Saturday, September 30, 2017

3 weeks since surgery

Ok.  Here we are week 3 since the ACL reconstruction and 7 weeks since the start of this journey (when I fell).  Like most people that have a traumatic event in their lives, my life seems to be divided now between "before the fall" and after.  Not that I'm looking for a biblical interpretation of my situation, but I can't help be reminded of the Adam/Eve's fall from grace.  hmmmmmm.    Interesting. 

Physically: Physical Therapy is going well.  I'm devout about doing my exercises at home between appointments.  I'm still having a bit of a struggle figuring out where my "edge" is - the place where it's enough....not TOO MUCH; not too little.  Wednesday of this week I was doing my practice (aka PT exercises + some seated yoga poses) outside.  I was feeling pretty strong and happy about that so I decided to try a few standing poses.  Stephen, my PT guy,  had given me the go ahead to do balancing on my right leg to get my proprioception back online and I was able to do vrksasana (tree pose) without being too wobbly.  Give me an inch & I'll take a mile!  After doing  most of the Ashtanga Primary series seated poses I decided to try the standing.   I did uttanasana (standing forward bend) and Padangusthasana (big toe pose).  Felt great :)   Utkatasana (chair pose) felt good too.  Adho Mukha Svavasana (downward facing dog) was a great way to get my knee into extension and that felt good too. 

Since I was on a roll I tried Parsarita Padottanasana (wide leg forward fold).  Initially that felt good - I could tell I was stretching some previously untapped areas of my hamstring.  Coming up from the pose I felt and heard a loud pop and an excruciating pain behind my knee, running up the length of my hamstring up to my butt.  I panicked.  I was so afraid I had hurt the graft and it had come undone.  Mary wasn't home (she's gone on a well deserved vacation) I had no car (probably couldn't have driven anyway).  I called the doctor only to find the office was already closed.  A neighbor took me to the orthopedic clinic's after hours office.  I was told everything was ok and what I experienced was "release" of scar tissue.....ughhhhh (expect more, they said).  Next day, Thursday, I saw Stephen, who got me over to see my surgeon.  Both Stephen and my surgeon scolded me for "doing yoga."    I get it - but I'm not doing crazy knee twisting things like Janu C or something.  I'll continue to "do what I can" with my yoga practice.  (a picture of me doing parsarita at right....before the fall)

Emotionally: I struggle struggle and struggle some more.  I have wild swings from being optimistic, trusting all will work out and curious to depressed, crushed and despondent.  Meditating with a monkey mind that's terribly jacked up is near impossible and I don't have my yoga practice to burn off my nervous energy and anxiety.  This is not a good combo - I the lack of practice and difficulty meditating is certainly giving me a lot to "work" with.

I'd had a melt down day on Tuesday and got in touch with my therapist (as in psychotherapist) for an appointment.  The Wednesday workout injury scare didn't help anything and by Thursday when I settled into my appointment I simply came unglued.  Cried and sobbed as I related my story.  Everything, it seemed, was a total fail in my life.  I sobbed about how I have no direction, don't know what to do or where to do it; where to live etc, etc, etc.  Thank god for Beth, my therapist.  I'm dealing with anger and feel overwhelmed with all the unknowns (check and check).  I was really happy I went to see her and will be going back next week.  I'm a little more centered - - - well, let's just say I'm not swinging from one extreme to the other 8 times a day, only 3.   Progress is progress, no? 

I'm taking one day at a time and not feeling so overwhelmed with all the what if's in my life.  At least that's how it's playing out as I write this. 

I love watching TedTalks and found a few really great ones.  Tim Ferriss's talk on defining your fears instead of your goals was very eye opening.  Highly recommend this one for anyone who is struggling with making decisions. 
https://www.ted.com/talks/tim_ferriss_why_you_should_define_your_fears_instead_of_your_goals

Silvia Boorstein's book It's Easier Than You Think is always a good read when I'm in a  funk so I've picked that one up again.

Oh - and I turned 58 years old on Friday.  I started the day with a smudge ceremony using a smudge stick made by the Native American Shaman, Walking Eagle, who led the sweat lodge ceremony I went to on my yoga retreat.  Out with the old energy....In with new positive energy for the coming year. 

I'm working hard to be "ok" with all of this stuff going on (or not, as the case may be) in my life.  Being "ok" with everything is freakin' hard.  Taking one day at a time seems like I'm not "doing" anything to move forward.  Beth tells me to follow the clues; be curious, see where the clues take me.  I need to be open and curious.  That is easier to do when you know when/where your next paycheck is coming from and where you're gonna be living, but ok, I'll try curious and open and see what happens. 

As Sylvia says, It's easier than you think.








Friday, September 22, 2017

TGIF


Wow - I can't believe it's Friday already.  I don't know where the week went.  Not like I have a lot going on or anything!!  First day of PT was good.  I can still do a good paschimottanasana (seated forward bend); however bending my knee into 90 degree or more flexion is more challenging.  Peddling a stationary bike at PT was PAINFUL.  I do have a little mini stationary bike at home that I'm using and today it was LESS painful.  My knee is like an old Chevy on a cold day.....Once I get it warmed up, it runs great, but getting it started up is difficult!!  

I've been reading and being introspective (as per my Tarot card, the Hooded Man, from Mt Shasta suggested); really examining what excites me as far as work goes.  Anyone who knows me well knows that being a stay at home mom was my career of choice and going back into the workforce at the age of 50 had not been my plan. But - divorce happens right? What's that saying: you make plans and God laughs.  Anyway, I am trying to figure out what I really want to do with my life.  As I'm turning 58 next week I better figure it out sooner than later!!!! I became a nurse because as a stay at home mom, caring for people was my job - and we've all heard about the "nursing shortage" and I assumed I'd have my pick of jobs as an RN.  That hasn't been the case.  As with most other professions in healthcare, specialization is everywhere.  You know what I mean: a doctor's not "just" a doctor.  He/She's an Orthopedist or an Endocrinologist or a Cardiologist.  Nursing is just the same: you're not "just" a nurse you're an Orthopedic nurse or an Oncology nurse or a Neonatal nurse.   Changing specialties isn't that easy. Especially for someone like me who is (one would assume) nearing the END of her career. 

I am contemplating what kind of nursing I'd LIKE to do.  Don't get me wrong - I do love neonatal nursing.  I love the babies - and their parents. When you click with a parent and really become part of their care team it's very rewarding work. I don't like the 12+ hr shifts, the unit drama,  the residents and attending physicians that don't listen to the bedside nurse, and the ever changing polices and procedures.  I hate the band-aid approach to healthcare which is the healthcare culture in the US.  I get frustrated with the disease-care mentality.  So what the hell am I doing in the field of nursing? Funny thing is my ex-husband told me 20 years ago (when I first thought of going to nursing school) that I would NOT be happy as an RN because, as he put it, I "don't like to take orders." 

Good question.  Time for some more introspection.

Today I did my PT exercises at home for the first time.  I am on a mission to rebound as quickly as I can.  Patience - right.  I have to be patient with recovery and not over do things and set myself back.  It was nice to do a few yoga poses and actually stand on my repaired knee!

 If I could find a way to incorporate my love of yoga, nutrition, and nursing I would have my dream job.  My Master's Degree in Integrative Medicine should help me out here but I think I need to be a practitioner for it all to gel into something that will actually be lucrative enough for me to earn a living.  I'd really love to work with young adults helping them design a lifestyle that will set the stage for a healthy old age and help them avoid the chronic diseases so prevalent today (i.e.: diabetes, cardiovascular disease, obesity, etc).



Sunday, September 17, 2017

1 week post-op

Here are the highlights of the past three days: On Friday (9/15) I went to the doctor to see about my leg and get some reassurance that I didn't have a blood clot.  I was told all is well, ultrasound report was confirmed to be negative.  My suspicion is that my medial gastrocnemius muscle (medial calf muscle) sustained a reperfusion injury (during surgery a tourniquet is used on the thigh to restrict blood flow, giving the surgeon a more "clear" and bloodless joint to work in - injury can occur when blood suddenly rushes back into the blood restricted tissue).   I was given an Rx for a muscle relaxer and told to come back if swelling didn't resolve with elevation and ice; and/or if my leg became more intolerably painful.  Carla and I went to see the new Reese Witherspoon movie "Home Again," a feel good mindless romantic comedy.  First time Carla and I have gone to a movie together since we were teenagers I bet.  I don't know what I will do to repay both Carla and Mary for taking care of me during this time.  They are certainly incredible friends.  

Saturday I stayed home and did PT exercises and walked - for the first time- partially weight bearing on my right leg.  It felt ok.....I was anxious about it buckling since I don't have a brace on it....but it didn't.  I guess I'm a little gun shy and don't trust my knee to be stable just yet; however, it feels so tight I don't see how it could possible give out on me. It simply feels weird.  Maybe it's the autograft ligament that feels strange.  During surgery they harvested my own hamstring ligament but it (my ligament) was too little (probably from being so stretchy from yoga) and the surgeon opted to use mine and "bulk it up" with a cadaver ligament.  Mary and I noticed that Mia, Mary's dog, was standoff-ish around me and kept sniffing my knee....we both wondered if it was the donated ligament. Dogs are perceptive that way.

I'll probably never know anything about the donor and today I will write a note of thanks to the donor's family.  If you haven't identified yourself as an organ/tissue donor on your driver's license I encourage you to do so.  I know I didn't need one of the "big" donations (heart/kidney/lung/liver etc) but through the generosity of this now deceased individual and/or his/her generous family, my knee has a chance at being normal again.  I'd say it's now a supernatural knee.  We've named my ligament Aretha and know that I'm going to have a kick ass knee when it's fully rehabilitated. 

Here we are on Sunday.  September 17.  My big adventure for the day was taking a shower on my own.   Oh those little activities of daily living we take for granted!!  Today I've done my exercises - one of my exercises is laying on my stomach on the bed.  That one wasn't easy since my leg doesn't want to go into full extension; but that's the point of the exercise.  While laying there breathing, I was thankful that laying face down was actually an exercise!  Now that I've exercised and showered, I guess I'll get to meditation and reading.  Current books I'm reading are: Qigong Meditation: Small Circulation, by Yang,  The End of Sorrow: The Bhagavad Gita for Daily Living, Volume I,   by Eknath Easwaran and Yoga: Discipline of Freedom: The Yoga Sutra Attributed to Patanjali,  translation/commentary by Barbara Stoler Miller.  Meditation with InsightTimer is my go to right now.  I've used it for almost 2 years.   Other than that nothing's on my "schedule" till Tuesday's PT appointment.  



My dear friend and yoga teacher, Tom, checked in on me the other day and reminded me that "patience is practice."  As Guruji K Pattabhi Jois used to say, Practice, all is coming.  Today's practice will be patience.  All is coming.  



Thursday, September 14, 2017

struggles 2.0

Today was much better than yesterday emotionally.  Meditated, was generous with the self compassion, and took everything a bit slower than normal.


Physically I'm doing the 1 step forward 5 steps back routine.  This was to be my first day of PT.  I got to PT, my therapist began asking about my pain level, looked at range of motion etc. but when I complained that my calf was hurting way more than my knee he scooted me off to have an ultrasound of  my calf to rule out a DVT (blood clot).  The doctor's office told me that if the ultrasound was negative (i.e.: no clot) they'd send me home but if they needed to "talk to the doctor" that would be an indication that something's up and I'd probably be admitted to the hospital.

The ultrasound was negative - well, at least the tech who did the study said I had no clot - and I left. Carla and I had lunch and came back to Mary's.  I had a shower (a major undertaking for me at this point) and felt fine (as fine as I'm going to feel at this point).  Later on in the afternoon/evening my right leg was feeling hot and I noticed a divot on my shin.  I poked at it and noticed that I had +3 pitting edema.  Hmmmmmmm.  Google signs of DVT and you'll come up with calf pain, heat, swelling, pitting edema.  Hmmmmmm.  Time for a call to the doctor.  In the mean time Mary gave me an aspirin.  When the doctor called back he said to take an aspirin (check), put on compression socks and elevate my leg and call my doctor tomorrow.  So - I'm in bed; leg is elevated (but not too high); I have compression socks on and I'll call the doctor tomorrow.

now to get a good night's sleep.................


Wednesday, September 13, 2017

Struggles 1.0

yeah I'm having one of those days (Wednesday 9/13)  feeling sorry for myself......leg hurts from doing too much yesterday.  I know things will get better soon - I'll be back on my feet soon....this time next year it'll be but a memory right?  Let's hope so.

As this is a rehab my YOGA life blog, not just a KNEE blog: here's my struggles today.

Direction/Purpose/Meaning of my life

1.  What the hell direction should I go with my life? Geographically?  Keep travel nursing? Professionally?  keep nursing at all?  find a PhD program or DNP?  (school being my default when these existential questions arise)

2. Purpose.
If everything happens for a reason would someone please tell me the reason?  I want to know "why"  I want to know what purpose "everything" serves.   I know Steve Jobs said you can only connect the dots going backward.  Ok. Fine.  At what age can I start looking back to connect the dots?  What if that doesn't work? Then what?  My PurposeInLife kit isn't going to show up on my front door.

4.  Meaning.
How can my life have meaning if it doesn't have Purpose.
(see #3)

I just finished reading BIG MAGIC by Elizabeth Gilbert again.  It's such an inspirational book.  Her go to when feeling stuck is to be curious and to follow the curiosity.  What am I curious about? Right at this moment I really don't know....except for  What's the direction/purpose/meaning of my life?  I'll look for another curiosity.  Qi Gong? Ayurvedic Medicine?  Family Practitioner? Yoga Therapy? Write a novel?  hmmmmmm


Yesterday (Tuesday 9/12) was a good day -
went to Costco with Mary (and got to drive one of those motorized scooters LOL) and then we took Mia to the squirrel park and then went out to dinner.  It doesn't sound like a lot, but was not such a good idea on the day I back off pain meds. By the end of the night my knee was yelling at me.  It's going to take me some time to figure out how much it too much vs just enough.  

Maybe I should be curious about how to teach myself patience.



Monday, September 11, 2017

post op day 3



Today I got to take off the bulky bandage/dressing!
I even got to take a shower (with my leg wrapped in plastic wrap),  Progress is slow....still can't fully extend my leg nor put weight on it.  Progress is progress.  Everyday I feel a little bit better, a little stronger, so I really can't complain.  Pain is a lot less - the regularly scheduled pain meds, ice/elevate times, and rest have really paid off.   I know I've slept more in the past 3 days than I've slept in the past 8 years.  My first PT appointment is set for Thursday. That, I'm told, is when the "fun" will really begin!  I'm saving some pain meds for post PT pain!!!


Post-Op Day2

Today I managed to walk on my crutches for the first time.  My leg feels like it weighs 5 tons.  It's hard to move; hurts like hell and is (I think) more swollen.  The swelling is down into my ankle and foot now.  Tomorrow i get to change the dressing and take a look at it.  I've been doing ankle pumps and trying to engage my quad.   Nothing feels good.  I can't sit (with it propped up) for too long or move too much.

Saturday, September 9, 2017

surgery and post-op day #1

Surgery went well.  

We got to the surgical center at 0800, checked in and around 0930 I went back to the pre-op prep room.  I was still feeling apprehensive - but was in good spirits - about everything and managed, with the help of my friend Xanax to keep from falling apart.   I don't remember anything much passed the 2nd Versed injection and being wheeled out of my pre-op room. No recollection of the OR - nothing until I came to in PACU crying from the pain.  They tanked me up on some more pain meds and sent me home.  I have no recollection of getting dressed; leaving the surgical center or getting back home. Last night I was really knocked out.   Mary and Carla have both been a Godsend, Mary getting up in the middle of the night to give me pain meds and water; Carla taking over to relieve Mary.

Today has been nothing short of miserable.

My knee/leg hurts like no other.  Don't misunderstand: I've been in more pain.  My tummy tuck was honestly the most pain I've ever endured (and that includes birthing a 10 pound baby); however this pain is still pain. It still hurts like a son-of-a-bitch.  I mean stabbing sharp pain with an undercurrent of major throbbing.  Moving my toes doesn't hurt.  Other than that I'm in a world of hurt.  I grit my teeth when stressed on a good day.  I'm afraid I may end up breaking my teeth now that I'm gritting and clenching so much with the pain.

Icing, elevating, and moving from the bed to the living room to the toilet to the living room and back to bed has been the order of the day.  And drinking tons of water.  And eating.  I went a good 36 hours without any food or water to speak of. I'm dehydrated and kind of hungry but in too much pain to want much of anything to eat.

I will be very happy when the pain subsides.

Thursday, September 7, 2017

last day before surgery

Today Mary and I went to False River - an oxbow lake west of Baton Rouge where I used to go as a kid.  My great grandmother used to take us fishing out there and my Papaw taught me to water ski there.  I haven't been out there in 30+  years.  The weather was perfect: 80 degrees and not a cloud in the sky.  No better way to spend the day before surgery.  I'm all prepped and ready now.  Nervous as to what the rehab will be like and how long it will take but optimistic that I'm coming into this in pretty good shape already.   I doubt I'll be up to posting tomorrow but will be back with an update as soon as the anesthetic fog and/or pain meds have lifted enough for me to write coherently.  till then - j

PS: failure is not an option

T-3 Days Pre-Op Appointment

Shit.  That's all I can say.

I just want to cry and before the day's out I'm sure I will. The doctor's appointment went well.  No doubt about it my knee is "non-functioning" without a brace.  Mary and Carla were with me for the appointment and saw him move my knee in what Mary said looked like "poltergeist" ways (I'm thinking of the Exorcist) that made them both a bit squeamish.  Luckily I didn't see that.

I've got my pre and post op orders and prescriptions for pain meds, anti-nausea meds, and prophylactic antibiotics.

I do not have clearance for travel a mere 2 weeks post-op.  I have a weekend on Lake Burton planned for me and my kids.  My knee - according to my doctor - -will still be too swollen to risk a 2 hr plane ride and 2 hr car ride.  No, I don't want a freakin blood clot on top of all this.  Fuck my life.
Seriously.  I am trying hard to not to be a big baby about this but seriously.  I want to throw things.  I want to scream.  I want to go to Lake Burton.  I miss my kids.  I want to go!!!!  It's our HAPPY PLACE and right now I need a happy place

Can I not catch a break?????




Monday, September 4, 2017

T-4 days till Surgery

Happy Labor Day!  
T-4 days till surgery.  

Nothing much to report today other than I probably overdid my PT exercises.  

I want so bad to hurry up and get better I've got to be careful not to hurt myself more trying to speed up the process.  


I'm reading Big Magic, by Elizabeth Gilbert, and trying to focus my energy on a burgeoning business idea that may be my ticket out of floor nursing and 12 hour shifts.  






Eating a carton of broccoli sprouts, fruit, avocado and other anti inflammatory foods every day keeps me focused on doing every thing I can on the pre-surgery end to load the deck for a full, speedy recovery.  Did I mention I have issues with being impatient?











Maybe one of my "homework" assignments during this ENFORCED slow-down time is learning to be patient.  Listen to my mind (???) Listen to my body (an hour of rehab exercises IS ENOUGH).  Give myself time to heal.  Don't plow through this as if you're 2 hours from the deadline to turn in a research paper.  See that pic below?  That's my INJURED knee in FULL ON FLEXION.  3 weeks ago I wasn't sure if I'd ever be able to do that again.  







Yes, that one  above is a split.  I'd love to do a full backbend but I'm going to wait till all knee support is back online.   This is my body.  I want to be active in my "old" age....hey I'll be 58 in a few weeks - I want to get back in the game ASAP (not to mention my daughter is getting married in April and I want to be in dazzling shape for her big day). 

Iced my knee after my 1.5-2hr PT/Ashtanga session.  

Failure is not an option.   Joanie

Mt Shasta

In January, 2017, I made the commitment to go to a week long Ashtanga Yoga retreat lead by Tim Miller, a world renowned Ashtanga guru.  This was the first time in my adult life I'd decided to go on a trip - alone - and do something I am passionate about.  The retreat was scheduled August 12-19 in McCloud, California, a small town in the mountains of Northern California.  Mt Shasta, the "root chakra of the world," is the main attraction for hikers and for our retreat.  The daily schedule included morning practice, an afternoon hike, and evening practice.  To say I was excited about this trip would be a gross understatement.  I had wanted to go to Mt Shasta for years and this was going to be my year!

On Saturday, August 12, I flew into Sacramento, California, and met up with my friend and yoga instructor, Lauren.  We put the name of the inn the retreat was based out of in my phone's GPS and started driving the 3 hours.  We were both overjoyed to be on our way to Mt Shasta.  Although both of us had an unspoken intuitive feeling we were not going the right way we followed the GPS ending up in a national forest 3 hours south of where we were supposed to be.  I was horrified.  I was navigating.  Because of me we missed orientation and still had 3 hours of driving through the mountains.  And it was getting dark.  I drove the rest of the way.   Lauren was gracious and not (visibly) angry.  I drove like the wind trying to get us to McCloud.  Along the way I thought to myself, "this is the glitch for this trip."  The movie Apollo 13 came to mind the minute the thought popped into my head.  That's what Jim Lovell had said (in the movie at least) early in the mission when an instrument light malfunctioned.  We know that was not THE glitch.  Neither was my poor navigation.

We finally arrived and managed to unpack, eat dinner and fall into bed.  My day had started out at 3AM central time and it was 10PM Pacific time (midnight central time) when we finally got into our room.  I was exhausted but happy we had finally made it to McCloud.  We were finally at Mt Shasta.



The next day was our first practice.
Lauren and I were both stiff and the led practice was difficult, but felt good.  After breakfast we all went to an Indian Sweatlodge Ceremony at Stewart Mineral Springs.  I'd never been to a sweatlodge.   It was an interesting experience!  Sitting in the totally dark tepee with 40 or so people with the hot rocks and burning sage was intense.  Fear was gripping me but I breathed through it and tried to focus on the peach I had in the car.  Yes, my peach got me through the worst of the sweatlodge experience.  After a dip in the cold river we all headed back to McCloud.  After lunch we were headed on the first hike of the trip, a 2 mile in/out trek along a river.

It was a lovely hike.  The trail was steep in places but I felt strong and God, I was so happy!!!   I was seriously the happiest I had been in years.  I was enjoying the views, the air - - - everything.  It was going to be a fantastic week, worth the aggravation of my poor navigation the day before.  A week of Ashtanga, hiking and rest!   I was in heaven.

Then I fell.

At the end of the trail - 2 miles from cell phone reception - I slipped on loose rocks and fell.  I saw my knee bend sideways and before my butt hit the ground I knew I'd broken my leg.  Lauren helped me get into a seated position (I was basically hanging onto a rock to keep from falling down to the river).  I bent my leg.  No pain.  Foot was good.  I was shaken up because the moment before I fell I had thought of my nephew, Angus, who had fallen to his death hiking 2 years ago.  It was his birthday and I fell hiking, and almost fell to my death.  Yes.  I was a bit messed up emotionally.  But, I could bend my leg.  So I decided I would shake it off and start back to the trail head.  Lauren helped me up and the minute I put weight on my right leg my knee buckled and I fell.  Now I was really shaken up.   Some guys tried to help me but the trail was too steep and narrow, and I couldn't put any weight on my leg without my knee giving way.   I was seriously shaken up now.

Someone ran ahead to call for help.  Lauren and Tom stayed with me.  Tom, my Ashtanga teacher in Columbus, Ohio, was there at the retreat too.  Everyone who had been ahead of me now had to step over me to walk back.  I fell at 2:30.  The rescue squad arrived around 4:30.  I got to the ambulance around 6:30 and the Emergency Room around 7.  X-rays confirmed I didn't have a broken bone, but my knee was messed up and I wouldn't know how bad till I had an MRI.

My trip was ruined.  I was now Apollo 13.  No moon walk for me.   I was going to get to Mt Shasta, but I wasn't going to walk on her.  I was going to be looking at the retreat from the window of my spaceship,  not able to really participate.

Bring on the pain meds.


I stayed the entire week and managed to go on 2 "hikes" (I was left at the trailhead).  On Tuesday I got to spend the time at a lake near the trailhead; the other, the last day, was in the parking lot at Mt Shasta.

For 5 hours I was alone.  I stared at the mountain. I hobbled around on my crutches.




I listened to the silence and stared at the mountain some more.
I cried.
I meditated.
I stared at the mountain some more.











I was grateful I had not sustained more serious injuries  - - or died. I truly was very very grateful "all" I had was a knee issue.  However,  I was pissed at the universe and mad at my knee because I fell.  I was so hurt because I wanted to practice Ashtanga with these people and I couldn't.  I felt marginalized.  I was literally on the outside of the circle all week and I felt beaten down.


When everyone came back from the hike, Tim offered me a Tarot card (everyone else had picked one when they stopped on the hike).
Mine was the Hooded Man.  Introspection. Hermit.   Lord knows I felt - and feel - like a hermit right now.

The next day, Saturday, August 19,  it was time to go home.  The trip was uneventful and I managed to get back to NOLA. My roommate, Mary, picked me up.  On Monday, August 21, I went to the orthopedist.  He immediately diagnosed an ACL tear.  What????? I thought it was an MCL sprain, nothing more.  An MRI confirmed the doctor's proclamation.  ACL and Medial meniscus tear wth MCL sprain (or tear - I can't remember).  If I want to continue having an "active" life (i.e.: one with yoga, hiking, and ahhh, work) Surgery is required.   I was told I would need 3-4 weeks of rehab BEFORE surgery,  8-12 weeks of rehab AFTER surgery.  I  was scheduled for a followup in 2 weeks.

WTF?  I am a nurse.  A NICU floor nurse.  I can't work now.  I suddenly felt adrift - like Apollo 13 heading toward the moon only to look at it from the window.  Circle the moon and head home.  We know that circling the moon was the easy part.  Getting all the way back to earth - that's when the real work started.   Surgery is scheduled for September 8. Till then I'm heading to the dark side of the moon.  I am looking at 8-12 weeks of rehab before I can go back to work.  Probably more like a year before my knee is 100%.   Post surgery rehab will be when the real work starts.

I'm living with my friend Mary. Bless her for her generosity and hospitality.   I can't drive.  Bless my friend Carla, who drives me everywhere.   I can only walk with a brace on.  I can barely practice yoga.  Do my PT exercises.  Depression comes over me like a tsunami and I have to tell myself "it'll pass...hang on...It'll pass"  or "be grateful you are not in worse shape."  But truth be told my knee has taken away my life - at least the life I knew.  The life where I worked 3 days a week, had a paycheck, and practiced Ashtanga at least 4 days a week.  Now I am sidelined in a way that is not comfortable for me at all.  Now I'm literally sitting with the unknown.  Now I'm wholeheartedly trying to befriend and be comfortable with uncertainty; embrace my physical and emotional imperfections, and find the silver lining in whatever this is the Universe has handed me (even though - - and for the record - - I do not like it).

I am using this opportunity for growth (what bullshit right? I think it's bullshit too at least 1 or 2 days a week) to blog about my recovery from this fall. I'll be writing about the challenges and the frustrations.....and with any luck I'll write about the "gifts" that come my way as I rehab my life.  My yoga life.

I'll be at Mt Shasta next year.  I won't get lost on the way and I'll be overjoyed to practice.  Failure, after all, is not an option.