Not Really Looking Forward to Next Week

Wednesday, I will have ear surgery number three to remove another cholesteatoma. This time, the procedure will be a "canal wall down" surgery, which is a bit more complex, a longer surgery and possibly a longer recovery time.

The upside is that this version means that additional surgery will not be required as the required followups can happen with office visits. The downside is that it's a bloomin' nuisance.

I love that word for this, by the way. It's the term my doctor used in describing this condition, since there is really nothing that can be done to prevent it (other than this surgery I guess) and it can recur at anytime (if you don't do this surgery). If you don't have the surgery, well. Possible growth into the brain, meningitis, and other icky stuff. I like the phrase because it reminds me not to feel sorry for myself.

I've got my strategy for my week + of down time all worked out. Reading, watching DVDs, fiddling with photoshop, sitting on the front porch watching the birds. I may even go so far as to nap during the day!

I broke my favorite coffee mug to smithereens yesterday during a bobbling clumsy moment doing the breakfast dishes. I literally shed a few tears over that. I suppose it's not good to get so attached to a thing, but I was. I bought it in a store in Moab, Utah on a trip a couple of years ago. It was a lovely handmade one, tall and slender with a perfect fire orange and dark ivory glaze that evoked the desert area there.

Consolation prize: waterbugs

Changing Things Around

Since I last posted to this blog, we managed to get our Bay Area house sold and moved full time to our paradise in Central California, Dryad Ranch. Although the whole process of getting the house ready to sell and doing all the packing and moving was crazily stressful, it was all done knowing that the end result would be amazingly wonderful. And so it has been. My husband seems to be enjoying his retirement, only three weeks in, but his smile is broader than ever.

There are a few creepy crawlies around, such as this scorpion which was discovered lurking in between a couple of bowls in the cupboard. Even I thought it was just a bit too plug ugly to appear as is.

I've been allowed to keep my same job and telecommute, a circumstance that thrills me to pieces. I've rented a small office in the nearest town, which isn't large but has a couple of grocery stores and a small public library and various other amenities, such as high-speed internet connectivity, a must for the commute being over the tele and all.

I read this article in New Scientist the other day and honestly, I don't know what to think about it. It discusses gastric bypass surgery and how it has proven to be amazingly effective in some cases in bringing about an almost immediate reversal of diabetes. Evidently, the gut and the hormonal interactions of metabolism are much more complex than anyone can understand yet. I have had such a negative opinion about this type of surgery for such a long time and still don't like the idea of it, on many levels. An online friend of mine even knew someone who died as a direct result of having it, so obviously there can be some dreadful side effects. This article has really presented a different view of it.

11 weeks or so into the knee recovery thing - honestly, if someone were not really motivated to get help it would be well nigh impossible to get through all of the hurdles put up by all of the various medical entities - just to get a few sessions of physical therapy.

All during this time, I've been doing my knee strengthening exercises, that I found mostly from this book: Healing Your Knees, and doing an upper body only weightlifting program. By the time I finally got my first physical therapy appointment, ol' Leftie the Knee was feeling not too bad. The physical therapist I'm working with is great, though, and is showing me all sorts of perfect strengthening exercises and really guiding me through what I need to do. Evidently, I need to really work the foam roller for the iliotibial band and also do lots of hip strengthening, specifically hip abduction.

What I still need to figure out is how to tell when I'm overdoing things. For example, yesterday, I had a great workout - some weights, a little walking, but the knee was really talking, as in sore, during the afternoon. I've promised her a complete day of rest today, but during the workout, I wasn't getting any cries, I guess because the endorphins kicked in and masked it? The New York Times had a great article recently about this: Link.

The photo is called "Crow on a Stick"; I know it's not a stick, but anyway.

Proceeding Apace

The knee feels better, but not quite right yet - it'll still zap me a good one if I bend the wrong way. I went for an MRI on Friday morning, early (6:45) and was turned away because I didn't have the paperwork proving it was OK to do with the titanium implant in my right ear. (Yes, I know I sound like an old granny with all of her surgeries and so on. In reality, I'm an iron woman with killer biceps.) Just another hoop to jump through, I should have the written approval Monday.

Continuing my knee exercises which help.

None of this has prevented me from taking photographs of course. More from the Collier Canyon project, although this particular spot is outside the Canyon itself, nevertheless I've been enjoying this view for years.

Darn

I'm currently healing up my left knee from a meniscus injury. (update: turns out to not be the meniscus, it's chondromalacia). I don't know yet whether it's torn or not, since the approval for the MRI is still winding its way through my health insurance bureaucracy. This little problem happened when I got over-enthusiastic about going up an escalator and missed or bobbled or something and twisted my knee. That was two weeks ago, and I've been limping ever since, although I must admit, feeling much improved the last few days.

As you can imagine, my brain sort of exploded a little at the lack of activity the first several days, but I've been finding ways around it that don't aggravate the injury or cause pain and I've been able now to get back to the gym for some upper body weights workouts, which feels great.
Although I would really like to get back to heavy lifting, it appears that it's going to be a while, so I'm playing the waiting game now while I let my sad little left knee recuperate. (I refuse to call it my bad knee - I have a sad knee and a happy knee - disgustingly perky, I know.) At any rate, I am constrained from doing knee bending at the moment, both doctor's orders and also frankly, just the thought of it makes me cringe. So squats and lunges are out.

I've been working on a pretty good substitute upper body program into which I'm incorporating some unweighted and prone or seated leg exercises. Quad sets: contract and hold the quads while prone; hamstring sets: seated upright, knee slightly bent, activate the hamstring by pressing the heel into the floor, hold. Straight leg raises, various varieties. Single leg balancing. Calf raises. The only weighted leg exercise I feel comfortable with just now are RDLs - oh I did some yesterday with a pretty light barbell and feeling that hamstring stretch and work felt great. The mighty deadlift! And I'm thinking that by the end of this recovery period, my upper body should be killer, even if my legs will have to catch up later.

Collier Canyon Project

I've worked at the same job now for 8 years. In fact, now that I'm thinking about it, I just this last week passed that anniversary date. As is true with all jobs, it's really awful and really great. I must say that just now I'm grateful for being gainfully employed, so I'm not griping, believe me. I have two possible driving routes to work, one on a piece of freeway that consistently makes the top 3 worst congested commutes in the Bay Area, the other using a scenic backroad. Guess which one I take?

I have seen so many interesting things on my little backroad, the aforementioned Collier Canyon. The bird life is wonderful, although a little difficult to see sometimes from a moving car, but I consistently see red-tailed hawks on the power poles, scrub jays making a racket that can be heard through rolled-up windows, killdeer swooping across the road and loggerhead shrikes sitting on their catbird seats. (I recently read a blurb somewhere that the phrase "catbird seat" was actually in reference to shrikes.) The residents of the houses along the road keep horses, several breeds of cattle including some longhorn numbers, llama, sheep and goats. I've seen lots of wildlife: deer, wild pigs, coyotes, skunks, the everpresent and numerous ground squirrels and the remains of opossum and raccoon.

Toward one end of the road is an absolutely magnificent view of Mt. Diablo.

All in all, this drive makes the extra few minutes it takes worth it and can anyone argue with avoiding the freeway?

I've started taking my camera along some days to record it. Here is something from the start of this project. This is a ewe from the sheep pen.