My Journey Through Surgery

I met Tim like most other CMT'ers I've met - through the amazing world of the internet. Tim's story is actually very similar to mine, we're the same age, both have CMT Type 1A and he is getting ready to have his reconstructive foot surgery this week. He asked me to write an entry for his blog, which you can see below or by clicking here.

You can also check out his blog here: CMT creates: music. Good luck with your surgery Tim!!
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A year ago I set out on a journey, one that would be long and painful but one that should be very rewarding once I reached my destination. I am 29 years old and was diagnosed with CMT Type 1A in 2005. At that time, I met with a surgeon who could correct my insanely high arches, but there was a glitch...I wasn't ready! I wasn't even ready yet to know what CMT was. So I pushed it in a drawer and went on with my life. As time passed, my arches got even higher (my shoe sizes went from a size 6.5 to a 3!!) and the calluses in the balls of both my feet were worse. I had to go to the doctor on a monthly basis to have them shaved off and even then, I still hurt with every step I took. I also developed this terrible pressure pain on both thighs, my ability to walk or stand for long periods of time decreased, and I had no choice but to pull CMT out of that drawer and find the time to deal with it.

I did everything I could possibly do before having reconstructive surgery: physical therapy, acupuncture, several pairs of orthotics, expensive shoes, you name it. Life sometimes has a way of working itself out and I was moving to CT from NJ and had to quit my job. Since the job market isn't all that great and I didn't see any interesting jobs in my field (Marketing), I thought it would be a perfect opportunity to take time off and invest on my health by having two reconstructive surgeries, one on each foot.

I started my search for surgeons again around November 2009 and when I finally selected the best surgeon at the end of the year, he announced to me in January that he was retiring. I was frustrated and annoyed with him, but he promised that he would find me a great surgeon and that he would be there during both surgeries (and he kept his promise!). In February 2010, I met with Dr. Feldman, whom I immediately liked. He thought it would be a good idea to try an injection into my hips to see if it would help my thigh pain. Unfortunately the doctor that administered the injection hit a nerve and I was in so much pain that we couldn't go through with my March 17 surgery.

Finally on April 16, we were all set. No more delays. I had never been hospitalized or had any procedures done, so I was a bit anxious about diving into this unknown. On that day however, I was pretty calm. For me, the hardest part was making the decision. Once the decision was made, I was ready to go. I also prepared myself for the worst case scenario. I talked to several CMT patients who had undergone this surgery before me. I was ready for a year or longer in recovery. And most importantly, I was ready for the pain. The first night was extremely painful and difficult, there were a lot of tears. But I prepared for this journey with the support of family, friends, and loved ones, so I was not alone. Even though I live with my boyfriend, I prepared to spend about 2 months with my parents each time because they would be able to be with me almost all of the time. Believe it or not, time went a lot faster than I expected. Before I knew it, I could move again and I could start to step down with the walking boot. I returned home and started physical therapy. Within 3 months, my foot was no longer swollen (I mean, AT ALL). And almost immediately I could tell the difference between this new foot and the old foot, and was sure I had made the right decision.

Then, I started preparing myself for surgery #2, but this time, I felt more confident because I knew what to expect and the first surgery went so well. I knew what my timetable would be, how my body would react to the meds, I knew that even when time seemed to drag, that it would all fly by and I would be back to walking again. So we scheduled it for September 20. And just out of nowhere, 2 weeks before the big day, my surgeon's office called to move it to September 22, which wasn't a big deal but was kind of annoying. I point this out because life works in "mysterious" ways. One of the main things I have had with me through the process is faith - that everything would be ok. Six days before my surgery a recruiter reached out to me with a perfect job opportunity. And wouldn't you know that I interviewed on September 20 and 21, and actually landed the job!!!! They decided to wait for me for 2 and a half months while I recover!!! If this isn't a gift from above, I don't know what is.

Getting the job just made me want to get the process over with even more quickly. The first time around, I knew I would still go through a second surgery so I was pretty calm. But now that I have something to look forward to, I have been anxious for time to pass. It's now been 2 months since my second surgery and I've been moving around with the walking boot, soon I'll just be walking on my own.

I can't believe this year has gone by so quickly. I think it definitely has been my most trying year, by far. But as I get close to that finish line, I feel a sense of accomplishment. I really did what I set out to do. I feel that I am coming full circle. I won't say it's been an easy and rosy journey, it's been full of tears and many times over the summer, resentment that I could not go outside to enjoy my favorite season. But I'm almost done and I have learned so many lessons in life! Hopefully my new feet will be happier than my last ones and healthy for a long time to come!

Shoe Lover At Last!!!!

I finally get what the fuss is all about!!!!

 

Thanks to my "ugly feet," I've never been able to walk into a shoe store and buy as many shoes as I wanted. And that's not even talking about the cute or trendy section. I always had to go for the comfortable-and-definitely-not-the-most-attractive-shoes around. And even those, many times I had to return because my feet would hurt so much.

 

Since recovering from my second surgery, I've been SO excited to finally buy cute shoes and go on a shoe shopping spree. I might've gone a little overboard, but who cares? Being able to walk into DSW (of course I picked the largest store) and have SEVERAL cute shoes fit me was definitely a first, an exhilarating experience (possibly a shoe high?). I actually had to turn down some just because I wasn't ready to spend that much. And Easy Spirit online (unfortunately there are no stores in CT) has become my latest BFF. 

 

I am now the proud parent of several cute boots to wear in the winter and to work, and a few really really cute sandals for our Caribbean cruise in two weeks. I don't think I'll ever be able to do heels, even with new feet, but I'm very happy with my flat shoes.

 

Below is just a small sampling of them!!! My right foot was still a little swollen when I took these pics two weeks ago, that's why it doesn't go in all the way...and please don't mind my un-manicured feet, another habit that new feet will be breaking.

 

PS: Even though I have new feet, I am thinking that I may need more surgery....I'll write more about that next time.

 

Happy Holidays!!!

Once again I can't believe it's already been 3 months since my 2nd surgery (and 8 months since my first). I have to say the last couple weeks have been a little challenging adjusting to work again but I think my foot is finally getting the memo. After last week's inching debacle, I started to take more care of my foot and he started to behave more. I am keeping it elevated 80% of my day at work, icing it at least three times at work, and also taking 2 ginger tablets a day (my surgeon's nurse said she has heard this is a homeopathic way of treating swelling). My foot's been a little swollen but sooo much better than it was. I'm even feeling brave enough to possibly wear sneakers to the office one day next week so see how it behaves.

I also can't believe this year is over. 2010's been fun (NOT!) but I am ready for 2011. This has been one of the most difficult years of my life but one that has taught me many lessons of strength, (a little) patience, learning to lean and depend on others, and most importantly, gratitude. But I am so excited for 2011...a new year ahead of me, with new feet, a new job, a fun trip in 2 months, I'll be 30 in March, hopefully a first time home buyer at some point, the possibilities are endless.

Just wanna wish everyone a very Merry Christmas and a Happy New Year.

Thank you for all the help this year

And for seeing me through these 2 surgeries

New Pics of My Footsie

So today I completed the blood work that my pain management doc requested. In total, 22 vials of blood. My little veins need some time to recover. LOL. And the final thing will be my 6-hour peeing session on Monday. Can't wait to hear the results from all these tests.

In the meantime, here are some new pics of my footsie, all healed but still swollen. I'm still taking it very easy because it's still hurting if I walk too much.

Two new feet

Two old feet

When Twin A met Twin B

I went to my 1st post-op appointment this past Thursday and got to meet my new right foot. It was such a relief to see it and know that everything went well. Dr. Feldman was extremely pleased with the results and how my foot is recovering. I got a new cast that will come off on November 2nd...now I just have to sit tight and anxiously wait til then.

How beautiful is my new foot?  :)

My Identical Twins

Surgery #2 and an Unexpected Surprise

I am happy to report that surgery #2 was a success!!!! This time I felt so much more prepared and at least I knew what to expect, except for the delay. Unfortunately Dr. Feldman's 1st surgery ran late and mine didn't start until 3 hours later...needless to say, I was STARVING!!!! I saw a lot of old faces from the first one too and that made me feel even more comfortable.

The days that followed were very similar, A LOT of pain on the first day, a lot of itching (as a result of the meds), drowsiness, dizziness and all that good stuff. But there were also a lot of the great things from the first one, visitors that brought me yummy food and TLC...Thanks Jess for my Mexican food, Dorothy for Crumbs' cupcakes, Vero for my Get Well Teddy Bear...and also all the beautiful flowers from other wonderful friends...

At home, the first few days were really tough too, just getting used to my strong meds again, the dizziness, and how much they affect your belly. Oh man, getting up the stairs coming home was hard again, how easily the body forgets LOL. After 3 pretty crappy days, today has been a much better day!!! Feel like myself again, just with a cast at the end of my right leg. And my left foot is behaving so nicely, all new and strong, supporting the weight of my body with no complaints.

I feel like a weight has been lifted, like I pulled the band-aid. The surgery is done and now it's just my way to recovery. I already go see Dr. Feldman to remove the first cast and the stitches next Thursday and before I know it, I'll be walking again.

And in the midst of all this craziness, I got the best news...I got the job!!! I cannot even start to describe how excited I am! Things were really meant to be!!!! My original surgery date was September 20 and then Dr. Feldman's office changed it to the 22nd. And instead, I had a first interview on the 20th and a second interview on the 21st. And they loved me (Why wouldn't they? I am pretty fabulous!)! They're going to wait until I recover so my start date is December 1. I am so so happy that I don't have to look for a job as I start to get better, that I have an even better commute than I had before, I get my own office, and most importantly, I get to do what I really really enjoy.

So I guess the lesson here is to keep your head up, just as you are struggling in life (i.e. pain), God has a plan for you and he might surprise you at the end of the day with something totally unexpected :)

My aunt, visiting from Brazil, got tired of the waiting too and decided to take a nap LOL

Weeks 6 and 7: Time to see my foot again...

Before things got better, they got a little worse. After my last entry, I spent another week not being able to sleep well. One night I went to bed at 7am (after being up all night) and the next day at 8am. The day after that, I slept from 2am-6am. Needless to say, I was starting to get a little desperate and considered taking sleeping pills. But I held off, because I knew I was going home to CT to spend Memorial Day weekend with John. Thankfully, that's all the medicine I needed. I've been sleeping great ever since and I am definitely caught up on my rest.

I went to see my surgeon yesterday for my 6-week follow up and to take the cast off. First, I was really grateful to have lived such a healthy life up til this point and to not really have had many medical problems as a child and teenager. My doctor is actually a pediatric surgeon and he was having a very busy day so the waiting room was full and my heart went out to those families. Little children and young teens in casts, a young boy with so much metal sticking out of his body from hip surgery, and a boy with such a serious condition I never even knew existed. It just made me sad because they should be outside running and enjoying this nice weather. But the upside is that hopefully they'll have a pain-free and easier adult life than I've had.

So it's finally my turn and what a relief it was to finally have my foot free and get a little more comfortable. But to be honest, I thought it looked worse than it did 4 weeks ago. My skin is soooo dry and my foot actually looked really dark, it's like one foot tanned and the other didn't (see pics below). Since I've never had surgery before this, I was a little worried but Dr. Feldman reassured me that it's healing just fine. The scariest thing is that he wants me to start walking on it NOW...and not little by little, to start immediately with the boot. And I'll have to wait on physical therapy. He wants me to see him again in 3 weeks and he'll recommend it then when I'm more used to walking. He also said to bring sneakers for my next appointment...oh boy!!!!

When we got home, I have to admit, I was soooo sooo scared to put my foot down. I had no idea what to expect; well actually, I expected to feel a lot of pain. You spend 6 weeks protecting your foot from harm and from touching anything that it's kind of scary when you're given the green light. Thankfully John and my mom were here for moral support. After the first few steps, it wasn't too bad at all, until John noticed I was cheating and putting most of my weight on my arms! LOL. Well, after I got caught, it still wasn't too bad. It felt good to finally walk again with two feet.

Here are a couple of pictures of my "fraternal" twins...it doesn't look great, but I'll post better pictures once the scabs go away:

Week 3: The Good, The Bad, and The Beautiful....

So much has happened since my last entry, I started writing this one a few times but quite honestly wasn't really inspired so I just waited to write it. And what do you know? It's 4am and I can't sleep so I thought I'd catch up ...

I was really looking forward to finally getting to meet my new foot as I was going to see my doctor for my follow up. John and my mom drove me into NYC for the appointment. I was really excited for this, a moment 5 years in the making. I could tell my doctor was really busy so he got right to work by taking off the first cast, which was a little scary. I know he is a great doctor and this was a minor thing to him, but when you see that little saw cutting so close to your leg it's a little nerve-wrecking. I honestly didn't know what to expect...wasn't sure how I would react. At first, it looked a little gross because the first thing I saw were the stitches and the blood on the cotton. And the more he peeled off, the more my absolutely gorgeous foot peeked out to say "Hello" to me. I was speechless (if you know me, you know those moments are hard to come by). And then a wave of emotions started to run through me...of happiness, of accomplishment, and a little weird because the foot was so beautiful and as a person who never had a beautiful foot, I felt like they attached someone else's foot onto my body. The arch was almost non-existent, my toes were perfect straight, and my foot was so long!!! I was a size 6.5 in high school and through the years, my foot has shrunken down to a size 5.5 - 5. My new foot is definitely at least one shoe size bigger!

DISCLAIMER: I'm going to post the pictures here and I hope they don't upset anyone. As the title of this blog reads, this is my journey and I've been waiting for these "after" pictures for a long time!

First, a recap...this is the picture of my old foot:
 







And this is my new beautiful foot ... despite all the bruising, swelling and my new cool scar:

I was so happy and overcome with emotions that I cried. Cried because a wave of memories washed over me, back to 2004 when I started my diagnosis process, searching for answers. Back to 2005 when the first doctor suggested surgery and I balked at the thought. I thought of all the pain that I've had with my calluses, of all the difficult shoe shopping trips I would force myself to go on to try to find a decent pair of shoes to wear to work, to a nice event, or just to be comfortable. Happy that this is a new beginning for me and that even though we are only at the start, this proved to me that I made the right decision. 

My doctor was extremely pleased with what he saw, he said he couldn't have done anything better or different than what he did. That the foot is healing beautifully, that the swelling is very normal for where we are. He actually seemed to admire his work of art a couple of times. I didn't mind at all because that work of art happens to be attached to my body :)  He also told me he thinks I am very brave, that when he met me he didn't think I would be doing as well as I am...something John has also said to me. I know there's a light insult in there somewhere lol...but I choose to see the compliment and that made me very happy.

I got a new cast and will be in it for another 4 weeks. I return to the doctor's office on June 1 when they will remove that and put me in a boot and hopefully I will be able to start putting some weight on my foot. We were so excited that we went out to eat to celebrate.

The good and the beautiful came together....the bad came when the doctor said I need to start weaning off the pain medication. Instead of a full pill every 6 hours, I should do half a pill and then eventually down to a quarter. That worked out well Tuesday and Wednesday but on Thursday night, not so much. The fact I had visitors all day may have contributed to the fact I was in so much pain at the end of the night, which led to a few more tears. So I took a full pill at night and another in the morning, and then back to a half pill and so far it's been ok. The bad is also that this medication is so strong that it had been suppressing my usual leg pains and with its decrease, my old friends have come back in full force so it's hard to find a position to be comfortable in. I plan on calling the doctor's office tomorrow to see if there's any medication I can substitute it with that may have the same positive effect on my body. 

Even with the bad, I am ecstatic and cannot wait til June 1 to get to see my new footsie again :)