Aches & pains: sciatica, lower back, left wrist and shoulder, ankles/feet
Current reading: Thing Explainer by Randall Munroe
Recent listening: The House Song by Beta Band, Come Together by The Beatles, Money by Pink Floyd, WTF Podcast (Jackson Browne), Very Bad Wizards, Making Sense with Sam Harris, Radiolab, This American Life
Recent viewing: Mythic Quest, Mosquito Coast, Hacks, Childrens Hospital, Real Time with Bill Maher, Jazz vs. Clippers, Bucks vs. Nets, Suns vs. Nuggets, Trying, Dirty John, Lucifer
Recent playing: Mini Motorways
Recent events: Rain, real-life happy hour, WWDC, dinner at a restaurant
Recently accomplished: added edging and river rock to the south side of the house, sharpened mower blades, cleaned grill, tree trimming, learned 4 different scales on bass
Imperative To Do: ride bike, store CD boxes, contact kitchen contractor for warranty items, clean gutters, visit J&J, fix gutter leaks
It all started with the mystery wet spot in the carpet next to the kitchen. It was about 4 inches in diameter and had no apparent source.
On May 2, a post on Reddit’s home improvement sub led me to check under the dishwasher. I found water steadily dripping from one side of the dishwasher because an $18 valve had been leaking.
We removed the subfloor under the dishwasher and replaced it with plywood. I replaced the valve and began to wonder how extensive the damage had been. I imagined there was an under-floor stream that went from the dishwasher directly across the kitchen to the wet spot in the carpet. It was obvious that we would probably have to remove all of the wood laminate flooring but we had been planning that for some time anyway.
After some rudimentary attempts to facilitate drying, on May 26 I posted on Reddit asking what else I should (or could) do. One helpful user told me to call my homeowners insurance company. This advice changed our lives.
Our insurance claim was accepted on June 9 and two weeks later our kitchen was entirely enclosed in plastic with dryers and dehumidifiers running 24 hours a day. Everything had been torn out including the floor, subfloor and all the cabinetry. We had to move the contents of our kitchen and dining room to the nearby family room.
The temperature inside the house peaked at 93º despite the “bubble” surrounding the dryers. This went on through the rest of the month.
After everything was dry, negotiations between contractor and insurance company stretched over three frustrating weeks. Our original estimator left the contractor company shortly after our project began and the new estimator struggled with the regimented process required by the insurance company. On July 23, we signed a contract to have our kitchen rebuilt from floor to ceiling and it seemed like we would soon be done eating take-out on the picnic table on the deck outside and washing dishes in the laundry room.
Because the moisture had touched all the adjoining rooms – dining, family, living room/office and entryway – we got new floors for five rooms. We elected to have the same vinyl planking installed in all five. The contractor crew installed vinyl planking in all five rooms from August 3-6. They also put in new baseboards and repainted the kitchen.
No further work would be done in August as we awaited the cabinet maker but on August 11 we were able to move the stove back into the kitchen and return to eating at the dining room table. We were still stuck using the laundry room utility sink, though.
The new cabinets were installed on September 1 and 2 but we did not have counters yet.
Tina had purchased the sink of her dreams from Wayfair after we cleared it with the project manager. Unfortunately, he had made a mistake because the sink required granite counters but we had decided to use the less expensive laminate counters. After we considered an upgrade to granite, we decided to send back the sink and go ahead with the laminate. It seemed that we were close to the finish line when a strong, dry wind blew into Oregon on September 7. Two days later the sky began to darken.
Eventually the smoke from nearby fires would blanket Portland and the surrounding area for over a week. Our contractor was incommunicado during this time, further delaying the project. Eventually, we realized that they had been evacuated due to their close proximity to forest fires. The smoke cleared by mid-September but counter installation was delayed until the end of the month. In the meantime, they installed our new over-the-range microwave and moved the refrigerator back into place.
Finally, the counters were installed along with the new sink.
We had to wait a few more days for the dishwasher to be installed due to a part that had gone missing.
Five months after discovering the source of the leak, our new kitchen remodel was finally nearing completion. During the first few days of October the dishwasher was installed, the backsplash was put into place and the finishing touch was the addition of door knobs and drawer pulls.
I began shopping for a new refrigerator in November and found the perfect deal shortly before Christmas. The deal was so good that the model went out of stock for two months. It was finally delivered in February.
Current reading: Thing Explainer by Randall Munroe
Recent listening: Paul’s Boutique by Beastie Boys, Hidden Brain, Making Sense with Sam Harris, Women and Children First by Van Halen
Recent viewing: Young Wallander, Wallander, The Crown (season 4), Hinterland, Evil, Manhunt, The Professor and the Madmen, Star Wars (episodes 1-9), The Mandalorian (season 2), The Flight Attendant, The Undoing
Recent playing: n/a
Recent events: Election Day, Thanksgiving, mortgage refinance, shaved, Xmas vacation, fitted for hearing aids, bought Apple Watch Series 6
Recently accomplished: survived 2020, replaced living room couches, bought a new refrigerator (delivery pending), replaced CPAP machine, dryer duct inspection, roof replacement estimates, installed standing desk, gave away most of my books
Imperative To Do: finish unpacking boxes, transfer IRA to Vanguard, finish office re-organization, finish laundry room re-organization, finish the kitchen story, ride bike
On Thursday, October 8, I fell while mowing the lawn. I hit the back of my head on the sidewalk. I was unconscious for a short time. Tina drove me to urgent care and then to the Emergency Room at Portland Adventist Hospital. A CT scan showed a small subarachnoid hematoma had occurred in my occipital lobe. I was transferred via ambulance to the trauma and intensive care unit at OHSU where I stayed under observation for 24 hours. A second CT scan showed no additional bleeding and I was eventually released after one full day in the hospital. It’s now a few days later and I feel better. I still feel the effects of the injury but I can tell it’s getting better.
October 8, 15:56, home
I was mowing the section of lawn shown above in the red box. Where the lawn meets the sidewalk there are bricks laid sideways to form a border. The bricks are approximately 2-3 inches higher than the sidewalk. I was mowing diagonally from northwest to southeast with the distance continually getting shorter. As I finished up the section, I did not pay attention to where I was stepping. I must have stepped backwards and placed my foot partially on a brick. I Iost my balance or twisted my ankle or both. I fell backwards and the back of my head hit the concrete.
Everything went black but I was still aware. I could hear some boys down the block shouting to my next door neighbor, Bobby. I knew I had injured myself. My hands were tingling and it felt like they were raised in the air. I tried to lay them down but I couldn’t move. I also couldn’t make my eyes open.
After Bobby and the boys arrived, I managed to force my eyes open but I still couldn’t move. I might have told them that I was OK but I wasn’t. I sat up and felt the back of my head where it hurt – there was no blood which I felt was a good sign. Bobby sent one of the boys to the house to get Tina. He told her I had been “knocked out cold” when she came to the door.
By the time Tina came out, I felt the back of my head again and noticed my fingers were wet with blood. There was a brief discussion about what to do before I lurched to my feet and walked towards the house. I immediately noticed an unsteadiness in my gait. I also noticed a pain on the inside surface of my right ankle that extended 4-6 inches up my leg.
Once inside, I sat in my chair to recover. I noticed that when I moved my head and then stopped, the world seemed to keep moving as if my head was still moving. I decided I would need professional care.
16:19, Legacy-GoHealth Urgent Care
We departed for urgent care and arrived 10 minutes later. After a short wait, they informed us that they did not take head injury cases. We departed urgent care 8 minutes after we arrived.
16:49, Adventist Health Portland, Emergency Room
Twenty minutes later Tina dropped me off at the Emergency Room. Only patients and caregivers are allowed in the waiting area so I went in on my own. I described the incident to the receptionist and she told me to take a seat in the waiting room. There were a limited number of chairs and they had been arranged per social distancing guidelines. I settled into one where I waited for the next 90 minutes. Since she wasn’t allowed inside, Tina drove to 7-Eleven to get a snack for me.
Tina returned from 7-Eleven with white chocolate M&Ms, a favorite. I decided to save them for later especially since eating with the mask promised to be awkward. As I waited I noted that I could feel blood drops falling on my shoulder occasionally. I also grew a little chilled. I was dressed in a t-shirt and shorts. There was a fireplace a short distance from where I was sitting, but all the seats near it were occupied. As time wore on, I grew increasingly uncomfortable sitting in the chair but I did not feel confident in walking. I noted that my shoulders and the back of my neck were sore.
A triage nurse called my name. I went to the triage area and described the incident. Soon they whisked me away for a CT scan for my head and X-rays for my ankle. Ten minutes later, I was back in the waiting room but now the fireplace chair was available so I took it. I also took the opportunity to eat some of the M&M’s, raising my mask each time I ate a few. I inadvertently spilled some during one of these maneuvers but knew that I couldn’t risk picking them up.
19:03, Consult Room 8
I didn’t have enough time to finish the M&M’s before I was called back again, this time to a “consult” room where Tina was finally allowed to join me. They had me remove my shirt and put on a hospital gown. They also put in an intravenous line in each arm and treated my head wound, all at the same time. The vein they chose in my right arm was “blown” so they had to redo the IV in that arm. Because of the soreness in my neck, they put me in a cervical collar as a precaution. All of this was being done because the CT scan had shown that I had a small subarachnoid hemorrhage which could require surgery if it got worse. They were preparing me for a transfer to Oregon Health Sciences University Hospital where the Level One trauma center provides exceptional care for traumatic brain injuries.
19:52, Ambulance Bay
My ambulance attendant, Levi, explained that it would take about 15 minutes to transport me to the OHSU emergency room. When I arrived, he said I should be prepared for a massive number of people swarming around me because OHSU is a teaching hospital. He also explained the different procedures I should expect. After he was done, I joked that there was no way we were getting there in 15 minutes. His reply: “We will use the lights.”
20:04, OHSU, Emergency Room
19 minutes later they unloaded me from the ambulance and rolled me into the ER where everything happened as he had explained. There were least 20 people in the room with me. At one point somebody asked if I had taken aspirin that day to which I replied, “Every day!” That really changed the mood in the room because aspirin is a blood thinner and made me a “big three” which I assumed is a risk level assessment. After a bit of debate, they decided to “roll” me to examine my spine because of the neck and shoulder pain.
21:16, ER room 26
After the initial kerfuffle, they moved me to my own room temporarily until I could get a bed in the ICU. My nurse assured me that it would be soon but the conversation he had in the hall before he came in said otherwise. Tina was allowed to visit during this time and she brought a bag of essentials including my CPAP machine which allowed me to doze a little. Once an hour they would wake me for a neurological exam that included answering questions, performing simple actions with my feet and hands, and a pupil examination. I became increasingly uncomfortable because I had to lay on my back and did not have any pain meds until just before they transferred me to the ICU.
October 9, 01:30 (approximate), Richard J. Mullins Trauma and Surgical Intensive Care Unit, Room 17
A bed finally became available but visiting hours were over and Tina had to go home. After I was transferred to the ICU, a team of nurses put me in a different bed and made me much more comfortable for the duration of my remaining stay. I also got a second CT scan at this time. I dozed some but would wake for the occasional neuro exam. Each time I requested that they plug in my CPAP but that needed to be approved from someone from respiratory. The blood pressure cuff on my left arm would inflate every hour to the point of nearly unbearable pain. I had less painful cuffs on my lower legs that would alternately inflate and then deflate. As I dozed if felt like one of our cats was snuggling up to my leg.
The second CT scan showed that the hematoma had not grown which means I would be released around 18:00. I had slept some but without the CPAP I do not sleep well. A nurse asked me if I was sore and I told her my throat was quite sore from snoring and can I please use my CPAP? She hooked it up and said “it was like this when I came on shift.”
“Sitting up and eating an omelet” I reported to my family via text message. It is my first food since the M&M’s more than 12 hours ago. Sitting up made me very dizzy and so nauseous that my mouth started watering as if I was going to throw up but it passed.
My doctor concluded that there is no neck fracture and they remove the cervical collar. I also noticed that the giant “goose egg” on the back of my head has receded completely. The wound itself is an abrasion and did not require stitches. It does hurt and they give me occasional pain killers for it.
I moved from my bed to an adjacent reclining chair. I enjoyed a very bland meal of macaroni and cheese, spaghetti squash, a dinner roll and orange slices. I tried to order cheese cake but they said that it exceeded my carb allowance. I remained in the chair for the rest of my stay except to take a walk in the hall with a physical therapist who cleared me for release. My ankle hurt during the test but x-rays are negative for a fracture.
I passed the cognitive ability test with flying colors and will be released that evening. Estimates for release vary from 18:00 to 20:00.
Home with prescriptions for Tylenol and oxycodone. I took the week off from work. The healing begins.