Thursday, October 29, 2009
Two week post op check up........
All in all I have to remain positive and laugh at times. Many times.
Miss Jennifer out did herself again. She made stew for a gathering at her house and dropped off some for dinner Tuesday eve. It was "amazing". When I am better we are having a cooking club !!! Kitty and Steven thank you for the meatloaf and chicken drop off and your visiting Kitty !!! You always make me smile.
We will stay home for holidays, obviously. Very low key !!!!
One of my friends whose name I will not mention is in need of some good vibes. Send healing thoughts out to everyone in need and this will help her heal too.
Be well and enjoy the fall colors while they last.
Monday, October 26, 2009
Recipe from Capella Farm's Momma-Farmer-Cook
I cooked 3 - 4 cloves of whole garlic, 2 or 3 small onions, a bunch (maybe 6) carrot tops, fresh pork bone (the left over from a pork shoulder that I had cut the chops off of), 2 smoked shanks, and 2 bay leaves (fresh off the plant). I probably cooked this for 3 - 4 hours (in about 3 or 4 gallons of water?) after that, I strain all through colander, retain all the broth and bay leaves, and scavenge as much meat as possible. I eat the grizzle (maybe that's gross to some but I think it's good for the bones and cartilage), chop up the meat then add the peas (about 3 cups or so) and some thickly chopped carrots and cook for another couple of hours. Then I put it in the cold garage or fridge. The next day I heat it up again and eat it. It's better the second day.
My Dad makes a great pea soup vegetarian style and his is great but the pork in this melted in my mouth and I love big chunky soups. I gave her a kale pesto recipe a nurse shared with me while in hospital so will try that next. Just like regular pesto with no cheese. We have a ton of kale I thought was eaten by bugs or frost bitten, but it's growing strong again.
Douglas and I worked together a bit on The Freakin Universe. Not quite ready yet but we will send an invitation to the online venture he has been working on for over ten years. It is amazing how geeky he has become. I remember showing how to email back in 1997. Funny. Now he has all the gadgets and programs for his work. Funny guy.
A local store wants him to make some artwork for their store. Holidays are coming and leaves are falling. Lots of leaves !!!!! Such a feast for the eyes is fall. This year seems so much brighter than last.
My body is healing nicely. I finally got the long lasting pain med Saturday eve which has been a huge help. The shorter lasting really is just for breakthrough pain. I have many bruises popping up in strange places but I remember that from before. The swelling moves around too which is fun to watch. Like a roving goiter.
I taped up and took a shower with Doug's assistance. My hair was a little greasy but now I feel fresh and waiting for the nurse to call with her schedule. Would like to know sooner than later so we can plan around it. Urggggg. My friend Renee is bringing her massage table over and leaving it so I can get body work. We trade for food from garden. It has worked out nice for me and I feel she loved the fresh food.
Last night was a rough night. Doug has a sinus thingy again and his back has been acting up after three days in hospital chairs and sitting at computer. He was tossing, I was cramping in legs-feet, could not get comfy and had the strangest ongoing dreams.It really does make a huge difference to us as humans when we get a good nights sleep. If we can get our mind to shut down usually the body follows but these days it's hard to shut down. I keep a pad of paper and pen by bedside. When I wake up in am I decipher the notes written that night.Those who know my handwriting, well lets just say, my Dr. complained about it and my pharmacist said it is worse than a Dr.'s. I can use the excuse I have arthritis or a shoulder replacement. It's been bad my whole life.Oh well I have other talents and gifts.......
Let me know how you all are doing. I had three friends who had surgical procedures last week and everyone has something going on in their lives which is challenging or exciting. I am here if you want to chat or brag. If I do not answer I am napping, on the pot, with a nurse or a visitor. Leave a message with time of call and I will get back to you soon.
Love
A
Sunday, October 25, 2009
Short and sweet
It is Sunday afternoon and yesterday was a little busy here.Great to see loved ones and an old nurse I have not seen in a while. I am so grateful for those who cooked for me last few days !!! OMG the food has been fabulous and nurturing and your efforts do not go unnoticed. I will be there for you when you need it in return. Douglas cranked out a gourmet brunch today; Salmon with eggs and potatoes with Zingerman's 8 grain bread and chopped liver. Have to get my iron back up there. So I ate way too much. The leaves continue to stun me and I feel entranced in the beauty.
I see the surgeon wed. I am hoping to be able to start PT away from home in a week !!! It might be too adventurous. I am OK with being indoors and lounging at this point. Pain is under control and lots to read and watch the food channel lessons and movies. I am reading a book called "The Brief Wondrous Life if Oscar Wao" Constance sent it to me. Very interesting novel about an American Dominican immigrant. Rough language and reality but an intriguing read with real history added in here and there. The author, Junot Diaz" won a Pulitzer Prize. I will have to finish Chesapeake later. I tend to fall asleep after a few pages.
For those of you who have been confused as to what they actually did in surgery I will attempt to go back in time and bring you up to snuff: Back in 1990 when I first learned the steroids had caused osteo necrosis, also known as avascular necrosis or AVN(death of bone),the surgeon in NC where I lived at the time decided to do a left femur core decompression which was a pencil size drill into the center-anterior femur about mid thigh. The idea is that bone would grow back due to blood flowing to that area. It was unsuccessful due to the amount of loss and blood vessels-arteries were clogged or too swollen from steroids to reach the femur(thigh bone) femoral head and acetabulum (ball and socket)of hip joint. The femur is the longest bone in the body and it takes strong-healthy femoral arty-vein to get blood to the tip of it. Any swelling or calcification will impede blood flow thus causing death(necrosis). That summer I came back to Ann Arbor and had the left hip totally replaced by a sports orthopedic surgeon.I was not impressed by his work(not at UM). I later returned to Asheville where six months later I had my right hip replaced by a fabulous surgeon who no longer practices. I had no insurance and he paid for it himself. I am forever in Dr. Smith's debt. This was a total success.I have since had the left one revised two more times. This last one was a right revision but only the plastic lining at socket needed to be replaced due to a large crack allowing synovial-joint fluid and debris to collect in the posterior region behind the metal ball and plastic sicket where bone should have been. No wonder they could not find synovial fluid when they did a biopsy a few months back. This is what we fixed with a filling compound made of two types of calcium to stimulate growth. It will take while to know if it is working and really we may never know. If it hurts down the road we will know it needs further repair-revision. I could keep it for life? So that is the scoop. It was my 6th joint replacement to date. There are necrotic areas in other parts of my body, knees being the worst. We will try the drilling in the right knee later next year. I have about one year of healing-rehab to get both hips up to snuff. For the next 8 weeks I wear a very uncomfortable brace. If you see me on a cane, walker or in a wheelchair just know I am taking care of myself. Lupus is doing great shhhhhh.................Hopeful !!!!I hope none of you Lupies ever have to experience this.
As many of you know I am writing a book of sorts and this blog is a journal from which I will extract much of the personal information. Sometimes I write exactly what I am feeling or doing. It is my way of sharing with my loved ones, and eventually the world, what it is like to thrive with lupus. If you know someone who has lupus I encourage you to get them a journal or blog and inspire them to write. It really is a great tool for many reasons.
Make it a great day for you and all around you !!! Love and blessings.......Angela
Saturday, October 24, 2009
Saturday October 24
I am still slow and sore. My home PT Sally Richardson and I decided that with all my experience and restrictions I can do on my own and save time and money. Then next Wed. I see the surgeon and tell me when I can go to land PT, move about and maybe drive. I have to wear the brace for 8 weeks. Hard to move about with this on. I know I will have itchy feet to get out and about. Good thing I have an electric chair and dad bought me a ramp for the van and it works.
Tell me how you are doing. Love to everyone !!!!! Angela
Friday, October 23, 2009
Still in a Daze..............
I am home and trying to catch up on sleep and rest.The leaves have started turning all spectrum of fall leafage color from vibrant green to yellow to orange to purple and then brown. It is lovely !
I will write more tomorrow. resting.........Love and Blessings to all. Angela
Thursday, October 22, 2009
Wednesday, October 21, 2009
Partial moon rising
Doogie is staying with me tonight in the room. A very sweet nurse assistant found a recliner for him. I have to have his assistance to get to the bathroom and other stuff. We are both looking forward to getting back home and yet feel blessed this stay has been really good and I had a private room with really good nurses and all is good except what they call food? Really?
Thank you for all the emails. Love to all. One of us will update tomorrow. Hugs !!!! Angela-Robo Babe.
Tuesday, October 20, 2009
care and feeding of me.....angela (under the influence-d)
all is good in the slammer.
my surgeon, dr. blaha, said the bone which died(disappeared) behind the prosthetic acetabulum was filled with calcium fluoride and calcium phosphate.better than the old cadaver bone they have used in past surgeries. he said the only way to know if it grows bone is in 6 months doing a CT scan but we both agreed not to do one due to too much radiation....the old glow in the dark trick. if it starts to loosen or hurt we will know it did not work, in which case they would redo the ball or i could keep the whole kit and kabuttle for years.
i asked if we could inject that into the knees, left shoulder and other necrotic areas where bone has died. he said there is one surgeon at St.Jude children hospital down south and they have only tried it in 100 people, two who he sent there from here. he said the results may not have been worth the cost and effort. he still wants to hold off until it hurts so much it is debilitating (some days they do) but we decided no more surgery until the hips have fully healed and then we would try a more conservative approach called drilling which can stimulate growth naturally by making holes in bone where osteometabolism would naturally do it's thing. i have one before but it was for the hip and i was too far gone. the knees still have a fighting chance (all good). the various spots on other bones do not seem to be of concern and i have actually started bone growth even "they" said it would not happen. these times they are a changing.
doogie will keep you posted as i go in and out of lala land and a knows at the door by some hospital staffers every fifteen minutes while beepers are going off. please do not call unitl i get home. crazy little room and doogie has computer-phone in some zones. plus it seems like the dr.'salways come in when the phone is ringing. this is the best from of comunication unless you want to visit then call ahead. my room number phone is 734-936-5409.
nina you said you wanted to bring food-juice? i do have some cravings......so you can call me. zingermans chopped liver-matza ball soup,co-op kale,salad,mashed sweet or regular potatoes, winter squash, plain baked tofu or savory with miso giner/garlic and roast chicken and anything home cooked from produce station is on radar for anytime. maybe when i get home..........or here too. carrot-ginger-green apple-lemon-beet juice always great ! i will remburse. but do call first as meals are strange here and never know when they come or what to expect. thank you for the book. i know i am a butt head.........but i am your butt head !Private joke.inspirational stories.
much love to everyone and know you are all in my prayers and heart.
love
angela ( aka robobabe ) i love my hubbies humor and is wonderful !
Monday, October 19, 2009
hubby report.2
The liner to the hip socket was cracked and replaced.
Ball/fixture is anchored well into the femur with no loosening. No need to replace.
Cup in good shape, still anchored well into the 'perimeter' of the socket.
Significant bone loss 'behind' cup, loss of socket mass . The void was 'liquid filled' with debris which acted as an abrasive wearing down the interior space...pain factor.
Doc- "Data shows best to not remove and replace 'cup' so to not disturb that bone which is holding the existing cup in place". They drained the liquid and packed the void (through holes in the cup) with 'plaster' type bone growth material which stimulates bone growth exceptionally well in animals... 'humans, a significant increase, yet to be fully determined.
Her mobility will be just as good as before surgery with a decrease of pain.
If bone additive/growth stimulant does not 'take' her existing socket/ball attachment will stay in place for as long as it does.... various complications from there on.
He's siding with the data showing positive bone growth, the strength of the existing bone supporting the prosthesis's, Angela's age and "outlook". Diet, exercise and one heck of a positive attitude.
I side with the Doc.
We are so lucky......
hubby reporting:
Tuesday, October 6, 2009
The summer that never happened..............harvest time
Two weeks from surgery. I am counting the days. Feel good about it though. Especially after a grueling weak of PT doing deep tissue work and realizing that until I get this operation my sacrum and pelvis continue to go out. This causes all kinds of issues. Hard to do a whole lot without throwing it out of alignment.
The Lupus Education program is going well. I am happy to see the same faces return and concerned about the faces who don't. We are all fighting colds and getting over allergies. Now the flu has all in a tizzy. I am not a vaccination kind of gal. The last one I got was for pneumonia and not a live virus. Benign yet i cringed to get it. I have never had a flu vaccination. Never will either. I see people get sicker from that than the flu. To each her own. I take all precautions, use sanitizer like crazy, do not touch or get near sick people, wear a mask if I feel vulnerable, wash my hands often and long and keep tissue with me at all times. If you do get the vaccination make sure you are getting the one which is dead and not live. Oregano oil is also an agent which can help you recover from HINI. The regular American flu is best treated with fresh ginger tea, chicken or Matzo Ball Soup, warmth, rest, lots of fluids(water), some sort of inhaling essential oils like eucalyptus, camphor or peppermint, vit. C, Zinc and if you do not have an auto-immune disorder you can take lots of echinacea tincture. Tylenol cold or some pain relive does not hurt. But time is what is needed so buckle up and enjoy the rest. If your fever gets above 102 go to the emergency room after you have tried ice baths and lots of cooling fluids.
Remember though to wear a mask so you do not get others sick.
Douglas and I went out to a local diner for breakfast. 3.99 plus coffee and juice. It is amazing how many people are still eating out but ordering the least expensive item on the menu. I bet the dollar menu at McDonalds is on over load. Would be interesting to do a poll on this. I put a lot of thought into food. I feel such a pull to continue my commitment to support local farmers, growers, food purveyors, neighbors with mom and pop operations etc. My neighbor and I spoke of this yesterday while she was making a time consuming chutney. I tasted the Ketchup she made which was fabulous and a quickie recipe from her grandma which I will attempt to make this weekend. I am making the chutney tonight with green tomatoes from our garden. Tomato season for us is over but farmers who have green houses still selling at the market tomorrow and Saturday. I am also going to attempt mustard green-cabbage kraut. I made a cabbage-tomato chow chow this weekend which was fabulous. But my friend and i agree,Jennifer the neighbor who has a CSA and eggs, decided it takes a tremendous amount of work and is very much a commitment to not just growing and preserving your food but buying local and from farmers directly. It costs more in the short term but in the long run it is much less than you expect. Take peppers for instance. In the winter you pay 4.99 lb for a red pepper(un-organic from Mexico. If you buy a bushel of peppers from a local farmer and freeze them or you grow your own and preserve somehow you save money because in peak season your paying a quarter of the price. Same with apples, tomatoes etc. But who has the time? Plenty of people take the time or they pay someone to do it if they can afford it. Once you make the commitment it all falls into place in about 3-4 years. You realize you have a network of growers, farmers and others who are into trading and sharing, they might buy something you grow or make, your community is thriving because you are keeping your money local and small businesses can survive with little shipping costs. It all makes sense. I call it bio dynamic living some call it permaculture or sustainable farming. Even in Detroit groups and urban gardens are growing raised beds on toxic land while cleaning the land for larger plots down the road. people are making food form these gardens for the poor, sick and elderly while teaching urban kids all about food. They learn a trade too. How cool is that? I realize it is not feasible for most families yet every bit helps. Take a drive in the country near your home and stop at a couple produce stands or farms. Pick apples with your kids them make applesauce. In this way the kids have a fun day in the country, learn about where their food comes from, supports local economy, they learn how hard it is to make real applesauce and how very good it is and have fun. My sister does this with her girls and they understand. Maybe instead of a lemon-aide stand next summer you have a produce stand?
Happy harvest
Thursday, October 1, 2009
Wednesday, September 30, 2009
forgot to share recipes.."So Freakin Good"
Cut up butternut squash into two inch chunks skin on-de-seeded, with one large onion quartered and a cup of mushrooms with one clove or two of garlic. Roast in oven with olive oil, salt and cracked pepper for 30 minutes at 400. Then heat up a quart of chicken or veggie stock on the stove and add the veggies to simmer with 1-2 Tbs. chopped parsley or cilantro and let meld. Put all into a blender or use your self blender handle to make soft. Serve with great bread and butter. I also made a salad of mixed bitter greens(mustard, parsley, Chinese cabbage etc.) Added to the top was a can of black eyed peas, Tbs. Dijon, Tbs. red wine vinegar, 2 Tbs. olive oil and salt-pepper to taste. I also added a little maple syrup to cut the acidity and small chopped red onion and a clove of chopped garlic. This combined tossed with the greens was a fabulous way to mix it up with the squash soup. A total fall meal. Martha Stewart's food magazine was to blame. So Freakin Good !!!!!!! I forgot to mention the butter was from Vermont Creamery I think? I was gifted the butter bu a friend who bought it at "The Produce Station" in Ann Arbor. The freakin best butter ever, and I am not a dairy person !!!!!! But this is fabulous. Thank you Steven and Kitty.
Old Jack Frost??????
So I covered the gardens tender crops and let the rest do their thing. Tomorrow will be sunny and mild with 55-65 temps. Hopefully I saved the lettuce and greens plus peppers still trying to produce. I do not worry about winter squash as they are tough and winter greens. We will at least have green tomatoes for frying?
Tomorrow is a class night for lupus education. Many people have responded this week so it will be interesting. I will be on my good game hopefully. Lots of preparation and rest.
Douglas finished a video comprised of many peoples photographs and video images of the UM Lupus Butterfly Walk. Go to www.lupusadvocacy.org to see. I cry every time I watch it. Hormones perhaps yet touching non the less.
Started two books. I have one medical, of course, and one fun. The medical is called " The High Blood Pressure Hoax". Very interesting and informative. The other is "The Time travelers Wife". I had to pay the library 2 bucks for two weeks because so many people want to read it. So that is my reading aside from other publications, local and abroad, I read for special interest. I am always looking for a good read so pass along any books which are riveting.
Happy fall Yall...........................
Tuesday, September 29, 2009
"LSD"......Lupus takes a Beatle icon................
Her death was announced Monday September 28, 2009 by St. Thomas' Hospital in London, where she had been treated for the chronic disease for more than five years, and by her husband, Ross Vodden. Time of death unknown.
Lucy's connection to the Beatles dates back to when she was 4 years old went to school with Julian Lennon, John Lennon's eldest son. Julian came home with an image of "Lucy In The Sky With Diamonds" Hence the song. Child's play turned fame song.
John Lennon, along with other Beatles members, were collecting material for the album "Sgt. Pepper's Lonely Hearts Club Band." John took the image and created "Lucy In The Sky With Diamonds" (IE.. "LSD") referencing Lucy In The Sky With Diamonds. Amazing how people want to assume the worst. As ironic as it is, I now refer to the song as "Lupus In the Sky with Diamonds." In honor of Lucy.
Lucy and Julian lost touch, but they reconnected when he tried to help her cope with the disease through gardening and other means of joy, by emailing uplifting emails, sending her flowers and gardening vouchers as she was an avid gardener which brought her great joy they both shared as a hobby.
I would like to honor her and all those who have lost their lives to this sometimes debilitating and life threatening disease which is treatable and not curable. The odds are in our favor as patients but it takes this kinds of awareness, unfortunately, to bring people to the point of caring. Some speculate if Michael Jackson had Lupus???? Even other stars I will not mention. If one does have Lupus and has the ability to reach the masses it is your calling and opportunity to help find a cure and raise awareness.
Our blessings and prayers go out to Lucy's family and all who suffered this great loss. Up above they are watching and know we will fight and find a cure !!!!!
Angela
Thursday, September 24, 2009
playing catchup............
The lupus education-support program is going well. we had our second session last week. Next week we are having one on avoiding flares and sending people home with homework. The last session I teach will be on what to do when you are in a flare. Part of preparing for this is helping patients get their affairs in order. Emergency plans so to speak. Who to call on, what can folks do to help, advance directives etc. All the stuff we like to put off. So I am hoping this will be a good home work assignment with max benefits.
Which leads me to the next thing. I am having surgery on right hip (2nd replacement) October 19th. I will be in longer this time. Feel free to visit as the blog will direct you when is good time and where I am etc. Doug will keep you abreast, as you know, with his humor. You have his cell and can reach him if needed. The hospital also will tell you where I am. We are going for a private room but I may not get one??? It depends on the day. Mondays are usually pretty good days to get private rooms. Many patients leave on Sundays or over the weekend. So I am hanging pretty well. People have asked if they can help or visit? Douglas will be here. He can always use help in the food department grocery shopping, soups and comfort food while I am in and after I get home. Easy things to heat up and fruit, nuts etc. Beer. Just kidding, well, not really, It takes the edge off I am sure. I will be well cared for with home nursing and Douglas. If I need anything I will let you know. There may be garden work and food to harvest for those of you who like that type of work and healthy food to take home. I am always up for a good book to read-borrow too and relaxing music especially cello. Movies are always good too.
I would like to share a quote my friend Chris sent me by Sir William Osler (1849-1919) when asked the secret to a long and full life? "Contract a chronic, terminal disease and take care of it". Odd quote but you get the point. In class last week a nurse made an observation and commented on how some patients seem to see lupus as a gift and I totally agreed. It forces one to take stock in their lives a bit more than healthy folk. One has to live healthier more vibrant lives to survive. It is a strange gift with many miracles and to "Take care of it" means to heal the deeper parts of ourselves. In this way we leave the earth with a little more wisdom had we not been forced to take care of it. Good Karma !!!!
Tuesday, September 8, 2009
Time has come
On that note my honey is home (happily) and I am cooking and plucking from the garden and getting ready to embark on a canning experience from the harvests. Lord let me not poison. I have been very fearful of canning and so I have done pickling and other forms of preserving.........But now I venture into what I knew as a child. Canning. The freezer has been our friend and now I must put up cans of food in the cellar. I feel a need to know and accomplish this as an adult. As a child I only did the "work" not the actual cleaning, preparing,sanitizing etc.
I promise not to give Christmas-Solstice presents if they are not totally safe. You probably will get something with alcohol or vinegar. SAFE!!
Be Well !!!!
Thursday, September 3, 2009
The sun also rises
Still in small flare and laying low. I am a bit weak, fatigued and shaky. Doug busy too but well.
The Fall Series of the
This series will be on the first and third Thursdays from September 3rd to November 19th intended to provide educational information and support to patients and families with Lupus.
Some of the topics included during this program include:
- Sept. 3rd: "Lupus 101-The Basics" Dr. Dale Dedrick and Angela Madaras, Lupus Program Coordinators: Speakers include: Dr." Joseph McCune, Patricia Cagnoli and Wendy Marder from The U-M Lupus Program-Clinic.
- Sept. 17th "Best Daily Life" Dr. Dale Dedrick and Angela Madaras, Lupus Program Coordinators. Positive tools for living a full-balanced life.
- Oct. 1st "Avoiding Flares" Angela Madaras and Dr. Dedrick.
- Oct. 15th "Living With a Flare" Dr. Dedrick and Angela Madaras.
- Nov. 5th "Exercise for All Levels of Activity" Physical therapist from the U-M Spine Clinic, Beth Wiggert.
- Nov. 19th "Stress Management" U-M Holistic Nurse, Claudia Ogden with UM Lupus Clinic. Dress comfortably.
Registration Fee:
There is no registration or fee for participating in this program. Snacks and drinks will be provided at the first and last meeting; however, participants can bring food or drink with them to the program. A peer-support meeting is encouraged for participants who want to continue the meeting at the U-M Cafeteria after the sessions or on their own.
Parking:
Parking is available in Taubman Center Lot A at the U-M Health System where participants can enter through the elevators to third floor or through the main entrance with signs directing to the room. Valet parking is available at main entrance for $5.00. Wheel chairs are also available at main entrance.
For more information please contact Angela Madaras at (734) 761-9267, by email at angelamadaras@gmail.com, or on the web at www.med.umich.edu/lupus.
Please sign the attendance list before you leave and include contact information and your address-email if you wish to be on our mailing list. In the event the classes get too large and need to move to another room we need a way to reach you by phone or email.
Saturday, August 29, 2009
The world seems upside down
As for my health I am feeling quite blessed in this moment. Tired and fatigued beyond belief but pain level dropped, inflammation mostly gone and flare seems to be leaving as my labs looked good. I can begin reducing meds now. Kidneys are doing great and that is wonderful. I just got too much sun and resting is all I can do to feel better. Which is good because the fall Lupus education program I am co-teaching at the UM Hospital starts Thursday.
Doug is well. Garden full. I am making Christmas present from the harvest. No more buying gifts.
Nora, hang in there darling you are a strong and powerful woman with an incredible heart and soul. We need you here! Your family needs you.
