "exercises" together.

Sitting up in bed with legs extended (obviously)...
1) Quad sets
2) Ankle pumps
3) Glut sets
4) Leg slides to side (fully assisted)

I am going to do these exercises twice a day, 10 reps, taking a total of about 5-10 minutes altogether. Besides scootin' around on my walker in the house, and doing yoga poses in bed, this is about the extent of my activity and exercise for the next 8 weeks I think. 

Continue on the CPM, ice frequently, rest. There is also now a prescription in process for a wheel chair thanks to Deb and my surgeon Dr. Fulkerson, so that I might get some fresh air and cruise around Pearl Street or the Creek Path once I have the stamina, etc. That all goes through my United Health Care, which is pretty sweet.

Dale, my Shiatsu practitioner, came by last night. Special home visit. And did some energy work (chakra, reiki) on my leg for about an hour. It was intense, hot, heavy, quiet... healing. Said he'd come by during his breaks to continue working on me. I was touched by his generosity. More stuff I can do on my own along with PT to keep me moving on the path of health and recovery.

I took a few naps inbetween all this. I'm on a medicine regimen that fluctuates between oxycodone and tylenol mostly. Might make me sleepy, nauseous, or dizzy. Or feel normal. Hard to say right now. I'm trying to vary the two so that I don't feel to many side effects from either one.

By the end of the day, I was worn out and hurting. My pain was about a three-four out of ten. I took oxycodone, valium, put on my lavendar eye pillow and did savasana on my couch. I was asleep in about 30 minutes. Unforntunately, the rest of my sleep last night was not so awesome.

My parents come today. They will land at about 11:11am. Thank you to my sister and neighbors who will be taking care of Squeeks, our cat, and watching the house during their brief stay with me.