Tuesday, February 12, 2008

Are we really almost halfway through February already?


Boy, time flies! I can hardly believe we're already almost to Valentine's Day.

I can promise you that the reason I haven't posted (and that Anne hasn't posted) in a couple months is that we've been SUPER busy. Just to catch you up briefly, since I posted my last note back in December, we've:

Had our first Christmas in London:




Gone ice skating at the Natural History Museum on New Year's Day. We had fun, though it was much more fun when we figured out that Chase could be entertained better by counting how many people on the rink fell down than by actually skating.
Isabelle & Chase started school the first week of January. We were lucky enough that a spot opened up for both of them at the same school. Anne takes both children to school every morning and picks them up every afternoon, which is fine when the weather's good because it means that both children can ride their bikes. But if it happens to rain (which is like almost every day), that means no bikes, and the tubes and busses are much more likley to be overcrowded.
In mid-January, we traveled to Florida for Mark & Katie's wedding and then a week-long Caribbean cruise with the whole family:

We all had a great time and I'm sure Anne will include several photos in her posting as well, so I don't want to spoil any surprises...

Hopefully, I'll put together some posts in the next few days on one or more of the following:
1) Presidential campaigning in the States
2) Details on some of the beautiful weather we've been enjoying here in London lately
3) Thoughts on President Hickley's passing
Anyway, Anne will also be posting soon, so keep an eye on her blog as well (see link at right). I'll try to post more in the coming few days...

Wednesday, December 05, 2007

I know what I want for Christmas this year

So I think I've found what I want for Christmas this year. Check out this awesome pirate ship from Hamley's (famous toy store in London):


This Giant Pirate Ship Will take your breath away

Our hand-crafted large pirate ship will take your breath away and for children it is the chance to be Captain Jack Sparrow in battle against enemy pirates on the high seas. It truly is the ultimate in themed play.

Ideal for outdoor play the ship includes upper and lower decks, anti-slip decking, fore and aft cabins with windows and cannons. With a solid brass bell, personalised brass plaque, Jolly Roger and ships wheel the high seas were never this much fun!

Dimensions: (H) 5.9 x (W)2.2 x (L) 7.5 metres.

UK Mainland Delivery only.

All that for only £28,000! - At that price, it won't just take your breath away...it'll take a good chunk of your salary as well!

As for where to ship it...well, that's still up in the air. We've received word that our household goods have cleared customs, but we're still a bit in limbo as to the final paperwork on our flat. More details as they are available...

Saturday, November 24, 2007

Thanksgiving weekend

I don't think it dawned on me that we wouldn't be celebrating Thanksgiving this year like we normally do until probably Wednesday evening, when I was thinking of how most of my friends back home would be heading home for a nice four day weekend with the family and I was just getting ready for another day of work. Oh well...I do get more vacation days now that I'm a UK employee, so I suppose if I had realized it earlier, we could have made our own Thanksgiving weekend. As it was, though, I've had a pretty busy week at work and we're looking forward to getting into our own place and having our own stuff arrive (rather than corporate housing with rented furniture), so we'll have a belated Thanksgiving dinner when we're in our own place.

Speaking of which, our housing search has been successful and we're in the final stages of getting a lease signed on a nice place in Chiswick. It is a converted flat on the ground floor of a Victorian terraced home that has access to a nice sized garden in the back yard. A realtor in the States would probably list it as "charming" (if you've read Freakonomics, you know what I mean by that). It has a lot of personality and we're excited to move in and get settled. I'm posting a few pictures below...

This is a picture of the front of the house:



Here's the garden, as viewed from the kitchen window:

This is the main reception area (don't worry, we're not keeping the white furniture...we know better with two children):


Here's the kitchen, which is a pretty good size compared with several other places we looked at.




Finally, the children have been learning their Articles of Faith in Primary this year, but we decided as a family that we wanted to learn them together as well. They have really impressed us with how quickly and how well they are able to memorize, and it has been helpful to have discussions about what the words mean as we learn each new one.

Enjoy!



(hopefully my experimentation with YouTube works...let me know if you can't see the videos)

Monday, November 12, 2007

Have we found a place to live?

Hey everyone (or...all three or four of you who read this blog),

Anne and the children arrived safely in the UK last Thursday evening. I was able to meet them at the airport and we took a cab back in to the city, where I had just checked in to a corporate apartment earlier that evening. We'll be staying there for about a month while we find a place to live and hopefully will have our stuff arrive in time for us to avoid having to pay for extra time or sleep on the floor!

We wasted no time in looking for a place and spent all day Friday out with an estate agent (British for "realtor") who took us to something like 15 different properties in one day. Luckily, we were able to find someone from church willing to watch the children even though they had only briefly met us back when we were here in August.

We think we found a few properties we liked, including one that we put an offer on today (Monday). It will likely be a few days before we hear back, so until then, we're going to keep looking.

We'll post pictures of the house once we have some firm idea whether or not we'll get the house so everyone can see. We actually saw the house twice, once with our estate agent and once again the next day with only the listing agent. We took the children back by the house to get their thoughts - they really liked it, and as luck would have it, there is another family from the ward who live right across the street, so they invited us over for lunch after we had seen the house. They have four children and are also from the States, so that would be fun to live that close to another family in the ward.

Isabelle and Chase were asked to participate in the Primary program yesterday. Chase backed out at the last minute, but he did stand and sing all the songs from his seat with us. Isabelle not only agreed to sit on the stand and help with the singing, but she was also given a part to read, which she did very well, especially considering she had never seen that particular part before.

Chase did something funny last night. I had some work to do and Anne was taking a nap to catch up on some jet lag and to try to get over the cold she's been fighting off for several days. While she was sleeping, I set the children up to call Deedee and Grandpa. While on the phone, they spoke to their Uncle Mark and Chase explained that he had a "cough due to a cold." Apparently, Mark was confused by this, and he asked Chase "What's a cough due to a cold?" whereupon Chase turned to me and asked "Daddy, what's a cough do to a cold?" When I told him I wasn't sure what he was talking about, he then told Mark "He doesn't know what a cough does to a cold...)

Anyway, funny story and thought it worth writing down...

Wednesday, November 07, 2007

Moving update

Anne & the kids arrive in London tomorrow! We're all pretty excited.

They've had a great time in NJ visiting friends and attending church where we lived from 1996 to 2003. It seems like such a long time since we've lived there and it is a bit hard to believe that both kids were born there, now that we've lived in three (and now four) other places since then.

They all went to the American Girl store and the Build-a-Bear workshop in NYC today. They also went to Toys-R-Us. Isabelle got a cat for her American Girl doll and Chase got a Teenage Mutant Ninja Turtle and a "bad guy" to play with ("so they can fight each other").

Anne & the kids will get into London tomorrow evening and we'll move into a corporate apartment while (or "whilst" as they say here) we look for a place to live. We're supposed to meet with our relocation coordinator on Friday to go look at places in various neighborhoods that I've been scouting out over the past month or so during my weekends in London. We like Chiswick, Fulham, Hammersmith, and Clapham. There are some other places (St. John's Wood, South Kensington, Pimlico) where we'd love to live, but we'd also prefer to have a bit more space than a shoe box!
Here's one of the properties I liked, but it is pretty far from everything (way out in East Acton), so it might not work. Also turns out they have some pretty crummy schools in the neighborhood, despite how nice (and big for London!) the house is...

Wanted - new name for this blog

I'm now soliciting new names for this blog. We want to make this an "our" blog rather than a "my" blog, which means I'll have to come up with a better name than one that hearkens back to an old inside joke with some of my buddies in high school.

Any suggestions?

Sunday, October 28, 2007

Move week

So two weeks since my last post, but apparently nobody noticed anyway, so I guess this is just for me for now.

This week is the week we begin our move to England. We're pretty excited about it, but it seems like there is just so much still left to do. Movers get here on Wednesday to pack the part of our stuff that is going overseas, then Thursday for the stuff going into storage. They'll be back on Friday to load everything onto the truck(s). Then it's four to six weeks until we see stuff in London.

In the mean time, I head back to the UK on Tuesday, while Anne & the kids start out on Saturday, stopping in NJ for a few days to visit friends we haven't seen in about four years. They'll join me next Thursday in London and we'll hopefully be able to start looking for a place to live on Friday. Busy, busy.

Today was the Primary program at church. The kids did such a good job. Chase was really sick, but had been practicing his part and really wanted to be there. He could barely keep his eyes open on the stand, but he stood up and did his best to sing every song, though he had to keep reaching for tissues for his runny nose. When his turn came, he delivered his part (including a recital of the 10th Article of Faith, which is his favorite, probably because he likes to say "paradisiacal") flawlessly and eloquently. Isabelle also did a great job and you could really tell she was singing out and that she had really made an effort to memorize all the songs. Isabelle invited her Kindergarten teacher from last year, something she had wanted to do last year, but then left it until the last minute when it was too late. This year, she remembered several weeks ago and invited her.

Carson was here for the weekend, and we enjoyed having him visit. He got to spend a lot of time with Isabelle and Chase, and Chase especially liked showing off his skills on the play yard out back with such an attentive audience. Carson and I watched part of the Cal game last night and decided that in a way, it is good that Cal has been playing so poorly the last three weeks because now we don't have to worry about the expense of traveling to Pasadena next January. Between Mark's wedding and a Rose Bowl, that could have been a pretty expensive month, especially from the UK!

Anyway, that's the latest from here.

Saturday, October 13, 2007

How do I get started again?

So how do you start blogging again when it has been over a year and a half since your last post?

So much has happened in the last 18 months that the only way I can think of to get started up again is just to start posting bullet points and hope that gets the habit started again...
  • Finally got off my crutches (as you know from my last post)

  • Continued rehabbing my knee both in physical therapy and by working out in the gym at school

  • Finished business school classes on Thursday

  • Started work with Mercer Management Consulting the following Monday and was staffed on a case the next day (in retrospect, I should have taken a little bit of time off first)

  • Graduated business school two Fridays later

  • Finished our new house and moved in - pretty close to the scheduled end date

  • Anne and I celebrated 10 years of marriage in August of 2006. We took a weeklong Caribbean cruise in October to celebrate

  • Isabelle started school for the first time and loved it. Chase started preschool and loved it as well.

  • Worked on an airline case for first nine months on the job. Met and worked with some great people and weathered some pretty dicey situations with a client in difficult financial straits, but in the end, the outcome for our work and the client's prospects was quite favorable.

  • Got a dog (inherited Maggie from my parents, since she was needing some attention from a house full of kids)

  • Took the whole family to a family reunion in Knoxville, TN to watch the Cal - Tennessee game with 108,000 screaming fans at Neyland stadium. What an experience! (and what a horrible loss!)

  • Anne finally got her giant Christmas tree (seriously - it's like 16 feet tall and requires like 8 boxes of ornaments, two ladders, and an extra rider on your homeowners' insurance policy to decorate!)

  • Went from airline work to retail work around the first of the year and have been there ever since...oh, and the client is in England, so I've been flying back and forth between London and Dallas twice a month since February!

  • Mercer Management Consulting combined with several of its sister companies and rebranded under the name Oliver Wyman, the namesake of one of the sister legacy firms and actually one of the firms that Mercer had acquired several years earlier.

  • Took a ten day family vacation to Kauai with cousins, aunts, and uncles, and had a blast - again!

  • Made the trip (by myself this time) out to Berkeley to watch Cal exact revenge on Tennessee for the pounding they endured at their hands last year

  • Have recently decided to transfer to the London office for a year or two - more on that later...

Anyway, hopefully that will get me started again - maybe in my next few posts I can come back and fill in some of the blanks, but for now, I'll just add a photo taken during our Kauai trip this past summer...

Sunday, April 02, 2006

No more crutches!

I saw the surgeon on Friday and he was pleased with the progress that I've been making. He took a look at my x-rays, tugged on my leg to check the strength of the new graft, checked my range of motion and how my quad strength is recovering. Based on what he saw, he said I could ditch my crutches as I could tolerate it and even ditch my leg brace as I felt comfortable with it.

Well, I didn't need much more permission than that. As soon as I got out to the car, I put my crutches in the back seat and I haven't felt like I needed to pick them up since! When I got home, I took off my brace just to see how long I felt I could go before I felt like I needed it. I haven't put that back on for two days either...

The doctor also told me to let my physical therapist know that he didn't have to worry about any weight-bearing restrictions any more and that he could "go ahead and torment me to the extent necessary." I was actually happy to hear this because (as anyone who has been reading my blog knows) I have been somewhat impatient with the pace of my progress so far. So now, I'm hoping that things will start to go a little more quickly.

Monday, March 20, 2006

Stitches out...but still on crutches

On Thursday, I got my stitches and staples out. The incision sites look like they're healing pretty well, but I've still got quite a bit of bruising and discoloration left over from surgery. They had me do some leg lifts to check the quad strength and said things look pretty good. They also took another couple of x-rays to check the placement of the hardware inside my leg (they have a screw that anchors the graft in the tunnel they put in my tibia and a "button" that anchors the graft in the tunnel they put in my femur).

Overall they seemed pleased with the progress that I've been making with PT (my flexion was up to 128 degrees at Thursday morning's session and I was able to get on the stationary bike and ride for ten minutes without any pain) and they said that I should continue with the pace I've been following as long as things aren't hurting too much. Unfortunately, I will have to stay on the crutches for another two weeks to make sure that I give the fracture a chance to fully heal. I think that was the only big disappointment (for me) during the doctor visit, since I was tired of the crutches on the second or third day... On the other hand, they did say that I could start getting in the pool midweek next week and that I would be clear to drive once I felt comfortable slamming on the brakes.

Over the weekend, I noticed that I was waking up feeling pretty stiff and it seemed to me that I was losing some of my flexion, but when I went to PT this morning, I was at 125 degrees at the beginning of the session and up to 136 degrees by the end of the session. My good knee is about 146 or 147 degrees, so I'm pretty close to full range of motion now, though the swelling and discoloration are still present and the strength will take a lot longer to come back (especially since I'm not up to full weight bearing yet).

Tuesday, March 14, 2006

Days 1 and 2 of PT

Yesterday (Monday), I started Physical Therapy. The first thing they wanted to do was to check my range of motion so they can track that on a daily basis. I had been to one appointment about a week before surgery to set somewhat of a baseline. During that visit, I was able to get my knee extended to about 1 degree of hyperextension. On my good knee, I could get about 10 degrees of hyperextension. To check the hyperextension, they have you sit on a table with your legs in front of you and your ankle on a small towel roll and flex your quad muscle so that you get the back of your knee as close as you can to the table. They didn't use the towel for my injured knee, because they don't really want you to hyperextend your injured knee until it is stronger, but they do want you to be able to get it completely flat to the table (or 0 degrees). I was able to do 0 degrees yesterday and today, so that is good.

The next thing he checked was my range of motion, or how far I could bend my knee. On my good knee, I could get to about 143 degrees and on my injured knee, I was at about 120 degrees during my post-op visit. Yesterday, my flexion was only 107 degrees, but the therapist said that is very good for only being four days out of surgery. Today, I was at 115 degrees, so I'm making some progress. At 120 degrees, the doctor will often clear you to ride the stationary bike as soon as the staples and stitches are out, so hopefully I'll be doing that by the end of the week.

The rest of the time with the therapist both yesterday and today was spent doing various leg lifts, calf raises and mini-squats (holding the edge of a table and squatting down about six or eight inches, then standing back up). I'm supposed to be doing a lot of quad strengthening exercises whenever I can too.

Finally, the therapist worked with me on my walking - with crutches for now. I'm still wearing the brace when I'm walking around, mainly for stability, but I'm trying to simulate as close to a normal walking motion as possible. It takes a lot of pressure off my shoulders and upper arms to be able to use both legs again, so I'm pleased with that. The tradeoff is that now that I'm doing all this work with my bad leg, my swelling has increased pretty significantly. When I saw the therapist today and told him about this, he did not seem concerned, though he added that it all depends on whether the swelling is inhibiting your range of motion, so as long as I keep on moving, the swelling will eventually subside. It seems a little counter-intuitive, since my natural inclination is to stop moving a joint when it feels stiff, but apparently in this case, the constant movement is critical to getting the stiffness out of the joint. The good news is, my pain is way down from where it was over the weekend. I have cut way back on the narcotic pain killers and I'm using more Ibuprofen now, which should also help reduce the swelling.

All in all, it has been a good start to therapy, though I'm looking forward to Thursday when I see the surgeon again and hopefully get a better idea of when I can return to activities like driving and maybe getting in the pool to get some aerobic exercise (since I can't do running)...

Sunday, March 12, 2006

The Iceman rocks!

I just have say that this "Iceman" thing is a lifesaver. My dad had one from his shoulder surgery last year and when we visited them a couple weeks ago, he offered to send it down here for me to use after my surgery. My doctor had prescribed one, but apparently insurance does not cover them, which is a shame because these things probably have the potential to shave weeks off of your recovery time by helping to get swelling under control. I think I've only had a few hours since my surgery where I have not had mine continually running and even in the few minutes when I have it disconnected, I notice an immediate improvement when I plug it back in.

Today was another improvement over the day before; I was probably at 4's and 5's for most of the day pain-wise and I was able to get all my exercises done with minimal pain. I was even able to start putting a little bit of weight on my knee while walking (putting most of my weight on my crutches, of course), but my doctor told me to start trying to return to normal motion as soon as possible, even if it was not normal weight-bearing.

We played a lot of board games as a family today, though Chase doesn't really have the patience to sit through an entire board game, so he usually floats in and out, forcing us to maintain his place in the game for when he decides to stop by and roll the dice once and a while. Last week, we introduced the kids to Monopoly, but it was a little too advanced for Chase, so we picked up Monopoly Junior to see if it was more his speed. The game was quite a bit simpler (and therefore less entertaining for adults), but Anne and I made the mistake of implementing a few of the "unofficial" rules from Monopoly in the Junior version, such as putting a nice big pile of cash in the middle of the board for when someone lands on "Free Parking" or doubling the salary received when someone lands directly on Go. In the Junior version, these only serve to make the game interminably long because no one EVER runs out of money once there is enough of it circulating throughout the game.

Isabelle is becoming a pretty good reader. She has been working towards earning a Barbie CD-ROM game that she's been begging for for about a year and a half. We finally decided last fall that if she wanted it that bad, we could use that to all of our advantage, so we made up a chart for her and told her that when she had filled it with books that she had read to us, she could have the game. Each time she finishes a book, she cuts out a little piece of paper in the shape of a book, writes the title on the "cover" and the date on the inside, and tapes it to the chart. I think there are probably close to fifty spaces on the chart, and she's down to the last seven or eight spots, so maybe in the next week or so, she'll finish it. Now if we can only figure out a way to replace Dragontales with Dumas...

Saturday, March 11, 2006

Making progress...

I want to say that I'm making progress, but I think I'm impatient for more. Today has been a much better day pain-wise than yesterday. I think I probably hit 8's and 9's (on a scale of from 1 to 10) a few of times yesterday, whereas today's worst has probably been a 6. I also slept pretty well last night, especially considering how I wasn't able to get much rest during the day yesterday because of the pain.

Today also marked my big "unveiling" ceremony where I got to take the big gauze dressing off and replace it with band-aids. Oh - and I got to take a shower - which I'm sure the rest of the family appreciated...no matter how much people say they love you, it has got to be preferable for people to bathe more often than every 48 hours! I was actually surprised at how minimal the evidence is of my surgery in terms of a) stitches, b) staples, and c) swelling. I have about a 2 1/2 inch incision in my lower leg that is stapled closed and then two small incisions (technically, I think they're punctures) slightly above them with a couple of stitches in each of them.

Before I put band-aids on, I asked the kids if they wanted to come see, which of course they did. Chase (aka Spiderman) pointed to the stitches and said "why do you have those webs on your knee, Daddy?" and then insisted that I put Spiderman band-aids on them...

Anyway, like I said, so far today is better than yesterday, but just in case I'm still out of it tomorrow, I called someone at church to ask them to teach my Sunday School class. I feel bad about it because I've had a substitute teach three of the four classes since I hurt my leg and we're only going to be here for another couple of months, and I really love teaching this class, but I don't want to overdo it either.

On a completely different subject, our family got the Disney version of the game "Scene it?" for Christmas and we have really enjoyed playing it together as a family. In fact last night, it was the only time all day where I was able to keep my mind off the fact that my leg had been hurting all day. One side effect of playing the game together has been that our family's Netflix queue keeps getting old Disney movies added to it as Anne and I go, "hey - I remember that one - we should rent that one and watch it again..."

If I were Netflix, I'd try to get a trial membership postcard included in all new boxes of "Scene it?"

Friday, March 10, 2006

So this is what it feels like when the block wears off...

Wow! Well, early this morning, I was doing pretty well. I had set my alarm for 5:30 to remind me to take my pain medication at the designated time (the post-op instructions said to start taking the pain meds on schedule even if you weren't having pain so you didn't get caught off-guard when the anesthesia wore off). I figured it was a good sign that my alarm woke me up and not my pain. I also discovered that I had regained the full use of my leg muscles and I could now do my leg lifts without having to lock the brace. I took my meds and did a full set of all my leg exercises and was feeling pretty good when I went back to sleep around 6:15.

When I got up for the day around 8:30 or so, I noticed that my leg was sore - really sore, actually. For the next couple of hours, it got worse and worse. Apparently when they say that the femoral block will last 12-24 hours, they really mean it! Not that I will ever have any way of ever comparing this first-hand, but if that femoral block is the equivalent of a woman having an epidural during childbirth, then I can't imagine how women ever managed before the epidural was invented!

I was supposed to have my first physical therapy visit today, but just as I was starting to get my clothes changed to get ready to go, the therapist's office called and told me that he had come down with a virus and that they didn't think it was a good idea for me to come in today. I was able to talk to him and describe the exercises that I was able to do as well as my increased level of pain now that the block had worn off. He suggested I speak with my surgeon's office to see if they had any additional instructions for me since I wouldn't be seeing the PT until Monday.

When I spoke with the athletic trainer at my surgeon's office, I described the kinds of movements I have been able to do and how my pain has increased since last night. He seemed pleased with the level of motion that I described and also said that the pain level I was describing was (unfortunately) not unexpected. He told me to keep doing as many exercises as I could over the weekend and to use the CPM machine as much as possible. Even though it didn't make my leg feel any better, it was reassuring to know that my range of motion and levels of pain are within normal limits (though now at 2:30pm as my most recent dosage of pain meds begins to wear off, I'm starting to question the definition of "normal")

Anyway, I wanted to post the picture that Anne took of my knees the night before surgery when she drew the "warning label" on my good knee (my surgeon is a UT alum):

I was going to post some more pictures taken through the surgeon's scope during surgery, but I didn't want to gross anyone out. Being the former EMT, I thought they were cool, but I'm sure others will appreciate my discretion.

Thursday, March 09, 2006

Under the knife

The fact that I'm posting this tonight means that I'm in pretty decent shape as of right now. I'm still a little groggy and I'm starting to feel my leg again as the anesthesia continues to wear off, but so far, it seems like things have gone well.

I didn't sleep very well last night - a combination of anticipation (kind of like the night before you go to Disneyland when you're a kid, except in this instance, Mickey beats you up and sends you home with a big ice pack) and a lot of muscle soreness that has been building up in my shoulders and back over the past few weeks while I've been on the crutches. I woke up before my alarm and did a final set of pre-op leg exercises...may as well get my quads as strong as possible before-hand, right?

Anne took me over to the surgery center where we were the second ones in line. After some minimal paperwork (they had me fill out most of the stuff online earlier in the week), they took me back to the pre-op area and presented me with a very fashionable hospital gown, mesh cap, and non-slip socks to change into. Then, they got my IV started and the anesthesiologist came in to explain the sedation process and to offer me a "block" on my femoral nerve, which sounded like a good deal to me...

Meanwhile - and I should have figured out this was coming - a nurse got to work shaving my leg...only the way she did it, I now have a wide stripe of even-whiter-than-usual hairlessness running from the middle of my thigh to the middle of my calf on my right leg - nice! I might just decide to wear the brace a little longer until everything grows back...

Anne left at this point to go relieve her mom (who was headed out of town today) and get the kids taken to the various familes who had agreed to keep an eye on them today.

The anasthesiologist came in next to start the femoral block, which was a pretty interesting (and eerie) procedure. To find the femoral nerve, they inserted a small needle in the front of my hip just to the side of my femoral artery. The needle had an electrical stimulator on it which they fired to stimulate the nerve. They knew they were getting close to the nerve when my quadriceps muscle started to twitch with the electrical pulse. Then, they would reduce the stimulation to a lower level and repeat the process until they were close enough to the nerve to administer the block. Once that was in, it only took a few minutes before my leg was completely unresponsive to anything my brain told it to do...pretty freaky.

From there, they wheeled me in to the operating room and someone started to administer something to me via a breathing mask, but I never had a chance to ask what it was because within about 10 seconds, I was completely out. The next thing I knew, I was in the recovery room with people busy all around me checking numbers and writing stuff on charts. The pre-op documentation suggested bringing a book, but as soon as I opened my eyes in the recovery room, I realized that that would have been a collosal waste of time, since I couldn't seem to focus on anything for more than a second or two.
Luckily, Anne had thought to suggest that since I would probably be able to hear sooner than I was able to read, I should bring my iPod, so I had one of the nurses help me get that set up. That turned out to be a good suggestion.

They let Anne come back and sit with me about this time since I was starting to feel a little more awake, but I don't remember a whole lot - just that I had a hard time completing sentences and for some reason, I kept wanting to crane my neck around and look at my pulse rate and blood pressure readings. I still couldn't feel my right leg, but apparently with a femoral block, that isn't uncommon and even now as I write this tonight, I'm just now starting to get feeling back in my leg...which is not an entirely good thing, but more on that in a minute...

At this point, the only evidence I could see of the surgery was that my leg was heavily bandaged underneath the leg brace that I've been wearing for several weeks now. They had wrapped an ice-water pad inside the dressing and it was connected to the "Iceman" pump circulating cold water through it. So as of right now, I have no idea what my leg looks like.

About the time I was able to complete some sentences, they started to get me ready to check out. It was about 10:30am by then, so the whole process from admissions to discharge had taken less than 5 hours and the surgery itself had probably been an hour or an hour and a half. When my surgeon talked with Anne after the surgery, he said that everything had gone very well and that we should have every reason to be optimistic for a good recovery. He sent me home with a bunch of pictures and a CD with a copy of the video taken through the scope during the procedure (maybe I'll post a few
of the pictures later if people aren't too squeamish - they're really cool and you can really see the "before" and "after" effect).

When I got home, one of the things I noticed was that I was very light-headed, so I went up the stairs sliding backwards on my good leg. This of course meant that Anne had to bring all the "equipment" that they had sent me home with in from the car. And boy do I mean equipment - in addition to the leg brace, I have the "Iceman" ice machine that continuously circulates cold water through a special pad in my knee dressing, plus a great big contraption called a CPM
(continuous passive motion) machine that keeps my knee moving by constantly flexing and extending it. Anne got me set up with all that and I think I promptly fell asleep for most of the afternoon - no wait - I ate some eggs and toast first because I was starving, then I fell asleep for the better part of the afternoon.

When I woke up, Isabelle & Chase were home, but they had friends over to play with, so they didn't feel like hanging out with dad and the giant contraption on his leg. Isabelle was playing with a friend from her preschool whose father had recently had almost the same surgery as mine, so Anne and Isabelle's friend's mom compared notes on our respective surgery experiences. Apparently, I've had a pretty good go of it so far. I guess his surgeon or anathesiologist did not give him the option of a femoral block and they did not use a CPM machine to immediately start the process of restoring his range of motion. He also had a really rough time with post-operative nausea, and (so far) I haven't had any such symptoms.

This afternoon, I felt well enough to sit up in bed. I looked through the pictures from my surgery and called my family to let them know how things had gone. It is especially helpful to have a brother that's a pharmacist to ask questions about medications and drug interactions.

By this evening, I was still unable to feel the top part of my leg, so the block must still be working, but I did finally manage to regain control of my quadriceps muscle after dinner, so I was able to do my leg lift exercises. The only problem was that I must not have had full use of the muscle, since I was unable to lock my knee on my own and had to rely on locking the brace in order to do my leg lifts. The other thing I noticed as the block began to wear off is that I am having gradually more and more pain. I've been taking the pain medication as directed though, such that so far it has been manageable.

Anne has been wonderful through this whole thing, from getting up at a crazy early hour to take me to the surgery center to schlepping all the surgical equipment up the stairs to bringing meals and various other requests as needed.

All in all, I feel very blessed tonight that things have so far gone well. I'm a little bit apprehensive about how things are going to be once this femoral block wears off, but I guess at this point, there's nothing I can do about that, is there?

I'll probably post again tomorrow and hopefully include some pictures...

Wednesday, March 08, 2006

Big day tomorrow

Well, tomorrow is the big day, the day where I get to find out if they'll be able to put my knee back together. I was originally scheduled for a mid-day appointment, but yesterday they called me back and told me they'd rescheduled me for the first time slot of the day - 7:30am, which means I have to be at the surgery center by 6:00am...yikes!

Several people have asked me if I am nervous, but up until today, I guess I really haven't stopped to think about it. Now that I think about it, I wonder if I should be more nervous. I think I just figure that at this point, I know that this surgery is absolutely necessary, I feel confident with the doctor and medical team that I've been working with, and I'm ready to get on with it, so being nervous doesn't seem to provide me with anything useful...

...still - not wanting to take any chances - I'm having Anne write "the OTHER knee" on my good knee before we leave for the surgery center!

Monday, February 27, 2006

What's the big deal with your knee?

Let's see - one month between posts - that's OK, right? Well, I guess when right now I only have one reader, I'm not disappointing too many people, right?

To bring you up to date, it has been a rough couple of weeks here since the 16th. Before that, things were cooking along just fine...busy, but fine. On the night of the 16th, however, I was playing basketball at church like I do any other week (sometimes twice a week). In the last five minutes of what was going to be my last game of the year (I was supposed to be out of town for the rest of the games), I came down for a rebound at the same time that someone either hit my knee from the side or came down on top of me, depending on which witness you ask, my knee buckled, and it was all over from there. I was down on the ground in lots of pain and everyone was wondering what to do.

You know, the funny thing is, my very first thought after I thought "Ow, this really hurts" was "Man, I just don't have time for this right now. I've got to go to Dallas tomorrow to check on the progress of my house. I've got to go to California next week to visit my parents and so my son can celebrate his birthday with them. I'm supposed to go to China in two weeks. I hope this isn't serious. But ow, this really hurts". I was telling my wife about it in the ER later and she said, "so it really is true that your life flashes before your eyes, but not in reverse - it happens in fast forward".

Anyway, someone from my team took me to the ER and then was nice enough to have his wife follow him back to the church and drive my car home so that my wife could come and meet me at the ER. It didn't take very long to get seen (the benefits of NOT going to the big hospital downtown on a holiday weekend, I guess - that was the case the last time we went to the ER). They took some x-rays of my knee, gave me some ice and some Vicodin, put an immobilizer on it, gave me some crutches and sent me on my way. The doctor said the x-rays were negative for any fractures, but that I'd need to see an orthopedist and probably get an MRI done so they could see what kind of soft tissue injuries there were. He also said that based on the degree of swelling, he would be surprised if it was anything to do with my ACL, since that usually has a lot more swelling associated with it, but again, the orthopedist would be able to give me a better assessment.

So far, so good, right? I'm thinking at the worst I've got a bad sprain, maybe I'm on crutches and pain meds for a week or so, but nothing to mess up all my plans. So the next day, we load up the whole family in the Explorer and head to Dallas to check on the progress of the house. We put part of the back seat down and had me ride backwards with some pillows for my leg. Being on Vicodin, I ended up sleeping most of the way there and back. The house is coming along very nicely and other than my knee hurting, it was a good trip. I stayed home from church on Sunday to keep my leg elevated, but really by Saturday night, I wasn't taking the Vicodin anymore, because there was almost no pain anymore. I was only taking Advil for the swelling. I was even starting to use one crutch instead of two because I was able to tolerate a little bit of weight on my bad knee.

Side note on crutches: OK, I had no idea how much of a pain they are to get around on! My hats off to those who have spent extended periods of time on crutches. They are NO fun! I guess I should consider myself lucky that I've made it 31 years without having to use them before.

Monday morning, I went to see the orthopedist. She did some range of motion tests on my knee and ordered an MRI. She suggested that it could be my ACL after all, but the fact that I was not having any pain in my bad knee probably meant that I could start putting weight on my leg as tolerated. This was a big deal to me because if this was truly the case, then I could probably make it on the China trip with the least amount of disruption. She ordered an MRI so they could determine whether surgery was necessary, and gave me some more instructions on how to use crutches properly. Overall, a pretty good visit.

Later that day, I went to have an MRI done, another first for me. I'm not claustrophobic, but I can totally see where people would be disturbed by those machines. They are big and noisy and there is not a whole lot of space for you. The tech said that it would probably be Wednesday or Thursday before my films got read, so I was thinking everything would remain status quo until then.

The next morning however, there was a voice mail for me from the orthopedist's office. When I called back, they had received my films and wanted to get back in touch with me ASAP, first of all to tell me that I should not be putting any weight on my bad leg at all, since the MRI indicated there was a small fracture in my tibia and weightbearing could make that injury worse. In addition, the MRI showed a full thickness ACL tear and a "bucket handle" tear to my lateral meniscus (the pad of cartilage between your femur and your tibia), what they called a "full meal deal". Anyway, they wanted to have me come back in the next day to meet with the surgeon and discuss my options. Overall, not a great way to start the day, but still, I was not in too much pain and everything to this point seemed to indicate that I could still go to China if I really wanted to.

That day, I went to my classes and once again realized how difficult crutches made it to get around. When we had our final pre-China class, all of a sudden those awesome places like Tienanmen Square, the Forbidden Palace, and the Great Wall looked so much bigger now that I knew how tough it would be to get around them on crutches... Later that night, I started doing some research on ACL surgery and realized that wow, this was going to be a really big deal and the recovery was likely to be a long and demanding process. Suddenly, going to China started to make a little less sense.

When I met with the surgeon the next day, it became even more apparent that going to China would be an unnecessarily risky thing to do, especially since I would be halfway around the world and my knee would be very unstable until I had surgery. Plus, given the time of year, it was likely to still be rainy or icy in Beijing and maybe Shanghai, so that could make getting around even more difficult on crutches. My professor had told me that we could still make accomodations such as taking a taxi back to the hotel if I felt too tired, taking the tram instead of walking up to the Great Wall, etc., but that still didn't address the risk of postponing surgery and getting started on my recovery... When I put all these things together, my wife and I determined that canceling my trip was the wisest thing to do, even though I have wanted to go to China for probably fifteen years now.

So, as things stand now, I will have surgery next week (they want you to wait about three weeks between the injury and the surgery so you can get your range of motion back and strengthen your leg muscles, both of which help increase the success rate of the surgery). They'll repair my ACL and attempt to repair the meniscus (though they won't be able to determine until they get in there what type of repair they'll be able to do). In the mean time, I will be on crutches and in a leg brace until surgery.

We made our trip to California this past weekend and celebrated both my son's and my mother-in-law's birthdays with my parents. My son is turning three and my mother-in-law turned...well...she doesn't like to say, but let's just say it was a year with a zero after it. It was a nice visit and we got to see lots of friends in Morgan Hill. My wife and I celebrated the tenth anniversary of our first date and I joked that I liked the way the second ten years were starting off: she is now opening doors for me, carrying things for me, driving most everywhere we go, etc.

She threatened to break my other knee... :-)

Thursday, January 12, 2006

Bush to enter draft, another fight for No. 1 with Young

Am I the only one that thinks that LenDale White will be a better NFL back than Reggie Bush? I mean, Bush is very talented, has great vision, and has great speed, but I think White's size and strength will make him the better running back when we look back on them in a few years' time.

LOS ANGELES -- Reggie Bush is skipping his senior season at Southern California to enter the NFL draft.

The Heisman Trophy winner made the expected announcement Thursday, a day after running mate LenDale White made his decision to leave early and turn pro.

Bush is expected to be one of the first players taken in the draft, with many projecting him going to the Houston Texans with the No. 1 pick.

The electrifying running back had 1,740 yards rushing and 2,890 all-purpose yards this season for the Trojans, who fell short of an unprecedented third national title when they lost 41-38 to Texas in the Rose Bowl last week.

Read more at sports.espn.go.com/nfl/...

And another thing - I'm getting sick of all this talk about the supposed "unprecedented third consecutive national title". Last I checked, the Trojans had only one BCS championship trophy!

(source: onepeat.com)

Wednesday, January 11, 2006

Kids say the darndest things

Just to get things started, I'll start with a couple of cute things my kids have said in the past week:

Before I tell the first story, I have to give some backgrou
nd. My wife and I have always said "I love you" in sign language to both our kids as we close their bedroom door for the night, a family tradition we picked up from some deaf family friends of ours. Part of the reason we do this (apart from the obvious reason that we really do love our kids) is that it is really fun to see them struggle to get their little fingers to obey the commands their brain sends them as they try to get their hands to return the gesture. If you aren't familiar with the gesture, it combines the "I", "L", and "Y" signs from the finger-spelling alphabet (see picture at right). When we went to Hawaii last time, we had fun showing them how similar the sign for "hang loose" was, and then when we moved to Texas last year for me to start b-school at UT, we showed them how similar it was to the "Hook 'em Horns" sign.

So, about a week before Texas won the national championship (Yea Orange! Yea White! Yea Longhorns! Fight, fight, fight!), I was putting my son to bed and told him "I love you" in sign language as I was closing the door. Completely out of the blue, he yelled out, "NO DADDY! Hook 'em Horns!!" and flashed the Hook 'em Horns sign at me. I had to close the door to keep from laughing and getting him all excited at bedtime.

Then, a few days ago, I had just come back from running to Home Depot to pick up some painting supplies. When I came in, my daughter asked me where I had been. When I told her, she asked if next time I was out, would I please buy her and my son a surprise? Of course, I answered like most parents of a five year-old probably would in this situation would and said "Oh I don't know, we'll have to see..." When I said this, however, she got really excited and said "Oh thank you, thank you, Daddy!".

I explained to her that "We'll see" does not mean the same as "Yes," but she looked at me very matter-of-factly and said, "Well, Daddy, it was a 'restorical question'".

After suppressing a chuckle and explaining that the word I thought she was looking for (you never can tell with five year-olds) was "rhetorical", I asked "So what is a rhetorical question?"

"Silly Daddy," came her reply, "A rhetorical question is one to which the answer is 'Why yes, I would be happy to!'"

This time I did laugh out loud. And hard. You can't make this stuff up.