Thursday, May 15, 2014

Thursday (5/15/2014)

Update:

Wednesday morning I attended the Northwest Wisconsin Regional Police Memorial Service at the Florian Gardens.  Law Enforcement Officers from all other the region attended the ceremony.  Two of the officers from Fall Creek and four officers from Altoona attended also.  I serve both of these departments as chaplain.  I went out to lunch afterwards with a number of officers.  The memorial service is a somber reminder to the potential price that an officer might be called upon to give for the safety of the community or his fellow officers.  Please remember the families who are left bereft by their death. Please pray for the safety of officers as they respond to the scene and as they do their jobs.

I got my prosthesis adjusted on Wednesday afternoon which made it far more comfortable.  Leah, my prosthetist, added a couple more pads onto my foam liner.  It made it much more snug on the leg and thus it takes more work to push my leg into the prosthesis when I put it on; but it has taken up the sloppy feeling I was having.  The pads were placed to protect my shin bone which apparently was making contact with the inside of the prosthesis.   One record that is being kept is the circumference of my leg every inch from the knee down.  Since I received my prosthesis on March 17 (almost two months ago) I’ve lost ½ inch on those measurements.  My leg will continue to shrink for the next year until it reaches its final size. 

Here’s a SYNOPSIS of what has happened so far.  On Thanksgiving Day, November 28th, 2013 I was hospitalized with a life-threatening fever.  I had my left leg amputated below the knee on December 3rd, 2013.   I was released from the hospital on December 5th and began using a wheelchair while my surgical site healed.  I had my initial appointment with my physical health and rehabilitation doctor (Physiatrist) on January 27th.  I had my first appointment with my physical therapist on February 3rd.  He gave me a number of exercises that I could do while lying in my bed to begin strengthening my body in preparation of walking with a prosthesis.  I was given shrinker socks on February 24th, 2014 to reduce the fluid in my leg in preparation for being fitted for prosthesis.  Since then, except to take a shower or change my stockings, whenever I don’t have the prosthetic leg on, I am wearing my shrinker sock.  One week later on March 3rd, 2014, a plaster cast of my leg was made to use as a mold for my first prosthesis called a “test socket.”  I received my test socket on March 17th, 2014 and began walking short distances that day.  I was at the prosthetic lab at least once a week after that as we tweaked and fine-tuned the fit of the leg.  I began regular trips to the physical therapist to learn the mechanics of walking using a walker.  More exercises were prescribed both to strengthen me and to reduce muscle cramps, etc.  Later I was taught how to go up and down steps and a ramp.  Eventually I transitioned to use of a cane.  When the fit seemed good, my prosthetic leg was taken to be used as a mold for my first “permanent” leg.  It usually takes a week to make the new prosthesis.  Because of when mine was made, I was extremely fortunate to get mine back in four days.  The first leg was made of plastic and reinforced with plaster wrapping.  My first ankle and foot were pretty stiff so that I could learn to walk.  I received my first “permanent” prosthetic leg on April 24th, 2014.  This leg is made from acrylic and is much lighter than my previous leg.  This prosthesis should be good for about one year.  At that time my calf muscles will have atrophied and shrunk and my next prosthesis will be built.  They’ll be able to reuse my ankle and foot from my current prosthesis.  This newly fitted leg should last me about three years.  As of May 1st I only contact my physical therapist if I have a question on how to do something or need a new exercise to help overcome a new ache and pain I have from using my prosthesis.  I have a number of exercises that I am supposed to do at a minimum of three times a week.  They help me maintain and continue to strengthen the muscles and tendons that I rely upon to walk.   I also now only call the prosthetist when I have a question or a problem.  Right now I still have monthly follow-up visits with Dr. Schmidt, my physiatrist.  I have my next appointment with my primary care physician in August and a follow-up with my podiatrist (to care for my right foot) in September.   In addition, I am still under the care of a retina specialist which I see each month.

For now I am limited to short walks using the cane.  For intermediate distances I am supposed to utilize my walker, and for longer distances I am required to use my wheelchair.  Usually, I use my cane to walk into a store and then use one of their motorized carts to do my shopping.  I think that later this summer some of those restrictions will be lifted if everything continues on track.  I walk fairly well on paved or flat surfaces.  I’ve begun walking a small amount in grass and on uneven surfaces.  It takes an amazing additional amount of strength to walk on the uneven surfaces; so I am supposed to slowly build up my time in the yard and eventually head to the woods.

At night before bed, I have to take my leg off and get into my wheelchair.  Then I wash the silicone liner and my leg with soap and water.  Every few nights I put lotion on my leg to keep it from drying out from all the washing with soap.  I put on my shrinker sock after my leg is dried.  I am in the wheelchair after I take my leg off until I go to bed.  In the morning, I am back into my wheelchair to go take a shower.  I sit on a stool in the shower.  I usually eat breakfast and work on the computer awhile before I put my prosthesis on.  I have to strategically plan the sequence of getting dressed.  With my sweat pants or warm-up pants I can pretty well get dressed or put my leg on at any time.  With slacks or my jeans, the liner has to go on before the pants do.  The liner has to be positioned in just the right spot.  Some mornings I nail it the first try.  Other mornings, it takes my more than a dozen tries.  The pin in the bottom of the liner has to be centered on my leg vertically and horizontally.  To put it on, the liner is turned inside out and then rolled onto my leg.  That is why it is tricky to get it on correctly the first try.  I am not supposed to stand barefoot on my right foot, so I have to slide my pants part-way on and then put my shoe on before standing to get my pants all the way on.  Then I sit back down to pull my pant leg up to get any sizing socks and the foam liner on before sliding my leg into the prosthesis.  I am now ready to stand and put my wheelchair away for the rest of the day.  It usually takes a minute or two of stretching to warm up the leg muscles so I don’t lurch or walk like Frankenstein.  Then as the day wears on, depending how much I have been on my leg, I have to add additional sizing socks to my leg.  My stump naturally shrinks throughout the day, so I have to add socks under the prosthesis to keep it snug on my leg.  Right now I am starting out with no socks and then go to a 2-ply, later a 3-ply and by mid-afternoon a 4-ply sock.  Leah said that by next year before I get my next prosthesis, I’ll be adding up to 10-ply of socks to maintain the proper fit.  That is one of the things that I carry in the backpack that you always see with me. 

Whew!  What a lot of work to just to go for a walk!  I am grateful that I can walk and have the ability to do so.  It takes a bunch of time and effort to do it; but I am so thankful that I am not limited to a wheelchair.  Right now, this is what God has given me and I am appreciative of every step I can take.  I am very fortunate and count my blessings. 

I guess finally I should say that although my surgery happened over five months ago, I am still not back to my old energy level.  I guess that I am back to about 70-80% of the energy I used to have.  I cannot stand for long periods of time.  I cannot sit in a chair for long periods of time either.  In several meetings I’ve had to excuse myself during the meeting to lie on the floor on my stomach for about 3-5 minutes to stretch out a tendon that is very painful.  That changes the dynamic of the meeting when I stretch out prone on the floor! “No, No.  I’m alright.  Keep on talking.  I can hear you.”  I need more sleep than I used to and find it difficult to stay up past 10 p.m.  So I’ve come a long way…but have a long road still to go for full recovery. 

Thought for the Day: 

What are you struggling with today? 

We tend to look at difficulties as something that should be avoided.  Sometimes we even get mad at God because He didn’t protect us from having troubles.  We need to remember that it is those very adversities that end up making us stronger, better people if we rise to the challenge they present.

“It is said that if we were to help the butterfly remove itself from the cocoon, the butterfly would not be strong enough to survive. It is the struggle that prepares the butterfly to become strong enough to fly. Without the struggle in the cocoon, it could not survive as a butterfly.

The Lord prepares each of us in similar ways. Some of our childhoods seem to have been harsh and born from a seemingly unloving God. However, the Lord knows our struggle and will make our life an instrument in His hand if we will follow Him with an upright heart. He does make all things beautiful in His time if we are willing to be patient.”           [Os Hillman, Today God is First (TGIF), on-line devotional message, May 15, 2014]

James 1:2-4   “Consider it pure joy, my brothers, whenever you face trials of many kinds, because you know that the testing of your faith develops perseverance. Perseverance must finish its work so that you may be mature and complete, not lacking anything.”

Whatever you are struggling with today, turn it over to God.  Ask for His help with your attitude and with your determination.  Ask Him to give you the wise and strength to face it.  Then get to it.  Allow whatever it is to make you a better person as it tests and challenges you.







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