Out comes the IVC filter!

IMG_0402
No matter how nervous I am, holding hands always helps…

Back on December 4th, when I was having surgeries to repair a damaged artery in my left leg as well as the severe damage to my knees, the doctors also placed an IVC filter inside the right side of my abdomen. An IVC  filter usually sits inside a large vein just below the kidneys, and its purpose is to catch blood clots before they can travel to the lungs or brain. Since I had suffered severe trauma and would not be able to walk for several more months, the doctors thought my risk of developing blood clots was pretty high, and so they placed the filter as a preventative measure (ironically, this decision was made before they discovered I had already had two strokes from blood clots). The thing about IVC filters, though, is that they have to come out within a few months of being placed…otherwise they actually grow into the tissue of the vein, and that becomes its own issue. So, now that I am able to move around more, guess what had to come out?? The IVC filter!

A few weeks ago, I was disconcerted to learn that the filter is retrieved by making an incision through the neck into the vein where the filter is placed, then reaching all the way down the vein into the kidney area, catching the filter, and pulling it back out through the neck incision. Ew. (A pertinent question that came to mind was – why couldn’t they just do a small abdominal incision instead? Not sure on that one.) Anyway, I’d been consoling myself by imagining that I’d be asleep – or at the very least in a heavy twilight zone – for this procedure, and so wouldn’t be aware of all the “filter fishing” that was going on.

However, when we checked into the hospital early yesterday morning, I learned during prep time that although they would use a local anesthetic for the neck incision, I would be completely awake the whole time during the procedure. As you can imagine, that was precisely not what I wanted to hear. In spite of everything I’ve been through in the past few months, I hate surgical/medical/painful things, and want to be as far removed from all that as possible. Ivan held my hand and prayed, and both he and Mom stayed with me as long as they could…but by the time I got wheeled away for the procedure I was very, very nervous.

This story does have a happy ending, however. Once I got to the OR the nurse gave me some sort of medicine to make me relaxed, and although I was very aware of everything that was going on (including the filter traveling back up my vein to my neck)…..somehow I felt so calm and happy  that I actually didn’t care any more. If you had asked me earlier that morning, I would definitely not have seen that reaction coming!

So today we are praising God: 1) that the filter came out successfully,  2)That the experience was not nearly as traumatic as it sounded, and 3) That this marks the end of the procedures I will need done in the foreseeable future. God is good!

 

Rocking a cane…and bifocals!

IMG_1334
Mom thinks I look like a hobbit now…

So I definitely didn’t imagine I would be writing this today, but… I got a cane! I know I’ve already mentioned that I never pictured myself wanting a walker either, but I think the odds of my wanting a cane were actually even slimmer. Nevertheless, life does certainly change your perspective on things..and now I’m super thankful to God to graduate to a new “accessory to the elderly.” 🙂

Honestly, I still feel a tad wobbly on my new cane compared with the walker, but I am excited for the “sleeker” vibe…and how much less work it is to get in and out of the car when we go to therapy! The overall orthopedic update is that my right leg is healing great, and is basically functioning like a normal leg again. The left leg (my stroke side), is noticeably weaker, and is also unable to straighten completely (imagine trying to walk with your knee slightly bent all the time). The good news is that it is possible to walk with my knee slightly bent, but it is more painful, and in the long run we really need and pray that it will be restored back to its full mobility. We keep asking the doctors and therapists for a prognosis on this, and have gotten an overall consensus that it is possible to be completely healed, but that since it is my stroke side, only time will tell. And in the meantime, I’m sleeping in a leg brace, just to increase the odds. 🙂

In addition to my flashy new cane, I also updated my glasses this week. We waited for about three months after the accident before we got my eyes checked, because vision changes can fluctuate throughout the healing process. As I’ve started to read and blog more, I noticed that I was having trouble focusing for long periods of time, and the eye appointment confirmed that my vision has changed enough to elicit a transition to bifocals at the ripe young age of 24. At the very least,  this was an excellent excuse to pick out some  fun new frames!

The Story of an EEG

IMG_0397
All plugged in and ready to go!!!

First off, what in the world is an EEG…and secondly,why did I just have one? Well, to summarize thoughts from my friend Google, EEG stands for electroencephalogram (yeah, I plan to stick with calling it “EEG” 🙂 ), and it’s a machine used primarily to diagnose and treat brain conditions.

In his last post, Ivan mentioned that I’ve been dealing with anxiety symptoms after the accident. Either a traumatic brain injury (TBI) or a stroke can frequently cause anxiety disorders in patients as they recover…and since I managed to have both TBI  and 2 strokes, well, the odds of struggling with anxiety are very high. Just to clarify, this type of anxiety is caused by triggers that are slightly different from the typical things you might expect, like feeling down or worried all the time…it actually happens when my brain gets overloaded from information (via talking, planning, making decisions) or from other stimulation (e.g. noise and/or being with more than a couple of people), and then short circuits and goes into “panic” mode.

So anyway, back to the EEG…my doctor felt pretty sure that most of the symptoms I experience during an anxiety episode are normal.  However, since he thought it was unusual that sometimes  I either completely lose the ability to speak or have difficulty getting out more than a few words, he decided to do an EEG just to make sure there wasn’t anything else causing the issues. So, just to reassure you, this was primarily a  precautionary test (we all expected a good/normal outcome), but since the process was pretty involved and totally new to me, I wanted to share the adventure with all of you. 🙂

EEG Step 1: Cut your normal amount of sleep in half the night before, and abstain from caffeine the day of the test. So yeah..for those of you who know me well, sleep is ESSENTIAL..as in very, very essential. I couldn’t bring myself down to the 4 hours that would have been exactly half, but I did get it down to 5 hours (1 am to 6 am). Poor Ivan stayed up with me for solidarity, which I thought was sweetly touching – and incidentally useful since he was there to wake me up every time i started dozing off before 1 am.

Unfortunately for all of us, my EEG wasn’t until 3:30 pm today, which meant I had to do the sleep deprivation thing, skip my beloved cup of coffee in the morning, go to therapy, and then wait around trying not to fall asleep again before 3:30.

EEG Step 2: Get plugged into the machine.  I had a really nice technician, who used some sort of salty, glue-like thing to attach a fairly large number of wires all around my head and also on my face and neck. This took a decent amount of time, which gave me liberty to wonder exactly how hard it was going to be to get all of that glue back out of my hair, but eventually I got fully plugged in and we were ready to start!

EEG Step 3: Actually do the test. The test itself had several phases, all of which took place in a darkened room (Ivan did get to stay there with me). First, I opened and closed my eyes several times. The next part involved hyperventilating on purpose for 3 minutes (this was rather disconcerting and tiring!) My favorite part came next, which was to fall asleep for 25 minutes. Confession, it probably took me maybe 5 minutes to doze off, but I could tell by Ivan’s heavy breathing he had already been “out” for a bit…talk about embracing the EEG vicariously! 🙂 After this, the tech woke me up for the final part of the test, which involved lots of flashing strobe lights (I got to keep my eyes closed for this part too).

EEG Step 4: Get “unplugged” and head for home…and coffee! And realize the inordinate amount of glue that was still in my skin and hair. For the record, it did come off with a lot of shampoo and hot water!

As with a lot of medical tests, we won’t get the official results for a couple of weeks…but thanks for reading along and “living” this experience with us in the meantime! ❤ 🙂

A Walker For My Birthday

IMG_0388

 

Yesterday marked the tragic combination of Spring Forward in Daylight Savings Time and my birthday. Besides the joyless task of waking up a whole hour earlier, it was actually a very, very special day. Until now I had thought of 24 as one of those insignificant ages you exist through and gloss over. Until I almost didn’t make it to 24. Now, I’m thankful that the doctors’ initial predictions about my longevity were mistaken, and I think it is a super fantastic age that I am blessed to experience.

And guess what? I got a walker for my birthday!! When I think about birthday wishes from previous years (a violin, a driver’s license, getting into a music conservatory, getting a boyfriend..marrying Ivan) I can assure you that a walker was absolutely 100% NOT on my list, ever. Nevertheless, somehow it definitely did make it on my list for the now-significant age of 24, and like the previous birthday wishes mentioned above, this one also came true! So yes, I actually got a walker for my first “mid-twenties” birthday, and was actually happy about that. While I’m still too weak to leave the apartment unless situated in my old friend the wheel chair, I will now be practicing standing and taking baby steps around the apartment (and looking forward to when this process becomes pain free!). Hello, 24!

I remember when…

16506620_1480879017.2548Looking over our recovery updates, it struck me yesterday that I have yet to share about my early days of consciousness back in the hospital. Ivan did a beautiful job giving you all the big picture of what we were going through each day, but my first-person “waking up experience” was such a bizarre mix of reality, fantasy, and every shade in between, that it is worth trying to capture…at least in part. 🙂

My first conscious memory is of staring up at the ceiling (I thought I had been taking a nap at home), and gradually realizing that it was NOT our apartment ceiling. In fact, the lights and beeping machines around me made it look a lot like a hospital, except that I couldn’t figure out why I would be at a hospital. I slowly rotated my head, and Ivan’s face came into focus, right next to mine. “Where am I?” I asked. “You’re in the hospital. You’ve been in an accident, but you’re going to be ok.” And then everything faded away again. I now know that this would have happened as I was waking up from the coma…and that apparently this happened several times, since I was confused every time I woke up.

Medication plays a giant part in my hospital memories..and lack of memories too! I was on such heavy narcotics that I remember very little of my actual days there, and the memories I do have are laced with hallucinations. For example, for a while I was convinced that I had gone to London, stayed in a Harry Potter hospital there, and developed an allergy to magical owls. I also thought an owl was living in a corner of my hospital room as a service animal. I kept asking people to get rid of it since I thought I was allergic…it turns out that my “allergy”symptoms were actually because I had a nasogastric tube at that point.

And then there’s Ivan..poor Ivan! He faithfully slept in my room every night once I was moved to Kaiser Fontana and was conscious. I loved him and always wanted him during the day, but when I was awake at night I found myself “transported” to bizarre settings (a church basement, a restaurant, a tea house…) where he had taken me out of the hospital and had either abandoned me without help or had fallen asleep or was awake but was blatantly ignoring me. I would get extremely angry and frustrated at Ivan for being so unkind and beg to be taken back to hospital, but to no avail -the other characters in these wild scenes (most likely “transformed” hospital staff)  kept telling me that I was at the hospital, even though I knew for sure that I wasn’t.  There also was at least one occasion where a night nurse caught me trying to throw a pillow at him with my “good hand” while he slept. Yikes. :/

There were many more outlandish medicine-induced “experiences” my brain concocted, but I will spare y’all those and move on to more  of the real stuff!

My next “real” memory is of laying in bed, once again with Ivan sitting close by. He asked me if I wanted glasses, and  I was shocked….I have glasses?? When he handed them to me, I didn’t recognize them at all, and thought he must have bought me some new ones (the truth is, they were the same ones I’ve had for the last three years).

And now the memories get a little clearer… probably because I was wearing glasses! 🙂 It took a long time for me to discover the nature and extent of my injuries (at that time I couldn’t move my body independently at all). It took me a long time to understand that both my knees were broken, since they weren’t in casts, and even longer to understand that I had had surgery on both of them (“Why are people always coming in and looking at my legs??”), but the real shocker came when I overheard Ivan talking to a doctor about a stroke. Immediately I got worried, wondering who of our friends or family had one.  “Who had a stroke??” I asked. “You did, my love. Actually, you had two of them.” It took a long time for me to process that. I thought strokes were only for the elderly, and I didn’t understand how I could have had one at the tender age of 23, much less two of them. But at least it did begin to make much more sense as to why I couldn’t move or feel much of the left side of my body!

These are just a few of literally dozens of mental snapshots from those strange days, but I’ll end with a sweet one. When I woke up, I was in so much pain that the nurses recommended trying to distract me from it since even the narcotics weren’t always enough to keep it manageable. I have several memories of Ivan sitting next to me and reading…sometimes I think it was the Bible, and other times probably a story from a book, although I don’t remember what story it was. But I do remember the comfort of knowing he was close, the relief of giving my mind something to do other than focus on the pain…and most of all how kind and sweet and soothing his voice sounded. ❤

And up we go…

img_0361
The amazing standing machine!!!

This weekend marks the three month anniversary of the accident. It’s crazy to realize that a life can be changed completely in less than a second, and even crazier that I have no memory of the split second that changed mine. Right now, I’m none of the things I was last year (grad student, full time CBU staff, violinist, homemaker), but God has used this time of dependence and waiting to shower me with unconditional love from my husband, my family, and all of you….love that is a free gift and has nothing to do with my physical, mental, and emotional abilities. Thank you all! ❤

This three month anniversary also marks the start of some very important progress! On Monday, I was given clearance to finally put some weight on my legs (and yes, this came 10 days earlier than we had planned!). My first weight-bearing experience was in a machine that lifted me into a standing position so that my legs were bearing my weight, but the machine took care of the actual “standing up” muscle movements for me.  Our next goals are to practice standing up and sitting down from the wheel chair without the help of a machine (but still with someone holding my waist to keep me from falling). In daily life, I will continue to be totally reliant on a wheelchair until I have a track record of safe movements with my therapists, which will probably be another couple of months at least. But nevertheless, I can’t describe how amazing it felt to actually use my legs for the first time since December 3rd!!!

Confession: I was actually a little nervous to do the whole standing up thing (okay, maybe a lot nervous), since I have had some pretty excruciating physical therapy moments along the way…. but God was very good, and somehow it barely hurt at all! I think that’s also a shout-out to physical therapists – when they give you homework exercises, they absolutely know what they’re doing!  So, while the journey toward walking will most likely stretch out until September, I’m super glad to finally be getting started! 🙂

Daddy’s Here!

img_0354
Together again! ❤

My dad made it down to Riverside to visit for a couple of days…and my heart is so happy to have him with us!

Mom has been down here since January 2nd, living with us and helping take care of me since Ivan works long hours every day.  Honestly, every time I try to imagine what it would be like to be separated from Ivan for weeks at a time, with only short weekend visits….I just can’t. So when I say I’m incredibly thankful for my parents and their sacrificial, generous hearts toward us, that really is an understatement.  A large understatement.

This week’s visit was super fun…my dad arrived in time to experience a full physical therapy session (important since the last time he saw one I was still an inpatient at the hospital), and he also came with us to drop off my violin to be repaired (hence the picture above). The violin trip was special, not just because it was made in the hopes that I will be able to play again in the future,  but also because Hans Benning, the luthier (violin maker) who is working on it for the next couple of weeks, sold us my very first full-sized violin fourteen years ago.

So, it’s been a blessed three days here with my Dad…I’m sad to see him leave again this afternoon, but I’m thankful for his time with us, and for everything he got to experience with us while he was here. Hoping for a safe flight back up to San Jose this afternoon, and a return flight to Riverside in the near future! 🙂

So…What’s up with the violin?

IMG_0341.JPG
First time trying to hold the violin at home!

I think by far one of the most common questions Ivan and I get asked is “How is Grace with music? Can she play the violin again??” For now, the short answer is “No, I can’t.” But, as with most short answers, there is a longer story behind it…

If Ivan put this in one of his early Facebook updates, bear with me, but the day I was hit by a car I was actually walking to go play a concert and was carrying my violin. As you can probably imagine,  my violin sustained its own set of injuries, but did survive intact enough that we are hopeful it can be repaired.

When I first woke up in the hospital, even a couple of minutes of listening to music was enough to make me nauseated, and my left hand had no sense of feeling or basic motor skills (for those of you who aren’t musicians, the violin is a left-handed instrument). Given these factors, I was too scared/sad to look at my violin, and my family took it home to save for when I felt well enough to look at it.

Fast forwarding to  this February, I have some motor skills in my left hand, but no sense of feeling. I can now listen to pop music and some classical music if it features piano or cello, but my brain is still too sensitive to the high-pitched violin sound for me to listen for more than a couple of minutes (One doctor explained that I could have subconsciously connected carrying the violin to being in the accident, and that it might take some time for my mind to begin treating the violin as a “safe” object again). Nevertheless, last week I finally felt ready to look at my violin and try to see if I could hold it or play it. Looking at it was actually a very positive experience…the damage was significant, but not nearly as bad as I had thought. I borrowed Ivan’s violin (yes, he does in fact have one too!) for the playing experiment, since mine is still waiting to be repaired. As you can see from the picture above, I was able to lift it into position just fine…but after that I quickly discovered that having a numb left hand prevented me from controlling my fingers enough to actually play (this was sad, since I’ve been playing for eighteen years now).

A few weeks ago, even lifting the instrument into position like I did in the picture would have been much more difficult, so I am thankful for a small victory there! And after that…well, we will keep waiting to see if the nerves in my left hand will wake up or not (this is a wait-and-see from the doctors, since it can be hard to predict which faculties will return after strokes). And even if the feeling in my hand doesn’t come back…you can guess who will experimenting to see if it is possible to learn to play violin using muscle memory alone!

What A Man Can Do…

Realizing that laughter is the best medicine, I would like to share a humorous take on my current coping strategy 🙂 I was talking to my Mom yesterday, and she asked me how I managed to avoid getting depressed or bogged down in the “How could this have happened??” type of mindset.. While I wish I had given some super philosophical, well-thought out reply, instead my mind immediately flitted to a scene from the first Pirates of the Caribbean Movie. (Here’s a clip for those of y’all who don’t remember)

Jack Sparrow, everyone: “What a man can do, and what a what a man can’t do.”

What I can’t do:

  • Rewind time and undo the accident
  • Change the extent of my injuries OR accelerate their healing time
  • Look ahead and understand God’s purpose for allowing this to happen

What I  can do:

  • Trust that God has a good plan for me
  • Educate myself on as much as possible about my current physical conditions
  • Be compliant with doctor’s orders and try my best in therapy
  • Keep learning self-care so I can hopefully makes things a little easier for my family

So there we have it: trying to focus on what IS possible makes life a whole lot more pleasant than worrying about things that I have zero control over. Do I do this perfectly all the time? Nope, but I think God  put me in this situation to keep getting better at it…..and on top of that He gave all of us great role models like Captain Jack Sparrow. 😉

Happy Valentine’s Day!

Utomo_0580.jpg

 

“No one has greater love than this, that someone would lay down his life for his friends.”

~John 15:13

Ivan lives this verse out toward me every single day…and I can’t thank God and him enough for his faithfulness, sacrifice, diligence, and joyful, Christ-focused spirit. He is absolutely my happy ever after!