Monday, August 31, 2009
But...ugh! She too has Umbrella on her album. How many artists are going to sing this song?!?!
Sunday, August 30, 2009
I'm no longer using a crutch to walk. I might have a slight limp, but I feel like it's the same with and without a crutch.
I'm back to sleeping in the bed. Joe hasn't rolled over onto the knee, and I feel like the pain is down enough to finally be able to get into a comfortable position. Before I was sleeping on the couch.
I still have to take stairs one step at a time, and I'm trying to limit them completely. I tried alternating feet, but it put way too much pressure on my left knee and caused pain.
I'm being very diligent with my exercises. Day one I could hardly flex my knee, today I'm at over 90 degrees. The first day it hurt too much to do the bike, today I could do 10 minutes. Mind you, I'm not biking near the speed before surgery, but it feels good to be able to do start to do things again. Plus, I'm all about limiting the degree of scar tissue that forms.
I'm not going to lie, my knee can tell when I've been doing too much and I'm glad I don't have to start a rotation tomorrow. That would be too much pain for sure. I'm on the max dose of ibuprofen, and that's enough as long as I take it on a scheduled basis. I didn't like the feeling the hydrocodone gave me.
I'm starting to get antsy just sitting around. I'd love to try some more recipes, but I think that's too much standing for now. Perhaps in the next couple of days. I'm catching up on my reading, but I can only read so much in one day. I've also started cross stitching again.
I have a research paper I need to write by the end of the year. I'd be remiss if I didn't use this time to do some hard core work on it, so that's part of my plan for tomorrow.
Mom left for Baltimore yesterday. I am so glad she came out to visit and help. I definitely underestimated how little I would be able/want to do the first two days after surgery.
I think "tightness" is a great way to describe my knee pain, especially after working out.
However, it seems having a plica was not my only problem, so the doc did a lateral release as well, see previous post.
The videos below show the lateral release done completely arthroscopically and a full cut, not the small cuts my doc did. Either way, it gives you a better idea of what went on.
Saturday, August 29, 2009
The night before the surgery I hardly slept. After working evenings at the ER, my circadian rhythms had me going to bed around 2 am and I needed to wake up by 5 am for the surgery. I couldn't fall asleep any earlier, so I was exhausted that morning.
Pre-op wasn't anything exciting, just peeing in a cup, reviewing health history, etc.
I know I had IV's when I was a kid, but I don't think I've ever had IV antibiotics. We get into the OR room and they start to give me the versed, fentanyl, and antibiotics. I've always heard the nurses warn the patients that it might sting going in. Oh, my, goodness. Yes it does. Fortunately I was out right after that and don't remember anymore.
My surgery only lasted about 35 minutes. When I woke up in recovery, my first thought was, "man, that was some great sleep, finally." Then I open my eyes and realize I don't know the woman who's sitting next to me. Then it dawns on me where I am. It took me five minutes to become coherent and I know I asked her name at least twice. She mentioned my blood pressure and heart rate increased after waking up, but not to worry, it's due the pain. I realize that, but I also wonder if it could be due to blood loss, even though I know it's not a bloody surgery. The nurse looked a little surprised when I asked for my estimated blood loss. I guess that's part of treating someone with medical knowledge. Supposedly my blood loss was zero, but I have a hard time believing I didn't lose anything.
After my heart rate and blood pressure decreased, they wheeled me over to post-op. My post-op nurse was amazing and so patient. She could tell I was still in pain and offered some morphine. It's fairly common for morphine to cause a local rash and itch after being injected. I noticed my arm was extremely itchy just a few minutes after she gave me the morphine. She was spending an large amount of time with me and I wanted to make sure I wasn't taking her away from her other patients. In my half asleep state I ask her if I'm her only patient and if so if she could get me some benadryl and point to my arm. She responds, "you do have quite a rash developing there." I was out before she even finished injecting the benadryl. Mom said it looked like I was catching flies.
As an aside, getting a rash after receiving morphine is common and is not considered an allergic reaction. So if it happens to you, just ask for some anti-histamine and the itching will go away.
Thursday, August 27, 2009
Today was my first physical therapy session after surgery. They unwrapped the dressing and worked on range of motion. I definitely can't flex my knee as much as before surgery, but the PT says I'm doing well enough for day 1. She tried to put me on the bike to get more blood flowing to my leg. My knee was definitely sore and I started to get dizzy. I have a history of fainting and I didn't want fall off the bike, so we'll try that again tomorrow.
Here's my knee day 1. It's a little swollen, but not too much. I don't really think the blue is bruising, but more of the "yes" marker. The three smaller holes are about 1/2 inch. The longer scar is about 2 inches and that's where they went in to do the lateral release. Something I find funny, both Dad and Joe made the comments, "I wonder how big your scars will be." Me, I personally don't care about scars as long as my knee's starting to feel better.
I'm still walking with a single crutch, but I think I'll be able to get rid of that in the next couple of days. I have the next two weeks off from rotations, so I'm going to go light and not try to force myself. That being said, I'm already tired of living purely on the couch.
Wednesday, August 26, 2009
Last night I realized what I was most nervous about. It wasn't the surgery, but the IV. I have small rolling veins and have passed out after several attempts to get me. They usually have to use a butterfly, but since I was getting fluids, it had to be a bigger needle. Surprisingly, at this hospital the anesthesiologists are the ones who place the IV. He numbed up the site with a little lidocaine and then stuck me first try. He said they always numb it up first.
The doc removed my plica. He said it wasn't as large as they thought it was and my knee cap needed some more realignment, so they did a lateral release. I'm glad they did everything at once, it just means my recovery will be a little bit longer.
Mom and Joe have been so helpful. I can get around, but it's easier not to always be refilling my cup, etc. Mom's funny. She keeps asking Joe where her messy daughter went, Joe just smirks. Joe's also funny, he laughs every time I ask him to do something for me. When asked why, "I'm just so not used to you asking for stuff. You usually do everything yourself."
I found the recipe on sparkpeople.com. I know it's the diet version, but the sauce didn't taste like General Tso at all. As Joe says, "it was so, so." I have vastly improved on my fried rice abilities though =). Overall, I'd give the dish a B, but not for imitating General Tso's. I probably won't be making this again.
Ingredients1 tsp ground ginger
1 tsp red pepper flakes
4 tsp olive oil
2 cloves garlic, minced
2 medium scallions, chopped
4 Tbsp soy sauce, low sodium
3 Tbsp splenda (or sugar)
3 Tbsp corn starch
1 lbs boneless skinless chicken, cut ino bite size cubes
1.5 C chicken broth, low sodium
2 Tbsp vinegar
DirectionsIn a medium bowl, whisk together broth, cornstarch, sugar, soy sauce, vinegar and ginger; set aside.
Heat oil in a wok or large skillet over medium-high heat. Add scallions, garlic and pepper and cook 2 minutes. Add chicken and cook until browned all over, about 5 minutes.
Add reserved sauce and simmer until sauce thickens and chicken is cooked through, about 3 minutes.
Serve chicken and sauce over rice.
Sunday, August 23, 2009
So, let's talk about last night. Joe turns on the TV and it's repeatedly says, "searching for signal." This is not new since a tree intermittently blocks the signal. We reset our receiver, the usual solution. No improvement. Joe goes around to the other side and checks the dish. The DirectTV dish is gone and in it's place is a Dish Network dish! Now mind you, this is 11 o'clock at night. Joe is furious!! I mean hotter than hot. I try to calm him down, explaining the dish isn't on our property, yada yada. Never the less, we're out there with flashlights trying to trace the wires and see what home they enter. Lo and behold, it appears they enter the townhome who's property the dish is on. Joe knocks on their door, fortunately they were awake, and asks what happened. They knew someone on the other side was sharing a dish, but they didn't know which house. Ends up they wanted to switch to Dish Network. Joe explained that DirectTV is the only way he can get his Ravens games, we'll be moving around May, would this guy mind another dish in his yard until then? Fortunately our neighbor understood and agreed to that. Unfortunately, DirectTV doesn't have any openings until Wednesday afternoon...when I'll be recovering from surgery, so we'll have to use the next available time, Friday afternoon. I am truly curious to see how Joe handles no cable for 5 days. So, yet another reason to avoid satellite--your dish can get removed at any time by neighbors =(
Saturday, August 22, 2009
Delicious! This was my first time ever zesting citrus. It's no where as difficult as I made it out to be in my mind. Here's the recipe from Bella Bistro's Blog. I baked my for about 50 minutes and used the cooking spray with flour to grease the pan, came out perfectly.
1 1/2C. All-purpose flour
1t. Baking powder
6T. Unsalted butter, room temperature
3/4C. Granulated white sugar
2 Large eggs
1/2t. Pure vanilla extract
1T.Grated lemon zest
1C. Fresh blueberries
1/4C. Granulated white sugar
2T. Fresh lemon juice
Preheat oven to 350 degrees. Grease and flour a loaf pan.
In a separate bowl, whisk together the flour, baking powder and salt.
In the bowl of your stand mixer, beat the butter until softened (about 1 minute). Add the sugar and continue to beat until light and fluffy. Add the eggs, one at a time, beating well after each addition. Beat in the vanilla extract and lemon zest. With the mixer on low, add the flour mixture (in three additions) and milk (in two additions) alternately, starting and ending with the flour. Mix only until combined. Gently fold in the blueberries.
Scrape the batter into the prepared pan and bake for about 55 to 65 minutes (mine took 60), or until the bread is golden brown and a toothpick inserted in the center comes out clean.
Meanwhile, in a small saucepan, bring the sugar and lemon juice to a boil, stirring until the sugar dissolves.
When the bread is done, remove from oven and place on a wire rack. Pierce the hot loaf all over with a wooden skewer or toothpick and then brush the top of the loaf with the hot lemon glaze. Cool the loaf in the pan for about 30 minutes then remove from pan and let cool completely on a wire rack.
Thursday, August 20, 2009
This may sound completely outlandish to some, but I am truly excited to be getting this surgery. Joe can vouch for me, I've been a great patient doing my exercises, etc, and these past 2 months of PT offered no relief. After having pain for 8 years, I'm ready to be radical and forget the conservative approach. I know I may still have pain after the surgery and I know it'll take a while for me to get back to running, or even the elliptical, but I feel that at least we're trying something else. That offers me hope.
Another exciting development of surgery--Mom is flying out to help me post-op. I feel bad because I sprung the surgery on her, she hates to fly, flights are higher than if we knew about this a couple of weeks ago, and it's probably inconveniencing her work schedule. I think I could manage on my own (Joe doesn't have any paid time off right now) and would if Mom didn't offer to come out, but it will be much less stressful with her here. Plus, she's never been to our house, so I'm glad she gets to see where we've been living.
I'm determined not to have anything prevent me from having the surgery and having a UTI can. For my one and only UTI, the only symptom was foul-smelling urine. Right now I'm not having any symptoms of a UTI, but since I didn't really last time, I went to the drug store and bought an over the counter UTI test. Negative, plus cheaper than the copay for the doc's. Now let's just hope my blood count isn't crazy out of whack, which I don't think it will.
Since I'm having surgery on my knee, I thought I'd be kind enough to shave just before surgery. Nope, I can't shave less than 48 hours before surgery, plus they give me this special soap I have to shower with the day before and that morning. Umm...I have to be at the hospital at 6am, what time am I going to have to get up just to shower with the special soap? Oh well, I will because I know it's meant to decrease my risk of infection.
So that's where I stand right now.
Tuesday, August 18, 2009
So it seems I have plica syndrome. I had never heard of it before, but the description completely fits my history of knee pain. My doc is on vacation this week, but I have an appointment to talk with him next week. Based on my research and talking with my physical therapist, it's likely I'll need surgery to remove the plica or else it will continue to become inflamed, hypertrophy, and cause pain. I'm not sure when I'll be able to have the surgery with my schedule, but hopefully before the end of the year since we've met our deductible for the year. I'm actually glad they found something so I can hopefully stop the pain and eventually be able to start running again.
Monday, August 17, 2009
I am ashamed to say that I had never heard of the Ironed Jawed Angels until the HBO movie came up as a netflix suggestion. I do not know the actual story and order of events, but I think the movie did a great job illustrating the struggle and sacrifices our ancestors made to grant females the right to vote. If you haven't seen it, I recommend it! Thank you women suffragists!
As an aside, I've never liked Hilary Swank before, and I absolutely loved her in this film!
Now off to find a biography on Alice Paul and Lucy Burns to add to my "to be read" pile...
Absolutely delicious and wonderfully moist! I used a little more cinnamon than the recipe callled for and I think I'll use some nutmeg next time too. Joe's coworkers were quite glad I decided to bake, they were asking Joe, "when's Amanda going to make another cake?"
Here's the recipe from Whipped's blog.
Pumpkin Buttermilk Bundt Cake
2 sticks (1 cup) unsalted butter, softened, plus additional for greasing bundt pan
2 1/4 cups all-purpose flour plus additional for dusting pan
2 teaspoons baking powder
1 teaspoon baking soda
1 1/2 teaspoons cinnamon (I used 2 teaspoons)
1 teaspoon ground allspice
1/2 teaspoon salt
1 1/4 cups canned solid-pack pumpkin (from a 15-oz can; not pie filling)
3/4 cup well-shaken buttermilk
1 teaspoon vanilla
1 1/4 cups granulated sugar
3 large eggs
2 T butter
1 cup powdered sugar
1-3 T cream or milk
Preheat oven to 350°F. Butter and flour bundt pan. Combine together flour, baking powder, baking soda, cinnamon, allspice, and salt in a bowl. Whisk together pumpkin, buttermilk and vanilla in another bowl.
Beat butter and granulated sugar in a large bowl with an electric mixer at medium-high speed until pale and fluffy, 3 to 5 minutes, then add eggs and beat 1 minute. Reduce speed to low and add flour and pumpkin mixtures alternately in batches, beginning and ending with flour mixture and mixing until batter is just smooth.
Spoon batter into pan. Shake a few times to be sure to remove any bumps then bake until a wooden pick or skewer inserted in center of cake comes out clean, 45 to 50 minutes. Cool cake in pan on a rack 15 minutes, then invert rack over cake and reinvert cake onto rack. Cool 10 minutes more.
To make glaze, heat butter until melted. Stir in sifted powdered sugar. Mix in cream or milk 1 Tablespoon at a time until desired consistency. Drizzle over cake while it is on a wire rack so excess falls through.
Thursday, August 13, 2009
I have been truly diligent with doing my exercises and my physical therapist thinks I should be getting more relief than I am by now. That being said, we decided to go looking for more pathology. My ortho doc agreed, so I had an MRI today. I'm not sure when I'll get the results. I'm also not sure what I want the results to say--I really don't think I've torn any ligaments or menisci, because I think I'd be in much more pain. At the same time, I almost want the MRI to find something so that I can get relief. I am just way too young to be having knee pain.
So, department store gods...can you hear us? The tall women of the world are standing up screaming for their own department! Long pants just aren't enough, we have long arms and torsos too!
Sunday, August 9, 2009
Our residency applications require a photo, plus the school requests a photo of all of the seniors. Here's mine. I think I'll keep my hair brown until after interview season is over so I look like my application photo. I'm tired of dying my hair though, so we'll see.
And, unfortunately since my legal name isn't Amanda Smith-Hinkle, I'll really be Dr. Hinkle, but I must give credit to my rents!
Friday, August 7, 2009
Joe says he doesn't like Old Bay on his chicken wings, but he doesn't remember loving these wings at Bateman's one night. He' s not feeling well, so I won't give him a hard time tonight for not trying them. And no fear, I'll definitely be making them for a gathering before we leave Omaha...I must introduce Old Bay to my classmates. :p
I came across several recipes and just kind combined them all into my own. I brushed the wings with melted butter, which I think was unnecessary and made them extra greasy. I opted to bake the wings instead of frying, but with all of the butter I used, I should have just fried them. I would have liked them just a tad more crispy, and I think frying would have done the trick.
2 pounds of chicken wings - cut the two pieces of each wing, if they aren't already
1/2 c melted butter - would not use again
Old Bay - random amount, I just sprinkled the can so that each side was about 60% coated
Place on foil-lined cookie sheet. Bake about 30 minutes, flip, bake another 30 minutes. Definitely line the cookie sheet, it makes clean-up so much easier!
Thursday, August 6, 2009
I'd give this a B+. I like my desserts sweet and my breakfasts more healthy, this was somewhere in between. It tasted yummy, but didn't really satisfy my desired choice of dessert or breakfast. I added chocolate chips (sorry didn't measure) and doubled the peanut butter. Joe said the nurses at his worked LOVED it though.
Recipe adapted from Allrecipes.
- 1 3/4 cups all-purpose flour
- 1 teaspoon baking soda
- 1/2 teaspoon salt
- 1 cup brown sugar
- 1/3 cup peanut butter (I used 2/3 cup)
- 1 egg, beaten
- 1/2 teaspoon vanilla extract
- 1 cup buttermilk
1. Preheat oven to 350 degrees F (175 degrees C). Lightly grease an 8x4 inch baking pan.
2. Sift together flour, soda and salt. In a large bowl, cream sugar and peanut butter together. Beat in egg and vanilla until smooth. Stir in flour and milk alternately, beating until smooth after each addition. Spoon batter into prepared pan.
3. Bake in preheated oven for 1 hour, until well browned. Remove from the pan to cool. Store in a covered container.
I was like a kid on Christmas yesterday. I ordered the daddy of all pediatric textbooks and UPS said it was supposed to be delivered yesterday. I alternated between checking the computer and the door. I truly wanted to read about some of the things I saw in the ER the night before and wanted to use my new "toy" instead of just the internet. Well...my book finally came at 7pm! How often does UPS deliver that late? And go figure, I didn't feel like reading anymore, Joe was home. The text weighs about 10 pounds and is 5 inches thick! It's love.
Monday, August 3, 2009
P.S. I know it's been a while since I blogged. I'm finished with Step 2, woo hoo! Soon I'll update with another cake, peanut butter bread, and trip to Baltimore.