Friday, June 28, 2013

Meniscus Repair - Day 18

It is a dark and stormy night. Lightning fires rapid sequences of indistinct flashes that mix with the nearly continuous crackle and boom of thunder and the rattle of rain.  In our room, the wind blows the curtains into the furniture, threatening to sweep to the floor our piles of miscellany. Water lands on oak furniture, pooling, swelling grain, warping wood. I love thunderstorms. It's finally raining.

It's been 18 days since my meniscus fix. I've ridden my bike to work every day this week, and shared 35 miles on the big blue tandem with Abbey last weekend (I'll tell that story later). The interior pain, associated with the meniscus damage has subsided signficantly. I can still get that sharp pain if I load my knee sideways, usually when I'm sitting my swivelly office chair, or sometimes when I'm standing and pivot in just the right way, but it's definitely improved over the pre-surgery condition.

There's still some pain under my knee cap, near the top, if I load my quads when my knee is bent around 90 degrees. I feel it if I pedal too hard with my left leg at the top of my pedal stroke. That pain seems to be the result of the significant tissue disturbance caused by somebody sticking a camera through a hole in my knee and running a grinder around inside. There's some swelling that forms on the outside along the side of my patella, usually during exercise. A bit of ice reduces the swelling, but the skin in the swollen area is numb on the surface, yet stings or burns a little most of the time.

Overall, I'm feeling confident that the surgery was successful and I'll soon be back to doing what I like to do. So far, so good.

And since I finally found the USB cable that fits my camera, I can post a photo. This was taken on the fifth day after the surgery when the stitches were still in place. My knee is a beautiful thing.


Saturday, June 15, 2013

Meniscus Repair - Day 5

My choice of title isn't really appropriate since there was no repair of my meniscus. It was really a meniscectomy -- a removal of the thin inner rim where there were some tears. Maybe "Knee Repair" would have been a better choice but it's too late for that. No wonder the documents I write at work go through so many revisions and cost my clients so much money!

We just returned from our first post-surgery bike ride, so I think at this point I'm feeling pretty good about my recovery. We only road about 5 miles, accompanying Cindy on her ride to work. I piloted the Big Black Tandem, with Quinn holding down the rear and providing a significant amount of the hill-climbing power. Pedaling was almost painless, although initially my knee was so stiff that I wasn't sure the whole idea was going to work. Afterward, I decided to post a quick update here while I iced my knee.

Yesterday Abbey and I went to a physical therapy appointment together -- maybe someday we'll get tattoos together. Being only four days after the surgery, our physical therapist, an avid mountain biker and skier who grew up in Evergreen and spent her early years riding a single-speed on the local trails, didn't do too much other than massaging my knee and the developing scar tissue. The latter was incredibly painful and I'm sure I left a pool of sweat on the table. She's been doing the same for Abbey, but Abbey never complained about the pain. Men are not as strong as women when it comes to pain.

I don't think I mentioned here that we pulled the blue Burley tandems out last weekend on Sunday morning and rode about 12 miles on the roads and trails near our house. That was the day before my knee surgery and about two months after Abbey's. It worked out well, Abbey had no problems, and now that I've gotten through my surgery I'm hopeful that we'll be able to get back into regular riding for the rest of the summer. We'll still have to take it easy on Abbey's knee until fall when her new ACL is sufficiently strong that she can ride hard in the rough again.

I don't have any photos of my knee with stitched holes. Maybe I should take some and post them here. If only I could find the camera.


Tuesday, June 11, 2013

Meniscus Repair - Day 2

Just a quick update on the knee repair. Everything I've heard and read indicates that Abbey's ACL replacement should have been much more painful that my little meniscus cleanup. I can believe that, given what was involved in each surgery. However, I'm not finding my repair to be painless, so now I have even more respect for Abbey's pain-tolerance!

I'm not supposed to removed the wrap and bandages until tomorrow, but I'm looking forward to seeing what it looks like when I do. I've been icing my knee every two or three hours, but the cold doesn't penetrate the wraps very well. I took a couple of ibuprofen tablets yesterday, and three this morning, but have stayed away from anything stronger.

Immediately after the surgery I was able to walk -- or at least limp -- and able to carefully put my full weight on my left leg. I could bend the joint to nearly 90 degrees without pain unless I applied sideways pressure. I could go up and down stairs with significant help from the rail. Yesterday there was really no sign of swelling, but this morning my foot was slightly swollen. Now at just a little more than 24 hours post-procedure, I'm able to walk, but not really all that much better than yesterday. There's still quite a bit of pain on the inside of my knee. Interestingly, the pain I feel is in exactly the same spot and occurs with the same motions as it did before the surgery. I suppose that means they did the work in the right location!

Back when the doctor first diagnosed the problem, and recommended the surgery, he told me it would be a quick surgery and should be followed by a quick recovery. He said I'd be running in a couple of weeks. Or did he say something like "up and running in a couple of weeks," which might lend itself to a less literal interpretation? I guess I'll know soon enough!! I guess I'm not in that much of hurry to recover; it's more important that the recovery is complete and the pain that was slowing me down is gone.

 

Monday, June 10, 2013

Bear Creek Trail

On the Sunday of Memorial Day Weekend, we made a short trip up to Mt. Falcon and to Lair o' the Bear parks. This was a six-person and one-dog trip, having added Grandma and a friend of Abbey's to the usual mix. It was a good trip overall, but we did run into a few minor logistical issues. The first was that we forgot to get ice until we were well past the best ice-getting places. Then, in the process of finding somewhere else to get ice, I missed more than one turn. It was sort of humorous, but sort of frustrating; we drove some extra miles and wasted some time and gas.

Eventually we made to Mt. Falcon (coming in from the high side on the west) and enjoyed some beautiful sunny weather while walking around the high meadow trails. We've been on these trails before: Click here for a recap from last year's trip with the other grandparents. We'd expected some crowds, since it was a holiday weekend, but it really wasn't too bad, although the parking lot did fill to capacity for a while in the late morning. After our walk, we had a nice picnic in the shade of a stone shelter with a splendid mountain view.



The picnic over, we set out on the more complicated part of the day. Since the Mt. Falcon parking lot is close to Pence Park, which is at the top of Bear Creek Trail, and since we were in two cars to accommodate our over-sized group, I thought it would be a great opportunity to do a shuttle ride on the Bear Creek Trail. So after lunch Cindy, Quinn, and I went to Pence Park with the truck and bikes to start down the trail while Grandma took A and D and The Mouse down to Lair o' the Bear Park to meet us at the end of the trail. It almost worked pretty well.

The difficulty was that, although Mt. Falcon Park was just at capacity, Lair o' the Bear was over capacity. So the second set of logistical issues for the day was related to finding someplace to park at Lair o' the Bear. It took Grandma and the kids the better part of an hour just to find a parking space. They did, eventually, but not much before we finished the ride.

Here's a link to the Garmin log from our ride.

The ride was really fun (although we tried not to let G, A, and D know just how much fun). About six miles, mostly downhill, although at one point Quinn seemed convinced there was more up than down! I'd ridden this trail once last year in both directions, but we hadn't done it as a family because I knew Quinn would find the climbing pretty tough. Doing it as a shuttle made for a good family-friendly solution.

Here's a picture of our Frontier with its new topper and the same old bike mounts we've used for years. We can get at least five, maybe six bikes up there. So far we're just set up for four. Of course, that step ladder beside the truck is almost a necessity for getting the bikes up there.


The Bear Creek Trail is a very pleasant ride through the forests and meadows on the mostly north-facing slope above Bear Creek. I think maybe the trail actually starts in Meyer Gulch, which is a tributary of Bear Creek, and then traverses a couple of ridges and drainages as cuts down to Bear Creek. There are no wide-open views, so it's not supremely scenic, but occasional glimpses of surrounding peaks and a mix of meadows and forest make for a very pleasant trip. The riding is mostly smooth and easy, not too steep, with only a few challenging rocky sections. There are some trail segments that involve navigating some larger boulders; a few of these I haven't been able to clean. The most memorable sections are near the top where the trail cycles back and forth and up and down in fast, smooth roller-coaster fashion.

Here's Mom on the trail, just getting through a short, rocky section.


Here's another tough spot; Quinn and Mom both dismounted here. The trail goes steeply up amidst boulders, and turns sharply right, and is along a small, but noticeable ledge.


And there's the staircase, pictured below. I tried riding up this section last time, but didn't quite make the corner at the top. Riding down really isn't hard, but it is a little intimidating. This time, I rode down, parked my bike, and walked back up to spot Quinn at the tricky corner. He rode the whole with no problem, although it would have been OK if he'd gone just a little slower!


Perhaps still on a high from his successful descent of the staircase, with an audience, Quinn found himself off to the side of the trail rolled into tangle with his bike. I had actually stopped to get some pics of him coming around a rocky corner, and was waiting with camera in hand. When he reached me and came into my view, I was surprised to see him riding a front wheelie. His rear wheel was at least a foot off the ground! This is a difficult situation from which to recover, but I thought briefly that he might, and then his front wheel hit a little rock ledge and quickly turned 90 degrees. With that his bike shot sideways and he continued right over the bars, still clipped to his pedals, somersaulting down the hillside. Luckily, large rocks have significant stopping power, and so he didn't tumble far. Once stopped, he yelled, "That was awesome!!" Then he realized he was bleeding. Cindy pulled him up while I took pictures, like any caring father would. With some sense knocked into him, and some significant pain in his arm, he kept it to a safe 80% of full throttle for the rest of the ride.



Early June Updates: Knees, the Pond, and the Bicycles

This morning I am reclined on our green banana leather sofa, a gentle and warm breeze blowing through the living room, with my left leg wrapped in a wide gauze bandage; a reenactment of Abbey's post-surgery pose. My knee repair this morning was much quicker than Abbey's: I checked in at 7:15, was wheeled into the surgery room an hour later, woke up around 9:00, and was home by 10:00. Much quicker and much less painful.

I thought I should take advantage of my limited mobility and a day off work to bring the scaqabout journal up to date.  At last posting, about 20 days ago, Abbey was a month post-surgery and doing well. Now she's seven weeks post-surgery and seems nearly fully recovered. There's still a little bruising on the back of her knee, but she's walking just fine and has been back on her bicycle a few times -- I'll cover that below. She's pretty much pain-free, although with a day of walking or too many miles on a bike, she starts to feel a little pain.

The pond. So our new rental house has a pond. Who wants a pond? When we moved in it was still frozen over, but it thawed shortly thereafter. At that point it had an ugly, orange and white goldfish, which was maybe six inches in length. Shortly thereafter, the goldfish disappeared; must have become someone's lunch. There's a big slab of stone not far under water surface. The owners put the slab in to give the fish a place to hide, but the slab also serves as a convenient fishing perch for hungry predators. Amos was very interested in the fish once he saw it, but it's unlikely that he was the culprit.


The most noticeable thing about our pond was the odor, so we decided a spring cleaning was in order. On Memorial Day we pumped it mostly dry, holding the water in a couple of big trash barrels while we scooped out inches of muck from the bottom. We also cleaned out the pump and reorganized the irises. Now the pond is looking pretty nice. The water is clear, the pump is running, and the sulfide odor seems to be gone.


Of course, we have also noticed that the other critters enjoying the pond are mosquitoes. If you lie on your belly and peer into the water you can see the larvae squiggling and wiggling about. For mosquito control, we picked up a bunch of baby fathead minnows. It'll be a few weeks before they'll be big enough to eat the mosquitoes, but once they are, they should provide some good natural mosquito control. And I hope they'll be harder for the predators to catch than big slow goldfish. Next we need to get some floating plants to help slow the algal growth.


So that's the pond.

Next I'd like to give an update on our bicycling activities. As I noted last blog, with all the knee trouble and relocation activity, our cycling season has gotten off to a rough start. But with the OK from Abbey's PT to resume riding -- on the road, mostly, with flat pedals (rather than 'clipless' or SPDs) -- we got the bikes out for a test ride over Memorial Day Weekend. We rode straight to the nearest mountain bike park!

Our new house is right beside Cherry Creek Reservoir State Park, which has a great selection of gravel and paved trails. Our neighborhood also has lots of roads with nice wide bike lanes -- I really think it's going to be nice place to be for running and biking once the knee repairs are done. So we pulled out the mountain bike fleet and hit the trail. Well, first we took to the roads to the park. Click here to link to the Garmin log for Abbey's first ride post-surgery. In accordance with the doctor's orders, once we hit bike park, Abbey found a bench in the shade and waited while Quinn and I rode the trails. Mostly.

It was fun ride. Here are some pics of the adventure:





 OK. That's enough for this post, but it's just occurred to that we have another ride to post. I will see if I can get that one up today while I'm still somewhat mobility-limited.