Showing posts with label hip replacement revision. Show all posts
Showing posts with label hip replacement revision. Show all posts

Thursday, September 9, 2010

Back in the Saddle Again

I have just four words to describe my first post-surgical outing to the PNE:
Deep.
Fried.
Oreos.
Yes!

Okay, I would have to step down as the Crown Princess of Verbosity if that was my entire post, but luckily there's a lot more to say on the subject. I'm not sure what lead me to think, "Gee, I have been in bed for a month straight and have had major surgery, so I should really ease myself back in to the land of the living by going to Vancouver's largest summer fair on a long weekend along with thousands of other people who would shank your mother for the last mini-donut....for 8 hours."

Actually, that particular thought process was caused by a few key factors:
1) I'm kind of a moron when it comes to gauging my tolerance for things.
2) I heard the siren song of the funnel cake in all its deep-fried, powdered-sugary-y seductiveness. Also: the siren song of the cotton candy, the poutine, the fresh-squeezed lemonade, the donairs, and (of course) the deep-fried oreos. It was a veritable siren-song doo-wop group.
3) It was a chance to spend time with several of the friends I still have in Vancouver. Plus, sometimes you've just got to give your hip a little pat and say, "Okay, hip. You've been in the driver's seat for the past month, but now it's time to scootch over to the passenger's seat and buckle up tight because I'm about to rev the engine."

The problem with going places post-hip-replacement is not the walking, though granted that sucks quite a bit. No, the real issue is sitting. There are many different shows at the PNE (the horse jumping....the Chinese acrobats...the SuperDogs...the random guy in a booth who spray-paints a Hummer about 8 million times a day then cleans it with some special cleaning product and progressively gets more loopy as the spray paint fumes get to him) and all of these shows require sitting on hip-precaution-breaking seats. I therefore had to travel with a chaperone: my huge-ass hip replacement cushion.

I thought I was being crafty by shoving the hip-replacement cushion into a backpack. The problem: getting it in and out of the backpack was harder than squeezing my ass into skinny jeans. It was literally a two-person job. Maybe my hip-replacement cushion had also been snacking on some deep-fried oreos, because as the day progressed, it got harder and harder to wrestle it into the bag. Worse: the person who ended up helping me was Shira and Jeff's friend C., who I barely know, and whose system has not built up a tolerance to my usual level of ridiculousness. (He was, thankfully, very nice about the whole thing). Nothing like the phrase "Hi, nice to meet you. Want to spend part of your relaxing weekend help me shove an ass cushion roughly the width of your grandma's Laz-E-Boy into this backpack 8 or 10 times a day?" to really make an impression. Really good way to meet people in Vancouver.

Still, it's good to know that I'm easing my way back into the saddle (the metaphorical saddle...the literal saddle would break hip precautions). Giddyup!

Monday, August 30, 2010

Not Taking This Sitting Down

I apologize for the radio silence. I hope no one thought that I had been attacked by a gang of rogue physio oldsters agitated into a jealous rage over my progress at physio. (Don't worry. I keep a bag of lint-covered peppermints in my pocket for such an occasion). No, the reason for my absence is that even though my ass is pretty much still stuck in bed, the power of the internets means that I'm kept on my toes by work, socializing (hey, Skype counts as socializing) and various internships.

Right now, two things are keeping my bed's ass groove firmly indented:
  1. The whole "brand, spanking new hip joint makes sitting and standing painful" thing, plus the fact that hip restrictions make doing cool things less cool (we all remember the sex manual, yes?).
  2. I know very few people in Vancouver (or, at least, very few people who I can't guilt trip into coming to visit me), which gives me little-to-no incentive to put on clothing that did not come courtesy of my former national team's Nike sponsorship. (Hey, no one said that the 'it' in "Just Do It" couldn't refer to eating frozen grapes while watching Alton Brown teach you how to cook a perfect porterhouse steak). I mean, if you're going to spend 15 minutes wrestling your jeans on with a grabber, you should probably go somewhere better than "to the mall to look at clothing you cannot try on without the aforementioned grabber, thus filling you with the rage of small animals."
Factor #1 is still in play. Those of you who are familiar with my neverending battle against my anti-ass know that I have never liked sitting. I like it even less after someone recently chiseled out my hip's ball and socket and used power tools to install a new one. Here's how I sit:
  1. Lug around an ass cushion 4 times the size of your laptop, which is great fun when you're still walking on crutches.
  2. Lay the ass cushion on a chair, though the fact that it is bigger than the surface of the chair will almost guarantee that it will fall off at some point in time.
  3. Try to lower yourself (without breaking hip precautions!) on to the chair. When the ass cushion falls off or slides out from under you, you will not be able to adjust it without breaking hip restrictions or reaching for your grabber. Since you do not want to ask someone to reach between your legs and give your ass cushion a good yank, you will settle for riding a four-inch-thick square of foam side saddle.
  4. Perch on the terribly askew ass cushion with your bad leg stuck out and your back jammed against the backrest so that the bones of your spine are bruised, requiring you to stick one hand behind your back between your spine and your backrest, like Napoleon in reverse.
  5. Realize that you look like some sort of broken life-sized marionette.
  6. Or like a contestant on America's Top Geriatric Model. (The only people who sit worse than I do are models in fashion magazines. I suspect they, too, are plagued by the scourge of ass bruising).
  7. Or like some sort of gout-stricken king after feasting on an entire roast pig and swilling jugs of mead.
You can therefore see why it takes a lot more than boredom to get me out of the house.

This week, however, I've finally received the motivation I need to leave the comfort of my room: my friend S., who recently moved to Vancouver from Australia to do a four-month internship. She was staying at my place for awhile and I'm assuming that she did not move halfway around the world to get the grand tour of my favourite daytime reality TV shows. It was time to put on my big girl pants and head out into the real world.

S. moving to Vancouver, by the way, is all part of my master plan. See, I have a great many talents: picking things up with the toes on my right foot (they are like monkey toes!); making French buttercream; injecting business correspondence with the appropriate dash of "You Attitude." The list goes on. But meeting new people? Not really a strong suite. Nine times out of 10, I will knock something over with my elaborate hand gestures and the person will assume I have a meth addiction. Solution: Bring all my old friends to Vancouver! (Are you listening, people of Champaign-Urbana?)

Granted, S. and I did spend a significant amount of time watching Dexter re-runs online. But I also went on my first real post-surgical excursion....to the Richmond Night Market. Why I thought that I should take my first non-physio-or-doctor-related trip at a place jammed with thousands of jostling and shoving people, many of whom are carrying squid on pointy sticks, I don't know. I do know, however, that I was able to maneuver past the stalls that specialize in handmade false eyelashes, past the accupuncturist who boasted of his ability to cure "Human Pain," past the snake exhibit and the rows of LED-lighted T-shirts that light up in time to music, past the stand after stand carrying delicious dim-sum goodness and potato chips on sticks. I tasted victory and it tasted like chocolate-pudding bubble tea!

The next day, I even went to my friend T's house with S. (and my ass cushion) to eat a delicious dinner and fawn over her cats. For ages I've had a standing appointment with my bed and suddenly I've sprung back into action. Make way, real world. I'm slowly creeping my way back towards you.

Thursday, August 12, 2010

Arley 3.0: Sweating With the Not-So-Oldies

Yesterday was my second day in physio and I am well on my way to becoming teacher's pet, as opposed to last time when I was basically in the hip equivalent of special ed. Someone give me a gold star! The first day, we did a few slow, gentle exercises. This time, however, it was time to get on a bullet train known as the Recovery Express. In the words of the ridiculous Home Depot ad that has been playing on my TV roughly 8 million times a day, it was time to "kick my doing dial up a notch."

I came to physio expecting to work out for 45 minutes to an hour. Ninety minutes later, I was still sweating away on this "step-fit" machine that's like a cross between an elliptical machine, a stationary bike and a stair master...if you can imagine it. I was like one of those show ponies...or a dog in an agility course (well, maybe 'agility' is the wrong word...). I'm swinging my legs in swings! I'm pulling my leg with a lever! I'm squeezing and tightening! I'm lifting and lowering! I'm doing 5 minutes on the step-fit machine! I'm doing some sort of bizarre squatting thing on the balance bars like an arthritic, polio-stricken ballerina! I'm bending over forward on the physio bed waggling my ass in the air while trying to raise my legs in a manner not befitting of a lady!

I, of course, was loving it. I was like some sort of slobbery St. Bernard let loose for a romp in the forest. I was picking up a scent and it smelled like recovery. Despite the fact that it's only been two weeks, it feels like a lifetime since I've flailed away on an elliptical machine with Jesus and Mary Chain cranked up to the point where my ears start to hum. Even five minutes on the "stair fit" felt like the "running up the stairs" scene in Rocky. (To be fair, "Eye of the Tiger" does loop almost constantly in my head, so even brushing my teeth feels like the "running up the stairs" scene in Rocky).

You might be saying to yourself, "But Arley. Aren't you pacing yourself against people who remember the Hoover Administration?" No. Incorrect. Last year, I went to physio at 8:30 a.m. and the clinic was packed full of the "6 a.m. breakfast at the Jiffy Wiffy Waffle House" set. You know, the type of elderly person for whom restaurants keep liver and onions on the menu from between 4 pm and 5:30. For whatever reason, old people like mornings, and old people who need a hip or knee replacement like morning physio appointments.

My new time is in the afternoon and the crowd is a lot younger. I mean, not "going to a Justin Bieber concert" young....or even "going to a Michael Buble concert" young...or, come to think of it, not even a "going to a Paul Anka concert and then gushing about how no one makes real music these days" young. But they're definitely younger and more spry. There were even a few people that seemed to be roughly my age. I have a lot of competition in the optimization department.

And to those of you who are pointing out that physio is actually not a competition and that there is no prize for the fastest recovery....also incorrect. If I've learned one thing from years of wheelchair basketball, it's that literally anything can be made into a competition. So the next time you're in the grocery store and you feel as if someone is staring you down, radiating the intense focus of a champion....that's me. And I will get the freshest watermelon.

Monday, August 9, 2010

Arley 3.0: Bring on the Optimization

There are few things in life more soul-blisteringly frustrating than being out-performed by an old man in slippers....especially if that man has pieces of food in his goatee...especially if his hip replacement was months after yours. After my first hip replacement, I spent six months at the out-patient physical therapy clinic at Burnaby Hospital, where I was treated to a revolving door of wizened gnome-men and shrunken old ladies in sweatpants, all of whom were literally walking circles around me. Let's just say that it's not so easy to concentrate on your "clamshell" exercises when some broad in a Bedazzled cat sweatshirt in the bed next to you is sizing you up as if to say, "You think that's a leg lift? That's really the best you've got? Compared to you, I look like I'm working the pole at Girls, Girls, Girls."

Every time I tried unsuccessfully to navigate the stairs or swing my leg in the physio sling, every other patient in the room would get a twinkle of superiority in their eye. I should have applied for federal grant money because I was doing a freaking public service by boosting the self-esteem of the elderly. You can therefore see why I was nervous about my first day at physio following the second hip replacement. It's been a rough few months: the leaving Illinois, the surgery, the hours of Home and Garden television. Could I handle the smugness of people who got their hip replacements after re-enacting that "I've fallen and I can't get up" commercial?

Actually, I was excited about physio, if only because it was a chance to get out of my bed. I am not very good at the whole "taking it easy" thing. "Take it too hard to the point that you injure yourself:" that's me. "Sulking for months in bed because you go a little nuts when you're not constantly on the go:" also me. Bottom line: I don't like being still and I was ready to get this recovery show on the road.

When I arrived at Burnaby Hospital, I discovered that the out-patient physical therapy clinic had been changed into a new "Optimization Clinic." See, I'm all about the euphemisms. I don't need months of physiotherapy, I just need a little....optimization. Just tweaking! Minor alterations to allow me to be the best cyborg I could be! Just tighten those bolts and lube up those joints and I'm good to go! Physiotherapy clinic says "Spend hours out of your day watching the graying flesh on an old woman's thigh swaying in the traction slings." Optimization clinic, however, says, "Girl, you are already fabulous. Hold on to your crutches, ladies, because we're about to crank the awesomeness amps up to 11!"

And you know what? After six months of hearing "your progress is slower than the plot of an Ann Michaels novel," I was surprised to hear the phrase "you are actually...doing pretty well." I guess this is what they mean when they say that a hip replacement is a routine surgery. I mean, at 9 days post-surgery last time, I was still in the hospital. Hell, I was going downstairs backwards until about 8 weeks post-surgery.

This time, however, I was able to do nearly every exercise the physio asked me to do, and I spent most of the appointment weighing my progress against an old lady who kept exclaiming, "Bless his holy socks!" Bless his holy socks, indeed, because I was kicking ass and taking names. Move over, people, because Arley 3.0 has arrived to show you how this optimization business is done. Cyborg power!

Thursday, August 5, 2010

Arley 3.0: This Won't Make The Highlight Reel

It's been over a week since the surgery and the really gross stuff is probably over. The incision is healing even though the staples aren't out; it's been nearly a week since my stomach behaved like it belonged to a sorority girl a few hours after a barn dance; and even though it still takes me 30 minutes to heroin-shuffle around the block in my workout clothes, my pain is decreasing and my nap-to-walking ratio is probably down to 2:1.

The problem is, however, that I'm settling into what is arguably the hardest part of having surgery, at least for me: the boring part. The "trying to decide between a re-run of a show that explores the complex world of Minneapolis 20-somethings trying to buy a house they can't afford and a re-run of a show that explores that complex world of a 30-something couple from Dallas trying to re-landscape their garden" part. The "being in the same position on the same bed with the same view wearing the same workout clothes for weeks at a time" part. The "having to rely on people to bring you every glass of water, spoon, or carrot stick and, when you're home alone, having to weigh whether it's better to stay hungry or drag your ass downstairs to find food that you can consume in the kitchen since you can't carry anything upstairs" part. The "having to take shuffle steps to close the door behind you in the bathroom because hip restrictions prevent you from twisting" part. The "not being able to sleep because I spend all day in bed and my so-called 'sleep hygiene' is poor" part.

Yeah, I better develop a fondness for wry British murder mysteries on PBS because I suspect that this is how it feels to be old. I know. Whiny, right? Anyhow, the point is that nothing that happens for the next 3 months will likely make it in the highlight reel when they make an action-packed movie of my life and that's a weird state to be in. I guess the good part is that at least I've gone through this once. The ass indentation in my bed in pre-indented. I am so adept at working the grabber it's like a Go-Go-Gadget arm. More importantly, however, I know that it will eventually pass. Eventually. In theory.

Ok, time to pack up the pity party. Tomorrow's my first day of physio and I need to be firing on all systems to deal with being out-run by 90-year-olds

Monday, August 2, 2010

Arley 3.0: Now With More Morphine

It's 5 days after surgery and this post is brought to you by the letter D for Dilauded AKA Hydromorphone AKA "Surgery? What surgery? Why am I dreaming of cartoon hamsters?" Yes, after my second hip replacement I am "keeping comfortable" on the same drug that's keeping Lindsey Lohan "comfortable" while she's chilling in jail. The only difference is that she got it for a minor dental procedure and I had to stay another night in the hospital because of the difficulties of getting a prescription for it, even though someone took power tools to my hip's joint space. Man, celebrity has its perks. (On that note, how does Lindsey Lohan get counted as a celebrity? Who is jail is thinking, "Well, I know she hijacked a car and drove three terrified passengers on a coke-fueled police chase...but she did gift the world with the cinematic brilliance that was "The Parent Trap," so let's call it a wash. Feel free to load up on sketchy, easily abused prescription meds before you do your time, darling!")

I was hoping to blog more recently after the surgery, but unfortunately there was no wireless internet in the hospital and I'm pretty sure that for the first few days, my blog posts would resemble the rants you hear on Hastings and Main in Vancouver. That means that I've got a lot of ground to cover. I'm going to break it down into smaller posts over the next few days, mostly since the letters are already kind of swimming on the page and my nap-per-paragraph ratio is roughly 1:1.

So....Arley Version 3.0 Coles Notes Edition. The biggest headline is that it didn't go exactly as expected: They didn't attach the gluteus medius because there was too much scar tissue. They did, however, replace the socket and ball. And they went in through the back door (that's what she said) so the whole thing should be much more stable. After the surgery, Dr. SecondOpinion told me that the result "won't be one of those hip replacements where the person walks well." (Oh, you wanted one of those? You should have specified!) So far, however, the results feel a million times better than the first time around. My hip's not clunking around the way it was before and I'm walking pretty well considering that everything in the area is still like, "Dude, WTF?"

I will blog more about the surgery when every sentence I write isn't being co-authored by a morphine derivative, but here are some teasers:

  • Want to know what phrase you don't want to hear coming from a guy who's about to jam a big-ass needle into your spine? "Because I'm just learning, I'll be supervised by Dr. SoAndSo Here." And coming in a close second: "You're going to feel a poke....another poke....and another poke....Darn." (Perhaps the reason why it was so hard for me to get a Dilauded prescription is because of the track mark situation on my arms and back).
  • Want to know a phrase that you should never have to say after receiving a spinal epidural? "Um....so.....am I supposed to, like, feel numb yet?"
  • For the first few days, I dreamed of exploding cartoon hamsters, which struck me as such a stereotypical Oxycontin-fueled dream that I would amuse myself and wake up. You know you've spent too much time in academia when you are woken up by irony.
  • Day 1: I felt freaking fantastic. Little pain, no nausea. I was the Queen of Surgery, the Princess of the Post-Op, I was mentally reinacting that "king of the world' scene in Titanic. I was like, "Wait...you mean....something might actually go....right?"
  • Day 2: Let's just say there was more puking than a bulimic convention in an ice-cream shop.
  • Let's also say that I will never again eat pea soup with noodles. And that for days after I was still finding specks of dried neon-green bile on my hospital bed...my desk lamp....my bedside table..... (Too much information? Too much information).
  • The first day, my roommate was a guy who had broken both of his heels after his girlfriend threw $1800 of his money in $100 bills out the window and he jumped out the second-story window after it. (Suddenly, being single doesn't seem so bad).
  • For the rest of the stay, my roommate was an elderly Asian man who talked in his sleep in a mixture of Chinese and English, resulting in such gems as "You need 30% more birth control!'
  • I woke up this morning to my cat snuggling under my chin purring and sleepily licking my chin and was almost deliriously happy. Well, okay, the delirious part was probably the morphine, but still. Ah, cats: They love you and they never drop $1800 of your cash money out the window.
Okay, I'm off to drift into a drug-fueled slumber. Post more soon!