Showing posts with label recovery. Show all posts
Showing posts with label recovery. Show all posts

Tuesday, February 7, 2012

Surgeon's Update

I had my last official post-op appointment with Dr. Fulkerson on Friday, January 27th. She said my next appointment would be in six months! The short of it is that I cannot stop working as hard as I have been in rehab, that I should not leave physical therapy too early or else I risk compromising my progress, and that I am still expected to make a 100% come back (within two years of the date of the injury: August 26, 2011).

I need to push harder on my own knee to force the bending to happen. Doc suggested I do this by attempting to sit back on my heels while seated. This is not fun and does cause pain due to stiffness (scar tissue). I can see it's going to take quite a bit of time, concentration, and effort on my part. 

Dr. Fulkerson "tested" my ACL (using her hands and some maneuvering of my knee) and determined that it too feels stable. The attachment point where the ACL is affixed to the bone broke off during the accident. It apparently reattached and regrew in a very satisfactory way! We do not foresee a surgery for ACL repair. Thank goodness!

Come August 2012 we expect that I will be physically ready (far enough along in rehab) to have the hardware removed. Good bye steel plate and screws. If it were to remain in for longer, that would technically not impede my recovery. It would still be very nice not to have that bulging plate on my shin!


Wednesday, January 25, 2012

5 Month Update

Physical Therapy:
  • Roughly 3 more months of PT - next week I will be winding down from 2 x per week (for the next 2 weeks) to 1 x per week (weeks 3-6) to once every other week (weeks 7-12).
  • Range of motion is 131 degrees on my own
  • Hamstring strength is very good
  • Quad strength is getting better, still needs work
Body's Condition:
  • Hips and knees seem better aligned (evident during squats)
  • Gait is improving, limp is almost unnoticeable at times 
  • SI joint displacement leading to joint pain and sciatic nerve pain down right leg / off and on for last couple of weeks - becoming less frequent.
  • Very tight psoas and hip flexors
  • Increasing ab strengthening exercises to hopefully minimize the low back and hip pains  
  • Weekly myofascial release (focusing left knee region) and massage therapy (Thai/full body)
  • No pain relievers (Tylenol/Ibuprofen) for knee related pain in about 2 weeks!
Personal Update: 

For all intents and purposes, I have permanently reduced my work week hours to 32. After trying to hit 40 per week after the new year it proved to be too much. My overall health and rehabilitation were suffering. After reaching the decision on Monday and getting it formalized and approved on Tuesday, today I felt like a renewed person. I am very much looking forward to the reduced hours - after a lot of battling with myself, disappointment, and purposeful realigning of my goals to be more realistic, more achievable, and less devastating. 

The inquiry I find myself in more and more goes something like:
"What decisions can I make in each moment, every day, and over my lifetime to deeply feel as much health and happiness as possible?". 
The intention I wrote out this morning on the community "2012 intentions board" in my kitchen was:
I will do everything in my power to bring more personal awareness to and to achieve my optimal physical, mental, emotional, relationship, and spiritual health.
This is where I am at now. I am really starting to open up to some new awareness, to shed some old beliefs and perceptions, and to tap into the richness this experience has brought me. It feels really good and wholesome, very freeing. 

Surgeon's update to come ... next follow up appointment is this Friday, 1/27/12!

Thursday, December 1, 2011

When Rehab Is Cut -- You Hurt Too (by Lee Woodruff)

An important article...

An article originally from the Huffington Post talks about the the real possibility that rehabilitation services and workers could be negatively impacted by budget cuts if we do not support Health Care Reform and the Affordable Care Act. This is my chance to support others and share (and relate to) others experiences about how rehab has changed and saved their lives. A heart felt thank you goes out to my team of rehabilitation experts at Boulder Orthopedic: Dr. Lauri Fulkerson, April Smith LPT, Caitlin, and Meagan.

Gabby Giffords' amazing story and the release of her book and home video have put rehabilitation medicine and its amazing therapists temporarily in the public eye. But I have no doubt it will soon fall back in the shadows of public consciousness. 

Medical rehabilitation isn't sexy. There's no rush of the emergency room -- no gurneys or defibrillators or physicians yelling orders in an environment of barely-controlled chaos. There's no discovering cures or fashioning a human heart out of stem cells. And, while George Clooney would make a handsome rehabilitation physician on TV, the networks aren't lining up to film a pilot involving a rehab hospital. 

Rehabilitation does not provide instant results; rather, it is a long, hard road. It is a near-relentless struggle over the course of weeks, months, and even years to help an individual who has been severely injured get back as close as possible to where they were before their injury. It can involve countless hours of hard work and determination just to remember the word for an apple, to gain the motor skills to hold a fork, and the ability to dress oneself again. 

It's a journey that most often involves families and friends. It is a road that my children and I walked with my husband Bob when he was severely injured by a roadside bomb in Iraq. But consider this: at some point every one of us will need expert rehabilitation care for a loved one or ourselves. How many of us know someone who has been in a car accident, or had a stroke, or broken a hip? As I move through my 50s, I'm more keenly aware of my own pressing mortality, the fact that anything can happen to myself, my loved ones and my family members. It's simply a fact of life. 

It was impossible not to think of our own journey when I watched the home video of Rep. Gabby Giffords working hard and making such great strides. Many things are possible on the journey of recovery. I see them at work every day with Bob. But none of my husband's achievements and his "getting back to himself" would have been possible without rehab. 

Sadly, the type of quality medical rehabilitation care that Bob and Rep. Gabby Giffords needed -- and the type of care that you or your loved ones may need in the future -- is at significant risk due to current proposals in Washington proposed as part of deficit reduction. These cuts will reduce patient access to care and threaten the viability of rehabilitation providers. Thousands of people in need of medical rehabilitation will no longer receive these services. Training as well as therapists and medical jobs will be cut -- hospitals will have no choice. 

Patients in rehabilitation hospitals are often at their most vulnerable. It's an emotional and scary time, usually following an injury, sudden event or illness. Most Americans already face very real limitations on their access to inpatient and outpatient rehabilitation care -- their insurance runs out or benefits stop before their treatment needs end. The average insurance plan for traumatic brain injury covers six weeks of rehab. That barely begins to scratch the surface of an injury that can take years to heal. 

Patients and their families should not unfairly bear the burden of balancing the federal budget. Cheaper is not better. Who would ever choose to see their catastrophically hurt loved one in a nursing home instead of a rehab hospital? But that will be the result if these cuts are approved.
Talk with these people, as well as our returning wounded veterans, about how overwhelming the access and financial challenges can be. At a time when our population is aging and returning veterans are in need of services in their local communities, services will be slashed or eliminated. Rehab is darn hard work -- placing challenging policy and additional access obstacles in front of these patients are not in anyone's interest. 

It's easy to put medical rehabilitation at the back-of-the-bus in medicine. But we need to fight cuts that will eliminate access to high quality care for your spouse, your grandmother, and your child. Otherwise, society and each of us will pay in many unanticipated ways, including higher costs, reduced quality of life for the disabled, and higher levels of intense stress for families and caregivers. 

Rehab saves lives and families. It saved mine. In my lowest moments, it was the energy, motivation, expertise, and commitment of the caregivers in rehab hospitals that got me through. I have a very clear memory of walking onto the floor of Bob's inpatient rehab hospital, my spirits at their lowest ebb. I had run out of gas, and my shoulders were hunched in a C-curve. A voice piped up from behind the desk. "Come with me Mrs. Woodruff," the young physical therapist commanded. She shut the door behind her tiny office, " has anyone asked you how you are today?" she inquired, as I burst into tears of gratitude and release. She then proceeded to give me a ten-minute shoulder massage that I will never forget. Her kindness and compassion humbled me that day. And it lifted me up. She had extended her care beyond simply focusing on the patient and offered it to an exhausted caregiver. That's just a tiny slice of the magic that takes place in rehab hospitals. We can't allow these much needed resources to be vastly diminished. 

With the skills and support of the therapists and doctors in medical rehabilitation hanging in the balance, I want to lend my voice to wake Washington up. It may not be a sexy, but it's a critical one.
Follow Lee Woodruff on Twitter: www.twitter.com/leemwoodruff 

Source: http://www.huffingtonpost.com/lee-woodruff/when-rehab-is-cut-you-hur_b_1121049.html

 

Tuesday, November 8, 2011

Update: Week 10 (going into 11)

So as of Sunday, November 6th I started weight bearing 25% of my weight, or roughly 40 pounds, onto my left leg. How this happens is I stand with my right leg planted on the floor and my left leg on a scale. I press onto the scale until it reads 40 pounds. Then I walk around trying to mimic that weight and sensation. I'll come back to the scale a couple times during the day to see if I am maintaining that pressure. It's hard! Usually I am at about 25-30 pounds when I think I am at 40. It doesn't hurt my leg much at first, it's mostly awkward and feels slightly unstable. 

I am also experiencing some of the "pins and needles" or tingling feeling in the bottom of my foot, mostly on the ball of the foot, towards the middle, and along the arch way. This happens as I walk and put added weight onto my leg and foot. It's normal. It means I am getting sensation back and re-establishing those nerve endings and pathways to my brain. It's uncomfortable, temporarily painful, but I just keep walking and the tingling tends to work itself out.

I am being mindful to not develop a limp in my stride, just keep it as smooth and steady as possible, which right now also means walking quite slowly. And I am trying to even out my hips as I walk as much as possible because Lord knows my left hip is rotated and a few inches (it feels like) higher than my right hip from holding the leg UP and out of the way for so long.

My low back gets a little cramped up from time to time, but mostly my body is holding up well.

I am still going to PT twice a week and the gym on off days - aiming for at least 4 days per week at the gym (doing the same exercises as I do at PT). I've had some struggles recently getting to the gym, from tiredness, soreness, etc. but once I get there I end up feeling 100% better! On that note, I encourage you all to get your asses to the gym or at least do SOMETHING physically active EVERY DAY. Your body will love you for it.

Last week's PT stats are as follows: added 3 different types of squats to the hour and a half session (ouch!)... good, effective, and tiring. My range of motion last week was something like 98-110 and 98-112. Today I went 98-116! And on my own, I could bend my leg (after some warm ups) to 113. That was incredible! I couldn't believe it. I really need to stop being so hard on myself and give myself some more credit... as stated by my physical therapist. She said I am making great progress, and to expect some harder days and nights ahead (again!) as I start to weight bear more and increase exercises and mobility.

I'm doing a lot more around the house - that is: cooking and getting my own meals regularly. Not so much cleaning, feeding kitty, or making the bed or anything yet because I'm just not that agile or stable on two feet yet. But the last couple days, I've given myself a bunch of extra time in the morning and I'm fed, with tea to go, and ready for work in about an hour and a half. The hot showers in the morning (with hot water on my leg) still really help loosen up my muscles and give me time to work on flexion and extension in a seated position.

I have a care provider coming just once this week and once next week (while I am at work) to do some house cleaning and cooking. Then, hopefully I will be back to my home routines... which at that point, might include shoveling snow! BOOO :(

Speaking of yard work, Alon raked the front and back yard this past weekend. I watched. I longed to just rake the yard. I really would have enjoyed that. God, it is hard to just not be able to do certain things like that. I am thankful for Alon and know I'll be back at it soon enough, but damn, I still have a good deal of sorrow and frustration some days.

The other day I had a dip in mood, feeling sorry for myself and what came out of my mouth, to my surprise, was "I can't believe this happened." It's true. I still can't believe it sometimes. From the wisdom and truth of my physical therapist April today, she said something like, "You gotta have those moments and let yourself feel it. But at the end of the day, where is your anger and frustration going to get you? (The answer: Nowhere.) Focus all your (my) energy on working hard, healing and getting stronger. Focus your energy and emotion right into the knee!" And that was the moment today when I bent to 116 degrees. Good stuff! Powerful. Our minds are our greatest barriers sometimes. This whole process is really about balance and awareness, in every way. Isn't everything?

Monday, September 12, 2011

Specific Requests for Help (in Boulder, CO)

I am trying to make a schedule of helpers for the next 5-10 weeks while I recover at home. I am requesting a couple hours of help in both the mornings and afternoons. We are taking this one week (really, one day) at a time. I hope to be doing things and walking on my own again by Thanksgiving! Please read on for details... thanks :)

My contact info:
erin.e.dupuis@gmail.com

508-479-4841

Schedule of Help Needed:
  • Days: Monday through Friday
  • Times: (slightly flexible)
    • Morning shift: 10am-1pm
    • Afternoon shift: 2pm-5pm 
  • Duration: Tuesday, September 13th to Friday, November 18th
Any assistance or amount of time you can offer is helpful. Please be direct with me and Alon by saying what you can and cannot help with at anytime. We respect you, your time and your friendship.

Help at Home:
  • breakfast and lunch
  • change ice for my leg
  • move my equipment from living room to bedroom (ability to lift 10 pounds) - usually in late afternoon
  • refill my water bottle
  • push me in wheelchair around the block when I feel up to it 
  • light house cleaning
  • other personal assistance (does not include getting dressed, toileting or bathing)
  • keep me company
  • laugh together
  • ART THERAPY!
Help Outside Home:
  • pick up biweekly farm share in Boulder, Thursday, 4-7pm (thru Oct.)
  • run errands - examples: picking up ice or a few grocery items - we will give you money ahead of time or reimburse immediately
Asking for help is not an easy thing for us. Thank you so much for hearing and considering our requests. 

With respect, love and thanks,
Erin & Alon