Liz Gave Me the Boot

Brunch with Fake Aunt Liz

When my daughter and I arrived in Los Angeles last Saturday afternoon for college interviews, we drove straight to her Fake Aunt Liz's home in Laguna Beach. (Well, we might've made one quick pitstop at Del Taco so Clare could experience one of her mother's fast food cravings from my LA days.)

The thing about Liz is this: as long as we've been friends (24 years) she's always wanted what she called her "Granny Cottage" – a small, efficient and impeccably furnished dwelling, the complete opposite of her former Berkeley mansion that was something straight out of Architectural Digest.

Her Laguna Beach home is just that: a tiny two-bedroom cottage with an even tinier back patio. Yet the feeling in her home is what I'd call zen elegance. She really has a knack for turning any ordinary house into a stylish home. (I've been the recipient of her "Drunk Shui" talents in several dwellings. A few glasses of a dry Provencal rose, and Liz starts rearranging your furniture, books and knick-knacks, ordering you onto Craigslist to find this or that. Once, she even Drunk Shui-ed our entire living room a week after foot surgery.)

To maintain her Granny Cottage lifestyle, Liz lives like the minimalist she is. If something doesn't get worn in, say, a couple months, she passes it along to someone else. If she doesn't like something she bought, even if it's only a few days old, it too shall be passed along. So when Clare and I arrived and Liz said, "I was cleaning out my closets yesterday," I laughed. Her closets are already as neat and tidy as the non-closet areas of her home. What the hell else was left to clean out?!

"I was cleaning out my closets yesterday and found the boot from my bunion surgeries two years ago." Then she ducked into the guest bedroom and emerged with said boot in hand. "Would this be helpful to you at all?"

I've been the recipient of some of Liz's cast-offs in the past – blouses, yoga pants, etc. – but she's never offered me an orthopedic boot before. Then again, Liz has watched me these past six months as I underwent first an ankle surgery followed by a total left knee replacement followed by a total right knee replacement. She also knows my ankles are next in line for joint replacements, which cannot commence until I've recovered and strengthened myself adequately following the back-to-back knee replacements. And frankly, I'm thrilled my surgeon said as much because the thought of going under the knife one more time this year was a bit daunting.

As much as I'm happy to wait until January to begin the ankle replacement surgeries, I've been limping around in pain due to the lack of cartilage in both ankles. The left one, in particular, is remarkably messed up despite already having had four loose bone bits removed during March's surgery. I've tried braces and shoe inserts and even new orthopedic shoes that are so ugly you just know they have to be good for you, right?

I got the boot

None of them alleviated the severe pain in my left ankle.

"Let's give it a try," I said, hiking my pant legs up and tearing at the velcro straps of my ineffectual ankle braces.

With my crappier ankle completely immobilized by the boot, I stood, my cane in hand. Tentatively, I walked across the room. Then I walked back, this time without the cane. I noticed I was standing straighter, even able to roll through my booted foot as I stepped – a feat that, heretofore, would've brought on stabbing pain and more than a few f-bombs.

I wore Liz's hand-me-down boot the rest of that visit and by the end of four days was thrilled with my ability to walk – almost like a normal person. I brought it back to Boulder with me and have been wearing it ever since. And guess what? Now I can walk anywhere, more or less, without my cane. Just me, my boot and one heavily cushioned Hoka sneaker.

A few days ago I noticed something fairly significant. For the first time in years, I was not in pain while moving through my day. Sure, my new knees still feel alien and stiff and tend to ache by bedtime. But the pain from joints so worn down there was actually a hole in one of my knee bones where there isn't supposed to be a hole? Gone. The pain in my Really Bad Ankle (as opposed to my Moderately Bad Ankle)? Gone. At least while wearing my new favorite boot. And that's good enough for me.

You see, in a word, pain sucks. It makes frustrated sourpusses of the most optimistic among us. It often prevents us from working or traveling or even focusing on anything other than, well, pain. And when that pain comes in the middle of the night, when it wakes us from sleep, it tends to bring dark thoughts: that the pain will never end, that recovery is impossible so what's the point in even trying.

Twice since getting my new knees, I attempted to do the grocery shopping only to abandon ship partway through due to ankle pain. Yet three days ago I went to Whole Foods – the big one – with my new boot and no cane, and made it all the way through the task, including carrying the grocery bags inside once home.

I almost cried with relief over this palpable sign of my life returning to me after more than five years of being sidelined: leaving my full-time work, minimal travel, experimentation with countless approaches to healing that didn't heal me, withdrawing from the world, and rarely making plans for fear I'd have to cancel anyway because it might turn out to be a Bad Day thanks to autoimmunity or osteoarthritis or both. In other words, five years of working really hard to maintain a positive outlook when inside I felt anything but.

I can't believe I'm actually writing a story about a freaking orthopedic boot. But truly – this silly, ugly, clunky boot feels like a gift from the gods (assuming the gods are all named Liz). It feels like a preview of better – pain-free! – times to come.

It feels like hope.

Liz and Me. Duh

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Download a PDF of the first 4 chapters of Lauren's memoir, Zuzu's Petals: A True Story of Second Chances, free.  Click here and go to the link below the "Buy the Book" button.  Zuzu's Petals is also available on Kindle and Nook.  Hardcover signed and inscribed copies are available at  www.laurenwardlarsen.com. Happy reading!

"I REJECT THAT!"

I know how lucky I am to have survived a near-fatal pregnancy 17 years ago. I know that most women who go as far over the edge as I did with eclampsia-turned-HELLP-Syndrome don’t make it out of the ICU alive.

The ICU Days: Not my best look.

Six weeks and 203 pints of blood after my ordeal began back in 2000, I was discharged from the hospital – a "miracle" by some standards.

But there was a long-term price to pay for beating the medical odds and that bill came due about seven years ago. During all the internal hemorrhaging a decade earlier, a necrotic process had taken root in my major joints – ankles, knees, hips and shoulders – resulting in difficulty walking, chronic pain and several labrum and meniscus surgeries.

I was also diagnosed with an autoimmune illness similar to Rheumatoid Arthritis and began giving myself weekly injections of low-dose chemotherapy to keep my inflammation levels under control. I ate my vegetables, drank my kale juice, and limited my pizza intake. (I’ve had a lifelong love affair with dough, tomato sauce and mozzarella.)

But I was in denial – deep, deep denial – about the inevitable deterioration of my major joints when it was determined that pretty much all of the cartilage was gone from my shoulders…and then ankles…and then knees (the hips are still working hard to hold their own). I made it bone-on-bone for several more years. I swam. I did a gentle-but-restorative form of yoga known as Kaiut. (Most of the positions are done sitting or lying on the floor, so Kaiut is perfect for me.)

I assured myself that my Kaiut yoga practice would save me from having to undergo the 5-8 joint replacements that my orthopedic surgeon warned me I’d eventually need. He said I’d know when it was time. I bet him ten bucks that I’d avoid all replacements through yoga. He said he hoped I was right.

Turns out I was wrong.

George (L) and Mary (R)

In January of this year, I was finally able to admit that I did, indeed, need to begin the process of replacing my major joints one by one or else face the rest of my life in pain and, most likely, in a wheelchair. I began with the knees, six weeks apart, this past spring. It was as (temporarily) hellish as I had been warned. But I am convinced that all that Kaiut yoga – while it didn’t allow me to avoid joint replacements – did, in hindsight, help me prepare for them. And that was good enough for me.

Five weeks after my second total knee replacement, I received a text from Jeff, the owner of my favorite yoga studio, who is also my favorite Kaiut instructor. He offered to give me a free private lesson if my husband could get me there. (I was still unable to bend my newest knee enough to drive myself.)

We arrived three days later for that session. To say it was amazing would be an understatement. Jeff walked me through a series of poses, all of them lying on the floor with my feet on the wall. I was shocked at how much I could do even with the limitations of surgery. Two days later, I was back in class on a regular basis. 

Returning to Kaiut

The sequence of Kaiut poses changes every two days, so I am never quite sure what each class will entail, let alone how much of it I’ll be able to do. But I love being there anyway if only to soak up all the good yoga vibes.

To get on the floor at the beginning of each class, I stack four bolsters against the back wall, sit on them and then slide the rest of the way down. At the end of class, Jeff and someone else hoist me up to standing by my elbows (my shoulders being too deteriorated to be pulled forward by my hands). If there’s a standing pose or a pose done on all fours, I do Legs Up the Wall instead.

Today, sandwiched between my husband and a pal, I heard Jeff give the cue to get on all fours. As I prepared to put my legs up the wall, I began to wonder if I was deluding myself in thinking that I could actually regain full mobility, imagined that I might be headed for a wheelchair regardless of how many joint replacements I get. Almost immediately I heard a very loud, very insistent voice in my head yell, “I REJECT THAT!”

And then I got mad. Mad at my medical circumstances, but madder at my lapse in optimism. And that was the moment I decided to try getting on all fours.

I rolled sideways from the bolster I was sitting on to another bolster as padding for my knees. I wound up diagonally across my mat, my hands on my husband’s mat and my feet on my friend’s mat. The thought of shifting my body and bolster so I was facing forward seemed too difficult, so I stayed put. They didn’t care. They could tell this was something big for me – my first attempt at putting weight on my new knees, now 10 and 16 weeks old. Trembling, I pulled another bolster under my arms and leaned forward, breathing heavily, straining to hold the position, catawampus though it was. My heart raced as if I were sprinting, but I was determined to hold my amended position as long as the others in class were sitting back on their heels.

As soon as Jeff said, “Now come out of the position and stand,” I flopped onto my back as if I’d just finished a marathon, ready to give myself a nice long Legs Up the Wall break. But no sooner did my ass hit the floor than Jeff was over at my side saying, “Nope, I want you standing too, Lauren. You can do this.”

WTF?!

My first three weeks back at yoga class, Jeff had let me do pretty much whatever I wanted, taking breaks as needed and ignoring the poses I couldn’t yet do. Standing poses – I assumed Jeff understood – were off limits given my crappy ankles, but this morning, he decided otherwise. 

I’ve been working with Jeff for just over two years now, so he knows my mobility issues well. He asked my husband to help hoist me to standing and had me – and everyone else in class – move right into a pose facing the wall. That got me breathing even harder, my body having atrophied over the previous three months of recovery and heavy pain medications. At times, I couldn’t even keep my hands on the wall, letting them fall at my side while I leaned against the wall with my head (definitely not part of the pose). When we were finally instructed to release the pose, I was exhausted, but in the best of ways.

I hadn’t strained like that in my 2+ years of having a consistent Kaiut yoga practice, and I have to say IT FELT AWESOME! Not because I had strained, but because I had overcome my own mental block. That one yoga class this morning was more powerful than any of the physical therapy sessions I’ve had to date.

While yoga’s goal is typically inner peace, sometimes the goal should be discovering what you’re capable of by being challenged to go beyond your self-created limitations.

Namaste, Jeff. Namaste!

For any local Boulder folks interested in trying Kaiut yoga, Yoga Loft offers a $30 for 30 days of unlimited classes.
First-timers only. www.yogaloftboulder.com 

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Download a PDF of the first 4 chapters of Lauren's memoir, Zuzu's Petals: A True Story of Second Chances, free.  Click here and go to the link below the "Buy the Book" button.  Zuzu's Petals is also available on Kindle and Nook.  Hardcover signed and inscribed copies are available at  www.laurenwardlarsen.com. Happy reading!