Thursday Progress 9/21

Last night I slept from about 9:30 until about 3. I laid flat on my back and could not turn onto either side. I got very uncomfortable being in that same position and so was awake from 3 am onward. Finally I got out of bed at 5 am and into the shower.

I was able to get out of bed on my own and made it to the shower with the walker. It took several minutes for the journey.

I also awoke with a sinus headache around my left eye orbit. With breakfast, which consisted of grape nuts trail mix and cheerios, I took a sudafed cold and sinus. All in all I felt achy and stuffy headed. I was also very fatigued. Around 8 am I decided to call in sick to work and notified them.

I laid on the couch and watched a DVD TV show and napped for a few minutes. Then we had lunch with Caroline.

At 12:45 pm I had an appointment with Dr Mahdav Karunakar, an orthopedist at CMC orthopedics. Due to an incompetent nurse, we sat in the lobby for 45 minutes while she searched for my chart. Once we informed her that I was a new patient, as I had already done on the phone, we got in shortly.

The main order of business was updating my xrays. They shot three angles from above, head on, and below. Each one showed the same things; three clear breaks of the pubis, ilia, and ischial bones. The doctor explained each xray and clarified the locations of each break. He indicated the breaks were complete lateral fractures and not merely longitudinal cracks or fissures.

The xray nurse told me they get about 3 of those types of fractures per month and that she can tell from the patient's faces that they are very painful.

Lastly, they set me up with a pair of crutches which I can use depending on how things feel. The crutches allow more manueverability around tight places in the house. They are more painful to use on long walks. I don't think I'm any faster on them compared to the walker.

All of the walking within CMC made my fatigued. As I get tired, the area under the pelvis gets very tight. I think it is due to the ligaments, etc. being stressed from doing the job normally done by the bones.

In summary, I did not aggravate the injuries the other day by walking. The doctor encouraged as much movement as possible. He did confirm the 3 breaks are still visible and that it would be several weeks before the healing is complete.

I got extremely tired from all of the activity and went to bed by around 10.

Wednesday 9/19, Morning report

Could not get out of bed this morning. It feels like something has changed in my back. Sort of near where the pelvis meets the sacrum. It also hurt on the outside of my left thigh. I was unable to hook my legs together, swing them off the bed and stand up. After taking 2 Lortabs, stretching and warming up for about an hour, I was finally able to get my legs off and stand up.

Walking with the walker was more painful than yesterday. Perhaps I walked too much yesterday.

The orthopedist at the hospital told me to make an appointment for a 1 week checkup. I will call them today to see if I can come in early.

The leg is still kind of numb/sore deep inside when sitting at my desk.

Tuesday 9/18

Today I think I took a step back. My lower back on the left side is starting to hurt. It feels as if something has shifted where my pelvis connects to my sacrum.

Walking seems a little more difficult today. I was having stomach problems which I suspect were caused by . Instead of taking 2 per dose I went down to one per dose. Consequently, I felt more pain. It was interesting to get a sense of how much pain there is in the absence of any painkillers. The answer is quite a bit.

I woke up around 3 am and could not get back to sleep. I ended up going to watch TV around 5 until 7 ish. Getting out of bed required laying back, supporting my bad leg with the good, and swinging both over the side of the bed simultaneously. Then I stand upright using the walker.

I took a shower today. The first one since Thursday. Elizabeth had to help me get over the tub side. I used the walker to get alongside the tub then braced myself against the walls for stability. Getting out of the tub was the same in reverse. I was only able to dry off my top half. Elizabeth had to dry my legs.

She also had to assist me with putting on my underwear, shorts, socks and shoes.

Monday 9/17

I woke up around 5-ish out of habit. Didn't get up until 6-ish. Getting up was still painful but I managed to do it on my own in a few minutes. I used the walker for support as I stood up and walked down the hall.

I sat on the padded stool in the kitchen which was a little painful. My left leg is still sore inside and on the back.

Elizabeth noticed that the veins on the back side of my knee seem to be more pronounced. She made an appointment with my family physician, Dr. Hoben, so that he could examine them.

I took at around 11 am then took another "sink shower" and washed my hair and shaved. I'm starting to feel human again.

I was able to walk with almost a normal type stride with the walker today. I still have a lot of pain getting up and sitting down though.

I missed work today and am juggling my upcoming appointments. I cancelled my flight to St Louis and Kansas City that were scheduled for this week.

I saw Dr hoben around 5 pm. He was concerned about the appearance of swelling and recommended an ultrasound immediately. We were able to be worked in to the radiology dept at Presbyterian Main.

The ultrasound came back negative for any blockages and we were sent home. He prescribed as an alternative to . was causing stomach distress.

The rest of the evening was uneventful. I was very tired by 9 pm and went to bed around 9:30.

Today's Progress

Let's see, what have I done so far today. Well, last night was OK actually. My first night at home in my own bed. I was able to sponge down and change clothes before bed. Elizabeth had to help me undress. I stood at the bathroom sink and used a washcloth.

I was able to wrap myself with a towel and get to the bed. Elizabeth had to help me put on my underwear and get into bed. The method that works best seems to be:

a.) use the walker to get perpendicular to the bed.
b.) sit down on the edge of the bed.
c.) lay back straight out
d.) hook my good leg under my bad left leg and lift up.
e.) swing both legs up onto the bed.
f.) inch my way into a comfortable position.

It is still very painful getting into bed. The most pain happens when my legs spread apart at all.

Walking around the house last night wasn't too bad. I still had to walk one step at a time; advancing the walker then stepping forward with the bad leg, then good leg. It is very slow also.

I slept from 10-ish until about 1-ish when I woke up and had to urinate. Rather than a slow painful trip to the bathroom I used the bottle from the hospital. I was able to fall back asleep until about 3 am when Mary Elizabeth came in feeling sick. After that I was unable to relax and resume sleeping.

Ironically, the baby slept all night without interruption.

2nd night, 3rd day in hospital

Last night I slept much better than the first night. I still have a lot of trouble getting in and out of bed. My left leg and hip are very painful when pressed on the edge of the bed. Once I am able to stand with my walker and can fully extend my leg, it feels a little better.

The pain feels like it is coming from my inner thigh towards the rear. It feels like soft tissue soreness lying down. When I move it hurts at certain points during the movement.

I was able to have a BM around 11 am for the first time since Thursday. One of the side effects of LORTAB is apparently constipation. I should be good for the rest of the day though.

I'm starting to wonder about being compensated for my pain and suffering, as well as the inconvenience to my family. Not to mention the impact on my job. I think I'll be unable to travel on planes for at least a few weeks. I don't want to take unfair advantage of the driver's insurance but on the other hand she was legitimately wrong for passing me and then turning across my path. If I was a car she would not have done that. I am so tired of drivers treating cyclists like inconveniences.

2nd day in hospital

This morning was very busy with nurses running in and out of my room seemingly every 15 minutes. They're been checking my vital signs every few hours.

At 4 am a nurse came in to draw blood for a CBC

I was told I don't appear to have any symptoms of internal bleeding.

A PT, Jim, came in around 8 am. He showed me how to get out of bed and stand up with the aid of crutches. He ended up setting me up with a walker instead of crutches.