Pre-Op appointments

Kerissa • August 3, 2016

This past Friday, I had my Orthopedic Pre-op appointment.  I saw my surgeon’s physician assistant, and she explained what’s involved with the surgeries, the extensive rehabilitation protocol, and much more.  In addition to the hip labral and cartilage repairs, my surgeon will possibly be doing a femoral neck osteoplasty and acetabular rim trimming (this depends on what she finds inside my hip joint).  During surgery, the doctors will do a femoral nerve block for pain management purposes which will hopefully last 1-2 days.

After surgery, I have to take an anti-inflammatory medication for 60 days to prevent something called heterotopic ossification (i.e., new bone growth).  I’ll also need to take aspirin for 30 days post-op to keep blood clots from forming.

Post-op recovery is going to be rough… :/  I’m usually only awake 6-7 hours of the day, but since I have to use a home Continuous Passive Motion machine for 6 hours each day to prevent scar tissue formation in the joint, I’m going to need to wake up earlier than my normal which, in turn, always makes my mitochondrial symptoms worse.🙁 I have to begin physical therapy within 3 days of surgery….it has to be twice a week for 3 months and then once a week for 3 more months.  I’ll be seeing my neuro physical therapist (he’s been working with me for 2 1/2 years now!) and also an orthopedic physical therapist.  Because I have mitochondrial disease, I was told it will probably take longer than the usual 6 months to recover..🙁

This afternoon, I had my Pre-op appointment with the peri-operative medicine dr. for the upcoming hip surgery and muscle biopsy (scheduled for next Friday the 12th!).  The doctor was very thorough—she went over all my medical conditions/symptoms to make sure I’ll have everything needed medically for the day.  She’s going to email several of my specialists to figure out how much IV magnesium I’ll need that afternoon for the hypomagnesemia, how much IV nutrition I should receive overnight, etc.

I have lots of upcoming appointments before the 12th—ENT, Urology, Pain Medicine, Internal Medicine, and Nephrology.  So it’s been busy!

Last week, I threw up again which was so horrible.🙁 I had to get an abdominal x-ray to rule out obstruction and repeat blood cultures drawn.  Thankfully, the x-ray was normal, and so far, the blood cultures haven’t grown anything.  I’m sure they’ll be negative, but that means we still don’t know what’s causing these vomiting episodes.🙁 I have another GI appointment the week following surgery..

I may not blog for a while, depending on what it’s like post-op!  Thank you for praying for me!🙂

By Kerissa Lee January 21, 2025
Hi, friends, First off, the piece of art above was hand lettered by me last year before all “this” happened. I’m sad to say that I only have 3 or 4 pieces left to share until I run out.. 😢 I went to see my neuromuscular neurologist in Seattle on January 8th. My neck weakness continues to progress which has been so scary. He said I need to get a neck MRI and some specific blood tests to check for polymyositis. If it is normal, though, his opinion is that this is mitochondrial disease progression. 😔 I haven’t seen my mitochondrial specialist in San Diego in more than 3 years (I started seeing him in 2014!), so I’m sadly no longer considered his patient. The neurologist sent a new referral to him, but I’m not sure if it will be accepted.. He’s almost 80 years old (one of the pioneers of “mitochondrial medicine”). And I don’t know if he’s cutting back on “new” patients.. Even if he did accept my case again, I’m currently not physically well enough to fly down from Oregon.. 😞 My quality of life continues to worsen ever since this unusual neck weakness started this past October. I know I’ve said this before, but I truly miss doing all of my favorite things (like hand lettering art) or even simple tasks (setting up my own IV infusions, vacuuming, washing hair, etc.). 🥺 Before October, I was even starting to drive to physical therapy or the grocery store. Yes, I’m 32 and still don’t have my driver’s license due to being preoccupied fighting mitochondrial disease for almost 15 years now. I never shared the exciting news that I was able to get my driver’s permit over 2 years ago, and it was so fun to drive myself to appointments close to home. Now, I can’t do any of the above which has been difficult to process. I shed tears every now and then just thinking about all that has changed. 😢 I’m having to go to bed around 6:30 PM to lie down and rest my neck. But I’m so uncomfortable from the pain, and I don’t fall asleep until after 3 AM every night. So my pain dr. referred me to palliative care. 😢I know it’s not hospice, but I’m still sad we’re at the point where I even need palliative care. Unfortunately, they’re most likely going to deny the referral (if they haven’t already) because we were told they only see cancer or heart transplant patients. I even checked if there’s palliative outside of OHSU, but they, too, see only oncology. It’s so hard that cancer gets a lot of funding, research, and support, and those with rare diseases are left “on their own.” It’s isolating and lonely. 🥺 I saw my PCP again, and he is just the best and full of compassion. ❤️ He placed the neck MRI as urgent and also ordered more labs to keep pursuing answers since all this is such an atypical picture if it was mito progression.. In case palliative turns my case down, my dr. told me that the internal medicine clinic has a complex and chronic pain management clinic (different from the pain center that I’ve been going to since 2011). He referred me to them to try and help me get more comfortable. I have a wonderful team of doctors and an amazing naturopath, but I’m even going to see a functional medicine doctor for the first time on the 23rd. Praying he could maybe have some additional insight on everything and will offer some fresh ideas for treatment as well.. I also have an appointment with the metabolic geneticist on the 28th.. I’ve read through the Bible more than once, but it’s amazing how the Lord points us to specific verses at just the right time. I don’t know about you, but sometimes I think, “I don’t remember reading this before!” Paul David Tripp’s newest devotional Everyday Gospel has been so very encouraging. He shared 2 verses from the book of Genesis where Jacob said that God “answers me in the day of my distress and has been with me wherever I have gone” (35:3). Several chapters later, Jacob also said that God “has been my shepherd all my life long to this day” (48:15). When I read that, I felt such peace. God spoke to my heart to remind me that He is with me and for me….in every circumstance no matter how hard. ❤️ Could you please pray that I can have the MRI completed this month and not have to wait many weeks? Pray that all of my doctors will have wisdom as my case is so complex. Lastly, could you pray that I will persevere and keep walking by faith? I feel so weary, not only physically but also mentally and spiritually. 😥 Thank you so much for praying for me all these years. ❤️
By Kerissa Lee December 13, 2024
"He alone is my rock and my salvation, my fortress; I shall not be greatly shaken." Psalm 62:2
By Kerissa Lee November 9, 2024
“Be still, and know that I am God.” -Psalm 46:10 
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