Showing posts with label physical therapy. Show all posts
Showing posts with label physical therapy. Show all posts

Tuesday, July 3, 2012

3+ Months Update!

I'm Still Alive (Not kickin' but still breathin' at least)!

'pologize.  It's been pretty hectic.  I hate saying that especially after reading this NY Times Op Ed piece, but it's true.  I've been handling the prep. before my move to Portland and I've been studying for an accelerated A&P II class (8 weeks compressed into 5).  Final exams this week and then I start Physics II for Summer II.  I also shadowed Dr. Mary Surkein, D.C. in Plano.  (The Graston technique is fascinating.)  I also found an apt. that's pretty sweet with his/her saunas, heated pool, rec. room, and within walking distance of the uni.  Now I just need a roommate 'cuz they're out of 1 bedroom apts.


It's been a little more than 3 months since my achilles surgery and boy is it night and day!  I feel pretty great.  So great that I asked if I could use my Groupon for these boxing lessons I have.  He gave me that typical look of you are a complete idiot!  And then said slowly that boxing has you on your toes the entire time and it's ridiculous to even consider.  He also said that I can get my face punched in easily without boxing... I had to have a comeback, so I said, "like getting skin cancer?" (Dr. Hanssen had basal cell carcinoma).  Perhaps a low blow but we're way beyond that line by this point.  (The nicknames he's given me have gotten progressively more insulting.  It started out as "Hey Superman!" on the day of surgery.  Then "Hey cowboy!" in subsequent check-ups.   And the last few times, it's regressed to "Hey crazy!") 

Doc said I can get rid of the boot now and even go ahead and start running "in-line."  Though when I told his wife, Kelly, a physical therapist, that she gave me a look and said hold off on running for another 3 weeks hah!  I teased him saying he did really well for himself and that she's got to be half his age.



Anyways, she was a sweetheart and gave me a bunch of physical therapy exercises to do at home.  I'll share them with you below.  Oh she also said that she tried CrossFit once at CrossFit Deep Ellum and never again.  She said she discovered muscles she never knew she had and was so sore the next morning.  However, she said they kept pushing her and she finally told them that she is a therapist and KNOWS that some of these movements are NOT safe, especially since she's had knee surgery before.  I guess that was the final straw for her. 


(Disclaimer:  Do not try any of the following PT exercises without approval first from an MD or a physical therapist.  If you have just had surgery do NOT try these out as it may provoke a re-rupture.  Err on the side of caution.  That's one thing I've learned from all this mess.  Plus, don't be like me.  Support your chiropractors, physical therapists, and orthopedic surgeons!  They paid a lot for their education and training and deserve just compensation!  Being at home is one thing.  Results are much better if you get worked on by an expert.  Plus, these exercises were specifically tailored for my injury and status quo.)


Before I give you the goods.  Here's a photo of what my "wicked scar" looks like today.  It's a little bit raised but hey chicks dig scars, right?


Current scar as of July 3, 2012:





In any case, it's a helluva lot better than it looked 3 months ago!



PT Exercises to do at home (courtesy to Kelly Hanssen, PT):

1. Calf stretch 3 sets of 30 sec. reps
- leg extended out straight to stretch the gastrocnemius
- leg bent 30 degrees to stretch the soleus muscle

2. Hamstring stretch (or as Kelly wrote it "hamstretch [sic] stretch" hah)
-in 3 different directions to stretch out all three heads of the hamstring, again 3 x 30 sec.

3. Single leg balance
- eyes open: 3 x 15 sec. (or longer with improvement)
- eyes closed: 3 x 15 sec.

4. Seated calf raises 
-bearing no weight
-standing calf raises in a pool

*Self-massage the achilles tendon for 5 min. with lotion to work out the scar tissue.  (When I told the doc that it was still "lumpy" he said it'll stay that way since the suturing will never go away.  I said I thought with PT the scar tissue would fade away.  He replied, "Don't think. It's not your strong suit.")

After 3 weeks of the above, Kelly said I could try these warm-up exercises before running "in-line" as the surgeon suggested I do now...SMH.

* Single leg balance 3 x 30 sec. on a trampoline
* Jogging/prancing (alternating single legs) 3 x 30 sec.
* Standing squat to calf raise (start out in an air squat on the tramp. and come up to the balls of your feet.) 2 x 10 reps

* Squat jumps on trampoline

Then go out and jog in-line.  (He made fun of me when I didn't get what he meant by that.  He meant don't make rapid cuts, but gentle turns are OK.)




Dr. Hanssen

I wanted to get a photo with the jerk that fixed my achilles just so y'all can see his wicked scar on his face.  Only he didn't let me take a photo last time when he looked like shite.  (He held a grudge for me telling him that too.)  So Samantha took the photo and I said don't flatter yourself it's to show people your nasty scar and Kelly's eyes bugged out.  I quickly explained that he has the biggest ego in the world so you can't even give him an inch or he'll take a mile.

Next time I'm getting a photo with Kelly.  For reasons that are obvious once you see the photo.  When he said she married him for his hot body.  I said more like your money.  Then he said he has even younger girlfriends...So there you got a touch of his chauvinistic humor and megalomania. :-p

Seriously though, he's one of my favorite doctors of all time.  I almost became an orthopedic surgeon 'cuz of him.


If you're in the DFW area, especially in Plano and have an orthopedic surgery.  Definitely look him up!  The Cole Clinic.  You'll get fixed up and you'll have a big belly laugh.  All the staff are amazing too, the ladies there make up for his douchebaggery (especially Samantha and Kelly).  ;-)

Kelly is an awesome PT!  I warned her about my nasty eczema on my big toe from wearing the boot (not breathable and the neoprene just has the sweat stagnate on your skin), but she said it doesn't matter...she's used to seeing maggots and rotting wounds. ;-p


Oh and for some reason I didn't get charged anything today.  That was nice.  I guess it was just a check-up though and he didn't do anything but insult me.  However, Kelly the PT did give me a lot of great exercises to do at home.

Thank You To My Readers!

P.S.: A big shout-out and thank you to Nicole Rogers!  First, for giving me a reason to continue updating this blog after all this time.  (I probably wouldn't have even made this post if it were for your prodding.)

Secondly, for the Chipotle vouchers!  Probably my favorite fast food restaurant hands-down.  I've told people before that if I had to eat something everyday for the rest of my life, I wouldn't mind it if were Chipotle.  I went all out and got guac and steak too.  I also got to try the barbacoa for the first time and my goodness was it a revelation.  Dat sh*t is off the chain!  It blows the steak out of the water, not even a contest.  The steak is like eating sandpaper in comparison to the moist morsels of barbacoa.  Wikipedia states that barbacoa is made from "cow head."  Not sure if that's true...ignorance is bliss.  Erica told me that authentic tamales are made from pig heads (she found her grandmother cooking and she took off the lid and saw a pig snout sticking out from the giant pot and knew it was tamale night...)  I said I've never had authentic Mexican tamales then.

Saturday, May 19, 2012

Day 50 Update

Life Since Da Boot

I can't believe it's been 50 days already.  I had my surgery on April 6th, so it's been nearly 2 months since then.

I've come a long way but there still a ton of hard work ahead.  I know because just from sittin' on the loo doing my numero two, I would gingerly place my injured right foot on the ground and it would feel completely foreign to me, as if that foot was not apart of my own body; almost like I'm putting my foot on a bed of prickly nails.  It's not as bad as it was when I first got my cast off though.  Back then (a few days ago), it was numb and tingly and at some points would go completely numb and would go purple from lack of circulation (not sure from what).

The rash has gotten so much better.  I think just exposing my skin to the air and sunlight has helped tremendously.  Also, a couple of days ago, I washed my leg for the first time with warm water and soap and it was f'n GLORIOUS!  I even used a loufa in the area adjacent to the wound.  I still keep that whole leg out of the dirty bath water since I don't want an infection but being able to just rinse it with running water feels f'n amazing.  What feels really great is using a cotton ball soaked in cool 70% rubbing alcohol and giving it a thorough wipe-down.  Instant itch-relief.   (Sooo much better than that nasty back scratcher I was using to get into my cast.)

I took these photos 2 days ago when that bottom scab finally came off after I took a hot bath.  With a little help from my rubbing alcohol friend, I peeled back the old bandages and then scraped carefully with my nails to remove most of the excess dead skin.  A photo speaks a thousand words, so enjoy!


Before the Scab Came Off:



Process of Peeling Off the Nastiness:


This photo was taken the following night after the previous photo. In case you were wondering, I re-bandaged the scabbed over incision and then the next night checked to see if the scab was ready to come off; and alas, it was.

It was a bit scary since when I tried this the first night I got my boot the incision had not fully closed up and as I tried to remove the bandage the wound was reopening!  I didn't want that to happen again so I was really cautious this time.  With that said, it was hella satisfying to get that black mess off of me!


Doubts & Concerns (THE FEAR)

Last night before bed I was having sort of a despair/pity party for myself wondering if I would ever be able to be a competitive athlete again.

Would I dare try olympic lifting, powerlifting, or even just deep stretching?  (After all, I was a yoga instructor for a short while in India.)  In Ashtanga Yoga during the sun salutations, especially in downward dog, both of your achilles are stretched to the limit as you strive to keep both heels firmly planted on the ground (as if you're establishing roots through the base of your heels). Just thinking about that movement scares me now and yet I loved the way that asana made me feel.

I dunno if I will be able to do that again...even if I could and would, I think there would be a nagging linger of fear or doubt in the back of my mind telling me to dial it back and not push it since I don't want a re-rupture.  That would be the worst part of all this.

Well, I can get over any mental setbacks.  I just want to make sure that I am fully healed 100% physically.

Anyways, I don't want to jump the gun.  I think with serious PT, I will be back in tip-top shape and need to just focus on the positive now.


W&W Vance Experience

Once again, I'm try and be a kind-hearted soul.  If you'e stuck around following this blog this far along, you might as well get something to smile about.  So I won't leave you with those foul, stomach-turning images.

You've already seen Weston.  Well here's Whistler (and the last photo you get to meet Max; his older brother was unfortunately killed by a motorist.)

Here are some nice photos of Fraternal Love:



Boys Will Be Boys:


Once they knew I had the camera out...let's just say boys will be boys.  I showed Whistler the photo and he said, "We're a bunch of perverts! LOL


Boys Are Fascinated by Stairs:



"Hotel Vance" is just one-story, so they were both endlessly fascinated by it.


 Weston Being A Self-Professed "Monkey."


Classic West:


Gotta love that tie-dye shirt!

Shenanigans:



This really cracked me up.  Nearly as much as when Weston accidentally bounced my lacrosse ball (used for working out the knots and balls of tension in my muscle, back when I still CrossFitted) into the friggin' toilet (what are the chances of that?)!  Thank G-d, I flushed.

(The boys are crazy but they were raised well.  I told 'em someone's gonna have to fish it out and clean it well.  Whistler scrubbed it clean and I reminded him to use soap.  That's why Whistler was talking about his hands smelling like ____.)


Max, Whistler, and me en La Villa de la Ayala-Vance.


Just for the record, my dang leg ain't actually amputated!  (I know it looks like it's just as stump.) I was just trying to get down into the shot, more or less.  I spread my crutches far apart and tried to kneel down.  Anyways, my friggin' head is chopped off but it's still a sweet shot, considering it was taken by free cell phone (that's right, I'm the last one in the free world without a smart phone).
Max is all calm and collected down there while we crowd around him trying to accomodate the real master of the house haha.


************

All these photos of family reminded me of a video I had to watch for my online defensive driving course for the speeding ticket I received*.

(*1st time I've ever gotten a speeding ticket and there were extenuating circumstances but the cop wasn't hearing it.  He was out of his patrol car and crouching in the bushes with his radar gun, like some sneaky thief.  He was positioned near the middle of a short stretch of 35 mph zone in a primarily 45 mph road.  Anyways, it's a story I don't want to get into.  I'm just glad my driving record will be pristine again after I complete this course.)

Now I don't normally like these types of videos because they can verge on being preachy or PSA-like, so I was actually starting to zone out as it was playing until about 1:30 when the dad started to give his speech on his son.

It struck a chord and I honestly found it incredibly moving.  I even found the drunk driver to be very pitiable.  I thought the letter he wrote to the victim's family was very touching and sincere.

(You may think I'm a corny sap, but give it a try, you may change your mind.)

Wednesday, April 25, 2012

Day 26 Update: Hurt Friends, PT, New Fund Amount, & Plants Attack!

Just Scroll Down to the End...

If you don't want to read my babble about inane, random topics.  This is the first breather I've had in awhile so I was indulgent and pontificated more than usual about myriad subject matter.


Orgo II was Hell Today

I bombed my Orgo II test today.  I blanked on malonic ester and acetoacetic ester syntheses!  I also forgot what potassium permanganate does.

The lecture after the test and recitation went by so slowly, it was like Chinese water torture.

The good news, was that today was the last day of Orgo lab!


The CrossFit Casualties Keep Mounting!

(Disclaimer:  CrossFit was a hobby turned obsession for me and I have a lingering suspicious that I'll go crawling back to it when I'm healed, so I have nothing against it personally but I find it disturbing how many of my friends this past month have been seriously injured either directly or indirectly from the sport and it cannot be denied, even by the most diehard CrossFitter that there seems to be a connection, however tenuous.

I also want to add and give props to my local affiliate for taking a step in the right direction.  .380 has voluntarily opted to take down the clock and chalk to de-emphasize the competition and intensity over proper form and safety.  I'm confident in saying that if you practice CrossFit just for fitness and not to compete, then you most likely will NOT get injured, but if you want to excel on a competitive level then it's my humble opinion that SERIOUS injuries, as in probably requiring orthopedic surgery, are likely at some point in your athletic career.
)


Today I found out that the owner of the CrossFit box I used to attend, Dave M., has a ruptured bursa sac in his elbow! It's also infected and they think it might be staph or MRSA.  Now I don't know if this injury was due to BJJ or CrossFit (maybe a little of both) though he did say in his FB status update that he felt off during the WOD this morning and then wound up in the orthopedic surgeon later getting his sac drained off.

Turns out Dave also has been getting spinal injections...sounds familiar with what Carolyn H. had been doing prior to her lumbar surgery.

Oh and I forgot to mention in my last post that Chad D. got injured during the CrossFit Open Games last year as well.  He was doing overhead squats in Open WOD 3, I believe, and wound up pinching a nerve in his neck.  He said he was out of commission for months and every time his blood pressure elevated for any reason he would get blinding migraines.  On top of that his wife, Kamwin D., had a hernia, I suppose from weightlifting.  Then, she also had back surgery a few months ago before Chad's freak car crash accident.  (The CrossFit celebrity, Bob Harper, even had a shout-out in a short video for Chad to get better.)

Chris H., Carolyn H., Tina V*., Jake W., Kamwin D., Chad D., Dave M., Brista M., and your's truly.

Hate to say it but...WHO'S NEXT?  0_0

(*Good news is that Tina was told by her chiropractor that she won't need surgery and she doesn't have a bulging disc in her cervical vertebrae.  She just needs to rest.  I'm skeptical because I was told comforting words by a chiropractor initially too.  However, not every case is the same.)

I think people easily brush off these injuries as just a sign of getting old or bad luck...however I know plenty of "old folks," who don't have any health ailments and every action has a consequence.  I think you can only get away with punishing your body for so long until it starts to push back (Newton's Third Law.)


Watch out for Poison Ivy, Y'all!

This is totally random but my friend Stacey H. got poison ivy on her face and hands and has pustules and contact dermatitis on her face from the urushiol oil.  I've always lived in the 'burbs so I know close to nothing about Poison Ivy or sumac.

(So apparently the cut-off time for this is 10 minutes tops.  After that and the nasty urushiol oil has already absorbed into your skin signaling your immune system to attack the affected epidermal cells!

"Before Urushiol has been absorbed by the skin it can be removed with water. However, time is of great importance as 50% of urushiol is absorbed in 10min. Once Urushiol has penetrated into the skin, attempting to remove with water is inefficient. Once urushiol has been absorbed by the skin it is recognized by dendritic cells called langerhans cells that are part of the immune system, these cells then migrate to lymph nodes where they present the urushiol to T-lymphocytes and thus recruit them to the skin, once in the skin the T-lymphocytes cause pathology by producing cytokines and cytotoxic damage to the skin.")

This website is a wealth of information though.

This made me LOL:  "Note that all parts of the vine contain urushiol, including the hairs. Using a chain saw to cut down such a tree produces flying poisonous sawdust."

I'm surprised terrorists haven't synthesized urushiol oil and used it as a biological/chemical weapon hah.

The most insidious part of this is that besides the first image (on that website linked above), the rest look like innocuous, run of the mill weeds in your yard.  I wouldn't think twice about mowing that down with a lawn mower and then getting urushiol oil bukkake'd all over my exposed legs or whatever.

Ah well, I guess I'm not going into the country anytime soon.

Mosquitoes, poison ivy, chiggers, mites, black widows — these are a few of my least favorite things...

Oh yeah and this sneaky f*cker won't even stay the same.  Apparently as the seasons change, poison ivy does too, and not just in color but also in form:

"At this time of year, looking for three leaves will not work. The green lines indicate where two leaves have already fallen off. The asymmetric leaf shape and the color pattern are the best keys in autumn."

So for those who forget that plants are living organisms.  Realize that they too want to live as much as any other animal life form, like us.  They also have defense mechanisms to fend off predators, who view them as food.  We tend to forget this reigning complacently at the top of the food chain.

I'm not just talking about the popularly known ones like the venus flytrap or other plants that consume insects.  There's also the cassava (yucca or manioc) root, which naturally contains high level of cyanide.

From Wikipedia:  "It must be properly prepared before consumption. Improper preparation of cassava can leave enough residual cyanide to cause acute cyanide intoxication and goiters, and may even cause ataxia or partial paralysis.  Nevertheless, farmers often prefer the bitter varieties because they deter pests, animals, and thieves."

It's also well-known that many mushrooms are poisonous and contain mycotoxins that can cause convulsions, hallucinations, abdominal cramping, coma, and even death.

So next time you dig into that healthful salad, give thanks for your green friends your consuming and hope they aren't poisoning you.  I'm sure they're working on it though. ;-)  Food for thought.


The Facts & Figures


*Fund Amount (as of 10:20 PM, 4/25/12):  $2,322.77

(*Once again, this amount reflects the PayPal account money including $ already spent on surgery and fees, but excluding checks sent in the mail.)

Updated Contributors List!


Cream O' the Crop

Jorge Salhuana
David Wu
Alvin Lin
Niven Hsu
Ted Glomski
Alex Holliday
Kyuha Lee
Siby Spurgeon
Jonathan Ko

Uber-Generous Group

Jessica Wang
James Ash
Molly Wang
James Haver
Chase Park
Tina Ayala-Vance
Shawn & Stacey Hiller
Pearl Chang
Valerie Easterling
Kim Palumbarit


Gonna Get My PT On Thanks to Y'all!

You guys are amazing.  I was going to just YouTube physical therapy after I get my cast off but now maybe I can actually afford an actual PT when this is all said and done! ;-p