There are some BIG things going on for us right now! I want to go in order, so I will start with an update on my hip. WARNING: This is very long and I talk a bit about needles, so if you are squeamish you can skip to the end or feel free to leave now...though it will hurt my feelings and I will never speak to you again.
Just kidding!
I got an early Christmas present last week...but before I tell you what it is I have to tell you a little bit of background story.
Three weeks ago I went in for an arthrogram and MRI of my right hip. I wasn't fully prepared for how much "fun" an arthrogram is. They had me lay under some kind of x-ray machine wearing nothing but a hospital gown and some scrub pants that they made me pull down anyway. They tried to help me have a little modesty by draping some blankets around my left side, but my right side was exposed and after the number of weird exams I have had this year, I am kind of over being poked and prodded! They had me lay on my back with my big toes crossed and my heels spread apart...then they taped my feet together so I wouldn't move from that position. Apparently holding my feet like that opened up my hip joint so they could reach it better. It was pretty uncomfortable given the fact that my right hip hurts anyway...but then again, so was everything else they did to me so I guess it wasn't that bad!
They pulled the x-ray machine over me and then the doctor, Dr. Mayo (who had a really cool British accent), went to town with a Sharpie marking exactly where he was going to insert a big fat needle that I made the mistake of looking at. After I looked like a connect the dots picture (the unfortunate part about the x-ray machine was the ginormous screen that was like a mirror so I couldn't look up without seeing exactly what they were doing to me!) he explained that he was going to inject some numbing medicine so that I wouldn't feel the big fat needle that he was going to stick in my hip joint.
The crazy part about that is that he was right! I hardly felt the numbing needle go in, just a few little pinches, and then when he put the big needle in, it was uncomfortable but didn't really hurt.
Then the real fun began.
While Dr. Mayo was trying to maneuver the big fat needle to exactly where he wanted it, some other guy slipped in to ogle me. I think he was a fellow or something cause he was pretty young and looked stressed out enough that I doubt he just walked in off the street because he heard there was some half naked lady getting poked with needles. But then, they never told me who he was, so he could have been a very well dressed homeless guy who bought tickets to the show. He was pretty helpful when Dr. Mayo complained that it felt like he was hitting against a mountain (thanks Dr. Mayo, like it wasn't uncomfortable enough without you complaining about how big my hips are), and told him that it looked like the ring of the needle was hitting on the bone. I could have told them both that, because thanks to the spinal tap I had at the end of June, I know exactly what it feels like when a needle is hitting your bone. I can't really describe it as pain, it is more like that awful feeling you get when you hear nails on a chalkboard...and weird pressure. I guess you could say that it hurts, but it is more that you just want it to end and never feel that sensation again.
While Dr. Mayo was digging around I swear I did more lamaze breathing than I ever had to do while I was in labor with Blake for sixteen hours. He would stop what he was doing to ask if I was ok every few minutes, which was nice of him. He finally got things where they needed to be and then he went over and grabbed a big syringe of contrast material, another one with a steroid in it and the final one had a local anesthetic that he assured me would make everything feel all better for six to eight hours. I could have kissed him when he said he was all done and asked again if I was ok. My response was,
"Well I've had worse!".
He said he hoped so (not sure what he meant by that really) and sent me on my way to MRI. His little blond nurse/assistant helped me off the table and explained that my hip joint would probably feel a lot of pressure since he had pumped it full of everything he could get his hands on and it was a little "full" in there. She wasn't kidding. It wasn't painful so much as just a weird uncomfortable pressure that the numbing meds didn't take care of.
Once again my big toes were taped together in the most uncomfortable way possible and I was shoved into the MRI machine for a boring nice little hour long "nap" where they tried to give me hypothermia by pumping in as much cold air as their system would allow. Half way through I couldn't feel my toes anymore, which was nice since they were cramping from the position they were taped in. I went through every Primary song I know (not out loud...in my head) while I was in there and then I started planning out what I am going to get the kids for Christmas. I stopped just short of planning world peace, because I ran out of time.
I was finally released and went on my merry way home. My sister offered to drive me but I was all warrior like and said I should be fine. I got about ten miles down the road on the interstate before I realized I should have let her drive, luckily she was nice enough not to do the whole "I told you so" thing. We all made it back in one piece and I spent the rest of the week hobbling around after the anesthetic wore off and the real pain began. I must have been pretty bruised from the needle they used, but it got better after about five days and went back to being the same kind of sore it has been for the past three years.
I went to see my hip specialist, Dr. Fitch, at Vanderbilt the following week for the results of the MRI. He is probably the sweetest man I have ever met. He also has four children and spent a few minutes telling me that he once met a man who told him that he and his wife could have given their children no greater gift than the gift of siblings. We talked about how much they learn from each other and how they each have a unique role within the family. It is so refreshing to see a doctor who doesn't act like I have two heads when I tell him how many children I have...and I really never considered that four is that many!
Anyway. When we got down to business he told me that I do have a tear in the labrum of my right hip. The labrum is kind of like a rubber band that surrounds your hip joint. The tear basically causes a little flap to get caught when I move my hip in certain ways. I also have what is called an os acetabulim, or impingement, which I guess I was born with. It is a kind of like an extra bit of bone that rubs against my hip joint when I move and causes inflammation. I found out later that I also have one in my left hip, but it doesn't bother me at this point so there is no reason to fix it.
We discussed possible treatments now that we know for sure what the problem is. We both arrived at the conclusion that it was time for me to see a surgeon since I have already done physical therapy and a steroid injection. The steroid has helped a little, but the pain is definitely still there. There are only two surgeons in the Nashville area who perform hip arthroscopy, so Dr. Fitch set me up with the one he knows who happens to work for Vanderbilt Bone and Joint.
The next morning I dropped Kade off for his first full day of kindergarten(!) and hightailed it over to Franklin to meet Dr. Looney. I secretly thought it would have been very ironic if he'd become a psychiatrist instead of an orthopedic surgeon, but most people probably wouldn't find that as funny as I do.
Dr. Looney sent me in for what he called a "young hip x-ray series" where I was once again required to don a hospital gown and pose in different ways so they could take a bunch of x-rays of my hip. They wheeled Sophie over to the nurses station while they did this and they all kept her entertained and happy. They liked her so much I almost offered to leave her there while I went shopping...but they probably would have wanted me to come back just as soon as she didn't get her way and screamed the place down, so I wouldn't have gotten far.
Once I got back to the exam room, Dr. Looney (I just have too much fun saying his name!) examined the mobility of my hip by moving it in pretty much every imaginable position except behind my head (which I was glad for). He compared the mobility of my right hip joint to my left hip joint and even I was shocked by how different the numbers were for each leg. Then he sat me down and drew a nice little picture of a hip joint and what it should look like as opposed to what mine looks like. If orthopedic surgery doesn't work out for the man he certainly could have a future in drawing little diagrams for textbooks! He further explained that he thinks surgery is a viable option to help me, though I may always have a bit of an ache when it is cold outside.
The recovery for the surgery, and the surgery itself, is not fun. I'd be on crutches for at least four weeks if he didn't end up having to do something more complicated (I can't remember the word...it was pretty long) once he got in there to see the problem. The surgery takes four to five hours, so I am super glad I would be asleep for it!
We discussed the fact that I am having a hysterectomy (Surprise! I never told you about that one, did I?) on September 11th, and he told me that he will not do the surgery until four months after that. He said that even if my OB/GYN is ok with doing it six weeks later, he won't do it until four months later. In my mind I freaked out a bit considering that we have met our out of pocket max for the year and I would prefer to get this taken care of before the new year, but I chose to keep that to myself until I had a chance to talk it over with Chad. I left feeling like there is actually hope for me and a little apprehensive for what is to come. Chad and I discussed it and decided that unless we could get him to do it in December before we move to Chattanooga, I would in fact have to wait and possibly never have it done since the longer we wait, the bigger chance that arthritis will set in and then they can't do anything to help it.
I spent the weekend depressed that I would have to live with this pain after all if I couldn't convince Dr. Looney to do the surgery in December instead of January. I counted up the number of weeks and realized that mid-December will be thirteen weeks after my hysterectomy. I said a very desperate prayer and called Dr. Looney's office on Tuesday morning and left a message. Thursday morning I got a call from Dr. Looney's assistant, Jake, and asked if they would be willing to do the surgery in mid-December. He said he didn't see that as being a problem and promptly scheduled it for December 13th. I was all ready to have to beg and plead and give him all the reasons why I need it done then (Chad will be able to take time off around Christmas, I have a bunch of family here to help with the kids and won't have that after we move, we're moving, etc. etc.) but Jake didn't need much convincing.
I got off the phone almost in tears that everything could work out for me after all. Yes, Christmas on crutches will be rough, but the benefits of this surgery should outweigh the negatives in the long run. I can't wait to be able to hike with my kids next summer and even just walk from my car into a grocery store without hurting!
So there you have it.
I felt like I had gotten an early Christmas present that day and even though I am apprehensive about the whole recovery of it, it really is a blessing.
Sorry this turned into such a novel, and to be honest it took me three days to type it up! But I feel like this experience needed to be journaled so my family and I can look back on it and remember how present the Lord is in our lives even if we feel sometimes that our trials are unbearable. The Lord has perfect timing and I am so grateful for His guidance and blessings.