Monday, June 30, 2008

Help Stop Animal Abuse: Pigeon Shoots

As you may be able to tell, I am against animal abuse and as well as using animals for entertainment and sports. Every once and awhile I really get ticked off and just shake my head in awe and get sick to my stomach at the things people do to animals. Pigeon shoots, which are events where shooters aim at dazed pigeons launched randomly from boxes with the goal of downing the birds within a ring for prizes, is one example of a “sporting event” that is allowed in Pennsylvania which is not only inhumane but makes the state look like some type of third-world nation.

However, legislation has been introduced that will stop these pigeon shoots. It will also end barbaric events like the recent turkey shoot where live turkeys had their feet tied to bales of hay and were shot with arrows.

If you live in Pennsylvania, please contact your representative via the U.S. Humane Society’s advocacy feature and have them support this legislation.

Wednesday, June 25, 2008

Not Much to Report

For those following my progress after ACL surgey, I just thought I'd touch base. However, there's not much to report. I believe my walking may be getting a little better or else I may just be getting use to walking with a limp. Nothing exciting or different happening at PT or with my rehab exercises. I assume they will give me more to do in the near future. I've already started doing two sets for some exercises.

One strange thing is happening. When I do certain exercises (i.e. heel slides) or ride the bike (I can now do revolutions but not very consistently or smoothly), I hit a "dread-end". It feels like something is in the way and if my knee slips or moves after I hit this point, I want to jump through the wall. It's a very distinct but strange pain and I HATE it. I don't know what it is except maybe scar tissue. I heard if you can't get rid of the scar tissue, it's back to the cutting board. My PT doesn't seem to concerned about it but I'll ask my surgeon about it when I go for my follow-up on July 1. I want to be walking better by then so he gives me a nod of approval. I feel like I need to please him; like this has now taken on a teacher/student relationship.

Saturday, June 21, 2008

Behind the Wheel Once More

I got the okay to drive and took a spin the the grocery store. It feels so good to be able to be independent once again after one month. I did drive more slowly than I usually do as my reaction time still isn't up to par. The leg didn't like being in the position it was in for too long. Driving around town doing errands is one thing but I plan to drive to Pennsylvania July 3 and I know my knee will squawk as the trip is 4-4 1/2 hours.

So, this time one month ago, I was lying in bed just getting back from surgery. I definitely see an improvement since then. However, you just don't see much happening from day to day and that gets frustrating. The PT is trying to explain to me how to walk and I am just not getting it. You basically lead with your heel and then go up on your toes and bend your knee, then straighten it. However, I just can't get it. Hopefully it will come to me as walking the way I now do is really bugging me and my foot hurts as I'm not doing what I should be doing.

My knee is still swollen but that's how it was after I injured it. I think it took at least 2 months + for all the swelling to go away so I don't expect anything less after surgery. It's also starting to itch. Now, I remember as a kid my mom would say that meant it's getting better. I'll just put my faith in the folklore and believe it is getting better.

Thursday, June 19, 2008

Tiger’s Like Me!


I now share something with Tiger Woods: a torn ACL. Tiger ruptured his ACL while running last summer. He had been hoping to "play through the pain" this year and opted to wait and have the ACL surgery done after the '08 season so he could continue to do what he does best – win golf championships. In lieu of the full blown ACL surgery (ACL replacement), he had arthroscopic knee surgery on April 15 to repair cartilage damage. However, that was not enough and his knee finally said enough is enough (witness how he winced in pain during swings and limped away from his astonishing win at the U.S. Open ). So, now the world of golf will be less exciting for awhile, while Tiger undergoes ACL surgery and an extensive post surgery rehab program.

There are many athletes that tear or rupture their ACLs and most want to get back into the action instead of ending their careers. A lot of money is riding on this. I think for this reason, ACL surgery techniques and post surgery recovery procedures have made great improvements in the past 10 years or so paving the way for mere mortals like me to benefit from these advancements. Thank you to all these athletes for helping to make my surgery a relatively minor medical procedure. However, the rehab is a different story and not too much can help with having to do the rehab exercises at home 3-5 days a time.

Good luck Tiger. If you need any feedback on the surgery or rehab, let me know. I learned a lot in the past several months and am still looking to others to help me get through the rehab.

Tuesday, June 17, 2008

Post-Surgery Survival Kit


I came across this photo from someone else's blog who also had ACL surgery. I thought it was funny so I thought I'd post it. Visit the blog.

Getting a little serious, being prepared for the days after surgery does help. I bought a mini-fridge and put it in my bedroom for easy access to ice, water, etc. since my kitchen is downstairs and going up and down stairs is a drag. I also had plenty of books, magazines, videos, etc. as well as my laptop and cell phone on hand to keep myself busy. I got my "laying in bed clothes", a towel (for under the ankle) and pillows ready and accessible.

I cleaned the house the day before surgery and did a run at the grocery store to stock up for awhile as I would not be driving for about a month. I paid my upcoming bills so I wouldn't have to deal with that. I had my post-surgery meds called in beforehand and picked them up before surgery. I arranged for the neighbors to set my garbage cans out and move my car for street cleanings. I had an extra key made and kept it under my welcome mat so friends visiting could let themselves in the house.

So, if you are going to have surgery, make sure you make a list of things to do so that you are prepared.

Saturday, June 14, 2008

"You say you want a revolution"

Well, I want a revolution - on the bike. I went to the PT on Friday and she had me get on the stationery bike. Tried as I could, I just could not do a full revolution. She said that was fine. So, for about 10 minutes I pedaled one way as far as I could and held the stretch and then went backwards and did the same. When the full revolution does come, I will celebrate. Then it will be gradually adding resistance and increase my time on the bike. I hope that comes soon as I haven't done any type of aerobic exercise in 3 weeks and I need to start back up again before I gain weight. I think I lost a few pounds right after surgery as I didn't have an appetite. My diet was soup and saltines for several days. But now, my eating is back to normal and I need to find a way to burn off those calories. The leg lifts just aren't doing it.l

Tuesday, June 10, 2008

Getting Here to There

Well, it's now 2 weeks (plus 3 days) post-surgery. I am back at work. I take 2 buses to get to work as I can't yet walk 5 blocks to the Metro - 3 blocks is all I can do and it takes very long to do that and wears me out. If you will be having surgery, plan that everything will take longer once you are out and about. You will walk slower and may need to take alternate transportation like I do. If you take the bus, like I do, you may be very protective of your knee and be a bit fearful that someone is going to bump into your knee as you can't bend it all the way to bring it closer to the seat - so it sticks out in the aisle a bit. Also, don't be surprised if no one gives you a seat. I was on the Metro this morning and no one offered a seat to me. I prayed I would be able to maintain my balance.

I just had my 3rd PT session. I was late because of trying to get down my new transportation connections so I was only worked on for 15 minutes. However, the PT did manage to inflict pain in those 15 minutes. She then set me up on the machine that stimulates your quad muscle. I actually looked forward to this and the accompanying "icing" that comes with this was a relief.

I spent last weekend by myself "trapped" in my house. I could not really walk anywhere and I am not able to drive yet. It was very, very hot and humid in DC so sitting outside was very uncomfortable and like taking a sauna. I had some movies to watch but my DVD decided to break so I was really, really bored. Finally, on Saturday evening, my neighbor offered me a ride to the grocery store. I felt like a dog getting a ride in the car and a chance to escape the house. Plus, I was finally able to buy some vegetables which I was craving. I had a great salad and grilled salmon for dinner.

So, I am looking forward to walking beyond a snail's pace and to driving my car so I can finally go out and do something. Maybe this weekend?

Sunday, June 8, 2008

The Joy of Chores

It is two weeks post surgery and I decided to try some chores as I was growing very inpatient as I had nothing to do. Since driving is out for me for several more weeks, I could not really go anywhere. DC is having a heat wave (98 degrees and very high humidity) so sitting outside is not very comfortable. I was tired of tv and didn't feel like reading so all that was left was the chores.

I started by vacuuming upstairs and had no problem. However, I am now waiting for someone to take the vacuum downstairs as I am not able to lift something this heavy and negotiate the stairs at the same time. I then tackled the bathroom and cleaned the tub, sink and floor. It was very satisfying to do these and have a somewhat clean upstairs.

As for those stairs, I also attempted trying to walk up (but not down)the stairs normally. It was a bit awkward as I really needed to think about it in addition to concentrating on lifting my leg up - which was tough. I was able to do this for about 6 steps and then had to go back to one step at a time. Hopefully, I'm not pushing things with this simple exercise. Due to this experience, I have a profound admiration for people who suffer far worse incidents and are not able to walk and need to go through a much more vigorous physical therapy program. I can only imagine what their legs feeling like trying to get them to move. As I know a bit, their legs must feel like dead weight (basically like a log) and trying to get control of them is probably extremely frustrating. But, they just push on with incredible faith and determination despite the associated physical pain and emotional toll. One such person is Tara Llanes who had a horrific crash during a mountain bike race and following seven hours of surgery to the back and spinal cord, it was determined she had no feeling from the waist down. Read her story.

Thursday, June 5, 2008

The Long Road Ahead - Part 2

I did my first sets of my rehab exercises at home - well, I tried to do my exercises at home. I felt like my leg was simply dead weight. I tried the standard task of putting a rolled up towel under my knee and then trying to tighten my quad. (If you are able to strengthen your quad, your heel will come up off the floor.) I could not at all get control of my quad and there was NO movement in my right heel - that heel was stuck to the floor. I had no way of tightening it. The left leg did its thing and I felt the quad tighten and saw it tightenting but I could not tighten my quad in the right leg. I just could not!

Another exercise is lying on my bed on my stomach and tieing something around my foot and using my hand to hold the other end and then pull my knee up so it bends. OUCH! I'm suppose to hold it for 30 seconds. You got to be kidding. After this one, I simply let my ankle drape over the side of my bed forcing the leg to extend. OUCH! I'm suppose to do this for 5 minutes.

Last but not least, are the heel slides. Sitting on the floor, you slide you heel as close to your buttocks as you can. I am only able to slide my heel in about 6 inches. I also do some leg lifts and am having no problems with them but I think I am doing the wrong: I am using another muscle instead of my quad.

So, needless to say, this is a bit discouraging. Yes, it only was my first day but nonetheless, it sucked. And, walking is still a drag as I need to go ever so slowly. I mean really slowly.

Well, today is a new day and I'm hoping things will progress and I will start to be able to regain control of my quad.

Wednesday, June 4, 2008

The Long Road Ahead

I just had my first physical therapy session today. Not the best news and am feeling a bit down. I basically have no quad, can't bend my knee and can't extend my knee. My ROM flexion is 78 degrees (I think normal is 110 degrees of flexion) and my ROM extension is -6 degrees (not sure what normal is). I need to greatly improve both of these. It will be a long, difficult task but as I said before Grin and Bear It.

I will go to the PTs twice a week and then need to do my exercises at home 3-5 times/day. How does one do that when you also work full time. I can get in 3 times: before work, after work and after dinner but I doubt I can get in more; maybe do some at lunch.

This is the frustration point and I need to see my ROM numbers improve to give me encouragement to keep moving ahead. So without further adieu, I on my way home to do my rehab exercises.

Tuesday, June 3, 2008

Grin & Bear It

In light of everything happening in the World (war, cyclones, tornadoes, famine, etc.),going through a knee surgery is nothing. It also pales in comparison to having a way more serious illness or health issue such as cancer or a brain tumor. Not to mention that I caused this to happen by skiing. Others simply have things happen to them with no fault of their own. So, I can hardly complain about my condition. But, when something interferes with your life so much, it does affect you and you do get frustrated, depressed and feel a little sorry for yourself. However, as they say Grin and Bear It as things do happen in life and you need to just keep on going. So it is with this philosophy that just keeps me going. Don't look back and say why - just keep moving forward.

Anyway, I had my stitches removed today. The PA had a problem with one stitch and just could not get it out so my surgeon needed to remove it. Although I am still hugging to my one crutch as my knee is unstable and swollen, the doctor gave me an A+, which was very good news to hear. I will now start the PT and hope I will progress. If all goes well, I may be able to stop supervised PT visits in about 4-6 weeks and only need do the exercises on my own. That would be really nice.

So, I am on my way to a nice stable knee. Running, yoga, biking - here I come. Skiing, I'm afraid not. I just do not want to ever go through this again.