On the Road Again

I’ve been lax in updating my progress since getting my latest bionic knee. It’s been six weeks and I thought I better say something.

I adopted a mantra along the way to answer the reoccurring question, “How are you feeling?” My response has been, “Better than yesterday but hopefully not as good as tomorrow.” Two thoughts on this. First, it hasn’t always been true. There have been days where progress clearly took one step forward and two steps back but that is to be expected with this kind of recovery. Sometimes you work the exercises a little too hard only to wake the next morning too sore to do your best rehab. Fortunately, there have only been a few of these and they seem to be fading in the rear view mirror.

The second and more random thought about this statement, is that it really could apply in general. As good as today was, there is no reason to not hope that tomorrow just may be even better. If we can approach life with this positive attitude, we won’t be likely to miss the opportunities that can in fact make tomorrow even better than today. As I said, it was a random thought, but in this shut in, cooped up, measure every little bit of progress day to day grind, two hours of sleep a night routine, one has a lot of time to think pretty randomly.

I have with my past updates tried to recognize my heroes, the surgery staff, the hospital nurses and eventually the host of physical therapists. I added to that those friends and neighbors that have, without even being asked, stepped in to clear my sidewalk and driveway, drive me to appointments and just plain showed up when I needed a little conversation break.

Today marks the six week anniversary of the surgery. I am walking without a cane for the most part. My wife/ nurse / coach / still makes me take it with me outside of the house for some added support in this weather, but in reality, I just end up carrying it. I have started to leave the house now with much more regularity and have returned to my old bad habit of going out for breakfast and consuming too much coffee. I even returned to the gym a couple of times to start building back up what I clearly lost. I will accept the new aches and pains as something refreshingly different and just my upper body muscles saying thank you.

The big progress marker, I got cleared to drive again. Deb, bless her heart, has been driving me everywhere, and I have been….well a s**t about it. It is a difficult task to be the rider when you have always been the driver and especially hard to take when my style is, to put it mildly, a bit aggressive. I have a new and far better understanding of why our elder parents fight so hard when they are being asked, mostly told, to surrender their driving privileges. Of all our independent activities, most of them have no bearing if we can’t drive. Don’t get me wrong, I am not advocating for hundred year old’s out cruising the boulevards, but we all need to be a tad more empathetic when approaching that treacherous crossroad on life’s highway.

I am close to dancing, but just have a few more “stretches” to go. Their target, the PT people, is 120 degrees of bend and 0 degrees on extension. Currently my numbers sit at 110 and 4 degrees respective, close, but not enough just yet. As I near this end of my recovery journey, I want to thank everyone who has been kind enough to check on my progress and at times, to just be there for me when I needed an ear to bend instead of my knee.

With that said, I’m going to close. It seems I still have miles to log before I am caught up on my driving and right now, I feel the need for speed. Beware you drivers out there going too slow. This whole recovery thing has been slow enough.

The Four “P’s”

Two weeks have passed since I had my knee replacement surgery. Up to this point I was not quite ready to write about the experience. This reluctance has been due to multiple reasons not least of which was the inability to focus on something other than the pain. Additionally, I felt that until I could regain perspective, the dialog would be too negative.

The knee is an incredibly complex joint and to have it removed and replaced requires a great deal of tolerance and motivation to even begin to approach the rehab required to not only heal but to regain the functionality. That journey has taken me all of these first two weeks and I have a lot more work ahead. The good news, each day restores a little more strength and a little more flexibility and that makes the journey a little more bearable.

Lying in the hospital, trying to justify what you have done, considering the possibility that you could have just accepted your condition and continued to limp along, you get the warning of the four P’s; Pain, Pee, Poop and Patience.
Pain is inevitable and the gate I must go through to get to a pain free knee going forward. The doctors and nurses explain that it will be the management of pain that will help spell success. And thus begins a carefully balanced approach to just how much medication will leave me lucid enough to function while still knocking back enough of the pain to allow me to begin the regiment of exercises. I am happy to say that though rough for awhile, the program is working and each day is a little less uncomfortable with longer periods of both sleep and almost pain free periods.

The second P stands for pee. From the moment the surgery is over, the simple act of peeing becomes your first hurdle. It is explained that until I can pee, I can’t go home. It is funny how a topic you would not generally bring up at a gathering, “I think I will go for a nice pee. Be back in a minute”, is now seemingly all they want to talk about. Good news, I conquered the act within the first twenty four hours. And with that, at least I was cleared to start planning on going home. A little rehab would await before I was completely cleared, but this had been an important step. Once I could show some motion and independence, I would be on my way. Not to skip a very important step, they needed to guarantee I wasn’t going home alone. My coach, Deb, would take over the nurses’ role in the next stage of my recovery. There is no way to diminish the role she has played in all of this. She assists, she monitors and she encourages me at every step of my journey. She loads me into the car and delvers me home.

Poop, like pee now becomes the goal. Where peeing was not so difficult, pooping is another task all together. It seems the opiods, designed to hold back the pain, hold back appetite, and yes, pooping as well. I get introduced to my new favorite cocktail, apple juice and Miralax. Each new trip down the hallway is followed up with “Any luck in the poop department?” Like peeing, this just seems like everyday conversation. “Had a good bowel movement today?” As with the first two P’s, pooping finally resumed sometime around day four of returning home. I must say, a real relief both figuratively and literally. I think I announced it as a lumberjack would, “Log jam cleared,river traffic flowing again.”

That just leaves patience. Pain management, peeing and pooping were all important steps, but patience is the real trick. Somewhere along the way I had made the decision to stop living with the limitations of my increasingly arthritic knee and crossed the decision threshold to agree with the knee replacement. Now, rehabbing my new knee and dealing with the associated pain, it was too easy to question my decision. How long would this take? Would I ever completely recover? It becomes so easy to dismiss everyone’s judgement of my progress in favor of my anxiety driven over analytical self analysis. It is only through good analogies from my physical therapists and a daily dose of comparisons to yesterday, that the timeline begins to take shape. As slow as it might seem, I start to mark progress.

My journey is only two weeks old. Driving is still four weeks off. Simply climbing stairs another week away. I am told that at three months, I will feel well enough to stop questioning my decision and at six months will dance into my surgeons office for my checkup. In the meantime, I’ve accomplished those first three P’s and have a better handle on the patience.

My final goal, become a more patient patient.

I’ll take room service

Tomorrow morning I will be checking into an all
inclusive for a 2-4 day vacation. I have read nothing but great reviews. The spacious rooms come with all the amenities, you know, big TV, cable, internet and even adjustable sleep number beds. Stunning vistas of the countryside can be taken in from the room’s floor to ceiling windows. They even offer a workout gym staffed with personal trainers. And for my shopping needs, a well stocked gift shop in the main lobby teaming with tempting souvenirs.

Included with the price, semi private waitress and room service 24/7. The menu looks so good I doubt I’ll leave the room other than my trainer workouts in the gym. I figure I’ll just take all my meals via room service. On top of all of this, I am promised a nice memory drug to forget any less than five star experience during my stay. Best part, I got a really good deal on the price. Apparently I am on their off season. Any part not covered by my government handout will be picked up by an unknown third party leaving me with just a small deductible on the room.

Stay tuned for the pics as they are sure to be spectacular. Got to get packing. Catch you on the rebound.

The Spirit of Christmas

It has become a bit of a tradition for me to write a piece about Christmas on Christmas Eve. I am usually found keeping myself awake, awaiting the arrival of my daughters and their families for an overnight before the grand opening of gifts in the morning. This year is just a bit changed in that my younger daughter and her significant other, Eli, can’t get here until tomorrow morning. None the less, we will be graced shortly with the arrival of my older daughter, her husband and our two grandchildren. Adela at not quite two isn’t old enough to believe in or not believe in Santa but Jackson is another story. At nearing five, he is testing the existence of Santa by carefully analyzing the items left in his stocking and the wrapping on his Santa gifts. We thus have to be very careful in our scheming to keep the myth in tact.

Of course, you must understand that I still believe in Santa, or at least what the jolly old man represents. It is the mystery of Christmas that can only be seen in the eyes of small children. The anticipation of weeks of waiting to see if they will in fact get the gift they had told Santa they wanted. Jackson will not be disappointed as we have plotted against him with extreme precision. We were all tasked to find out what it was he was secretly asking Santa for and we have performed with the precision of a team of Navy Seals. His Santa gifts will be there cleverly disguised from his other gifts and for at least one more year he will hold the thrill of Santa and Christmas in his heart.

We all know that eventually the Santa belief gives way to the reality of where those gifts came from, but until then we believe. It is only once we stop believing that it becomes important to realize what the gift giving is all about. You see the secret of Christmas is to give it away. Give away the love in your heart. Give away the spirit of Christmas to everyone you meet. Give yourself away at Christmas. The material gifts and the idea of Santa are just representations of the gift of giving. Jackson actually said it best the other day when he told Mimi, “I know why you got me lots of gifts. You like seeing my smile when I open them.”

I hope that this Christmas you have enjoyed all three aspects. I hope that you had someone to play Santa for. That you got the gifts you wanted and that above all you found a way to give back. If you did, then this truly was a Merry Christmas.

My Christmas wish for you is that the blessedness and spirit of Christmas stays with you the whole year through.

Merry Christmas, 2018.

I Spy

Just the other day my wife and I were looking for a quick breakfast before finishing the last of our Christmas shopping.  Cracker Barrel happened to be right on the way.  I had not been back to a Cracker Barrel in many years and in fact this was the one that my youngest daughter and I used to frequent for our father daughter breakfast “adventures”.  The moment I stepped through the door the memories came flooding back.  When she was a young girl, Saturday mornings would often find us seated at our favorite booth ready to enjoy a country breakfast and begin our game of “I Spy”.

For our early trips, “I Spy” would be played with pretty straight forward clues like “I spy a pair of old skis” or “I spy a red sled”.  As she grew, the clues became less obvious and more deductive such as “I spy something I would need to ride a horse.”  There was no end to the variations and the game stretched breakfast into a most of the morning activity.  When we had finished our breakfast, she would beg me to play a game of checkers in the big white rockers they sold to their patrons and also made available for a quick game of checkers.  We would seat ourselves by the fireplace and begin our game.  The fact that she usually won might have had something to do with my graciousness to let her win but as time went by and thanks to her improving powers of observation, she would begin to win those games on her own merit.

As I said, all of these memories washed back over me and in a moment it was as if I was back there with my daughter soaking in the visual array the walls and ceiling had to offer.   As my wife and I enjoyed our breakfast it dawned on me that the game my daughter and I had played was really an alliteration of the importance of observation.  All those years, so long ago, our game of “I Spy” was preparing my daughter to be observant.  Observant of the people around her, of the environment she would live, play and work in, of the opportunities the world would afford her.  This simple game of observation would help her develop into the successful woman she has become.

Observation is something successful people practice every day of their life.  Through observation we witness our differences and how those differences can impact our lives in very positive ways.  Our individual differences allow us to specialize and to benefit from the specialties of others.  In short we both depend on and benefit from each other’s differences.  Observation also allows us to see things as they are and then to visualize how they might be made better or to work more efficiently.  Observation allows us to recognize the opportunities as they present themselves.

I spy might be a kid’s game but its applications are a life skill.  Take time to play the game with your child or grandchild but don’t stop there.  Take the time to play the game with yourself.   Be amazed with the simple observations you make and then enjoy the feeling as your horizons expand.

“I spy a world of possibilities, can you see them?”

Santa Claus is Coming

Christmas is, in no particular order, a season of lights and decorations, gift giving, charity, Santa and the birth of Christ.  If you are like most people, your Christmas is a combination of all of these.  You likely put up a tree and decorated it.  You might even have had a little family friendly competition for the best, biggest or craziest tree.  You maybe thought about charity a bit more than other times of the year and likely put your change in the “red bucket” as you exited the store.  You have looked for the perfect gift and checked it off your list once you found it.  If you are fortunate to have children or grandchildren who yet believe in Santa, you found them Santa and thrilled at the excitement in their eyes.

I have two grandchildren and we recently did our visit to Santa and yes, the toy aisle in that department store.  In fact, I got to spend the better part of an hour watching my grandson carefully inspect each toy, trying to find the one he would add to his Christmas list.  Of course, now I need to sneak back there and make the purchase, knowing the reward will be his excitement as he opens the gift Christmas morning.  This is a part of what Christmas is and I will not diminish it with a lecture on the evils of commercialism.

Christmas is a season of sharing.  We share traditions.  We share friendship and charitable behavior.  We share the myth of Santa knowing that it is only a brief time in our lives when we choose to believe in him.  My grandson, on his way to being five years old, is already showing signs of questioning the idea.  He is testing.  This Christmas he has established that he knows what he wants from Santa but try as we will, he will not reveal his request to anyone other than Santa.  Oh, we will find out because it is our duty.  The knowledge of the truth is another piece of childhood innocence lost.  And so we will go out of our way to perpetuate the myth as long as possible.

This brings me to the story I need to share.  It is the story of my oldest daughter’s discovery that Santa was a myth.  Bailey had been holding desperately to her belief in Santa.  My wife and I, with Bailey in tow, were out doing some shopping.  My wife had stumbled onto the bargain bin of stocking stuffers and without realizing, picked out a couple of items and commented on how they would make great “Santa Gifts”.  Unfortunately, Bailey was clearly within earshot and her reaction was predictable.  Her tear stained face looked up at me and the question she wanted to ask was obvious.  We took a little walk and eventually she asked the question.  “Does this mean there isn’t really a Santa, that it’s just you and mom pretending?”  I could have tried to cover it up or maybe even lied, but the explanation was in order.  I explained to her that we were in fact Santa but that what was important to understand was that it was an honor and a responsibility to play this role.  I went on to explain that Christmas was about sharing and that Santa and being Santa was a way of showing this.  I told her that now that she knew the true intention of the myth, she had earned the right to become the Santa for the baby sister we were expecting.  She would get to be the Santa for her.  That next Christmas, Bailey did not disappoint.  Christmas Eve found her putting out the Santa treats with her little sister and even stomping around the living room going ho ho ho after her sister had been put in her crib.  Bailey never missed a beat those next few years as she added her own layers to the Santa story.

Christmas is about sharing.  Being Santa for our children and grandchildren is a chance to demonstrate the spirit of that sharing through our gifts.  We have an incredible opportunity to give from our bounty through our gifts and our actions and our willingness to share.  That is the true spirit of Christmas.  Model this spirit with your children and when they have outgrown their belief in Santa, invite them into the true spirit of the myth.

This Christmas, as you consider the perfect gift for that someone special, realize that it is the action of sharing that is the truly perfect gift.  This is your chance.  Don’t wait.  Go be Santa to someone.

 

I’ve Been Down This Road Before

In just a few weeks I will be repeating a process I am still all too familiar with.  Though I doubt I will experience the complications of the first time, I know the time and effort it is going to take.

I’ve managed to put this off for nearly three years, but I am about to have my second knee replaced.  Thanks to the marvels of modern medicine, and apparently a 3-D printer, this has become a rather routine surgery.  At least that is what they say.  None the less, I am not relishing the rehab and yes, in the short run, the pain that the rehab will provide.  The only bright side … I know what to expect and I think I am so much better prepared this time around.  To that end, I just returned from the preparation class.  What was obvious, was the additional detail and information this time around.

Of course all of this is still a too fresh memory.  I am committed at this point though I won’t lie.  Every day finds me questioning my decision at least once and I am in that moment, tempted to call it off.  After all, my limp is hardly noticeable and my pain, though …. a pain, is manageable.  So why do it?  Bottom line; the stiffness, the arthritic pain at night and the fact that I am feeling limited, has me believing as my doctor puts it, “why wait until it is so bad that you can’t do anything?”  I have too many things that I want to do, for me to wait until I have even less time TO DO them.  I have great faith in the surgeon and the team of professional assistants, nurses and rehab specialists that will be assisting and encouraging me as I heal and progress.  And of course there will be my coach at home keeping me focused and if I’m lucky, a little pampered.

So I know I’ve been down this road before, but I suspect the ride will be different this time.  Each experience prepares us for the next.  I am prepared for this journey and am looking forward to my new bionic knees and the activities they will re-afford me.  I was even told it could improve my golf game.  Now that is something to look forward to.

And for my friends, “Don’t cry for me Argentina.”  Shameful, but I loved the line and always wanted a place to use it.  Editorial freedom is an earned right.