Sunday, May 08, 2011
I'm pretty pleased with my attempts to decrease my post-op use of the pain meds
(oxycodone w/APAP 5/325)
I've discovered that hot showers and cold ice packs do very well as a first salvo against pain. I've also been sleeping out of my sling and noticing which kinds of pain are just stiffness versus actual pain in the joint. I can handle the stiffness pain. It's the other kind that bugs me. It feels like little stabby pokes.
Part of the reason I want to get off the meds is that when I last had surgery and used Percocet, I was subsequently rear-ended in a car accident (as a passenger) and ended up on it for post-op plus back pain for 6 straight weeks, which lead to sleeping problems without it, going cold turkey, not sleeping for 2 weeks, getting terribly sick, and somehow having to move out of my apartment over New Year's weekend in CT during a snowstorm when even the movers wouldn't come because there was too much snow. Not an experience I'm anxious to repeat. (nor my friends & relatives, LOL)
Nerve block applied on Tuesday post-op (I requested they wait until I woke up so I could gauge the pain and decide whether I wanted it. I wanted it.)
I was allowed up to 2 oxy tablets every 4-6 hours. (up to 12 per 24 hrs)
Nerve block wore off.
11 tablets in 24 hrs
7 tablets in 24 hrs
4 tablets in 24 hrs
1 tablet in 24 hrs
1 tablet so far (at 12:04 am)
UPDATE: As of 5/12 I haven't even taken a Tylenol since that tablet early Sunday morning. Wow.
In case you're into iPhone / iPod apps, I'm using Time Jot.
Here's what the actual report looks like that it can email to me:
Sunday May 08:
00:04:07 (1 oxy)
Saturday May 07:
07:54:45 (1 oxy)
Friday May 06:
22:23:51 (1 oxy)
12:37:07 (1 oxy)
02:21:01 (1 oxy)
00:45:24 (1 oxy)
Thursday May 05:
18:04:07 (1 oxy)
12:35:30 (1 oxy)
11:13:54 (1 oxy)
07:14:55 (2 oxy with breakfast)
04:18:02 (Ok I give in. 2 more oxy.
Wednesday May 04:
23:07:41 (1 oxy
Lying down hurts)
22:02:51 (1 oxy. Pain returning.
Trying ice again)
19:29:08 (1 oxy
18:25:26 (1 oxy.
Lying down hurts.)
13:58:10 (2 oxy)
10:13:01 (2 oxy
Short temper. Lying down hurts. Sitting up better
Trying ice but not cold thru dressing)
05:01:54 (1 Oxy. Starting to hurt no matter what position I'm in.
House 60 feel cold. Cranking up to 70)
03:18:09 (Tightened sling and added squeezy ball)
03:12:25 (1 Oxycodone)
03:01:41 (Nerve block wearing off. Typing this with right hand. Stiffness in joint, poss hints of pain coming)
00:30:49 (1 Oxycodone
Whole arm & most of hand numb)
Saturday, May 07, 2011
OK, so by now most of you have figured out that I just got my infraspinatus tendon repaired in my shoulder.
I'm interested in helping this thing grow back as fast and strong as it can, because the sooner I'm better the sooner I can be back out there in my white water kayak on rivers, which is apparently where I was meant to be, when I was put on this planet.
While it is not a complete protein (because it is missing some of the essential amino acids), collagen is the main ingredient in tendons.
In food form it's known as gelatin. In fact connective tissue is where it comes from, in the first place. I have been unable to find any references claiming that eating gelatin helps repair cartilage and tendons, but I figure it can't hurt as long as I'm getting enough protein overall. (1g per 1lb of target body weight daily)
...and as long as I keep taking glucosamine and chondroitin (that I already do for my knee arthritis)...
So I have been experimenting with getting more gelatin into my diet. Here's one fun thing I've been doing lately. It's fun because it contains gelatin, feels slightly subversive since I'm using a final product as an ingredient, it is low in calories (about 50), and keeps me interested when I'd rather eat something less healthy.
You know those individual 16-oz drink mixes designed to be put in your water bottle? Yeah, this kind of thing:
Some even come with electrolytes. Yay, electrolytes.
Well, you can add it to plain gelatin and make your own jello flavored just like that. Here's how.
1) Start some water boiling.
- According to the comments on here it looks like everyone and their brother has this same kettle. Handy for those of us with one functional arm...
2) Measure out a tablespoon (approx 9 grams) of plain gelatin into a 2.5c container
3) Add 1/4 c cold water and stir.
This step is called "blooming" the gelatin. Now I know you weren't taught to do this - like me you were taught to just dump hot water right onto the Jell-O granules and stir stir stir. Trust me, it works better this way.
The gelatin will dissolve much more easily when you do add the hot water, which requires LESS hot water, and therefore faster setting, and thus faster EATING. And what you're eating will have a more consistent texture.
4) While the gelatin granules are blooming and the water is still thinking about boiling, measure out 1.25c of cold tap water and add your drink mix to it.
You do this because some of the drink mixes don't like being added to a warm gelatin mixure and don't dissolve well. This way you get nice even dissolving of the flavor, too.
5) By now surely the water has boiled? Especially because you've been doing all this other stuff and not WATCHING IT. lol.
Measure out 1/2c of it
Dump the hot water into the bloomed gelatin
6) When it looks like all the gelatin has dissolved (and it won't take long), pour in the cool flavored water
Why do they call it refrigeration when it hasn't been cold in the first place? Hmm.
10) Go do something productive and/or active for about an hour or so.
(Insert your own picture in here.)
30 cal in gelatin (8g protein)
5-10 cal in drink mix, depending on the kind you used.
12) Now that you know how to do this, just IMAGINE the possibilities...
...and there you have it. Jello for Dummies, the remedial edition.
Yay, electrolytes. hehehe.
Friday, May 06, 2011
They weren't very cosmetic, but we know from the other pics that the important part INSIDE the joint is pretty.
CARRIE1948 came for a visit and brought a mango, because she'd asked if she could bring anything and that was something I was pretty sure I couldn't open one-handed. LOL
We chatted over mango and herb tea and she agreed to snip the itchy sutures for me.
We used rubbing alcohol and cuticle scissors.
Craved fruit today so went over in my calories. Did two hours on the elliptical, morning and evening. The bloat from extra solids and liquids hanging around in my system is getting old. Stuff is working its way out, but not fast enough for my taste!
I've been icing a lot today and hardly took any pain meds (1 at 12:45am, 1 at 2:21 am, 1 at 12:37pm). I'm allowed up to two every 4-6 hours, so this is pretty good, I think.
On the advice of some friends I ordered a cold therapy machine. www.dme-direct.com/polar-care-500-br
One friend said she used one after knee surgery and barely needed any pain meds at night. Another recommended it from his own shoulder surgery.
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