We really did have a lovely Sunday evening, and Mojo and I had a nice time together after the kiddos went to bed early (finally!) so I was on track for a pretty damn good weekend when some time around 1:20 a.m. I must have rolled the wrong way and managed to yank on the big nerve that's caught up in my arthritic left hipjoint.
Here's the thing; I've lost about 20-30 pounds - I'm as lean and fit as I've been in years - but that doesn't seem to make a lick of difference. My hips, both hips, now, are utterly wrecked, and they both contribute a degree of discomfort unlike anything I've ever experienced.
Doc Le has provided some pretty effective pain pills, but whatever this sciatic nerve thing is that is going on in my left leg cuts through them effortlessly. I rolled out of the bed and took one at 1:20 and then spent the rest of the night trying to get back to sleep without success. There was just no way to lie or sit without pain.
Finally at 5:30 I went out to the couch and got about an hour of sleep in a sort of semi-sitting position. But had to get up to go to work, so to say I'm working on some pretty decent sleep-debt is putting it mildly.
And the thing is all the sources I've read suggest that this - if it is some sort of sciatic-nerve compression related to the arthritic degeneration of my lower back and hip - has very poor resolution regardless of the type of intervention. Apparently surgery has better results in the short run but by 3-5 years is no better than PT, chiro, massage, or just drugging yourself stupid.
Again, I'm trying not to whine. But it's hellishly frustrating to have depended on my body to do what I told it to for fifty years and have it suddenly quit on me.
I think I'll go have a drink now, thanks.
Showing posts with label medical issues. Show all posts
Showing posts with label medical issues. Show all posts
Monday, December 19, 2011
Friday, December 16, 2011
An Open Letter to SEN Wyden
My dear Senator;
I'm dreadfully afraid to hear that you appear to have been drinking heavily. At least, I hope that is the reason your name appeared in the Oregonian coupled with SEN Ryan in some sort of scheme to "reform" Medicare.
Because if you ARE compos mentis I find this hard to explain. We elected you based on what we understood as your liberal principles, which include a belief that one cardinal purpose for which governments are instituted among Men is to aid those who are in difficulty. Which is, still, the principle behind such programs as Medicare.
Now given that SEN Ryan has made much of his belief that government has no such brief, and that his so-called "plan" consisted of a thinly-veiled attempt to "reform" Medicare into largesse for private insurers, I find it appalling that I find your name, a name I respected as a doughty fighter for liberal values, lending respectability to the latest Ryan scheme. If not inspired by ethanol I hope, at least, that you are attempting to infiltrate the enemy camp in order to dynamite their supplies. Given the extent to which the GOP and SEN Ryan have gone over to the raze-the-New-Deal-social-contract I can find no other rational explanation for the news of this arrangement.
Sent in hopes that with the dawn sobriety and a cold drink of water will find you abjuring the Gilded Age fantasies of SEN Ryan and a return to the bedrock principles of liberalism that have served our country so well since the days of FDR.
Yours concernedly,
John L. Lawes
Update 12/16: (Basilbeast has corrected my error: the GOP fathead-in-question is a Congressman, so I was incorrect in not identifying him as "REP" Ryan. I leave the original missive as I sent it, however, and can only suspect that the amount of drink I had taken upon reading of my Senator's betrayal affected my own judgment.)
Update 12/17: Krugman, predictably, says the same thing only better.
I'm dreadfully afraid to hear that you appear to have been drinking heavily. At least, I hope that is the reason your name appeared in the Oregonian coupled with SEN Ryan in some sort of scheme to "reform" Medicare.
Because if you ARE compos mentis I find this hard to explain. We elected you based on what we understood as your liberal principles, which include a belief that one cardinal purpose for which governments are instituted among Men is to aid those who are in difficulty. Which is, still, the principle behind such programs as Medicare.
Now given that SEN Ryan has made much of his belief that government has no such brief, and that his so-called "plan" consisted of a thinly-veiled attempt to "reform" Medicare into largesse for private insurers, I find it appalling that I find your name, a name I respected as a doughty fighter for liberal values, lending respectability to the latest Ryan scheme. If not inspired by ethanol I hope, at least, that you are attempting to infiltrate the enemy camp in order to dynamite their supplies. Given the extent to which the GOP and SEN Ryan have gone over to the raze-the-New-Deal-social-contract I can find no other rational explanation for the news of this arrangement.
Sent in hopes that with the dawn sobriety and a cold drink of water will find you abjuring the Gilded Age fantasies of SEN Ryan and a return to the bedrock principles of liberalism that have served our country so well since the days of FDR.
Yours concernedly,
John L. Lawes
Update 12/16: (Basilbeast has corrected my error: the GOP fathead-in-question is a Congressman, so I was incorrect in not identifying him as "REP" Ryan. I leave the original missive as I sent it, however, and can only suspect that the amount of drink I had taken upon reading of my Senator's betrayal affected my own judgment.)
Update 12/17: Krugman, predictably, says the same thing only better.
Monday, August 15, 2011
No, I don't want a little cheese...
Can you believe the summer is almost over?
Me, neither.
Part of it is because it's been crazy busy. And another is because it arrived late, so it only seems like we've had an actual month or so of summer.
It's been strange, too, in that although I don't get the sense that my company is all that busy in terms of actual work coming through the door (we're still taking really small crappy jobs we would have passed on, for one thing) but I've been working crazy hours. Out at five, back at nine, that sort of thing. Lots of dirt-nannying, which pays great but can be absolutely insane. Let me give you an example.
We have a job in downtown Portland doing a four-story building (so the foundation loads are fairly respectable) and the site is a typical inner-urban Portland city block, meaning that it's been built and re-built over the past 100 years and most of the crap that came from the buildings that were demolished earlier was just hucked into whatever convenient hole the laborers could find. So there's anywhere from two to about seven or eight feet of really nasty fill on the top. Brick, concrete, glass, dimension lumber, fly ash, charcoal...you name it, it's in there. Plus the stuff has a nasty habit of hiding open voids underneath a veneer of soil, a perfect footing-trap designed to produce ugly post-construction settlement.
We found all this junk when we did the soil investigation and my engineer, not surprisingly, recommended that the contractor hog it all out and build on the native.
The contractor, also not surprisingly, is being pushed by the owner to minimize the overexcavation, so his superintendent is trying to cut back on the amount of this jumky fill we take out.
Completely unsurprisingly this leads to a certain tension between the general contractor and me, even though we both supposedly work for the owner.
So the other day the excavator dug out one of the foundation footings and there in the bottom of the hole, sticking out of what otherwise would be native-soil-looking yellow silt, is a head-sized chunk of asphalt. Unmistakeable, just-pried-out-of-your-driveway asphalt.
The super sort of looks sideways at it and says in as confident a tone as he can manage;
"That looks like native soil to me."
I actually think I goggled at him; I know I must have had en exceptionally odd look on my face.
"Well, in that case." I replied, "we're going to have to completely revise our estimate on when early humans started using asphalt paving..." He had the decency to look ashamed.
We dug it out. And the other three feet of assorted brick, lumber, fly ash, china plates, glass bottles and assorted shit that somebody had pushed into a hole back in 1946.
Honestly! I may have been born at night, but I wasn't born LAST night. I wasn't sure who to be more embarassed for, him for trying me on or me for looking foolish enough to make him think he could try that on me.
What else?
We had a nice visit from the in-laws in July, who got their fill of their grandkiddos and, I suspect, perhaps a little more than their fill. Our house is barely large enough for us four, so when the grands turn up they usually find a hotel or motel, but this was a month and the cost would have been ridiculous. So Mojo found them a rental place up near Kenton. And the sad truth is that it is nicer than our home. The kids loved the hot tub; I liked having the hot tub to entice the kids to stay with the grandparents.
We did get to stay over there a few nights. Any more and I'd have been too tempted to ask the landlord for a straight-up swap.
There's been a little bleakness, as there always is in any sort of life. Mojo's employment is getting precarious, and we're looking at various ideas for post-gas-company paycheck days. And something's going wrong with my hip.
I don't want to sound dramatic about this. I've spent a lifetime abusing my legs. I was born with something called patellar subluxation, in which your kneecaps are canted outwards rather than sit straight on the front of your legs.
The old orthopod I went to see ten years ago when they finally began to hurt enough to slow me below the minimum time for the APFT run told me that as a draft board physician in the Sixties he wouldn't have let me within a rifle's length of the infantry for the very reason I was seeing him that day. Plus I played ten years of soccer and twenty years of squash on them, not a very healthy idea for malformed kneecaps.
So over the past five years or so my run has degenerated a sort of an angry, jerky shuffle, and when I kicked the soccer ball about with my little guy it was with the painful knowledge that I would regret the playtime later.
The ortho had a very sensible attitude about my knees.
"The two options for you are a replacement or a repositioning surgery that has a high incidence of subsequent failure. The replacement will work, but if you have it today (and I was in my forties at the time) you'll need another in twenty years, and rehabilitating a bilateral knee replacement at sixty won't be much fun. If you wait until you're fifty or sixty the technology will have improved enough that they'll last long enough for you to take them with you to the grave."
So I've put off the knee replacements and, shy a few days where too much exercise ballooned them up and required an icebag and an acewrap, have never regretted it.
But this past autumn my right hip started binding up on me. At first that's all it was; just the loss of range of motion. I had a hard time trimming my toenails, or getting my foot into my skiboots. And I noticed a dragging sort of weakness when I wore my work boots; it was like my right leg had about half the strength of my left.
I assumed that it had something to do with my knee problems, and I would knock down some Motrin when it got bad, and in a day or so of light work it would go away.
But at some point this winter it stopped leaving.
Now it hurts, in some form or another, all the time. It varies from a dull ache to a biting little stab when I turn my leg the wrong way. I have developed a visible limp, and whatever's wrong with the hip joint causes me to walk in some off-kilter way that puts strain on the right knee, which has noticeably worsened, and on the muscles of my right upper leg and butt. By the time I come home from work they're hard as an iron bar and ache like a sunofabitch.
I really hate talking about this. It doesn't do any good, for one thing, and it sounds like I'm whining and asking for sympathy, for the other. And I'm not, really; this is just a thing. It's not leukemia, it's not COPD, it's not a brain injury. It's just pain, and people live with pain all the time. It's not crippling, and I go to see another orthopedist in a week that will tell me that I need to either get opened up so that they can remove the arthritic calcium or whatever is marring the hip joint can be scraped off, or I will need a hip replacement.
And that's fine. I don't like either the surgery or the rehabilitation afterwards, but if it means that I can walk again without pain? That's a good thing.
I just thought I should mention it, being as that it is sort of hard to escape. Chronic pain, like a hanging, concentrates the mind wonderfully - but only on the pain. And I have a fairly high threshold of pain; I can't imagine what this is like for people who cringe at papercuts.
So...am I whining? Maybe so.
But it's a fine whine, and I like to think I served it up in an pretty glass.
Part of it is because it's been crazy busy. And another is because it arrived late, so it only seems like we've had an actual month or so of summer.
We have a job in downtown Portland doing a four-story building (so the foundation loads are fairly respectable) and the site is a typical inner-urban Portland city block, meaning that it's been built and re-built over the past 100 years and most of the crap that came from the buildings that were demolished earlier was just hucked into whatever convenient hole the laborers could find. So there's anywhere from two to about seven or eight feet of really nasty fill on the top. Brick, concrete, glass, dimension lumber, fly ash, charcoal...you name it, it's in there. Plus the stuff has a nasty habit of hiding open voids underneath a veneer of soil, a perfect footing-trap designed to produce ugly post-construction settlement.
The contractor, also not surprisingly, is being pushed by the owner to minimize the overexcavation, so his superintendent is trying to cut back on the amount of this jumky fill we take out.
Completely unsurprisingly this leads to a certain tension between the general contractor and me, even though we both supposedly work for the owner.
The super sort of looks sideways at it and says in as confident a tone as he can manage;
"That looks like native soil to me."
I actually think I goggled at him; I know I must have had en exceptionally odd look on my face.
"Well, in that case." I replied, "we're going to have to completely revise our estimate on when early humans started using asphalt paving..." He had the decency to look ashamed.
We dug it out. And the other three feet of assorted brick, lumber, fly ash, china plates, glass bottles and assorted shit that somebody had pushed into a hole back in 1946.
Honestly! I may have been born at night, but I wasn't born LAST night. I wasn't sure who to be more embarassed for, him for trying me on or me for looking foolish enough to make him think he could try that on me.
We had a nice visit from the in-laws in July, who got their fill of their grandkiddos and, I suspect, perhaps a little more than their fill. Our house is barely large enough for us four, so when the grands turn up they usually find a hotel or motel, but this was a month and the cost would have been ridiculous. So Mojo found them a rental place up near Kenton. And the sad truth is that it is nicer than our home. The kids loved the hot tub; I liked having the hot tub to entice the kids to stay with the grandparents.
We did get to stay over there a few nights. Any more and I'd have been too tempted to ask the landlord for a straight-up swap.
I don't want to sound dramatic about this. I've spent a lifetime abusing my legs. I was born with something called patellar subluxation, in which your kneecaps are canted outwards rather than sit straight on the front of your legs.

The old orthopod I went to see ten years ago when they finally began to hurt enough to slow me below the minimum time for the APFT run told me that as a draft board physician in the Sixties he wouldn't have let me within a rifle's length of the infantry for the very reason I was seeing him that day. Plus I played ten years of soccer and twenty years of squash on them, not a very healthy idea for malformed kneecaps.
So over the past five years or so my run has degenerated a sort of an angry, jerky shuffle, and when I kicked the soccer ball about with my little guy it was with the painful knowledge that I would regret the playtime later.
The ortho had a very sensible attitude about my knees.
"The two options for you are a replacement or a repositioning surgery that has a high incidence of subsequent failure. The replacement will work, but if you have it today (and I was in my forties at the time) you'll need another in twenty years, and rehabilitating a bilateral knee replacement at sixty won't be much fun. If you wait until you're fifty or sixty the technology will have improved enough that they'll last long enough for you to take them with you to the grave."
So I've put off the knee replacements and, shy a few days where too much exercise ballooned them up and required an icebag and an acewrap, have never regretted it.
But this past autumn my right hip started binding up on me. At first that's all it was; just the loss of range of motion. I had a hard time trimming my toenails, or getting my foot into my skiboots. And I noticed a dragging sort of weakness when I wore my work boots; it was like my right leg had about half the strength of my left.

I assumed that it had something to do with my knee problems, and I would knock down some Motrin when it got bad, and in a day or so of light work it would go away.
But at some point this winter it stopped leaving.
Now it hurts, in some form or another, all the time. It varies from a dull ache to a biting little stab when I turn my leg the wrong way. I have developed a visible limp, and whatever's wrong with the hip joint causes me to walk in some off-kilter way that puts strain on the right knee, which has noticeably worsened, and on the muscles of my right upper leg and butt. By the time I come home from work they're hard as an iron bar and ache like a sunofabitch.
I really hate talking about this. It doesn't do any good, for one thing, and it sounds like I'm whining and asking for sympathy, for the other. And I'm not, really; this is just a thing. It's not leukemia, it's not COPD, it's not a brain injury. It's just pain, and people live with pain all the time. It's not crippling, and I go to see another orthopedist in a week that will tell me that I need to either get opened up so that they can remove the arthritic calcium or whatever is marring the hip joint can be scraped off, or I will need a hip replacement.
I just thought I should mention it, being as that it is sort of hard to escape. Chronic pain, like a hanging, concentrates the mind wonderfully - but only on the pain. And I have a fairly high threshold of pain; I can't imagine what this is like for people who cringe at papercuts.
So...am I whining? Maybe so.
But it's a fine whine, and I like to think I served it up in an pretty glass.
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