Nov 16

How Being Thankful Can Make Life Easier

Illustration of a Thanksgiving turkey holding a blank board sign For the past seven weeks, I have experienced life as a one-legged man. While I have spent years using crutches, of which plenty of that time was non-weight bearing, none of it quite compares to having the leg missing. Needless to say it has been a humbling experience and one that has made me realize how grateful I should have been for the ease of doing so many things, which have now become so difficult to do. It has also made me realize how grateful I am for what I still have and simple things such as a pair of crutches. My leg has been replaced with a pair of crutches, something most people would avoid needing at any cost, however my crutches have become my most valued possessions and something I am extremely grateful to have. Without them, I would have lost my freedom and independence.

November is the month in the United States that Americans give thanks for all the things we are grateful for, so I thought it only appropriate to write about what I am thankful for in my life. I have many, many things to be thankful for and the past seven weeks have reminded me how fortunate I am, so I will try to express my thanks and promise to try not to make it too sappy.

I am thankful for my family
Screen Shot 2014-11-11 at 10.48.49 AMI have been blessed with three healthy, smart and good kids. They each are special in their own way. While they certainly have their trying moments, I am very fortunate to have my kids and they have given me joy and pleasure every day since they were born. I am also blessed to have a wonderful wife. There’s no question that when going through an illness or disabling condition you learn if you’ve married the right person.  I most certainly did; my wife’s support has never wavered and I could not have ever got through the past six years without her by side.

I am thankful I was given the strength and perseverance to survive adversity
Collage ActivitiesAfter years of surgeries that were unsuccessful ending in disabling pain, I could have easily given in, taken to my couch and collected disability for the rest of my life. Sadly, I have met plenty of people who reported that their disabled spouses have taken to their beds instead of accepting their losses, using what they still have to get out and live their lives. Every day, while I am out living my life, I am grateful that I had the strength and perseverance not to allow my disability to destroy not only my life, but the lives of my family as well.

I am thankful for my job
My job might not give me the satisfaction that teaching gave me, but it is a job and I am earning income which is doing my part in helping to support my family. The odds were against me as an unemployed newly-disabled 48 year old man. Not only was my age and disability against me, but we currently live in an economy where jobs are almost impossible to come by. Therefore, no matter what is happening at work, good or bad, I always stop and think about how fortunate I am to have not only a job, but a decent job. Suddenly all the office B.S. doesn’t seem important.

I am thankful for extended family who I can reach out to for support
bannerDuring times of sickness and need, people outside our immediate families can provide necessary support. While going through my recent amputation surgery, my extended family members were a huge support, not only to me, but in giving my wife some much needed breaks. I am grateful to all my family members who visited, called, texted and kept me company late at night when I was feeling like crap and didn’t want to be alone.

I am thankful for my home
IMG_0929My family and I are very fortunate to live in a warm comfortable home where we have everything we could ever need and more. With so many families in this world living without shelter, warmth, proper clothing or food, we are the luckiest people in the world. This is something I often take for granted and I need to learn to be grateful for this every day.

It is important that we keep life in perspective. No matter what our own troubles may be, we need to be grateful for what we have. During the past six years, I have always kept perspective of my situation, realizing that there were so many others going through much worse. There are so many people in this world going through injury, sickness and impoverished conditions that make my situation seem minor. At every turn in my journey with this ankle I have pushed forward knowing I did not have a life-threatening disease and the worst that would happen is I would lose my left leg. Yet I would survive, I would use crutches, get a prosthetic leg and learn how to live a full life.

I have survived my worst, amputation, and my life has most certainly not ended. Not only in the month of November but all year long, stop and take time to be grateful for all that you have. When you keep focus on all the good things in your life, your problems are easier to bear.

Thank you for reading! Please subscribe to never miss a post or come back in two weeks for my next post, I will discuss the prosthetic leg for the first time.

Also follow my story on Facebook.

 

Posted in Uncategorized | Tagged , , , , , | Comments Off on How Being Thankful Can Make Life Easier
Nov 03

Phantom Pain

Screen Shot 2014-10-24 at 2.18.00 PM Five weeks ago I had my lower left leg amputated. A strange and interesting phenomenon is that I still feel a strong force pushing my left foot backwards. The feeling is so real and so strong that it cannot be possible that my foot is no longer a part of me. Yet, every time I take a look or reach my hand down, my left foot is most definitely gone. What I am feeling is phantom sensations.

The Mayo Clinic defines phantom pain as “pain that feels like it’s coming from a body part that’s no longer there”. It can come in the form of pain or sensations. Phantom pain is when you feel pain in a limb that is no longer there, while a phantom sensation is feeling that the limb is still there but not experiencing pain from it. I was forewarned about phantom pain from my orthopedic surgeon, a pain management doctor and other amputees, yet I could honestly only imagine what phantom pain was from an experience I would have after each of my previous 6 surgeries. In the days after each of my other surgeries I would wake up around the time pain meds were due. When I would wake up, I’d have the sensation that my affected leg would be resting in a certain position. When I took a look though, the leg would actually be in a completely different position. I always found this to be such an odd feeling. So when I thought about phantom pain, I could believe it existed due to this feeling I would get after surgeries. I also thought that would be what phantom pain would feel like. I was not completely wrong, but there is just so much more to it.

Honestly, I am not sure I could possibly explain what phantom pain feels like, because I don’t think anyone could possibly understand how it feels until they experience it. What I can say is that it definitely exists and I’ve felt it from the time the nerve block wore off the very day of the amputation surgery. As I sit here writing, I can feel my missing lower left leg, but not as I did most of my life. I feel the foot and ankle, but it is heavy and it feels as if there is a force pushing against it. The feeling is so strong that if I didn’t know better I would absolutely swear my foot was still here.

The most common phantom pain I experience is a burning pain in my missing foot. The following are some of the more bizarre phantom pain/sensations that I endure.

My Top 6 Weirdest Phantom Pain/Sensations

1. I have yet to feel pain or anything at the end of the stump. As far as my brain is concerned, the end of my stump is my foot. All pain or sensation feels like they are on the bottom of the missing foot. When the staples were being removed my eyes were watching them coming out of the stump, but my brain was feeling them coming out of my foot.

2. The first time I walked on my crutches in the hospital my phantom foot kept dragging on the floor. Even now, here and there, my phantom foot drops to the floor and tries to trip me as I am walking.

3. The stump shrinker is a tight-fitting compression garment that is worn over the stump. While wearing it I feel like I have a tightly-fitted cast on my lower leg. I can even feel my toes sticking out the end of the cast.

4. For about a week I suffered a lot of nerve pain. The nerve pain felt like the arch of my foot was being attacked by hundreds of electrical shocks.

5. Every morning when I wake up I have a tough time moving my leg. It is the feeling you might have after sitting on your legs for a while. When you go to move your leg it is heavy and numb before the pins and needles begin. That numb feeling before the pins and needles start is how my lower missing leg feels, but the pins and needles never come. The numb phantom leg remains until after I shower and start moving about the house.

6. My missing big toe certainly doesn’t feel like it is missing. It is constantly getting stuck, bent down. No matter what I do I cannot get it to unstick. I have even, without thinking, reached down to fix it many times, only to have my hand discover that there is nothing there.

Luckily I have found a few methods to help.

The phantom pain is a brain thing. The nerves are still sending signals to the brain from the missing limb. The best way I have found to help with the phantom pain is to keep my mind off the amputation. When my mind is occupied on something other than my leg I don’t feel the phantom pain.

Keeping active is also a great way to combat the phantom pain. When I am up and about, obviously on my crutches, I am not bothered by the phantom pain. A workout at the gym, I feel no phantom pain. Climb on my tractor and suck up the leaves, I feel no phantom pain. Sit on the couch doing nothing, I am hammered with phantom pain.

Tactile therapy and massage can also help. This helps to focus the mind on the part of the leg that is still there. I use a variety of items that have different textures. I might start by tapping my thigh with a pen or empty paper towel roll, then brushing the thigh with a hairbrush. I like to end by buffing my thigh with the soft stuffed hippo my daughter brought me while I was in the hospital. I also gently massage the stump for a few minutes.

The tactile therapy and massaging I do in the evening when relaxing before bed. That is when the phantom pain is acting up the worst. Once I am done, I ice the stump for about a half hour, then follow with a half hour of heat. I found a great product called the polar sleeve. The Polar Sleeve was designed for amputees and has two pockets inside a sleeve that fits around the stump, with two Velcro straps holding it in place. The pockets hold reusable cold/hot packets. The great thing about the polar sleeve is that it gives either cold or hot therapy around the entire stump. The packets are held in place, never sliding off, and if you need to get up for something, it goes with you.

Most nights after my routine of tricks ending with the icing/heating, shortly after I get in bed the phantom pain calms down and off I go to sleep.

My phantom pain is completely expected and normal for where I am in the amputation. I am anticipating that in a few months it will dissipate. However, it is reasonable that amputees will always experience some degree of phantom pain, and there have even been amputees that still report being able to wiggle the toes of their amputated leg decades later. So I have looked into trying some methods that have been successful in reducing phantom pain. Mirror Therapy seems to have had some good success and I am giving it a try.

Mirror Therapy

IMG_0914Once again there are a few theories on why amputees have phantom pain. It is believed that the brain and spine receive mixed signals because after the limb has been amputated the brain loses signals to the missing limb. The Mirror Therepy is a way of tricking the brain to think the limb is still there. It is very easy to do. A mirror is placed so that it reflects the remaining limb, in my case the right leg. While having focused concentration you watch the reflection of the remaining limb being moved. The idea is that your brain is tricked into thinking the reflection is the missing limb. Doing this daily over time has been found to be successful in greatly reducing phantom pain for good. I have to say, while doing the mirror therapy I feel amazing and it really does seem like the reflection is the amputated leg. I will report on its success in 4 to 6 weeks.

So the leg that caused me years of agony now seems to haunt me with phantom pain. Many have asked “is the pain the same”? My answer is no, it is oranges to broccoli. While the phantom pain can be bad at times and the phantom sensations can drive me insane, this journey was one I knew wouldn’t easy. With time the good days will outweigh the bad ones. What is important is to remain positive and appreciate the small breakthroughs. I chose to amputate with the knowledge that I had a long road ahead to better walking days. That is where I keep my focus: on better walking days ahead.

Thank you for reading! Please subscribe to never miss a post or come back in to weeks to see where life takes me.

Like my Facebook page to follow my recovery.

Resources

http://www.mayoclinic.org/diseases-conditions/phantom-pain/basics/definition/con-20023268

Posted in Uncategorized | Tagged , , , , | Comments Off on Phantom Pain
Oct 19

Waking Up An Amputee

photo My eyes opened. In a bubble above me I see the silhouettes of nurses looking down at me, telling me to go back to sleep. I doze off, then I come to again. I don’t feel anything from my waist down due to the spinal, but I am well aware of what just happened. My eyes are drawn like magnets to my feet. The blanket told the story, a sunken void where my left foot once was. My fears were now faced – not only did I go through with the amputation, but I survived the first evidence that the leg had been taken.

How did I choose when to amputate?

Two years ago I knew I would amputate my lower left leg. At that time I had just completed a six-month recovery of the sixth surgery on my ankle. My life had been turned upside down; not only had I lost the use of my leg due to pain, I had lost my career. So I had to make some decisions. At the time what seemed most important was to find a job and feel like a productive husband and father. As fate would have it a flier showed up in my mailbox and the wheels began to turn. The flier was for a one-year certificate program to become a medical coder. Feeling I couldn’t let another year go by and this being something achievable, I signed up and began classes the following Tuesday. One year later I was then faced with seeking a job or getting my leg amputated. I chose to strike while the iron was hot and seek a job. At that point I was managing the pain with crutches and felt I could get through another year. I had worked hard to put myself in the right place at the right time and had to accept the job being offered to me. I told myself that I would take a year to settle into the job, get job security and then have my leg amputated.

Almost one year later, in early May, my wife and I were out for a quiet anniversary dinner. The conversation turned to how serious I was about amputating my leg and what my honest thoughts were on the timing for having the amputation. The dinner ended in the final discussion that set the wheels in motion and there was no turning back. We were both committed to making this amputation happen and most importantly my wife was committed to fully supporting me though the surgery and recovery. So, I bit the bullet and made the appointment to request my lower left leg be amputated.

Despite all the pain and already having mourned losing the use of my leg, the decision to amputate was one of the most difficult decisions I’ve ever made. I had been in pain for six years, endured six surgeries and had been using crutches to walk full time for the past two years. Still, how do you give up on your leg, have it cut off and tossed away like a piece of garbage? It was a decision I had to make and one that I made to not only improve my life, but the lives of my wife and kids as well. I would be a better one-legged husband and father than one always fighting pain.

Can you prepare for a leg amputation?

Sitting in the examining room two weeks post amputation with my exposed stump resting on the table, I said to my surgeon “there are no words for the weirdness I feel in the leg.” His response was, “nothing in life can prepare you for going through this.” I do agree that nothing could prepare me for the post amputation pain. It is unlike anything I have ever felt and I have not yet been able to put words to it. I do, however, feel I was as prepared as I could be to have the amputation.

For two years this amputation has been on my mind and while I actively spent the past three months leading up to it preparing, I had really been preparing for the past two years. Two years ago I was so emotionally unhealthy that I don’t know if I could have mentally recovered from amputation. The fact is, I went out and did what I needed to do to set my life up to have the amputation go as smoothly as it realistically could go. Going into surgery I was in the right mindset, mentally and realistically prepared for amputation. At this point I am not scared of how I will adjust to having one leg and facing using crutches or a prosthetic every day for life. I have done it! Yes, I will hopefully be able to use a prosthetic leg, but realistically you can’t go into a leg amputation with the idea that you will get a prosthetic leg and life will be perfect. You have to accept the lifelong challenge that you will need to used some kind of assistive device (prosthetic/crutches) to walk every day for the rest of your life. I have used the past two years to accept and learn how to accommodate my life as an amputee.

I have been able to quickly hop back on to my crutches and fully immerse myself back into life. Something I believe has been critical to my recovery and what the past two years have given me is confidence and a positive outlook on my life as an amputee.

I am grateful I had the time to prepare as most amputees do not get that luxury.

How did I go through with it?

To be honest I wasn’t sure how I would go through with it. The day before was very difficult; I would find myself crying for no reason and I was afraid I might not stay strong. That night I requested to have dinner alone with my wife – yes, the conversation was solely about the amputation, not only how I felt, but how my wife felt as well. This conversation was extremely therapeutic for both of us. At that point I knew I was strong and would remain strong not only for myself, but my wife and kids too. I was going to be okay! In the end having the right state of mind was the key. From the start I knew the only way to get through having an amputation was to have a positive attitude, good sense of humor and to never ever feel sorry for myself.

My only fear left was the waiting around on the day of the surgery. I had to be at the hospital at 8am and luckily things moved quickly. Before I knew it I had awakened from the surgery. On the way to my hospital room I passed the nurse who would be taking care of me. She said “how are you doing?” I responded “remarkably well for just having my leg cut off.” She laughed, my wife stated “he has an excellent sense of humor” and I knew I would be just fine. My determination to stay positive was infectious among my family and the hospital staff tending to my needs. I can’t stress enough how beneficial that was to pushing through those first days. I left the hospital with every nurse and physical therapist who worked with me stating “he will do excellently, because he has such a positive attitude”.

Without the amazing support of my wife and kids, my attitude and determination would not have been possible. My wife’s support never waivers and without that the amputation would never had happened.

The Surgery 9/24/14

Day after surgery!

Day after surgery!

The damage was in my lower leg, ankle and foot, so I had a below-knee amputation (LBKA). My left leg was removed six inches from the top of my tibia. The surgeon cut thought the front of my leg at the six inch mark, though the tibia and fibula, leaving a flap of calf muscle and skin from the back of the leg. The tibia and fibula was bridged together using a piece of the removed fibula. Next the muscle was folded forward over the end of the bones creating padding. The padding will help make wearing the prosthetic more comfortable. Lastly the flap of skin was folded forward over the muscle and stapled to the skin in the front of my leg, creating a large incision approximately 2/3 the circumference of the stump. 24 staples to be exact! A well-padded plaster splint was then placed on the remaining part of my leg holding the knee straight and for pain control.

That is the simple layman’s description. It’s obviously a whole lot more complicated as there are veins, arteries, nerves and tendons all involved.

If you have the stomach for it, the following link is a video of someone having the exact amputation surgery I had. I watched it before my surgery so I would know exactly what would be done to me.
https://www.youtube.com/watch?v=t0eR7r4JEkA

The first days of being an amputee

Day 2 – I was afraid to move the residual leg. That did not last long as the nurses were quick to get me out of bed and into a chair. Once I moved the leg I was fine and ready to go. Soon Physical Therapy came to see me. To their surprise, I was eager to get up and take a walk with my crutches. At first they were hesitant to let me go, but soon realized I was more than capable of navigating on one leg and crutches.

Day 3 – Much the same as day 2.

Day 4 – The orthopedic PA came in and removed the splint. While I knew the splint would be removed, it was comforting to have it on and I was hoping to keep it for as long as possible. As he began to remove the splint my eyes were fixated on the stump. Seeing the exposed stump was difficult and I wondered if I would ever get used to seeing it. It looked like something out of a horror movie. Dressings were put on the wound and the stump was wrapped with an ace bandage. Once again I was eager to get up on the crutches and take walks up and down the halls. Later that day I met with a prosthetist, who placed a stump shrinker on the stump. The stump shrinker is a compression-type sock that fits over the end of the stump and helps to minimize swelling. It prepares the stump to fit into the prosthetic.

Day 5 – I was discharged to go begin my life as an amputee. The first few days were not so great. The narcotics were not well-managed and caused me to become very sick. I was sleeping 24/7 and I wound up back in the hospital on day 8 with pneumonia. After three additional nights in the hospital I was released and on the road to recovery.

The Pain

The post-op pain was massive and difficult to manage even in the hospital. Ten days post-op, I was able to stop all pain medications as the pain became tolerable. At this point the nerve and phantom pain can get pretty intense. I have found that the best way to help with it is to stay busy and active. The evenings and nights are when the phantom pain is at its worst. That’s when my mind relaxes and the pain becomes the focus.

Road to Recovery!

Excellent Therapy!  3 1/2 weeks post surgery

Excellent Therapy!
3 1/2 weeks post surgery

Three weeks ago I walked into the hospital and approximately four hours later woke up an amputee. Somehow stating it like that seems unreal, yet I sit here today minus my lower leg and other than the phantom pain I feel in my missing leg, my life really doesn’t seem so different. I am well aware of the many challenges ahead, but for now I take one day at a time. I am truly grateful I had the luxury to prepare and ability to have a positive attitude to power though this life-changing surgery. I had the benefit of being 100% mobile on crutches, making a huge difference in the ability to jump back into life. While the full benefits of the amputation will take months to reap, I have already obtained one major goal I had in amputating – that goal being that I am much more mobile than I was with the damaged leg. I now pop up on my crutches and go, no painful useless appendage to decide what to do with or get in my way. That is an amazing and freeing feeling!

Thank you for reading! Please subscribe to never miss a post or come back in to weeks when I explain my phantom pain.

Like my Facebook page to follow my recovery.

Posted in Uncategorized | Comments Off on Waking Up An Amputee
Sep 20

The Archie Bunker Chair -Making Recovery More Comfortable!

Archie sitting in his chair!

Archie sitting in his chair!

For those of you too young to know about Archie Bunker’s Chair, it was a major part of the 1970’s sitcom “All in the Family”.  The television show ran from January 1971 to April 1979 and was the #1 TV show in America for five years running.  All in the Family was a TV sitcom that depicted many controversial issues of the times. Archie Bunker, played by Carroll O’Conner, was a lovable bigoted working class family man. His chair was his throne and he forbid anyone else to sit in it. The chair was old, tattered, and any time he caught someone sitting in it he would go bananas. Archie’s iconic chair is now on display at the    Smithsonian Museum of Natural History.

Somewhere over the past six years since my leg injury I have created my own Archie Bunker Chair.  It is not a chair and I most certainly don’t behave in the manor Archie did when someone sits in it. My Archie Bunker Chair is actually a spot on the couch with an ottoman.  It is tucked in the corner of the family room and has become my safe spot in the world.  It is a place where I read, write, surf the internet, manage my social media, and watch TV.  It is also a place where I can prop my throbbing painful leg up, pack pillows around it and contort my body in ways that help relieve pain. Most of all it is my little safe corner of the world where I get solitude, I can be alone with my pain and have the things I am working on easily accessable.

It has become an Archie Bunker Chair because everyone that spends any time in my house has come to understand that it’s my spot.  My kids appreciate the serenity of my spot and love to utilize it when I am not home.  While I have no problem telling them to scat, I would never be so bold as to tell anyone else to move. My wife, however, has no problem telling people not to sit there.  Interestingly, I have observed non-family members, who frequently visit, quickly relocating or telling their kids to relocate upon my entering the family room.  I guess Archie Bunker could learn a lesson from me.  While his freaking out every time he found someone in his chair caused them to challenge him, my polite, quiet demeanor gets me my spot every time.  Well, maybe not; it’s more likely the throbbing deformed leg and crutches that get me my spot.

How did my Archie Bunker Chair come about?  The second surgery I had took place on December 12th.  When putting up our Christmas tree that year we took into account that I was most likely going to spend a good chunk of the Christmas season passed out on the couch.  So, we arranged the couches so the Christmas tree would not block the view of the TV from either of the two couches.  Upon entering the house post-surgery I took up residence on the couch that was pushed up against the half wall separating the family room from the kitchen.  By accident I soon realized that it was the perfect spot for me to retain my independence.  You see, on the other side of that half wall was the kitchen sink.  The half wall was also topped with a ledge.  I soon discovered that I could go in the kitchen get a drink, snack, lunch or cup of coffee, then set it on the ledge of the half wall.  I would then make my way around the wall with my crutches, settle on the couch, then reach up and grab the item from the ledge.  We left the couch in place even after taking down the Christmas tree so that I could retain this independence until I was done with the crutches.

In pre-surgery preparations for the next surgeries we moved the couch to the spot under the sink for my recoveries.  The table next the spot on the couch would be stocked as my office along with a wide variety of comfort needs. Having my Archie Bunker Chair set up and stocked ensured my independence and allowed my wife to return to her life without worrying about how I would manage. I had even set up an “as seen on TV” remote light switch to make it easier for me to turn the lamp on and off. A milestone of my recovery was when the couch would be moved away from the wall and placed in its proper place.  I would then return to working at my desk in the office and life would return to normal. Well, never really normal as the leg pain never ended – I just thought that stashing the crutches in the closet and rearranging the furniture would make the pain go away. After the fifth surgery the crutches never went away and the couch remained on the half wall. My office remains set up on the side table. I have replaced the remote light switch with a wired switch installed in the table. While the light switch might seem like overkill, it is a simple thing that makes a huge difference in my life. At this point I no longer have any interest in returning to my desk in the office. I push myself through every day, not allowing the massive pain I am in to stop me. I need my safe spot on the couch to return home to, get my leg up, find some comfort and get a break.

In Four short days I will return to the operating room to have my left leg amputated just below the knee. Once again I have fully stocked my Archie Bunker Chair with all the things I can think of that will provide me with comfort and some independence at arm’s reach.

I highly recommend setting up an Archie Bunker Chair for anyone suffering with a leg/foot/ankle injury or recovering from leg/foot/ankle surgery.

How to create your Archie Bunker Chair

* Comfortable chair or couch with an ottoman, a recliner would be perfect as well
* Side table
* Several pillows to elevate and rest your leg on
* Pillows to tuck behind back or head
* Blanket
* Laptop or Tablet with internet service
* Phone
* Books or Kindle
* Viewable TV
* TV remote
* Pens, pencils and pad of paper
* Crossword puzzle books, games or other things you like to do
* Power strip installed for charging your devises
* As seen on TV light switch
* Comfort needs – lotions, wet wipes, medications, tissues, etc
* Sleeve of crackers to help with nausea
* Basically, anything you might want to have without getting up to get it
* If you are too young to get the “Archie Bunker Chair” connection then find an episode of    the 1970’s sitcom All In The Family. While I don’t condone Archie’s ideas or behavior, you will have a good laugh.  Video clip-Archie Loses His Favorite Chair

Side table stocked and ready!

Side table stocked and ready!

Spot on couch with ottoman!

Spot on couch with ottoman!

I am a huge believer in taking advantage of a few nights in the hospital after major leg surgery. During the first days any movement is painful and difficult. It is a few nights where all you have to do is rest and be cared for guilt-free. With that said I will look forward to slipping into my safe Archie Bunker Chair upon returning home. And yes, my wife will take excellent care of me!

Thank you for reading! Please subscribe to follow the stages of my recovery and my new one-legged journeys.

Like my Facebook page to follow my recovery. I will be posting pictures and progress of my post-amputation weeks.

I will be derailed in my Archie Bunker Chair for a few weeks, but I promise I will be up figuring out my life as a one-legged man soon, as the post-surgical pain and wound healing permits!

 

Posted in Uncategorized | Comments Off on The Archie Bunker Chair -Making Recovery More Comfortable!
Sep 06

Why We Need A Sense of Humor

Funny Doctor And Patient “Above all else, go with a sense of humor. It is needed armor. Joy in one’s heart and some laughter on one’s lip is a sign that the person down deep has a pretty good grasp of life.” ~Hugh Sidney

A good sense of humor can make a huge difference in accepting the punches life throws at you. My ability to laugh and joke about my circumstance has been extremely beneficial in getting me through some of the more difficult times in enduring six leg surgeries and disability. Humor can lighten the mood and make you feel better. I will certainly need to put my sense of humor in full throttle to get through waking up missing my lower left leg.

Wikipedia defines humor as “the tendency of particular cognitive experiences to provoke laughter and provide amusement”. Over the years many studies have been done on the effects of humor and laughter on our health. These studies go back to Freud’s relief theory. The relief theory was summarized by Sigmund Freud as ‘laughter releases tension’. The theory also explains that laughter can be used as a coping mechanism to help when someone is angry or sad (Wikipedia). Laughter: The Best Medicine, an article in Psychology Today, states that ‘laughter reduces pain, increases job performance, connects people emotionally, and improves the flow of oxygen to the heart and brain”. So, it would seem that laughter and having a sense of humor can be a factor in helping us tolerate our adversities in life.

The other day I had to make a call to a co-worker to explain a situation that had arisen. I was not looking forward to the call for two reasons. The first being that my communication with this particular person always leaves me feeling cold. The second being that the email I was going to be responding to, in the call, had already set the problem up to be my mistake. This was not an earth-shattering problem and upon doing a little legwork (excuse the pun) I discovered that it was neither of our errors, just an unusual situation. Being who I am I attacked the phone call with pleasantries and of course humor. The conversation was very abrupt and to the point on the other end and my humor wasn’t reciprocated nor welcomed. Within a minute or two I was once again hanging up the phone with a cold and unsatisfied feeling. It was almost as if I had interacted with a machine as opposed to a person. The problem was solved but the conversation lacked warmth, friendliness and still left me feeling like I was in the wrong. As I reflected on what had just happened it occurred to me that it wasn’t that this person was rude or unfriendly, it was that they simply lacked any sense of humor. Therefore, they lacked the ability to laugh and respond to my sense of humor, making them come off as being abrupt and unfriendly. I found myself feeling bad for this person because I just couldn’t imagine how difficult life must be if you lacked the ability to soften life’s problems with humor.

My sense of humor has gotten me through a lot. I have always used humor at work – I find it helps me connect with coworkers, breaks the ice with clients and just makes the day more pleasurable. Sprinkling in a bit of humor also makes coping with problems a little easier and softens the blow of work issues. When I put a smile on my boss’s face and she says, “Darryl you crack me up,” I know all is well. As a teacher my humor set the right climate for learning. It was the hook that got the students’ attention. I have most certainly found humor to provide me with a coping mechanism to help me with difficult and painful situations I have had to endure. I have used humor to cope with doctors, nurses and the many medical procedures I have encountered over the past six years. I have used humor to cope with the crutches, casts, recoveries and pain. Somehow, making a quick joke before going under the knife or while getting to the bathroom when the pain wanted to crush me made it easier to cope. Not only making myself laugh, but getting the person caring for you to laugh just makes the adverse situation more tolerable. And it’s not restricted to my medical conditions either. I’ve found that anywhere in life, whether I am dealing with children or adults, the best way to break the ice and put things at ease is to attack it with a sense of humor. Life must be so much harder if you lack the ability to laugh at yourself and difficult situations.

One of the first situations in my leg debacle where I remember using my sense of humor was right after my first surgery. I had asked the nurse if I could go to the bathroom. After each surgery the number one thing on my mind is: I need to get to the bathroom to pee! My leg was completely numb from the hip down, rendering me with zero balance. I had a cast from my knee down to my toes and was facing the next few months of not putting any weight down on my leg. I was now about to experience my first trip to the bathroom under these conditions. The nurse helped me up on a walker and instructed me to slowly make my way as she walked behind spotting me. I had already been on crutches for several weeks, but having my leg completely numb and now, with the fear and knowing that accidently putting weight down on it could destroy the chances of it healing, made this experience a whole new ball game. As I made my way through the bathroom door and attempted to close it I ended up all entangled in wires, hospital gown and the walker. At that point I honestly didn’t know how I would manage the most basic human need of going to the bathroom. I was scared, upset, felt completely helpless and on the verge of freaking out. Somehow my natural sense of humor kicked in and I found myself joking and laughing about the ridiculousness of the situation I was in. The nurse said to me, “I can’t believe you are laughing and joking about this. It’s great and because you can laugh, you will have no problem getting through your recovery.” My response was, “What else is there to do but laugh? If I didn’t laugh I would be crying and that would only make the situation worse.” My sense of humor surprised and impressed many other nurses and doctors throughout my next five surgeries. Sometimes I don’t think they found humor in the situations I got myself in, but that’s okay – it helped me. My almost-fall in the bathroom after surgery #5, insisting I had to turn the walker around so I wouldn’t accidently pee on it, and my helping the nurse by pulling my IV out myself after surgery #6, causing blood to spurt out all over the place… both had me in hysterics but my nurses frowning.

Not surprisingly my wife shares my sense of humor and has also been able to use humor to cope with my surgeries and disability. We have survived this whole ordeal by making light of so many difficult situations that could have easily caused both of us complete despair. We have found the humor in the leg, the crutches, the dreaded bathroom trips, the stupid things people have said and all the difficult little things this injury/disability has created. I can be frustrated with something I am having difficulty doing and something as simple as my wife saying “who could do that with a ‘mutant foot’?” can make us both laugh and improve my mood. We have laughed and joked about the “mutant foot”, about my deliriousness while on heavy doses of pain medication, figuring out ways to have someone else pee for me and joked many times about ways my leg could accidently be taken off, solving the amputation decision. Some of the methods we came up with were to:

Accidently mistake my leg for a tree limb while using a chainsaw

Accidently mistake my leg for a tree limb while using a chainsaw

Accidently dangle it in a shark tank

Accidently dangle it in a shark tank

Accidently slip it under a running lawnmower, “Whoops, didn’t see the lawn mower!”

Accidently slip it under a running lawnmower, “Whoops, didn’t see the lawn mower!”

 

 

 

 

 

 

In a few short weeks the “mutant foot” will be no more. I have used humor for the past few months in preparing my family to cope with the amputation. I have joked with my kids about keeping my foot in a jar of formaldehyde. We have all laughed, joked and theorized about where to store it, how to scare young children on Halloween with it, who to send it to and even suggested sending it to college with my 18 year old daughter, telling her she would then always have a part of me with her. I have also purchased a collection of humorous tee-shirts on the subject of being one-legged. The “mutant foot” has affectionately already been replaced with “Stumpy”. Somehow, referring to living with “Stumpy” just makes both my wife and I laugh. Just swimming by my wife and then commenting “you will be creeped out when I swim by with stumpy” made us both laugh and joke about attaching one of those swimming flippers to it. It gets the topic out there, discussed and sure beats crying about the situation.

Hey, let’s look on the bright side: I will have five less toenails to clip, my socks will last twice as long and I will reduce the risk of stubbing a toe by 50%.

In dealing with my six surgeries and disability I have gotten into situations that could have caused me extreme frustration and made the recovery impossible to endure. Instead, I was able to joke and laugh about it, completely reversing not only my mood but the moods of the people around me. I have to be honest, I am scared to death about my upcoming surgery day, but I know my sense of humor will kick in and will somehow make some tough days ahead more tolerable.

My sense of humor is an amazing coping mechanism and I just can’t imagine how difficult going through life would be without being able to find humor.

Like my Face Book page to follow my pre and post amputation journey!

Thank you for reading! Please subscribe to never miss a post or come back in two weeks when I explain my Archie Bunker Chair.

Posted in Uncategorized | Comments Off on Why We Need A Sense of Humor