Saturday, December 18, 2010
47
Sunday, August 08, 2010
My Hip At Six Months
There are things of which I may not speak;
There are dreams that cannot die;
There are thoughts that make the strong heart weak,
And bring a pallor into the cheek,
And a mist before the eye.
And the words of that fatal song
Come over me like a chill:
A boy's will is the wind's will,
And the thoughts of youth are long, long thoughts.
Saturday, July 10, 2010
Elephant Maintenance, Part I
Wednesday, June 09, 2010
The White Elephant Project
Saturday, May 15, 2010
Paleolithic Fitness
Saturday, May 08, 2010
My Hip At Three Months
Wednesday, May 05, 2010
Re-Reading
Friday, April 23, 2010
What To Expect After Total Hip Replacement
- I had my surgery at the age of 46.
- I was very active until about a year prior to my surgery (marathon runner, black belt)
- Mine was a left total hip replacement necessitated by osteoarthritis.
- I had a posterior surgical procedure. My procedure was also "cement-less".
- My new hip is a Stryker model with ceramic surfaces.
- My surgery was on Monday afternoon, and i went home on Tuesday evening.
- My first time standing was the morning after my surgery. I walked three times with a walker on that day.
- I used a walker for the first week and a half after my surgery, and then i switched to a cane.
- I had at-home physical therapy for the first two weeks.
- I had to self-inject blood thinners for three weeks after my surgery. This sucks.
- I started driving about 2 weeks after the surgery.
- I returned to work after 2 weeks at home.
- At 4 weeks i could walk without a cane.
- I had outpatient physical therapy from 2-6 weeks (twice a week).
- At 6 weeks i started riding my bike trainer.
- At 10 weeks i started doing tai chi again. My left leg is still weak at this point, but not painful.
Sunday, April 18, 2010
The Beat
Sunday, April 11, 2010
The Asymmetry of Trust
Sunday, April 04, 2010
10 Most Influential Books
Crime and Punishment - Fyodor Dostoevsky
1984 - George Orwell
The Republic - Plato
Spinoza (1634–77) is the noblest and most lovable of the great philosophers. Intellectually, some have surpassed him, but ethically he is supreme. As a natural consequence, he was considered, during his lifetime and for a century after his death, a man of appalling wickedness
Friday, April 02, 2010
Rocky Votolato
His songs inhabit that happy land between melancholy and desperation, which for some reason appeals to me. Makers has one of the best choruses ever, both lyrically and musically:
The bones inside your mind where all broken
The keys that opened any answers were all stolen
Filling and refilling up the glass with makers
We both agreed
The Final Moment!
The sweetest remedy to ever be delivered!
Heaven or heavenless we're all headed for the same sweet darkness
Friday, March 26, 2010
Hip Hip Hooray
It's been almost 7 weeks now. I can walk pretty well-- most people would not know that i am still rehabing from surgery. I've done a couple of 15-minute sessions on my road bike trainer without any discomfort. I still have trouble with stairs and i can't really do any motion that puts much torque on my hip, but most signs are encouraging. This is the first time in almost a year that i've been able to walk without a limp.
I finished my outpatient physical therapy this week. I'll still have to do various exercises for the foreseeable future, but it's nice to be past the regular hospital visits. I'm eager to get back to some sort of routine-- maybe at least start doing tai chi in the next few weeks. My biggest frustration at the moment is that there is very little information on what i can or should do once i'm relatively well recovered. Obviously, there are pain and flexibility thresholds that you have to deal with, but information on what's possible otherwise is vague or unavailable. Generally anyone with a normal THR, regardless of the joint type, is warned against "high-impact" activities, but beyond running and basketball the guidance is limited. I gather that most doctors are conservative about post-THR activities, both because they don't really know how the latest generation of technology will last and because most of their patients are so old that they get no objections.
I don't regret the surgery, because whatever limitations i have now are less constrictive than the constant and unavoidable pain i had before. But i do feel a bit like a guinea pig in the sense that i will probably have to constantly experiment with what i can and can't do, and i won't know the consequences until i either do some damage or reach an age where i am necessarily sedentary anyway. Whatever. I guess i was on that path before, finding the barriers and the limits to what i could endure.
Saturday, March 20, 2010
My First Marathon
Personal stories about marathons are both abundant and fairly boring. Still, i couldn't resist, if only because there were a couple of odd twists in my case.
In spring i started running regularly again for the first time in several years (correlating closely to the age of Henry). I'd also been doing long bike rides, including my first organized century ride in February in Palm Springs. Employing a sublimely irrational leap of logic peculiar to people in their 40th year of life, i combined these two facts to conclude that i could run a marathon. At first, i just tried to increase my mileage, but eventually i started following a prescribed 18 week training plan. Working forward from my training start date, i chose the Santa Clarita Marathon in Santa Clarita, CA. The training went well, at least until the last few weeks, and by the middle of October i was pretty anxious to run the race.
Then on the Sunday prior to the marathon (Oct. 25), California started on fire. Since the major fires were almost literally in my back yard, the marathon was not foremost in my mind. It was late Monday before i realized that Simi Valley, site of one of the larger fires near LA, was due west of Santa Clarita. At first it appeared that the fire would not affect the marathon, but on Tuesday the winds changed direction and the fire started burning eastward. At noon on Wednesday, the marathon was canceled.
This is where things started to get strange. For some reason, the idea of not running the marathon was inconceivable to me. Since marathon training focuses on a particular race, i also couldn't figure out how i could delay until a convenient race came along. So i started looking for other marathons that i could run on the same weekend. There were three: the New York marathon, for which registration had long been closed; another in Kansas City, MO; and the third in Boise, Idaho. After a few hours of thought, i decided to try the last, so i registered for the race and bought airline tickets to Boise.
Yes, that's correct: Boise. Boise, Idaho. The place with the potatoes. Let me recap, just in case this isn't registering. I decided to fly voluntarily to Boise, Idaho at my own expense on my own time to run 26.2 miles. I'll never be able to explain this, even to people who understand the compulsion to run any marathon. I don't really understand it myself. Obviously, it's partially because i didn't want to waste the training. I think it's also because i am about to turn 40 and i subconsciously wanted to complete the race before that birthday. Also, at some point during my training i decided that i was going to run the race in honor of my childhood friend, Todd Bair, who was killed by a car bomb in Saudi Arabia in May. I don't know what i expected to accomplish by this, since even my best effort would a meager memorial, but the idea had motivated me while training. Because of this, not running would have seemed a double defeat.
So on Saturday, Nov. 1, i flew to Boise and got a room at the Owyhee Plaza Hotel, which was the start/finish point for the race. I spent most of Saturday trying to figure out what i'd wear, because it was cold. I'd brought gloves, a hat, and several layers of clothing; but i'd forgotten how cold 20 degrees really is. The next morning, the temperature was about 22 degrees at start time. I had a base layer, a long-sleeved shirt, and a singlet that i wore to hang my number on. I wore shorts, mostly because i don't own any running tights. There were only about 300 starters for the marathon, so we were able to go straight from the hotel lobby to the start area, and we waited in the cold for only a few minutes before the gun went off.
Near the end of my training plan i developed a case of what's called iliotibial band friction syndrome, which means that the long tendon that runs from your hip to below your knee gets really tight and rubs against the bottom of your femur when you run. After the first mile, my knee started to hurt but not enough to affect my stride. Like all rookies i went out too fast. I'd planned to run about 8 minute miles, with the goal of finishing in about 3hrs, 30 minutes. I did the first two miles in 14:28, but i felt like i was just jogging. My knee got gradually worse up to about mile 6, but it still didn't seem to change my gait.
Up until about the half way point i tried to find people who were running a similar pace and i ran along with them. One of these people was an older man whose shirt said that he had finished marathons in all 50 states. Twice. I figured he must know what he was doing, so i hung with him for a couple of miles. Amazingly, after about mile 11 my knee started to feel better. I was warm enough, my legs felt good, and i wasn't straining at all. I reached the halfway point in about 1:40, or about a 7:40 pace. I probably should have known this wasn't a good sign.
For the next two miles i ran very comfortably, but then at mile 15 i started to feel pain in my left quadriceps. I hoped this was just some temporary tightness that i could run through, but it didn't go away. I started focusing on getting water and Powerade at the aid stations, but i could sense that i was slowing down. Between miles 15 and 20 i focused on passing half-marathoners who had started about 10 minutes before i hit the second half of the marathon. I reached 20 miles at 2:38, still a bit below 8 minute pace.
Mile 21 featured the only major uphill on the course. Compared to San Diego hills this wasn't much, a big-ring sort of hill for a biker, but at the time it hurt plenty. Just after the 22 mile aid station, my legs rebelled. I had to stop and walk for about 200 yards. Then i slowly eased back into running, but i was probably going slower than 9 minute pace. For the next two miles, every time a spectator yelled out "You're looking good", or "You're almost there", i wanted to stop and beat them with a large stick. Good thing i couldn't lift my arms.
At around mile 24 we went down a hill, which made my knee start hurting again. Fortunately, the next mile and a half were straight, flat, and picturesque. For me, the end of the marathon was like a cruel manifestation of Zeno's paradox. Even when i turned the final corner and saw the finish banner in the distance, i could not convince myself that the end was any nearer. The banner seemed to float backward and i felt like i was chasing it. Finally i did cross the line, but i was virtually insensible. I couldn't speak or even acknowledge the volunteers, and it took me several seconds to remember to stop my watch. My watch said 3:38.40, although my chip time would later be listed as 3:39.10. Slower than i'd hoped, but all things considered i was happy. I beat P. Diddy, and George Bush's PR :-)
Some people have an intense emotional release at the end of hard runs like this. I did not. I felt pain and depletion, but little else. I stood in the finishing area for about 10 minutes, wrapped in mylar, drinking orange Powerade. It was still only about 30 degrees but i wasn't cold. After 3 and half hours of running it's almost difficult to walk. The ground seemed a little too far away, kind of like when you're stepping off a curb in the dark. Some clever sadist decided to put the post-race food and race t-shirts up two flights of stairs. I had to walk up sideways to avoid putting too much pressure on my knees. I had two arcs of salt on either side of my face from the sweat, and depressions in my forehead from the hat i'd been wearing. I must have looked frightening, not in an intimidating way since i was so decrepit, but sort of like those transients that you see on street corners arguing with nobody in particular.
All in all, i'm glad i made the trip. Boise is a nice little city, very pretty and clean, and the course was good for a first-timer. Finishing a marathon gives you a tremendous feeling of accomplishment, although in my case it took some time to sink in. Like many worthwhile things, i think what makes the marathon special is that it's just hard enough to make you uncertain that you can do it. For most human beings there seems to be some sort of limit reached between 20 and 25 miles, so by definition you have to exceed that limit to finish the marathon in the time you hoped for. It's a controlled environment in which you can push yourself beyond what you were designed to do, which in principle gives you confidence that you could push yourself in a less controlled environment. I heard Oprah say that the marathon is a "metaphor for life", but i think that's only true in the sense that life's a bitch and then you die. Life is messy and complicated, marathons are not. To me, the appeal of organized marathons is that they remove all of the complications, so that all you have to do is show up and subject yourself to some degree of suffering for some number of hours. There's something very liberating and joyful about lining up with a bunch of other lunatics dressed in similar goofy clothes to run the exact same course, but in the end only really caring about how you did relative to your own expectations.
Saturday, March 06, 2010
Evil
I feel the same way as most people about the murderer in this case (whose name i won't dignify by writing). I want him to die. Not after some protracted legal process during which he gets more and more publicity until he transforms from scumbag loser into "notorious". I want to put a bullet in his brain, dump him in the landfill, and forget about him. This case might end up changing the laws regarding sex offenders, but that should be credited to the inspiration of Chelsea and not the evil of the criminal.
As a non-religious person the concept of evil is sometimes difficult for me. For the religious, the existence of an agent of evil is a necessity to reconcile the preponderance of evil behavior with the presence of an omnipotent and benevolent God ("hell must exist for heaven to have any value", to crib from a favorite author). I do not know if this culprit was in control of his impulses and chose to be evil, or was compelled to do evil things. I don't know if he was abused as a child, or if he lacks some crucial part of his brain that endows most of us with empathy. I also do not care. The point at which sympathy for him could be useful has long since passed. The damage that he has done to the world is out of proportion to any abstract notion i or anyone else might have about the sanctity of life. This is evil, simple as that. Whether you believe that this human being is a demon who needs to be sent back to hell, or a deeply dysfunctional machine that needs to be switched off, there should be no debate that he should be removed from our midst.
Tuesday, March 02, 2010
Update on My Borg Implants
I'm eager to get back to some level of physical activity since i feel like a large bucket of Kentucky fried chicken at the moment. I have managed to do some low-key weight lifting, and i have a set of rehab exercises i go through for my hip, but i really need something that will make me sweat. It'll probably be 6-8 weeks still before i can do anything too strenuous, but i'm hoping i might be able to start some swimming before then (i assume you sweat when you swim even if you can't tell).
I haven't quite come to grips with the idea that i am partially artificial yet. Since i'm still swollen and weakened from the surgery, i can't say that i notice a difference between the real hip and the replacement hip, but i have this image in my head of a gap in my body filled with machine parts or makeshift framing. Or like a patch of bondo on the fender of a 1960s Chevy. Although i no longer have the hip pain that bothered me before the surgery, i can't shake the feeling of "otherness". I'm hoping that when the hip strengthens and i can walk normally that i will eventually just forget that it's not "stock".
Sunday, February 28, 2010
Home Alone
This situation required an unlikely alignment of the planets. First, my younger son had a sleep-over for a friend's birthday party. My older son was at his girlfriend's parents' house (not unusual), and my wife was out with friends. I suspect that such situations will occur more frequently, especially when my younger son gets to high school.
Lest this sound pathetic, i must aver that i am quite good at being alone. I had complete control over the television, so I watched Inglorious Basterds on-demand, without having to filter out any of the extraneous background conversations that are typical of a house with teenagers and proto-teens. I did not have to share the computer, and i could turn the sound up and listen to fragments of songs on last.fm without piano or cello or violin or Iron Chef America in the mix. i could even read a book in my living room. It probably would have been more enjoyable were i able to open a bottle of wine (doesn't mix with my blood-thinners), and if i could move from place to place without my cane, but i'll take what i can get.
In my current job, i work almost entirely with people in their 20s, and i am often struck by the radical differences in our lives, of which they of course have no knowledge. Probably 80% of the interesting things in my life, both good and bad, occurred after 30. Many of my coworkers, i would guess, spend evenings alone on occasion and they probably either take it for granted or desperately try to avoid it. I suppose "wisdom" is the label we give to the difference between our expectations at 25 and our reality at 50. I wonder if there is the same dichotomy between 50 and 75.
Monday, February 15, 2010
My First Week as a Cyborg
The surgery last Monday went fairly well, although it started later than it was supposed to. Surgery is sort of a 5-phase process. There's pre-op where they get you into an embarrassing gown and nifty socks, set you up with an IV, take your vitals, shave appropriate areas etc. Pre-op has this monitor with all of the on-going surgeries, like flight departures at the airport except it doesn't update to show you delays.
After pre-op is another staging area, where multiple people come around and ask about your medical history, and they mark the area for surgery so that there's general agreement about what's being done. This is also where you consult with the anesthesiologist. In my case, she recommended a spinal, which basically means that your lower half is completely turned off, so they give you an extra sedative to keep you in a medium sleep.
Next they take you to the actual operating room. Here they administer the initial anesthetic (spinals feel really strange), transfer you to the operating table, and knock you out. If you're lucky (as i was) that's the last thing you'll remember. I don't really remember much about the operating room. It was larger than i expected, almost like a classroom. My x-rays were on one wall. There were several people there when i was rolled in, but not the surgeon.
After the surgery, there's a post-op area (although that's not what they call it). I'm not really sure how long i was there. I woke up there, and was still pleasantly morphined. I can remember being in the room, with other patients and a few nurses, but i'm vague on what they actually did in this room.
Finally, they take you to a regular hospital room. I was catheterized and had a blood drain connected to my incision, but i didn't feel too terrible. I think it was around 2 in the afternoon at this point, but i'm only sure that there was still daylight. I was happy to find that i had no post-operative nausea, but i kept expecting it, even after i ate dinner.
I made it through the first night, and at 10am on Tuesday the physical therapist arrived to help me stand and walk for the first time with a walker. It was fairly hard, but i still had some morphine in my system so that helped. I managed a full lap around the hospital floor, which is apparently unusual. I did another lap later in the day with an occupational therapist, and finally made another excursion in the afternoon.
I was originally expected to go home on Wednesday, but because i had shown good progress they arranged for me to go home Tuesday night. The first couple of days at home were a bit tough (on me and my family). All of the biomechanical processes of standing, sitting, lying down, etc. are pretty tough. It hard to get from place to place with a walker, and you can't really carry anything with you.
So far, i've been really lucky. I never had any post-op nausea, and i haven't had any bad reactions to the Vicodin i take for pain, or the blood thinners i have to inject myself with every day. I've had a decent appetite, and i haven't had any problem with infections or fevers. My physical progress is encouraging and i get a bit more mobile every day. I'm hoping that this week will show as much progress.
Friday, February 05, 2010
Pre-Op
I'm trying to focus more on what i can do. I'm thinking that i will try swimming. There's a good master's program in the community in which i live, and i've started to identify events that i can train for in the future (the Alcatraz swim is intriguing). I probably won't be able to spar in the style that i've become accustomed to, but i think this might be an opportunity to work on boxing. I hope to be able to revive my interest in backpacking, since at least the long walks will get me into the same territory where i would previously have run.
The remainder of this month is probably going to suck. I'll be in the hospital for a few days, followed by physical therapy and daily nurse visits for a while. I have to take blood thinners for 3 weeks after surgery. I've never had a general anesthetic and i don't really know what the aftermath will be like. I cling to the idea that in a month i will be essentially normal, except that i will have entered a new phase of life in which certain activities are no longer an option.
Probably the worst part of these weeks leading up to the surgery has been the sense of isolation. I've always had relatively few people in my life that i could have meaningful conversations with about things that are important to me. There are not that many people who have both an intellectual side and also understand the compulsion to run long distances, or the desire to fight, or even the general notion of taking on physical challenges. There are even fewer people with those qualities who have had to accept giving up all or some of it. Strangely, my current workplace is the first where there are several people who run or do other endurance events. When i hear people talking about doing a half-marathon or running a trail, i get this indescribable sense of being outside of their world, looking in. I imagine that it's like being a ghost.
The nurse at my orthopedic surgeon's office said that i might be the healthiest person for whom they've ever done a hip replacement. I take some comfort in this. A doctor acquaintance once told me "we know how to fix joints, but we don't know how to fix hearts". He meant that people should be more concerned about the damage done by lack of exercise than potential wear and tear to joints (though the inability to fix broken hearts applies in the more poetic sense as well). So, while i'm bummed about the limitations imposed by having an artificial hip, i'm also well aware that far worse things can happen.
Saturday, January 16, 2010
Grandma
Of my five grandparents (i include my mother's stepfather), she was the one with whom i was the closest. My parents bought the farm that she and my grandfather had owned since the 1940s, and the two of them lived across the driveway from us for years before they retired and moved to Arizona. I also spent summers with them during my college years in Tucson, at their home in the Tortolita mountains.
Grandma was inscrutable. She could be bitter and caustic, possibly the remnants of her divorce from my mother's real father in the 1930s. She was deeply religious and apparently sincere about her Christianity, but she also alienated many people, including her oldest daughter (ie, my mom). On the other hand, she was always exceptionally kind and generous to me and had an influence on my life.
She was smart and had a long career teaching English. Although teaching was one of those "acceptable" jobs for women of her era, it was still fairly rare to work until retirement. She grew up in Milan, Ohio (birthplace of Edison) in a family of pedagogues. She went to Bowling Green University and (i have heard) was something of an athlete. I imagine her early life as carefree and probably more interesting than most girls of her time.
I don't know exactly when she met my grandfather. He (Herbert) was an interesting and often charming man, so I can see that she would have been attracted to him. Unfortunately, he also had many problems, the extent of which i don't really know (skeleton in closet). He left when my mom was about 6 months old. I've never heard the story of this stage in my grandmother's and mother's lives, but i assume it was not easy (it was not something either talked about). My mom's step-father (Orville) was a good man, but he was in such stark contrast to Herb that one can only assume that she chose him more as a reaction to her previous experience than out of sheer affection.
My grandmother lived during a time of incredible change. Her lifetime encompassed both world wars, the arrival of most of our modern conveniences, the great depression, the battles for civil rights for women and minorities, 9/11. Really, the world that she was born into was a different planet. True, she observed the majority of this change from north-eastern Indiana, which is a bit like being in Tatooine during the reign of the empire. I give her credit though for dealing with the world as well as she did. Life disappointed her early, and it would have been easy to be nihilistic or self-destructive. She did things that i could never understand, like spending most of her retirement years doing crossword puzzles or arguing with people at fast food restaurants over the discounts provided by coupons. But she also had a double knee replacement in her 70s, which seems to me a sign of hope.
Wednesday, January 06, 2010
Not So Hip
From the x-ray it was pretty clear that the cartilage is gone from my left hip and i have bone against bone. The bone has been in contact long enough that cysts and spurs have begun to form. There doesn't seem to be any ameliorative therapy for this.
Most significantly for me personally, this essentially ends my marathon career, and certainly ends my quest for a sub 3-hour time. At this point i am not sure that i will be able to run at all, and I don't know how much if any of my martial arts i will be able to continue.
Needless to say i'm a bit depressed about this-- being the crazy runner guy has been my identity for the last several years. The brochures on hip replacement talk about how you'll be able to return to activities like bowling, golf, or shuffleboard; which makes me want to scream and throw things. I could do those things with one good leg. Still, given my nature i expect that i will find some new activity (biking, swimming, etc.) that i can pursue to ridiculous degrees.