Decisions, Decisions

You know the drill. 

The Thinker, Auguste Rodin

Some days it’s as simple as deciding which sweater to wear with the new skirt you bought last week. But when it comes to certain other decisions it’s a different ballgame altogether.   I’ve been chewing on one for over a week now and I’m still kind of swinging back and forth.  

Two weeks ago I decided to postpone my rotator cuff surgery set for the 14th of December.  For a number of  reasons the holidays can be a difficult for me and I came to the conclusion that adding another challenge for myself was not in my best interest.  I immediately felt that the boulder I’d been carrying for a couple of months had vanished.   Plus after dealing with Bill’s very successful knee replacement surgery in early November and his ensuing recovery, I was happy to give myself some time to rest and relax before my role as caretaker became one of being the patient. 

Discomfort over having to deal with a long recovery after my surgery was constantly on my mind.   My right arm would be in a sling for six weeks and I’d be unable to drive for three months. That meant that I’d be stuck inside for the colder months with little chance to get out on my own when I need it most. I remember too well the cabin fever I used to suffer through during the winters when I lived in Northern Vermont. I felt trapped and spent the cold months quite depressed. I don’t relish going through that again. 

Discussion with friends around the Thanksgiving dinner table last week was partly about the challenges of failing body parts as one ages. It was pointed out to me by one friend that a study out of Finland found that physical therapy can be as effective as rotator cuff surgery.  He continued that recovery from rotator cuff surgery can take six months to a year. 

Oy, I thought, what have I gotten myself into?  

Over the next few days I’d  decided to cancel my surgery altogether.  But just to be sure I decided to do some research of my own.  I read the piece the Finish study, saying that physical therapy was the way to go. I also read that most small rotator cuff tears are the ones that benefit most from PT.  But other than the three different surgery technics used, there was little other information that was of helpful. And I reminded myself that I shouldn’t believe everything I read on the internet. 

What to do?  

I had a pre-op appointment with my surgeon that I had not yet cancelled and decided to get the expert’s advice. That’s not to say I believe everything that doctors tell me either, but he had done Bill’s very successful shoulder replacement surgery several years ago.  Knowing that his work is good I decided to trust him to help me make the best decision for me.

He reminded me that I do not have a simple small rotator cuff tear.  When he had gone over the results of my MRI back in the early fall he showed me at least seven things that needed repair and told me that if I did nothing it would only get worse. That would mean a much more complicated surgery down the road. He also pointed out that if I only had a year to live, he would not recommend the surgery, but because I’m very healthy and the odds are that I could live at least ten more years, he’d recommend I go ahead.  

Knowing that there is no chrystal ball to help, I came home after the appointment confused and terribly dissapointed that my decision would be to go for the surgery. 

So once again I’m thumbing through the calendar trying to pick a few dates that would work for me.  Then I’ll call my Doc one more time and let him know what I’ve decided, knowing that I may keep wondering what the best thing for me is until I wake up from surgery.  

I hope everyone had a wonderful Turkey Day
and that the rest of the holidays
will be blessed with easy decisions!    

Adventures In Knee Replacement

November 5th, Bill waiting to go into the OR.

Last week I took Bill to Sentara Martha Jefferson Hospital for the replacement of his knee.  His right knee was replaced two and half years ago.

Over the past year it became evident that his left knee was ready to be done as well. When we first moved to this new four story town home a year ago tomorrow, we both insisted on using the stairs most of the time rather than the elevator which was one of the features we were looking for if we couldn’t find a one story home. 

I think we weren’t ready to accept the idea that we were aging more quickly than we thought and not as flexible as we used to be. Bill’s replaced knee was doing great and my occasional knee pain wasn’t that bothersome. 

But we were downsizing and planning for the possibility of failing body parts and the need to slow our lives down. We still felt pretty good and for about three months we ignored the growing pain in our knees until it was simply time to give it up and start using the elevator. Accepting the fact that things were changing was not as easy as I thought it would be.

Bill has been hobbling around ever since using his cane. The left knee grew more painful and the cursing grew louder.  His pace slowed to a crawl and his enjoyment of the activities he so loved ebbed as the days passed. Going anywhere was all about how many steps it would take to get him from the car to whatever venue we chose, even if handicapped parking was near by.  

In August he decided to revisit his surgeon. He was nervous about it. He wasn’t sure that she’d take him on. He hadn’t lost much weight, which had been one of her requirements when he’d checked in with her earlier in the year.  But this time she said, “Yes, let’s do it. “   

November 6th, Post-op and going home later in the day!

It’s a week since his visit to the OR and the patient is doing well. He’ll see the Doctor again today.  We had a bit of a scare Monday when we thought he might have a blood clot. We spent a good 4 hours in the ER waiting for his surgeon, who was operating on someone else, to decide what to do.  But thankfully there was no blood clot and things seem to be moving along again.  We’ve had visiting nurses and physical therapists who were great, and he’ll go out for physical therapy starting next week.  

As for my knee, it still is fairly good and I’m doing what I can to keep it healthy.

It’s been a long, patience straining week but we’re getting through it nicely.  Between several bouts of tears and panic attacks on my part, we’ve been laughing a lot, and enjoying the loving kindness of dear friends and family who have brought us delicious things to eat, along with laughter, prayers, and comfort.

Thank you to all of you. 

   

Falling Leaves

There’s a lot going on in the world these days both politically and environmentally.  Most everyone I talk to is struggling with their personal lives, as well as how to live in a country that is being led by a madman who isn’t making life easier for anyone, including himself.

Change is a constant feature of life, leaving many unable to find their way back to where they were, whether it’s because their homes have been swept away by vicious storms, they have lost life-long jobs, or they’re living in fear of the raging fires that  sweep through parts of our country on a regular basis. 

Both my primary care physician and my therapist have said that since the election in 2016, they are working more and more with people trying to come to grips with the politics of our time. I have several acquaintances who are so traumatized that they find it difficult to go out.  It doesn’t help that Charlottesville is frequently mentioned in the evening news.  There are many who are still trying to heal from the damage that was done here in August of 2017.  

I’m feeling particularly grateful that I have a roof over my head, food in the fridge, a lovely place to call my own, and that for the moment at least, my mental health is good. But aging has moved into my home. Both Bill and I are trying to stay on track as aches, pains, and increasing forgetfulness become more and more a part of our lives. 

Bill is scheduled to have his left  knee replaced on November 5th,  just days away.  He had his right knee replaced along with a shoulder several years ago and we’re hoping this surgery will be the last.  

I’ll be having my right rotator cuff sewn back together on December 14th.  I’m praying the procedure will cancel out the chronic pain I’ve been living with for over a year. The cuff is apparently torn in a number of places.  Though I’m looking forward to being able to have the pain gone, my arm will be in a sling for 6 weeks and I will not be able to drive for 3 months. YIKES!

I’ve been preparing for a month now. I  practice using my left hand to type, stir pots of delicious chicken soup I’m freezing for later when I can’t cook, and to perform certain sanitary tasks.  I’m gathering clothing that will help me to get dressed and undressed more easily. Getting painful arms into tight sleeves does not feel good.  I’m also gathering a pile of books to read, looking forward to having more reading time than I’ve had in ages. So let it snow, or do whatever it’s going to do. I’ll be fine!

This is where I lead up to tell you about my new writing project.  The working title is, Elder Lessons, and will be a collection of personal essays on aging and about my sometimes fumbled attempts to get through the final chapter(s) of  my own life with grace and humor.  

I’ll be giving you all a taste of what I’m doing, reading, and thinking as I move through the process. I am counting on the writing to keep me moving forward through my own struggles and the slower pace I’ve embraced. 

I’m also hoping to add the voices of others who are dealing with the same issues and how they handle the ups and downs of later life. 

Until next time,
I’ll take time to rest and walk
through the great outdoors,
watching how nature does it.
As autumn leaves fall,
they change from green into the most magnificent colors,
leaving a canopy of cold, dark branches.
But I know they’ll  be back again soon.  

    

The Now Of My Life

 

This past week I closed my Facebook home page and promised my followers I would be taking up writing blog posts once again.  For the moment I will be posting here every other week on Wednesdays.  Maybe I’ll decide to write here every week, but for now I’m giving myself some extra space to grow into.  Where any of this goes depends on my pulling my “now” together. I intend to begin changing and rearranging the pieces of my life that I have a tiny bit of control over.

I was encouraged by friends and told by publishing experts that if you write a book, you MUST have a page on Facebook in order to boost your sales.  So I took the plunge.  It was fun at first keeping up with my children and grandlings on a daily basis.  There were friends, other artists and writers I followed that often sent inspiration my way. But for the last couple of years I’ve used any free time I had on Facebook swimming in the toxic pool of politics and losing my connection to our beautiful world.

 The worst of it began in  2016 when the roof blew off my world. I quickly became addicted to watching the constant chaos in Washington, while I got more and more angry, anxious, depressed, and devastated. Watching it all unfold kept my mind off moving and packing and then the obvious unpacking. Then during the Kavanaugh doings, just a few weeks ago, I finally realized that if I didn’t stop, I would spend the rest of my days following and sharing whatever the news of the day was on Facebook, MSNBC, or CNN. 

My anger was at a high point, and I took it out on those around me.  My anxiety was over the top.  I didn’t want to go out much or talk to anyone. I told myself that if I didn’t stop it, my body would shrivel up into an unusable mass of dying cells and I would get crazier and uglier by the minute. Like a drunk whose tired of what alcohol does to her, I decided to close my homepage on Facebook. I will  keep my author page,  posting cheery, interesting posts about writing and creativity.  

Will I miss you?  Of ocurse I will. But there are other ways of staying in touch. You can subscribe to my blog on my home page at, www.joanzrough.com, or by liking my author page of on Facebook. You could also send me an email by by clicking the contact button, again on the home page of my website.

I do have a new writing project that I’m excited about.  I’ll tell you more about it in a future blog post, but for right now, I’m working on getting my daily schedule cleaned up so that I can add at least an hour every day for sitting in front of my computer, filling page after page with words from my heart. 

I believe that spreading positivity and love is the way I can best serve myself and those around me to get through whatever the future holds.  We all knew that there were big changes ahead and that the process of recalibrating our lives would not be pretty. Reconstruction takes time, patience, stamina and strength to move through the complications of reshaping a world gone bad.  I will turn 76 years old next month. I can’t afford to allow myself to OCD on the news that our country failing and is no longer a democracy. 

I’ve learned that by ignoring my here and now, I will miss the season of colorful leaves that are falling all around me as the season changes. I’d miss noticing the confused Magnolia trees, who think it’s spring, and are in their second lovely bloom this year, and of course the last of the hummingbirds coming through as they journey south for the winter. I don’t want to miss out on the laughter of children as Halloween creeps closer, and all of the things that inspire me to keep moving forward with smiles and a delightfully warm heart.

I do have hope for our world,
however, and absolutely will vote in a few short weeks.
I pray you will, too.

   

Retirement Anyone?

“Wholeness does not mean perfection … it means embracing brokenness as an integral part of life.”
Parker J. Palmer
On the Brink of Everything

Our move last fall into a townhouse has changed my life in many ways … some good, some not so good.  But I prevail and am not allowing the chronic pain that began during that challenging time to take over my life. After working my way through two orthopedists and a neurologist who didn’t help much, I’m back to my usual “fringe medicine” ways of taking care of myself.

I’m working with a physical therapist, a chiropractor, and doing egoscue. Several months ago I joined our local YMCA and am working on getting there three times a week to use the recumbent bike and the indoor track. My workouts are short, but get a few minutes longer each time I go. I’m feeling much less pain now and plan on going back to my favorite yoga class in the next month. I also plan to in the future to try water aerobics and get back to pilates.

I’m not sure that the pain will ever completely go away. Some say that with time it will, but I’ll not count my chickens just yet. I’m in pain management mode and we’ll see what happens.

The other very helpful thing I’m doing is taking CBD oil twice a day. It not only helps to control the pain, it also helps to reduce my anxiety which has been a life long problem. It’s an oil made from cannabis flowers and is lacking the element that gives you a high and is not addictive.  It is legal here in Virginia and is getting great press all over the country for those with cancer and helps people who suffer from seizures. 

As a result I’m much more relaxed and find it easier to accept my health issues and aging dilemmas. That alone is a major change in the way I spend my days. All of the things I thought I’d get done in the last few months including getting back to writing are still on my to-do list and are slowly getting done, but now when I feel I need to take a nap I just do it without feeling guilty or anxious that I’m not completing the tasks on that list. 

This relaxed way of being is what I’ve been longing for all along.  Before our move I was on my way toward being more mindful, listening to my body, and taking care of it. But the move crushed the boundaries I’d built up to protect myself and once again I became a raging Type A, insane workaholic, bashing myself to death for not being able to do the amount of work I used to do.

My anxiety was off the charts. I was holding myself to very high standards and expecting the same from others.  Bill was exhausted from the move and couldn’t keep up with me and my perfectionist ways.  The boat was rocky for a while, but we’re happily enjoying life again and feel the move was necessary and well worth the struggles.

I recently proclaimed that I’m officially retiring. That means no more speeding through my days. I’m allowing myself plenty of time to swing in a hammock, read a book, write a story, make art, be grateful, and simply enjoy every single day for its gifts.

I may swing back and forth occasionally and become crazed with anger and impatient with the ways of this very frightening world.  It takes a lot of practice, but it’s a process well worth the effort and brings me peace and lots of hope.