Wednesday, March 29, 2017

Wednesday (3/29/2017)

Just got off the phone scheduling an MRI for my knee on my residual limb (LBKA 12/2013). Apparently my knee cap does not track correctly giving me pain, so the MRI is to find out why.

Before they will schedule an MRI they ask a ton of questions, such as, "Do you have a pacemaker? Do you have any stints? Do you have metal clips in your head from a previous surgery? Have you ever been shot?" As they asked question after question that I answered "No" to, I just had to smile.

Although I have some problems...there is a WHOLE BOATLOAD of medical problems that I DON'T have!!! Made me feel pretty well off all things considered. 




It is so easy to focus in on one or two things and miss seeing the bigger picture.

I'm not walking much right now; but I've got a medical team exploring why I'm having pain. I don't know what the outcome will be or where all of this will lead. On one hand I'm fairly tired of the constant up and down of my life. On the other hand I am content and satisfied knowing that things could be much much worse. I don't have it too bad!

Monday, March 27, 2017

Monday (3/27/2017)

This morning I had my appointment with my Physical Medicine and Rehab doctor (PMR), Dr. Schmidt.  After examining me, she said she believes something is definitely going on with the knee (she doesn’t believe it’s a back or hip issue).  She wants an MRI done… 

“And Now We Dance”…  Dr. Schmidt said since it was a specialized revision surgery done to my limb, she wants Dr. Ertl’s input and approval for any further action taken.  We’re trying to talk to Dr. Ertl in Indianapolis to see 1) Does he do knee surgery if there is something there? 2) Does he want the MRI done here in Eau Claire or should it be done in Indianapolis? and 3) Any special requirements for the MRI if done here?  Getting two doctors separated by 500 miles to communicate can be a bit of a challenge.  He may say that any knee surgery can be done here, which would make it much easier; or he may want it done in Indianapolis.  I have no idea.

She is also sending me to PT to learn some specific exercises in case the issue turns out to be more muscle/tendon needing to be strengthened rather than a structural issue that needs surgery.  The muscles in left leg are obviously smaller than in my right leg.  She’s concerned that this imbalance may be causing me to compensate in some fashion, which in turn may be causing the pain.

I am supposed to start walking in small amounts again.  The goal is to keep it under the pain threshold.  Since I am not certain where that “magical line” exactly is (it has varied greatly in the past), it’s bit of a soft target for me.  How much is too much?  I guess I’ll know when I cross the line. L But in the past that didn’t mean that the next time it would take the same amount of walking.  I really don’t like grey, fuzzy limits!!!  As my wife will attest, I like to push the limits when it comes to walking!


So continue to pray for wisdom as we continue down this path to see where it leads.  I am thankful that we are doing the MRI and exploring the cause rather than just ignoring it and hoping it doesn’t happen again.  I’m very grateful for all the time that Dr. Schmidt spent with me this morning (almost an hour).  She is trying so hard to find answers.  As Dr. Schmidt was completing her paperwork for insurance billing, she reminded me that I am a unique challenge, as she smiled and said, “There are just no codes for you!”

Saturday, March 18, 2017

Saturday (3/18/2017)

My recent trip to see my prosthetist, Rob (the guy who builds and adjusts my prosthetic leg), didn’t end as I had hoped. He tried his best but my body had different plans!  The end result is that my knee is messed up and needs time to rest and recover, so I’m riding the wheelchair 24/7 for a while.  I’m in the process of getting an appointment with my Physical Medicine and Rehab doctor for evaluation and further recommendations. 

Last month I started having pain below the knee after walking a bit.  I’m 600 miles away from my prosthetist, so we do a lot over the phone.  Nothing I tried worked so I made the trip down to Newport, KY (Cincinnati metro area) to see him in person (left home on Sunday 3/12).  My assumption was that he would get everything corrected and I would be happily walking without pain once again.

Normally when you have a painful area on your limb it will show up on your skin; usually as an angry red area.  My skin wasn’t doing that so it made pinpointing the problem all that much more difficult.  Rob would make an adjustment based upon what I was describing and then I would walk to see if it would hurt again.  We did that over and over and weren’t making much progress (Rob would make an adjustment.  I would walk anywhere from ¼ mile to 1 mile and the intense pain would hit again.  We repeated this cycle over and over).  Eventually we came to realize that the problem area was just below the patella instead of the 2-3 inches lower where I thought I was having the pain.  By that time, my knee was pretty beat up.  We couldn’t continue making any adjustments with my knee so sensitized to pain.

And I remembered about two and a half years ago with one of my first prosthetic limbs that I could not tolerate the Patellar Tendon Bearing style socket and had an MRI of my knee done.  One of the things they found was that I had a mild patella dysplasia (I think that means that my knee cap does not work right and causes pain).  Rob made some adjustments that should help that issue but my knee hurt too much to give it a fair evaluation.  My knee needed some recovery time out of the socket, so I headed for home and arrive back in Fall Creek on Friday afternoon (3/17).

It was a very trying time because there weren’t any easy answers, and the location where I felt the pain originally was not the same area where the trauma was apparently occurring.  Finding the MRI results helped steer us in the right direction, but it was a very long, painful process for me.  It’s difficult when you are filled with hope (“This time it is going to work”) and instead are greeted with intense pain again time after time.  With my past history (being stuck in a wheel chair full-time for almost a year and a half) it became a bit of a mental battle as well (“Oh no, here we go again”). 

All I want to do is walk, do some of my favorite activities, and regain some normalcy in my life.  I hope it happens; but I honestly don’t know if it ever will.  Deep Sigh!  I went back to my hotel on Wednesday evening somewhat defeated.  Things weren’t going well.  We didn’t really have any plan or new ideas to try.  I had asked my family to pray for wisdom for Rob and we made a little forward progress, I believe.  At this point I hadn’t remembered having the MRI done, so we were still shooting in the dark. 

One of the best things that I did is grab my phone and went to my bible app.  I was going to read scripture and pray awhile.  The app I use always opens with a verse of the day.  Here is what it was for Wednesday.  Psalm 73:26  “My flesh and my heart may fail, but God is the strength of my heart and my portion forever.” (ESV).  Wow!!!  I needed to hear that.  My body may (and may continue) to fall apart; but God is my source of strength and will provide exactly what I need every day for the rest of my life.  It’s a reminder to me that my joy and happiness is not centered solely in my physical and/or adaptive abilities.  If I have God, then that is enough.  That doesn’t mean that I don’t desire them; it just means that I can live without them if I have to.  The turmoil in my heart quickly settled into a peaceful acceptance.  After that I had a restful evening.  I found the MRI results and sent those to Rob.  The next morning I easily decided that I would head home and let the knee recover for a while. 



I’ve got to say that after enjoying walking for several months, the last thing that I want to do is sit back down and ride the wheelchair again.  But I’ve come to realize that so much of the Amp life for me is about accepting certain limitations after giving it my best shot.  I’m hoping that my knee recovers quickly and I can resume walking again soon.  But I’m in it for the long haul and just have to wait and see how long this current chapter of my life lasts.

Wednesday, March 1, 2017

Wednesday (3/1/2017)

Update:

Up until a couple of weeks ago everything seemed to be going well.  I had cut back on my walking somewhat because my knee was popping.  I figured that I needed to give it some time to strengthen and get used to carrying the load again after not walking very much for so long. The knee responded well but then I developed a pain along my tibia a couple of inches below the knee.  For those of you into anatomy, it’s in the region of the tibial tubercle.  One thing cool about all my medical issues—I get to learn something new about the body all the time!

So communicating with my prosthetist (Rob, the guy who builds and adjusts my prosthesis), I’ve tried all sorts of things on my own.  At first I thought it had to do with the alignment of my prosthesis due to using different shoes; but after getting those adjusted the pain has continued.  If you have ever walked around the back end of a truck and hit your shin (that’s the tibia) on hitch, you have a great understanding of the pain I’m having.  Every step I take feels like I’m running into the hitch again.  Some days as I take it easy, I can get through most of the day without pain.  Most days, I get a couple hours of limited use before it starts.  On a few days, the pain begins as soon as I put my leg on.  At times I’ve been using crutches along with my prosthesis.  Usually taking some of the weight off the leg reduces the pain significantly—usually but not always.  This pain is something brand new and is not associated with the revision surgery I had done last September, that’s all good.

So I’m scheduled on March 12th to head back to Indianapolis/Cincinnati for evaluation and have work done on my prosthesis.  Hopefully Rob can work his magic on my prosthesis and make all the pain go away!  I’m hoping that there isn’t anything that will require that I not wear the prosthesis for a period of time or requires surgery to repair.  We’ll see.  I know I’m in good hands and I trust Rob and my surgeon to find the best solution for me.

Recently I decided that driving towards the mountains is a good metaphor for my journey as an amputee.  As you drive towards the mountains, you think, “I just have to get over that one mountain.”  But then you reach the top and realize that there is a valley to go through and then another mountain top to reach.  When you get to the top of that one, you find that there is yet another valley and another peak ahead.  What appeared to be fairly simple and straight forward at first has become more of a journey of epic proportions. 


So I’ve crested yet another mountain peak and am now in another valley…  I don’t know how long my journey will last, nor do I know how many more peaks and valleys I’ll have to traverse.  All I can do is keep putting one foot forward and taking the next step…