Take a chance on me

Will you take a chance on me?

If you had the ability, the skill and the tools to help someone in need, would you?

How far would you let someone deteriorate before intervening?

If there was the smallest possibility of changing someone’s life for the better, would you do it?

These are all questions I want answered. You see, I recently got my results back from a recent MRI and CT scan of my left hip, and the findings were not great. Multiple cysts, bone growth on the head of the femur, irregularities within the acetabulum and fraying of the labrum. To simplify, most are de-generative changes which is accelerating the arthritis in my left hip joint. I was only diagnosed with very early arthritic changes back in February ’10, where previously there was none.

I have been in severe pain for many months now, and most doctors attribute it to chronic pain. If you have read my previous blog posts and know my previous history, you know I have been through quite a lot and have had many surgeries for problems within the left hip cavity. At this point in time, and for quite a few months now, I have been unable to get out of this acute pain and its levels of 7 and above out of 10 on a basic pain scale. Before each surgery I have had, multiple scans have shown a proper cause for the pain I'm experiencing within my left hip. Once again scans have given a decent cause for the acute pain I am in. I feel like I am suffering from ‘Chronic Acute Pain’ because over the course of 4 years now, pain has subsided after surgery, and yet when something goes wrong once more, scans prove there is a cause of some sort and surgery has fixed it. Now the problem is; and this is where the chronic pain part comes in, is because of all the doctors and nurses I have seen, they have taken quite a long time to reach the point of operating, and the pain continues up to this point and becomes quite severe however always subsides afterwards. Now this is where my questions start to come in.

I have recently seen a new orthopaedic surgeon, who after consultation, and reading the results of my latest scans seems hesitant to help, in case he makes the pain worse. This is a similar situation I had with my previous surgeon.

This is a risk I am willing to take. Is he?

If you had the ability, the skill and the tools to help someone in need, would you?

How far will you let me deteriorate before intervening?

If there was the smallest possibility of changing someone’s life for the better, would you do it?

Even though I am no more qualified then the person next to me in the field of medicine and how you operate, if you see a patient in severe pain, and there is obvious arthritic changes within the structure of the joint and you know it will only continue to get worse, wouldn’t it be easier and more helpful to the patient (me) to intervene those changes now and take that risk that you may actually help that patient, even if it’s the smallest percentage, to give them a better quality of life than they had before?

I have continued to hear that my age is a problem in regard to a hip replacement, well so is my quality of life. I have none. If you can help, you may actually be able to give me back some quality, so the rest of my body doesn’t deteriorate either. I see a number of specialists for problems that have occurred from a lack of a quality of life. My body is deteriorating because I can’t do the normal things that a 24 year old might do. I am living like an elderly person, relying on almost full time care from my 60 year old mother. I am filling my body with pain controlling medicines just to get through each day, which I barely do. I am slowly losing the confidence I once had to be a teacher. I know I would make a great teacher, my prac skills have shown so. I'm intelligent, smart, funny, kind, practical and fully aware that I will never return to being the person I once was, and be able to do the things I used to do. But please…

I beg of you, please take a chance on me.

9 days and counting...

So I'm currently on the operation countdown. Or is it countdown operation? Anyway this is one operation I am not apprehensive about. I hope my surgeon does a good cleanout of my hip joint, has a thorough look around inside and out of the joint, while also checking out the trachanter (the boney bit that juts out of your leg bone). As mentioned in another one of my blog updates, this operation sort of sets the precedent for a hip replacement, and my pain treatment afterwards. The latest X-rays etc have shown arthritic deterioration of the bone, and although I shouldn’t hope for it, I do wish that there is enough deterioration for a hip replacement. You see, I don’t wish to go through this pain one more time before having a replacement. The hip replacement is the final end of the road, and I’d like to see the light at the end of the tunnel if I can jam in as many idioms into this sentence. Because this is the trigger for my pain, I don’t understand why we can’t remove the source of this trigger, and in return I have less pain. It seems like simply logic to me, however everyone who suffers from pain knows life is not that simple and logic sometimes doesn’t apply.

Anyway on the 3^rd of Feb, I’ll be going under the knife once more. I'm due in at the hospital at 6.45am which I guess means I'm first or second on the list for the day. I'm looking forward to my “last meal” as I’ve been calling it (my mother told me off for saying so) but I’ve chosen to eat at Meccah Bah in at docklands where they have one of the best Turkish roast lamb pizza’s I’ve ever eaten, and for entrée we’ll have mussels with the chickpea dipping sauce. I don’t know how they do it, but it’s the only way I will eat mussels! Yum!

Anyway I'm looking forward to updating soon.

Take care,

Jen xx

Life, Goals and Expectancies.

Hi you,

A friend of mine recently made a comment in her latest blog post about her previous goals and achievements and how her life has changed, now that those goals are now not achievable. I was thinking about this the night before she had posted. What were my goals prior to my accident and where is my life going now?

To begin with; I’ve always had a passion for sport and exercise and probably from around the time I was 15 or 16, I began to have an interest in health too. In year 10 we had a seemingly silly PE elective that was mandatory and didn’t have a good reputation from previous years. However this PE subject which was mostly about fitness with two physical classes each week, and this is when I decided I’d change my life around. During the course of this subject I went from an overweight teenager, who although enjoyed netball and many other team sports, was not technically“fit”, to a student who was enthusiastic about fitness and health, with a teacher who not only encouraged me personally but helped me gain control over my body again. From this I went onto achieve many things including a couple of Great Victorian Bike Rides!

This teacher among with my VCE PE and health teachers are the ones who inspired me to become a teacher myself, and help other students not only change their view of Phys Ed, but also enjoy themselves and begin to have an understanding of their body even if Phys Ed is not their preferred choice of subjects. These teacher's all had special qualities which i'd love to be able to emulate in some way and I definantly want to achieve a level of teaching where I can help students enjoy their studies they way my VCE PE teacher taught to me.

So I guess you could say I knew exactly what I wanted to be since year 10, and that goal hasn’t changed since.

Throughout VCE I undertook in a subject called Outdoor education and environmental studies. I thoughourly enjoyed not only the physical aspects of this subject such as camping, hiking, rock climbing, surfing etc, but also learning about the environment such as the different ecosystems around us, and what we can do to help them. After VCE, I enrolled in a university course of this nature, Outdoor education at La Trobe University. I deferred this course for a year for many reasons, one of which was my dad had been diagnosed with cancer again (for the 4^th or 5^th time), and I wasn’t ready to leave home. Throughout the year I had off my goals did not change. I even volunteered back at my old high school to help out with the outdoor ed program throughout the year. When it came time to ensure my place back in University, I found that they had begun a new course that was a double major of both Phys ed and Outdoor ed under an education degree. Absolutely perfect! I thought I’d struck gold and become the luckiest person alive when I was accepted. Particularly when I had to apply as a mature age student and only had one of nine places to fill for the non-year 12’s!

I had a pretty successful first semester and in second semester of my first year I had my accident. I continued for another year and a half taking withheld grades for the subjects I couldn’t complete because of the physical demands, and I continued to believe I was going to get better. By the time I had reached my 3^rd year of a 4 year course, my health in regard to my hip was going downhill fast. I took a year off, and after some deep thought decided to enrol in a double major of phys ed and HEALTH. It was very similar to my previous course, it was at the same campus, and best yet I could carry my completed PE subjects into the new course, making me have an almost complete PE major before I had even started a new 4 year course.

(2006 Alps trip, La Trobe Uni, Bendigo)

Once again, I had an even more successful first semester of uni, gaining high distinctions in 3 out of 4 subjects and missing out on the 4^th HD by only a few marks. By second semester, things had begun to unravel once again. The same story of which you have been previously reading about in earlier blog posts once again consumed my life and pushed out my studies. Now the New Year has begun, and once again I’m awaiting my now 4^th hip surgery. My expectancy of my goal of becoming a PE/health teacher is declining.

I’m a good student. My grades have shown that. I’m passionate about my subjects and what they are about. However….

I wonder how much more my body can take. I wonder how much more I can emotionally take and most recently what will my future hold? Will I be able to complete my university studies? Will I be able to spend the 8am to 5pm maybe even until 7pm days surrounded by students? Can I handle that? Emotionally and physically? I promised myself I’d never be a teacher who stood on the sidelines. I always planned to be actively involved because I think the ones that do make the best teachers.

I’ve spent the better part of just over three years on heavy prescription pain meds, and I’m unsure for how much longer I will be on them. I have a decent amount of nerve damage in my left leg which means that I can only achieve 2/3^rd’s of the strength the other leg can have, in other words, I’ve lost of 30% of my strength output. I’m now on anti-depressants (much to my despair) because I had reached a point where I can no longer emotionally deal with my physical pain.

I may have only been talking about one goal here, but it is a major part of my life right now and I’ve been thinking a lot about it. A lot of effort and time has gone into this goal, and many achievements have been made. It’s not only my time and effort, but those of my high school teachers, my lecturers, and my family and friends for getting me to this point.

I feel I have achieved so much, but yet I’m so far away from where I want to be. I had planned to study oversea's during first semester of my 3rd year. Will I ever get there? I am about to take more time off from my uni studies to recover from surgery and to come off the medication. Whats next for me? Am I destined to do what i've wanted to do for the last 7 years of my life?

It's hard enough worrying about having enough money to pay rent and the bills, in a home i hardly live in, let alone what does the future hold?

Take care and much love,

Jen xx

PS: post allows annoyomous comments

A complete turn around... and around

Wow, I have not posted for so long, and i feel so guilty that i have been so blogless! As well as not posting my own blogs, Ive completely abandoned everyone else's as well. I have a backlog of blogs to read, but first i will write.

In the last month i have returned from hospital and done a near complete 180 degree turnaround. I arrived home from hospital on crutches, and although i didn't leave the house pretty much for two weeks, i was walking around without the use of an aid quite soon after. I felt ALMOST invincible. I had gone from being 10/10 pain all the time to 4/10 pain most of the day. After so many months in pain i could not even begin to describe, this turn around was unbelievable. Knowing the consequences of 'too much too soon' i was quite wary of what i did, so i have stayed pretty quite this whole month. I have mostly stayed indoors, in bed and watching DVD's and my body has been quite content.

Very quickly 4 weeks has passed, and an outing with a friend for lunch (very simple... at a very nice restaurant) has sent me back into the world of spasm's, pain and the all too familiar. Except this time, there's something different. I now call them flares, as i have a good day or days and a bad day or week.
That lunch not quite two weeks ago sent me to a weekend of agony followed closely by 2 days of ''its all good''. Before i knew it, my body despised me again, hating me in all kinds of ways from groin pain to 'hip flexer' pain, buttock muscle pain, muscle aches and knee and ankle pain all in the left leg. I knew my body hated me, but after so many 'good days', I felt like we'd begun the journey back to happier times. I expected some ups and downs but at the moment, in full fledged sciatic pain, im thinking differently.

On Friday I was lucky enough to burst out of this bubble that pain puts us in, and see my friends. I had a ticket to the Swinburne University seven deadly sins ball in Melbourne at Albert Park. I did not dress up in costume but it felt nice to dress up in a cocktail dress, put makeup on and jewelery. Although this seems quite girly, I haven't done this in so long, and am normally the type of girl that does wear a bit of makeup each day, and puts on pretty earrings etc, but in my current state, i'm not doing that anymore, as i don't see much point if im just going to slouch around the house, or get some groceries. Anyhow I spent a few hours at the ball, where i was in so much pain that i could not dance, i just moved in between the two tables my friends had paid for, and caught up with my lovely friends, who i had not seen in so long. Overall i enjoyed the night, with great friend, good food, and a glass of champaigne.
This brings me back to the bubble of chronic pain. I was reading a friends blog many weeks ago now, and i could not descibe it better than what she has.
Hayley Caferella has a particular way of writing, that i could not do, however its like she takes the thoughts straight out of my head. Although I do not suffer from full fledged CRPS (chronic regional pain syndrome), i admire her strength. Click here to read her post last month on friend envy called "coping with heartfelt happiness thats laced with envy". As i mentioned before its like the words have leaped out of my head and into her hands for her to write what i feel, and im sure many others do too when they are placed in the bubble we live in when we are in pain. Hayley's post describes it perfectly.

Anyway to end when the title of my post reads, I had done a near complete 180 degree turn around in the four weeks after hospital. Now Im almost back to were i started so a near 360! Ive been in this current flare for almost a week now, and rather then seeing a light at the end of the tunnel, its getting darker as the days go on. With Christmas just around the corner, it means a Christmas break for doctors (specialists), hydro pools and physios, and puts me back in such a familiar place of waiting. Waiting for these people and places to come back from the break after new year, to help my ailing body.

Feel free to Email me at jl4cummins@students.latrobe.edu.au

sincerely,
Jen
xo


PS: A pain doctor confirmed last week that yes i will defiantly need a hip replacement, but its just up to the doctors to decide when. FFS do i get a say? DO i get to live my life now, or should i be made to wait my youth out in pain so i can live when im in my 60's?

Woah? What on earth has happened?

Hi peoples,

Clearly, I haven't written in a while, but all in good reason. You see I haven't had access to a computer in the last 2 weeks, and some major shit has happened.

I went up to Uni (a 2 hour drive away from my Melbourne home), still in a lot of pain and still on crutches the day before i had to present a maths project (an oral presentation that had been put off for 5 weeks due to my "injury"). Arrived in good old Bendigo and although extremely sore from the trip, went off to the pub for a meal, and went back to my house. It was a pretty early night for me, and i went off to sleep as normal but many hours earlier than normal.
About 4am, I awoke in extreme pain, in my left butt cheek. I already knew i had a tear in the gluteus maximus, and was unable to explain the new onset as i had been asleep! Anyway i couldn't get comfortable and the pain was worsening so i took some medication. I cried quietly in pain while my mother slept beside me.
Although i knew something was seriously wrong, and i wouldn't be able to get back home to Melbourne on the medications i had available, i had to go to Uni and present, knowing it would only take 10-15 mins and i would be able to go to the hospital straight after.

I painfully arrived at the hospital in 10/10 pain, and was told to go wait in the waiting room. Actually she told me to take a seat, but knowing full well i couldn't sit down, which was half the reason i went there in the first place, and after informing her of this, she told me to lean again something instead. Within 10 minutes ( i wouldn't of lasted much longer) the doctor came to call me in. My mother followed. I layed down in the bed, then had to put on a gown as the Dr.'s decided to take a E.E.G. . I had high blood pressure and an extremely high heart rate, not unusual for someone in so much pain. After explaining the history to what felt like 10 different people (nurses, Dr.'s, student nurse's, student Dr,'s etc..) the chief Dr. came in to examine me. at one point he hit what seemed to be a bomb, as all pain spots in my legs exploded into extreme pain. The lovely screen that showed my BP, HR etc also erupted as my blood pressure rose to alarm levels as did my heart rate at 145 bpm.
The chief doc left to ring my new doctors to decide the best course of action. before i knew it, i was being wheeled off to the small intensive care part of the ED, as they started a Ketamine drip or shall i say 'shots mixed with a saline bag'. The first shot consisted of 20ml and i have never tripped out before, but i can tell you, i don't want to do it again. All i remember was a horrible experience, with people staying still, but the rest of the room becoming a blur. It reduced my pain for a short period of time, but as i came out of the hallucination, the pain came back, just as bad. Over the course of an hour, i had another two 'shots' containing about 10ml - luckily they didn't cause any hallucinations however didn't do much for the pain.
Before I knew it, i was being told they had a bed for me at a private hospital in Melbourne and were going to ambulance me down, and the paramedics would be arriving in approximately 5-10 mins. Holy shit somehow between 11 -2 disappeared in all of that and next thing i was aware of i was being transferred into an ambulance.

The Ambulance consisted of a bumpy ride of about 180km, i was treated to 2.5ml of morphine every half hour, on oxygen and we changed ambulances at Kyneton. I arrived at the hospital where i am now, between 5-6pm and i have remained here ever since. Before i forget to mention it, I spent my 23rd birthday in here (friday the 16th) which sucked, but i got lovely visitors which/but i guess it was just a good excuse for my friends to come visit.

Anyway back to that Thursday night I was put on a sub-cutanious ketamine drip which is attached into your stomach fat:










which was followed by an inflamed area with 20 hours or so:










After 4 days of this I eventually got it put in IV but I've also managed to get a rash there too. Ill save you the picture of my itchy scratchy spotty arm.

A few positives of my stay here however have been, I got to meet a fellow twitter friend @rellacafa, who I've shared many thoughts with and she's helped me get through some tough times in this hospital even! But Hayley was the one who inspired me to write this blog thing, and i can tell you, meeting her was definitely a highlight, and someone i know i will be friend with on and off the Internet. She was so kind, she even bought me a 'get better soon/happy birthday' gift and card!

Meet 'Brawson' - a small but inspiring bear to get through the hard times!

I was told he likes to play twister, sing karaoke and eat gingerbread!

However I've layed here for most of my 11 days so far, I'm only starting to work with the physio and psychologist and I'm not sure of how much longer ill be here for. Unfortunately i wont be able to blog again most likely, until i get home, so ill leave you with some pictures of some of the HOSPITAL food I've been getting. You can see all pics on my twitpic page but here the current ones are:

and they taste as good as they look!

As usual, feel free to comment, send me an email to jl4cummins@students.latrobe.edu.au, facebook me or message me on twitter @jencummins16.

hope to be back soon,

signing out,

Jen xo

PS you can get to Hayleys/@rellacafa's blog by clicking here