Tuesday, November 30, 2010

The last trip to Dr. Norris in Tulsa

Today was the last time that I should see Dr. Norris in Tulsa. It marks the one year anniversary of the major hip surgery. He told me that the hip joint itself appears to have healed. The lack of movement, rotation and the irritation is the result of the scar tissue and heterotopic bone growth interfering with the muscle, but the joint looks good. He was disappointed in the nerve decompression results, but it was not a guarantee in the first place. The trauma portion of my accident is officially over.
Life is all but normal now. I have very few restrictions and have even returned to the Air Force Reserve - even if it is a temporary status.
Work is keeping me busy and my travel schedule has picked up dramatically.
Cara and the boys are doing well.
We really enjoyed hosting the family for Thanksgiving again this year. Winter is setting in as we look forward to Christmas.
Cara and I are excited to be taking a vacation to Belize in January. It will be our first real get away for just the two of us since the accident and it is well overdue.
After we return from Belize, thoughts of going to the lake will begin to dominate.

I saw a sign on a church today that stood out for me. "The only attitude that we need is gratitude" I am thankful everyday for the second chance.

J.

Tuesday, August 24, 2010

Sky Ski

Anyone who knows me and my family knows that we live for the lake. I have tried to get bak up on ski a couple of times and it just does not look like it is going to work out right now. Some of you know that I was curious about trying an Air Chair or Sky Ski. These are hydrofoils that you sit on. There is basically a board similar to a wakeboard with a raised seat. A hydrofoil extends below the board about 3 feet. Last Saturday, I asked the Pollards at the marina if they knew anyone who had one and they did. We met Mike and Connie and Mike offered to pull me up Sunday morning. It was unusual at first and I certainly need more practice, but it was awesome! Mike let us borrow the Sky Ski for the rest of the day and I got up on it a couple more times. It takes the legs out of the equation and allows me to ski again. You could say that this was just about the last piece of the puzzle for me to say things are completely normal again. We are certainly putting the Sky Ski on the shopping list and want to say a special than you to Mike and Connie.
The last piece of the puzzle would be the Air Force Reserves. I would really like to at least finish my last 5 years...

Thursday, July 29, 2010

It has been 2 years today

All,
Two years ago my life was turned upside down. Hundreds of family members and friends prayed for my survival and recovery. The doctors said it could take between one to two years to recover. I can tell you that it has taken every bit of those two years. A good portion of the time was challenging and I am certain that the prayers and support helped me get through. I have questioned some of my doctors' decisions. I felt impatient many times. I tried as hard as I could to keep a positive outlook, but I admit there were times where I sank into self-pity.

Currently, I occaisionaly take Nuerontin, but other than that I am prescription free. I am walking without crutches or a cane and I sense I am getting faster and more sure footed every day. I was released to full work status a couple of months ago - meaning I could travel to plants which is a major part of my job. I am continuing to go out more and do more things that I used to, but had stopped due to discomfort.

I can say that overall I have made an incredible recovery. I never want to say that I am lucky. I prefer to say my life was in other hands and they lifted me up. With that I want to continue to thank everyone who was there for me.

Life is not perfect. There are three major issues that prevent a 100% recovery.
1. Drop Foot - the drop foot persists and it is difficult to walk without the aid of the AFO. I recently purchased my first pair of odd sized shoes as I realize this is the way it is going to be.
2. No knee cap - The removal of the patella greatly weakens the knee joint particularly in leg extension. What this does to my walking is prevent me from putting full weight on my leg as the knee bends. I should resume going to the gym to strenghten the muscles in the knee, but the doctor told us from the beginning that it would never be as strong.
3. Arthritis in the left hip - The trauma to my left hip was beyond severe. It is nothing less than amazing that I did not lose it. At this point, the bone has mostly healed, but arthritis will remain and continue to get worse. My instructions are to endure the discomfort as long as I can to postpone the inevitable hip replacement.

Basically, I think I have fully healed in these past two years. I doubt I will ever say that I am fully recovered.

I will always remember July 29th and consider it like a birthday. Most people do not get to the hospital in time to survive an aortic tear. God looked over me two years ago and gave me a second chance. For that I will be eternally grateful.

Thank you all for being with me,
J.

Monday, June 28, 2010

I tried to ski last Saturday!

As usual, I am late with updated posts.
I should start this one with my graduation party on June 12th. I woke up and decided not to use the cane ever again. We had a great time at the party and I have not looked back. The cane is in my bathroom untouched. My most recent trip to Tulsa last Tuesday to see Dr. Norris resulted in mostly positive news. The only questionable news was that there is still a section of the hip that has not completely healed. He says it is in one of the locations where they cut the bone. All other areas have healed and he attributes most of the healing to the bone growth stimulator. While there has not been any significant changes in the drop foot, he said he thought he could feel a flicker where the tendon tries to activate the muscle when I try to pull up my foot. This is certainly a sign that the nerves are healing and I may get some control back. While I was there, I asked him if I could try to ski. He replied "I do not see why not." While I have been accused of not following doctors' orders all the time, I took this order and put it in action last Saturday. I did not get up, but I got close. My left knee tried to bend further than tolerable so I had to let go of the handle. The next plan of action is to use the lock out knee brace for the next attempt. This knee brace can be set where the knee is not allowed to bend past a certain pre-determined degrees. I will set it at 90 and try again soon.
We are closing in on the two year anniversary of the wreck. They said it could take 1 to 2 years before I felt mostly recovered. I would say that they were right. I will never be 100%, but I am pretty close. All normal activities have been resumed. My stamina is considerably higher than it has been since before the wreck. The left hip and knee will always be an issue, but I am not slowing down.
Work has been very busy and with my full release to visit plants, I have been on the road again.

Monday, May 10, 2010

Life is good

All,
It has been over a month since my last post. A lot has hapenned in this past month so I do not really know where to start.
My previous post announced an up-coming surgery. The nerve de-compression surgery was performed last Friday and as expected, it went very well. Dr. Norris called it a success. We will not know the real results right away because it still takes a long time for nerves to heal, but it is still positive to think that the paraneal nerve may not be permanently damaged. Now, the test of time will tell the progress.
Speaking of progress, I feel better than I have since the wreck. Work has released me to full status and I have gone on three site visits since the release. It feels great to be back in the game and doing what I am supposed to do.
Last Saturday was graduation at the University of Arkansas. I completed my Master of Science in Operations Management through the college of Industrial Engineering. This is a milestone that I have wanted to complete for a long time. I am nothing less that proud and happy to reach this accomplishment and look forward to wearing an alumni shirt with pride.
Allen has entered the workforce. A few weeks ago he started working at Hardees and is doing a great job. We were lucky to pick up a car from a co-worker and he is back on the road. Riding the bus to school for a month and a half was a real eye opener for him and he has a new appreciation of work and transportation. We are extremely proud of him!
Of course we are getting lake fever. Allen's new job is going to present new challenges and tough decisions regarding lake weekends. We will see how this transition goes.
Sam is doing well in school, but seems to be looking for attention that does not please the teachers - particularly substitute teachers. I hope that Cara's recent talk with him will sink in the importance of respect to his teachers as well as fellow students.
Cara is still working very hard. It is hard to call her practice new anymore. We are optimistic that the bugs keeping her from getting paid by Medicare will be worked out soon.
I enjoyed going to Fort Smith yesterday to see my mom and dad. It was the first time for me to see my mom since her surgery on her broken femur. She looked very good and seems to be healing well. I learned that my dad has scheduled his retirement. This is a huge milestone for him that he swears he is looking forward to, but I still do not see him retiring.
That is about all for now. I need to schedule a two week follow up appointment to get the staples removed and to learn more about my prognosis. It should be all good news from here on out.
Still no word from the Air Force. My hopes for returning to service continue to dim.
J.

Thursday, April 8, 2010

Good News! More Surgery

When does more surgery mean good news? I will do my best to explain it.
Last Tuesday, Cara and I made the trek back to Tulsa to see Dr. Norris. I was particularly nervous about this visit. After hearing the EMG on the peroneal nerve resulted in un-recoverable damage and physically feeling tenderness in my hip, I could not anticipate any positive news.
With respect to the hip. Dr. Norris could see new bone growth in the new x-rays. My tenderness is worst in the morning when I wake up and gradually gets better throughout the day. This is typical for hip joint arthritis and I should expect this until I can't bear it any longer and get a hip replacement. If the tenderness increased throughout the day, it would indicate that the bone still was not healing. Therefore, the Exogen bone stimulator is actually working and I am to continue to use it.
With respect to my nerve damage. Dr. Norris had a plan this entire time. He wanted to schedule the EMG close to my follow up visit so he would know where the damage was. During the visit, he physically showed it to me under my left knee. He said the nerve has excessive pressure on it due to pulling through the scar tissue and this pressure prevents it from sending the correct signals to my ankle and foot. He recommends a nerve de-compression surgery to try to relieve this pressure. I stopped him when he mentioned surgery, but he explained that the nerve is very close to the surface and the procedure would be very easy and most likely out-patient. I will not have any load bearing restrictions and I will be able to return to work immediately. The surgery cannot do any more harm and it will likely relieve the nerve pains and possible improve motor function in my foot. It is scheduled for May 7th.
Overall, we were very pleased with the trip and the news. I am cautiously optimistic. It will still take time for the nerve to come back, but at least there is a chance.
J.

Thursday, March 25, 2010

It has been a while since the last post

Overall I would say things are going pretty good.
Cara's practice is really doing well.
The boys are doing well - Allen was in a wreck on March 13th that totalled his car. Nobody was hurt, but he is dealing with riding the bus and looking for a job.

I actually got to put some closure on an un-answered question yesterday.
I had a nerve conductance study to determine the location and the severity of the nerve damage in my left leg. Unfortunatley, the nerve damage and the drop foot is permanent. There was some conductance, but it did not engage my muscles.

On April 6th, Cara and I are making the drive to Tulsa to see Dr. Norris - hopefully for the last time. This visit will let us know if the bone stimulator has been effective at healing my left hip. I honestly can't tell right now because there is still tenderness, but I can tell that I am feeling better overall and I am moving more and more without the cane.

This week has been Spring Break for the boys, but we have not really done anything. Sam is going to the lake this weekend to stay with a buddy from Springfield. Allen is going to stay with my parents in Fort Smith. Cara and I are hosting a dinner party Saturday night to celebrate her upcoming 40th birthday on the 30th.

J

Wednesday, February 17, 2010

Healing Continues

All, here is a quick update on my status as the healing continues.
I went back to Tulsa on February 2nd for a follow up visit from the hip surgery in November. If you remember, I had hoped to walk in to his office, but those hopes did not happen due to the fall on the ice injuring my knee. The up side to the visit was that my knee appears to be healing well and as I type this, I am back to using one crutch. Dr. Norris prescribed a new AFO (foot and ankle support). This was needed for a few reasons. My leg has changed a bit since the last one was molded and it really creates discomfort by the end of the day. I need toe support since I am unable to straighten my toes due to the nerve damage they get curled under as I put my shoe on. Finally, since the last operation, I need more arch support to help me walk. Other good news from the visit was the positive prognosis for the nerve regeneration. I am scheduled for a nerve conduction test to see where the activity is and how far it has to go. They estimate about 1"/month.
The bad news from the visit was that the bone graft performed in October did not take and the hip still has not completely healed to the femur. Nearly devastating nes, but I am now using a bone stimulation device with about a 75% chance for healing.
Somewhat good news regarding the reserves. It looks like I am closer to returning to duty. I need to get a letter completed by Dr. Arnold and take it with me when I go to visit in March. Hopefully with this letter, I will get a waiver signed allowing me to serve in a desk environment. I was starting to lose all hope so I try not to get my hopes up too high.
Family is doing well. Cara's practice seems to be thriving. My dad came up a couple weekends ago to help me and Allen repair his exhaust - he had the loudest car in town for a couple weeks and now it purrs. Sam told us last night that his art teacher wants to display one of his pieces in the school library and possibly in an art show.
Cara and I have started looking at the summer lake schedule. We are getting spring fever.
J

Friday, January 29, 2010

Insufficiency Fractures

Hello,
It seems like it has been a while since I have posted an update. I think during my last post I commented on being able to put full weight on my left leg and I was looking forward. Well, I have had to deal with a minor setback.
Three weeks ago on January 7th, I slipped and fell down on some ice. It hurt, but I did not really think anything was really wrong. Throughout the weekend, my left knee continued to feel worse so I made an appointment with Dr,. Arnold. I got in to see him exactly a week after the fall and even during the appointment, I was wandering if I was making to much of nothing. The x-rays did not show anything, but Dr. Arnold wanted me to get an MRI to make sure. The MRI was done exactly two weeks after the fall and by this time I was really feeling ridiculous. The pain was going away rapidly and I could not help but think this was a waste of time and money. Friday after the MRI I started walking with a single crutch again with little to no pain in my knee. However, when I called Cara to let her know I would be home late from work, she told me the doctor's office had left a message that they discovered insufficiency fractures and I needed to keep all my weight of my left leg to let them heal and to not allow them to become worse resulting in a full fracture. How can this be? No pain in my leg, too small to detect in x-rays. I did not want to post anything because I thought it may just be a bruise and I was over reacting. My follow up appointment from the MRI was yesterday and the doctor instructed me to stay on two crutches for at least three more weeks. He said the bone bruise and fractures would not have a chance to heal with continued impact from walking. If you look up insufficiency fractures, you will find the dominate diagnosis is from elderly women with no known trauma. I am not an old woman, but Dr. Arnold did mention Osteoporosis due to multiple trauma. Wow. He did not mention any need for calcium supplements or other preventative medicine.
Like I said before, there is basically no pain in my knee at this point. It is very hard to stay on two crutches when I know it feels OK to use just one.
Many people come to me daily and ask me when I will be walking again. Will I be walking again. I brush it off saying I am continually healing. Unless you have experienced this degree of trauma, you will never know how long it takes. Cara and I went on a very nice weekend trip to Little Rock last weekend. During the trip, she mentioned that she has noticed an incredible positive difference since this time last year. I agree that my state of mind and my willingness and desire to do more has increased dramatically. If you have not seen or talked to me in the past year, I assure you I am back to my former pre-wreck self even if it is mentally.
J

Saturday, January 2, 2010

Time for Prayer again

All,
I know very few details, but this is what I do know. One of my brothers currently in Iraq, just learned that his young son had a tumor detected in his brain. He is currently packing to come home on emergency leave to be with his family. Please help me to pray for his safe return and pray for his son's recovery. Bobby is a young minister and a dear friend of mine.
I do not even know how to reach out to his family right now. I am sure things are scary, busy and crazy.
Pray for peace and healing.
Thank you,
J