The Doctor Becomes the Patient

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Grandma Has Hurt Herself.

Tonight at volleyball, I was given the perfect set, my timing was getting better, I sprang and hit the ball over the net… I think it landed in, but I was distracted by the crunching sensation and noise I felt in my left knee, and then breathtaking pain as I landed the jump.  Immediately I went rolling, writhing on the floor, lamaze breathing long and slow (nice how that comes in handy at times like this).

As I sat sidelined, the medical inventory began:  No torsive forces, just a buckle.  No ankle or hip pain, only knee.  It’s the bad knee, had similar pain landing a little jump a few months ago, though not nearly this bad.  Pain primarily posterior, deep, left of center, worse with knee extension and dorsiflexion.  Anteromedial joint line pain with weight bearing.  Immediate but mild swelling/effusion.  Hmmm, maybe medial meniscus, possibly also PCL strain/tear?  When should I get the MRI?  How long before I can start PT?  Where is that knee sleeve I got before?  600mg ibuprofen STAT.

The young people were so loving, gathered around asking me where it hurt, getting ice, helping me up, grabbing blocks to put my leg up, glancing over empathetically as I RICEd.  I felt cared for and also embarrassed.

Not just embarrassed.  I felt guilty, maybe even ashamed.  What had happened?  I’ve been training, I’m a good jumper, what did I do wrong?  Was it karmic payback?  I left home just as my kid was struggling with some homework—but nothing I thought she couldn’t handle.  Or maybe I had been getting too cocky that I could actually do this at my age?  Just yesterday I posted videos of my most recent progress on the TRX—I was openly bragging–“toot-toot!” I wrote gleefully.  Or it was an error in judgment: I have not slept enough this week, and I knew I was tired before I went tonight.  But I wanted to go meet my new friends, I wanted to play and have fun.

The frustration came all at once, and with considerable force.  Thankfully I had a friend nearby with a consoling ear and some crutches to lend.  All athletes get injured, she said.  I didn’t do anything wrong.  Yes, I’ve been training, and I was also weekend warrioring it all these months.  This has been my problem knee for at least 15 years, maybe it was going to happen anyway.  It’s still interesting to watch, almost from outside myself, the emotional lava lamp of fear, regret, anxiety, dread, catatrophization, and sorrow.

Experience and maturity, however, make me optimistic.  It’s a temporary setback, and I have resources available to me for recovery, growth, and even enhancement.  Now I get to learn how to use crutches, and I can relate much better to my patients with knee injuries.  I also get to test my newly formed theory that though we may slow down in general with age, we need not resign ourselves to inevitable and morose decline.  Patients ask me often, what should they expect to be able to do at this age or that, how can they know their limits?  For a long time I had no good answer.  But as I have regained strength, endurance, stability and mobility these last few years (tonight notwithstanding), I now tell them: It depends on what you want and how much you invest.  My 1977 Oldsmobile will not run like my 2012 Highlander.  But if I really want to drive that thing, I can put in all the special care and maintenance required and make it roadworthy.  It’s the same with our bodies.  They are incredibly resilient and adaptive, and also mortal.  So we must Fuel and Train, then Rest and Recover appropriately.

I guess I pushed past my current limits tonight.  Setback acknowledged.  I don’t regret the last five months–I made new friends and played and had fun!  I anticipate a high-learning road to recovery.  And I think I’ll get back before they forget me.

 

 

Aging Rocks.

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My high school friend went tubing with her kids, and her body let her know the next day, it was not happy.  As so many of us do when we realize life milestones, she posted to Facebook, “I must remember that I am closer to 40 than 20.”  Before I could type my, “Amen, sister!” another friend astutely pointed out, “Might I remind you that you are closer to 50 than 20.”  OUCH!  And, true.  We were 38 at the time.

This year I turn 44.  Sigh.  And wooo hoooooooo!!  Aging kinda sucks, and it also freaking rocks.

***

Recently our babysitter invited me to volleyball night at her church.  I played in high school and college; it’s how the hubs and I got together.  We relived those days briefly in 2015 when some local people organized a loose pick-up group.  Like many such groups, the level of play varied, and we had fun, but weren’t challenged much.  I expected the same last week, but nope.  I walked into a small gym filled with people averaging, by appearance and vernacular, about half my age.  I watched wide-eyed as they leapt Michael Jordan high, serving, hitting, blocking, and digging better than any team I had ever played for or against.  AWESOME!!!  I finally get to play, after all these years!  And yikes.  I got a little nervous.  These people were intense, skilled, and young.  “Take a seat, Grandma,” I imagined them saying.  But I was a guest of a regular, so I had a little street cred.  And, everybody was very welcoming and friendly.

I stretched discreetly on the narrow sidelines, something we old people must do to prevent injury.  I reminded myself to take it easy, no need to go all out and pull something.  A few more full circle arm wheels and test jumps, and I was ready to go.  I felt my heart pounding a little as I stepped onto the court.  I was one of two women on my team, and my sitter-friend (the other woman) was very encouraging.  I served underhand, as I can no longer rocket it overhand like I could 30 years ago (working on this).  Two thirds of the way through the night my right knee started to get a bit wobbly, and I sometimes felt a strange zinging sensation up and down my lateral thigh.  Grandma, I thought.  It’s usually my left knee that aches.  This was a new pain, with no attributable trigger.

I had so much fun.  The general skill level ranged wider than I had initially observed, though it still skewed high.  I estimate that I ranked in the upper half, maybe upper 40%, rustiness not withstanding.  Everybody was mindful to make sure we all touched the ball, a very egalitarian league.  As such, I got to pass, set, dig, and even hit a few.  I held my own, and it felt good.  One young man gave me the compliment of my month when he said I seemed ‘not that old’ and ‘nimble.’  I could have hugged him.  I went home a little sore, and more than a little high.

***

I credit the last three years of fitness training for my utter lack of pain the next day.  After all, I’m doing things on the TRX that I could not have done at 16, and I’ve exercised 5 days a week, most weeks for the last 18 months.  I’ve relearned how to ride a bike, I can run 5K as a casual jog, and I’m as strong as I’ve ever been in my adult life.  I just need slightly more maintenance nowadays.

But the best part of the night was mental.  25 years ago my worry over what people thought of me loomed over my consciousness in a way that robbed my fun.  Back then every mistake I made on the court chipped away at my confidence, and more mistakes inevitably ensued.   Sometimes I’d have an “on” night, and I always had enough fun to keep me coming back, but too often I’d go home wondering if my teammates regretted my presence.

No more.  I no longer have anything to prove to anyone but myself.  I’m just here to have fun and maybe make myself better—and I can only do that if I’m with people who play better than I do.  I’ll own my mistakes and not beat myself over them—we all mess up sometimes.  I know what I can and cannot do.  I own all of me, and I’m okay.  Looking back, my self-defeating attitude was probably worse for team morale and performance than any dig I missed.  Not anymore!

Maybe some people already had this kind of self-efficacy in adolescence.  I can recall a few peers in my youth who had that calm, collected aura about them.  It wasn’t arrogance or superiority.  Rather, it was an unassuming and authentic self-assuredness, which often translated into a generosity that attracted others to their orbit.  That’s how I feel now, and I think this manner of self-confidence comes most organically with age.  It’s the same confidence I see even more in my older, wiser friends.  I might have run faster, jumped higher, and hit stronger in my teens and twenties, but I would never go back.  Life is too good now, with decades of accumulated experience and integrated learning.

My kids were there last week.  They watched me participate with enthusiasm, mistakes and all.  When I commented that I might not have helped my team much (we lost all our games), my daughter sounded surprised.  “But you’re good!” she said.  Like I said, I left more than a little high.