Showing posts with label foot. Show all posts
Showing posts with label foot. Show all posts

Thursday, June 30, 2022

While The Sky Falls

It feels strange to write after such a long period of mental paralysis, writer's block that extended past assembling words into coherent sentences and bled into everything but basic mechanical daily activities, work, a little exercise, eating, shitting when not stopped up by Percocet, too many hours of streaming services distractions, and some reading here and there. In other words, I have not been productive outside of work, at all. I'm even behind on listening to podcasts because that somehow takes more effort than watching Netflix. 

After back-to-back surgeries (#13 & #14 total for both feet) on my left foot and after almost a year of not really running and several months of no jogging at all, I'm moving a little bit outdoors again, sort of. I can't bring myself to call whatever I'm doing running or even jogging because it's so lopsided, but I'm wobbling along the streets at an average of about 12-minute miles. That's as terrible as it sounds, but it's also on hilly courses. Still, even moving downhill doesn't make that pace much faster, and I'm limited to about 10-20 minutes before my body feels like it's breaking. I suppose that's better than nothing, but it's not great. I'm not sure whether to laugh or cry, but one thing is very clear; I am no longer a runner. I'm glad I had a moment in the sun, so to speak. At least I can look back and admire the runner I used to be, even if I wasn't the perfect example of health at the time. It's not like I am now, either. 

It also feels weird to be writing when there's so much going on in the world, mostly not-so-great and even catastrophic events both in the United States and around the world. It seems a little selfish to focus on me or, more specifically, my foot, but writing often allows me to process my feelings, and the need to do so hasn't stopped because of world events. Hopefully, my words can have some kind of positive impact on at least someone or encourage some deeper thoughts in general.

Sometimes I read what's published, either a novel or an article in a running magazine, and I remind myself that I have got to work on being kinder to myself. That should be a lesson for everyone no matter what, unless you're a serial killer, but I'm so quick to criticize every little thing about myself and the things I do. It's like living with a dictator and someone slightly more rational and optimistic in my brain, a constant argument in my head over how terrible I am versus how it's really not that bad. That's where the OCD comes in, I think. If I complete these arbitrary tasks, no matter how sloppily or unnecessary, everything won't be as awful and my mind can finally relax a little, for a short time anyway. 

My mental health aside, what I've noticed recently is that there is a growing number of individuals who are biased in the medical field, either against women or those who have or have had eating disorders or both. I understand that individual bias isn't the same as systemic bias, but both are a problem. The issues I have faced in the last year started when I went to several practitioners because of continued foot pain and sciatic problems that developed, probably because of all the limping. An MRI showed some of what was going on but not everything. After surgery #13, I was still feeling discomfort, so my doctor suggested another surgery to remove more of a particular nerve he felt was the culprit. Unfortunately, it was a long wait before he could perform the operation, so I got a second opinion (the second surgeon agreed with the first that surgery was my best option), saw a PT or two, and got some acupuncture as well. 

Out of the six or so professionals I saw, the two surgeons agreed it was a physical issue, but two, a PT and a PA, insisted I was "creating pain" or it was somehow psychosomatic. I walked out on one PT before treatment and after he insisted I was creating my pain. I had to ask, if he believed this, then why he wouldn't go into psychology instead of continuing in his field? I was there to get treatment on my physical body, not get my head shrunk. This seems to be more common in Boulder and elsewhere where individuals like to think everything comes down to mind over matter. Well, as powerful as the mind can be, and just like prayer doesn't appear to do anything to prevent mass shootings, sometimes there are physical issues that can't be overcome by simply thinking them away. 

I almost cheered when my doctor, after the last surgery, showed me the huge neuroma he found and cut out. The stabbing sensation wasn't in my head after all, and yeah, I get that when we hurt, it's usually because our nerves send signals to our brains to tell us something is amiss. I also understand that there's an emotional component to pain. That doesn't give anyone the right to discount what a patient is experiencing. 

The other issue I have faced is one that is more widespread, especially for those who are overweight or in the throes of mental illness, and women tend to be more discounted than men. Our pain is more often misdiagnosed, and we are less likely to receive proper medical care overall. It always surprises me when this kind of bias comes from a female doctor, though. I've mentioned how, years ago, one female doctor told me that my medical problem was hormonal when, in fact, I was suffering from viral meningitis and nearly died because she blew me off. More recently, I had an encounter with a doctor who was completely condescending and arrogant and took one look at my medical history and determined that my current issue (sciatica due to limping so badly for over a year) is a bone issue that was caused by my anorexia...40 years ago. Without any evidence that this is bone-related, none, she has insisted that my bones are weak and has treated me like shit. I finally asked that my care be transferred to someone else. 

The thing is, when you're already suffering, it makes it even more difficult to stand up and be an advocate for yourself. Encounters with flippant doctors make it easier to think about giving in to the demons that plague the heads of so many of us who are hurting these days. I basically told the doctor mentioned above that I was cutting off the conversation, and while I'm glad I was able to take care of myself at that moment, I'm not happy I didn't go one step further and really let her know how obnoxious and mean she was being for the second time. I'm not sure if the situation warranted a "fuck you," but I should have at least made it more clear why I was hanging up the phone and transferring my care. I'm not sure my follow-up email was enough to drive home the point of just how awful she was being. 

In other news, David Roche, someone I've never met and never interacted with, ever, joined Erin Strout Citius Magazine, and Chris Chavez in blocking me on social media. Kudos to Women's Running and Fast Women for not blocking me for the awful sin of retweeting some blog posts by Kevin Beck, just like Eric Schranz of Ultrarunner Podcast has done countless times before. It's important to be inclusive unless you don't like someone. In that case, make sure you practice exclusion and cut off any means of communication. That seems like the best approach for "professional" journalists, no? But everyone has to live with their actions, good, bad, and mean-spirited as well. Somehow, these days you're seen as more of a villain for pointing out bad behavior than you are for committing the bad behavior (lying, stirring the pot, hypocrisy, mocking fat kids, etc.) 

I’m keeping this short, not because I don’t have more to say but because with depression comes a lot of brain fog, and I’ve already pushed through a massive amount of murky gunk just to get this far.

Wednesday, April 13, 2016

Pain

I've decided that if people can't be civil and have to hurl insults instead of being able to have an adult conversation, I won't engage. This comes after some lady stooped to low levels on Twitter when I voiced an opinion. I don't remember her name, Abby or Jamie or something. I had never heard of her before a friend of mine tweeted something about her. The lady is a pro-life advocate. The story goes that after she had two abortions, she decided she wanted to tell everyone else they shouldn't have one. That in itself is fine, but I fully believe in freedom of choice. What seems to get lost on people is that saying that doesn't make me pro abortion. 

I have friends who are pro-life and believe in God, and we get along just fine. There's a mutual respect that seems to be lacking when it comes to some hardcore pro-life supporters. 

Anyway, when someone throws out stupid, stupid comment or any other insult or personal attack, I shut the conversation down. It's weird to me that someone who claims to be all about God feels like it's OK to stoop to this kind of level. The whole angry, in your face, aggressive, put words in your mouth style of arguing is upsetting to me, and I would rather do something productive instead of get into it with someone who makes assumptions, doesn't fully read what his or her opponent writes, and can't help but be mean. I will defend myself, but at some point a line must be drawn.

When this lady asked me something about whether or not I believe alcoholics should be able to talk about their experiences or some such nonsense (well, it's really just unrelated, not actual nonsense), I had a feeling things were going to get wacky fast, and they did. No, that's not what I was saying when I simply noted that I think people should be able to choose and find it odd that someone who had the luxury and freedom to do so would want to get involved with and influence someone else's personal choice. Getting abortions and drinking alcohol are not remotely close in terms of anything, really, except they are both legal.

Lately, I've witnessed a lot of crazy internet stuff, from stalkers to trolls to wars of words. I don't even like seeing it. I feel better when I'm helping others. This last thing on Twitter was a good reminder that I need to stay focused on building up those who need help and ignore unkind people I've never met who want to tear others down. I can't believe that makes people feel good.

Enough on that.

Things are improving with my feet, but it has been somewhat slow going. I'm in a better space than when I wrote what follows, but I still need some time to heal. I'm getting answers and seeing both my PT and my doc about the nerve issues.

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When dealing with pain, it's important to stay one step ahead of it, so I have been told. Unfortunately, I'm the type that seems to get three steps behind before I even recognize how bad it is. Plus, nerve pain is tricky to deal with. The sensations range from burning, pins and needles and numbness to stabbing, throbbing blasts of misery that make you want to scream. With nerve pain, it messes up your brain. It's fatiguing, distracting and flat out uncomfortable. I feel like I must look like Bill the cat, because I'm fried from having to deal with all this discomfort.


I learned recently that being susceptible to nerve issues can be genetic. I believe it, because otherwise it would be a strange coincidence that I would develop similar nerve-related issues every time I have an operation on my feet. You might have guessed by now that I'm dealing with more nerve issues than I started with, this time in both feet. Pain aside, my life is going well, especially in terms of my job, which I love and know how lucky I am to have.

The surgeries:

On my left foot, the goal was to decrease the pain I was having with some nerves that were trapped in scar tissue by cutting a section of the nerves higher up on my foot. The surgery went fine, but I ended up having phantom pain when the severed nerve endings kept active. Phantom pain sounds like it's not real pain, but I can assure you that it is. It feels exactly like the nerves are still intact, because they still fire and send signals to the brain. On top of that, I developed more scar tissue from the new incision, and that made for even more trouble. That should all calm down at some point.

The right foot was more complicated, and the result has been far more distressing. My doctor did a tendon release, so that my second toe would go back into its normal position. It was getting a little too friendly with my big toe. Post-op healing was coming along very nicely until about a week ago when all of a sudden, a big ball of scar tissue developed that trapped yet another nerve. In addition, the toe pad tear isn't fixed, which wasn't going to be a problem had the nerve and scar tissue situations not developed. The combination of everything has made it such that I'm developing a hammer toe, and I'm in an incredible amount of pain. My PT helped relieve some of the scar tissue/nerve pain with Graston, though, so I'm grateful for that. I'm just trying to get through each day without giving in too much to the demons in my head.

 My doctor and PT have been great. I'm very happy with both. I still think my doc is one of the best podiatrists in this area. In addition to the genetic component I'm dealing with, there's also the structure of my feet to consider and the healing process in general, which is different for everyone. My healing didn't go as planned this time, even though I was careful about not doing too much too soon. Shit happens, as they say, but I'm managing. I'm present and aware, and I'm working on staying that way.

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Since I wrote that, I got a shot of cortisone and some PT and a tape job that has helped relieve some of the super sharp pain, so things are going more smoothly. 

I still have hope, and that's a good thing.