My Hand

About two weeks ago, my nurse noticed that my left hand was bruised and swollen under and on top of it, along with my ring and pinky finger. We weren’t sure what happened, but I wanted to give it a few days in case the swelling went down. After waiting, the swelling went down a little bit and the bruising started to fade some. Although just to make sure nothing serious was going on, I decided to get an x-ray of my hand.

I ended up going the beginning of last week. I got an x-ray of my left hand and both my knees. My orthopedic surgeon wanted to see how my leg is healing; it’s been about 3 ½ weeks since he told me to rest my legs along with keeping them at a 45° angle or less. The on-call doctor called me later that same day and told me that I have a small nondisplaced fracture at the base of my pinky finger. I made an appointment to see a hand orthopedic surgeon and went yesterday.

When I went today, the hand orthopedic surgeon showed me my x-ray. She told me that it was in place, so I didn’t need surgery. She recommended that I wear a hand splint for at least 6 weeks. It will probably take about 8 weeks because she said my bones are more fragile. When they put it on me this afternoon it started hurting right away, then dissipated after an hour or so. 

After about 3 ½ hours, my arm started jumping and spasming. For me it’s usually an indicator that something is hurting or uncomfortable. My nurse took it off at that point and my arms subsided. I may have to wear it on and off for a day or two so that my hand gets used to it. The orthopedic doctor told me to keep it on most of the time except when I’m washing up.

With non-displaced fractures, the bone typically stays aligned in an acceptable position for healing. The splint will immobilize the injured bone, promote healing, and reduce pain and swelling. She also recommended that I keep it elevated and apply ice to it as often as I can. I will need to just keep using the splint for longer periods of time each use until my hand starts to get used to it. Other than the stress fracture in my left knee and my fractured tibia in my right, I haven't had any other injuries to my body.

Jenni

Changing Seasons

 

“To be interested in the changing seasons is a heavier state of mind than to be hopelessly in love with spring.” -George Santayana

Cold weather helps us appreciate warm weather more-and warm weather helps us appreciate cold-weather. With the change in seasons there are so many things to appreciate. During the course of a year, we watch trees change from bare to green to orange and red and gold to brown and back to bare again. Then there’s the miracle of budding and greening all over again the next year.

“As I enjoy the change of seasons, I can enjoy the changes in my life.” -Anonymous

The above quotes and saying is from a book I have called The Daily Book of Positive Quotations by Linda Picone. As we welcome fall today, September 22, this one is from yesterday’s date about the change of seasons, but also about the changes that we go through throughout life. I found this especially significant to me, as I went through a drastic change in my life: going from an active teenager to paralyzed from the neck down in a single moment.

Throughout everyone’s journey they will experience some sort of change in life, whether big or small. Some examples are puberty, graduation, marriage, the birth of a new child, empty nesting, divorce, new job or retirement, death and more. These events may bring on stress or worry about what comes next or happiness about what the future might hold. One important part about change is how we anticipate it and react to it. Another way to prepare for changes are when we learn to trust ourselves to handle any situation.

Change takes time to get used to, whether in life or business. Don’t worry about what you may lose and start focusing on what you may gain. It’s not always about trying to fix something that’s broken but maybe it’s about starting something over and creating something better. It doesn’t matter what type of change you might be going through or up against, just know that you will learn to cope.

Jenni

Life As a Quad VI: Anything Is Possible

After sustaining a C-1 C-2 spinal cord injury, I have always had a positive outlook on life despite what happened to me. The idiomatic saying "anything is possible" means we cannot predict with any degree of certainty what will happen. Also saying "anything possible" is a way of responding to someone who makes a conjecture about what s/he wants to happen, but which is not a guaranteed outcome. Thus, I think that things happen for a reason and that we have the power to choose how we want to live certain aspects of our life.

Before my accident, I was a typical, active teen teenager living my life to the fullest. I played sports, hung out with friends, and enjoyed going places. I try to uphold a connection on a spiritual and physical level with the things that are achievable, even though not all my physical activities are within reach today. This also means having a good attitude, great expectations and the belief that “anything is possible”.

Even though the road to recovery can be long, it’s important to remember that there are people supporting me along the way and that I can do it if I have the strength to believe it. Life as a quadriplegic paralyzed from the neck down does have its challenges, although I feel like there are no limits to what someone with this injury can do. This is especially true to today’s technology and the improvements that are being made every day.

I have managed to live with my injury despite how challenging, frustrating, and life changing it can be at any given time. It is shown that people with a high-level SCI like mine cannot only interrupt one’s body, but also daily activities, important occupations, and entire lifelong plans. Despite feeling helpless in the beginning, I’m glad to be alive and take every moment for granted. 

Jenni

“When you have an ability to adapt and overcome, clarity about what you want in life, purposeful persistence and a “make it happen” mentality anything is possible.” - Anonymous

MRI Results

I had an MRI of my left knee a week from Thursday. My orthopedic surgeon video called me with the results a couple days ago. He showed me the MRI and explained to me what the results showed, what it implied, and how to move on from here. I also received results through My Chart, a device used to talk with physicians and review test results. 

When I received the results through My Chart, it’s always difficult to interpret unless someone explains it to you. Although this is what I saw on the test results page:

IMPRESSION TECHNIQUE: Routine MRI of the left knee was performed without contrast.

IMPRESSION: 

1. New bone infarct in the proximal mid tibial metaphysis.

2. New mild subchondral marrow edema in the posterior aspect of the medial tibial plateau without subchondral fracture may represent stress reaction or osseous contusion.

3. No MR evidence for acute meniscal or ligament tear.

4. Stable free edge fraying versus partial tearing of the inner third of the posterior horn lateral meniscus extending into the posterior meniscal root.

5. Diffuse acute and chronic denervation changes of the visualized muscles of the lower leg.

The way my doctor described it, was that I have a proximal mid tibial metaphysis. In other words, a stress fracture on the posterior side of my left tibia. My doctor suggested that my leg should stay at a 45° angle or less than, straight being the best and 90° being the worst position. I went to ABLE yesterday and discussed my situation with them in a very lengthy conversation on how to proceed from here.

At the end of the discussion, we decided that it would be more ideal that I take the next 6-7 weeks off from the program (starting this coming week). Since my doctor told me that it would take at least six weeks for the fracture to heal, I found it most ideal to take at least this amount of time off. Also, since my doctor has suggested that I stay at a specific knee angle for the next 6-7 weeks, it would be difficult to transport to and from my appointments. Ultimately because getting in/out of the van I am required to bring my knees in to a 90-degree angle which my doctor has suggested to avoid. 

I felt that it is best to focus on healing for now and plan to return when I am ready, and my fracture is all healed. I did have a few questions for some of the people at ABLE regarding my return. I was wondering when I returned what my schedule would be and if I would still have the same lead person that I was working with. He explained that since I’m technically taking a medical leave, that I wouldn’t lose my spot in the program, and they would most likely keep me placed with the same people.

This was great news to hear! Hopefully I heal fast and have a speedy recovery rate with no to little side effects. I’m sad to have to take time off because I’ve made so much progress. Although even if I lose some of the strength and improvements I’ve gained, I’m positive that I will quickly get it back quickly since I haven’t lost the ability to know which muscles to use in order to move. 

Also, at some point, my doctor wants me to get x-rays of my right leg. A while back while doing ABLE, I felt like I injured my right leg, almost exactly where I injured it before. While lying flat, my leg won’t straighten completely and rotates out words. After I explained it, he thinks that it’s not too big of a deal, but still wants it checked out just to make sure.

Jenni