Posted in Cali Colombia, Colombia, Colombian healthcare, Entreprenuer, exercise, expat life, freedom, Healthcare in Colombia, hip surgery, hotel, Journal of surgery for hips, life lessons, Physical therapy, strength, Uncategorized, Villa Migelita Ecolodge

The Next Phase

I have started the next part of my journey with this hip impingement surgery (CAM). I have found out my complaints about it being too easy in Cali, Colombia was a necessary part of my recuperation. I am now in my neighborhood. I know the Doctor who runs the facility, and there are many people, including students who are almost done with their schooling who speak English. I am learning that I had to do those simple exercises while staying in Cali to repair my muscle strength. All who follow my blog know I tell it as I see it. I was pissed off while staying in Cali. The secretary to my doctor told me no stairs for a month. I climbed stairs the day I was released from the hospital! I was told my doctor has a specialized therapy, and I found it so easy. All around me people were moaning in pain, and I would think I am done with this simple exercise and call ‘lista’ and my therapist would show me something else to do. I would be reading my kindle while doing exercises that were so easy. I didn’t like being in Cali, I guess you all know this. I have made this clear in all of my hip journal blogs. I was even more upset when I would leave therapy and think “What the f%^k was that?” I did nothing! I hated that I was walking without my crutches, but made to stay in heat and away from my beloved Villa!

When I returned to Villa Migelita Ecolodge I was ecstatic. However, I couldn’t start new therapy right away. As everyone knows we have responsibilities, we have life. I had my truck painted while I was in Cali, Colombia. It needed to go back for more work. I had to do my exercises and therapy at home. The exercises were so easy and I have a gym here and I could do everything. I was still so upset with one month in Cali that I was in no hurry to go to another place of therapy. I did all those simple exercises over and over, and I also rode my stationary bike for the alloted time. I began 20 minutes of Yoga. I was doing great, and felt good. I visited my doctor for my two month check up.

Alas, I was put in my place by my famous doctor. He was pleased, but worried also. If you read and follow my blogs you will know he told me “people like you scare me” because we are so athletic, we think we know better. I took his words in, I still think it was too easy for me and I could have returned to my home and relaxed in comfort and luxury. However, I am the exception and  not the rule. So I am in good shape getting better every single day.

So let us talk about my new therapy. It kicked my ass. I was exhausted the first day. My doctor in Cali sent my history, and I am sure he talked with my new physical therapist. I am being put through the wringer. Maybe this is what my mother would call ‘divine justice’ because I am really struggling. I got sick, nothing horrible, but not feeling well. I lost my voice for a day. I still am doing my therapy. I am being stretched after I do all of the exercises, and I am so ready to leave when I am done! Below I am sharing photos for all to see.

I find it very interesting that many exercises I do are just the same as my beloved Yoga. So the good news is I did Yoga today, and I was able to do many of my normal positions, including almost sitting in the peace position. I still am only doing 20 minutes of Yoga, and 30 minutes of therapy. I will keep everyone updated as I go forward, but I believe that I am done with the pain of the hips. I just need to keep up my therapy, and all are in agreement, I need 6 months of therapy. However, I can start my normal hiking and more after these next sessions of therapy. I am ready to start walking my mountains right now. I will keep to my doctor’s plan and I will listen.

 

 

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Posted in Awakening, Cali Colombia, Colombia, Colombian healthcare, Entreprenuer, exercise, freedom, Healthcare in Colombia, hip surgery, Journal of surgery for hips, life lessons, strength, Uncategorized

Two Months Later

I was really apprehensive before my two month check up after my arthroscopy surgery on both of my hips. I am going to tell everyone something I have not admitted to myself. I hated the therapy in Cali. It seemed too easy to me. I felt very upset to be stuck in Cali away from my Villa and my pets. I would get up and go as instructed, but I hated that I was staying in Cali, while I could be in Paradise in my own home! I had a lesson in humility yesterday by my famous surgeon Doctor Bernardo Aguilera of Cali, Colombia. He said patients like me make him afraid. He said to me “Michele, you are in amazing shape, but you have to listen to me. I need you to take it easy and do what is instructed by therapy. You cannot do any hiking for at least another month, you need to start a new therapy in Aquaclara near you! I will send the therapy to them as instructed and you can memorize it. I understand you are an athlete, an inspiration to others, but you can ruin what I did after 4 hours of surgery.” I was not happy because I feel great, I have no pain. I wanted to hear my acclaimed surgeon tell me I am a miracle (which he did say..sort of) but he shut me down! He said “You need to just stop this, I have patients once in a while like you. You scare me.”He put me in my place rapidly. I was like look at me, and he was like NO you are doing things way to soon. Dios Mio! So I was totally shut down.

I will start a new therapy next week. I am being humble. I have so many who follow me and think Michele is amazing and strong. I am, and I am also obstenate, stubborn and think that I know what is right. Hah, I have met my match. This doctor is very good at what he does. In fact, he told me during my first visit. He gave me his percentage of success for results.  I believe it is 96% success for surgery, but I am the person that gives this wonderful doctor the 4% of bad results. I think I know better. I do not. He was brought into my consultation yesterday because his young doctors learning from him are following me closely. I am NOT young, I am very athletic, and I am stubborn and I hate that someone tells me to do therapy that is too easy. I even asked my surgeon “how are the others at this two month mark?”He said not like you at all. AHHAH I felt vindicated, but alas, I was again put in my place. I am doing much better, but again in his words Ï am scared by patients like you”

So yesterday was a lesson in humility. He made the intern doctors do an exam of moving my legs and I was great, but he made them stop. He said “No more”and talked to me again. He speaks English, like I speak Spanish. We communicate fine. He was very explicit in his instructions of my next month before I see him again. I will do what he says, and I will be very careful. So that is where I am. I am starting a new physical therapy and I will do exactly as instructed. I know I am not the normal patient now, which I knew before. However, I think my world renowned surgeon prefers the people who listen and do exactly as he says. Stay tuned for a follow-up. I am admitting I was wrong, and perhaps I am overreaching. Michele

 

 

 

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Posted in Cali Colombia, Colombia, Colombian healthcare, Colombian life, exercise, expat life, friendship, Healthcare in Colombia, hip surgery, Journal of surgery for hips, Physical therapy, strength, Uncategorized

The Hard Work Begins

I’m 15 days post hip surgery and 3 days into my physical therapy. The cover photo is after my third therapy and as you can see I can stand and also walk without crutches but only for short periods of time. I’m so impressed with my care and the organization at the center for physical therapy at Imbanaco Medical Center in Cali, Colombia. I had my first check up Tuesday by one of the interns who works with my surgeon. He was very pleased with my progress, took out my stitches, and said I could stop taking my medication except Tylenol. He even did a Yoga pose and told me that I would be back to it soon. He made me laugh with his antics. He wrote out my order for physical therapy and said they would send them through email every month, and that I would be able to go back to my Villa soon.

Jazmin and I went over to the physical therapy office to make an appointment. In Colombia all medical centers have every need right in the same area. It is the same in Palmira the main city closest to Villa Migelita Ecolodge. We just had to walk a 1/2 block. We entered and  I was registered and scheduled for an appointment that same afternoon. My doctors know I’m renting in Cali and want to get back to my animals and home. To say they are accommodating is an understatement!

When I arrived that afternoon I had been told by my doctor the first week would be very gentle therapy. I was asked questions about my pain level, they used a ruler type device to measure my range of motion in different positions and had me on ice and then heat. Then I did a few similar exercises to what I had been doing during my rest period after my surgery. I had an appointment Wednesday morning at 9:30 am and everything changed. This was funny to me because there was nothing about my second therapy that was easy. I had balls to hold between my legs while lifting one at a time for many repetitions, they even had me sit with 5 lb weights on my ankles and straighten my leg out and down , then the other leg! Believe it or not I had no pain!

Today was my third therapy and it was different again. I used the ball between my knees while I lifted my hips up and straightened my leg out and held for 10 seconds. I also had a band that I had to use while on my stomach and lift up one leg at a time for a series of repetitions, then sitting doing the same thing. My final exercise was balancing on a tube which was very hard for me because of my vertigo but I did it!

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I finally got a photo after a bit of time getting used to balancing

After my therapy Jazmin and I make fun plans as I am in much better spirits now that I am out and about. Cali is like New York City and we are discovering new things every single day. Today we took a ride on a cable car to a barrio where the citizens of Barrio Seloe used to have to walk up stairs to incredible heights to reach their homes! It was fun and we were so entertained! Perfect for me because I could sit and enjoy the views after doing my physical therapy.

I’m also impressed with how kind every person I encounter are to me. Opening doors , making sure I have a seat, telling me where elevators are, such care from complete strangers. Then there is Jazmin, my person. We are having fun while she takes such great care of me. I don’t know how I could have done this without her. I feel I might be leaving earlier than 30 days because my physical therapist told me today I was doing so great. I have to laugh because this week is supposed to be my easy week. What comes next week, weight lifting with squats? Don’t worry my blogs will keep everyone updated. Stay tuned, and remember no matter the challenge we all have it within ourselves to overcome any obstacle!

Posted in Colombian healthcare, exercise, expat life, friendship, Healthcare in Colombia, hip surgery, Journal of surgery for hips, life lessons, Spanish speaking, Uncategorized

Reality Mixed with Blessings

The cover photo is me 3 days post surgery at my place of residence in Cali where I will be staying until I’m released to go home to my Villa.

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My wonderful post operative nurse Isabel when I was taken to my hospital room from recovery of hip impingement surgery.

I really do not have much to compare my hospital stay with because I’ve never been in the hospital for anything that wasn’t childbirth or outpatient surgery. I’m sure most people have trepidation before major surgery and I am no different. My new life in Colombia revolves around adventure, hiking, nature, tourist activities and ecotourism. When I was given my diagnosis for the mysterious hip pain that showed up and continued to get worse I became worried. I then find out not many doctors perform this surgery in the world. It is a very technical procedure and some people are not candidates for the procedure needed because they will go on to need hip replacement later. Fortunately for me, I was a perfect candidate because my condition is called CAM and the only way to correct it is through arthroscopy. Fortunately for me there is a renowned doctor in Cali, Colombia who performs this technique.

Fatalism is a part of my personality. I’m certain when I was younger and raising my family I didn’t think much about what is destined to be. All of us become caught up in our lives and we never think of having bad things happen. We always think that dreadful stuff can only happen to someone else. After my daughter was murdered I accepted a different reality. As I write my book chapters alongside this blog, I’ve come to realize my life has always been characterized by my strength. I seem to be given many challenges and somehow I get through them. This diagnosis was just my latest contretemps.

The day of my surgery I had to pack for 30 days away from all that brings me peace in my life. My Villa, my animals, the climate, nature, my normal routine and prepare not just for surgery but for recovery in a strange home in the city of Cali, Colombia. My stress level was high. My good friend drove Jazmine and I to the hospital. He is bilingual thank goodness because I was so unnerved I lost my Spanish. Of course I can always communicate with Jazmine, but when they called me back for preparation I was panicked. Jazmine was allowed to stay with me until I was wheeled away in the hospital bed, tears were flowing down my face as she hugged me and I kept looking back at her until she was out of sight. I know this seems melodramatic, but it was scary for me because I couldn’t communicate like usual. When we entered the OR there was the wonderful doctor for my anesthesia whom I conversed with in Spanish quite well during an appointment. He spoke with me and all I heard was a foreign language being spoken by everyone, as well as huge computer screens, a lot of nurses and doctors asking me questions about my pain level, let’s just say I blanked out. Then my surgeon  entered the room and came over to me and took my hand, and said ‘tranquila’ and I replied ‘el ejercicio es mi vida’. I don’t remember anything else.

I awoke with my teeth chattering. I’m serious, I was frightened I would break my teeth. I was covered immediately with so many hot blankets, and saw my Jazmine looking down on me smiling and holding my hand. I immediately felt like my brain had been reset. Isabel the wonderful nurse in the picture above gave me pain medication in my IV and I started speaking Spanish again. She stayed with us until we were brought up to my lovely room and introduced me to the night nurses who would be caring for me. Not even 6 hours later the two interns who study with my surgeon were in the room and had me on my feet using my crutches! They had me out of the bed and sitting in the chair and doing my exercises after I walked around the room. I had those medical pressure socks on and a machine massaging my legs until they knew I could walk and perform the simple exercises prescribed until I start my real therapy in about 10 days. I also have medicine that I’m continuing after the hospital to inject in my stomach for blood clots and the drug Celebrex and a few more prescription drugs all covered up to a certain amount which is then reimbursed to me with receipts given to Coomeva Insurance.

That first day in the hospital was a revolution of different people visiting me,  including physical therapists, doctors, interns on rounds, the nurses with my medicine and I was even given a hot shower by the nurse who changed my bandages later to small simple coverings. I had three meals a day plus two snacks and when I needed more water and pressed the button on the call phone they would come immediately. The representative from my insurance even came in to ask if I needed anything! I am still so impressed by the wonderful care I was given. My second night I was exhausted because I did what I was told and it was not easy.

I awoke on the second day by the morning nurse and I had dislodged my IV line in my sleep and that was replaced.  When the interns came in next for my assessment I was covered in blood from my hand and the dislodged IV line. That was attractive! The interns didn’t care and they went through my exercises again and said you can leave, you are a great patient. My pain level had decreased dramatically. One of the interns adjusted my crutches and that helped so much for my back, which was bothering me. I went by myself  with Jazmine’s help to shower. When the nurse came in to bathe me she wasn’t happy about my bath without her, but I sat in a chair and it was safe. I then waited to be released because I knew I would be fine. Again, it was all so organized and without any wait. Jazmine did everything and I was wheeled downstairs and outside to an awaiting taxi. My friend met us at the house with my large suitcase and took Jazmine to get groceries. We have settled in quite well and I am 4 days post surgery and doing very well.

So now I’m recouperating in a lovely house in a really nice area near the hospital where I will have my therapy. I’m almost without any pain already in my hips. Truly, modern medicine is miraculous! I am very uncomfortable at night because I have a special pillow for my legs and have to sleep on my back without moving. I wake up feeling sore from my sleep position but not my surgery. I’m writing, reading and laughing a lot with Jazmine. It is hard to change routine, but I’ve accepted my fate for the next 30 days and hopefully when I am less tired from the surgery I can go out for an hour or so to have my nails done, sit at the famous Chipichape mall or even sit in a park to photograph nature and birds. I brought a hummingbird feeder and today we are going to hang it outside the window where I’m staying and I can attract some of my favorite little jewels to watch here in Cali, Colombia.

Next blog will be soon about my therapy and continuing recovery. I’m going to try and enjoy Cali, Colombia as I will be here awhile. Maybe I will get photos of different species of birds because the climate is very hot and tropical here. Look for more musings soon.

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Jazmine and I in Cali,Colombia 

 

 

Posted in Colombia, Colombian healthcare, exercise, expat life, Healthcare in Colombia, hiking, hip surgery, Journal of surgery for hips, strength, Uncategorized, Waiting

Countdown to Surgery

Habits of a lifetime are part of our make up as a person. As my surgery is getting closer I find myself worrying about the outcome. I can’t imagine not being able to hike anymore, or ride my bike, do Yoga and exercise like I have all of my adult life. So I have been reading a lot about the procedure and it seems that I should feel a reduction in pain immediately after my surgery. Reading this group study has helped but I am still very worried about everything, including that I will be the same as I always was before when the surgery and rehabilitation are completed. I am writing questions down as I think of them for my meeting with the surgeon this week. This blog is part serious and part funny. One of my questions is can I bring cute pajamas to wear and not those horrible hospital robes where the naked butt shows?After reading the above article I am not certain if I will be put to sleep or just have my hips numbed. I will ask this of the doctors  because  I also will see an anesthesiologist who will evaluate my health. I am not sure why I have to stay in the hospital three days, because it would probably be outpatient in the USA. However, when I asked at my first meeting with my surgeon he did say I am having both hips done, and they remove a bony obstruction on both sides. He is very famous for this procedure and when I visit his office I see many people with crutches. They all look healthy and happy so I am just trying to accept my situation. Hopefully, when I am the person in the waiting room, I will look happy too.

Part of this situation is that there is not one pill that relieves the pain I feel. Nothing works. I am just living in pain. I have found one solution for the night. I have said many times that cannabis is legal here in the home. I can even grow up to 20 plants if wanted to. I don’t want to. Cannabis is so inexpensive and I have found that all pharmaceuticals I have taken for my various back and neck problems from being a flight attendant are no longer needed. I started using cannabis oil  under my tongue a few days ago. It is strong, and it works for the night pain. However, I would not consider it for daytime, except when I am on bed rest for ten days. Then maybe I will use it.  I do smoke a little weed at around 6 pm in a pipe. I have done this for a little while for pain also, but not much and only if I am not going anywhere.

Now on to the funniest part of this admission about the use of weed for pain management. Yesterday I bought the weed oil for the outside of the body to rub on my hips from the natural medicine store. It smells like Vicks Vaporub ointment. I have used it three times today and I have noticed my pain is better. The smell to me is awful. My mother used Vicks when she was old for everything! I don’t like the smell, and it reminds me of nursing homes.

So I am not going to get any mosquito bites before my surgery, I am going to be able to breathe very well at night because you know that Vicks is great for respiration, and hopefully I will get a bit more relief from the pain.

Posted in Colombian healthcare, exercise, Healthcare in Colombia, hiking, hip surgery, Journal of surgery for hips, Uncategorized, Villa Migelita Ecolodge

Oh These Hips!

I have a severe hip problem that just showed up about 8 months ago, and now I am having surgery on both of my hips. Surgery meant for someone 14 years old. Yes you are reading that right, I have a condition found mostly in young adult women. This is an article on my condition, which can be translated to English. I am going to keep everyone updated throughout the time leading up to the surgery and after the surgery with journal blogs. As everyone knows I moved to Colombia because of the health insurance they offer here, I have two types of insurance. One is Prepagada or prepaid and the other is called EPS and this is what most Colombians have. By having both I am covered for just about anything, including having my housekeeper stay with me in the hospital. I am covered for an ambulance to pick me up and bring me home from the hospital also. Health insurance is affordable here and high quality. I am staying at this hospital complex in Cali, Colombia called Imbanaco. The best hospital in Cali, Colombia and I have been told the rooms are really nice like suites in hotels.

Exercise saved me when my daughter was murdered, exercise is something I plan my day around. Especially Yoga, I love Yoga.  Exercise has been a habit that has been part of my life since I was a young woman. I even taught exercise class throughout my pregnancy with Misha my deceased daughter.

Michele jane fonda
Back in the Jane Fonda days.

I took to Yoga after a customer at Villa Migelita Ecolodge showed me how wonderful it is for the body and mind. I also like walking through the mountains around my Villa taking nature photography. I actually thought I had injured my hips through Yoga because the pain started in one hip and then it went to both hips. I have been assured by my doctors Yoga had nothing to do with this condition CAM and I just developed it and it can just come on like it did.

So far it has been an easy process of getting the tests needed and making the appointments before the surgery that I need. Just like in the United States I will be seeing my surgeon and the anesthesiologist next week. I already had my blood work done, and I was told to write down any questions for my time with the surgeon before the actual surgery date of August 22. My surgeon is one of three doctors who perform this surgery here in Colombia. I am lucky he is in Cali, because the other two doctors are in Bogotá. I have been told by all doctors my surgery is a rare type of CAM and that not many doctors do this surgery in all the world. My surgeon has a 96% percent success rate. I am sure that I will be fine, but I worry about after the surgery because he wants me to do therapy in Cali and it is an 1 1/2 hours from my Villa. His secretary told me he has special therapy and needs it to be done in the hospital I have the surgery at. So I will be figuring that out. I am a bit worried about how I will get to and from Cali, and am hoping I can get an ambulance to take me to this therapy also. I do know I will be on complete bed rest for around 10 days before I begin my therapy.

I have already had a call checking on me to make sure I was getting my blood exams, and making sure I am doing well. I have noticed that my hip pain has progressed and I am happy to be having the surgery soon. I am doing my Yoga as much as possible until the actual date because I will miss it when I am healing. That will be one of my questions: “Will I still be able to do Yoga after my healing process and therapy is over?” Right now I have to limit certain positions because they cause me pain, but I am able to adapt. However, walking is not easy for me and leaves me with radiating pain. So I have been only doing walking to short distances.

The waterfall cover photo is one of my favorite adventure travel options offered here at Villa Migelita Ecolodge and I will keep looking at a photo I have on the wall of my Villa of this beautiful place as inspiration while I get better. I love taking my tourists on this experience, and thank goodness I have people who work with me so I can still run my hotel as usual. I just won’t be able to participate for a bit. As for now, I am trying to organize everything perfectly because I don’t think I will be able to drive for a few weeks.

I will write more after I visit my surgeon next week. One thing I am doing is eating a lot. I am trying to put on a bit of weight because I know myself and I will lose weight after the surgery if I am in pain and not sleeping well. I am eating very healthy and Jazmine made me rice pudding last night from real cows milk. Oh so delicious! There is nothing like the milk from a cow, we do boil it for pasteurization, but the creamy deliciousness of arroz con leche is wonderful. It reminded me of my mother because that was her favorite dessert.

I want everyone to see the how wonderful the healthcare is here in Colombia, and to follow my journey. The United States could offer options like I have here in Colombia. Perhaps, reading my journey will be enlightening to many who do not have the option of a job that supplies health insurance, or the money to afford the best in the United States.