Tuesday, January 27, 2015

Tuesday (1/27/2015)

Update:

On Monday, I slipped and fell on some hidden ice at the end of my driveway while shoveling snow.  One minute I was standing upright and the next moment my feet flew out from underneath me and I was flat on my back with the air knocked out of me.  After lying there a moment to catch my breath and figure out if I had broken anything, I tried to get up.  It is a little more difficult for me to get up off the ground with my prosthesis anyway; but it was really tough on this sheet of glare ice.  I was sore the rest of the day with lots of aches and pains, especially my right elbow.  This morning on Tuesday, I am happy to report that I am doing fine and almost all the pain has faded.  I am so thankful that I didn’t damage my elbow, I rely upon my upper body strength so much.  Whew!  Escaped from that one okay.

I had an appointment with my prosthetist to tweak my current leg just a little bit more before I leave for a conference in Chicago all week.  I’ve been having major debilitating pain with my current socket, which is why they are in the process of building me another one which they hope will solve the problem.   Monday’s appointment was an attempt to reduce the pain as much as possible so I can be comfortable at the conference which is tough because I hurt when I walk, when I stand, when I sit, with the leg on or with the leg off—and I have a multitude of different pains.  So although it was no easy task, I’d say overall that was accomplished.  I told Karen that the highest level of pain was reduced even though the mid-level pain was increased.  I think the trade-off will be worth it.

I’ve been having numerous different pains while walking which has severely reduced the number of steps I take each day.  Sometimes walking sets off phantom pain which tells me that I’ve severely sprained my ankle (in my left non-existent foot).  Even though I know it hasn’t happened—the pain is extremely real.  I was talking with Leah, my prosthetist, and mentioned how I am taking the max dosage of Tylenol and Ibuprofen in order to make it through the day.  The pain relievers take the edge off but don’t completely stop the pain.  I’ve found that the constant pain really drains me emotionally and physically.  Sort of like leaving the dome light on in your car overnight.  It doesn’t drain off much power; but it can be enough that the car won’t start in the morning.  Consequently, I’ve been needing more sleep to recharge—about 9 to 10 hours per day.  I don’t have any trouble sleeping through the night!  That’s when Leah stopped me.  She told me that typically amputees have phantom pains at night and cannot sleep because of the pain and they have very little pain while walking during the day.  Just another evidence that I AM UNIQUE!  That is totally opposite of my experience.  I am probably headed towards some experimentation with drugs to see if medication will reduce my pain levels if the next test socket doesn’t alleviate my problems.

I also received an eye injection with Avastin yesterday.  My retinal specialist took a lot of pictures and various scans as well.  The good news is that my vision has improved slightly while the damage and swelling in my eye has remained the same.  The hope is that the monthly injections will reverse some of the damage; but he was pleased that the damage has not continued to progress.  I also found out that typically it takes about two years of treatment before significant improvement is made (if it happens at all).  If there is improvement, the injections can be spread out or possibly discontinued.  I’ve just completed my first year of injections, so I have a ways to go.  There are two drugs currently being used to treat people with my eye problems.  We discussed switching over to the other drug which some have found to work more effectively.  Amazingly, this drug cost over $2,000 per dose!  That would be over $48,000 per year!  Crazy!  My doctor said that depending on your insurance, the co-pay alone could be excessive.  I have excellent insurance with no co-pay (and we are paying for that option) but we are checking to make certain that they cover the medication before we switch. 

The first twenty-four hours after the injection are painful.  It feels like someone poked you in the eye with a sharp stick (I wonder why that is?  Ha Ha—because they did!).  It takes a day for the vision to clear up and it feels like you’ve got a boat load of sand in your eye in the meantime.  They recommend that you take Tylenol and go to bed immediately after the injection and sleep off the first few, more painful hours.  Last night from 8-11 p.m. I had EXTREME pain in my eye.  I couldn’t sleep.  I could barely stand it!  The max dose of extra strength Tylenol didn’t touch it at all.  I was about to call in to get some heavy-duty pain meds when it finally subsided.  WOW! That was intense!  Thankfully the pain diminished and I was able to get to sleep with just the normal level of discomfort.  This morning everything is “normal.”  The eye is uncomfortable but looks and feels like it should at this point.

At noon today, I am leaving for Chicago for a theological conference held by my denomination.  It is being held on the campus of our university where my son-in-law is attending school.  So I get to spend the week at my daughter, Ruth’s.  The conference runs from 8 a.m. to 9 p.m. each day, but I will get to eat breakfast each morning and spend the evening before and after the conference with the kids.  I look forward to that and to filling my brain with all sorts of info gathered from the ten different main sessions.  I am concerned about how well I will do at the conference because I have pain when I walk or sit; with my leg on or with my leg off.  My daughter lives on the second floor (stairs that I have to climb each day) and my wheelchair won’t go into her bathroom.  It is too far for me to walk on campus so I’ll have to ride in my wheelchair but also need to walk some because sitting too long is painful.  It’s going to be a bit complicated as I carry the attachments for the wheelchair for when I have my leg on and also the attachment for when I have the leg off; because I won’t be able to last all day and night one way or the other.  I’ll have to put my leg on to get down the stairs. Then I’ll ride my wheelchair to the conference.  During the conference, I’ll do some walking.  Then eventually I’ll have to take my leg off and use the wheelchair at the conference.  Then I’ll need to put my leg back on to get up the stairs at my daughter’s apartment.  All I need is a tent and I could be a full-blown circus!  Life was certainly less complicated when I had two fully functional legs; nevertheless, I am thankful for the challenge and the ability that I have to enjoy and experience life. 

Thought for the Day:

John Maxwell writes, “No choice will determine the success of your attitude change more than desiring to change… As long as we have acceptable options, we will not change.  There seems to be three times in our lives when we’re most receptive to change. First, when we hurt so much that we are forced to change…  Secondly, receptivity to change is also heightened when we are bored and become restless…  Third, change is apt to occur when we realize that we can change…  Nothing sparks the fire of desire more than the sudden realization that you do not have to stay the same…  Life is a changing process.  With all of its transitions come new opportunities for growth…  Accept the following statement for your life: ‘The days ahead are filled with changes that are my challenges.  I will respond to these opportunities with confidence that my life will be better because of them.  With God all things are possible.’”  [John Maxwell, How High Will You Climb?]

Change is inevitable—growth is not.  Every one of us knows someone who got ‘stuck’ in their development.  They seemed to be growing along with life and then eventually they hit an invisible wall that stops them dead.  We’ve all seen older adults who cannot keep up with technology—that is an example.  Change happens so fast now a days that it can be hard to keep up.  Graduation from High School; close friends move away; having your job position downsized; experiencing a major injury or illness; aging and losing some abilities and freedom; even a positive change like getting married or having a baby creates a new environment to which we must adapt. 

Sometimes change is hard.  Occasionally change seems unbearable.  A few changes are pleasant and desired.  Anything that breaks our normal routine can be a challenge to us.  We grow use to and comfortable with “how things have always been done.”  Routines and traditions have their place; but sometimes they can also become a rut.  We can begin to merely exist rather than experience and enjoy life. 



At some points in our lives we are allowed a choice.  Do I want to take this path? Or will I take the second option?  At other points in our lives it is like we’ve been abducted and forced into the back of van that speeds away in the night.  Everything is out of our control and we have no choice.  At least that is how it seems.  The truth is, we always have a choice.  We have the choice of how we will respond to what is occurring.  We have the choice to whether to give up or to use this as an opportunity for growth.  Will we choose to see this as an adventure or as a burden?  You often have little choice at what get thrown at you in life—you do have a choice in how your will respond to it.  It’s going to happen whether you like it or not.  So will you fight it kicking and screaming or will you allow it to fuel your growth and character development?

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