Saturday, September 10, 2011

First post-op follow up

On Wednesday Sept 7 (my sister Bridget's birthday - happy birthday!), a lovely orthopedic technician lady took 31 staples out of my leg, and saved them for me in a latex glove with a rubber band holding it shut. I said I'd like them to use in an art project someday. Who knows.

The whole staple-removing process was pleasingly painless. Felt like nothing or tiny little pokes with a pin. My surgeon, Dr. Fulkerson, was on vacation this past week so Dr. Dolbear stepped in to give me my post up check up. Basically, he said the incision looks beautiful, it is healing great. Dr. Fulkerson did an amazing job on the surgery (I saw another x-ray which was even more helpful and interesting in terms of understanding the procedure). I promise I will post pictures soon. It's a matter of compiling them from my and Alon's phones. ...And I am to continue with the Constant Passive Movement (CPM) machine as much as possible night and day, keep icing, and Dr. Dolbear told me at least three times -  ZERO weight bearing! Got it.

I also got a new pain prescription - less tylenol more oxy in each pill. The tylenol was hurting my tummy, and no wonder because I was taking too much. It was a second refill by an on call doc over labor day weekend whose name I will not mention here, but basically gave me the wrong pain Rx. Shame on him.

Water under the bridge. Funny thing...

Funny thing was the new oxy pill with 7.5g (or mg??) of oxycodone and 325mg of tylenol is amazing. So I took two pills every six hours starting Wednesday night at 5pm... it was fine because at that time of day my pain level increases and it also helps my muscles relax and for me to sleep. HOWEVER, I took two pills at 10pm, 5am, then two at 10am again. One hour before my first meeting with my occupational therapist, which was followed by my physical therapist. Big mistake! I basically was slurring my words and my eyelids kept closing. I acknowledged to them my situation and disclosed that I had taken too much of a new pain med for day time hours. And they just kind of shrugged it off. I felt like I was confessing to my parents about underage drinking or something. Anyways... I felt nauseous, tired, and couldn't really form sentences for about 4 hours. Regardless, PT went on and then I slept most of the afternoon. Alon warned me to take just one... he is right like 99.9% of the time... sometimes I still just need to learn it on my own.

Lesson learned.

Links people sent to cheer me up and make me laugh...

Don't worry, these links are all safe to watch where ever and when ever. Well, except for a couple F-words in #2:
  1. http://www.youtube.com/watch?v=1RYt8gh388Y&playnext=1&list=PL7EC16C2835A397CB
  2. http://www.youtube.com/watch?v=4r7wHMg5Yjg
  3. Happy Pho: Not available in Boulder, CO Whole Foods yet but perhaps she could order through Amazon http://www.amazon.com/HAPPY-PHO-Ginger-Vietnamese-SERVINGS/dp/B003DXGN70/ref=sr_1_3?ie=UTF8&qid=1315329690&sr=8-3
  4. two hour season opener on September 22... http://abc.go.com/shows/greys-anatomy
  5. http://www.americangreetings.com/ecards/view.pd?i=544969516&m=5994&rr=y&source=ag999&c=emag63458

Tuesday, September 6, 2011

Day in the life...

Tomorrow, Wednesday Sept 7 I have my first follow up with Boulder Orthopedics. It is possible they will take out my staples. I will see my massive scars for the second time, and I'll get more information about "everything". 

I'm still working on managing my pain; I never knew how complicated that could be. On average, I am around a 2-3 out of 10 on the pain scale which still brings me to tears at times (that could also be the medications and general dealings with trauma making me more emotional). Nights and sleep are hard on both me and Alon. We are getting 2-5 hours of uninterrupted sleep each night for a total of about 8 hours (plus little naps when possible). I am going on and off ice (a loud "ice cuff machine"), on and off the CPM machine, having nightmares from the narcotics, and self-administering meds when my phone alarm goes off and tells me what to take (vicodin, valium, chinese herbs, laxative, etc.). The swelling and bruising from my hip to my toes is going down every day. This is nice to see. I have some concerns about a possible left shoulder and ankle injury related to the bike accident that weren't observed at the hospital.

Day time is a bit easier because the pain seems less during the day and friends, family, and heaers have come by to help me out. Right now physical therapy is hard and tiring. And yet still "minimal" in terms of what I know my healthy body is capable of. I am listening to my body which changes moment to moment in terms of what I can and cannot handle in terms of physical, mental and emotional exertion and challenges. I had a really amazing Tibetan healing with singing bowls, chakra healing, and guided visualization meditation last Saturday from one my yoga instructors who came to my home (thank you Shareshten). It was a blessing and I plan to have her back every week. I also had an energy healer come last week, who usually does Shiatsu on me, but did something more like Reiki instead (thank you Dale). Both were beautiful and helpful experiences, which elevated my physical and emotional and spiritual state of being.

Mom and Dad were here last Thursday through Sunday, and that immediately lifted everyone's spirits. They are the best parents a girl could ask for.


My best friend Candice started working with me on Monday to create a "needs" and "day in the life of" document for me and Alon. I am currently working on creating a schedule for folks to be with me for a few hours a day (in chunks) so that Alon can close the office door at home or go to a coffee shop and work at least 6 hours of uninterrupted time while I get the help I need around the house and with personal care. My friend Jesse has also been instrumental in cooking, cleaning, providing trashy magazines for my reading pleasure, and general support to me and Alon. My friend Mary came over to get some household chores accomplished and entertain me with stories, change my ice, and get my CPM up and running today. She walked to my house in the rain. Such a trooper that woman is. Solid as they come. Sarah, Celeste, Jenny, Wynn, Bree and others will be stopping by and filling in as "me" around the house while keeping me comfortable and fed.

What could feel like a very long 8-12 week recovery process is already feeling lighter and manageable with all of your help and the kind, healing words from my friends and family back East. Thank you.

I have spent a tiny bit of time journaling, blogging, and drawing. Mostly right now, it's sleep, eat, PT, manage pain, connect with my support group, pet Ozy my cat, bathe. I plan to start doing some watercolor painting in the very near future... note cards, tiny paintings, bookmarks, etc.


I am so grateful for the support, patience, and understanding of my co-workers and friends at BCAP, my network of healers, friends, and family. Love to you all.

Saturday, September 3, 2011

Ups and downs, ending with a few moments of normalcy

Yesterday day started with my PT exercises which made me so soar for the rest of the day, I burst into tears more than once. My quads felt like I had just climbed a couple 14'ers, my calves were knotting up, and I felt sharp pains in my abs like if I did one more sit up I'd die. Well, everything I did from using my walker to get around, to sitting up in bed to lifting my left leg with each arm, to petting Ozy required fully engaged abs. 

It's like when you see someone completely exhaust themselves and they just can't take any more physically, mentally, or emotionally. I didn't compete in any Ironman but my body felt completely toasted. I didn't win any medals, but Alon reassured me that I am doing well, and will get over this hump in the next few days and feel like progress has been made and will continue.

I took a medication induced nap around noon because I just couldn't get comfortable or relax. As I awoke a lovely coworker surprised me by walking through my front door. It was so nice to speak with Amy and to connect for a little bit.

Mid day is kind of a fog... napping, eating, pain, napping, hobbling around.. Oh yea, and neighbors came by and in shock, wished me well. I retold the story, yadda yadda. They were really nice. Turns out Suzanne is a pediatric physical therapy rehab specialist!

Dinner was my moment of feeling normal. Alon wheeled me out to the front porch (first time using the wheel chair). We brought the kitchen table out there. My Mom grilled a magnificent dinner of eggplant, corn on the cob, BBQ chicken, and green/yellow/purple beans. We topped it off later with some homemade peach cobbler, also courtesy of Mom. Me, Mom, Dad, and Alon enjoyed ourselves out there, feeling blessed and full of delicious food.

We watched a movie together and headed off to bed, separately. Ha.


Thursday, September 1, 2011

Visiting, phone calls, and help

I just wanted to let you know that I am better able to handle phone calls and visitors now that I am taking less oxycodone during the day time hours. 

That said, my parents are on their way to Boulder from DIA as we speak so the next four days I am going to be spending time primarily with them, until they go back to Massachusetts on Sunday.

It would be nice to see my Boulderite friends and co-workers soon and for my parents to see my support group in action. :) Let's try to set up some visits over the next few days if possible. In other words, don't hesitate to call and leave a message if I can't answer. 

Otherwise, aside for a couple doctor's appointments next Tuesday and Wednesday, it looks like I am pretty open for home visits next week.

Alon and I will chat and see what kind of help we could benefit from (examples: coming over to make me breakfast or lunch - extremely simple, bland meals; grocery shopping; taking me for walks). 

ALSO - GOOD NEWS... I am getting a spiffy wheel chair delivered to my house in the next 3 hours, so peeps can take me for a spin around my neighborhood :-)

Stay in touch... and I'll be in touch too. Thank you so much for all the support thus far.

With love,
Erin

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.

Wednesday, August 31, 2011

No! ...I've been in a cycling accident, but I'm okay...

(This was written on August 28th & 30th, 2011) 

So on Friday, August 26th I was working from home and taking my lunch break to go to restorative (yin) yoga. At about 3:15pm I was biking home, feeling peaceful, strong, present and grateful for my life. I took a turn at Folsom and Pine (3 blocks from my house); a turn that I take all the time. Perhaps at a bit more speed than usual, but still under control. This time I crashed in the bike lane. I was leaning and turning right when my right metal pedal kicked off the ground, stopped me dead in my tracks, probably sent the rear of my bike in a tail spin toward the road and sent me flying. We believe that all of my weight, speed and inertia went into my left leg, jamming it and causing unbelievable injuries. My surgeon has compare my injuries to something she would see in a parachuting, hang gliding or motor cycle accident.

Within seconds folks in their cars in the intersection were out of their cars and calmly huddled around me offering support. One was a nurse coaching me through breathing, one held my head and did not remove my helmet, a few other ladies called Alon and my friend Jesse, as well as dropped my steel, indestructible bike at home, just a few blocks away. I think the ambulance was there in less than two minutes.

I don't know how exactly to make this long story short, except to tell you it was excruciating. The medics could not manage my pain.... it took about an hour and a half once in the ER to get me on my back and ready for x-rays. Then they wanted to do a CT scan. Then I started going into shock. Then, by about 7pm, Boulder County Hospital assembled a orthopedic surgical team and by 8pm I was in the operating room.

I had to have emergency surgery on Friday night. Thankfully no head or spine injury and no collision with a car. I managed to do this much damage all on my own! I severely shattered the tibia plateau - the top part of the bone that flairs out and connects to the knee. Dr. Fulkerson, my surgeon and hero, said there was basically a hole in my leg where the bone pieces were crumbled fragments. She piled them back together with bone graphing as best as possible and held it all together with a metal plate and screws. I also had a medial tibia fracture which consisted of a clean break and crushed, crumbled bone pieces. It was bone graphed, plated (I think), and screwed together. 

My ACL ripped right off the bone. A small bone fragment was still attached to it, so Dr. Fulkerson placed the ACL "back into place" and we are hoping bone healing takes place on it's own (future ACL surgery may be required; won't know till later). I also tore my meniscus, which was repaired. I have some road rash, swelling and bruising along my left arm and shoulder and ankle. Slight whip lash in the right side of my neck.

The surgery took about 4 hours. I was in the recovery room by midnight. My beloved Alon and friends have been by my side the whole time. The first three hours of this ordeal were by far the worst, most painful, uncertain hours of my life.

Doctor's orders are zero weight bearing on the left leg for at least 8 weeks. I'll be using a walker most of the time. I passed the stairs with crutches test, if needed. Still trying to pin down a loaner wheel chair so I can "take walks" by the creek or Pearl Street mall when I'm ready. Twelve weeks of brace with walker/crutches/wheelchair. No exercise except leg lifts, eventually, and upper body work. All of this will be driven by home physical therapy. 

As of Sunday morning, I am already figuring out how to do yoga poses like half moon and heart openers in my hospital chair. I can sort of pee on my own. It's hard because my leg is in a straight brace, and I'm a bit wobbly. 

I am sleeping with a Constant Passive Movement machine, which contracts and extends my leg from 0-40 degrees at an incline all night long. It will come home with me. My right leg had an inflatable compression bag to help avoid blood clotting. Since surgery, I had my bandages changed twice and had Ted socks put on both legs - to control swelling and blood clotting. These socks will come off for a few hours during the day, but I mostly will have them on for one month. They are like the the ugliest white thighs highs ever. I have had 2-3 nurses at my beck and call since I got to the hospital, and Alon sleeping on a cot by my side.

I started writing this Sunday, August 28th, on my birthday when I was still in the hospital. But as of Monday at 5:30pm I was home with my boyfriend Alon and kitty Ozy, and starting to settle back into to a new reality. Headaches, dizziness and nausea accompany the Percocet and Valium I am taking at home. Otherwise, I am getting around pretty good on the walker. I am extremely tired, surprisingly clear and coherent when I need to be and got about 8 hours of interrupted sleep on Sunday night (taking meds every 3 hours).

I am reluctant to post more details here, but I will because I'd like to make my communication as clear and efficient as possible. Dr. Fulkerson and my PT predicts that I will be home from work for 1-2 weeks and then back to work part time. I am able to work from home on certain project so that will be helpful (once I am off the pain meds). I have in-home care for physical therapy and occupational therapy scheduled for at least 2 weeks, maybe more. Both are supposed to come to my house three times a week for 1 hour each.

On my birthday, while everyone was wishing me beautiful birthday wishes on Facebook, I was a bit out of it i guess you could say, but getting around the clock care and my pain was managed really well by then. Really, who could ask for more? My Dad pointed out that it's unusual to be in the hospital on your birthday more than once in a person's lifetime, so that was kind of funny to me :)

My voice is very horse because of the breathing tube from surgery on Friday night, plus the blood curdling screams from my first 2 1/2 hours of pain.

If you would like to contact me, please email erin.e.dupuis@gmail.com or Facebook of course. Your healing words and encouragement will certainly help me on my path to full recovery. Please email to ask for my mailing address if you want it. I don't have much capacity for phone calls right now needless to say. But we can arrange visits if you email or mesage me first. I hope that makes sense and please understand that I am easily over whelmed and worn out right now.

Thank God my beloved parents will be here Thursday-Sunday and Alon is out running all sorts of crazy errands for me right now. Kitty (Ozy) is still a bit afraid of me and my CPM machine, but she's coming around. Love and gratitude to you all.

As you could see from Friday morning's post (8/26), I woke up feeling alive and wonderful and grateful for life. I was so clear headed (my Shiatsu healer, Dale, would say that has something to do with a blockage clearing up in my body) that I was finally able to make my first blog post on a new Blog I started called "I'm Doing It". I made that blog post which really could not have been more optimistic or ironic, seeing as what happened just 8 short hours later. I still have those feelings in me and I'm ready to embrace life, live it the way I want to, and manage all it can throw at me.
On my birthday, I woke up viewing a beautiful sunset with two hot air balloons rising. It was beautiful and had a hopeful feeling to it. I opened my heart and felt gratitude for this life I was given, these friends and family that love me, and this chance to see things in a new way.

DISCLAIMER: Sorry if any of this is redundant or confusing or missing details... blame the meds :-)