A follow-up (actually, an explanation)
Feb. 28th, 2013 12:38 pmAbout that "it is not spinal stenosis, your back is fine" news...
Academically, I know it is good news. I'm still digesting it. I'd spent the last couple of months working hard to accept the previous diagnosis and come to terms with it, and had moved past anger and rejection of it into plans for how to adapt, how to keep active, how to change my exercise patterns to enforce strengthening all that I could - and how to sidestep the depression that the assumed inactivity was going to engender.
I was almost at peace with it, you know?
That is why I was thrown. That and a string and immediate throwback to days of being a child around my mother. She'd invent weird and severe medical problems and use them to manipulate people, to curry special treatment. Suddenly there at the doctor's office, hearing the news that there was nothing wrong with my back and he had no explanation for the problems I was experiencing, I was a middle-aged replacement for her and I hated myself. What if I was just doing this to myself? What if there is nothing wrong with me at all? What if it is all in my head or I'm going crazy like she did? What am I doing to my husband, my kids? What if I was a worthless piece of humanity who was only torturing my family with imaginary woes because I was too lazy, too weak, or too something to live like a normal person?
It all came down hard and I just caved in. Scared of the uncertainty, frightened by fear of insanity, the whole gig.
I'm still a little shaky but it will pass. I know that I'll be grateful that my spine is doing just fine. It IS good news. And it looked fantastic on the MRI. Bossman was the one who pointed out afterwards how much the surgeon was grinning as we scrolled down the views. I had been one of his first patients when he opened his private practise. Just think - if he did work that well in his first year on an active and obese woman that it was so strong and clean 10 years later, imagine how much better he is now with his skills honed and what he is bringing to his elderly patients. My spine is strong. His patients have no idea how lucky they are.
And I've reminded myself that for the last couple of years I had been aware of the odd symptoms as they occurred and had been fighting to deal with them without letting anyone notice, trying to avoid yet more medical-drama-stuff and using my private fear and uncertainty about them to encourage myself to work harder on getting in better shape. That is not the way my mother would have acted. I haven't been "imposing" this on my family. The closest I've come is to stick to the doctor's advice about my activities since Bossman insisted that I consult him. So I'm (slowly) convincing myself that I'm not becoming my mother. (It is probably a ruling fear in my life.)
I'll see the vascular specialist in a couple of weeks. I'm going to laugh and feel very, very stupid if he tells me that I'm so fat that standing up and walking around is putting point-pressure on my femoral veins or arteries and that I'm going to have to wear a girdle or something until I lose more weight. That would be about as humbling as a diagnosis could get! (But it would rock, wouldn't it? "Keep working on that weight loss and you'll get back to normal" would be grand.) I've done some online research and it appears more likely that I've got that old-fashioned 'hardening of the arteries/veins', a buildup of plaque in there which is reducing circulatory flow during times of exercise. If so, I'll assume that a daily dose of "Plavix" is in my future, more exercise of a specific style will be needed, and (best) I'm damned lucky that it was caught in this manner rather than building up to give me a stroke some day down the line. I can be very, very grateful if that is the diagnosis. There will be a lot of candles of thanksgiving burnt at my altar if that is the case.
So my worldview is on its head right now and I'm just trying to maintain calm while it gets done spinning and I can pin it down again. In the meanwhile, our willow tree is budding, neighbor's flowers are coming out, and yesterday I left doors and windows open to air the house for the first time since autumn. Spring is here and my heart is lighter. And with the cessation of concern about a failing back... when I'm actually aware that such is true, my head and heart just swell with joy. It is overwhelming. By golly, I'm going to get used to it, I am. I have no reason to fear half of the machines in our gym any longer.
(Oh - and I'm telling my PT folks that my goals are to be able to pedal a bike, which I haven't been able to do pain-free since the surgery, and to get down into a squat and back up again without losing my balance or feeling pain, as the same holds true about how long it has been since I could do that. If there is nothing wrong with my spine, then it is just weak muscles in need of retraining and strengthening. I'm going to need some expert guidance.)
Academically, I know it is good news. I'm still digesting it. I'd spent the last couple of months working hard to accept the previous diagnosis and come to terms with it, and had moved past anger and rejection of it into plans for how to adapt, how to keep active, how to change my exercise patterns to enforce strengthening all that I could - and how to sidestep the depression that the assumed inactivity was going to engender.
I was almost at peace with it, you know?
That is why I was thrown. That and a string and immediate throwback to days of being a child around my mother. She'd invent weird and severe medical problems and use them to manipulate people, to curry special treatment. Suddenly there at the doctor's office, hearing the news that there was nothing wrong with my back and he had no explanation for the problems I was experiencing, I was a middle-aged replacement for her and I hated myself. What if I was just doing this to myself? What if there is nothing wrong with me at all? What if it is all in my head or I'm going crazy like she did? What am I doing to my husband, my kids? What if I was a worthless piece of humanity who was only torturing my family with imaginary woes because I was too lazy, too weak, or too something to live like a normal person?
It all came down hard and I just caved in. Scared of the uncertainty, frightened by fear of insanity, the whole gig.
I'm still a little shaky but it will pass. I know that I'll be grateful that my spine is doing just fine. It IS good news. And it looked fantastic on the MRI. Bossman was the one who pointed out afterwards how much the surgeon was grinning as we scrolled down the views. I had been one of his first patients when he opened his private practise. Just think - if he did work that well in his first year on an active and obese woman that it was so strong and clean 10 years later, imagine how much better he is now with his skills honed and what he is bringing to his elderly patients. My spine is strong. His patients have no idea how lucky they are.
And I've reminded myself that for the last couple of years I had been aware of the odd symptoms as they occurred and had been fighting to deal with them without letting anyone notice, trying to avoid yet more medical-drama-stuff and using my private fear and uncertainty about them to encourage myself to work harder on getting in better shape. That is not the way my mother would have acted. I haven't been "imposing" this on my family. The closest I've come is to stick to the doctor's advice about my activities since Bossman insisted that I consult him. So I'm (slowly) convincing myself that I'm not becoming my mother. (It is probably a ruling fear in my life.)
I'll see the vascular specialist in a couple of weeks. I'm going to laugh and feel very, very stupid if he tells me that I'm so fat that standing up and walking around is putting point-pressure on my femoral veins or arteries and that I'm going to have to wear a girdle or something until I lose more weight. That would be about as humbling as a diagnosis could get! (But it would rock, wouldn't it? "Keep working on that weight loss and you'll get back to normal" would be grand.) I've done some online research and it appears more likely that I've got that old-fashioned 'hardening of the arteries/veins', a buildup of plaque in there which is reducing circulatory flow during times of exercise. If so, I'll assume that a daily dose of "Plavix" is in my future, more exercise of a specific style will be needed, and (best) I'm damned lucky that it was caught in this manner rather than building up to give me a stroke some day down the line. I can be very, very grateful if that is the diagnosis. There will be a lot of candles of thanksgiving burnt at my altar if that is the case.
So my worldview is on its head right now and I'm just trying to maintain calm while it gets done spinning and I can pin it down again. In the meanwhile, our willow tree is budding, neighbor's flowers are coming out, and yesterday I left doors and windows open to air the house for the first time since autumn. Spring is here and my heart is lighter. And with the cessation of concern about a failing back... when I'm actually aware that such is true, my head and heart just swell with joy. It is overwhelming. By golly, I'm going to get used to it, I am. I have no reason to fear half of the machines in our gym any longer.
(Oh - and I'm telling my PT folks that my goals are to be able to pedal a bike, which I haven't been able to do pain-free since the surgery, and to get down into a squat and back up again without losing my balance or feeling pain, as the same holds true about how long it has been since I could do that. If there is nothing wrong with my spine, then it is just weak muscles in need of retraining and strengthening. I'm going to need some expert guidance.)