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.
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.
In 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
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.
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.
Pre-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.
I’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, neither 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.
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
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.
And, 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.
A diverse day, yesterday. Down to Orthocolorado for a “class” about my knee surgery. Not bad, not great.
At 12:30 we drove over to Evergreen for mussar at Beth Evergreen. It was Rabbi Jamie’s birthday and each woman brought a cooked or purchased offering of some kind. We had cranberry juice with tea and mint, apple juice, brie and a wonderful soft cheese, warm carrots, pistachios, cashews, strawberries, grapes, melon, crackers, chips, guacamole, a birthday cake, sea-salt caramel and chocolate brownies (Kate, see pic), with Halloween plates and napkins.
Later in the afternoon, around 5, we went down Shadow Mountain and spent an hour or so at Grow Your Own. This is a hydroponics shop, a head shop, a wine shop and a place to hear local musicians. Last night there was a former member of Steppenwolf playing guitar, a singer from a group called the Bucktones and a guy named Stan, who looked like the aging owner of a hardware store, playing bass. Time erodes the vocal chords so the singing was spirited and practiced, but range and timber suffered. Guitar chops however seemed undiminished.
The crowd was Kate and me like, gray hair, wrinkles. That question that comes to me often these days was germane: what did you do in the sixties? I don’t ask, at least not yet, but I do wonder what long-haired, dope-smoking, radical politics lie beneath the walkers and penchant for the music of yester year.
Then home to a boiler that’s out. After just having been serviced. The perfect end to an interesting day.
Up early. Well, no. Not up early. Out early. We left home at 7am today headed for Orthocolorado. Much like Skyridge surgical hospital where I had my prostate removed, which admitted primarily urological patients, Orthocolorado admits only orthopedic surgery patients.
They must put happy pills in the drinking water for employees because everybody smiled, laughed and seemed overly f***ng upbeat. I yearned for dour Minnesota. I was not their friend, was not particularly happy to be there and wanted to get out as fast as possible. As I will after my surgery.
On the other hand. I now know where the hospital is.
Kate and I went to Bed, Bath and Beyond afterward. That Beyond part covers a lot of strange territory: systems to control your home with your smart phone, lots of candy, holiday decorations, including a Mensch in a Box and a wonderful wind-up Rabbi who apparently sings and dances. I’m not kidding. There was, too, a mashup of Hanukkah and Christmas, a large blue stocking with Happy Hanukkah embroidered on it in silver thread.
Kate bought a set of candles for a Hanukkah menorah and used them as birthday candles for Rabbi Jamie. He was 47 today. I remember 47. Sort of.
According to my countdown clock, we’re only 4 days plus a little from the election. May it come and go quickly.
Here’s a nice piece commenting on my favorite gubermental regulation:
The big news here on Shadow Mountain. Orthopedic surgeon William Peace added some surgery days. Result: total knee replacement on December 1st. I’m excited because this pain is distracting and medication intensive. Currently using CBD’s and acetaminophen during the day and vicodin at night. This works, sort of, but I still can’t exercise, hike, twist suddenly, get up and down easily.
Kate and I had our first ever joint pain management doctor’s appointment. The family that confronts pain together smiles more. She’s got a bad left shoulder, pain in both wrists and bursitis in her right hip. Makes it hard to get comfortable for sleep. She got a cortisone injection for the bursitis and a referral to a rheumatologist for new treatments. She has rheumatoid arthritis in addition to osteo. Since they moved up the date of my surgery from next January to December 1, I just got a script for vicodin.
So much for the organ recital
It’s surprising, but all this medical stuff, a steady drip since we moved to Colorado almost two years ago, seems pretty superficial. Not unimportant, but more like maintenance for the car. Gotta do it to keep the thing running right.
mule deer in neighbor’s yard yesterday
The important stuff is life: grandkids, divorce, Jon, Beth Evergreen, needlework and writing groups, the mountains, our time together, being creative, the dogs, old friends and new, Evergreen, Denver, politics, climate change work.
And the third phase of life, closer to death, much closer, than to birth, makes all these things sweeter, more precious. I find myself often struck by their emotional power. Their presence in our lives creates the micro-world that sustains us.
Pain. Can make you tired. Can make it difficult to focus. Just plain hurts. My left knee has gone from bad to very bad. Trying various meds as a way to make it from now until January. Some success. Pain is a peculiar phenomenon, so assertive, so real; yet totally individual. Inaccessible to another. A message that, once sent, it would be nice to be able to turn off.
Superior Wolf continues to grow. 50,000 words. Writing is so much damned fun. Interesting to see a story unfold from the tips of my fingers, words and ideas following one another, no idea where they’re coming from. Doesn’t seem probable, but it happens. Everyday. Odd.
The aspens stand unclothed, their skirts dropped by the big winds we had last week. I’m glad they’re here. Realized yesterday that bare deciduous trees are a marker of fall for me, being a Midwest boy. We’re in that time between the falling of the leaves and the coming of the snow, a time with a skeletal aesthetic, when a senescence aesthetic with browns, tans, ochres in various shades colors the mountain meadows, an arid aesthetic with little rain, little snow, mountain streams at their low ebb. Samain, next Monday, is the holiday of this transition time, a holiday of the veil between this world and the Other World thinned. The growing season is well over, the season of harvest is ending. The fallow time comes next.
simchat-torah-beth-evergreen
Kate went to Simchat Torah at Beth Evergreen last night. This holiday marks both the end of Sukkot and the annual end of reading through the Torah. I chose not to go because it involves dancing and lots of standing. The congregation holds the Torah scroll at various points, symbolizing the year’s readings and the Torah’s ability to link the congregation together.
The rabbi, in this case Jamie, goes around and tells each person which portion of the Torah they hold. Kate had the story of Jacob and the angel at the Jabbok Ford. Probably my current favorite Biblical passage. I like the notion of struggle, of wrestling through the night, with the sacred. I like the suggestion that such a struggle can change your identity, give you a new name and a new purpose.
New x-ray of my left knee. “See that narrow space there?” Dr. William Peace points at a place where bone and bone have come very close together on the inside of the knee. “That’s about a 90% loss of cartilage. And that is a bone spur.” Pointing higher on the bone.
Indication. Total knee replacement. I said yes, let’s fix it. He said his scheduler would call. She called. They can get me in as soon as January! Oh, well.
It was oddly relieving to see the x-ray. I knew the pain was real, but there’s always a doubt. Maybe I’m experiencing pain that’s severe for me, but wouldn’t be severe for someone tougher. Nope. It’s my knee and its disappearing cartilage.
So I’m on a cancellation list and on a “If Dr. Peace opens up more days for surgery.” list. Not sure what to do about exercise. Step up the meds I guess. More CBD. More tylenol. Ice. Braces. Do, in other words, what I’ve been doing.
Guess us baby boomers are creaking our way toward the finish line in greater numbers. A good time to be an orthopedic surgeon.
BTW: Right next to Panorama Orthopedics in Golden is an Earth Trek climbing center. Kate thought these two were located well for each other. On leaving we also noticed about two blocks down the hill a business with the sign, Colorado Pain. First, the climbing wall. Then, the surgeon. Afterward, Colorado Pain.