friends


19
Jul 12

Reflex is a dangerous thing

I had a great day yesterday, coaxing myself into being studiously lazy. This, I thought over and over, will be good for my arm. So I did my little therapy and didn’t overdo it otherwise.

It is easy to overdo it, actually. Even the smallest general exertion can wear me down right now. I suppose that is the surgery and everything that comes with it. Or maybe I just pound the ground when I walk and my shoulder is tired of absorbing things. It feels like there’s a giant water balloon in there. If I fell in a pool right now I’d sink left shoulder first, I’m certain. Between that and being transfixed by the swelling and self conscious about caring for it have entirely changed my self-perception.

I talked with some of the little kids in my family on the phone today. Yes, I’m OK. No, I’m not in the hospital. Yes, I had surgery. Yeah, that hurt a bit. The helmet kept me from having truly horrendous, medical problems and I am very lucky, so wear your helmet, kiddos. This is my role to the next generation in the family, serving as a cautionary tale.

They asked me if I’d come ride with them at their house when I could. Of course I will. But for now I have to take it easy and rest and do everything one-handed and so on.

And then I was making myself a little grape snack later in the evening. I rinsed off the beautiful green treats and dropped them in a mug. I overfilled the mug and the last three grapes rolled off the mound, onto the counter and ultimately the floor. Naturally I reached out to try to catch them. Of course my left hand was the closest. And this produced the most remarkable pain in my shoulder and collarbone, the site of my Monday surgical procedure.

grapes

I spent the next few seconds yelling, and the next few moments remembering to breathe. Finally I had to look at the incision. Did I tear it? No. Did I break something? I don’t think so, there’s titanium in there now, after all, but still, this sensation … Did it hurt?

For four hours.

So, no, I’m not going to write about this every day. I’ll deliberately find other things to write about because I know you don’t care that much. But it is important to remember: don’t do that. Sometimes you have to allow yourself to lose a little produce. Moving without thinking can be a remarkably painful thing.

At least I can sleep in my bed again. Did that for the first time since I wrecked. And I slept about six hours last night, which might also be the best rest I’ve had in a week. Between that and already feeling improvements, morale is definitely high.

We walked around outside for a few minutes today talking about trees and shade and wondering why our elm sheds so much. If ever you need kindling, we can set you up. How there’s any tree left up in the canopy is a mystery.

Brian stopped by for a few minutes, on the way from here to there. He did not want to see my incision — not that I blame him — but we of course discussed the recovery since he was there two weeks ago for the injury.

Also this evening we visited the little vegetable store this that is tacked onto one of the plant nurseries in town. I took a lot of quick pictures there to post later on the Tumblr blog. I finished uploading the discarding fishing lures I found on the pier at Orange Beach there today, so it needs new content.

So be sure to surf over to my Tumblr and check that out. And if those pictures don’t captivate you, there’s always Twitter.

More, as they say, tomorrow!


18
Jul 12

Taking it easy

Those are my orders. Saw the orthopedist today, who told me to my incision looks good. We saw that for the first time today, it is much larger than we’d anticipated.

I am to lift nothing heavier than a glass of water. And I have been given gravity/pendulum therapy.

Bend over at the waist, let your arm dang freely. Move your hand back and forth, left and right, front and back and in circles. Do this daily. That’s my therapy for the first week. He did not tell me how many times a day to do this, or how many reps of each. I’d like a little more precision …

I can ride my bike in five or six weeks he said and a trainer in two. My complete recovery time, he said, was 12 weeks, making this the longest personal recovery of anything I can recall.

Anyway, since I’m sitting comfortably and resting, here is a picture. This is the tangerine bonsai tree that Kelly sent us:

bonsai

She’s so very wonderfully giving and thoughtful. Kelly says it will eventually yield us dainty fruits to enjoy. Also, I must take care of it daily:

Water daily through hot spells and every other day in the spring and fall. As needed in the winter. A well balanced liquid fertilizer should be used with every 2nd or 3rd watering. Citrus in general are heavy feeders, especially iron, manganese and zinc. The local nursery should have an adequate liquid feed available.

[…]

Prune to shape as you desire, keeping in mind the small- scale size of the plant and its container. Flowers will appear from small shoots that originate where the leaves meet the stem. Flowers sporadically throughout the year, heaviest in the spring. Remove the tree from its pot every 2-3 years and remove about 1/3 of the roots. Re-pot with a blended potting soil. This will encourage new roots and keep it growing happily.

Maybe I can trim a leaf with each week of recovery. Or is that too impatient for bonsai?


10
Jul 12

What I hurt in my bike wreck

My South Baldwin Regional Medical Center experience where, aside from the triage nurse, no one ever asked about a head injury and we never saw a doctor.

We wound up yesterday in the emergency room of a small regional hospital. When you can calmly walk yourself in, you think “This will do.”

A kind volunteer points me to the paperwork. The Yankee has to fill it out. In two or three minutes the triage nurse calls me back. Pulse, blood pressure, temperature. I tell him what happened, complain about my pain. He asks if my neck hurts. It does not. He asks me if I hit my head. Yes, I brought my helmet. He asks me if there are any cognition problems? I tell him no. He asks if I want to go to X-ray or wait for the doctor to order it. This decision is apparently up to me, so why wait? Let’s do the X-ray.

Someone from radiology quickly comes along, plops me in a wheelchair and rolls me back to X-ray for two quick shots. I prepare my best Yogi Berra joke. “They did a brain scan. It came back negative.”

I go back to the waiting room.

Soon a room opens up. My guess is that the above has all taken place in 30 minutes, give or take. The Yankee and I go back to the examination room, leaving our lovely friends Brian and Mrs. Brown to sit in the waiting room. We tried to get them to stay at the condo, but you know how concerned, caring people are.

And now the real waiting begins.

A nurse comes and leaves. The administration lady comes. No, I do not have a last rites preference. And I appreciate the protocol, but that’s not happening in here today, thanks.

Later another nurse comes in with a syringe of morphine. She wants to shoot it in my hip, but she can’t find my hip.

She can’t find my hip.

This … nurse … who somehow was trusted with a needle … can’t find my hip.

I was ready to give myself the shot.

A physician’s assistant comes in later to tell us about the X-ray. I have broken my collar bone. She’s waiting to hear from an orthopedic surgeon. Not too long after this I pop a sweat. I get the dizzy, dry-mouth sensation. A passing staffer kindly helps move me from sitting on the edge of the bed to reclining in the bed. I’m in too much pain to do it myself.

The simple act of lying in a bed when you have a broken collarbone is just about impossible, by the way.

The morphine, which the nurse said would provide some relief in 30 minutes, didn’t do anything. And has done a lot of nothing for an hour or so. I suspect that either my metabolism is super-charged or she pumped me full of saline.

I sit up, but soon take another turn to that sweaty, nauseated sensation. Back on the bed I go. I’m on my right side because lying flat is unbearable. Someone comes along and stuffs a pillow behind my back for support. This was, in point of fact, the best thing since sliced bread.

The physician’s assistant eventually returns and apologizes about the no-show ortho. He’s operating. Well, that’s understandable. She said, though, that they pulled him out of a surgery to glance at my film. He suggested we get an orthopedic consult at home this week. After a while we saw the X-ray ourselves.

X-ray

The nurse who doesn’t know where hips are later brings a shot of dilaudid for the other hip. This painkiller, she predicts, will make me loopy. (It did not, but it did leave me tired, and occasionally left me at a loss for words.)

That same nurse then disappears to fetch something called an immobilizer. Over the long period of her absence we decided that the basement of this hospital is as hard to find as my hip. We’d later come to learn that my discharge papers were equally difficult to find.

After a while the nurse returns and struggles with the immobilizer for a period of time beyond comical bemusement in front of us before finally asking for help on how to use it. The immobilizer is a large elastic band that wraps around the torso. There is a cuff to keep your bicep close to your side. Another cuff keeps your wrist secured to your ribs. The idea is to keep your shoulder in one place. (This is challenging medical technology. There are three strips of velcro on it.)

After five hours — Five hours! — we were given a small prescription and my discharge papers. To my recollection no one ever looked at my road rash. There’s a mildly impressive case on my shoulder and arm. There’s a little more on my hip, knee and leg. Good thing we’d cleaned it up before going to the hospital.

Aside from the cursory triage question no one ever, ever, asked about my head. Ever. The farther away from the hospital I get, the more appalling that becomes.

We never saw a doctor.

On the wall in the exam room there was a note about the hospital’s goal was that we’d recommend them for emergency care needs. That’s a tough sell.

This deserves mention: everyone was courteous.


6
Jul 12

Travel day

Remember that childhood phenomenon where getting somewhere seemed to take for … ever? And then the return trip was always, somehow less interminable? That was like today. But we made it.

Gulf

We’re on Orange Beach for the weekend. A friend’s parents have a condo — and a private pier, and this makes us, as guests, feel like we’ve somehow arrived in a new class of citizenship — and they invited us to enjoy the sun and one of the most beautiful beaches in the world.

So we had breakfast this morning, loaded the car and drove for … ever. The company was great, though. We passed the time making fun of television news formulas. I’m driving and The Yankee and Brian are shooting videos saying things like “I’m here on this deserted street where, 12 hours ago, something happened.”

We got turned around several times when we were almost there — I blame the GPS. Made it in just in time for dinner, to buy some groceries, unpack, spend times with our too-cool hosts and then enjoy a little evening breeze.

We brought our bikes. I’m looking forward to taking advantage of the flat terrain and sneaking in a few good miles.

More tomorrow.


21
Jun 12

It was a pretty full day

Had the big anniversary dinner last night, which also means the anniversary self-portrait, traditionally taken right about on this spot, the “Oh, yes, we should take a picture” spot.

Anniversary

We had reservations at the marvelous Warehouse Bistro — a local five-star restaurant that is hidden in the oldest industrial park in neighboring Opelika. All the big signatures are on the wall. You get the impression that a lot of powerful deals are made there.

We now have an “our usual table,” even though we go there once a year. It is a bit out of our normal price range. But the food is so good.

Here’s the New Zealand rack of lamb:

Anniversary

Try the … well, try everything. It is a five-star restaurant.

Rode a quick 19 miles today. Had dinner with our friend Jeremy. Did some research and planning — turns out the Harvey Updyke trial, which was set to get underway this week, was continued once again. That got scrapped this morning when the judge, concerned over this guy’s inability to stop telling members of the media he poisoned the fabled trees at Toomer’s Corner, media exposure and jury fairness, delayed the trial again.

The guy has talked to ESPN, Finebaum, Finebaum again and been featured in a thin television documentary that had a theatrical release. People have heard of him. This has all been an indecipherably, convoluted defense strategy, I’m almost convinced of it. (Finebaum, because he knows it is good for his business, has decided that Updyke has been punished enough. Last one out turn out the lights.)

(Incidentally, good on The Plainsman’s reporter for striking up the conversation that led to the story linked above. Word is that Updyke told the reporter he did it without being asked. The reporter was supposed to be working on something similar to a sympathy piece, but realized his story changed right in front of him. Of course he wrote it. The Plainsman called it a confession, and treated it like this was news. It was not. Updyke has been saying this since February of 2011. Also they missed on the age of the trees by 60 years. Facts are important, tricky things. But it was nice hustle nonetheless. Now the young student-journalist has been subpoenaed in this case. Nice start to a journalism career, that.)

The timing of this scheduled appearance had been fortuitous, though, because we’d fashioned a little project around it. But the decision today scrapped that plan. Worked out well, though. Our new plan fleshed out as a much better idea.

Incidentally, we’re 16 months out from his arrest, and still nothing more than an arraignment and depositions in bizarro-Updyke land.

Did a little packing tonight. Put the brand new bike rack on the car. Read every direction in the booklet. This is important. There are cars behind us that would like our bikes to stay on our new bike rack. And we’d really rather not trash our bike.

Tomorrow we’ll be on the road again.