Surgeon #2

Today has been a really crazy day and I'm glad it's coming to an end. I'm even happier because now I have some more conclusive answers about my surgery situation. Quick update - callus on right foot is worse and bigger than callus on left foot and bothering me a lot more. I have been really tired and exhausted, which is the reason why my entries keep dwindling. I still don't think the supplements are helping me and I'm doing blood work to get some more results.

So last night I slept at my parents' house and my mom and I went into the city this morning to meet the doctor referred by Dr. Feldman for a second opinion. I had a great first impression, liked him right away, which is always a great sign. He reviewed all the information I brought, examined me, then stepped out of the room. When he came back, he told me he called Dr. Feldman on his cell phone and they discussed my case already. More brownie points!

So he said we had two options. The simplest and the one he recommends is to just shave off some of the fifth metatarsal's bone, which should relieve some of the pressure on the callus of my right foot. Should be a fairly simple surgery, local anesthesia and possibly not even one night in the hospital. Would probably go right into a walking boot and return to work fairly quickly. Option #2 would be to break the fifth metatarsal bone and raise it to relieve pressure. But then he said he wasn't sure if it wouldn't create a problem for the fourth metatarsal (Oy vey!). This would also be a much more invasive procedure with longer recovery. And he doesn't think pinning all my toes would help at all, so as of now they stay "hammered."

So obviously I chose option 1, and we agreed that if it didn't get much better, we can always consider option 2 in the future. After this I will also try wearing orthotics at least while I'm at work so my feet won't feel so much pressure while I'm running around. For now I think we'll just ignore my left foot...it's hurting a bit but I think I can live with it. I was also surprised to know that Surgeon #2 will perform this surgery, instead of Dr. Feldman. Not that it's a problem, I just wasn't expecting it. Oh that reminds me - I should figure out how this works for my insurance since he's out of network.

Once I got to work I had a chat with the powers that be and it looks like I'll be able to schedule something for the beginning of July and possibly take off two weeks. And this would mean that I may still be able to take my family trip in November!!!!!!!!!!!! Which is really what I'm most excited about! This last part hasn't been approved yet but one can dream...

Maybe It's Not Over Yet...

I went for my follow up with Dr. Feldman last week to see about the possibility of more surgery. It had been so long since I actually "walked" myself in that the receptionist was shocked (and happy for me, of course)! I was a little ticked off because I have literally never waited so much there...I was "Next" five times, it felt like he kept going in to see everyone else but me...anyway, moving on! When I finally did get to see Dr. Feldman he really couldn't explain why my outer calluses are back (one per foot). He had me walk back and forth a couple of times and said how my feet are perfectly aligned and how effective the first surgeries were.

He ended up coming to the conclusion that the outer ball of my foot is really exposed because we didn't pin those toes and they are still so bent that they naturally put pressure on that part of my foot. The problem seems to be completely fixed on the inner callus that used to be right below my big toe, which now has the metal pin in it. But before he can say that's what's really going on, he wants me to see another doctor at the hospital for a 2nd opinion who's a super genius in the field. He did say that he doesn't think the 3rd and 4th surgeries wouldn't be as intense as the first two. I would probably go straight into a walking cast and able to move. That would be awesome!

He then prescribed an orthotic type thing to wear in my shoes and see how that would work. I'm not against doing this for a short period of time but the whole reason I started this journey was to find "permanent" relief. I use the term permanent loosely since we know CMT is progressive and degenerative, but you get my point. Orthotics only work in certain shoes, won't work if I wanna wear flip flops or if I'm barefoot. And quite honestly, I've had quite a few that haven't helped me at all.

I also pretty much begged for pain meds and he agreed to give me an anti-inflammatory that should be good for the pain. I've been taking it for a week and I'm not really sure how much it's helping but I'm gonna keep trying. If this one doesn't work, I have another one in mind.

I told my new job about the possibility of more surgery and as much as "they want me to do what's best for me" I know they were not thrilled. It's too bad but it's not like I planned this. I also may have to scrap my planned visit to see my sisters and family in Brazil at the end of the year, which I'm really bummed about. But I'm really dedicated to work on these feet and have a better quality of life. I'm just gonna have to focus on the fact we just took an amazing vacation and that'll have to do for now.

Keep the Faith

About a year ago, I set out on this journey to take care of myself and my body, by having 2 (or possibly 4) painful surgeries that would help me relieve constant pain in the balls of my feet. At that time, I was anxious, I was afraid of the unknown, I was quitting my job because of a move to CT and to allow myself time to fully recover without worrying that I had to answer to someone, and I was basically diving in head first, not knowing how cold or rocky the water might be.

The only sure thing I had was faith that everything would be ok and that I had God on my side. I won't say it's been an easy year, it's been full of ups and downs, pain and relief, moments of tears and moments of laughter, going through the first procedure and seeing how successful it went and how well my foot is doing now. I've had a chance to stop and reflect on my life, had an opportunity to get closer and bond with my sisters, lean on my parents for their love and support, see John and I overcome another hurdle together which will continue to make us stronger for the future, and see who my true friends are.

As I approach the end of this journey, God's been giving me MANY reasons to smile (and Lord knows I need them)....I have a wonderful Caribbean cruise to look forward to on my birthday in March when I'll get to introduce my new feet to my favorite thing in the world - a beach! Then the most perfect job appears out of nowhere and they decide to wait for me to recover, and the latest gift He's given me...I get a letter from Social Security this weekend that they have made a decision that is fully favorable to me!!!!!!!!!!! This is just soooo unbelievable!! SS has denied my disability claim TWICE that I had to hire an attorney and we've been patiently waiting for a hearing date sometime next year!!! Then out of thin air, I get this news...There's no other explanation than the Big Guy upstairs showing me that even though sometimes we may be dealt a difficult hand in life, He is here for us and I am so grateful for that...

I just wanted to write this entry to say keep the faith, believe in something greater than yourself, and always have hope. If at times it seems He has forgotten us, then maybe it's just our turn to learn a lesson in life, and sure enough, in due time, things will appear out of nowhere to show us we've had our down so there's nowhere else to go but up!

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

Small Change of Plans

Today I woke up with a phone call from my surgeon's office "about my surgery on September 20th." Immediately I thought "OMG What is the problem now?"

For some reason, Dr. Feldman can't do the 20th anymore, so now my surgery will be on Wednesday, September 22. While I am not horribly upset, I am a little annoyed because I am so ready to get this show on the road.

So I guess I have 2 extra days to paint the town red!

Happy 2 Months to My Foot!!!

Time really goes by so fast...my surgery was exactly 2 months ago today. I have to admit the 2nd month was a lot harder than the first. I miss those good ol' days when I could take the SUPER-meds and my pains were all gone. Since I stopped taking them after the first month, life has been a little more complicated, and at times, A LOT more painful (not my feet, but my thighs). But the funny thing is that even though life can get difficult, it also finds a way to show you joy...

My foot is healing nicely and it feels good. The scars are healing great, except for the one by my ankle (which I pulled the scab before it was ready to come out. I know I know!!! I shouldn't have!), so that is taking a little longer to heal. I am walking with the help of the boot and either with the crutches or the walker (I prefer to be an old lady just at home). After keeping it down for a while, it gets somewhat swollen and I need to ice it.

I try to keep a positive attitude as much as possible, but I have to admit this whole situation got the best of me earlier this week. I was just moody and annoyed that I can't be outside and enjoy this summer. I was annoyed that I still need so much help with things that I could've easily done on my own before, but mostly I was angry about the summer. This is my absolute favorite time of year and now I only get to see it through the window. It's June 16 and I haven't even put on a bikini yet (I know this is so minimal in the scale of things but remember, this was my venting day).

Also, my disability claim got denied...like seriously?? When I told my surgeon, he said it was impossible. I could probably write an entire entry on how the system is so messed up, but for now, I'll just say that I am getting some legal assistance to file an appeal. Hopefully, things will go in my favor.

Thankfully, my mom came to the rescue with my dad on Monday. It was great to have my parents here the entire day. She helped us so much by cleaning the apartment and bringing tons of my favorite foods for our freezer. She and I went through my shoes to clean out my closet and most of it had to go, so my sisters will be the lucky recipients of all my shoes. It turns out my foot is only a half a size bigger, it looks like it's so much more because my right toe isn't straight.

It's also been great to have the World Cup going on right now...it's kept me really busy. I've never watched this many games or been aware of so many teams' stats. Brazil had their first game against North Korea yesterday and it wasn't too impressive but they won. I'm excited to watch the next game in Newark with a bunch of friends and some Brazilian BBQ.

Despite feeling a little down this week, I am grateful for little by little regaining some of my independence. I can now completely shower on my own, I can walk and go up and down the stairs, I can help around the house a little (helping with dishes or making our bed), I carry things back and forth in my trusty tote bag, walking and putting pressure on my foot feels better and better every day. I am completely off pain meds and even though my leg pains are very strong, they're only a little stronger than before and I get used to handling them. I have also been sleeping much better. It's amazing how simple these things are in our lives that we would normally take them for granted, but for me, every little step and every new thing that I can do on my own gives me such a huge sense of accomplishment.

I really miss the normalcy of life, being independent and being a regular member of society, getting in my car and going anywhere I want. But then I remember that I am doing this to have a better life and that eventually I will have all those things back and more! So I try not to think that it has been a long 2 months, but instead, I'm 2 months closer to achieving a healthier and happier life.

PS: I want to dedicate this entry to Tia Ana. She lives in Brazil but somehow figured out a software to translate all my entries to Portuguese and now she's an avid follower of my blog and my progress. Thank you Tia! I love you!!!

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 :)

Week 2: So far so good!

Time flies...I can't believe it has already been 2 weeks since my surgery. Since I've been home, I've only been outside once, last Saturday when it was nice and sunny out. But it was such a hassle to get me and the wheelchair outside that I haven't really bothered to go back. I guess the fact that I am a homebody comes in really handy right now...I definitely don't have cabin fever yet, I'm actually still enjoying myself (knock on wood this lasts). I'm staying in my parents' room where I get to see the backyard, an apple tree (and the blue bird that visits it everyday), and most importantly, sunlight. This may be a huge reason as to why I don't feel so caged in.

It's also been pretty busy for me that I haven't really looked at the pile of gossip magazines in the corner, or read my books, or watched the DVD's I made sure to have, or listen to the CD's many friends have given me. Most of my time consists of emailing or talking on the phone with my sisters in Brazil (which happens to be very entertaining) or hanging out, emailing and talking to friends and family who come to visit me. The house is constantly decorated with beautiful flowers I've received, which I am so grateful for.

There are definitely a few things that I have had to get used to, like sleeping on my back, which I have never been able to do until now, or what a process showering has become (I can't just walk in and do it on my own). I also need to get used to keeping my foot up at all times...before the surgery, I would never do that because I would always feel numbness on my left foot and that is something that is still bothering me a lot now. At least before I could try stretching my foot or my toes, now I can only adjust the pillows I rest my foot on or let my foot drop for a couple of minutes.

The itching all over my body that I started to feel in the hospital is still bothering me. So much so that my mom started to give me water with vinegar and sugar (an old recipe from when she was a kid) to help and I've started to feel better. Right now, the thing that is definitely the most uncomfortable (TMI ALERT) is just how hard it is to regulate my stomach. The medication I am on is so strong that it "blocks" me so I have to take Milk of Magnesia and eat lots of fiber to "release" me...anyway, making a long story short, it's just hard to find a balance.

The nurse and physical therapist were back this week and I was assigned my first set of homework that I need to do twice a day. While the therapy seems pretty simple, it's crazy how tired I can get from so little exercise.Thankfully, the pain is still under control with taking the meds every 6 hours. I have felt some annoying tingling sensation on the back of my foot, the part that rests on the pillow.

I am truly fortunate to have my parents who help me so much and are doing everything for me. I don't even know how I would be able to go through with this process without their help. As thankful as I am, I also miss my home and most importantly, I miss being with John. We dated long distance for 4 years before we moved in and now we're kind of back to that again. I know it's only temporary but I just wish CT and NJ were closer.

New Date....April 16

I am happy to announce my surgery has been re-scheduled to April 16.

It has been 4 weeks since I had the injection at the hospital and 3 1/2 weeks since the "new" pain started on my thigh. Thankfully the neurologist was right and I'm feeling like myself again.

I started to feel a little better about 2 weeks ago and that was just being able to walk without the cane. So last Tuesday I checked out of Hotel "Parents" and came home. At first, it looked like I wouldn't be able to have my surgery until the last week of April, which I was really bummed about. My mom needed to go to Brazil to take care of some things so she took advantage of the break and left that Thursday night. My sisters are obviously pretty happy about that!

My first days back home were not easy because I think the long car ride didn't help but it steadily got better. I was finally able to drive again on about a week ago, I cleaned the tub this week (not that I'm so thrilled about that! LOL), and I've started to cook again (slowly but surely!).

Now that my mom is in Brazil, I find it really nice how many people are checking up on me to see how I'm doing and how many adoptive mothers I've got. During difficult times in your life, you can really figure out the people who truly care about you. I feel very loved and well cared for.

I will be going back to the hospital this Monday to do all my pre-op testing again. Yay!!! Surgery is already next week....I can't wait!

Visit to the hospital...

Today was my first official visit to the Hospital for Joint Diseases to get injections into my hips (to see if that will help the pain in my thighs) and also to do all my operation registration and pre-testing. I'm so glad that my parents came with me, just because we really weren't sure what kind of reaction I would have to the injection and also to support me =)

I really didn't know what to expect of both procedures and I have to admit I was a little worried about the injections because like most people, I don't love needles. The hospital staff was extremely nice and helpful and made me feel at ease right away. I changed out of my regular human clothes and into a hospital gown and I even got a hospital bracelet...Thankfully they gave me two gowns so I didn't have my backside exposed to the world.

First, I talked to the nurses about basic information and then the doctor came in to explain the actual procedure. They were going to numb me with lidocaine and mark the spot to be injected. Then they would hook me up to this machine so they could see what was going on inside in real time. COOL! Before they applied the medication, which I found out today was actually steroids, they release a dye into the area to make sure they were in the right joint. All of this happened in less than 10 minutes and was actually only a little uncomfortable, mostly when they were applying the shot for numbing.

There was another medicine mixed in with the steroid that would work in the first 5-6 hours and the steroids won't kick in for 2 days. The effects can last from a few weeks to possibly a couple months. If this works, I can only repeat this procedure 4 times a year because the steroids can have a negative effect on your bones and ostheoporosis is a major side effect. I say "if this works" because this is really trial and error. We don't know this will work for sure because the doctor isn't sure my thigh pain is related to my hips but we are trying. I am feeling positive that even if this doesn't work out, at least now we are exploring areas I have never explored before and I'm hoping one of them will be the right one. I need to keep track of my pain levels over the next week so I can talk to the surgeon about it and see if there's been any improvement or no change.

When we were all done, I headed down to Admissions and started to sign my life away...so many forms. And they asked me if I have a DNR (Do Not Resuscitate Form) and a will...kind of weird to think about these things at 29. I guess watching television does pay off sometimes because I knew what the DNR was from Grey's Anatomy...LOL...and yes! Please resuscitate me!

When I was done with all the forms, we headed upstairs for all the pre-testing. I cannot stress how nice the nurses were...I was really impressed. I continued to go on and basically tell them my entire life story because they asked me 1,000 questions, my blood pressure is great, I found out I lost some weight, did a blood test, EKG (results were good) and I found out more serious information about next week's procedure. Some of these were the most interesting to me:

• I will not find out what time the surgery is on until Tuesday night
• I cannot eat anything past midnight on Tuesday (regardless what time my surgery is...here's praying that it's earlier in the day. I asked what if it's later in the afternoon. Answer: Sorry but you will have to suck it up). If I'm dying of thirst I can take a teensy tiny little sip
• I won't know how many days I'll be there until we do it...we have to play it by ear
• I can continue to take my Lyrica/Vitamin B
• I will have to buy some medicine for my nose to be used everyday 5 days prior to surgery to help against infections
• I will have to shower the night before and morning of with Dial anti-bacterial soap and not dry myself with a towel. They gave me special patient pre-op cloths that are supposed to help sterilize my skin
• I gave them authorization to give me a blood transfusion if I needed one

When I was finished with the nurses I met with the anesthesiologist to go over yet more questions. Thankfully they accept my health insurance so one less concern. The doctor was really nice and she said if I didn't want to, they could just numb me from the knee down...I said: ARE YOU CRAZY?? Knock me out, I don't wanna hear, see, or smell anything! LOL...she said that's fine too...I just wanna wake up and be in my room already.

I am really happy that we were able to do everything in one day. Now I just need to wait until next Tuesday to find out the final details.

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On a side note, John is getting me one of these leg elevator pillows that should be really helpful once I have the cast on and to be more comfortable. I'm thinking maybe I should also get a back pillow...we'll see.