Thursday, January 8, 2015

Thursday (1/8/2015)

Update:

I spent three hours at the prosthetist’s office on Wednesday.  We talked about my current problems, evaluated my leg and current test socket, discussed options, weighed pros/cons, etc. for a long time.  We finally decided to make a new test socket with some significant design changes.  So Leah made a plaster cast of my leg, took measurements and was going to fill the mold right after I left to make the necessary adjustments before sending it off to the lab to be fabricated (about 1½ hours of work).  I have another long appointment scheduled with her next Thursday to do the initial fit of the new socket.  This socket will still use the pin suspension system but the weight bearing areas will be vastly different than the current one.  So far my sockets have been a Patellar-Tendon-Bearing (PTB) design.  Much of the weight is carried on the tendon just below the patella (knee cap).  The new socket is designed so that much more of my leg will bear the weight since I’ve had trouble with my knee.

After a couple of weeks of testing, we’ll evaluate how well it is fitting and how much pain it is causing me, etc.  If we haven’t made significant progress in that time frame, we’ll start over and switch to an entirely different design system and see what results we get.  The next attempt will be a vacuum system suspension.  It actually has an electric pump built into the leg to create a vacuum inside of it.  The vacuum holds the leg on instead of the pin as in my current system.

I’m trying to think of a way to describe what trying to fit a prosthesis is like.  One example is how the same size of pants may fit you in one brand and that same size rides up and pinches you in another brand.  Or shoes can be the same way.  Certain shoes are comfortable and other shoes are not, although they are the same size.  Now imagine that shoes didn’t come pre-assembled and you had to select all the various pieces and have them put together.  That could make getting a comfortable pair of shoes much more difficult.  A prosthesis has to fit the user to exacting standards.  There are so many variations in people’s legs and so many options in prosthetic parts that the task is monumental.  A prosthetist has the knowledge basis and experience to get pretty close to what is needed; but there is always tweaking that needs to be done to get a fit that is comfortable and functional.

I am so very thankful that I’ve got a great working relationship with my prosthetist.  She knows her trade and I feel like I am in good hands.  I always come away from her office feeling hopeful and encouraged.  With so many unknown variables entering into the mix, I’m pleased that I have someone in whom I have complete confidence.  I always feel like I am being taken good care of by her and by all the staff at her office.  Although I’ve learned a lot in the past year, there is so much that I don’t know about prosthetic legs—it’s nice to be able to rely upon someone with a whole lot more knowledge and experience than me (and who probably knows my leg better than I do).

One of the things that I’ve noticed in the last few weeks is that my left thigh is smaller in diameter than my right leg.  I’ve been wondering what is going on.  Was this due to wearing the silicone liner and prosthesis or what?  My prosthetist said that the thigh muscles have atrophied.  I asked if this was normal for amputees.  She said that it should not be happening to me because I’ve been walking and exercising with it.  It is most likely due to the fact that I am experiencing pain in that leg and so unknowingly I am favoring it allowing my whole right leg to do most of the work.  Once I get a good fit on my prosthesis and the pain is gone, I should be able to work on that leg and build it back up.

Thought for the Day:

“Avoid weatherproofing.  The idea of weatherproofing as it pertains to peaceful living is a metaphor to explain one of our most neurotic, ungrateful tendencies.  It comes from…Dr. George Pransky.  Just as we can weatherproof a home for the winter by looking for cracks, leaks, and imperfections, we can also weatherproof our relationships, even our lives, by doing the very same thing.  Essentially, weatherproofing means that you are on the careful lookout for what needs to be fixed or repaired.  It is finding the cracks and flaws of life, and either trying to fix them, or at least point them out to others.  Not only does this tendency alienate you from other people, it makes you feel bad, too.  It encourages you to think about what is wrong with everything and everyone—what you don’t like.  So rather than appreciating our relationships and our lives, weatherproofing encourages us to end up thinking that life isn’t all it’s cracked up to be.  Nothing is ever good enough the way it is.” [Richard Carlson, Don’t Sweat the Small Stuff].

It seems to be a gift in some people to only see the cloud and never the silver lining.  If you are infested with nits, I guess it would be good to be surrounded by nit-pickers; but it doesn’t mean that it is pleasant.  Growing up, my parents were weatherproofers.  I’m better than I used to be but I became a weatherproofer too!

I know from personal experience that nobody likes to have someone continually point out their flaws.  And a person with a critical spirit who is constantly pointing out flaws is usually a dissatisfied person too.

When I lived in Georgia, I worked for a drywall contractor.  A favorite topic among the workers was how air-tight a home should be.  They all wanted a home that could breathe a bit. Obviously Georgia winters are different than up here in Wisconsin; but the idea was getting some fresh, clean air in the home wasn’t a bad thing.  They were afraid of shutting in all cold and flu germs if the house was air-tight.  I guess that relationships need some breathing room as well.

So far in my life, I have never found a perfect person, business, church, or organization.  Every one of them has flaws.  Even the best has some flaws, so why would I keep looking and expecting perfection?  That kind of expectation really does kill your ability to enjoy everything you are involved in.  I’m not against encouraging improvement; but it is all too easy to focus too intently on the flaws and overlook all the good that surrounds us.

I’ve heard psychologists say something like, “for every one complaint or negative thing we say to someone, it takes seven positive statements to overcome the one negative one.”  The idea is that for every complaint or correction we make to our child, it takes seven positive, affirming comments to bring them back to an emotional balance.  What is your average ratio of positive to negative comments or thoughts?


Here is my take: Weatherproofing your home is a good thing.  Weatherproofing your relationships--not so much.

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