Category Archives: Health

Monitoring

Samain                                                      Moon of the Winter Solstice

Yes, self-absorbed. It’s one of the moral hazards of serious illness or significant medical procedures. The world is about my temperature, my pain, drugs, sleep, diet, chair. Other’s agree. For a while. But there comes a point where too much attention can become a path to a different, darker place. In that place the original cause for self-absorption passes, but the demands for preference do not. I’m raising the red caution flag for myself. (ok. yes, it’s ironic I do this on a blog devoted to my thoughts and life)

It’s time I began to take on tasks again. That gentle veil of opiates is still there, so is the pain, but my understanding of what this will take is also much greater now. Time and persistence. That’s what it will take. So, I’m on that and on integrating myself back into my life.

Kate’s taking a rest day, maybe two or three. The divorce. The grandkids on weekends. My surgery. Her own arthritis. She’s a dynamo that’s slowly wound down. Needs a recharge.

The main lineaments of the divorce, the rules of disengagement you might call them, are recorded. (I think.) Given the drama and pitched battles of the past few months you could be forgiven for thinking this is the end. Really, though, it’s the beginning. Being divorced is a verb, an ongoing action and it relates to the after marriage. Ask anyone who’s negotiated what to do with a sick kid. Or, had to choose a new school for children in a shared custody arrangement. Ask anyone whose heart thumps on that first date. Ask anyone who’s self-doubt still drags a locked trunk marked: the ex.

Let the after marriage life begin! And, as my buddy Bill Schmidt suggests, let the post-surgery life begin, too.

 

Oh. Ouch.

Samain                                                Moon of the Winter Solstice

That wonderful straight down from the sky in neat rows snow is falling. Our snow cover is minimal, so it’s not the all snow, all quiet feeling, but it moves in that direction.

The pain has not subsided. It has gotten better when in bed, but up and about the ouch is significant. Looking toward the future.

Still not able to read much, frustrating. Writing hurts so bye for now.

Slow

Samain                                               Moon of the Winter Solstice

Jon came in yesterday evening, billowing chartreuse ski pants, boots with snow fresh from A-basin’s recent 18 inch snowfall. It was, he said, “Worth it.” Skiing, Jon told me long ago, is “when I feel most like who I am.” He turned 48 Saturday. His 48th year will be a significant one, moving him past a painful chapter and toward what we all hope will be a better one.

Ruth built a fire in the place: small to big, one match. She did it. She is now one-match Ruth. She also moved split logs closer to the house using her plastic toboggan. A problem with the lodgepole pine that we burn is its poor heat to weight ratio. Burns fast, not much heat, lots of resin. When the fire mitigation wood runs out, I’ll probably buy a cord or two of hard wood. We can get that, at a price, from down the hill where deciduous trees make their last stand before the Rockies.

Jon’s birthday meal was yet more steak from our Carmichael Cattle Company quarter beef. We discuss the cow from which the meat came, not every meal, but often, following our short ceremony thanking it for its life on the occasion of our first meal with its meat.

Pat, the leprechaun p.t. guy who lives down Shadow Mtn. Drive on the grounds of a 1920’s/1930’s tennis camp will be here in a few minutes for another round of exercises. My follow up with the surgeon’s p.a. is this Friday so I’m prepping for what I imagine will be a less painful phase (less, not none) of the recovery. As soon as I’m off the narcotics, I can drive.

I’ve been in a morphine, dilaudid, vicodin haze since the 1st of December. I lose track of the conversation, can’t follow sentences in books, generally feel gauzy. Less so now as Kate has me on a slow wean, a tricky balance, as I’ve said, between enough pain control to exercise, but not more than enough.

Even with an attractive goal and the knowledge that I volunteered for this, the immediacy of pain and the druggy haze dominates the moment. Hard to feel beyond.

In other organ recital news Kate is off to a rheumatologist today to see if there is more that can be done for her rheumatoid arthritis: wrists, shoulder, back, ankles. When we crossed the border into Colorado, myself with Tom Crane, Kepler, Rigel and Vega, Kate with Gertie a bit later, the entire medical services industry in Colorado joined in a chorus of that old Leonard Cohen song, Hallelujah! A major revenue source coming to stay. Welcome!

This week should see marked improvement. I’m looking forward to it.

 

 

A Cottony Indistinctness

Samain                                                      Moon of the Winter Solstice

Let me see. A salmon colored patch of sky off to the north gives romance to the stand of lodgepole pines in our backyard. I’m working on the Stickley side table we bought in early 2015 and looking north. It served as our family dining table over the last couple of years, giving way partly now to the beetlekill table we have upstairs.

Trying to find a metaphor for this stage of recovery. Walking on a path, let’s call it the ancientrail of healing, I’ve passed through a rocky, but beautiful valley. Now the weather has cooled down, the sky gone gray. I’m still moving but the pleasure in it has receded. This, I imagine, is a plateau.

Mobility and extension have both increased, but I seem stuck. The mood that accompanies this portion of the ancientrail is one with the sky and the weather, gray and cool. This will pass, yes, it will.

But. Right now. I’m in it, surrounded by its cottony indistinctness.

Dewebbing

Samain                                                 Moon of the Winter Solstice

Trying to get the cobwebs woven by dilaudid and sweet lady morphine cleared out. Hard to do since I still need the dilaudid. And I do.

Still the pain in the knee. A week to go until I see the PA and they remove the bandage. Until then, at least, I’ll need the narcotics.

The insult is like somebody took a knife to my knee, cut the bone and hammered metal spikes into my tibia and femur. Then stitched it back up and hid the damage under a water tight, air permeable bandage.

Oh, wait.

Now I’m sleeping, following my nurse/doctor/wife’s recommendations, waking up and doing it again. Though. The general trajectory is up. The pain less, the meds fewer, a bit of appetite returning. By a week from today I’ll be in a much better place.

Hi

Samain                                                             Moon of the Winter Solstice

The longest I’ve been dark in the last 11 years. Drugs and pain and rehab. Computer problems. Knee much better, still a long way to go.

P.T., in the form of Pat, the Irishman, comes to the house 3 times this week and 3 times next week. I have excellent range of motion, walking ability, overall doing well.

Lots of drugs however which make mentation difficult. Lots of pain which fuzzes everything. Sleeping difficult.

Kate’s a champ. She’s smart about the meds, caring, loving. Good cook, too, but I’ve got almost no appetite. My blood pressure is low, my 02 saturation low, so there are places to improve.

More later, pain returning.

Getting a Knee

Samain                                               Moon of the Winter Solsticed

Friends. I last posted on Thursday, thinking I’d be  back by Saturday. Didn’t make it. By the time I got home yesterday, about 2:30 pm or so, I was way too knackered to even type the least bit of a post.

So, here I am on Sunday afternoon, after a nap. The sky is clear; the air cool. I’ve had a shower and brushed my teeth twice. And, BTW, I have a new knee. On Thursday Kate and I sat in the Orthocolorado lobby waiting for a nurse to introduce us to the mysteries of surgery in this place. Eventually, Mac came out to get me. Mac was a fifties, early sixties woman with high hair and a casual manner.

She collected my answers to the first of what she assured me were redundant questions. She was right. Yes. 2/12/1947. Yes. Charles Buckman-Ellis. It was also true that it was the left knee. Sure, put your initial right here. Later on Dr. Pagel came in and told me about the anaesthesia. Spinal. Conscious sedation. Fine with me. Better than fine really. Less risk. Dr. Peace dropped by, too. He initialed the knee. Very collegiate.

Then, they hit me with the versid and the next moment I was in room #366, new knee in place, smiles all around. I had just played a totally unconscious role in several peoples’ workday and recalled nothing of it. The sky had begun to bruise. My surgery was at 11 am and it was now 5 to 5:30pm.

My nurses and CNA’s were delightful. We discussed pain using the familiar 1-10 scale. My pain seemed to hang around 3 or  4 for much of the evening and night. It was a liberating experience to have my pain well controlled. In the early morning hours of Saturday, between the shift transition, my pain got up and strolled around a bit. It hit 7 or 8 and my new nurse, Stacy, was late getting to me, so I suffered for the early afternoon.

Later on though, when Amy from the night before came on duty (12 hour shift) we worked together to see the pain reduced. I’m still basically taking that pain regimen. It includes dialudid, long acting morphine and occasional doses of acetaminophen. It’s effective for pain reduction, but not so hot for linear thought.

Gabe and Kate came to pick me yesterday since Jon and Ruth were skiing. Once back home we had to get home oxygen set up because narcotics suppress the lung functions. I went straight to bed and slept on my stomach.

I’ll get back to you later, maybe this evening, maybe tomorrow morning.

 

 

Taking a Knee

Samain                                                             Moon of the Winter Solstice

orthocoloradoIn two days I go bionic. Metal in my body and a song in my heart. Or something like that.

Panorama Orthopedics and Orthocolorado, principles in this knee replacement, have been by far the most organized, patient centered medical folks I’ve ever encountered. We’ll see how the procedure goes before I declare them outstanding, but so far they have been.

Dr. William Peace, surgeon
Dr. William Peace, surgeon

Right now I’m in the time before a big storm comes, waiting for it to hit, anticipating it, getting things ready. We’ve moved the couch upstairs and two chairs downstairs. I’ll be occupying this red leather chair for the duration of my recovery, at least the part where I’m deeply medicated. That’s roughly the first two weeks.

P.T. folks from Mt. Evans Home Health Care will come to the house during that time since rehab is key to a good long term result. After the first two weeks, I should get the ok to drive. At that point I’ll transfer to Conifer Physical Therapy where I hope Dana will see me through this latest adventure. She helped me a lot during my shoulder episode a year ago.

I hope to not use the hospice services for some time.
I hope to not use the hospice services for some time.

Surgery time is 11:00 am on Thursday, arrive at hospital at 9 am. Two days there so back home on Saturday. I’m motivated and want to hike, workout, walk without pain so I anticipate a positive experience.

I’m ready.

 

 

 

 

 

Caution: Not Election Related

Samain                                                                       Thanksgiving Moon

ekgPre-op physical yesterday. EKG within normal parameters. Dr. Gidday walked me through the pre-op questions including one which wondered if I had dementia. When I asked her how I would know, she laughed, slapped my hand, “Everybody says something like that.”

As long as I was in the area, I went over to Health Images and picked up a cd of Kate’s left shoulder x-rays for her visit with the rheumatologist next month. Let no month pass without significant medical moments.

We’re all in a bit of buzz here with a winter storm predicted for tomorrow. It’s not much of a storm but it’s precipitation and we need it. It’s also the first winter storm prediction in November so far. A lot of folks with snow deprivation. Folks on pinecam.com talk about doing their snow dance.

dr-strangeI’ve seen two movies in the past couple of weeks, Dr. Strange and Arrival. I saw Dr. Strange in 3-D. Fantasy and science fiction still have my attention after all these years. Dr. Strange was fun, great CGI, a cast that includes Tilda Swinton and Benedict Cumberbatch, and the Dr. Strange origin story.

Arrival was a stunner. I’m promoting WWHD. What would the heptapods do? Amy Adams gives a somber, slightly distracted by melancholy performance. She carries the film with her delicate humanity. The story telling is not linear, arrivalneither is the heptapod language. Time is more flexible than we think, malleable. No Randy Quaid flying his jet into the mothership, no Luke flying his fighter into the weak spot of the death star. In fact, no onscreen violence at all with the exception of an explosion, a brief one. Though you won’t understand unless you see it, Arrival is about the power of language.

Today is Kate’s needleworker group and it’s here at our house. Preparations have been underway. More to come this morning: ebelskivers, muffins, cheese, coffee, furniture moving, that sort of thing. My job? Keep the dogs from biting the guests. That means I’ll have them outside or up in the loft most of the day.

Life does, in fact, go on

Samain                                                                        Thanksgiving Moon

20161015_184129
Kate and Ruth

In spite of the political upheaval life, as it always does, continues, mostly in its old grooves. Here on Shadow Mountain for example the divorce process has entered its waning days. Final orders will be issued late this month though the outline for them, largely fair and equitable is already known. Jon’s anxiety level has receded. Good and heartening to see.

We had Asplundh tree service here on Friday and Monday clearing out the tree cover from the power line easement. I spoke with the workers, current day lumberjacks operating outside the timber industry.

“That’s hard work,” I said.

“Yes, but it’s honest. No shortcuts.” replied the bearded young man in charge of the crew. He’s right about that.

The utility bills from IREA, Intermountain Rural Electric Association, have been, since May,  $10, a line fee that supports such work as the Asplundh team. The electricity we use has been produced by our solar panels.

Lycaon
Lycaon

I continue to write, now upwards of 63,000 words (I was a little too early when I said I’d reached 60,000 last week.).

Kate and I are becoming more and more a part of Congregation Beth Evergreen. It’s an interesting experience for me. I’m a participant, not a leader. I like it, being part of a community but not being responsible for it. I can help in modest ways and that feels appropriate to me for right now. That may change though with the political work that is brewing.

It’s dry, no snow. According to the weather services, this could reach a record snowless period for Denver. We’ve had a little snow on Shadow Mountain, but only two instances, rare. This, plus the winds and the low humidity, means the potential fire situation here remains at an elevated risk.

This morning at 10 I have my pre-op physical for my December 1st total knee replacement. The pain in the knee worsens, it seems, by the day. That’s good, I tell Kate, because it’ll feel so much better after the new knee. I’m grateful there’s something that can be done about it.

thanksgiving-wishAnd, improbably, it will be Thanksgiving next week. There is no hint of over the river and through the woods weather to stimulate that Thanksgiving feeling. We may get a storm on Thursday. That would help.

We’re going to smoke a small turkey. Annie will be here from Waconia, Jon and the grandkids. Unlike the nation we’ll be celebrating Thanksgiving on Wednesday because the grandkids go to their mom’s for Thanksgiving this year. Under the new divorce terms holidays alternate and this year is Jen’s Thanksgiving. It will be good once again to have family (and dogs) underfoot during the holiday.

Just realized in all the election fun I’ve allowed holiseason to get started without any remarks. Look for that to change as we head into the most holiday rich season of the year.