Saturday, July 24, 2010

Old Lady Update

AKA how's my health?

I know that I haven't updated this in a while, or been responding to many emails. I had some new and scary health concerns which some of you heard just enough about to be really concerned when you didn't hear anything more, for weeks. I'm sorry about that, I didn't mean to worry anyone unnecessarily. I just kinda mentally switched strategies from reaching out, to shutting down. I started to just get through the days by thinking as little as possible, because there's not much for me to think about that isn't painful right now.

So here's the highlights of the last few weeks:

I woke up on Friday of 4th of July weekend and suddenly was having trouble breathing. I was able to fill my lungs completely without pain (no more than usual) or difficulty, but it just wasn't giving me enough air. I felt like I was sprinting all out when I was just standing in my kitchen. This probably would have been a good time to go to the hospital or call for help, but I was alone in the house and all I could think about was laying on the floor as still as possible so I could breathe. I could get enough air as long as I didn't move, or talk much. It was pretty scary because I realized that if it got any worse, I couldn't exactly lower my activity level any further. After laying still most of the day, my friend Coby called and asked how I was doing, so I filled her in on the breathing troubles. Coby is an RN (and soon to be a Nurse Practitioner) so when she said "uh, you should be in the hospital" I listened. Just walking from the car to the ER waiting room had me gasping for breath again, which was kinda good cause I tend to always assume I'm fine and that seeking medical attention is generally an overreaction (only when pertaining to me, of course), so it was like extra affirmation that the ER was the place for me. The ER doctors and nurses thought so too, and ran a bunch of tests for some life-threatening conditions. They all came back negative. This is good news in that all the obvious life-threatening things were ruled out, probably, but the downside is that they sent me home with a big shrug.

"Uh, we don't know why you can't breathe. If it gets better, yay! If it gets worse, then we'll have more clues! (House, anyone?) If it stays the same, uh, go see another doctor."

So less than a week later I had a follow-up appt. with my neurosurgeon about my spine, so I figured if I was still having trouble breathing by then I could mention it to him. I mean, you have to learn all the regular dr. stuff before you move onto neurosurgery, right? I filled him in on the breathing troubles and the ER visit. First he chastised me for not walking more. I said "Well, I was just starting to, and then I couldn't breathe enough to stand up or carry on a conversation, so I figured hiking was out.". He told me that if it didn't improve I needed to find myself a primary care doctor. This is neurosurgeon for "Lady, I'm a neurosurgeon. I do brains and spines, because I am the best of all the surgeons. Don't waste my time with your so-called 'lungs'". Then he told me I might have a broken rib. This has nothing to do with the breathing, apparently. A lot of times when you crack a rib, or get a hairline fracture in any bone, it doesn't show up on the first X-ray, but they can see evidence of it on subsequent X-rays as the bone starts to heal. I was also having sharp pains off to the side in my back in addition to the spine, which I hadn't felt during my drugged-out phase but did clearly remember telling the EMTs about when the accident first happened. So now the Dr. is telling me I might have a broken rib, but he couldn't be sure without an MRI. I'm like "uh, would the treatment be any different from what I'm already doing?" He says "No, that's why I don't really care too much." I just find it kind of hilarious that I might have a broken rib, and it doesn't matter. At all. Basically, my body is so messed up already, what's one more broken bone? I hope someone out there is laughing with me on this one.

I asked the all-important question: "How much longer in the back brace?"
Dr.: (condescending stare) "Do you remember what I told you last time?"
Me: "Yes, you said three months, but I was hoping you changed your mind."
Dr.: "You can go climb today, you're a grown-up. If you want my opinion, you need to be in the brace three months or you're going to make your spine much worse. But hey, I'm just the neurosurgeon, you can do what you want."
Me: ".....Touche."

The following week was tough and scary, but having been assured that my breathing problem was (probably) not going to kill me, I forced myself to do painful deep-breathing exercises, go outside and walk every day, and started getting more strict with myself on eating and sleeping healthy amounts. By the end of the week I was completely off pain meds and walking about an hour a day. My breathing had improved enough that I was finally convinced that it was not going to kill me, though it was still not what it had been before that horrible morning. I even started to drive. It is extremely uncomfortable, tough to shift, and impossible to look over my left shoulder which is occasionally a problem in city traffic. Also I once forgot to put my seatbelt on for like ten minutes cause the back brace gives the illusion of being very strapped in. Still the increased freedom made it all worthwhile.

Physically things finally seemed to be leveling out. Mentally, I was absolutely bouncing off the walls of my metaphorical padded cell, and ready to jump at any chance to get out of the house. (By the way, I'm no longer taking movie suggestions. After 700+ hours of horizontal passive entertainment, there is literally no movie exciting enough to be even remotely appealing.) I saw that Neptune Mountaineering was hosting a slide show presentation of some Patagonian climbing adventures. This event was A. free, B. sedentary, C. climbing-related, and D. not in my living room. Win! I recruited Eric and suffered through an hour and a half of a folding chair to look at the pretty climbing pictures.

Stuff like this is kinda a mixed bag for me right now. On the one hand, I'm so jealous of people who can climb right now it actually causes me physical pain. On the inside. On the other hand, avoiding talking about climbing or hearing about friends' climbs or looking at pictures of climbing or whatever else just makes me feel more isolated and distant from the world I love. I know that friends sometimes avoid over-sharing about their latest climbing exploits, and I know that comes from a place of good intentions. They aren't entirely wrong - see above re: soul-eroding jealousy. The flip side is that it makes me feel a lot like a 5 year old, with adults spelling words around me to discuss things I shouldn't hear about. Like "dessert". Which incidentally, is the first word I ever learned how to spell. It's also a really good analogy - you don't want to talk about fabulously awesome things around people who can't have them.

I've also become somewhat irrationally angry at healthy people who choose to lead not-so-active lifestyles. I just want to yell at them:

 "Are you kidding me? Your body WORKS!! Do you know how amazing that is??
Could you go outside and play?
It'd be awesome if you could trade bodies with me, since all you want to do is sit around and watch  movies anyway. But since you can't, please go appreciate your functioning spine and all your functioning limbs before I kick you in the teeth.
Ok, I'm bluffing. But when I'm healed, I'm coming back to kick you in the teeth.
I'm going climbing, and running, and skiing, all in the same day, and THEN I'll come back here and kick you in the teeth."

Luckily, I don't know too many non-active people so I don't have to listen to this slightly insane internal diatribe too often.

Since getting landed on by a 200 lb. drunk guy last weekend, sharp pain has returned to my spine which I had been free of for almost 2 weeks. Driving and walking is uncomfortable enough to almost entirely discourage me from doing it, yet I refuse to take the vicodin again, because that would be like admitting I've gone backwards. I'm certain that at the very least, that incident caused a setback in my healing time, but thinking about that makes me intensely angry so I try to ignore it. I'm terrified that it actually caused more damage. As I understand it, either my spine is still in good alignment and all I can do is continue in my back brace, for however long. Or it's not, and I will need surgery to fix it, which would be painful and dangerous and drastically increase my healing time. Or it's not, and it's inoperable, which could mean lifelong problems. The only way to find out is with more X-rays, which I was unwilling to take another trip to the ER to get. I have a follow-up appt. with my neurosurgeon next Tuesday, and I did try to get it moved up to this week after the incident, but they were fully booked.

I admit I didn't try very hard. I think the prospect of dealing with this secondary injury or even admitting that it actually happened and could be an issue was just one thing too many, and I really shut down. I spent most of the week doing whatever required the least possible movement and thinking, and bursting into tears a lot. I get Climbing magazine in the mail, frustrated tears. I get a card in the mail, "aw that's so sweet" tears. I get care packages in the mail, bigger tears. I get medical bills saying "your insurance company isn't paying and we want 8 million dollars", fetal position. And tears. It's been a very emotional mail week. I think about climbing, I think about the pain, the fear that I won't get better, the fear that I'll lose my mind before I do. I think about the friends and family and people I love that I miss terribly, I think about my life and myself that I miss terribly. Tears, tears, tears. I hate driving, which I have always adored. I put off showering, walking, going to the store, because it all seems unreasonably hard. I collapse in pain in Target because I tried to carry a half gallon of juice to the counter.


I have to go get a giant shopping cart to put my sad little carton of juice in.


I feel like this represents my utter and complete failure at life.
Tears.

I am not usually much of a crier, but I have cried more this summer than probably the last ten years of my life combined. It's like the floodgates opened - I reached a critical threshold and some wire was tripped in my brain that says "Sobbing is an acceptable response to... everything." Ask me how I am, there is an 80% chance I won't be able to utter a 2-word response without my voice breaking. Don't take it personally. This is an awkward question to answer, by the way, because the ingrained socially acceptable response is "I'm fine, how are you?" I have always hated answering this question dishonestly though, and I assume if you ask, it's because you want to know. If you don't want to know, and you asked anyway, well then you're stuck listening to the answer. Still I like to keep it brief, and let people ask for ellaboration if they so choose, so I say something like "Terrible, how are you?" I find it is impossible to say this without sounding bitter. Don't let that discourage you from asking though, I always appreciate the thought.

It's been a rough week. Every week for the last 6 weeks has been rough, but this week I just completely emotionally retreated. I know there are people who get injured far worse than I have been, and in permanent ways, and they are gracious and strong and rise above it all and inspire those around them. I am fully aware that I am not one of those people, and I have always known that I wouldn't be. I realize that the way I have been dealing lately has been the emotional equivalent of curling into a ball and covering my ears and singing "LALALALAICAN'THEARYOU!!!!" I feel like a big failure at life. I am sorry to everyone whose emails and phone calls I kinda just stopped responding to - I always intended to get back to you later when I was feeling a little better - and it just hasn't happened yet. So under strong encouragement to write an update and let people know the latest, I wrote this post. Took about 5 days to write it in bits and pieces, I was getting easily overwhelmed and had to take lots of breaks. I'm glad I wrote it though, and I hope you are too. I'll try to do better.

By the way, sorry for another downer. Read about my adventure at the movies, that should be more entertaining!

Adventures in Leaving the House

My friend Coby has a special talent for internet research. Like you'll be talking to her on the phone and casually mention how you've been craving some obscure dish you used to eat when you lived in Sicily, and 2 minutes later she'll be like "oh by the way, there are 3 restaurants in a 20 mile radius of you that make that - one got poor reviews but another one delivers to your zip code! I just emailed you a coupon." So when I came up empty for ideas for things to do which are not physically demanding, she sent me a link to the Boulder events calendar. I realize that looking up a local events calendar is not that impressive, but that doesn't mean that Coby herself isn't impressive, and I wanted to give her a proper introduction.

Two things immediately caught my eye among the daily salsa dances and free outdoor concerts - well ok, three, but I think there may be an age limit on this one. One is the Boulder Brew Bus: "For the ultimate beer experience, you'll board Banjo Billy's private, funky bus..."
Wow.
They had me at banjo. No, wait, they had me at beer. They almost lost me again at $30, but hey, desperate times.

The other is Boulder Outdoor Cinema. Watching a movie in a lawn chair? I've been training for that all summer! It would be just like how I've spent the last 768 hours of my life, except outdoors, surrounded by lots of other people in lawn chairs. It's like taking a lame, depressing activity and turning it into a fun socially acceptable community event. I'm in! Unfortunately, this didn't seem that exciting to any of the other 5 people I know in this city. Honestly, I can completely understand that. Still, watching a movie alone outside with strangers seemed slightly more appealing than watching a movie alone in my living room, so I put on my Little Engine face, packed a PB&J, and dragged my lawn chair to the car.

Getting from the parking lot with the cars to the parking lot with the movie, finding a spot off to the side with a clear view, and setting up the lawn chair was strenuous. Between the chair, water bottle, dinner, and book I was probably exceeding my cargo capacity. But I got all set up, sank into my trusty lawn chair, and felt the familiar relaxing 45 degree angle. Ahhhhh. The breeze was blowing, the trees were shading, the mountains were looking all majestic in the background. They had live music, snacks, and hula hoops. Kids were running around barefoot, people were eating, drinking, playing cards, laughing. It was downright pastoral. 

Then a guy shows up with several large bags and politely asks if he can "set up shop" in the empty 4'x5' space directly in front of me. I was surprised to be asked, but told him to feel free. Lounging on his queen sized air mattress, he definitely wasn't going to block my view, and I was inwardly pleased to see that I was not the only lame...er... confident, independent person going to the movie alone.
Then his date showed up. High heels, fancy dress, nervous giggle - she was trying a bit too hard for the occasion, I'm thinking first date, or at least early date. Then the guy produces some food from his many bags: fresh-baked bread, brie, two plastic wine glasses, and 3 different varieties of fruit juice so he could be sure he had one she liked. Definitely a first date. He then proceeds to pull more food from the bag, until he has a 5-course meal arrayed on the airbed which could have fed a family of 12. I know you'll think that's hyperbole, but it's not - and if I exaggerated even the slightest from the truth, you would just think I was being ridiculous and it would lose its impact.

Now, I don't begrudge people having a first date, even a wildly over-the-top first date. I happen to think going all out on occasions like dates, Halloween, 4th of July, and birthdays is both appropriate and fabulous. It's just that usually, when two people are doing their awkward "I want to touch you but I don't want to look like I want to touch you so I'm going to sit in a way that makes me 'accidentally' touch you and then see if anyone pulls away" dance as they try to figure out how to sit/lay in an appropriate yet not uptight manner on a squishy airbed, I don't have to witness it from 3" away. Add to this scene my extremely limited ability to turn my head in other directions, and it was awkward to say the least. I should add that they were both polite and friendly, and in addition to asking permission to sit in front of me the guy offered to share their all-you-can-eat picnic with me. I politely declined. 7 times. And proceeded to eat my PB&J before I was exactly hungry just to lay to rest their fears that I might be secretly starving.

I have to admit they at least provided me with entertainment before the entertainment. The band was good, the weather was pleasant, and I tried very hard to zen myself into enjoying how pretty the mountains looked without being bitter that I wasn't currently hanging from the side of one of them. As the sun went down and the previews began to roll, a very large, very inebriated man stumbled up behind me, then stumbled onto me, then sorta rolled/stumbled off of me again and stumbled off into the bushes, mumbling in a slurry sort of way. I was laying in my lawn chair, which supports you if you lay on it, but if you are to push on the back of the chair in the opposite direction, it offers no resistance. This is the direction in which 200 lbs. of drunk guy fell onto me, then pushed off of me to try to stand up again. As everyone knows, being drunk makes you not only less coordinated but also much heavier. This forced my head forward and bent my torso in exactly the way I am really not supposed to, and I felt sharp pain in my back worse than any since - well, since the last time a guy fell on my head.

At this point in the story, you may be wondering "Who on earth pre-games The Princess Bride?" The movie hadn't even started yet and this guy seemed about 10 drinks farther in than is really warranted for 8pm at a family event. My dad, at this point in the story, was wondering "Did you get his insurance information?" I reminded him of the drunkenness. He said "Being drunk doesn't absolve you of your legal responsibilities." I tried to explain that while that may be true, there was probably very little a 120 lb. girl in a back brace and a lot of pain could do to enforce the legal responsibilities of a 200 lb. guy who would be hiccupping bubbles if he were a cartoon. Also, that it would probably be wisest to cut my losses and end the interaction between us as quickly as possible. All I was thinking, at this point in the story, was "Ow."

I figured watching a movie in a lawn chair would be pretty safe. It's not like I went out clubbing, I mean who expects someone to land on their head at a kid's movie? What are the chances? My theory is that my spine is cursed. Eric, ever optimistic, reasons that after all this my bad luck must have run out by now, and therefore I can probably do whatever I want from now on. I like his style. 

If you're wondering about Banjo Billy and his funky brew bus, I wasn't able to interest anyone else in joining me and decided that while I couldn't have foreseen being injured by a drunken lout at an outdoor kid's movie, I would probably just be asking for trouble climbing onto a beer-tasting tour bus unaccompanied. Maybe next year.