Tag: Below Knee Amputation

  • No Witness

    No Witness

    If no one is there to witness your struggle, is it real?

    Imagine going through an amputation completely and utterly alone. No one to hug you. No one to hold your hand. No one to witness your struggle. No one to hold you while you grieve. No one to comfort you in pain. No one to bring you a glass of water. No One – literally. Not metaphorically. Not the loneliness you feel while surrounded by people, but the stark fact of objective reality. THERE IS NO ONE HERE!

    For about nine months before my amputation in May of 2016, I was living in a selfless service program, working in the café at a yoga retreat center. I didn’t earn an hourly wage; instead, I received a small stipend, as it was considered a school. In exchange, I lived in a small dorm room in the women’s wing of the ashram.

    In February of 2016, after a bone scan through nuclear medicine, I learned that I had osteomyelitis, a serious bone infection that required amputation. My last surgery was in 2012, when I had a total ankle replacement and most likely when the osteomyelitis originated.

    I chose a surgery date in May, which gave me about twelve weeks to get my life in order. I needed to move. I needed somewhere accessible and affordable, since I had been on Social Security Disability for about six years and had minimal income.

    The housing I found was about 55 miles away from the people who had become my community at the ashram/yoga retreat center in the Poconos. It was a double-wide modular home that had been divided into two apartments. I lived in the back unit, which was the original primary bedroom with an attached bathroom. That room functioned as both my bedroom and living room, and I had a small, charming kitchen. I loved the space. The only downside was the distance from my new people.

    At that time, I had been estranged from my mother for about five years and had no contact with her. Our last interactions included phone conversations in which she told me she wished I were dead because life would be easier. We stopped speaking entirely. My younger sister and I were also no longer in contact. To this day, I don’t fully understand why. I know my volatile relationship with our mother put her in a difficult position, and I understand her loyalty to our mother since she has always been close to her. However, I still struggle with the sense of abandonment.

    I was also without my second husband, though we were still legally married; we had been legally separated since 2013. I hadn’t seen or had any contact with my (step) children in over a year by the time of my amputation.

    During the twelve weeks leading up to surgery, I had extraordinary support from an older holistic pharmacist and his wife, who helped prepare me physically, emotionally, and spiritually. They gave me loving parental comfort. The surgery and recovery were the smoothest I had ever experienced: no infections, no complications, which was remarkable given my long history of surgeries with complications and infections. Unfortunately, that relationship imploded while I was still in the hospital over the use of cannabis for pain management.

    Leading up to the amputation felt like a doomsday countdown, even though I was ready to let go of the trauma, pain, infections, and toxicity associated with my leg. I had faced the possibility of amputation three times over the previous twenty years. By this point, I had been mentally ready for it for several years, and the timing felt right.

    Despite the complexity and loss surrounding that period, it was ultimately a beautiful experience of release. Still, the fear leading up to it was intense. Everything I thought I knew about amputation after twenty years of research turned out to be completely wrong.

    The night before surgery, I had a wonderful dinner with friends. We drank, laughed, smoked cannabis, and covered my leg with drawings, jokes, words, and sacred geometry. It was joyful and meaningful. I stayed that night with my favorite person.

    The next morning, Thursday, May 12, the older couple picked me up and drove me forty-five minutes to the hospital for the scheduled below-the-knee amputation of my right leg.

    I remember being taken back to surgery prep. I sat on the bed and held my tiger iron crystal; my favorite person gifted it to me, which went into surgery with me as a “religious talisman” and was placed under me during the amputation. I sat and had the most beautiful meditation before getting IV’d and all the pre-surgery procedures. This surgery was the best surgery I’d ever had—and by that point, I’d had dozens. Every prior surgery had come with complications and infections; this one didn’t. I truly believe that the drastic lifestyle changes I made beforehand, along with the support of the holistic pharmacist and his wife, made an enormous difference in my physical healing.

    Before the amputation, I did a long cellular healing hypnosis session that lasted for hours. It wasn’t recorded, so I don’t know exactly what happened during it, but I know it mattered. I also did bioacoustic healing with a budding practitioner at the yoga retreat center where I was living. I healed beautifully. My surgeon did an excellent job, and I was only in the hospital for six days.

    Three days post-amputation, I wanted to come off morphine. I had warned everyone in my life long before that morphine made me a nasty human being. My amputation was on a Thursday, and that Sunday, I told my nurse I wanted to stop taking it. She was at her portable computer, typing, and whipped her head around and said, “Are you sure?” I said yes.

    She suggested Dilaudid, and I told her no—that it was one of my allergies. She laughed and said she would have known that before giving it to me, since it was clearly listed in my chart. Dilaudid causes me anaphylactic shock—my throat swells, I can’t swallow—and it’s terrifying. She asked what I wanted instead, and I said Vicodin. She didn’t think it would be enough. I told her it would be, that it affected me the way morphine should, and that I was a much nicer person on it.

    So I switched to Vicodin. I was still receiving blood thinner injections in my stomach. None of it helped with the phantom itching (the worst), stabbing, electricity (think high voltage taser), all my new life-mates. All unbelievable mind fuckery!

    I was still on my husband’s Department of Defense health insurance—we were legally separated—and while I was still heavily medicated, a woman came into my hospital room and essentially sold me on a rehab facility. It felt like a sales pitch. She left me a brochure, and I agreed to go because it was close to the yoga retreat center, so my people could visit.

    Six days post-amputation—Wednesday, May 18—I was transported to the rehab facility in an ambulance-like transport van. When I arrived, I asked for a walker. They gave me a walker with no wheels and walked me a long distance to the back of the building, where my room was.

    It was a shared room. When I looked into the shared bathroom, I was horrified. There was feces smeared everywhere—on the walls, the toilet, the sink. I asked what the hell I was looking at. They told me my roommate was a “known feces smearer.”

    INCREDULOUS! I was six days post-op from a below-knee amputation. I was not staying there! I started hopping toward the front desk using the walker, furious, shocked, and disgusted. At the desk, they told me that if I left, it would be against medical advice, and my insurance might not pay. I told them I hadn’t signed a single piece of paperwork and had been there for seven minutes—they couldn’t bill anything.

    I asked where I could smoke. They said I could smoke in the grass near the field by the road, but I wasn’t allowed to take the walker off the porch. So I left the walker behind, hopped into the grass on one leg, and scooted myself on my butt about a hundred feet into the field. Thankfully, it was May.

    I called and texted my favorite person and a few others. My favorite person couldn’t get to me for about three hours due to work. I sat there rolling lavender, mullein, and lobelia cigarettes, desperately wanting nicotine. I had quit smoking to help my bones heal—something I’d never done before any previous surgery.

    When he finally arrived, he was panicked. I had no walker, no crutches, nothing. I hadn’t been formally discharged—I’d been transferred from the hospital to rehab, where I was supposed to receive mobility equipment. I got none of it. I made him stop anywhere so I could get a pack of cigarettes. I was not ok.

    We went back to the hospital where I had just been discharged, looking for some type of mobility device. No one would give me a walker or crutches. To this day, I’ve never officially complained about any of it, though I probably should—even nearly ten years later.

    Before my amputation, I’d attended one amputee support group, but I’d been turned off by the political tone and lack of supportive energy. Still, I called the group leader and explained what had happened—that I was going home instead of rehab and had no mobility aids. He said, “I’m bringing you a walker.” And he did. That small act was life-saving.

    We returned to my apartment, which wasn’t ready for me at all. Area rugs were everywhere. My favorite person rolled them up, cleared paths, and set me up as best he could. Later, he told me that night was the most scared he’d ever been for me, leaving me alone, fifty-five miles from anyone, with no car, no license, no neighbors I knew, no groceries, and no leg! I wasn’t supposed to be home yet. I was supposed to be in rehab for weeks.

    He eventually left, and I was alone—this was before grocery delivery, before Zoom, before all the systems people now rely on. I had no contact with the holistic pharmacist and his wife since 3 days post-op in the hospital, which made me very sad. It was just me, freshly amputated, figuring out what the fuck to do, completely and utterly ALONE!

    I have lived alone six days after my amputation, almost ten years. No witness to the highs and lows, no comfort from another human, no help—no one. The first seven months were the hardest. I often went, on average, two weeks without a visitor because my apartment was far from my friends, many of whom did not have cars. I suffered a fracture on the fibula of my residual limb, five weeks to the day post amputation, which complicated everything, including fitting a prosthetic. I was going through full menopause, divorce, and amputation all alone and simultaneously. Those months changed me profoundly: I was transformed through a combination of grace and grit.

    Show some LOVE

  • 30 years ago…

    30 years ago…

    The Blizzard of January 1996 crippled the Washington, DC area with about 20 inches of snow. January 16, 2026 will be the 30th anniversary of the events that occurred that day.

    It’s strange how the perception of events in your life evolves as you age. But this day is seared in my memory. January 16, 1996, is a date I’ve thought about nearly every day since. I was 22—beautiful, smart, and trapped in an unhealthy, toxic marriage to my first husband. We were “on a break,” as we often were.

    One of the only photos I have of myself at 22 years old.

    I was staying about 30 miles away at my ex-stepsister’s house, helping care for her newborn son. She was struggling badly with postpartum depression, and I loved and still love babies. I wanted one desperately. So I stayed with the family, night and day. I cleaned, cooked, took care of the baby, and helped any way I could—trying to be useful, trying to belong.

    That afternoon, I was scraping layers of dried hairspray off a small bathroom floor using straight chlorine bleach. The room was closed. I inhaled the fumes for at least 20 minutes. Not long after, I started drinking—something that was normal for me then.

    Later, I decided to see my first love from middle school. We hadn’t seen each other in a couple of years. Naively, I thought we’d just catch up, platonically. We had always talked on the phone and met up when we were in the same area, just as friends. He picked me up that evening and took me to his recently purchased house—impressive for a 23-year-old. We drank beer, and I had too many, as usual. I cooked dinner, because that’s who I am: deeply domesticated.

    After we ate, it became clear he thought I was there for something more intimate. I wasn’t. When I asked him to take me back to my stepsister’s, he became aggressive—not violent, but threatening enough to trigger me. We were both intoxicated. I was especially impaired, a mix of alcohol and chlorine fumes clouding my judgment.

    We argued in the car on a dark, two-lane highway bordered by massive snowbanks from the recent blizzard. I begged him to stop and let me out. He refused and accelerated. I warned him I would jump. He sped up more. The speedometer hit 60.

    I opened the door and dove out.

    I remember the sparks—my silver rings scraping asphalt. I didn’t know my right leg had struck the rear tire as the car kept moving. I landed flat on my back in the middle of Route 6, pitch black, no streetlights.

    I watched his taillights disappear in front of me. Then I saw headlights coming toward me from behind —a Jeep Cherokee. I remember thinking, I hope they see me. Thankfully, they did.

    I never saw the man’s face. He said, “I’m going to pick you up.” As he lifted me, he told me to hold something. I looked down. It was my right foot—detached, resting behind my right hip. My leg was broken completely, hanging by skin and tendons.

    He placed my legs gently into a snowbank and went for help.

    It was 1996—some people had cell phones, but not many. I certainly did not and didn’t know anyone who did. Somehow, a medevac helicopter arrived not long after. I remember the cold, the noise, the muffled sounds, and hearing someone say they were bringing in a “potential amputee.” I stayed conscious the entire time. No pain. Just in complete physical and mental shock.

    At Prince George’s Trauma Center, at least nine people surrounded me. They cut off my jeans, my sweater, and even my right boot. I complained—I loved those jeans and boots! I was drunk, mouthy, and oblivious to the severity of my injuries.

    I had a compound tibia-fibula fracture and a broken, dislocated ankle. While one trauma nurse scrubbed road rash from my back and chest, others quietly straightened my leg—snapping it back into place. I screamed louder than I ever had in my life.

    Because I’d just eaten and was intoxicated, surgery was delayed until the morning. I lay in a hallway for hours. When the registration lady brought surgery consent forms for me to sign, I hesitated—terrified of the bill. I had opted out of gap health insurance with my last employer the month before. 

    “What if I don’t sign?” I asked.

    She said, calmly, “You’ll probably never walk again.”

    I signed.

    Early the next morning, around 6:00 or 7:00 a.m., an orthopedic surgeon came in to talk to me. He had a thick accent and was incredibly kind and funny. He told me he would do his best to save my leg, put hardware in it, and hopefully get me walking again.

    At the time, I didn’t understand the severity of what was happening. I truly had no idea how bad my leg was.

    When I came out of surgery, they told me everything had gone well and that they were able to save my leg, which was what I had asked for. They showed me before-and-after X-rays. The after image showed a thick metal rod, about the width of my thumb, running from my knee to my ankle through my tibia and fibula. There were six screws in my ankle—three on each side—holding it together, and two more screws near my knee securing the rod. You could clearly see that the shattered bone, which had been completely separated, was now held in place. I remember a nurse saying to me, “Superman fell off a horse and will never walk again. You jumped out of a car at 60mph, and you WILL walk again!”

    I stayed in the hospital for only a few days. At one point, the driver came to see me and asked, “Why did you jump?” Everything was framed as a suicide attempt. It wasn’t exactly that—it was about getting away, by any means necessary. If that meant I died, so be it.

    He left, and shortly after, my husband arrived. I remember wondering how they missed each other. My husband asked what I had done and why. He didn’t know the circumstances, and I never told him. I just said I jumped out of a car going 60 miles an hour. I don’t even know if he knew who was driving.

    I was discharged after a few days, and oddly, I never went to a psych ward or had a psych evaluation despite this being a perceived, significant suicide attempt—the most serious of my life at that point. I had overdosed at 15, cut my wrists at 18, and now I had jumped from a moving car. That narrative would stand for nearly 25 years.

    I went back to my apartment with my husband, near my mother and sister, who was nine at the time. I split my time between my home and my mother’s house, healing and relearning how to walk. I don’t remember doing formal physical therapy. At 22 years old, I used a walker. A so-called friend laughed at me all the time because I was 22 with an old lady walker. It took about six months before I could walk again.

    Walking wasn’t easy. I had very little ankle flexibility, so I walked mostly on the ball of my right foot, rarely putting my heel down. Ironically, that worked out later when I wore heels at work. I was in pain for a long time, but I stayed active and lived a mostly normal life.

    You could always visibly see a sharp piece of bone pushing against my skin—it was never shaved down or smoothed. That always bothered me. I had already hated my legs most of my life. As a kid, I was bullied for being tall and thin—called names, teased for my “chicken legs.” Even in adulthood, my body was always commented on and asked if I was anorexic. I was just long, skinny, and lanky.

    The irony is that I hated my legs, and then I ended up with a painful, badly damaged, and disfigured one. The events from that day are the reason I became an amputee 20 years and four months later. That was January 16, 1996—30 years ago, next month.

    It’s been quite a journey.

    Show some LOVE