Why? What happened? Let me explain with some fun graphics. Most of this is more for my own self satisfaction, but I hope it's helpful to you too.
The Prelude
Back in May, I thought I had a muscle knot under/near my shoulder blade. I had been regularly working out five times a week consistently for four or so months. I was pretty proud of myself because it's the first time in my life since childhood that I have worked out as much as I was.
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| Me (hanging) with Lovely Ladies of Nerdstrong Gym |
There was a suggestion to get a massage since the muscle knot wasn't going away after a week. I did so, and it was great at releasing all the pain for a few days -- but a week later, it then returned. So I did another massage -- this time it didn't last as long. I continued to work out until I noticed that my right arm wasn't holding me up in plank and couldn't do the push up exercises we were doing. A few weeks went by, I kept pushing through -- until the pain escalated and I started experiencing numbness all the way down my arm to my pinkie and ring finger. At that point, I decided it was time for medical attention...
To the Urgent Care Facility ran by Medi-Cal.
I point that out specifically because, upon arriving, I was given a number (much like the DMV). And I sat and waited. And waited. And waited. 10 hours went by, I was not called. They skipped my number, but they had been skipping around. And the lady at the desk explained that they go by the worst injury first, then go down. I wasn't bleeding, and my pain, though intense, was tolerable (6-7 on the chart of 1-10). So, the likelihood of me being seen in a reasonable amount of time, zilch. I had work to do, so I left the Urgent Care, asking to come back the next day and have priority. The nurse I spoke with agreed to those terms and I left.
The next day, I returned at 8am. And again, handed another number. When I saw the nurse, she said that there were a lot of more urgent patients than anticipated and I would need to wait. So I did. For 8 more hours. I left to finish my work and returned around 7pm, only to wait for another 3 hours (total hours waiting: 22 hours) until I was finally seen by a doctor. The doctor took an X-Ray of my neck -- which I didn't understand. I figured my problem was with my shoulder and my arm, not my neck. So we did the X-Ray, and... waited. For another hour. When they pulled me back for the X-Ray results, the doctor said, "I can't actually read the X-Ray. I would be able to tell if it was severely broken, and I can see you don't have a severely broken neck." and then went on to prescribe me a muscle relaxant. I tried to explain I needed something for the nerve pain, but she said the relaxant would do. I was told to wait until my primary doctor appointment in late August for further treatment.
I had a fit. I went to seek medical help, and medical help didn't really help. I lost all hope at even trying to see a doctor. I was on the phone with Medi-Cal every day trying to change doctors to see somebody sooner than late August, and every time I tried, they said there were so many restrictions, I was not likely to see anybody sooner. So I carried on my painfully merry way and kept my schedule the same: gym, transcription work, film industry work, and class. I noticed some mobility issues (I could no longer lift my arm above my head, my ring and pinkie finger were no longer typing efficiently on my keyboard, there was a consistent burning and charlie horse sensation near my shoulder blade, and the numbness/tingling was at a new high). But what was I going to do? I couldn't seek medical help until late August.
Until, once again, two weeks later (now beginning of June), I was at the gym. I went to do a push up and noticed I had to not only go down onto my knees, but my right arm gave out -- my face meeting the ground. Later that same day, I went to Subway for lunch and after filling my cup at the drink station, I couldn't lift the cup with my right arm. When I tried to place a lid on the cup, my ring finger and pinkie failed to get the nerve message to move out of the inner side of the cup, causing me to spill my drink all over myself. That's when I knew there was something terribly wrong. The pain had escalated up to an 8-9 on a scale of 10. I only felt comfortable if I laid down or if my arm was placed across my body and my hand was holding on to my opposite shoulder.
At that point, a good friend of mine made me an ultimatum: either I get a doctor's appointment within the following week or he's taking me to the Emergency Room at the end of the week. I still couldn't convince the doctor's office nor Medi-Cal to change me to a facility to see me sooner than August. And Friday came, I did a yawning stretch and felt four of my upper back/neck vertebra's pop and it sent an insane shock of lightning down my arm to my hand and it didn't subside. So, my friend took me to the ER.
The Emergency Room
After waiting in the ER for only 2 hours (hear that, urgent care? 2 hours!) I was taken to see a doctor and then shipped off to do an MRI. When the MRI results came back, the doctor immediately said, it looks like you need emergency surgery. It's not good.
...surgery? What the --? I came to the ER expecting to leave with a prescription for nerve pain and told that this was something that was nothing. But surgery? She went on to explain that I had two herniated discs and there was major inflammation, causing the nerves that exit those discs from my spine to my arm to feel strangled (in layman's terms); hence the numbness I was feeling. They needed to fuse the discs so everything had proper placement.
So, at 2:30 in the morning, I was whisked away to a hospital room and told I could not eat or drink anything -- ironically after I had just downed a waffle and a cup of water upon arrival to the room. My life's changed. Thank god for my friend because I blanked out after hearing the word "surgery," and he went on to explain that this is what happened:
The Diagnosis
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| I have what's shown in B, C, and D. |
The next morning, I woke up and the nurses loaded me up again. Then, breakfast arrived. I was so confused. Apparently, from what I understand, the nurse explained that Medi-Cal may have declined the surgery. But that the neurologist was reviewing everything. If I were to have surgery, they would make it the next day, so I was welcome to eat. This was the moment where the first of many limitations appeared; I could not even bring the fork to my mouth with my right arm without tremendous pain. Despite the IV being in my left elbow, I grinned and bared it to eat with my left. The pain was so much worse to try and get my right arm to feed me.
Later in the day, it was finally decided that I wasn't going to have surgery and they were going to do conservative treatments first. Little did I know, but this also came with me remaining in the hospital for the next four days.
This is where the mental and emotional troubles started. Every doctor that came in would look at me and go, "Oh, you look so healthy, how could you have problems?" I started to explain to every single doctor (I had 6) to not judge the book by its cover. Clearly, I'm in trouble here. But even I, looking in the mirror, couldn't understand how I went from someone that was gaining so much physical strength, always eating healthy and taking care of my body, and always erring on the side of what would be the healthiest choice, could end up in this situation. How could this happen to me? What caused this to happen? The doctors kept asking and I kept going, "I don't know. I have no idea." It's not something that set in overnight, but it certainly wasn't sparked by any specific event like a car crash or so. Then the Physical Therapists came in.
I was completing the simple exercises they gave me, except I was truly struggling and sweating my balls off. And then, they put a towel against a wall and asked me to put my forearm against it to hold it up. They kept asking me to put more pressure, and I thought I kept giving more. Then one of the therapists said, "What's wrong with your shoulder blade?" My mind started rushing -- oh shit. Watch, surgery's gonna be back on the table and it's not only going to be my neck, it's gonna be my shoulder as well. Great. Fantastic.

...and then the therapist confirmed: "You've got a displaced shoulder that's doing a motion called winging." See the photo to the left. Apparently, I may have been compensating for the pain I was experiencing by moving my shoulder out of the way. Okay. The therapists mentioned the movements they were going to assign me would help adjust this.
We finally got to the last part of the exercise. The PT doctors told me to move my arm up as if I were pushing the towel up the wall. I tried. I mentally even thought I was moving the towel. When I couldn't move the towel even a centimeter and the PT doctors saw me struggling and asked me to stop, I started having a meltdown and cried. Why, why after so much exercise and equipped with such an "able" body am I not able to move the towel up the wall?!" It's a stupid easy movement. What the fuck?! The PT docs left and I returned to my bed, continuing to cry over the situation.
Doctor after doctor came in. Each assured that my situation could possibly be cured by this or that, a shot to the neck, a little PT, and rest. We've tabled surgery for at least three weeks while we give this or that a try. The primary doctor confirmed my circumstance could take up to 6 months to heal and gave me a list of restrictions:
- No lifting anything over 5 pounds
- No typing (I know, I'm breaking this rule for this post)
- No use of computer unless the monitor is at or above eye height -- hard to do with a laptop unless I'm sitting on the ground -- which I am.
- No running, no stairs, no other exercise outside of PT
- No driving (I can't look over my shoulder to my blind spots, if I get in an accident, my neck is royally screwed, and the drugs they gave me cause sleepiness)
This is the danger in which I have to admit has caused me to feel depressed and unkindly challenged me mentally and emotionally. It's a complete mind fuck because when I look in the mirror, when I consider what I've known myself as fully able and capable to do, I don't understand that I have to mentally check myself before I go and do an activity and confidently say 'no, I can't do X.' There's even good days where, without thinking prior, I just go and do it. I forget about my limitations because in that moment, I'm not feeling the true after effects -or- even if I do feel the twinge and the lightning shooting pains down my arm in the movement, adrenaline swoops in and buries it instantly and gives me enough oomph to ignore the pain signals. But then, there's the bad days, where all those movements and decisions (like typing this blog) smack me like a train and I have no choice but to stay in bed, load myself up on the meds, and sleep -- sometimes all 24 hours only being awake to feed myself and then reup on the meds. I don't know if or how I can keep living the above restrictions the doctor gave me for possibly the next six months.
There's definitely more to this mental and emotional mind fuck. But at this point, I'm going to have to save it for another day. So, as they say in Hollywood, look for the sequel to this blog where I'll explore the inside of how I am and am not handling the mental and emotional side of this; including my discoveries on my self-hate, handling the weight gain after losing it all, and my incapability of really accepting and storing the love and support I've received.
Until part two.... TTFN....



