Friday, August 26, 2016

Friday (8/26/2016)

Update:

It’s been a tough week.  Last Saturday, I over did it (it doesn’t take much) and my leg was painful throughout the weekend.  On Monday (8/22), I had an EMG done on my residual limb.  I had pictured some electrodes taped to my leg and them measuring the nerve and muscle responses with gentle impulses.  What I didn’t know about was the electrode painfully pushed into my leg with increasingly more powerful shocks time after time.  I’ve had worse procedures done; but that is one I hope never to have done again!  The hard part was that after each shock I was told to “Relax.  We have to increase the intensity and try that again.”  It’s hard to relax when you know what’s coming.  The second half of the procedures with needles wasn’t bad comparatively.  The doctor doing the procedure kept asking if I was okay and if I wanted to quit.  I told her to proceed because the needles weren’t that bad.  She turned around and said to my wife, “He’s got a high threshold for pain…FOR A GUY!”  Very funny, doc!

Following that procedure, everything hurt for the next couple of days.  I had PT on Tuesday and the therapist worked on my lower back and sciatic pain.  The pain at the distal end of my residual limb was pretty intense too; but he worked at getting my spine straightened out.  Of course, after that the pain continued. 

On Wednesday, the parts I was missing finally arrived so I could put on the new handrims on my wheelchair. The traditional, thin, silver handrims aren’t easy to grasp.  They work fine indoors on level floors.   Whenever I went out, I had to wear a pair of leather gloves to get the grip I needed.  My new Natural Fit rims are more ergonomic—deeper and wider—making it easier to grab.  I had to use my Dremel tool to make some adjustments on the wheel to get them to fit; but I really like them now that they are installed.  One of the best purchases that I have made!

After installing the handrims, I went out to do three quick errands.  It’s the first time since Saturday that I felt good enough to even wear my prosthesis.  It started off as uncomfortable and quickly switched to painful.  It felt good to get the leg off as soon as I got home.

On Thursday, I had an appointment with my CPO (certified prosthetist orthoptist) to get fitted for a new shoe and measured for a new orthotic insert.  It was nice seeing everyone at the shop again.  It has been awhile.  I officially let them know that after surgery that I won’t be coming back to have them make my new prosthetic limb.   I’m not having a traditional amputation revision this time, so I had to find a CPO who specializes in prosthetic legs for an ERTL amputation.  Nobody in my area has experience, so I’ll have to travel to get my leg done.  I’m sorry to end my relationship with my current CPO.  She has literally been with me every step of the way since my amputation (that amp humor was on purpose).  She has worked so hard to help me.  We’ve spent many hours together working on my prosthesis.  It feels like saying goodbye to family.  It stinks; but it is the right thing to do.  

Besides the nerve pain in my leg, my back and sciatic nerve pain is still bothering me at the end of the week.  I hope it goes away soon.  I try to avoid taking pain meds but it takes a lot out of me to “ignore” the pain all day.  My sleep suffers at night because of it.  Recently however I’ve started getting 6-7 hours per night (up from 4 hours per night—so the steroid injections have helped some).  I do better on 8-9 hours; but I’m thankful for what I’m getting.  Just a little too much pain to rest well, I guess.


Less than a month left until my surgery.  I’m eagerly looking forward to it with hope for a better outcome.  I’ve got my hotel for pre-op appointments booked.  I still haven’t decided whether to fly or drive.  Details.  Details.  Details.  I hate not having every detail ironed out right now.  I think that is a desire to achieve some sense of control in my life, when so much of my life is out of my control.  I know that it will all work out in the end…I just need to relax about it.

Sunday, August 21, 2016

Sunday (8/21/2016)

Update:

Yesterday (Saturday) went well.  I felt the best that I have in some time (minimal pain & good sleep the night before), so I decided it was time to finally finish redoing a flowerbed that I’ve been SLOWLY working on.  The weather and my body both cooperated and I was able to finish putting in the last corner of the brick edging.  I have a list of about 5 major projects that I planned for this summer.  This is the second (and probably the last) that I get to cross off the list for this year.  I did decide to hire someone to reseal my deck and wheelchair ramp instead of trying to do it myself.  So three things will get done!

After finishing the flowerbed (which took about an hour at my pace) I decided to go do some errands.  Instead of using the wheelchair, I elected to continue wearing my prosthesis.  At my last stop, I realized that I had done too much and aggravated the nerves in my residual limb.  At one point I got hit with excruciating nerve pain while I was in Walmart.  I’m certain that people were wondering why I grabbed hold of a clothes rack and was hanging on a few minutes trying to catch my breath.  I bet I looked rather funny!   I took the leg off as soon as I got home.  The nerves in my leg were not happy with me the rest of the evening.

Pain in my leg woke me up in the night.  This morning the nerves are sort of throbbing.  With the pain I was having I decided not to wear my prosthesis today; I’ll go in the wheelchair instead.  The thought of putting my weight back on those angry nerves isn’t something that could face.  After church I went to my daughter’s home for lunch.  There are stairs and narrow doorways inside where my wheelchair won’t go.  So I tried out my new iWalk 2.0 that I purchased.  It is sort of like a strap on crutch that you kneel on.  I bought it with just this scenario in mind.  It worked pretty well.

This kind of back and forth with pain is what I’ve been facing since December 2015.  I cannot do much; but I have a good day and then do just a little too much and BAM!!!  I’m hurting and less able to do even the simplest task.  It’s not like I am going crazy and trying to walk all the way around the block!!!  Despite every effort of my medical team here, this is as good as it is going to get for me as I am right now.  It certainly isn’t what many amputees experience.  On a standard bell curve, my outcome after amputation is way at tail end of poor outcomes.  My limitations are sometimes overwhelming to me; instead of dwelling on them, I just try to do the best I can with what I’ve got.  However, that doesn’t mean that I won’t seek an improvement if one’s available.  That’s why in just over a month, I’m headed to Indianapolis for surgery on my residual limb.  The surgeon will take about five hours to repair and rebuild my leg.  I don’t relish the recovery time in the wheelchair afterwards (2-3 months).  That means that I’ll miss whitetail archery season this year (I hate not being able to get out into the woods).  But it’s an investment into a potentially better future.

I have a couple of FaceBook friends who have had this surgery done by my surgeon and they have had awesome results!  One of them just walked over six miles without any pain.  WOW!  That sounds like a fairy tale ending to me!  Of course, my results may vary; but their reports are so encouraging to me.


So I continue on, one day at a time, putting my best (and only) foot forward.  We’ll see where it leads me.

Thursday, August 4, 2016

Wednesday (8/3/2016)

Update:

I met with the Surgeon (Dr. Ertl) and the prosthetist (Rob Pinkston--the guy who will build my leg) and I am headed towards surgery!  Dr Ertl believes he can significantly reduce my pain and get me more active again.  YEAH!!!!  

Surgery will probably be in late September after I get back from visiting my sons in LA.  I'll be in the hospital for 3-5 days.  After my six week post-op appointment, if things go well I'll be cleared to get started on my prosthesis.  

My prosthetist for this style amputation is actually located outside of Cincinnati.  I'll spend two week with him initially.  So I could be walking again by my birthday in November!!!

There aren't any guarantees but I'm excited because there is hope.  I'll be traveling back and forth to Indianapolis and Cincinnati a lot over the next year, but it will be worth it if I can walk, mow the lawn, ride my bicycle, get out in the woods, etc. again.

My son, Jon, and I are driving part way home today.  It took 8 1/2 hours to get down here with construction and the pain relief breaks I needed.  So we are driving half way today.

I appreciate everyone's prayers and kind words.