Jan 08, 2020

Starting some new therapy

This northern flicker which is a medium-sized bird of the woodpecker family has been hanging around for a few weeks now.  We have them back home but this is the first time that we have seen it here.  It prefers to eat the oranges that Colin puts out for the orioles.  We always know that it is around by its unique call.

I had my first physiotherapy visit yesterday.  Octavio came with his ultrasound machine and gave me a ten minute treatment.  That is the maximum amount of time you can do in a session.  The heat and electrical impulses did create some twinges in my knee.  He did say that my knee looked amazing and was impressed that the swelling was almost totally gone.

Seeing as I was paying him for a full hour I decided to take advantage of his being here.  I asked him for some exercises to increase my upper body strength. Fortunately we had some weights with us and I am starting with the one pound weights. Here I was asking him to check my neck as it keeps locking at times.  He showed Colin were to massage and suggested I apply heat and Icy/Hot ointment a few times per day.  As you can see he is very tall and his head is just a few inches below our ceiling.

I continue to do my cryotherapy every four hours but have decided that I really need to sleep at night so I am not doing it at four in the morning.

We had two large ships in yesterday. This is the Carnival Panorama which holds 5070 guests and 1450 crew.  This is the largest ship visiting our port.  The Royal Princess was also docked here yesterday and it holds 4360 guests with a crew of 1346. It is the third largest cruise ship with the Norwegian Joy being the second largest.  It was in today and holds 4620 guest and a crew of 1821.  Interesting that the second largest ship holds more crew than the largest vessel.

Last evening Colin joined several other RVers to see Eugene ‘Hideaway’ Bridges at La Bohemia at the Plazuela Machado.  Eugene was born in New Orleans and calls himself an American blues and soul singer, songwriter, guitarist and band leader.  He writes all his own music.  He is in Mazatlan for a few months.  Incredible evening.  Before he left Colin prepared my dinner which I just had to heat up.  I am so glad that Colin was able to have an evening out.

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Jan 07, 2020

Christmas is officially over

Yesterday morning ( Monday ) I woke up with a popped stitch.

I vaguely recall rolling over in the night and feeling a twinge in my knee. There are two stitches on the left and there was only the one on the right side which is the one that came apart.  However looking at it now, blown up in the above photo, I see two other stitch holes to the left of the broken stitch.  Not sure what that is about.  It took a few hours to get in touch with my surgeon. Turns out that Monday was his 40th birthday and he was spending the day celebrating with his family but he did get back to me.  Meanwhile I had dressed and prepared to drive into Mazatlan to have another stitch done.  I was surprised when he said that it was okay to just leave it.  Happy to not have to drive into town I put a few steri strips over the incision and covered the area.

Yesterday afternoon I ventured outside with Colin to supervise taking Christmas down. In no time those large ornaments were put away as was the snowman.

After I rested we decided to put our inside ornaments away as well.  Colin took them down and put them on the table for me to place into the storage boxes.  He then took down the coloured lights which I already really miss. I meanwhile found Christmas placemats, hand towels, happy hour plates and napkins and all other things Christmas to go into those boxes. So that is it until next December. The RV feels naked.

The ants are very bad. It seems that everyday they choose a new plant to enjoy. Now they have gone too far and have begun to eat my palms.  Yesterday Ismael once again placed massive amounts of poison down on the far side of our wall near the ant nests that he could see.  Apparently ants have begun to eat plants in RV2 as well.  Ismael calls it a plague or a blight.

Meanwhile Mother Nature gifted us with a beautiful sunset.

I am very much enjoying all of your comments.  Normally I would reply to each one but at the moment I am conserving my energy.  I will make a point of answering any questions asked in a comment.  So be sure to check back for an answer if you asked a question.  I want to welcome long time reader Brenda Lee C… to the comment section of my blog.  How lovely of you to take the time to comment.  I can see that you are from BC, perhaps one day we can meet.  Also a special welcome to Micheal Herm…, nice to see you reading my blog and I did answer your question re pain medication.  Thank dear Fawzy, our very special Airbnb host from Marrakech, where we visited this past June, who has been commenting and sending emails to encourage me.  We will never forget you. I thank each one of you and truly appreciate you taking the time to make a comment.  It does mean a great deal to me.

Meanwhile the snow has really been falling back home. As you can see there is so much snow that they have no choice but to pile it under my “Don’t Pile Snow Here” sign.  I worry about the wonderful lady who is looking after our home and how she will get through all the snow. Special thanks to Cindy for this photo.  More snow is on the way.  Happy to here with my lovely tropical view, even if  I can’t walk on the beach.

 

 

 

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Jan 06, 2020

Gold medal bedpan aerobics

Now that I have been home 48 hours I am feeling somewhat better.  I am no longer wonky nor nauseous. I certainly am not back to my normal self, that is going to take some time.  But I can see that day by day I am going to improve.

I am checking into the hospital here on Friday morning. That black thing is my knee brace. I won’t lie, I was very apprehensive as this point.  Not about using the Mexican medical system but just about having to have surgery.

There are standard rooms and VIP rooms, this is the standard room.  Colin slept on that beige sofa, the large cushions came off.

We never even turned on the TV.  The toilet and walk in shower are to the right.

Back from surgery.  I was chilled to the bone and asked for a pile of blankets.

One thing that stands out from my time in hospital is using the bedpan.  Way back when I had each of my hips replaced I was helped out of bed within hours and placed on a beside commode.  Not here.  I was expected to remain in bed the entire time.  It wasn’t so bad at first because I had been fasting prior to surgery.  However I eventually had to go especially as I hydrated myself with lots of water.  I had to use my upper body strength of which I have little, plus I was somewhat still dopey from the anesthetic, to raise myself as the plastic pan was slid under me. Half the time it only got halfway under as it would get stuck in the bedding.  Try and try again.  Then I had to balance precariously.  Oh and the nurse just stood there and watched me.  I definitely felt under pressure to perform. As the hours passed throughout the night I got better at it. Gosh Colin even had to do it once for me. I was on bedrest for a full 23 hours.

I was given cryotherapy every four hours so did not get much sleep.  There were also interruptions to check blood pressure, give me pain meds, etc.  Each time I was roused from my light sleep I had to pee.  By mid morning the next day I think I was in good form, likely gold medal stuff.

This is the portable cryotherapy unit that I also have here with me on the Isla. It was loaned to me at no charge by my doctor.  Basically you fill the base with ice and a bit of water and it circulates to create the cold.

This pad lays over the knee and is wrapped up with a compression band to hold it into place.

The nursing staff were great in that each time I rang the call bell someone arrived within two to three minutes.  However not once did anyone wash their hands after handling the bedpan and before injecting my meds into my IV.  There were no towels, nor facecloths in the room, nor was I ever offered anything to freshen up with or to wash my hands.  Fortunately I had several individual packets of Sani wipes.  The mattress was very hard but the sofa that Colin slept on was even harder. He did sleep though.  I also fell into a deep sleep for just over two hours.  However I think that is when I crimped my arm which created a blockage in my IV.  I had already had the first IV go interstitial coming back from the recovery room.

I vaguely remember that the surgeon came to check on me at the end of day.  There were staff changes, a nutritionist visit, head nurse visits and and the hospital supervisor visits.  So much coming and going.  There was wifi but it was very slow.  That did not bother me as I was mostly out of it but it would have been nice for Colin.

The tuna sandwich that Colin got for me the first night. He had had this for his dinner earlier. Three layers of very fresh bread with seeds, toasted and filled with the most delicious mix of tuna, tomato and lettuce. I could barely eat half as I was somewhat nauseous and really not very hungry. It was only 65 pesos/4.40CAD/3.40USD.  I would go back there in a heart beat to have it again.  Colin got me a coffee the next morning and I have to say it was the best coffee I have had.

As I did not eat meat, dinner was a cheese sandwich, which was  a piece of some sort of Mexican cheese on bread with a piece of lettuce. Colin had gone down to the cafeteria for his supper and it was great so he went and got a tuna sandwich for me.  By the way the prices of the food in the cafeteria were very inexpensive and the food was great.  A nutritionist came to see me before breakfast to offer me some options.  I was served a smallish omelet with cheese, tomato and onion.  It came on a plate covered in Saran Wrap which was covered with the usual food warmer.  On top of the Saran Wrap were two tortillas wrapped in foil.  Everything was hot.  A lovely surprise and the food was tasty.  Both meals came with juice and a large serving of cut up fresh fruit.

Change of shift. The cryotherapy machine was new to some of them.

About 10AM the surgeon came and had me stand up ever so slowly. He was extremely cautious and helped me walk a few steps.  I have to say that I had no pain whatsoever.  That is until we were checking out but we got my prescription filled asap and I have been mostly fine since then.  Here I just use an ice pack if I feel any twinges. I am taking one pill every 24 hours for pain which works very well. Plus I am also on antibiotics.  I see the doctor in two weeks to have my stitches removed.

First time I saw my un bandaged knee. Note the blue pen check mark indicating that they had the correct knee to do the surgery on.

Dr. Ceravantes listening to my large list of questions.

He was ever so gentle and caring.

Over all I am very pleased with my surgery and how everything went.  I feel that the surgeon went above and beyond as did the staff.  I would not hesitate to have surgery done here again should I require it. At no time was I ever rushed by any of the medical staff and always felt that I was the most important person there.

Colin waiting for me to come through the door in a wheelchair.  The orderly placed me ever so carefully into the car being careful not to jar my knee.

It was a most positive experience but I am happy to be back on home turf.

 

 

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Jan 04, 2020

I’m back in our Isla home

Exactly twenty four hours after we arrived at the Clinica CEMEQ I was being assisted back into our car for the ride home.  I want to thank you all for your prayers and wonderful messages.  The surgery went very well.  I am relieved that I had decided to go ahead with the surgery here whether the medical travel insurance came through or not.  Dr. Cervantes told me that because of the bucket handle tear I would have been in major trouble with my knee if I had to wait several months for surgery back home.  The pain, inflammation and mobility would have become much worse.

The bucket handle tear shown on the right is a tear that had flipped up sort of like a bucket with a handle.  The surgeon had to cut that part of the meniscus off.  He also simply cut around the second tear to smooth out the edges.  No sutures were done inside my knee.

I am so very happy to be back in our home.  Neither of us slept well last night as I was woken up often, first for cryotherapy every four hours, then for either pain or antibiotics by IV every so many hours.  I did sleep once for a straight two hour period.  My pain has been well controlled until we left this morning.  I was given some scripts to fill and I really needed the pain meds.  Fortunately they have kicked in.  I can stand and walk as needed but plan to lay low for the first week.  No physio for a full two weeks.

We were only gone for a day and a half but came back to my front garden being swarmed by leaf cutter ants.  Also the lights around our palm tree are not working.  We were distracted by my pain and speaking with the insurance company the past several days and forgot about the two days of rain we had.  Even though the electrical connection was in a plastic bag the inside was wet.  Colin will look at it tomorrow.

After my lovely nap I was sitting with a wee bit of wine trying to watch the sunset.  I could not see it all because of our palapa.

Fortunately Colin was willing to go out twice to give me and you a better view.

The sky towards the west became a deep red.  I sure that our friends living in Mazatlan had a perfect sunset.

I think I will sleep better here at home but we are still going to do the cryotherapy every four hours if we can.  Anything to help get my knee better.  I have to thank Colin for all of his help . I really needed him at the hospital and he is hovering over me every moment since we got back today.  The only person who spoke English was the doctor and it took the two of us to communicate at times. I did have one mini moment of panic when I awoke in the recovery room.  My knee was extremely painful and needed a pillow placed under it.  I did not have the words to express that, so I just kept saying “necesito English”. Finally they called my surgeon who took the call while he was doing another surgery and told them what I needed.  I have to say that I received the best care possible.

 

 

 

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Jan 03, 2020

Brief update from the hospital

Contessa’s surgery went well although due to her anxiety they gave her general anesthetic  rather than a spinal anesthetic.  It is a good thing that she had the  arthroscopic surgery.  The bad tear that was 3/4 of the way through her internal meniscus was a flap that the doctor was able to repair.  However there was an unexpected major ‘bucket handle’ tear on the external meniscus which surprised the doctor as it never showed up on the MRI.  He did what he had to do to repair that as well but that involved some cutting of the meniscus.

The internet here in the hospital is extremely slow so more details and photos next post.

Contessa is resting as best she can but has nausea from the anesthetic but no pain due to the IV drugs she is being given.  A bit difficult to rest with the one extremely bright light bulb over her bed.  She is also getting cryotherapy every four hours for 15 minutes which we will have to continue once we get back to the Isla.  So no long sleep periods for the next two weeks.

Great news in that the insurance company agreed to pay up to certain amount 90 minus prior to the surgery.

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