3rd Time Is A Charm!

Knee surgery has come and gone….
It’s been a little over a week since my 3rd knee surgery in 6 months. This journey has been quite scary, but a learning wheel in my life.

I’m praying the long road to recovery is finally coming to an end – although, rehab will last for years to come to gain my strength and to get my mobility completely back to normal. Thinking positive is a must!

When I was in high school, I dislocated my left knee one night simply by turning around to throw something in a trash can – let’s just say, I’m accident prone. When I did, I fell to the ground immediately. I didn’t know what was wrong, so I stood up and fell right back down. I started to feel pain in my leg, so I rolled up my pants and noticed my left knee cap was completely on the side of my leg. I started to freak out a little bit and my parents weren’t home. I crawled over to the phone and called my parents, who were at a band boosters meeting. They came home immediately and we put ice on it and I took some ibuprofen. I was able to push my knee cap back into place – yes, it hurt! By the time my parents were home, my knee had swelled up tremendously. We went to the ER and they did x-rays and an MRI. The MRI showed that a piece of bone was on the side of my knee cap that chipped off. I was referred to an orthopaedic surgeon in Tampa, FL to evaluate my knee.

I went to Tampa a few days later to have my knee looked at. He decided to do surgery. He told us that he wanted to tighten the ligament on the outside of my leg and make the ligament on the inside looser…it made no sense. Long story short…this surgeon did the wrong operation on me and was supposed to do the opposite. I didn’t find this out until I went to go get my knee checked out this past August.

Surgery was in Feb of 2002. They did a “scope” of my knee. I came home right after surgery and healed perfectly fine. I was ordered to do some rehab as well. Months went by and I still had knee pain. The “cracking” sounds started to get worse when I bent my knee and I even had some dislocations happen. I just thought I would have to live with this issue and to ignore it. I knew what I couldn’t do and what would cause it to hurt, so I avoided those activities. I love sports, so this injury definitely put a big damper on my outdoor life.

Years went by and many more dislocations of my knee happened. I just popped in back into place, threw some ice on it and moved on.

This past August I decided to get my knee checked out because the pain became worse and dislocations were happening more often. I went to an ortho who ordered an MRI. The MRI showed my cartilage was worn down completely and my knee cap was not in place. I also had a bone spur and bone chip in the mix of it all. After the MRI my ortho wanted to me do physical therapy for a few weeks – then do surgery. I understood that I needed to become stronger before surgery, but PT made my pain extremely worse. I ended up scheduling surgery right away.

Surgery day came and I had a lateral release done. The bone spur and bone chip were also removed. It took about 45 minutes. I woke up in extreme pain after surgery and was given a nerve block. The next day I removed the bandage and saw how swollen my knee was. It was unbelievable. I have never seen something so swollen in my life. Thank God my mom came up for surgery to take care of me. She even had to reschedule her flight because I was in such bad shape. Surgery was on a Wednesday and on Friday, I was scheduled to start PT. When I went to PT, the therapist looked at my knee and became worried. She sent me downstairs to the PA and the PA attempted to drain my knee. Only 2 CCs came out.

Over the weekend my knee became more swollen. It literally felt like my knee would explode if I bent it even a little. On Sunday I called the PA and he asked me to come in to try and drain it again. He tried numerous times and nothing would come out. My blood was like jelly. I went to the doctors the next day and he wanted to leave it be and see if PT would help the blood move and start to absorb. I didn’t think this would work at all. I couldn’t move my knee in PT and the therapists were scared to work with me because it looked so bad. Being told your knee is the worse thing they’ve ever seen is not really what you want to hear…

On Wednesday I went back to the doctors office and he tried to drain it on the other side of the incision – nothing would come out. PT wasn’t working either. Friday morning I woke up nauseated. I went to PT and my knee had just gotten bigger. The therapist told me to go see the doctor after the session, so I did. I begged the doctor to surgically remove the fluid and he told me to meet him at the hospital at noon and he would. My mom was worried she would have to leave before I could even walk and get around okay by myself.

Surgery took longer than expected (a little over an hour) and they left a drain in me so it wouldn’t swell up again. This surgery hurt a lot worse than the first one a week prior. I could feel the drain moving inside of me if I moved an inch. I literally cried if I had to get up to go to my bathroom or to my bed. The drain was left in me over the weekend (fri-mon) and seemed to work. I had a blood clot (which I didn’t find out until I received a copy of the surgical notes). The swelling went down eventually and I finished PT in December. I can’t tell you how happy I was when I could finally bend my knee all of the way – I started to get worried my knee would never recover or the swelling wouldn’t go down. The pain never went away and the doctor said it was normal to have pain where the lateral release was done. The pain was terrible though. I couldn’t stand up from a chair, get out of the car or go up and down stairs with out terrible pain. It felt like everything was ripping a part on the side of my leg where the lateral release was done.

My knee dislocated a couple of times after surgery and it never felt like it was in place, but my doctor keep saying my knee was tracking fine and in place. He then said if I still had pain in the beginning of the year to come back and we will go from there. Understandable to wait a month or two, but not what you want to hear.

In January, I decided to get a second opinion – I actually got 4 opinions. Better safe than sorry! The new doctor ordered another MRI to see if anything had changed. The MRI showed the cartilage problem again and that my knee was still out of place. He asked if I wanted to do PT again to regain strength. I opted not to. He then ordered a bone scan to see if I had any RSD (random pain from past surgeries) or cancer that they weren’t catching. The bone scan came back normal – thank God! The areas I had pain were highlighted heavily on the scan. I was sent to yet another specialists to see if anything could be done with the cartilage and they said no. The specialist talked about doing MPFL surgery, but then decided not to. He called my previous surgeon from the fall and my previous surgeon requested not to do surgery on me because it would ruin what he did in the fall.The specialist wanted me to wait a year to see if the pain would go away – That just seemed ridiculous to me and to the other doctor I received a second opinion from.

My next step was to schedule a surgery called, Medial Patella Femoral Ligament Reconstruction
If you want to see the surgery – take a look here!

The doctor seemed certain this surgery would fix my dislocation problem. Surgery was set for April 4th and now here we are…time to wait and see if it worked….so far so good!

I can’t tell you how worried I was about the surgery. I was more nervous it was going to be a repeat from the fall and be in extreme pain and swollen to the point of not being able to walk. The surgery took a little over an hour and I received a nerve block before the surgery because they didn’t want me to wake up in pain – I woke up in pain. Luckily, the doctor was able to repair my own ligament and not use a donor. Therefore, no drilling was involved and no pins, screws or anchors. He tightened up my ligament and reattached it to my knee cap. He said my ligament was completely stretched out from the dislocations, but he was able to repair it.

I came home the same day of surgery. My knee is swollen a little bit, but the doctor does not want to drain it unless it gets worse. I have a small scope incision on my knee cap and also a long incision on the inside of my leg where the ligament was repaired. I have to remain in a immobilizer brace for 3 more weeks and cannot bend my knee fully for 3 more weeks. Physical therapy starts next week – very minor therapy for the time being. This will help the swelling go down and I will eventually regain mobility and strength.

Time will tell! Thank God I can work from home and rest my knee until I’m able to walk without a brace….to be continued!

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Remembering That You Are Going To Die Is The Best Way I Know To Avoid The Trap of Thinking You Have Something To Lose.

Today is a hard day for two reasons:
1. I’m having my third knee surgery in 6 months today.
2. Today has been 15 years since my brother (Ricky) passed away from cancer.

Many don’t know the story of my brother or didn’t even know I had a brother. It was hard for someone my age to be asked, “So do you have siblings”. Umm yes, no, well I used to. I always said no when I was younger, but I now always say that I lost my brother to cancer. I don’t want sympathy, but I don’t want people to think I didn’t have the blessing of knowing/having a brother. There are only a handful that may remember because they went to school with me and the whole 6th grade class was told what was going on.

Ricky and I were like normal siblings – It’s a love hate relationship; don’t touch me, you never talk to me, why are you ignoring me, why won’t you let me hang out with you, you’re so cool cause you’re older, etc. My brother was adventurous and pretty laid back. He enjoyed being outside and being with friends. He also ate the weirdest foods…I’m pretty sure he did it to gross me out. When we lived in Indiana we always went running into the huge corn field behind our house, sledding, four wheeling, fishing, playing video games or riding our bikes. Probably the biggest memory I have is singing karaoke with him. He would always sing New Kids on the Block – haha! I have proof!

He loved music, the screaming rock kind…For some reason that didn’t pass over to me, thank God. Ricky went to my Girl Scout Graduation. It made me so happy he was there. I followed him around all of the time…to the point of annoyance, which started the bickering. I even followed him up mountains and caves 0_O.

Rewind 16 years ago…I was 11 years old, so bare with me.

It was spring of 1996 – He was having pain in his left shoulder. My parents took him to the ER, but I didn’t go. I think it was the next day or not too long after that, Ricky came into my room and said he had cancer. Ewing’s Sarcoma, to be exact. Ewing’s Sarcoma is a very rare bone cancer and very aggressive. He asked me if I knew what cancer was and I said, “Yeah, that’s when your cells are all messed up, right?”. I was close! It became a big blur of the hospital, the Ronald McDonald house, washing your hands non-stop and staying with my Grandmother a lot after that.

They decided to do treatment at Shands Hospital in Gainesville, FL, which is 3 hours away.. (Home of the Gators). Radiation was quite interesting – it was like having blue tattoos everywhere. Chemo was also done and the top of his knee got burned because some of the chemo spilled on him. I didn’t know much of what was happening, just that he was sick and he had to stay at the hospital for a long time. I thought the Ronald McDonald house was so cool. It had a pirate ship out in the back to play on and the place had plenty to keep you busy. I also stayed home with my Grandma, who lived nearby, so I could keep going to school. My parents and brother seemed to be gone forever at a time. Then it was just my mom and brother who were gone.

Fall was right around the corner and Ricky had to get a bone marrow transplant. After the transplant, things became very strict on what he could be around and what he couldn’t. I remember him wearing his hospital mask at times. One night we ordered pizza and I doubled dipped into the sauce and he yelled at me because he couldn’t have any after that. Opps…

My birthday was next and we were deciding how to have a party since my brother couldn’t be around so many people. We decided to have it at the skating rink – Oh the 90s! During the party, a girl fell in front of me and I was going too fast to move out of the way and I went flying. My friend Jill fell on top of my left arm and guess what? It broke. By that age, I had broken my leg once, my right arm twice and my left arm three times. Habits are hard to break, but bones aren’t. I went to my mom who asked me if I could unbutton my pants – I had broken my arm so many times, she knew this would tell her if it was broken. I couldn’t twist it and the workers got me ice. I finished out the party with a bang by entering into the skating race. After the party, we made our way to our second home, Blake Hospital, to get an x-ray. It was broke and I was put into a sling and casted shortly afterwards.

The next few months I can remember like no one else.

My family left for Gainesville one day and the neighbors watched me until they got home that night. My mom sat me on the couch and told me there was nothing more they can do for Ricky and he would die from the cancer. None of the treatment worked. Being so young, I didn’t really react. I just said, “Oh.” No one close to me had died before. I didn’t comprehend what was going to happen. I went to school the next day and told some of my friends and they had the same reaction. Life went on normally after that. Christmas was right around the corner and my mom had always wanted a dachshund, so Ricky decided to get one for  her  for Christmas. My dad, Ricky and I went to go look at the mini dachshund he was going to get her. I was still in a sling from getting crazy at the skating rink and we put the puppy in my sling while she slept. I then said, “She is the size of a twinkie!”. Therefore, her name became Twinkie. We picked up Twinkie a few days later and Ricky placed her in a picnic basket and gave it to her right before Christmas.

After Christmas, it went downhill pretty fast. We tried to keep busy and not be stuck in the house depressed about the situation. Ricky had to start using a wheel chair because of the pain. We went to the Cortez Fishing Festival to walk around and get him out of the house one weekend.  His friends would came over to keep him company and give my mom a break. It was harder on family and friends to visit because you don’t know what to say sometimes and you didn’t know if he wanted you there or wanted to rest, etc. It’s not like the movies. You just do the best you can do.

Ricky had a wish to meet Dennis Rodman (Chicago Bulls), but after his stent of wearing a wedding dress, Ricky said no thanks! The Make-A-Wish Foundation worked out a trip so we could go to Chicago and see family and friends in Indiana and go to a Bulls game. It was mid-Feb and I was in math class – Mrs. Harwood to be exact, and a message came for me to go to the front of the office. Mrs. Harwood looked at me and she knew what it was for; it meant the Make-A-Wish trip was now! I packed my backpack and headed out. When we got home my mom said she had packed my bags already (she forgot my underwear, thanks mom) and a limo would be at the house shortly. Everyone was quite excited to get away and see some family and friends back in Indiana. The people from MAW were so nice. We headed to Sarasota Airport and boarded the flight. We arrived in Chicago about 8pm and checked into the Marriott Hotel. The hotel was amazing!

The next day we went to the Chicago Bulls practice before their game with the Charlotte Hornets. Ricky got his photo with the cheerleaders -he turned red.

We went back to the entry of the locker room for the Bulls. I didn’t know what to expect or who we were meeting at all. I’ve always been a huge sports fan though! Scottie Pippen then came out of the locker room – the most down to earth guy in the world! He gave Ricky a Chicago Bulls bag with goodies and signed a pair of his own shoes, hats, towels, anything basically. We then took photos with Scottie and headed to our seats for the game.

Ricky fell ill near the end of the game, so we left early to the hotel. Our family and friends got to attend a Dave and Busters night with us as well. Our last day, we went back to Indiana to visit more family and friends. Everyone knew this would be the last time they’d see Ricky, but never said a word about it and didn’t act differently at all. It was nice to have a normal evening with everyone.

We flew back to Florida and I went back to school. Spring Break was right around the corner and I was excited to spend it with friends and get out of the house. Ricky started to get worse with pain and barely eating. The news channel came to our house to interview Ricky one day. He mostly stayed in his room in bed. There were times in the middle of the night I’d hear him awake and I’d go check on him. One night we stayed up real late watching t.v. Ricky had never talked about him being sick or what was going to happen. He then asked me that night what I thought about all of this happening. I just said it’s sad and I don’t want to think about it. They ended up moving his bed to the living room and Hospice started coming in to give him shots and to check on him. The Hospice nurse ended up being my friend Jesse’s mom.

Spring Break started and I spent my days playing basketball or riding my bike with friends around town – the normal kid stuff. My parents told me one night that my hamster had died – I had a million hamsters when I was little; some were quite crazy and adventurous. Pastor Steve came over that same night my hamster died and we sat down at the dinner table with him and he said, “You need to tell Ricky goodbye.” He thought maybe Ricky was hanging on because we weren’t telling him it was Ok to go…I never told him it was ok to go.

Friday, April 4th – I was heading out the door that morning to the Fire Station where they had most of the spring break kids in the area hanging out to play games. When I walked passed Ricky’s bed, he asked me to take his socks off, so I did. I told him bye and I’d see him later. I left for the day and came home close to dinner time. I sat down on the couch to watch some t.v. – right across from Ricky’s bed. Twinkie went running into my room and wouldn’t come out from underneath the bed. My parents went into their bedroom. I turned on Home Improvement-I was in love with JTT and had his photos all over my bedroom wall – don’t judgeIt was the episode where JTT might have thyroid cancer. Ricky and I talked and laughed about some stuff because our mom started having thyroid issues when I was born – I’m such a pain!

April 4th, 7pm – My mom came out to check on Ricky. I was still sitting on the couch watching tv. Another episode of Home Improvement was about to come on. I watched my mom lean over and say, “Ricky”. He didn’t make a sound. I knew it had happened, but for some reason I just sat there calm and watched her. She said his name again, still nothing. She then yelled for my dad and said, “It’s happened”. She was crying and screaming. I still couldn’t move. A neighbor came over and took me into my parents room. I can’t remember if I was crying or not. The neighbor insisted we play a game to keep my mind off of everything. I walked out into the living as they were wheeling Ricky’s body out. I ended up staying at my grandmothers that night, who lived down the road. I hated being away from my mom. I knew she was heartbroken and I just wanted to help her and make it all better.

My Grandma and I stayed up all night. We laid in her bed and I just asked her questions. I asked her if Ricky was watching now and she said I promise you he is. I told her I just want him to watch mom. I went home the next day and arrangements were being made for family to come in. The funeral was set for Tuesday. Aunt Shelly and Uncle Robby from Colorado flew in and so did my Aunt Sharon from Texas. My mom came into my room one night and said that Ricky would be in a casket at the church and we’d be able to see him and it would be ok.

Tuesday, April 8th – I got dressed for the funeral and went to go get Aunt Shelly and Uncle Robby. Uncle Robby drove us to the church. My Grandma and Aunt Sharon drove separately. My mom, dad and I sat in the back of the car. I wasn’t sad; I was nervous. I didn’t know what to expect. This was the first funeral I had ever been to. We got into the turn lane to pull into the church and I saw the hearse parked out front. Uncle Robby stopped the car right next to the hearse so we could get out. When we got to the entrance of the church, a couple of men from the funeral home asked my parents if we wanted some alone time first. They insisted we go in first for a little bit then the rest of the family and friends will come in after we are done. I remember looking into the church and I could see the casket, but not Ricky.

We walked down the aisle of the church and it finally hit me, Ricky was gone. I didn’t want to walk any further. We got up to his casket and I just cried my eyes out. I tried so hard to hold it in. My mom gave me a yellow rose to put on him. Ricky gave my mom yellow roses when I was born. I felt like I was going to fall on my knees and pass out. Family and friends then came in and Aunt Shelly sat next to me. I couldn’t stop crying. I remember not wanting to look at anyone – all I could focus on was Ricky laying in front of us. A couple of my teachers came to the service and gave me a stack of cards that my entire 6th grade class had made me. I read some of them while I was sitting there. I still have them in a box to this day. The funeral seemed to last forever. I couldn’t pay attention to what Pastor Steve said at all because I was just watching Ricky. Alabama’s “Angels Amoung Us” was played and so was Kevin Sharp’s “Nobody Knows”. Kevin Sharp sent Ricky an autograph photo and even had the same type of cancer as Ricky. The funeral was about to end and the Pastor gave Ricky’s last words to us. I remember him saying something to Chucke, who was Ricky’s best friend. Pastor Steve then said my name, but I couldn’t focus. All I remember is something about staying in school and going to college – btw – Check! Ricky wanted my mom to know he loved her so much and he wished he could take her with him. That is when I started to sob.

The funeral director asked if we wanted to leave the casket opened after service and my parents said to close it. Deep down I didn’t want that. I knew that would be it. They moved the casket to the hearse and we walked out of the church.

It was over – just like that. It was the fastest year of my life. He died a month before his birthday. The cancer got him in less than a year. I didn’t understand a lot of it when I was little, but  as I got older I became more interested medicine. When I went college I started to volunteer for organizations who help with families that go through this – Give Kids the World at Disney, Ronald McDonald House, and the Make-A-Wish Foundation. Working with these groups helped me overcome the sadness I felt. I didn’t hate God. I just didn’t understand why.

Everyday I wonder what Ricky would be doing now. Would he be married, have kids, live in Florida still, what if he never had cancer? Then I wonder would I still be in Florida, would I have become a volunteer, would I have helped other families going through the same thing we did? I probably would because I love helping people, but I wouldn’t have the personal experience that others don’t.

There is no doubt I miss Ricky. I miss the trips we went on when we were little, the bike rides, racing each other, him helping me, picking on me, and being the annoying brother he was. He will always be a part of me and I will never ever forget the memories we made. Thank you for making me a strong willed person today and showing me what it means to live life to the fullest.

RIP Ricky…I love you and I miss you so dang much.

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This was just a short summary of what happened in my life in 1996-1997. I left a lot out that I’d like to keep to myself because believe it or not, I’m a private person. For those of you who have gone through something similar, stay strong. It never gets easier like they say.