Showing posts with label health. Show all posts
Showing posts with label health. Show all posts

Tuesday, March 31, 2009

update

Update on this post....

The dumb shit resident that I saw never called back with my lab results. I got annoyed after trying to call her back for a week and just looked them up myself. Maybe I wasn't supposed to do that? eh, oh well.

Called 11 times to get an appointment with an attending: hold, transfer, hold, hold, ANSWER, nope transfer, click.......fuck!

Called on the 12th time this past Friday from work in the same hospital where the practice is located:
One ring....
Secretary: Hello? what department are you calling from? What can I do for you?

Me: Hi this is Nurse Miss Kelly from the burn unit, I'm a former patient of Dr. W's, I need to make an appointment with Dr. C?

Secretary: Oh do you work here in the hospital?

Me: Umm, yes?

Secretary: Marvelous. How's this Tuesday at 10:30am?

Me: Seriously? That's great.

Secretary: Would you like us to call you if we can an earlier cancellation?

Me: I'd love that! (thinking am I dreaming?)

Secretary: Okay, I can reach you at this number?

Me: Actually my cell is better xxx-xxx-xxxx. thanks.

Secretary: Oh, okay. Well then I'll note that. Bye bye.

lesson learned: make an internal phone call, work the system!

Saturday, August 23, 2008

hip hip horray (literally)

It's been 13 weeks since the injury occurred. I've been going crazy. Even though I've been allowed to resume my usual activities, the running wasn' happening. It was painful. It's been 2 weeks since I was cleared, and I've only logged 4 miles. Ehhh.
However, today I had a surprise brunch with GI Greg (my trainer) who's home for the weekend from training. We were talking and I just had a good feeling. So after our brunch, I laced up my sneakers and hit the gym to run. And run I did. 5 1/2 miles @ an 8:15 pace. Far from my previous pace, but still not awful. When my workout was over I felt like a wight had been lifted off my shoulders. I hope today wasn't just a fluke, and that I'm finally on my way.

Friday, August 08, 2008

My Road to Recovery

6/14: 13 mile run, followed by left groin pain. Iced it and popped an anti-inflammatory
6/15: Tried to run. OUT OF CONTROL pain. Cross trained instead. Taking Aleve RTC (round-the-clock)
6/16: Still couldn’t run. Decided to switch up my marathon training schedule and take off the week of 6/15-6/21 instead of 6/22-6/28
6/18: Now having pain without activity. Decide to try acupuncture-minor relief noted.
6/20: Acupuncture session #2. Again, short lasting relief.
6/22: Attempt to run. MISSION FAILED, the pain is excruciating. Cross training is boring as all hell. Emotionally distressed. Leave for Philly for a few days.
6/23: Cross train in the AM, minor discomfort. Go to playground with the boys and make the mistake of chasing after them. (Hey, what fun is hide-n-seek if you don’t chase them??). Pain sets in and doesn’t leave.
6/24: Wake up really stiff, unable to bend/squat to put on my sneakers. Cross training is now downgraded to Yoga and Pilates. Ugh! Decide that I need to be seen for this pain. I start a frantic search to find an sports medicine orthopedist who takes my insurance. By some miracle of god, I get an appointment with the guru on running injuries for the following day. Sad that my trip to Philly is over, but relieved to be getting my pain checked out.
6/25: Appointment Day! Before the MD even sees me, I’m sent for x-rays. Within 5 minutes of speaking to the MD, he’s 99% sure it’s a stress fracture on the neck of my femur, but only an MRI will confirm. Must get that scheduled. In the meantime, no running, no strenuous activity, “nothing that causes pain” (direct quote), and need to get fitted for orthodics.
6/26: Sweet! Get an MRI for 7pm tonight! Wow, that was a long 90 minutes.
6/27: Call to speak to the “Guru.” He can’t see me and he’s going away for the entire upcoming week. Next appointment I can get? 7/10.
6/27-7/10: Agony (emotional and physical). Waiting. Bitchyness.
7/10: Follow-up appointment. So the diagnosis surprises the doc and myself…it’s not a femur fracture, it’s a pelvic fracture! Which means: another month of no running, no cycling, no stairs, minimal extra walking; swimming pool here I come; PT 3x/week; a bone scan; and Tylenol (yup, Tylenol. Did you know that anti-inflammatories slow bone regeneration.)
7/11: Start PT. It’s brutal. Let my bosses know the test results and find out that I don’t qualify for medical leave because I haven’t been employed for a year (2 weeks short).
7/12: Make the emotional plunge back into the pool. Not as bad as I thought.
7/14: Start my 2 weeks of “desk duty” at work. ( QA , chart review, and protocol compliance)
7/17: Bone scan day.
7/18: Day without pain. WOW.
7/19: Climbed stairs without pain. Able to bridge on left leg (5 PT sessions in the making!)
7/20: No pain medication! Making progress.
7/21: Finally seeing definition in my quads and hammies again. Still really tight. Finding alternate ways to stetch, haha. No comment. Marks 5 weeks since initial injury.
7/25: Desk work completed. Will resume patient care next week.
7/26: No pain today. 70 minutes of cardio! Getting strong one day at a time.
7/28: Wore heels ALL day. First time out of flats in 6 weeks! No pain.
7/30: Fist night back at work taking care of patients.
8/2: Sqautted to check a foley catheter...ouch, that hurt.
8/3:Ran across the street to make a red light, NO PAIN! Alleluia!
8/4: Crossed my leg (horrible habit, I know). Holy moly! I've got a decent range of motion!
8/6: Begin my 7 night straight stretch.
8/8: 8 Week Follow Up! Bad News: I've got osteopenia. Good News: I'm CLEARED TO RUN AGAIN! PHILADELPHIA MARATHON 2K8 HERE I COME!

Saturday, July 12, 2008

The Diagnosis Is... (the grammatically correct version)

I know you have all been dying in suspense (oh no wait, that was me) but on Thursday I finally found out what's wrong with me. Like I mentioned in this post, the doctor was 99% sure that I had stress fracture in the neck of femur aka a hip fracture. I had the MRI and then had to wait 2 weeks to get the results.

My appointment was for 9:30 am Thursday morning. All day Wednesday my mind was in a fog and I couldn't focus. I guess I didn't make the best choice by going out and getting a bit tipsy that night, but I thought it would help me sleep. Erg, WRONG. I fell asleep immediately upon crawling into bed, but was wide awake 3 hours later with my mind running a thousand miles an hour.

I think I managed to dose off around 6:30 a.m., only to be waken by my alarm at 8:15. I jumped out of bed, took a quick shower, and got dressed. I felt like a bipolar person. MY mind was all over the place, vacillating from good to bad back to good and then to awful. At 9, I walked out the door and made the 4 block walk to the doctors office. Within minutes I was called into the room and I sat there-on the crisp white paper- in the cotton hospital shorts, my legs so white they blended in with the paper, my heart racing. Dr. M knocked on the door and came in. He heartily shook my hand and asked how I was feeling. I told that I was feeling slightly better, but that the pain was still there.

Silence....God I hate that!

He logged into the computer and pulled up my MRI. He spent a minute trying to orient me to my anatomy but all I heard was "blah blah blah blah....bone should be black....blah blah blah....all this is white, that's inflammation"
Okay, now I needed to focus. I put my best listening ears on (ouy, I've been babysitting too much lately, haha) and then he said, "So much to my surprise your femur is okay...."

Wahwhoooooo! Horray! Yes, sweet! Oh yeah baby!

"But see this here..."

wait, is he still talking? was that a "but"

"That's your pubic ramus and that's a mighty big fracture."

My stomach came up my throat and my heart sank.

"What this tell us is that you are one tough cookie. Most people with this injury can barely walk, let alone continue to train."


I had to compose myself and fight back tears. The conversation that followed left me so upset. Basically I'm on activity restriction for another 4 weeks, my September marathon is out, and this upcoming week I have to go have a DEXA scan done.

This battle is just beginning. Now that we have a diagnosis, we need to figure out why it happened. My PT evaluation already revealed a substantially weakened left side, but it's more a chicken or the egg question. Is it weak because it's injured, or did the weakness lead to the injury. The bone scan will show the condition of my bones, yet another test I'm dreading. Once I get those results, I'll have a better idea of where I stand.

However, it's odd that I find myself in this predicament. I've known for over 7 years that I have low bone density. One of the treatments for LBD is weight bearing activity (strength training and impact activities) but I already do those. I also take a calcium supplement. I'm sure you have all seen the commercials for the osteoporosis medications like Act0nel, B0niva, F0smax, but they aren't approved for women of childbearing age because they have uncertain teratogenic effect on fetuses.

And let's be honest, I don't want to decide, at the ripe old age of 23, that I want to forgo having kid for the sake of a medication that could be obsolete in 10 years.

So where does that leave me? I don't know.

What I do know is that my PT regimen is grueling. I hurt so much afterwards, I want to cry. I also know that this injury has forced me back into the pool, something that I never though would happen. I swam competitively for 12 years but gave it up college; I haven't set foot in lane lined pool since high school. My reasons for leaving swimming behind are for another post, but I found myself in tears yesterday when I went to the store to buy a cap and goggles.

Today I made the emotional plunge back into the pool. After PT I made my way to the locker room, suited up, walked out onto the deck, and then stood at the edge of the pool. I grabbed a kick board, pull buoy, paddles, and fins. I jumped in and just started to swim. After less than 25 yards, it felt like I had never left the pool. My upper body still carried my stoke, I still preferred breathing to my left side, I still stroked with my left hand right preceding a flip turn...

My body didn't ache like when I'd be out of swimming shape in between seasons, but I felt sore, from using different muscles. I swam for about an hour and by the end I was tired; however, I didn't want to stop. Something in me wanted to keep going, keep pushing. I was tired and sore, but not in agony. Wait, something is wrong with that mentality. I'm never going to get better if I keep pushing to injury. I'm an addict, an endorphin junkie. Working out, the endorphin high, and the stress release is like crack to an addict.

Sigh....

Now, off to work, and let the waiting begin (again)

Friday, June 27, 2008

Diagnosis ??x??

My vacation has been lovely. Although I only spent 2 1/2 days in Philadelphia, I got to catch up with L, can't believe it'd been a year since I last saw her; went out with G, interesting developments there; got to spend 2 fabulous days with R &J; and now I'm back in NYC trying to tie up all sorts of loose ends. And by loose ends I mean dealing with my inured hip.

About 2 weeks ago, I finished a 13 miler. It was great. I felt strong, my splits were right on target, and I was really looking forward to my week off to get in some long outdoor runs. NOT SO MUCH. My left groin was a little sore after I finished the run, but I had one of my trainers stretch me out and I iced it when I got home. I was bummed when I couldn't run the next day, still sore, but I figured I just overworked it and I'd give it a few days.

After a week of seeing no improvement, actually the pain was worse at times, I decided to go check get acupuncture. I know, I know...I'm a nurse, I'm supposed to put all my eggs in the Western Medicine basket, but I swear, acupuncture works. I used it when I inured my knee 4 years ago, and again last year when I hurt my foot. Okay, after treatment #1, minor relief, still not enough to run. Then I left for Philly. Pain was getting worse. Maybe I shouldn’t have run around on the playground, but what fun is that? In a rather frantic panic, I managed to find a sports medicine orthopedist that specializes in running injuries. I called and said that I was a new patient. They said, "How about July 7th?." I laughed, said, "how about for an acute injury?", and they said, "How's tomorrow 3:30, be here at 2:30." I took it! I told the lady she could have told me I needed to be there at noon and I would have taken the appointment. I guess she didn't find that funny, but I was relieved. I've got a post coming about my fun times in PA, but for the sake of this post, we'll flash forward to me taking the 6:50 train home. After hauling my luggage on the subway and then to my apartment, it was hard to walk by the time I made it to my apartment.

The following day I went to the orthopod. My stomach was all fluttery, I was nervous....feeling of impending doom. Before the doctor even saw me, they sent me to x-ray. The kid who took my x-rays blushed when he asked me if I was pregnant. He must be new...working in the medical field you quickly grow accustomed to naming body parts and talking about their functions (or malfunctions) like second nature. Case in point, I held a candid discussion with a 50 year old patient of mine about if he didn't get out of bed and move, he would continue to remain constipated, the swelling in his scrotum wouldn't go away, and one of his last options was an enema with possible manual disimpaction....clearly the reason I became a nurse.. Oh yeah, so after my x-rays I went back to the waiting room and they called my name. I was led into a bright exam room with an entire wall of articles written by Dr. M on sports injuries. I knew I felt doom for a reason, I picked up the article on hip/groin pain.

I wasn't even 1/2 way through the article when Dr. M, and crew of residents, waltzed in. I gave him the history, told him a bit about my background (I have low bone density related to amenorrhea), and he pursed his lips. He asked me to take off my flip flops (which he then told me I shouldn't be wearing) and hop on each foot. Mission failed!

"From what you are describing and what I'm seeing, I'm 99% sure you have a stress fracture on the neck of your femur.

Even though you cant see anything on the x-ray, that's common with a stress fracture." He explained the mechanics and occurrence of stress fractures: increase in physical activity (apparently 55 miles a week qualifies), bone density (get on board that calcium boat), and body mechanics (hello grandma orthodics!).

WTF, I'm 23 years old! Broken hips are for old ladies, not marathon training nurses.
"I want to send you for an MRI. I'm away next week, so hopefully we can get this done before I go. I'm going to fir your for orthodics, but until we have a definite diagnosis, no running, take it easy. Turn around time with these kind of injuries is about 4-6 weeks. Are you in a calcium supplement? "
"Yes, with Vitamin D."
"Good. Okay. Here's my card, email me with any questions. Great to meet you Kel" (Love how we are already BFF's, right? haha)

I thanked him and sat there, baffled. This sucks ass. I dressed and made my way out to the reception area. The secretary told me that they had to call my insurance to get approval for the MRI, but they'd call me to schedule an appointment.

Later that day my phone rang and it was the MRI suite calling to book my appointment. I managed to snag an appointment for 7pm Thursday. I went and got acupuncture again Wednesday night and spent a lovely night out with friends at a house party. Thursday rolled around and I was a mess. I didn't sleep at all Wednesday night and it showed.

One issue complicating my need for an MRI was my belly button ring. I've had it over 7 years, but never changed it and consequently couldn't get it out. So I searched online and found this tattoo/piercing place in the East Village that seemed decent and had great reviews. Usually my trips to either side of the village involve a taxi ride because they involve dinners and drinks, lots of drinks (some of the best bars around!) but seeing as I was sober as a soldier, I thought I'd take the bus right down 2nd avenue.....big mistake. One hour and 15 minutes later, I arrived at 3rd and 2nd. I I weren't on "activity restriction" I certainly would have walked, you all know my thoughts on public transportation....

I walked in and pleaded my rather obscure request...I didn't want anything pierced or inked, I just wanted help taking something out.
Of course from the second I walked in, I got "the look." Oops, sometimes my preppy, clean cut looks just doesn't work...I certainly looked out of place. Nevertheless, I took a seat and 2 minutes later this guy called my name and introduced himself, "Colby." Hmm, aside from the tattoos from his neck to finer tips, and the huge plugs in his ears, he was sort of cute, great personality too. He easily took out my ring, helped me pick out a new one and told me to come back the next day and he'd put it back in. H even wished me luck on my test before I left. You know what, never judge a person by their means of personal expression...hey, the didn't shun me for being a perky, J.Cr*w plaid wearing girl. I left and limped up a few blocks and wandered around the Union$quare farmers market. I bought some fresh NJ cherries, strawberries, and tomatoes. They may be known as the "Dirty 'Jerz, but there's something in that dirty soil that makes splendid produce, right O?)

Flash forward to that evening. The MRI suite was located in the hospital, only a 5 minute walk from my apartment (no, not my hospital, but the orthopedic specialty hospital we are attached to and affiliated with). I arrived, 15 minutes early, registered and waited. They called me at 7:05, had be changed into a gown and put on the awful hospital socks. I locked my belongings in a locker and waited. The MRI tech led me into the room and I lied down. Good God, this certainly wasn't my idea of a good time. They tape your legs together so you don't move, strap these cameras to you (you sit on one as well), he covered me with a sheet and rattled off my music choices asked me what kind of music I preferred to hear during this test. I think I nearly shocked him when I said, "The Be@tles." I guess he was thinking that someone of my age would declare some sort of rap or hip hop, but I wanted something comforting and listening to the Be@tles reminds me of jamming with my dad in the car, at the beach, working in the yard, washing the car, etc.

The MRI machine makes so much banging and clanging, glad the guy warned me, haha. 75 minutes later, I emerged from the tube and was freed. I sat up and it looked like I peed myself. I had sweated so much my entire back was wet. Gross.

I thanked the man and got dressed. He told me that the turn around time was 2 business days, but after explaining that my doctor was going away, and batting my baby blues at him, he promised that my results would be expedited and that the radiologist would have them read by noon on Friday. I left and called my mom, she was supportive, but no matter what she said, she couldn’t take away my angst and frustration. I went home, talked to M and G on the phone and went to sleep with a little help from my dear friend Ben A Dryl.

Despite the help from my the little friend Ben, I didn't sleep much. I called Dr. M's office at 9:30 Friday morning to get an appointment for later in the day. Well, well, well....the secretary certainly had something up her a$$. She was so rude and despite my calmly explaining the situation about how Dr.M had expressed that he wanted to see me before he left and how I was unsure about my activity restriction especially seeing as I am returning to work this weekend. She told me to email him and say it's urgent. I calmly told her that I already had emailed him and that he hadn't responded. She told me to do it again and that was the best she cold offer. WTF lady, would it kill you to give the man a phone message?
Don't get my wrong, I work in healthcare, I know that patients will say anything to see the doctor (oh the stories and lies I could recite to you) but even if he wouldn't see me, I really just wanted to speak to him. Instead of getting mad, that gets you no where, I calmly hung up and then burst into tears. I typed an email, request a return receipt, flagged it as urgent, put my phone number in it, and hit send. Too much? Maybe.
I ventured back down to the east village to visit my friend Colby and get my belly button ring put back in. I took the subway this time. and had to walk a few blocks, but it sure as hell beat the bus ride! To my surprise when I walked in and asked for Colby, he came out and immediately asked me how my test was. Nice guy, seriously. If you are ever in New York and find yourself in need of piercing or inking, please go visit Colby at ADORNED.
I got home and checked my email, this is what I found:

Hi Kel!
Nothing that hurts, no running, ok?
Best!
J^M

J***** ^. M**** MD
Sports Medicine
Hospital for $$
Phone (212) xxx-xxxx
Fax (212) xxx-xxxx


No Shit? You think ? So in the meantime, it's PT 3x/week, no running, no excess walking, no extra stairs, no non supportive shoes (are you kidding me? It's summer time!!)

Oh boy, time is going to crawl until July 10th.