Of Moose And Men
The Best Laid Plans Of Both Often Go Astray

The TL:DR version: 1. No surgery. 2. I dislocated the patella and it snapped back into place pretty much immediately. 3. Lots of PT. 4. Might take up to 3 months to get back to normal. 4. Follow up with Orthopedist in 3 week. 5. No driving.

So after waiting around in the large brace for a week, commuting from the 3rd floor (bedroom) to the 2nd floor (living room/kitchen) and back again, I got an MRI on Wednesday. I’ve had a couple MRIs over the years and this was the first time I didn’t have to get undressed and into a gown – everything but belt and jewelry stayed on. Wild. Saw the orthopedist this afternoon, and the message was better than expected. I don’t need surgery. I dislocated the patella when I slipped, and it smacked the femur, but it snapped right back. The MRI showed where the bones collided. I can’t quite get the knee into full flexion (fully bent), so for now I need to do a lot of PT to get the joint back to full mobility.

The tendon that runs on the inside of the knee is going to be angry with me as we bent the joint. The kneecap normally pulls to the outside some when the knee bends, and that’s going to irritate it. They gave me some prescription naproxen to help with it. I’ve put in a request with a PT shop that’s close (quick bus or Uber ride) so hopefully they’ll get back to me soon and we can start working on rehabilitation. In the meantime I’ll have to figure out how we work this with work, because I think I’m technically out of full-time work from home options, but I can’t imagine they won’t accommodate this since I can’t drive, thus can’t reasonably get to work via car or Metro.

I will say I’m grateful that I don’t need surgery. I’ll happily do PT until the cows come home to get back to normal.

On Monday I was on a grocery run when I slipped on some oil in the parking lot and very badly wrenched my right knee. I didn’t feel anything pop, but I definitely went down and there was a lot of loud vocalizing about pain. On the upside, it’s a shopping center with an urgent care center, so after a bit of denial I leaned on a shopping cart and wheeled myself over to get checked out. I got a brace, crutches, instructions to go see an orthopedist.

Saw my old orthopedist’s office the next day (different doctor; the last guy specialized in shoulders, this one in knees). X-rays did not show anything broken, but did reveal that I have a bipartite patella on both knees, which is probably unrelated, but was an interesting conversation piece with the doc. Got a knee wrap and a stiffer, larger brace to hold things in place better (and boy have they improved since I last wore one back in 1986*). Instructions were to get an MRI and make a follow up appointment with the doc. First radiology place was going to take two weeks (!!!!) to get me in. I booked it, but then checked in with insurance to see where else was available and managed to get one a mere week later (this upcoming Wednesday the 13th, as opposed to the following Tuesday the 19th) a little further out. Definitely a sign that there’s too much demand and not enough supply in the DC radiology market.

In the meantime I’ve been sitting around playing lots of PS5, doing some reading, and a little bit of work. The collection of chargers next to the couch has slowly grown as I’ve needed to charge more devices like the kindle. The husband has been fantastic, fussing at me about letting him do more for me (I’m a terrible patient; I value my independence and hate asking for help). Thank heavens for the internet and videos for “best ways to get up and down stairs with crutches”, which we definitely did not have in 1986. Since this townhouse is a staircase with a couple rooms attached I’ve tried to minimize the amount of up and down each day to once each wherever possible. My neighbors have been good, too, with one graciously getting our car back from the parking lot to our garage, and another bringing a package in for me when the husband wasn’t going to be home until late. We have a slight problem with porch pirates, and I wanted to keep the cat food from disappearing, so I asked her to come drag it inside. The smart lock I installed a couple weeks back came in handy there, as I was able to unlock and lock the door from the couch so she could open the door.

And now I wait for appointments to see how badly I’ve messed this thing up. The swelling is down from the peak, but it’s still grapefruit sized and somewhat warm to the touch. Grateful we installed washlets on all the toilets, because when you only have one good leg to stand on wiping is not the easiest.

* Back in 1986 I was playing volleyball in gym class, went to hit the ball at the edge of the court, everyone yelled to let it go out as it was game point and we’d win, so I backed up quickly and in doing so chipped my thigh bone. I vaguely recalling yelling “shit” at the top of my lungs, and the whole gym was looking at me when I looked up. Teacher felt the knee, nothing broken, so ‘walk it off’ (Poor teacher; this was at the school where my mother was the librarian and I know she felt bad when it turned out to be worse than expected). Urgent care, orthopedist, arthroscopic surgery to remove the bone chips, and a massive leg brace to keep it all straight before and after surgery, which I recall being a pain in the ass to get on/off, with giant velcro tabs. This new one has velcro, but also has quick-release tabs that the velcro connects to, so is much, much easier to remove and put back on. Yay progress.

Not the shopping day I’d planned for, but hey. Started out early, with a 9am appointment at BJs to replace the front tires, because one of them has a giant bulge and a slow air leak. Get there ten minutes early, doors are closed. They finally bother to open at 9:25 (after calling the main desk twice to see where they were), get to the counter, they don’t have the tires I preordered and prepaid for. Then it was into the main club for a refund, because at that point I was done with them. Appointment made for another place Wednesday morning, and I’ll call Tuesday night to doublecheck that they have the tires.

So then it was on to get some food and planned haircuts. While eat we decided the husband needed some more shirts, so we picked the closer of the malls and headed there for wandering and shopping. I picked up grooming supplies, and he got a bunch of shirts. Ah, married life. Heh. Book shopping next, then a late lunch and gas for the car. The tire held up well, thankfully, and I didn’t have to reinflate it while we were out (I keep a pump in the car normally anyway).

Ran twice this week, very basic run/walk workouts on the treadmill, but the first such since covid last month. The fatigue is finally gone, thank heavens. Blood pressure is still higher than anyone would like, but some regular exercise should start to help with that, or at least keep it from getting worse. I’d really prefer not to go on drugs for that; I resent the allergy and reflux medications as is, so the thought of adding more just makes me grumpier. *phhhbbbbtttt*

Off to a brunch showing of Margaritaville at a local(ish) dinner theater tomorrow. Should be a hoot. I have a nice Hawaiian shirt with flamingoes on it for the occasion, and the husband has something similarly loud. We’re meeting friends for it, which will be nice as we’ll have a four-top table for the group, and no strangers to try and make awkward conversation with. Final show of this run, which is always fun to see.

Literally. The husband took off for the day to hang out with friends, and had made some noises about how “crowded” he felt the main level was getting, so I dug into a few things down there to straighten them up before he had a chance to put things “away” in places I’d never find them later.

Then I culled T-shirts and other clothes in our dressers. Removed each drawer and tightened the screws on the rails. Moved on to my office, tossing papers that we no longer need, like old bills that we needed to prove residency when we first moved in, and filing away tax stuff. Found the cats’ file just in time for their next vet appointment in two weeks. Between the stuff I couldn’t donate from the bedroom, and the papers from the office I filled a small garbage bag.

Did other things in between, like eat, and do my daily run at Animal Crossing, but mostly I’ve been organizing and cleaning all day. The dust hasn’t been fun, but making sure the drawers in the bedroom can open without jamming, either from being overstuffed with clothes or loose rails, was worth it.

Other than that life has been busy at work for both of us. After two days of gross we’ve both recovered well from the vaccinations, though I still have a fairly prominent red spot from the monkeypox shot. The husband got a new tattoo from an old tattooer. We discovered the guy who did most of his left arm has a studio within walking distance of our townhouse. I’ve given him an idea for another one for myself as well, and we’ll see what he comes back with, design-wise.

The husband and I finally got appointments for this morning for the monkeypox vaccine here in PG County, a process that should have been done and over with months ago, but a lack of vaccines and a screwed up scheduling system meant long delays. But, fast forward to this morning and I drove us over to a local county health center for it. While we were there they offered to give us both the seasonal flu vaccine and the latest, updated Covid booster, so we figured why the heck not. Finished up, drove the husband to the Metro so he could go to work, then headed home.

A couple hours later and I’m slightly nauseous in the way that the flu shot often does, and perhaps a little body sore, but the poor husband is definitely feeling it worse, so he grabbed a cheap uber home. I made him some lunch and he’s crashing on the couch in front of some fluffy TV. No itching on the MPX shot site for me. I did go ahead and take the rest of the day off – I had originally taken just the morning, but with the three-fer-one deal we got I decided lawyering while vaccinated was a bad idea.

Since I did the Ironman back in 2010 I’ve struggled to figure out what the heck I want to do, exercise wise. I didn’t have a good plan for post-race recovery for the body, and the intensity of it was also very limiting socially, so I just sort of fell apart. Fast forward to 2021 post-marriage, post-move-to-the-suburbs, post-several-exercise-related-injuries and I’ve been struggling to get back into an exercise routine that doesn’t involve injuring myself. I’ve gotten much better at mobility work to keep everything in better moving shape, but little nagging injuries seem to bother me much more than in the past. Yay aging. Running and jumping rope have been most recently on the menu, and I enjoy both for different reasons. Adding some bodyweight exercise to the mix as well for some strength building, with the result that this week I am just sore. A new Hypervolt II I picked up about a month ago on sale is definitely helping, as is making sure I move more, but man, if you’re not used to using your arms a lot for exercise (as I am not – legs are great, given my exercise history; arms, not so much), starting up can be rough. But, sticking with it, because I know it will fade.

Been mostly following my training plan for the marathon this fall, but I suspect I’m going to need to change some of the weekday workouts. I’m supposed to be doing around 8 miles on Wednesdays and Fridays, and I think it’s just a touch too much most weekday mornings. So I think I’m going to pop them down to 6 miles, with an option to do more if I feel I have the time for it.

One of the things I enjoy about the plan is that it mixes in cycling two days a week, and occasionally substitutes a long bike ride for a long run. Today was the first of those. Most of my bike riding during the week has been at Hains Point these past couple months (i.e., flat, flat, flat), but this morning’s plan called for 50 miles, and Hains Point, while nice, is not where you want to go 50 miles (picture endless loops of either 3.2 miles with less traffic, or 5.5ish but with a lot of traffic as the day gets later). So I headed out on the Custis trail to the Washington & Old Dominion trail, which is pretty much the complete opposite of flat. I think my quads and glutes are going to be paying for that choice tomorrow. On the upside, it was a lovely day, and a nice ride to Herndon and back.

I wish my long runs had been going as well, though. I seem to have a 10 mile problem – up to 10 miles are fine, but over that has had a block of some sort. I can’t figure out if it’s nutrition, heat acclimation, hydration, or what. It’s not been helped by my new acid reflux, which doesn’t seem to like bubbles (which are found in my favorite non-caloried sports drink tabs) or too much in the way of sweet calories (found in pretty much every other portable nutrition product). Trying to dial in the balance has been a chore. I’ll get there (I’d better!), but it’s a tad obnoxious.

Life can be such an interesting experiment. After putting off seeing a specialist for ages, I finally got tired of a consistent belching that I had going on. Turns out the reflux that my mother and her father have/had was passed to me. Yay! Long story short the excess acid production was/is causing me to swallow too much air, so that’s what was/is causing the belching.

Had samples of a prescription drug, got it under control, then the samples ran out. Tried the over the counter (OTC) version, which didn’t give the same results (the samples I had were a newer form of the drug, and 4x as high a dose as the OTC stuff). So, saw the doc for a follow up today, got a prescription for the fancier stuff, and now we start the food experimentation portion of the treatment. I already know that coffee sets it off, so I gave that up a couple of weeks ago (the boy’s expression wasn’t quite one of horror when I told him I’d been off coffee for two days when I first started, but it was close – I had trained him well that coffee was the first thing I needed in the morning). Tea eased the withdrawal, but I’m mostly off that now, too. Wouldn’t be the first time I’ve been caffeine free – did that once before from ’00-’01, but then we had that little airplane event in the fall and I went back to regular coffee drinking.

I already know that pizza is out, as is falafel, sodas, and beer. Spicy foods seem to be a no-no as well. But the experiment will continue as I figure out what does and doesn’t work. It’s a fun process, actually, and I get to eat a lot of different things as I figure this out.

In other catching up, the anniversary trip to the shore with the boy went well. Didn’t get burned at the shore, had a good time relaxing and reading, and just catching up with each other outside the norm. We walked all over the place, which upped the numbers for both of us on the step count on our vivofits. I think it’s been fun to have those together and to have something of a competition going with them. He wins outright on pure walking, but I tend to go over when you factor in my running. And we both beat his sister regularly (got her one for xmas), which is what really counts.

I’m training now for the marine corps marathon this fall. I got in last year, developed runner’s knee, and postponed the race to this year. While not quite where I’d have liked to be in terms of a base, the training is going well. Related to that, I’m going to take a break from the tri club. There’s been a bit of drama with regard to the newbie program I’ve help run for the last decade, and I’m just not willing to put up with it at this point. I’ve never been one that enjoyed training with a large group (I like the meditative aspects of training), and I’m not really drinking at all (see the reflux discussion above) so I don’t get out and see club folks very often, and I think the club has just moved on, as have I. I’ll maintain my membership, but I don’t see myself doing a lot with them in the immediate future.

Knee is still doing well. No pain, keeping up activity levels, all seems to be good.

Saw the boy off to the airport this morning. He and a coworker are off to a conference for the first part of the week. After dropping him off I picked up a surprise for him – plants from the local garden shop to go into the two big planters on the balcony, and a pot to repot our third pothos. Hopefully he’ll enjoy the healthier looking balcony, especially since I hauled a ton of gross, dead plant bits out, too.

Otherwise it’s been a day of video games and trying to figure out what the heck I’m going to do with myself until he’s back. It’s odd how you become accustomed to having your life revolve around someone else, and when they’re not there, even temporarily, it leave you out of sorts. Did finally bother to make dinner, kept it healthy. Debated going to the store for ice cream, but am feeling too lazy for that. And I have the last of the blueberries from my parents’ garden to nosh on, anyway.

Haven’t fixed the commuting bike yet. Maybe tomorrow after work. Maybe.

I didn’t quite make it an entire month, but that’s okay. I’ve done two short (2.4 mile) runs this week, both slow, both careful, and both without pain. The weight routine, though not as much as I was intending to do, has definitely helped, as has the time off from running. No pain after the runs, either, so I seem to have licked this case of runner’s knee. Thank heavens.

So, with this coming back, I’ll be looking at what kinds of training I want to be doing to better build up my fitness base for racing next year. Never did try cycling on the trainer, though I will try it out on the road next week. I finally got my commuting bike fit done, in time to realize that when the bike shop added the rear rack they did in a way that prevents me from easily getting the bolts off the rear wheel. Did get them off, but I think I’m going to have to go ahead and put quick-release skewers on there instead of the screw on bolts. As much as I enjoyed knowing you couldn’t remove my tires without a wrench, it’s not worth the effort now. And it’s not like I don’t lock up the wheels when I lock up the bike if I leave it somewhere. So, another trip to a bike shop this weekend to pick up quick release skewers so I can ride to work again.