Yesterday, I went to my first state-mandated physical therapy session.

Since I am having difficulty standing and walking -- the pain in my knees and feet is fairly intense, about a 4-5 on a 10-point pain scale, and rising to 8 (or higher!) when the gout kicks in -- and this is preventing me from working, the state has mandated that in order for me to continue to receive benefits, I must go to physical therapy.

So, I'll be going to physical therapy twice a week for the next few weeks. Fortunately, Bellingham Physical Therapy is near my home, in the same strip mall -- Sehome Village -- as my grocery store, Haggen. That's convenient!

Being forced into PT is a good thing. It gets me out of the house, it forces me to get some exercise, and, of course, the exercises are supposed to help me stand and walk freely again.

I am sure these people at the physical therapy place don't quite know what to make of me. The Physical Therapists (PT) are people who are all about movement and physical fitness, and here I am, the complete opposite: laziest, most sedentary slob they have probably ever encountered. Most of their clients are people who were injured on the job, or have suffered sports injuries.

Me, I'm just a a giant fat guy whose knees and feet are giving out, because of his sheer size and sedentary lifestyle.

Still, I have to admit I enjoyed the session. Bellingham Physical Therapy is a teaching institution, where student doctors come to get hands-on training for PTs. My PT was a handsome and buff young guy (mid 20s?) from the University of Idaho named Jon. Originally from North Dakota, Jon has to be a Swede -- very pale, blue eyes, blond hair and eyebrows, just a few shades redder than Albino, fine pale hair on his well-muscled arms, nice big package. What can I say, he made for nice eye candy. Not my usual type, but very pretty to look at. Oh, please grow a beard and take me, you handsome Viking.

While he examined my knees, legs and feet, determining which bones and joints were causing trouble, a senior staff member sat in and watched him work, occasionally asking questions of me. I got the feeling she was kind of disgusted by me, having let my body go to waste like this. He did a much better job of hiding his judgements than she did. Whatever.

After the examination, they determined what the course of treatment would be. The goal is to get me ambulatory again, though exercises and weight loss. The gout will have to be taken care of by my MD, and I need new shoes and orthodics, but they can help with the arthritis in the knees, the knock-knees, and the ankle weakness. Since walking is my preferred form of exercise, they are striving to get me walking actively again.

After showing me some exercises they want me to do every day -- and I will! -- they said they were starting me off slow and would work me up into a more rigorous regimen over time. They've scheduled me to come in twice a week over the next few weeks, and since my medical coupon covers it, it's nice -- kind of like going to a gym, except that I don't have to pay for it, it's not super overwhelming the way a gym is, and I have hand-on personalized attention every time I go. Which, for me, may be exactly what I need to start getting exercise.

After the session, they put me on the stationary bike for 15 minutes, and told me they wanted me to do this for 15 minutes each time I come in. Okey by me, it felt a lot less stressful than a gym. Then they gave me the standard lecture about the dangers of smoking, and sent me home.

We'll see what happens over time with this!

From: [identity profile] kennapea.livejournal.com


PT can be a really good thing! i could probably use it. the last time i went, however, they told me i'd eventually need to use an electric chair, and i ended up telling them where they could park said chair and quit going.

i hope it works well for you, though. i could see it really benefiting you, sweetheart.

From: [identity profile] bluebear2.livejournal.com


Yeah, keep going. The more you do it the easier it'll be and at some point you'll notice that some problem is no longer there.
And yeah, smoke less.

Maybe you need to find a reason for being. (A common thing with most people.)



From: [identity profile] kevynjacobs.livejournal.com


> Maybe you need to find a reason for being. (A common thing with most people.)

"Why are you here? Do you have anything worth living for?"

From: [identity profile] djmadadam.livejournal.com


I gotta agree with them on the smoking. You are not ashamed to admit that you NEED your sticks. That need isn't rational. Why work on your health when you're also damaging it more and more every day?

Not meaning to lecture you, but it just seems you're defeating yourself and you deserve to treat yourself better.

From: [identity profile] kevynjacobs.livejournal.com


Why work on your health when you're also damaging it more and more every day?

You're right. I'm unable to quit smoking, so I should stop going to physical therapy, and stop working on my health.

Oh wait, the state in mandating it.

No disrespect, but you just walked into one of the central logic traps in treating addicts... why bother taking care of yourself if you're not going to stop using?

From: [identity profile] djmadadam.livejournal.com


One step at a time, of course. But, eventually, you gotta say to an addict, "What are you doing?"

From: [identity profile] kevynjacobs.livejournal.com


Sorry if I was snappish, but this is a very sensitive area for me.

The honest truth is I have given up trying to quit smoking. And because of that, I'm constantly struggling with the addiction logic trap.

From: (Anonymous)

I'm So Proud of You!!!!


At some point you stop worrying about what you have done to yourself and how others might judge you (even though we know half of that is just the depressed mind). You know what's best for you, so move in that direction:

Fuck the state mandate (although it's really something to be thankful for)
Fuck worrying about quitting smoking (for the near future)
Fuck worrying about what you can't do
Stop worrying about what you didn't do

Don't worry about the past. Don't worry about the future. Don't even worry about being logical. Do you feel a little better now than you did before? Just hold onto that. Just try to use that as momentum.

Keep telling your brain to not to think about the big picture right now (I know it's hard). Just enjoy your accomplishment...

Yes, I drank the Kool-Aid at Weight Watchers:)

Hugs,
Sara


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