You’ve heard the phrase “a month of Sundays” which means that month has dragged on for a really, really long time, like 30 weeks, or a month of Sundays. I think I’ve just survived a month of Mondays, which is the same thing, but you know that Mondays are the longest days of the week so I am making it Monday, just to be dramatic.
On September 3rd, my husband and I were in Florence, Italy. We had been there a little less than 24 hours when I injured my knee so severely that it put an end to our vacation.
I have had what I refer to as “wonky” knee since I injured it playing tennis, 3 years ago in December. At the time, I would have bet money that I tore something, but the ER told me that if I improved over the next week, then I didn’t and if I didn’t improve, then I would need an MRI to determine what was torn. I did improve. Almost to 100%, but not quite. I call it wonky because it never hurts, I just experience moments of instability – when it feels like a rubberband inside my knee. It causes me to stop for a second, shake it off and then move on, but there is never pain. There are certain things I just avoid — playing tennis for example — but for the most part I didn’t have limitations because of it. I did yoga, went to boot camps, hiked Kennesaw Mountain, stand up paddleboarding – pretty much anything. But also everyone who knows me, knows I have this problem knee because I do, to some tiny degree accomodate it.
The first day we were on our vacation, we walked over all over the historical center of Florence, we visited the Academia, the Uffizi and climbed to the top of the Duomo — that’s right, climbed up and down about 15 stories of ancient stone steps. I did invest in good shoes and I did take a brace with me for my knee because I knew we would be walking a lot, and I said to my husband as we walked back to our hotel that I was really glad I had the bought the shoes and brought the brace. We were both tired and were going to rest prior to deciding on what to do for dinner.
I bet you’re thinking I tripped on the way back to the hotel? Jumped out of the way of car on a narrow street? Got picked off by a speeding scooter? Nope. I was in my hotel resting when I ended our 25th anniversary trip on day 1. It’s not a very good story is it?
I was sitting on my bed with my knees tucked under me — so that my bum was resting on my heels. I scooted my bum off of my heels onto the mattress and blew out my knee. Seriously. We would later learn that this happened as a direct result of already having a torn ACL – something I did not know at the time.
I knew instantly that something was very wrong – different that my normal wonkiness. John went to the pharmacy and bought crutches. He went to the hotel bar and got a bag of ice. We elevated, we iced. I was determined to get up in the morning and power through. In the morning I knew I was in trouble. We contemplated seeing an Italian doctor. We contemplated going to the ER. I couldn’t straighten my leg, so even if I could have gotten a cortisone injection and a solid brace, I still wouldn’t have been able to walk. John was 100% certain that I needed surgery. I, on the other hand, envisioned flying home to baby my knee which would miraculously be better by the following Monday when I would return to work and everything would be fine. I couldnt’ live with this scenario. I wanted to stay. I cried. And cried. And cried. In the end we decided to change our flight and return home.
So, we traversed Florence, Paris and Atlanta with me in a wheelchair. Thank God I could bend it or I don’t know how we would’ve gotten home. The wheelchair was an adventure — especially in Florence which is a small airport. You board the plane from the tarmac, so my wheelchair got put a lift — similar to the ones that deliver the food and I was wheeled onto the plane that way. At Charles DeGaulle, we felt abandoned and I began to panic that we might miss our fight to Atlanta, so John found a stroller that you can rent like a Smartcart. Away we went with me in the stroller. It would have been hilarious if my heart had not been broken by the circumstance. I did meet a lot of Senior friends with my preferred boarding status, that was nice. I let their words of wisdom comfort me.
And I knew, it could be worse. I would much rather be flying home due to my injury rather than because my kids or my parents were injured here at home. John kept reminding me that my knee could’ve deciced to go at the top of the Duomo, that definitely would have been worse.
We got home late on a Monday, went to the ER on Tuesday morning, the orthopedic Tuesday afternoon and then had to wait a week for an MRI. The day after the MRI, however, things started to move very quickly.
My doctor called me the afternoon after my MRI to tell me that I had a significant “bucket handle” tear of my medial meniscus and that the only fix was surgical. My follow up appointment was not supposed to be until the following Friday, but he was kind enough to squeeze me in the next day which was Friday, a full week sooner. I was so greatful because I was now walking with just one crutch, but my knee had not been straightened since the injury. So, the next morning he gives me the good news: easy surgery, very little recovery. The bad news: there is a large part of of your meniscus being removed, you have some arthritis and your are 48. This knee is not going to be the same as it was before. You are losing some of the cushioning your knee is designed to have. We will do the best we can. I am not thrilled with this, but I say ok, so I will have some pain in my knee going forward but what about the instability? This gives him pause. He re-examines my knee. He looks at the MRI. He says yes, it will fix the instability. He says this because my MRI reports says my ACL is in tact. He has a cancellation on Monday, his assistant decided she is going to try and get my insurance to approve the surgery today, so I can have the surgey on Monday.
I am trying to focus on the fact they can fix it quick and easy and not worry about the fact that it will never be the same. It is what it is. I go to work. I am there 5 minutes when my doctor calls me again. He explains that he was very concerned with my instability issue and after looking specifically at the ACL on my MRI he felt the need to call the radiologist and ask for a re-read. My ACL is completely torn and now we are talking about an entirely different surgery and recovery. Can I come back in? Well, yeah, I can come back in.
And yes, I did ask how a completely torn ACL could be missed. Here’s the professional answer. It is old. Usually, because it is such a traumatic injury, there is bone bruising and evidence of trauma. I had none of that because it was a nearly three year old injury. Long story short is, I am in for a much longer recuperation period, with extensive and rigorous Phycial Therapy recovery. The meniscus will more than likely still be snipped out, but there is now a chance that it can be repaired, but it is still unlikely. The reason is because the meniscus gets no blood flow, therefore stitches and repairs don’t heal. The ACL repair does cause increased blood flow to the area and therefore increases the chance of successful meniscal repair. He won’t know until he is there, a lot of other factors come into play.
Fast forward to the following Thursday, September 22nd. After 19 days of walking on a swollen, bent knee I have surgery. We decided on an allograft for my ACL reconstruction — that means it came from a cadaver. I get happy juice. I get a nerve block. I get wheeled to the OR and the next thing I know, I wake up with a “fixed” knee. My husband instantly tells me, they repaired my meniscus. He says the doctor came out to tell him everything went well and he says remember how I said there was a 99.9% chance I couldn’t repair the meniscus? Well, I repaired it. He said that when he flipped the torn part back into place it just fit together so perfectly that he couldn’t cut it out. On the flip side, my ACL canal was incredibly small and he had to shave bone to get the graft to fit.
So, my long term prognosis is now much better. The arthritis that showed on the MRI is almost certainly from walking around on the torn ACL for so long, so that’s good in that it is not a hereditary or early onset of the disease. But. Because of the meniscal repair, which required 6 stitches, it was nearly the entire circumference of my medial meniscus, I cannot put any weight on my left leg for 6 weeks. WHAAATTT???
So here I am one month from my injury with another month of not using my left leg left to go. It has been a looooooonnnnnnng month people. But, I am 12 days post op and I am finally feeling better – like I might actually recover. I was not sure last week. I was shaken to my core. I was full of fear and feeling sorry for myself.
I have a fabulous Physical Therapist. She is truly a God send for me right now. I believe doing exactly what God put her on this earth to do. Today I get my 20 staples out — from “arthroscopic” surgery lol! I still will need my husband’s help to get in and out of the shower but I won’t have to wrap my leg in plastic! I think I will get my driving privileges back as well. I see a trip to Publix in my near future. This is very exciting.
My husband has been great throughout all of this, and my friends – my friends have provided us with meals nearly every day for 2 weeks, they have visited me just to cheer me up. I am so blessed. I have so much to be thankful and greatful for. But gosh, September has been a really long month and October is promising to be just as long. On the bright side, it is my favorite month.