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Wednesday, July 18, 2012

Post surgery update

Since I am now down to one hand for the next several weeks, I will give you a brief update of what's been happening since I had my shoulder surgery on Friday 13th of July 2012.

Surgery kicked off at about 9:45 in the morning on Friday 13th of July. I was in theatre for approximately an hour and a quarter. The surgery went very well and the surgeon told me later that day that he was very pleased with how the operation went. I had minimal pain that day because I had a nerve block which was inserted through the right side of my neck. My right hand and arm were completely numb until this wore off just after midnight on Friday 13th of July.

Unfortunately Saturday was not a good day for me. I was absolutely chock-full of opiates which make me extremely sick. I straddled with pain relief all day Saturday and Saturday night and early Sunday morning. Nursing staff were uncooperative at best, did not really wish to help me solve my pain problems, and I struggled to get ice packs all that day and night.

I was rather unceremoniously kicked out of hospital on Sunday morning and sent home. I had issues with the pain relief that the pharmacist was trying to get me, but this was to do with the change in my medication on the Saturday as I was so sick. I finally got the correct pain relief, however they did not complete discharge procedures correctly and I was not offered any support at home. This was very disappointing to me, it was a situation I had worked very hard to avoid.

I have now been home since late Sunday morning. Because I had done a lot of cooking and preprepared meals and froze them, I have been able to feed myself quite adequately. I have become an expert at making "one arm porridge". I am also very good at making coffees with one arm, although I am too scared to fill the kettle all the way in case I drop and burn myself. The home help and attendant Care that I had arranged weeks ago through WorkCover has come through and has been absolutely invaluable and assisting me to remain independent and in my Own house.

As I am using dictation, it is very difficult for me to get my words down correctly. The phone does not really like my hybrid Kiwi-Aussie accent and it is causing dramas. Once I am able to type I will definitely fill you in more.

Monday, July 9, 2012

Surgery Week

It's surgery week. On Friday this week (yes, Friday the 13th) I am finally having my shoulder reconstruction surgery. One year, two months and 28 days after the accident at work that busted my shoulder.

This process and the unreasonably lengthy wait for surgery have taught me many things. My pearls of wisdom are below.

The only person that truly has your back is yourself - closely followed by your BFF. I bet that the person who could have cut down on the time I've been waiting for surgery by actually doing their job and the paperwork that would have expedited the process 14 months and 28 days ago won't a) visit me in hospital, b) care that I'm having surgery or c) even wish me well on the road to recovery. I'm still very disappointed that I trusted this person. Oh well, lesson learned, move on!  Ps I'm un-friending them on Facebook today. Whatever. YOLO.

Organisation and planning and preparation prevents a veritable tonne of frustration post-op. I consider myself to be extremely well prepared for the aftermath - meals cooked and frozen in portioned containers, paper plates and plastic cutlery, mugs with lids, a long-arm reacher, front-opening bras (sorry boys, TMI, I know!), clothes that are easy to put on with one arm, light but warm blankets and doonas on the bed, elastic lace locks for my shoes, electric toothbrush - etc.

Of course, there will inevitably be stuff I've forgotten about. But I'll deal with that later.  At least with a long arm reacher in the house, if I drop anything on the floor it won't be sacrificed to the floor gods now.

Side-splitting comedies and dance flicks are not good to have on your iPad post-op. Fits of laughter will result in pain, and dance flicks will result in attempts to boogie in the bed and chair, which will result in pain.

Making sure you have entertainment for the hours you will be spending alone in hospital with only beeping machines and overworked nurses for company is imperative. Poor nurses. I'm converting my movies into an iPad-friendly format as I type. Obviously not the funny or dance ones. More stuff like Shaun of the Dead, Hot Fuzz, The Bucket List, etc, is required.

That's about it. I'm sure I'll be far more amusing next week on painkillers, using Dragon dictation for blog posts, seeing as I won't be able to write, type or use my right hand properly for weeks. Did I mention I'm right-handed. Oh yes...that's another little challenge to deal with!

Wednesday, June 6, 2012

Back to the butcher

After a lengthy hiatus, I'm back.

To cut a long story short, my shoulder is still munted and I still can't race or train properly.  I got really fed up and went back to my surgeon in April. I had an MRI and nerve conduction study in May and on the 24th of May, my wonderful surgeon said "SURGERY!".

So, I'll finally be having shoulder surgery to finally fix this insidious shoulder injury on 13th July 2012.

Yes, it's on Friday the 13th *spooky sigh*. Wah wah wah...whatever.  It's actually seven years to the day since having that big old left knee reconstruction. Sadly that was a Wednesday, not a Friday.

I'll be undergoing a rotator cuff repair and bursectomy to my right shoulder. Hopefully it will be arthroscopic, but if the supraspinatus tear 1cm from the insertion is really big (i.e. bigger than the 80% the surgeon suspects because the bursa is hiding some of the damage), I'll be getting a big old incision of 3-4 inches. Thank goodness I haven't got that black widow spider tattoo yet, because that's where I was going to put it!

I'm now focusing on prepping for the surgery.

When I moved into my current house in August 2011, I set most of it up left-handed as at that stage the possibility of surgery was floated and I was panicking. I need to change the sofa around again and move my bed over another three feet but I can bribe my neighbour to do that with home baking - while I can stil bake that is.

I've bought an electric knife, long arm reacher, elastic shoelaces, paper plates and plastic cutlery, new pajamas, a poncho, a long handle loofah, an electric toothbrush, a long shoehorn and front opening bras (yep, sure you wanted to know that). I still have to buy one of those fancy self-pumping hand soap thingies and a pumpy toothpaste thingy. Vodafone offered me with a free upgrade to an iPhone 4S, which I took last month as it comes with wonderful Siri, who is going to be a godsend (along with the voice to text feature) when I'm down to one non-dominant hand, and double the memory of my previous phone.

I've got a pre-surgery exercise plan that I'm working on. I won't be able to teach Zumba for 2-3 months post-op so I'm doing as much of it as I can at present. I'm now reduced to therabands and the stationary bike, with weights only for biceps and triceps, and legs. It's boring but necessary. I'm banned from the treadmill and rower, the crosstrainer and anything overhead, above the chest or bodyweight. I'm still allowed to walk and do water running, and teach Zumba as long as I limit movements to what is still comfy. Not much is.

The list of activities the surgeon has banned me from grows longer and more illustrious by the day as I find more activities I can't do for the next 7-13 months. So far it consists of:
  • treadmills
  • running (was for more than 30mins, now it's no running at all)
  • cycling on my own road bike
  • swimming of any kind or stroke
  • cross trainer
  • rower
  • grinder
  • lat pulldowns
  • seated rows (unless with a band)
  • any other overhead weights (e.g. shoulder presses)
  • Pull ups / chin ups
  • tricep kickbacks
  • upright rows
  • dumbbell rows
  • dips
  • push ups / press ups
  • crossfit
  • planks
  • Kettlebells
  • TRX
  • bodyweight exercises
  • chest press / bench press
  • flyes
  • incline rows
  • anything above the horizontal
  • heavy lifting
  • carrying anything of more than 1-2kg above the waist with my right arm
  • holding a phone to my right ear
  • writing for more than a few sentences
  • rotating my right arm with weight or strain
  • demonstrating exercises
  • lunges in case I fall over as my balance has gone to hell in a handcart
So far typing and mousing is still okay, which means I can keep doing the temporary contract IT helpdesk work I've been doing since April or I'd be unemployed and homeless.

The list of stuff I can still do is:
  • Stationary bike
  • bicep curls
  • tricep pulldowns
  • theraband rows
  • theraband cuff rotations
  • walking
  • aqua jogging
  • Zumba (within reason)
For someone as active as me, this is driving me nuts!

Sunday, January 15, 2012

Fructose, glucose, dextrose and "oh-no's"

Over the last couple of weeks I haven't been feeling too well.

Without going into too much detail, I thought I may have appendicitis so I went to a doctor at the medical centee up the road from work. He sent me off for a whole pile of tests and scans, and it turns out I have PCOS (polycystic ovarian syndrome) and I'm insulin resistant, and due to my scary blood glucose first thing in the morning, he suspected I was also diabetic so he sent me for a glucose tolerance test - which I failed gloriously. I had more bloods done and yep, diabetes.

I've just come back from buying a blood glucose meter/monitor (now called Dracula).  It could be type 2 or type 1.5.  I'm waiting for an appointment with a diabetes educator, FODMAP diabetes dietician and an Endocrinologist. Meanwhile, I'm busy being bitten by dracula up to 7 times a day and trying to figure out what response everything I eat and drink has on my numbers.

The doc sent me back to my normal GP, who sent me off for extra blood tests to see if there's anything else in the works, while she investigates what pills she can give me to sort this all out. I'm also vitamin D deficient (common for diabetics) and my cholesterol is elevated for the first time ever (also common for diabetics).  My Iron is way high - etc.

Basically, I already knew that I'm a fructose malapsorber, which means there's about 10 things I can eat and about a billion that I can't (or shouldn't, LOL). I'd been unwell and tired and sick for years before we figured this out and as long as I'm really carefully monitoring what I eat AND drink, I'm okay. We thought maybe it was fructose related, but I haven't consumed any FODMAPs in months.

Crikey.

Tuesday, January 3, 2012

New year - and all that jazz

Yep, another year has (finally) bitten the dust and I can't say I'm sad to see the back end of 2011.

It was a prick of a year. Too much bad stuff went down, all over the world. Let's hope this year Mother Nature finds her prozac and cheers up.

On a personal level it was a 50/50 year for me. 50% awesome, 50% crap.

Let's start with the good stuff first:
I did my first race in Oz.
I had my first Australia Day in Oz.
I had a nice Xmas day.
I became a qualified personal trainer and Zumba instructor
I became assistant manager of a gym after working my butt off for ten months, six days a week
I re-discovered I'm fructose intolerant and have stopped feeling like crap all the time
I didn't have to use my Epipens.
I decided to start an Intimo business
I moved to a nicer, cheaper house (8 feet from the old one, LOL)
I lost over 20kg
I got to go to the Health and Fitness expo in Sydney


On the less than salubrious side:
I busted my shoulder.
At work.
10 days after qualifying as A PT.
Not my fault.
FFS!
I had to pull out of five races, including my dream race, Ironman NZ, which cost me big money and huge amounts of sanity
All my Ironman training came to nothing
I've had 9 months of physio and feel I'm getting nowhere I won't be able to race again for months or years. Having a shoulder injury to your dominant arm is Shit house.
I spent months broke, owing to being screwed over my shoulder and having to pay all my medical expenses when it should have been workcover. Still not happy about this. Considering legal remedy.
I re-discovered I'm fructose intolerant and can't have apples, pears, mango, artichoke, onion, lettuce, melons, leeks, lots of wheat, pawpaw, papaya, and a squillion other things I used to love but now make me really sick :-(


Stuff to look forward to in 2012:
FILEX for free - sure, I have to work half of it to earn my keep, but I also get to play half.
And I get to go to Beto's masterclass. Sweet!
Shep half Ironman, shoulder permitting
July Intimo conference if I qualify
Trip to Malaysia and Singapore in July/August if I have the money
Tax time = refund
Fingers crossed, Intimo rewards trip to Phuket in October
More Zumba instructor trainings, shoulder permitting.
Getting to my goal weight/size/shape
Kicking ass at work and restoring the business to its former glory
More consulting work, or less, as My Intimo business will kick ass!

Not much else to say right now. Bit tired so off to take a nap :-)

Monday, December 26, 2011

Another Christmas bites the dust

Christmas has been and gone, and thank God for that. I hate Christmas. I hate the blatant over commercialism, the expectations, the expense, the nonsense and the BS that comes with it. Fotunately for me, I live 2400km away from the family drama in NZ and don't have to go anywhere or do anything for Christmas. Well, except enjoy Christmas lunch at the local RSL with the neighbours, come home, fall asleep on the sofa and get up and go to the gym to burn it off.

A lot has changed in the past few weeks so here's a major update:
  • I'm shadow teaching Zumba classes to get experience.
  • I've changed jobs. I'm now running a gym and have about 14 staff reporting to me. Not bad for someone who's apparently too stupid to be taught how to do a bit of admin which I'd already taught myself and have vast experience in doing! It's further from home but easier to get to.
  • I've finally figured out that workcover owes me money for travelling to and from physio and the surgeon, so I've put in a claim.
  • I'm now doing some corporate health check consulting work on Thursdays which pays well but I have to pay tax on the earnings, less expenses of course.
  • I've reached sales leadership with Avon but it's really time consuming and I'm getting over it. It's too much work for so little reward.
  • I'll be an Independent Intimo Consultant as of January. It's less time consuming, way more rewarding and much better commission.
  • I'm going to do more Zumba instructor trainings in 2012.
  • I'm going to FILEX as event crew - work half, get the other half free - and I get to go to Beto's master class!
  • I'm going blonde.
  • I've been to Ballarat and Geelong this month and will be back to both in Jan for the corporate health consulting work. Geelong continues to grow on me, Ballarat not so much.

The shoulder is still munted and I still can't swim properly. I think I'm about 10% impaired. The impingement is still impinged, the movement is still limited and it still gets grumpy. I'm still having physio twice a week - mobilisation, acupuncture and soft tissue therapy. I'm still very frustrated with the situation and considering legal action for damages as I've lost thousands of dollars in race entry fees and coaching and in having to pull out of races.

Aside from all this, not much else is happening. I'm trying to get into a bit of a routine so I can get my exercise back into a routine but it hasn't been going smoothly. Stupid Christmas, stupid New Year. That said, I'm heading to the gym shortly for a workout because I feel all fat and horrible. Now that I'm not on public transport, the incidental exercise is diminishing and I'm getting complacent.

I need to make time for myself to exercise and I will make time for myself to exercise because if I'm not running at 100% nothing else in my life will either.  I'm not eating too badly, it's just about getting organised, getting a routine going and sticking to it.

So without further ado, I'm off to smash myself.

Saturday, August 6, 2011

heads, shoulders, knees and toes..

Yes, it has been a little while since my last post. I had my Dad over from NZ for ten days, was meant to go to NZ myself but got ash clouded, I've had a sinus infection for three weeks, my shoulder is still bung, I've been working crazy hours and I'm now doing some direct sales to make up for all the free time left from not doing any Ironman training!

Yep, been a bit busy.

Okay, shoulder update time.

Shoulder:
Still bung. Have been off for cortisone shot and ultrasound. Shoulder has not one but two tears - a 2.5cm partial in my supraspinatus at the anterior and mid articular fibres, and a 3mm wide full-thickness tear component of the mid fibres with a grumpy bursa and associated pain, suffering and bursitis.

Waiting for MRI report and surgeon visit.

Shizzle.

Friday, August 5, 2011

Hell in a handcart

A few things have happened since June, most of them were less than ideal. But it's not all bad news - some great stuff has happened too. So, let's get the bad stuff out of the way first.

I've had to pull out of both Ironman 70.3 Yeppoon and Ironman NZ. I've had an ultrasound on my shoulder at the end of June which found two tears in my supraspinatus, one MAJOR and one a little less significant. At the same time, a doctor injected some cortisone which flared for two days and since has settled the aching and most of the pain first thing in the morning.

Since that needle episode, I've seen a shoulder specialist and was told I need an MRI to help him assess the extent of the damage and then surgery to reattach my supraspinatus back to the head of my humerus with plastic anchors - and that with 4-6 weeks in a sling and then 4-6 months before I can swim properly, it is curtains for Ironman NZ next year.

I was gutted. I immediately declared three days of mourning, which turned into seven. I cried, I was angry, I tried bargaining and denial, then I just accepted the fact that I can't do my dream race in March, the one I've been training for, oh well, HOW LONG, yeah, only for THE LAST TWO BLOODY YEARS!!!!!

I've spent a huge amount of time, money, blood, sweat and tears on getting to IMNZ 2012 and sadly someone decided to close the road to glory. I'm still angry - that may not change for a while, but I'm being constructive and doing constructive things about it like smashing the few weights I can still do with my upper body like theraband curls and rows and pulldowns. I haven't been able to walk for the past two days, BTW :-)

So now for the good news.

I'm off to do Zumba Basic 1 Instructor training on 19 August. I finally had the opportunity to do it, and so I'm doing it. A friend bought me new dance sneakers for a birthday present, and I can now fit into all the pretty dance pants I bought in Sydney in 2009. Woohoo!  I have to get strapped up and not do anything overhead with the bad arm/shoulder but that's okay.

I'm moving house next Friday to the unit right next door to my current one. It's $50 a week cheaper and has brand new paint and if the carpet guy ever turns up today, it will have brand new carpet too. Score!

What else...?

I'm going to teach Zumba to make some extra money, which was going to pay for my dirty Triathlon habit but now it's to help pay the bills while I'm off after surgery and to replace the time I was spending doing my tri training. Clearly there's no need for four hour bike rides when your surgeon has banned you from your bike, so I needed a gap filler.

Between the few hours a week of training and work, I'm doing okay - it's starting to take my mind off the fact that the next 9 months are going to be really, really challenging. My attitude is better than a week ago and although I cried when I emailed the IMNZ race office to withdraw, I found out yesterday that there's going to be an Ironman in Melbourne from 2012! Yay! Maybe I can do 2013 or 2014...and I don't have to necessarily go to NZ to do my first race. I will still do NZ, it may still be my first one but we'll see.

So, if you want a personal trainer, want a Zumba class near you or want a new weights program, give me a yell!