Spring Gardening

 I am distracting myself with the different plants in our yard. Our daughter, Alicia, really enjoys gardening with all of its successes and a few disappointments. She plans a few extra plants most years and finds gardening to be a real stress reducer. I am hoping that our outdoor spaces will prove to be relaxing to me too during this really difficult year.

Bob and Alicia got a few plants from the store, and Alicia started a few seeds, and a few plants volunteered and came back this year.

We have barely started working on our yard. I don't think it is a week since we had nights with temperatures falling below zero. In Manitoba, it is understood that you really shouldn't be putting out your plants before Victoria Day, which will come this weekend.  Winnipeg's average first frost-free day is May 25th, and we expect the first frost of the winter around September 22nd. 

We have to start plants inside or consider using plants with very short growing periods and plan how to protect them if there is an early frost. Trees and perennial plants have to survive extremely cold winters.  I am sure its year will be different in the garden, but it will still be a retreat for us. With all the Covid issues in our city, I don't think we will be wandering around shopping for our regular annual plants, so we will try and be creative this year.

I will miss being out in nature at our cottage. I don't think I will get to our lovely island Lake Cottage for months, and when I do get there, it is going to be hard moving around and even just getting from the dock up to the cottage. I am planning on creating a few restful places to enjoy and relax in our city yard. The family is doing most of the work, but I will put real thought into how to make more of our yard more accessible for me this year and for the future. 

Let's call these "before " pictures, so hopefully, you will be much more impressed when I share more photos over the next couple of months. Bob put in a lot of work today, and it already looks a lot better than you see here.

Planters of Coleus hanging off our front porch railing.

One of 3 hanging Begonias from Costco

Two new Clematis vines for our backyard

Chives divided and shared by the neighbour.

A new little plum tree going to the cottage.

Tulips at the front of our house are just opening up.

A single red tulip among the yellow.

What happens to tulips when rabbits visit your yard.

Wave Petunias from Costco

Looking up under my 50-year-old apple tree.

A planter for a picnic table

Lilies planted last year & a couple of Dust Millers that self-seeded.

A sad Ivy that doesn't look like it will survive.

The little tree we brought home from the lake last fall to use at Xmas 

Some garlic cloves from the kitchen.

The change from storm and winter to serene and mild weather, from dark and sluggish hours to bright and elastic ones, is a memorable crisis which all things proclaim. 

                                                        ~Henry David Thoreau

Hospitals and Surgery Delays

Just a little hip update.

Like many other places, Manitoba is experiencing the third wave of Covid 19, and with it, the hospitals are being overwhelmed. There aren't enough ICU beds or staff to manage all the extra patients coming to the hospital in serious shape due to Covid. 

The government announced that the hospital I was supposed to go to was reduced to 50% capacity for elective surgeries. 

Last Monday, my orthopedic surgeon's office called informing me that my hip revision surgery on May 19th is cancelled and will eventually be rebooked. The doctor's assistant told me that my surgeon can have a few urgent surgeries and that he has put in an appeal that I be placed on the shortlist because he believes that I am at serious risk of reinjury. I asked if that meant I would have the surgery sometime after the 19th, and she said that if it is okayed, the surgery could be anytime.. the next day or a month away. No idea. Basically, I guess it depends on the number of emergency orthopedic surgeries.  In the news quoted below, I fall into the day-by-day case-by-case decisions. 

I am really very thrown by having an unknown date that I should be ready for. My plan for today is to actually pack a bag with anything I might need in the hospital. Just in case.

In actuality, I am feeling a bit better physically this week, and some of the hip pain is easing up. I am probably finally healing a bit since the last dislocation. Some part of my brain is saying to me, "Maybe we can wait for surgery until Covid is gone?" or " Maybe we don't really need surgery after all?. The more practical part of my brain is saying, "Do you really want to spend the rest of your life anticipating another catastrophic event that you can prevent by going through with the surgery?" My daughters say I am blocking out and forgetting how bad the experience really was or I wouldn't think avoiding surgery sounds good. They are probably right. 

Maybe I am just wanting to chicken out with this draggin' on for so long.

Siragusa said surgical units will continue to prioritize urgent surgeries, such as trauma, cancer and life-threatening conditions, but they’ll have to look at all surgical activity closely.

“We’re going to need to be prioritizing on a day-by-day and case-by-case basis,” she said, adding that some surgeries may have to occur outside of Winnipeg.

“The impact on surgery in the coming weeks is likely to once again be significant,” Siragusa said.

“As we reduce surgical volumes to allow for an increase in critical care capacity, and patients whose appointments are affected, we'll hear directly from their care team, if there is a change in their appointment or their care plan.”

Coronavirus: Manitoba scaling back on elective surgeries due to rising ICU needs | CTV News 

Difficult Health Decision

 I have some very disappointing news. I'm still broken.

After three months of wearing the hip brace, I was excited to finally get out of it and get back to my activities. I went to 2 pool exercise classes and one physiotherapy appointment. I was going to get a form filled so that I could get back to work with modified duties and eventually be back to normal hours. I was just starting to get a few things done around here that have needed doing, we went for a few car rides and a little walk in the park, and I was wearing pants other than leggings! Then it happened.

Last week, while I was seated, my hip had a partial dislocation. It popped out when I twisted sideways and kind of reached forward. I screamed, and my daughter called her dad and tried to figure out what to do. She was just starting to call 911, and I kind of arched my back with the pain and tada it clunked back in. Yes, I actually could hear the thunk as it relocated itself, and immediately the sharp, severe pain stopped. I cried and cried because, beyond the pain, I knew what this means. I put the miserable brace back on until I could check in with the doctor.

I called my surgeon's office and got an appointment for his next office day. He believes that we should do a revision surgery as soon as possible to go back in and change the style of the liner in the artificial socket and check things out. The protocol, if it had fully dislocated, would absolutely have been to do the surgery. There is no good guide for what to do with a partial dislocation, so the choice was up to me. I questioned why this dislocated at 2 and a half years out. It is very, very unusual - dislocations are usually very early in the game or after many, many years of wear. There is no answer to that one.

 I was supposed to have that cancelled knee replacement finally happen in July. He is highly concerned that if we don't have my hip stable at the time of the knee surgery and it dislocated again, it would be catastrophic for the recovery of both joints. He suggested that if the hip wasn't 100 % by then, we should do the hip instead of the knee at that time or just cancel the knee surgery.

 I asked if serious strengthening exercises would be a possibility instead. Our decision was that since I already had an appointment in a couple days with the physiotherapist, I should get her opinion. 

I saw the physiotherapist three days later. She really didn't think it was likely that we could get it strong enough once I was having repeat injuries like this, and the unfixed knee was not helping the situation. She said she would just go with the surgery rather than waiting in fear for another dislocation. Don't put so much work into strengthening that hip just to have the muscle cut in an emergency situation. Made sense. 

I called the doctor's office, and now I have surgery scheduled for May 19th.

Three weeks is actually a nice amount of time to get organized for life after surgery and to talk myself into accepting that this is really happening. On May 25th, it will be 3 years since I was in the hospital having the replacement and 13 years since I was in the hospital due to the pulmonary embolism and the subsequent brain injury. May is apparently not an easy month for my health. I am pretty discouraged at this point. I feel like I have done all I can, but then I question what I might have done wrong that I am having trouble with my hip like this. Unwarranted Self-blame is an issue for me sometimes.

The new Physiotherapist, Janine, said something helpful. I hadn't actually said anything about blaming myself out loud, but I guess she picked up on my emotional state. She looked at me kind of sharply and said, "You do know this isn't your fault, don't you?  This isn't you, failing here... it's your hip. No, actually, it is not your hip .. it is the prosthesis (artificial hip) that is failing. Maybe a problem with it. Maybe not the right fit or orientation for you and your life, but for sure, it is NOT you!" I didn't realize how upset I was feeling about that until I felt such a wave of relief go over me with her words.

I'm going to try and get some fun into the next 3 weeks while I still can. Life has already been so restrictive in this Covid Time. Unfortunately, we are in another wave in Winnipeg and experiencing increasing restrictions related to rapidly increasing case numbers. Another bunch of limitations because of the hip and now continuing for 4 more months is just adding to the isolation and feelings of being restricted. Even though I am in quite a bit of discomfort and pain, I want to go for some car ride adventures, take some photos, have a picnic, get some takeout food and enjoy our yard. I don't want to miss this lovely warm spring weather.