Day 2 Post-Hip Replacement Surgery

Day 2 Post-Hip Replacement Surgery:

Today was kind of an eventful day. My blood count went down, which is expected after surgery and usually not an issue, except that I have anemia (just a touch). My surgical team elected to go with a spinal block and sedative to get me through surgery because they said the spinal block results in less blood loss for reasons they haven’t figured out yet, as opposed to a general anesthesia. But my hemoglobin count went down to 8.2, so I needed a blood transfusion, 2 units of O positive. At least I know now what my blood type is. It took about 5 hours for 2 units of blood.
I was feeling lightheaded, shaky and cold this morning. I feel much better now.

Aaaaaand, I had 2 sessions of PT. My muscles are strong from all my weight training and I’ve impressed my PT lady and my doctor with my progress. I can walk the very short set of stairs right around the corner from my room, I can walk bearing all my weight on my formerly bum hip leg. And I can do leg raises in all directions except across the center plane of my body. So I got cleared to move around the hospital room and my floor without the safety belt and without having to call a nurse to assist me. It still has to be with the walker, but at least I have some independence.

I don’t mind the IV, or the daily blood draws (except I wish they didn’t have to do them around 4:30-5:30am), but the drain near my incision is kind of freaking me out. I have to clip the little flat cylinder to my gown whenever I get out of bed, and they empty it once a day. Yuck. But the drain is far preferable to having a hematoma, which is a swollen spot under your skin where the blood has pooled near the surgical sight. I had read about some hip replacements that were done several years ago and the patient described feeling like they were sitting on a golf ball. That would be much worse that this freaky little drain.

One more night and morning here and headed home! Thank you again for all the positive stuff headed in my direction. I got flowers today from Jeri and Cadence and Christian, and I had students take Snaps of flowers and send the snaps to me. Lol. And I really appreciate the visitors, texts, phone calls, inboxes, tweets, etc. 😊

Post-Surgery Update: Day 1

I’m going to turn my FaceBook updates into blog entries since they are long enough to do so. I’m starting with the day of my surgery, Day 1. I’ll post the subsequent updates soon after this, so it’s like 2 weeks of blog entries all posted in one day. Lol.

2.5 Hours Post-Surgery

I am bionic now. πŸ™ŒπŸΌπŸ’ͺ🏼

πŸ˜‚πŸ˜‚ Everything went well. I don’t have any nausea, I ate some soup and crackers and took my first round of pain meds. Spinal block is starting to wear off, I can wiggle my toes and move my left leg. My surgeon was very pleased with how smoothly everything went. And they tell me I’ll be up and on my feet sometime today.

Can’t thank everyone enough for all the prayers, good thoughts, texts, inboxes, tweets. Everyone from my students to friends and family. Hated the worry it caused for my family and friends…glad to report that I am doing great within 4.5 hours of my surgery. Dr. Scott Cook is amazing. Another day or 2 here and I’ll be home. 😊

And later the same day…….

So this just happened. 5 hours post-surgery and they got me on my feet and I took a stroll down the hallway. 🚢🏽
With my walker assisting, of course.

I feel like Rocky now. πŸ’ͺ🏼Hahahaha. Maybe that’s just the pain pills.

So thankful for my lifting partner – my sister Sharon, the two trainers I’ve had in the past year, Travis Barrett and Dustin Kinsey. The PT lady was surprised at what I could do in my 1st PT session. I have muscle strength that they are not used to seeing in hip replacement patients. And no nausea or light-headedness. The incision area is a little achy, but the joint area just feels like a very sore muscle.

I seriously thought she was crazy when she said we were going to stand up. Lol. So I’m ready on my way to recovery!

Hip Replacement Surgery in 2 Days!!

Verilast Hip

I am scheduled to have Right Total Hip Arthroplasty surgery on Monday, December 14, 2015.

I am as ready as I will ever be.

I set the surgery date this summer. Right around the time I quit contributing to my own blog. Lol. I didn’t feel like writing or doing much, except continuing to weight train in preparation. I was really motivated for awhile to lose weight, get my body fat percentage down, build lean muscle tissue….and then for the most part I lost most of that motivation as the surgery, and life’s other unpleasant distractions, began to loom.

I did what I could. What I was mentally and physically able to do. Fought off depression several times, and I feel like I’ve been strong for my kids. Sure I could have done more…if I were friends with me, I would have tried to push me harder. But I didn’t anticipate how low I would feel on different days. I didn’t anticipate the severity of other life’s challenges that have occurred since this summer. So I did the best I could. And I had good help (thank you Sharon & Dustin).

So it’s here. In the past 2 weeks I’ve had my physical with my primary care provider to clear me for surgery. I had my first chest X-ray and my first EKG….I felt like a car battery being hooked up to about 20 jumper cables. I worried about what might happen if the nurse let the ends touch, especially because all the little clamps were in a big tangle as she hooked me up. I met with a nurse for my pre-surgery assessment. Very nice lady, but she talked to me like I was an eternal couch potato….gently encouraging me to try to do tricep dips and start building my upper body strength. And telling me to practice these very simple moves to get used to the motion and to get my hip moving. She didn’t ask, but had she, I could have told her my weight training regimen for the past 16 months. That I’ve pushed an 60-80lb prowler with well over 100 lbs of plates stacked on it….that the motion of gently raising my knees and sliding my heels towards my body is covered very well with the leg presses and hamstring curls I’ve been doing…that the sliding my leg out to the side is done with a resistance band around my ankles. Not to mention the deadlifts, endless curls, pulls, pushes, flies, throwing that weighted ball against the wall to build my core strength and the detestable kettle bell swings. It took all I had to just nod and smile…and then I was grateful for my ability to do all that activity, because Joe B said that she is probably used to seeing older patients, or patients whose joints are so broken down that they are very inactive. And the nurse reassured me that I have an excellent surgeon who has a strong record of good outcomes. That speaks to the health professional in me, and it helped.

I met with my surgeon for my pre-surgery consult. And the picture above is the hardware going into my hip. It’s deluxe….it reminded me of Robo-Cop, or the Terminator type stuff. It’s the best thing technology has to offer for a young, very active, hip replacement candidate. And I am the first of 5 hip replacements my surgeon will be doing on Monday. I hope he has plenty of coffee, or does his yoga, or whatever his morning routing requires for him to be energetic and focused.

He said the surgery takes about an hour, but he never looks at the clock. It takes as long as it takes. He will meet with me to briefly review what will happen, and he will ask me which hip I am getting replaced. He said not to freak out about that, that he knows which hip he is replacing, but that it is his standard practice with each surgery.Β  I will be getting a spinal block and a sedative instead of general anesthesia. They will have me up and around on my feet before I leave the facility, and he thinks I will be home on Wednesday! They will teach me how to navigate the stairs in my home before they release me. Joe can bring me whatever food I want. Lol. I will be in a walker for 1-3 weeks, then I go right to a cane. Home PT for 2-3 weeks, then outpatient PT.

In preparation, my dad bought me a walker. My dad is awesome. He is so sharp and he just turned 80 a few weeks ago. He checked around and found the best walker for me. Asked me to get a prescription for it to avoid paying sales tax, then asked me if my insurance covered medical equipment like this. I wouldn’t even have thought to ask about any of that. And he blew up my phone checking with me to see if I had called….my dad knows me so well. I probably would have put off calling about any of that had he not kept calling me. Turns out Joe’s insurance covers 85% of durable medical equipment. So I have sleek new ride to bring to the hospital with me. I found myself doing tricep dips with my walker, and then swinging back and forth on it. It reminded me to keep an eye on my youngest who will surely try the same thing.

So this weekend it’s the final prep. I have such a good support team. Our nanny and close friend Makyla set up a Meal Train for me and my family, and I have people scheduled to bring dinner to my family for a week. My good friend Jeri arranged a holiday potluck lunch at my house the Friday after I come home. I have someone to clean my house the day before I come home. Joe took leave from work from the day of my surgery until he has to go back at the beginning of next semester. Our daughter Samantha is coming from OK to help out with her sisters. My 9-year old is my source of happy thoughts. She watches my mood, and when it drops, she reminds me of everything I can’t do now and that I’ll be able to those things again after my surgery. I love her pep talks. I have lots of people praying, sending good words, good thoughts and energy, and making me laugh. Everything is truly, deeply, appreciated. I am surrounded by awesome people.

This is getting long…so I’ll end here. More blog entries are forthcoming, as I get used to resting and being less active during my recovery. I’m looking forward to writing about my experiences so it won’t be quite as scary to anyone else going through this. Wish me luck!

 

Bringing Back an Old Pow-Wow Traveling Tradition

Powwow Food Prep

When I was little and my mom took us on vacation, she would always pack a cooler. Sandwiches, fruit, crackers, chips, etc. We looked forward to stopping at this rest area north of Grand Rapids that had a creek, lots of trees, and picnic tables. We had our lunch there and then continued on. When we started traveling to powwows my mom would bring a cooler as well. She would surprise us at some powwows by bringing out a package of ring bologna and crackers and some sliced cheese.

Over the years as we camped lessΒ and stayed in hotels more, we relied less on coolers and more on food available at powwows. The usual fair: Indian Tacos, soup with none of the fat trimmed off the meat, and Ndn dogs. Now we have walking tacos, cheeseburger, Ndn burgers (cheeseburger in a piece of fry bread instead of a bun), funnel cakes, chicken strips. A plethora of fried foods, white flour, and saturated fat. And not to mention the casino buffets that we frequent now that casino powwows are well-attended. I know from research that the reason many people gain weight is because they overestimate the calories they burn through exercise and they underestimate the calories they consume. I think this is common during powwow weekends where we think we are burning more calories that we actually do when dancing. I know several people who feels its challenging to maintain their healthy habits during powwow weekends.

As I mentioned in a previous blog, preparing for powwows this summer is my priority. I wanted to get back to bringing my own food like my mom used to, and when we used to camp. There was nothing better than a sandwich and fruit (and maybe some chips) at our camp after a session, and fresh fruit always helps during the hot afternoon sessions. I did my powwow prepΒ a few weeks ago when we traveled 7 Clans Casino Powwow in Thief River Falls, MN and it worked out great. I made smoothies and the kids had all kinds of fruit. No one gained weight that weekend and we actually saved some money.

So here is my #HealthyPowwowFoodPrep for this weekend. Shelby andΒ I stayed up late last night making whole grain muffins and shredding chicken I cooked in a crockpot. We are staying in a hotel where all the rooms have refrigerators. I’m packing the following in my cooler.

  • Lunchpail Muffins
  • Lean deli turkey
  • Diced chicken cooked in a crockpot
  • Chicken salad with diced celery, apples, almonds in low-fat olive oil mayo
  • Boiled eggs
  • Sliced apples
  • Grapes (in 1-cup portions in zip-lock bags)
  • Whole wheat sandwich thins
  • Nonfat vanilla yogurt
  • Plain nonfat greek yogurt
  • celery
  • What is left of the blueberries and strawberries in my fridge
  • Thin sliced Colby-Jack cheese
  • String cheese
  • I have cherries washed but they didn’t make into the picture. They WILL be in the cooler

My girls are learning nutrition through Kurbo Health (I’ll write about our experience in a separate blog entry) so making these preparations has become even more important. If we can make 90% of our food choices over the course of a powwow weekend healthy choices, then I won’t have any problem with splitting a piece of fry bread with someone and enjoying.

Our friend Grace Pushetonequa asked for suggestions on healthy food to bring to powwows on FaceBook and then she posted a picture of her food prep today. I’m going to encourage people to do the same….take pictures of their healthy powwow food prep and post them on their social media. You never know who you will positively impact just by sharing your experiences.

Some Thoughts on “National Day of Running”

Today is the “National Day of Running”. I assisted in getting a couple of my friends/relatives running several years ago, and we helped found a local American Indian running group called The Smoking Moccasins. Some highly motivated individuals then created a youth running group for localΒ Native YouthΒ called The Mini Mocs.

I miss running. So I try to run a little bit with Shelby now. I have to accommodate my hip arthritis by changing my stride and my foot strike. Where I once had a mid-foot strike, I now have to focus on a fore-foot strike, so that my feet and ankles will absorb most of the impact. Then I have to shorten my stride to accommodate the new fore-foot strike and also to keep myself low to the ground. I can’t bound like I used to, again in an effort to minimize what impact I can on my hip joints. So I’m running. It’s not pretty and it’s not fast…it’s not even continuous. I feel like an agitated turtle at times. But I am running.

I had some thoughts on running yesterday and updated my FaceBook status. I decided to turn that update into a blog entry since it coincides with today’s running holiday. πŸ™‚

I remember dancing at Prairie Island Wacipi in 2007,Β the year after I had Sara. We had to contest Sunday afternoon in the blistering heat.Β It was so hot the heat from the ground just burned right through the bottoms of our moccasins. Our brother Clay Crawford said to me, “Do you and Joe run outside in that Kansas heat? It really must help. Everyone else looks like the heat is getting to them except for you two.” Lol.

What I remember from my running days is that yes, training in the heat (not in the hottest part of the day, but when the heat was still high) helped with my powwow conditioning. Also running outside on the cross country trail. The combination of running outside and on grass or gravel was very effective. When you run on an uncontrolled surface, it strengthens all the little helper muscles in your feet, ankles, and knees in order to keep your joints stable. Ideal training for shawl dancers and fancy dancers to prepare to dance on grass. It kept my ankles from rolling as much they used to even after I had my kids.

I’m seeing videos and snaps of young powwow dancers running on treadmills. My strong advice: If you have a safe place to do so, get outside and find some grass or gravel to run on. If you live somewhere blistering hot then run early in the morning or in the evening before dark. If you run races and train on grass, you will be able to fly when you race on a controlled surface. I noticed the difference when I started to rely more on treadmill runs than cross country trail runs. One of the first times my sister ever beat me in a 5K was because she trained on grass while I ran on pavement or on a treadmill. When we got onto a controlled surface, she was just fast.

Running on grass or gravel is better for your joints that running on concrete or a treadmill, (unless you have existing knee issues, then running on an uncontrolled surface may not feel so great). But if you don’t have access to a safe place to run on a soft surface, running on any surface is better than doing nothing.

That’s my public health PSA for today. Thank you. Lol.

Springtime Heralds a New Beginning

This week spring has arrived in our region! We have an additional hour of daylight as well, so there is more time after work to enjoy the outdoors. Spring always feels like a new beginning….trees and plants are starting to bud, people are talking about turning over the soil in their garden beds, and you see people outside enjoying walks and riding bikes. The smell of charcoal and cooking outdoors is also a welcome part of spring.

Spring also feels like a new chance to do things differently, or to try things again. A new growing season, another chance to eat locally as much as possible (our CSA application for the summer is due at the end of this month), and another try at the home garden. We built our raised beds last year but didn’t have the time or money to do the rest of the steps to start our garden. We have time and money budgeted this year, so I am excited to give it whirl.

Spring feels like hope. It feels positive. Spring always has the “goodest vibes” (as my friend Mike likes to say). It feels better than the calendar New Year’s Day. And yesterday just made me realize how much I’ve looked forward to spring and the new beginning it heralds.

My 76-yr mom is recovering from knee replacement surgery. She came home last week after her hospital stay, and then 2 weeks in a rapid recovery rehabilitation facility. She is scheduled for outpatient physical therapy 4 times per week as she continues to work on getting her knee to bend and walking without a walker. She chose outpatient PT over in-home PT because she and my dad and her doctor felt it would be best because it would make her get up and out of the house and be more mobile. We had a cookout yesterday to celebrate her being home.

I’ve always felt that my family eats pretty healthyΒ due to my mom. She always cooked for us growing up and she always made her own potato salad and/or macaroni salad for cookouts. We rarely bought sides from the store. I had my nutrition class watch a segment of the HBO documentary “The Weight of the Nation” and a visual that has stayed with me was one of a cookout or dinner at the beginning the episode….there was fried chicken, white bread, several salads heavy with mayonnaise, greens drowned in butter, anything that had fruit was covered with a cool whip & cream cheese mixture. I always have mixed feelings when I see things like that. I feelΒ empathy because I know people are socialized to eat those foods for celebration or for comfort (I see foods like that after a funeral). I feel a little sad because people want to be healthy and it makes it hard when families/communities default to food like that in times of celebration or sorrow. And I feel fortunate because my family has the motivation and means to do things differently.

The menu for our cookout was burgers and hotdogs (of course), but the burgers were 95% lean ground beef and the hotdogs were all-beef franks. We had whole wheat hamburger and the closest thing to whole wheat hotdog buns that I could find at the store (enriched wheat flour does not a whole grain make). I looked at the table before we started eating and it made me feel good. In addition to the meat my husband cooked on the grill, I saw a bowl of homemade potato salad that my sister made, baked beans, fresh watermelon and strawberries, and plates of cucumber slices, baby carrots and lettuce. There was some debate about whether to get a pie or potato chips, but my sister gave up potato chips for Lent and we decided we had enough without a pie. We gave in slightly and got a bag of organic tortilla chips. It was the nicest feeling to be sitting at my parents table, with the windows and door open, in warm weather with a table of fresh food. We all got full off of some good and healthy food. And the fact that we were celebrating my mom being home made it that much better.

Hopefully spring signals a new beginning for this blog as well. Lol. I am going to make an effort to blog once per week at a minimum, instead of my sporadic monthly installments. I hope the weather is warm where you are and that you enjoy the beginning of the new season.

Encourage, don’t discourage

I am always happy to see others succeed in their quest for health, especially those who have been unhealthy for most of their adult lives. It’s gratifying and encouraging when our Native people (or any group of people who suffer from similar health disparities as American Indians) find the motivation to learn about nutrition, physical activity, and how to incorporate both into their daily lives. However, I take issue with those new to the health scene calling others down for their lack of knowledge or motivation. I am thinking of specific examples where I’ve read about people on social media sites bragging themselves up and simultaneously putting others down for not being “on their level”….whatever that means. And the same people bragging themselves up and putting others down have just recently discovered their own good health.

Those people who engage in that type of behavior don’t realize that we remember how unhealthy they were 5 minutes ago. They are not in a position to judge others and their efforts, or lack of efforts. I also take issue with those who make condescending remarks or belittle those who are trying to be health and/or active. People don’t realize how fortunate they are to have grown up with sports or active families…..or to have grown up with parents/caregivers who cooked all the time and had basic healthy eating knowledge, and access to healthy/whole foods. I see kids in my own community whose parents don’t feel that sports are important, or they don’t get out andΒ engage in activity with their kids.Β Also people don’t realizeΒ how fortunate they are to have healthy, fully functioning bodies….bodies without arthritis, without chronic injuries or illness, bodies that don’tΒ preventΒ them from doing anything they want to do.

I will admit to being a running snob towards one or two people that I didn’t care for back in the day….I remember thinking and making a couple of comments about someone I had seen running for a few years, that with all their running you would think they might be a little faster or look a little lighter….the epitome of a running snob.Β But since then I’ve seen that there is no excuse for that type of behavior and snobbishness. We don’t know by looking at someone what their story is, or what their challenges are. Maybe that person whom I saw runningΒ at a snails pace for years has managed to keep from gaining 50 pounds and prevented diabetes with that activity. Maybe that person has some health issues that keep their running from looking like what we believe to be a runner’s pace/gait/form/body. Maybe the person NOT running and just walking is a former runner who physically can’t run anymore. Maybe the person whoΒ expresses their pride in runningΒ 3 miles has just done something they never thought they were capable of.

We don’t need to put others down in order to elevate ourselves. And we are in no position to judge another’s journey towards health.

We, as Native people, need to encourage others in our quest for health. We need to model the behavior that we want others to emulate. We need to do this so the generations that follow will be healthy and ensure our continued presence on this planet. And the people most secure and sincere in their own quest for health are the ones who are most encouraging to others. Be that kind of person. We can’t have too many of those in our communities.

Why Culture is Important to Health

This is the original, unedited, version of a newsletter article I wrote that was just released today. I wanted to share this on my blog after it came out in print.

One dictionary definition of β€œculture” is β€œthe sum total of ways of living built up by a group of human beings and transmitted from one generation to another.” Indigenous people are rich with culture. Not only because each sovereign nation has its own definitive and unique sum total of ways of living, but because cultural knowledge is seen as valuable…priceless. And cultural knowledge is deemed necessary to our way of life as Indigenous people.

Dakota/Lakota/Nakoda people have a term for β€œhealthy lifestyle” or a β€œgood way of life”. Wicozani is not simply a state of physical health, but a world-view, a philosophy practically applied, that attends to a person’s physical, mental, social and spiritual wellness. Wicozani encompasses all that contributes to our wellness, our good way of life, which for Indigenous people begins with culture.

Indigenous ways of life prior to Western contact included our own food systems, healing traditions that included knowledge of medicinal plants and spiritual practices, plenty of physical activity, and strong social support amongst our tiwahe (immediate family) and our tiospaye (extended family). Our gender roles were strong and equitable and contributed to the well-being of families and society. Our adults taught children what was expected of them to become strong, healthy, productive individuals by example. All generations were considered valuable to society and were cared for accordingly. Tribal and family history was taught with stories. Our Indigenous languages offered explanations for environmental and universal phenomena that cannot be wholly translated into English, but recently have been found to be in –line with prominent scientists and theorists. We continue to transmit this knowledge to younger generations today.

We were once some of the healthiest people on the planet. We lived and practiced Wicozani. It was normal to us to pay attention to and take care of all aspects of ourselves.

Life is not easy today. Stressors abound with personal and family finances, job insecurity, limited access to affordable, healthy food and exercise outlets. There is social stress from living as an Indigenous person in a Western world. Contemporary society pressures us to believe that one aspect of our wellness is more important than others, whether it be education, job success/material success, or physical health. When life’s stressors start to pile up and make us feel overwhelmed, or when we start to notice our own mental, emotional and physical health failing, or that of our loved ones, our biggest asset in the search for Wicozani, is being able to tap the innate cultural knowledge that exists in all Indigenous people. Remember how strong your people were at one point. Know that you already possess the knowledge passed down from our ancestors. And know that you have everything you need to be strong and healthy once again.

Hip Dysplasia…..who knew?

It’s official. All the cartilage is gone from both hips. And it’s time to look for surgeon and decide what surgery I want to have. Less than two years after my diagnosis of hip osteoarthritis, and two years of trying to figure out WHY my case of OA was so severe in someone as young as I am, I finally have a few answers.

I saw an orthopedic surgeon who specializes in joint replacement last week. My biggest question to date was wondering what caused my hip osteoarthritis. He took one look at my x-rays when I asked him if my OA was simply from wear and tear, and he said, “I can tell you why you have OA….you have hip dysplasia.” Hip dysplasia is a condition where the hip joint is malformed. Typically the socket of the joint isn’t large enough, one side is shorter than it is supposed to be. Or the shape of the head of the femur is a little off. Either way, it’s a condition people are born with. And the wear and tear on the hip joints and cartilage is similar to how a tire tread wears out. If the alignment of the two front tires is off, if the tires are curved in slightly at the top, the tire treads will wear out faster. The hip dysplasia causes irregular movement of the joint, which causes the cartilage to wear out. It also causes the joint to try to grow new bone in an effort to correct the movement, which is why I have the bone spurs at the top and bottom of the hip socket that are causing the impingement and have limited my range of motion. And similar to a tire trying to run out of alignment for years, the tires will blow out eventually. So that’s me….the hip dysplasia has blown out my hip cartilage. Osteoarthritis is an inevitable outcome of hip dysplasia.

I had been doing some research on hip replacement and hip resurfacing, and my next question for the doctors was, “Am I a candidate for hip resurfacing?” Instead of removing the top of the femur and replacing with a metal rod and ball joint (either ceramic or metal), the resurfacing smooths down the head and neck of the femur and caps it with a metal alloy, and also lines the interior of the hip socket with metal. This smooths out all the bone spurs, preserves the bone for future hip replacement surgery, and is typically a better alternative to younger patients who are active. I found an NHL hockey player who returned to pro hockey after having hip resurfacing, so I was hoping I was a candidate. I am not. Hip resurfacing is for people with larger, thicker bones. I am not big enough. Shaving and smoothing the head and neck of my femur (making it thinner than it is now) would put me at-risk for future fractures.

So total hip replacement it is. Then I wondered about the typical recovery time from hip replacement surgery. I was advised by my orthopedist here in town to look for a surgeon that used a direct or modified anterior approach. That approach doesn’t cut through any muscle tissue, it moves the muscles apart to get at the bone and joint, so the joint remains stable and the recovery time is quicker (less time for muscle and nerve tissue to repair itself). The joint replacement specialist said 1 day in the hospital for the surgery, 2-3 day stay post-surgery, then a total of 6 weeks off work. THREE MONTHS TOTAL RECOVERY TIME!!! He said 3 months until I am back to my old self. I had thought it would be closer to 6 months total recovery time. I am also looking for a ceramic ball joint, preferably one that is a larger size so I can still be active. The doctor advised against running and jumping sports in order to preserve the life of the artificial joint, so I didn’t bother to ask him about shawl dancing. But I fully intend to return to shawl dancing. Running I’ve found I can live without, especially if the choice is between running and shawl dancing. Shawl dancing will win every time. I can run in water and I can do the elliptical. I will maintain my Olympic style weight training regimen. I’ve found other effective ways of training.

And speaking of training, after a few months of my emotions and my motivation moving in steep waves as I’ve had to wait on my consults, it’s time to put a stronger emphasis on my training and eating. I want to plan for this surgery and the recovery time. I want to be in very good condition whenever I schedule to help facilitate a good surgery and as easy a recovery time as I can. And it will help me deal with the wait time for my 2nd consult with a highly recommended surgeon that I can’t get in to see until March 31.

My goal before my recent consults was to preserve what hip cartilage I had left and to manage the pain. Now my goal is to get my weight down and get as strong as I can to help with the surgery and recovery. It helps in ways I can’t describe to finally know what caused my OA and why it was so bad in someone my age. Now that I know I can keep an eye on my daughters and get them checked for hip dysplasia when they are in their teens. Hopefully by then, if they do have it, technology will come up with a good treatment to correct it so that my girls won’t have to go through what I am going through. It feels good to have hope again, and to have very clear goals. My life won’t be the same, but that is just the nature of life. It changes. It helps us grow usually by putting us through things we wouldn’t wish on others. My life won’t be the same but it will be better in so many different ways….no pain, range of motion back, and more experiences to share that may help others. I truly feel that I have been blessed far more than I deserve. πŸ™‚

Something is Working…..

So far this end of summer/fall season has been extremely busy. I was asked to up my hours at work and I received a contract to be an adjunct instructor at the tribal college where I have taught a diabetes class for years. I’m also taking a nutrition course online at through K-State Distance Learning. But with the hectic schedule, I’ve been making time to do something everyday, even if it’s just a walk.

Over the summer I noticed that I was developing a forward lean in my gait. The lean was due to hip joint pain and stiffness. I would get very stiff sitting at my computer at work, and even getting up and walking around didn’t relieve the stiffness. It was painful to stand straight up and walk, so I compensated with the lean. After gaining 5 pounds during our summer travels at the end of July, I came home with determination to change things. Attending an obesity conference at the beginning of August for my work did wonders for my motivation. So, August 1, I focused on consistently taking my Omega-3 supplement and a glucosamine/condroitin supplement. I also started taking turmeric regularly again. I had always heard that the glucosamine helped arthritic joints feel better and needed to be taken for about 2 weeks before you could feel a difference, but I had never taken them long enough to notice anything.

We went to a powwow in Oklahoma the first weekend in August and then traveled there again for another powwow 2 weeks later. By the third weekend that month, I noticed that I was standing up straighter. My joints weren’t as stiff and I could walk fully upright with no joint pain. I also noticed that when my joints would get stiff sitting at my desk, that they loosened up with a short walk around my department. I danced pain-free for the first time since the beginning of June. πŸ™‚

I have worked out with my trainer Travis for 8 sessions now. I’ve more than doubled the number of regular pushups I can do (went from 3 to 10) and yesterday I pushed a prowler (sled) with 110 pounds on it, 6 times, each time in under 2 minutes (the prowler weighs 75 lbs by itself, for a total weight pushed of 185 lbs). I find myself sitting up more straight at work, and standing taller. I am beginning to see definition in my arms and more definition in my legs. Walking around campus at my job is much easier than a couple of months ago. And my heavy white beadwork feels slightly lighter now….not as light as I would like just yet, but I am being patient and know it will continue to feel lighter as long as I continue to put in the work.

I ask my diabetes course students to keep a food journal near the middle of the semester and I am required to keep one for my nutrition course at K-State. So I began last week to journal in earnest, and I have been consistent. It helps remind me to get my veggies and fruits in and to keep an eye on my carb count. The week before school started, I began to double the amount of dinners I cooked and freezing one batch. That has helped immensely on the nights where I am too tired to cook or don’t have time to grocery shop. We just have to thaw and heat and we can eat a homemade meal.

So something is working….lol. I feel better, I am walking upright without pain and I am getting stronger. I set a beginning goal of losing 18 pounds and I have lost 6 of those. My clothes are fitting better. I feel better. I just need to stay consistent.