Showing posts with label T-CAR. Show all posts
Showing posts with label T-CAR. Show all posts

Sunday, January 31, 2021

Recovered, Finally!! Sort of

 It's been a long slow recovery from my T-CAR procedure. But I can finally say that I'm over the hump towards recovered from my procedure. It took the better part of two weeks to get my stamina back. I've just been recasted for my EIGHTH AFO in almost 9 years after the newest one broke bones in my foot again! SIGH! If I didn't need it to walk, I'd give up. So I', back wearing only my old (3rd AFO) again with no shoe. When I wear a shoe, my foot swells horrendously.

Interestingly enough, I got notification from Medicare that they have denied payment for that last AFO and Hanger can't bill me. So it should prove interesting how long they will work for free. Although they assure me they will make it right. No news yet on this newest casting payment. I knew it would happen eventually. So further treatments and adjustments are up in the air for now. I'm not trying to be unreasonable here. I just want to be able to walk post stroke without pain, pressure sores, nor broken bones. Is that too much to ask for? 

I'm so sick and tired of hearing every stroke is different and spasticity is an ongoing complication that I'm about to scream "Cop out." You know what the problem is. There's nothing new about it. Just fix the problem. I know I'm not the first. I surely won't be the last. Sure, I would make it easier on everyone except me and just stay in a wheelchair, but I refuse!

For the past month, I've seriously been considering a nursing home placement for me. But I'm too mentally aware for that. I've considered assisted living too. It would take every penny I get, and then some. I'm just at the point where, even with a roommate, I no longer feel able to live by myself. Yes, I've even looked into a senior living type housing. I'm tired of ending up on the floor and waiting for help. Of course a properly fitted AFO would go a long way in fixing this problem too. The waiting lists for these other options are long.

Does it sound like I'm frustrated?/ I am. It would mean leaving the lifestyle I love behind and preparing to die. Or at least that's how I see it. Am I really ready for that? No, not really. I still think of myself as young-ish and full of life. There are still things I want to accomplish in this life. I just have a body that's defunct. In reality, I've had a body that's defunct since I was 26 years old, but I've kept going and doing. I just know that if I'm going to continue living this lifestyle, I need a break for the good.

I told Hanger that they had this one final opportunity to make my AFO right. I've been more than patent. I've given them the seven years I've been here to fix my AFO issues to no avail and I'm still using the articulating, ill-fitting AFO that I started with. Now, that Alliance has opened up shop, I'll be going there next. I've heard nothing but praises for the tech over there. I have nothing to lose either.

Nothing is impossible.



Sunday, January 10, 2021

Sunday Stroke Survival: One Surgery Down and One to Go

My T-CAR procedure is done. The gauze was not as heavily spotted with junk (clots and plaque) as it was with my left carotid. But then, my right carotid was only at 80% blocked where the left was 98%. The stents will hold the vessels open for a few more years and lessen my chances of having another stroke (maybe). A normal blood flow feeding my brain with oxygen is always a good thing.  Maybe the renewed blood to my brain will combat the CRAFT (can't remember a friggin' thing) I've been experiencing, but I doubt it. LOL I think it has more to do with my strokes and age. But having a normal blood flow feeding my brain with oxygen can't hurt, right? I figure it took over 60 years for the arteries to get that clogged, so I'll be long dead before I'll need it again.

Up next is another biopsy on the mass in my neck. The scan showed the thyroid was gone, but what's the new mass? That's the big question. Is it more cancer? I'll find out next week. All I know is I'm fed up with cancer and having my throat cut. My Mom had three surgeries for her cancer and the scar tissue was horrendous. This will make the fifth time for me. My surgeon is not relishing the idea. He had a difficult enough time the last time. He spent more time removing the scar tissue than removing the mass. It also takes me longer to heal by weeks. But in a way, I'm thankful this is another form of cancer that is not as aggressive as the first one I had nor killed my Mom. Well, I'm not borrowing trouble (much), I'll wait for the biopsy results.

The bright point is I'll meet my deductible and maximum out of pocket expense for 2021 in January. So any further doctors and treatments are paid in full for the rest of the year with these two procedures. I'm praying for the extra $1,400 stimulus package to offset this medical expenditure, or they'll stand in line for a monthly payout.  I love my Medicare and my BCBS/Anthem supplement through the college. πŸ’“πŸ’“πŸ’“Each year, I experience no medi-gap troubles on prescriptions and my last quarter, my drugs are free. It's a very nice Christmas bonus each year.

Living post stroke and with the medical problems I do have ain't cheap. There's drugs, therapies, doctors, surgeries, laboratory fees, various orthotic devices, and the list goes on and on especially if you're me. I have multiple ( I don't know if this is the right word but...) complications due to my post stroke life like spasticity, tremors, and PBA which adds to the list. I mean six AFOs in almost nine years to the tune of $1500 each plus special shoes yearly because my spasticity alters the way I walk and my balance. And, the maintenance of devices new pads on canes, walker, shower chair, and bedside commode, I had to replace the tires on my wheel chair due to dry rot, resoling my shoes because I wear out the ones on my shoes in six months, and straps and buckles on my AFO because insurances doesn't pay for them and they break. All chip away at spendable cash in my tight budget.

Wohoo! I got a COLA increase this year. It covers the increase in my BCBS coverage THANKS BE TO GOD! I've been luckier than most in this respect. I have a friend who is also receiving survivor benefits, but her supplement are piece mealed between A/B, D &F on separate supplement policies and it leaves her with twice the cost as my one supplement. And, she has a deductible and hits the medi-gap on her prescriptions in December. If she gets an increase in her supplement, she can't pay her power bill and/or groceries for the month. I help her out when I can, but I'm almost in the same boat.  That's the one big plus about growing your own is that we can share if we need to. I'm counting my blessings for my beloved who is still looking after me.

Nothing is impossible.

Sunday, December 27, 2020

Sunday Stroke Survival: 2020 Wrap Up and What's to Come

Oops I missed posting last week.
I hope everyone had a good Christmas holiday.  It's that time of year again for reviewing the past year and figuring out what's the plan for 2021.

In 2020 review...

I finished my cancer treatments with a clean bill of health!!!

Last year really flew by with only a couple events of any real, personal interesting points.  I got infected by COVID-19 way back in February and I didn't realize it until much later. The end of January, Mel got sick with a fairly high fever, horrendous cough, and moderate difficulty breathing. With no medical insurance, she fought me on going to the hospital, but I finally (after 3 days) won the argument. The doctor at first, thought it might  the flu, but ruled it out fairly quickly. They wanted to admit her, but she refused. They didn't know what her problem medically was. I brought her home and treated her the best I could homeopathically with herbs and immuno-boosters I grow here. I warned her that if her fever went above 103°F and if she did not respond to me she was going right back to the hospital. It didn't happen. Eventually, her fever broke and she got better except for a cough and loss of stamina which lasted for months.  As an after effect she now becomes short of breath and has a heart condition.

The first part of February, it was my turn. Even though I'd wash my hands and wore a mas while treating her, I got sick though not as bad. I felt like I was going to cough up pieces of lung tissue at any moment (I didn't), had a medium grade fever (100°- 101°), and was shorter of breathe. It lasted about two weeks. I had lost my sense of taste and smell  (I still moderately suffer with this). I did touch bases with my PCP, but didn't go in. His instructions were the standard- control the fever, push fluids, and rest. If it got any worse to go to the ER. So that's what I did. 

We didn't hear about COVID until March with the rest of the country. We figured that's what we had been fighting. An antibody test shoes I had it. We were luckier than others with this virus. It was no worse than a very bad cold or brush with the flu.

I had a T-car procedure done on my left cardioid artery. Uneventful, but now have to do the right one done Jan 5th 2021.

I started Botox again for my post stroke(s) spasticity. With Emory in and out of locked down mode for nonessential surgeries, it was looking like summer of 2021  before I could have another baclofen pump implanted. So far, my body's response to doing Botox again has been good.

After the first series of 400 units, I was almost able to straighten my arm to full extension and raise it above my head. Which is way better than the 6" I'm able to move it without the injections. I could shave my underarm with ease!  The gain gradually reduced over time and by Thanksgiving the pain of my entrapped shoulder and bicep returned but I was scheduled for more Botox the first week in December. So it was manageable and short lived. I'm in physical therapy again.

I got another AFO and new shoes. The AFO still needs work. I've formed new pressure sores above my ankle and at the first metatarsal (at the base of my big toe). Oi Vey! So far though, no reoccurrence of the pressure sore in the spot that has plagued me for eight years. I guess I should count my blessings. This is the first time my shoes didn't need alterations of build ups and rockers added.

That's been my year besides falls. When I entered PT again they estimated my falls by how many I had in the past couple weeks... 48 falls a year! That sounds like a lot, but thinking back, it's a little on the high side. I remember about 30... not counting falls that I averted by catching myself before I actually hit the floor or ground. Is that a lot? It seems fairly standard to me after back surgeries and strokes in the odd 30 years or so.

What's coming up on 2021...
  • The right sided T-Car procedure of my carotid artery is slated on the 5th of January.
  • We've got our new garden area ready for seed potatoes in February. The 5th tier of the garden is almost completely revamped for vegetables. The seeds have been ordered. So we should get a good harvest.
  • We staked out where our tiny houses will be built and leveled it. We've set the foundation piers. Now we've just got to save for the rest of the lumber before building can commence.
  • My 9-month post cancer ultrasound (the week before Christmas) of my thyroid area showed another mass. Just when everyone thought it was gone, surprise! So everything else is up in the air again! But for now, I'm still alive and fighting. So much for a normal year. Sigh!

Nothing is impossible.