The beginning of the end, or the end of the beginning

It’s been a pretty rough 14 months for me. I knew going in that worker’s comp cases are often long drawn out affairs, with an extra topping of frustration. I started out with a great rep who was very responsive to me and always answered my phoned and emailed questions, generally within a few hours. Then I was shuffled to a different rep who was also fairly good, and replied within a business day. After that, it went downhill. I had two reps after that who did not return calls or emails until I threatened to go directly to their supervisors. Finally, I was transferred to the Corona CA office, and I’ve had two reps in a row that have been overly nice and helpful. I finally feel like I’m getting somewhere on my case.

When Kurt was my rep, he was not only less useful than nipples on a boar, but he was terrible about making sure that my disability checks were sent on time. He turned down every therapy request with really stupid replies (one of which was that I’m not old enough to have arthritis yet – good to know) and was very bad at returning messages.

Since being transferred to the Corona office, I’ve been approved to see a pain specialist, who actually gave me a drug that not only helps with the pain, it also works as an appetite suppressant, which is wonderful for my waistline. The pain doctor wants to have me genetically tested to find out which medications will work best on me, and which to avoid. I’m hoping that request gets approved, because I’d really love to know.

One of the bad things about dealing with this knee issue is that I’ve become more withdrawn. I’ve always been moderately antisocial, but in the past year, I’ve hardly left the house at all unless it’s for work, doctor’s appointments, grocery shopping, and occasionally to a friend’s house to watch football. It’s just too much effort to go anywhere or do anything. I know that’s partially due to depression and feeling like no one will want to be around me because I’m so slow at getting around these days. I forced myself to get out of the house and took a nice drive up to the mountains yesterday and ended up meeting a friend I haven’t seen in 14 years.

I know I need to force myself to be more social. I have very few friends because I don’t like the normal things that people my age do. I’d rather read a book or crochet something. I need to create some goals for improving my life. I’m staring down the barrel at 40, and I feel more like I’m 80. I need to do some proverbial house cleaning and start doing things differently. Time to start writing up some lists.

Workers compensation sucks

I’m frustrated, angry, depressed, furious, but mostly just tired of it all. It’s been over a year now, and I have worse pain now than I did a year ago. My request for surgery was turned down, so now I have to get an independent medical review to see if it can be overturned. Until then, I just get to deal with the pain. It’s so bad right now that I’m resorting to crutches, which I hate, because I can’t put any weight on my right knee at all. It sends shooting pains up my leg, in addition to the “normal” pain where the condyles are crumbling and grinding against each other.

It’s really hard to stay positive when one is constantly in extreme pain, to the point where any tiny movement when I’m sleeping causes me to wake up in agony immediately. Needless to say, I haven’t gotten more than about 2-3 hours of sleep a night for the past two or three weeks. I was able to get an emergency appointment on Friday to see what, if anything, can be done. I highly doubt anything can be done at this point, until the independent review is completed. I think the best I can hope for is stronger medication and, unfortunately, being pulled out of work again. I emailed my new WC admin to ask about a stool for underneath my desk so I could rest it on something, and he hasn’t bothered to reply. I’m not sure why I expected any different.

All I can say is that they’re not going to out-stubborn me. If they want me to jump through hoops, I’ll jump through the damn hoops, but I’m fed up with being in pain all the time.

There is one distinct advantage to having chronic insomnia

Over the past few weeks, we’ve had some screwy weather around here. It’s been super hot and muggy more days than not, which means that personal productivity is slightly higher than a tortoise galloping through mud. However, since I’ve been dealing with nearly two weeks of insomnia this time around, I figured I’d put it to good use.

I’ve been spending a good portion of the evening, night, and early morning to clean and organize my house. It’s relatively cool, considering the nice breeze from the fan that’s blowing on me, so I just put on some music and get stuff done. In an ideal world, I’d like to have my room completely organized before my knee surgeries.

I knocked out a big chunk of my to do list today by doing some remodeling in my closet. I hung up a new clothes bar with a shelf over it, so that I have more room to store things, and I plan on adding some additional shelving in there as well. I’ve also dismantled part of the Elfa system that was in my room and reconfigured it to make it more user-friendly for me. By the time I’m done, I should have an actually functional room that will be easy to maintain and look a lot less messy.

I love the satisfaction of writing out lists of things I want to accomplish, and being able to check things off once they’re completed. I guess that’s the super-organized overachiever part of my personality. I don’t like when things are messy and I can’t find what I want. It drives me nuts. I’m also taking the time to do some more crocheting. Again, it is immensely satisfying to see the progress as I stitch together whatever the hell it is I’m making.

Yesterday (September 7) was the one year anniversary of trashing my knee, and I’m getting to the point where reading is getting boring. While I was out of work on full disability, I was reading an average of 600 pages a day, because I just wasn’t able to do anything more than go to the kitchen or bathroom, or to the doctor’s office or physical therapy. Slowly but surely, things are coming together. I’m still waiting on whether or not my surgeries will be approved; I plan on calling WC tomorrow (today?) and trying to get an answer from them. The new claim rep that has been assigned to me doesn’t have a direct phone number listed, and I can’t find him in the company directory when I try to call. If I can’t track him down, I’ll call my previous WC admin and see if she can get me his phone number. There are things I need to discuss with him in addition to trying to settle the surgery plans.

I’m just so ready to move on with my life now, so I can start the next chapter and see where it leads me. I feel like I’m walking up a down escalator. One step after another, with no forward progress in sight. Fortunately, I seem to be keeping the depression at bay for now, which is making things a lot easier for me. I still have just the edge of anxiety gnawing at my subconscious, but I’m doing my best to ignore it, and mostly succeeding. The not knowing what’s happening next is the hardest part of the whole situation.

For every high, there is a low

It seems that my life is a constant struggle to balance out my highs and lows to maintain some sort of “even” that I’m not actually sure exists. I have good days and bad days, and sometimes the bad days outnumber the good days, but sometimes the good days outnumber the bad days. I’ve found that when I’m at my lowest point, staying busy and cleaning or organizing helps my mood. There’s something very satisfying about fixing something that is broken AND fixable or organizing a space and seeing the improvement afterwards.

I took a huge emotional hit two weeks ago when I found out that I’m going to need at least two more surgeries on my right knee, which means that I’m stuck here in San Diego for a minimum of one, but more likely two, more years. Worst case scenario, it might be as long as four more years. I know it doesn’t make much sense to San Diegans as to why someone would want to leave this “perfect” place, but it has no emotional ties to me, aside from a few very good friends who live here. There are planes. I’m trying not to dwell on the fact that I’m stuck in a city I don’t like, that has emotionally been nothing but despair for me, and instead making long-term plans for how I am going to escape once it gets to that point. I’m also working on building up my credit while I have the opportunity to do so, so that when I do move, things will be easier. There is no way I’m leaving my beloved Morgan behind, which means renting a U-Haul with a car hauler, which means expensive.

I’m also starting the process of weaning away at stuff I don’t need. There are things in my storage unit that I haven’t even looked at since putting them in there. Aside from my books, that tells me that they’re not necessary to my life. In all honesty, if it weren’t for my books, I doubt I’d need anything except my clothes. Everything else can be replaced. It’s time for me to really start getting rid of the detritus in my life, so that I can concentrate on healing my knee and my life.

At least I’ve pulled myself out of the deep, dark hole I was in for three weeks, when every day was a struggle to just make it through to the end of the day. I’ll get through this.  I have before and I will again, and I’ll keep on getting through this every day, even if getting through just means pulling myself out of bed and hugging my cat.

I’m feeling a little bit topsy turvy

“If I had a world of my own, everything would be nonsense. Nothing would be what it is, because everything would be what it isn’t. And contrary wise, what is, it wouldn’t be. And what it wouldn’t be, it would. You see?”

 

I think my feeling of being “off” started on July 24th when I walked out to find my roof slashed on my car. Nothing was stolen, but it still felt very much like a personal violation. My car is very special to me. He symbolizes the grown up me who is supposed to be fun and spontaneous instead of dull and boring. I feel good when I sit in my car. I enjoy the attention I get when people comment on what a nice looking car he is. (It never extends to what a nice looking driver he has, but I’m quite okay with that)

Things started to get better once I was finally able to get to the claims adjuster to inspect the tear and get a check to pay for the new roof. I felt like I was finally making some progress. Then, the following Saturday, I suddenly lost fifth gear. Thankfully, I have a dual clutch transmission, and was able to utilize fifth gear by switching into manual mode. Once again, I fell into stress mode, worrying about what this was going to cost me to repair it, even with my super awesome bumper to bumper warranty. At this point I was looking at a $250 deductible for the roof, plus a minimum of $250 deductible on the transmission repair. Since I’m still on disability, this meant that I was going to have to save up for a very long time before I could get either repair done.

I returned to work on a modified schedule, working four hours a day. After the first two days, my knees hurt so badly that I could barely walk. I made an emergency appointment to see my surgeon’s PA and he cut me back to 3 hours a day to see if that would help. I’ve discovered that if I keep my legs elevated at work, they don’t hurt nearly as bad, but I’m still having to ice them for several hours when I get home.

My check arrived from State Farm and I called the auto upholsterer that was recommended by State Farm (and more importantly, but a very close friend of mine whose wife used the same company on her beloved Miata) and found out that the cost of the roof and labor was the exact amount of the check I was given. State Farm forgot to back out the $250 deductible that I was supposed to pay. Oops. I called them and asked, and they informed me that the check was correct, so I was went with it. I ordered my new roof . In the meantime, Morgan (my 350Z) decided that he was going to use fifth gear again, and hasn’t had any shifting problems since. I still want to get it checked out, but it’s not on the urgent list anymore.

Then I went to see my surgeon. He told me that he’s done all he can do with arthroscopic surgery, and the next thing to try is a procedure called “autologous cartilage replacement.” Basically, they do a quick arthroscopic procedure where they harvest some healthy cartilage and send it off to a lab to grow into a patch large enough to cover the two condyles on my tibia that are crumbling. Then, he’ll go in and do an open surgery to essentially sew the new cartilage onto the bone, where it should theoretically grow into healthy cartilage and be just like new. Finding out I need two more surgeries put me over the edge again and I spend a good portion of Monday crying and trying to wrap my brain around the fact that this means I’m stuck here in San Diego for at least the next two years, and possibly as many as four. I’m trying to stay optimistic and think of how wonderful it will be to not have pain and grinding/crunching in my knee every time it bends, but it’s hard to stay positive right now.

I did get my new roof on my car installed on Friday, and it looks very nice. It’s driving me a little nuts that I can’t lower the roof until tomorrow afternoon, because it needs to stretch properly so that I don’t have issues down the road, but that’s a minor inconvenience that I can live with. Also on Friday, I got a surprise visit with my son, as his father had some business to attend to here in town.

At this point, I’m so mentally turned around and upside down, I don’t even know what I’m feeling anymore. I’ve been having panic attacks again since finding out about the new surgeries and I have a pervasive feeling of anxiety that I just can’t get rid of. I try so hard to stay positive and always look on the bright side, but sometimes it’s just too hard. I feel like I’m bogged down; stuck in a city I hate, for the foreseeable future, and every time I try to make any plans to leave, something else comes up to hold me here longer. I should have never moved back. I haven’t been completely happy since returning, and I’m brokenheartedly homesick for the Carolinas. It’s getting to be time for the leaves to change color, and the air to turn brisk.

I feel like I’ve lost control of my life, and that I’m surviving on the whims of others. The depression is creeping back in, and so is the anxiety. No, they’re not the same thing. I’m trying to do the one coping mechanism that generally works for me, and that is taking control of one aspect of my life and setting it right. If I can control just one thing, then I know I’m not helpless. Inside, I’m still screaming though.

My week has been a bit of a roller coaster

Last week started out very low. Not only do I have depression (I personally hate the phrase “suffer from depression”), but I am also extremely empathetic, so the death of Robin Williams struck me very personally. For most of the week I was in a pretty deep funk, and it was hard to pull myself out again. Finally Friday rolled around, and with it came my measly little paycheck from only working 3 hours a day, five days a week. It doesn’t add up to very much. Fortunately, it was enough to provide just enough funds to be able to repair the slashed roof on my car. That put me into a better mood, even though it means waiting until next Friday before they can actually install said roof. It’s been nearly a month since it was sliced open; I can wait another few days. While I was wallowing in my misery, I was also feeling very alone, as my best friend and “other half” was out of town and I wasn’t able to talk with him daily like I normally do. He’s the one I depend on to cheer me up and remind me that things will get better.

Also on Friday, I had a conference call with the founder of the rescue group I volunteer for, to let me know that I’m ready to start interviewing potential adopters instead of just listening in and learning. I was extremely nervous about the idea, even though this is something that I wanted to do, because I had listened in on all of our senior counselors doing interviews and they all sound so professional and knowledgeable and I feel like I’m just struggling along, trying to remember everything I’m supposed to cover. Well, tonight, I made my first call to a prospective adopter and it went really well. I had one of the senior counselors listening in, and afterwards she told me that I did very well and didn’t seem nervous at all. Maybe the two bourbons I had before the call helped.

I’m hoping that my life smooths out a bit. I’m trying to make plans for the future, but it’s hard to do when I don’t know what’s going on with my knees. I’m just getting through one day at a time here.

Today is the final day of “Mental Health Awareness Month”

I’d written previously about how May was designated as the official “Mental Health Awareness Month” and how I felt that it should not be limited to just 31 days out of the year. I, of course, still feel that way. For those who have not been following my blog regularly, or have just started reading it recently, I’ll give a brief overview. I have two forms of depression: Borderline Personality Disorder and Major Depressive Disorder. I also suffer from panic attacks and anxiety. If you’d like to read more about any of these subjects, the NIMH website is a great place to start. It gives a detailed overview of the various types of depression, as well as a comprehensive explanation of what it all means.

Unfortunately, every person is different, and everyone’s presentation of mental illness and ability to cope will be different. I hide behind the walls I learned to put up after 6 years of drama school, and most people don’t realize I have any mental issues unless I intentionally share them. I’m trying to share them more now, to try to lessen the stigma of what it’s like to have mental illness. Most people think that the mentally ill are those homeless people who stagger around mumbling to themselves and panhandling. A great many of them are, but only because they haven’t had the opportunities I’ve had to seek help. I have had two excellent doctors who have helped me tremendously with finding the right course of medication that helps control my depression and allows me to live like a “normal” person most days.

I go through cycles where everything will be going great, and then some little thing will go wrong and I spiral down into depression. Lately, it’s been my knee issue. I feel like I’m taking two steps forward and one step back on a regular basis, except for those times when I’m only taking one step forward and two steps back. I deal with a lot of pain in my day to day life because of the bone spur in my C5 vertebra that is pressing against the nerves and causing a “migraine” that has been with me every single day since about April of 2006. Thankfully, I have an extremely high tolerance for pain, as I’m opiate resistant, so narcotics don’t help me at all.

At one point, I thought that I might be bi-polar, because I’d go through such intense mood swings, but I never truly hit mania and I never fit the other symptoms, according to my doctor. It’s just the regular cycle of depression. You start out okay, and then something triggers it and down the drain you go. Eventually, you fight your way back out of it and live normally for a while, and then you start the process all over again.

I don’t claim to be an expert on depression of any kind. I only know my own. I worry that my son will follow in my footsteps, so to speak, so I’m happy that he lives with his dad, who is a more stable individual. A person whom I consider to be a very good friend of mine wrote online today that she can’t take it anymore and felt completely unloved. I know it is the depression talking, and I sincerely hope that those who are (physically and mentally) closer to her can help her get through this. I know she is deserving of love, and I love her dearly, as do many of our friends. It’s so hard though, when the depression is lying to you and telling you you’re not good enough, or not pretty enough, or thin enough, or not deserving of love, because you are. Depression lies. It lies to you constantly and makes you doubt your own feelings until you don’t know if what you feel is true or if it’s just your illness making you feel that way.

Earlier this week I had a severe mental breakdown because I felt that my knee wasn’t getting any better and that I was going to have to live with yet another permanent pain in my life. I allowed myself to cry for a day and feel sorry for myself, and then I talked myself into believing that everything happens within its own time, and that I just have to be patient and let myself heal at whatever speed that is. I know I push myself too hard, and that’s one of my weaknesses. Unfortunately, pushing myself too hard on a newly operated knee can result in causing more damage than good, so I’ve had to go back to being a lazy lump with an ice pack  and elevation to try to get the swelling down, and to not walk any more than possible. I hate it though, because I’m not the type of person who can just sit around and do nothing all day. There’s only so much reading or crocheting I can do before I go batty.

 

Waking up to sad news is never a good thing

Maya Angelou passed away this morning. I didn’t know her, except through her writing, but she always felt like a friend to me. I can’t say that I know what it’s like to grow up dirt poor as a black girl in the south during the heart of the civil rights movement, but she made it come alive for me in a way that other writers never could. Maybe because there were so many incidences that we both shared in our lives; it made me feel less lonely. I will miss her voice.

This entire past week has been a rough one for me. I’ve slipped back into my depression, but I’m fighting hard. One of my Pandora stations is a country station that I’ve put together, which is limited to songs that were released prior to 2006 (with a few exceptions), because that’s when I stopped listening to country for the most part. It started to get too personal. I like relating to my music, but I don’t want it telling my life story. A few days ago, I made the mistake of tuning in to that particular station, and a string of songs came on that reminded me of happier times, when I had fewer worries, I still enjoyed life and spending time with my best friend, and my life hadn’t yet unraveled.

I don’t know how other people react, but when a song reminds me of a happier time, and I know I’ll never have that moment again, it puts me in a sad mood. So basically, the entire theme of my week is one of sadness. I’m trying to break out of it and trying to find my inner peace and happiness again, but it’s been rough.

On Friday afternoon, just before my surgeon’s office closed, one of my incisions reopened after having the stitch removed the previous morning. I did what any sensible gear-head/field doctor would do and re-sealed it with super glue until I was able to get in to see my doctor yesterday. He’s not concerned about it, except that it’s going to leave a scar. Honestly, what’s one more scar to add to the hundreds I already have?

I’m trying to decide on a tattoo for my right arm to camouflage many of the scars on that arm. I’m thinking of a climbing rose, to honor my paternal grandmother, as my orchid honors my maternal grandparents. I’m not sure yet, so it won’t be happening any time soon. It will definitely be flowers of some kind. I’d like it to be bright and colorful, so maybe just wildflowers. I’m in no hurry, and it’s best to not get something permanent done while depressed anyway.

My surgical update

I would have posted sooner, but I had to make sure I had it straight in my head first.

This past Wednesday, I finally went in for my long awaited knee surgery. I had been assured over & over again that it’s just a simple procedure & that I’d be up and running around again in no time. I wish it was that easy.

The problem with exploratory surgery is that you never really know what you’re going to find until you get in there and get a good look around.

The good news is that, while I definitely have thinning of the cartilage in my knee, it wasn’t ruptured or torn at all. The bad news is that the condyle head of my tibia (that’s the knobby part at the end of the bones) has suffered extensive wear and deterioration. To put it simply, at 39, I have the knees of a 60 year old.

The doctor did his best to scrape it clean and clear up the mess, but if that doesn’t stimulate new cartilage growth to replace what I’ve lost, I’m looking at a much more invasive surgery, perhaps even going as far as a total knee replacement. Obviously, this is not what I wanted to hear.

I wanted it to be nice & simple, with a fast turnaround time, so I could get on with my life. It doesn’t look like that’s the case here.

I’m trying really hard to be optimistic here, but it’s not easy. It seems like every time I try to make plans to improve my life, my body just laughs at me & something else breaks. At least I have my empathetic cat, who can always tell when I’m having an especially rough day & he comes to comfort me. Too bad I don’t have a man in my life who is that selfless.

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Time is fluid, kind of like cats

Anyone who knows anything about cats know that they are made of liquid. They melt to fit inside any size or shape of vessel, just like water.

Time is also fluid. I know it it’s an artificial construct to provide more stability & accountability so things get done when they need to.

For the past three weeks, people have been commenting on how quickly my surgery is coming up. It’s just over a week away now. That does make it seem like it’s gone really quickly, but I first injured it on September 7th. That means it’s actually 8 months & 7 days to get to the point of surgery.

The closer it gets, the more I stress over it. I tell myself that it’s minor surgery and nothing to worry about and myself laughs at me. To me, it’s major surgery because it’s my body he’s cutting into. Fortunately, I trust my surgeon. I know this next week is going to just fly by as I make preparations for post-surgical care. I also have to make sure Morgan gets a good bath and waxing, because it may be a while before I can do that again.

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