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Herniated Disc, Six Months Later

by @ 10:59 pm
Filed under: health,running-hiking — Tags:

It's been nearly 6 months since I was diagnosed with a herniated disc. During that time I have had to make some lifestyle changes, but looking back, the adjustments haven't been as drastic as I might have feared initially. Or perhaps I am now just used to dealing with the condition.

When I was in the throes of the torturous pain, all I could think of was that my life as I knew it had ended. There would no longer be any running, no motorcycle rides, no hiking and no getting in and out of the car without the excruciating pain. Fast forward 6 months and those dramatic changes I was afraid of didn't quite materialize. There has been some changes to be sure. No lifting of heavy objects, no fast running, and occasional pain in the lower back and down the leg to contend with. But with daily exercises, sleeping on a hard surface, and avoiding long periods of sitting, I have been able to reclaim some of the freedom I used to enjoy.

Thankfully, so far I have been able to avoid steroids shots or more drastic measures like surgery. I have done quite a bit of research during this time and realize that many people aren't as fortunate as I have been, but at the same time many others live normal lives with their herniated discs.

As far as I can tell and as explained by my doctor, the herniated mass has probably shrunk with time, relieving the pressure on the spinal cord and affording me more freedom of movement. That is not to say that I am completely pain-free. There are occasional bouts with pain and discomfort which I manage with patience and a few doses of pain killers. But generally, I have resumed a relatively normal life. The prospect of another attack is on my mind every day, but I try not to let it rule over my life.

My approach to my condition has been not to succumb to a state of hopelessness. It's difficult not to, but after accepting the situation, I decided that the best way to manage it was to continue with my activities the best I could. Ditching the bed for a thin pad on the floor has helped. So have daily back exercises and conditioning. As much as I wanted to continue with my running routine, I initially down-shifted to walking. Even that was painful at first, but as time passed I was able to slowly incorporate some jogging in my daily walks until I was ready to completely switch over to jogging. On good days, I would increase the distance to 4 or 5 miles. Currently I'm on alternate days of jogging and walking and that has been relatively steady. I have also learned not push it too far. When there's pain during a jog, I heed my body and slow down to a walk. There's no reason to be stubborn and risk paying a big penalty later on.

The point is that if you are an active person who has suddenly been struck with a herniated disc don't lose hope and wallow in grief too long. It doesn't have to be all or nothing. There's always a middle ground. Accept what has happened and then make the right adjustments to battle your way back. You may never be the same as before, but concentrate on what you can salvage rather than fussing over what has been lost.

*UPDATE: Herniated Disc - 4 Years on - Mar. 2012

Herniated Disc, on Steroid

by @ 11:03 pm
Filed under: health,running-hiking — Tags:

I saw my doctor today and the diagnosis was as I had expected. I indeed have a herniated disc. Nicely ruptured, spilling material into the spinal canal, putting pressure on the nerve. At least I have confirmed results on the source of the pain.

For now I'm on steroidal medication, Prednisone, 4 times a day. I suppose guessing the results in advance helped to ease the bad news for me. I actually went for a slow jog last night and this morning I was experiencing some moderate pain, so I had a couple of Advils in the morning to dull the pain.

My doctor was pretty nonchalant about the whole event and that gave me some confidence in my prognosis. I suppose doctors see so many similar cases that they become rather accustomed to them. Other than the steroid pills, I am free to continue to with my activities, including jogging, as long as I don't have a great deal of pain.

This week's nominal pain is nothing compared to my condition in the past couple of months, so I'm thankful for that. I know that my herniated disc will be with me for the rest of my life. But as long as the pain is kept at bay, I can live with that. It's not like I'm in my 20's anyways. This is just a part of mid-life and I have to be prepared to deal with lots more problems than a herniated disc as I go forward. That I'm sure of.

*UPDATE: Herniated Disc - 4 Years on - Mar. 2012

MRI, Back Pain, Herniated Disc, and Running

by @ 12:01 am
Filed under: health,running-hiking — Tags:

MRI, Lower Back Pain, Herniated Disc, and RunningIf you are an avid runner, you know that occasional pain is just a part of the activity. It comes in different intensities and it affects different parts of the body. Sometimes it's in the knee, other times it's in the foot, sometimes it's from a strained muscle, and other times it's in a joint.

Take a look at my recent MRI and it's not hard to tell where my pain was coming from. Even my kids had no trouble spotting it. Mind you, my doctor is yet to see this on my next visit, but odds are he'll zero in on this anomaly too.

The ordeal started about 4 months ago. At first it was a pulling and tightening sensation in my left hamstring. As time progressed it became painful, specially on long jogs and the hilly parts of my route. I would just attribute it to a strained muscle, yet strangely the hamstring was not tender to the touch. The discomfort would eventually subside, but kept returning with more intensity after each run. In my mind something was clearly wrong, but not bad enough to seek medical help.

Then 2 months later my body decided to send a stronger signal, in the form of a nasty lower back pain. I've had lower back pain before. They would normally hit me every couple of years, and eventually go away after about a week. I would just ignore them and continue with my daily activities, including running.

But this time the pain had no intention of leaving. In fact it kept worsening to a point that I could barely even walk. The hamstring pain was still there, but I was yet to connect the dots. My orthopedic doctor, however did make the connection when I finally decided to pay him a visit. An X-ray revealed no serious problems, so I was given some conditioning exercises, some anti-inflammatory medication and a follow up date.

Slowly the pain began to subside and I started to resume my normal life and running. But a couple of weeks later, just before leaving for a week-long business trip, the pain returned with a vengeance. This was the worse trip I had every been on. There I was in Miami Beach near the beach where I should have been running after work. Instead I was nursing a debilitating pain. I couldn't sit, I couldn't stand, I could barely walk, and I still had my job to do.

Things became even worse when I returned. Getting in and out of the car became a long exercise in pain. Turning in bed at night meant a certain wake-up with a piercing pain. Advil became a candy of choice in copious amounts. Finally I called my doctor again to see him before the follow up date. He discovered a distinct weakness in my left leg as compared to the right one. I believe this condition is known to some as Sciatica. He suspected a herniated disc and ordered an MRI scan, which took place yesterday.

The MRI (Magnetic Resonance Imaging) machine is truly a marvel of medical technology. It can virtually slice through the body and record images from multiple angles while the patient feels absolutely nothing, except his original pain that brought him there in the first place. Claustrophobics would certainly find the process disconcerting, as do people like me who can't hold still for even a minute. When I had to lie still in that loud coffin-like contraption for some 40 minutes, the desire to move became even more magnified. I don't know how I lasted that long, but somehow I managed to stay still the whole time. Moving around probably would have meant having to stay longer in there for re-scans, and my goal was to escape the mechanical beast as fast as possible.

At the end of the session, I was given a CD-ROM to hand over to my doctor on my next visit. I hadn't intended to browse the CD, but by the time I got home, curiosity (both technical and medical) got the better of me and I started to browse the images. Many of them made no sense to my untrained eyes. I could almost make out the position of the sliced images, but they all looked like a mass of chopped meat to me, until I got to the length-wise sliced images. As I looked closer, I finally spotted the damming evidence, which I have indicated above with a white arrow on the image. Yes, that's really my spine.

I'm no doctor (although I am a son of a darn good pediatrician), but this looks like an unmistakable culprit to me. It may be a herniated or bulging or protruded or slipped or ruptured disc, but it's easy to see how it's pinching the nerve between the L5 and S1 vertebrae. Ok, I googled their names.

Obviously my doctor will have the last word on this when I see him next week, but this evidence is hard to contradict. The good news is that I know the cause of the pain, and the bad news is that I know the cause of the pain. Could this mean the end of my running days? I don't know, at least I hope not. For now I have replaced jogging with the much gentler walking. As depressed as the thought of not running makes me, there's no need for me to dwell on it and become inactive. Life is filled with all kinds of obstacles and personal disappointments. Whatever the case here, mine can be no worse than others'.

*UPDATE: Herniated Disc - 4 Years on - Mar. 2012

Face Cream Gimmick

by @ 12:26 am
Filed under: health,marketing,microsoft,web

Microsoft's $45 billion offer to buy Yahoo has certainly intensified the online advertising scrutiny. No doubt the entire advertising industry is going through turbulent times. At $20 billion per year, online advertising is still a small fraction of the entire advertising market, but that figure is estimated to rise sharply as more people turn to the Internet for their news, entertainment, and other personal and business matters.

Indeed the cyberspace is no more immune to false advertising than other traditional methods. There are plenty of these online gimmicks around, many appearing on even reputable sites. From cars, to mortgages, to medical and beauty products, they make claims that are nothing short of miracles. And I suppose they sell well, because they seem to be everywhere.

For example, this is a before and after shot of a woman's face on an ad banner touting some miracle cream to recapture youth. I keep seeing this over and over on msnbc.com. Is this an instance of false advertising? You decide.


Face Cream Gimmick

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Back! to Jogging

by @ 1:11 am
Filed under: health,religion,running-hiking,star trek

Those who know me (there aren't too many) know that running is an addiction of mine. But just like any addiction there comes a time when a man must realize when to quit. In the immortal words of Dirty Harry, "A man's got to know his limitations." That limitation hit me in the back with a Magnum force a few weeks ago and I'm still trying to recover from it.

Running is a great stress reliever, but not when backache comes calling. This latest one came without a warning. One day I rolled out of bed and there it was. Like any addict, I ignored the pain and went about my running, but this one didn't seem interested in healing. The doctor says the spine looks normal, it's probably a bulging disc. The advice: take it easy, do some back exercises and ride it out.

So for the past couple of weeks I had replaced jogging with walking. It's not so easy kicking such a strong habit, specially one that's been a part of my life for so long. Still, walking isn't so bad once you get used to it, specially if the alternative is painful pinches. It's inevitable that if live long enough, I'd have to give up running at some point. I just hope that time is not now. Anyways, tonight I finally switched over to some light jogging and there seems to be a glimmer of hope there. The pain is still there, but it feels more subdued now.

Human body is a flawed piece of work. Regardless of the intelligent design versus the evolution debate, the human body is no work of art. I can understand that nature is imperfect, but if god is the designer, he can't be that perfect creator that religion purports him to be. He sure has a lot of learning about the KISS concept, as in, Keep It Simple, Stupid. I mean why all this complexity when he probably could have taken a much simpler approach?

Reminds me of Nomad, the perfect sterilizing machine, from the Star Trek Episode, The Changeling. This is what it said, referring to biological units (humans):

The unit Scott is a primitive structure. Insufficient safeguards built in. Breakdown can occur from many causes. Self-maintenance systems of low reliability.

Nomad, Star Trek, The Changeling

If only I could have Nomad fix my back the way he revived Scotty after killing him with a high energy bolt. But alas, Nomad wasn't so perfect itself either, and it finally met its own demise by the imperfect Captain Kirk.

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Joshua Tree National Park

by @ 9:59 pm
Filed under: health

Joshua Tree National Park - Ryan MountainIn my recent business trip to California, I took a couple of extra days to spend time with my sister. We both grew up in Iran at the base of the Alborz mountains and many weekends outside of the winter season, my father insisted that we accompany him on his hiking trips up the mountains.

I wasn’t exactly a fit kid, so I would try any excuse I could think of to get out of them. On those occasions that I couldn’t wriggle myself out I can describe the hiking experiences as a mixture of torture, sadism, profuse sweating, and exhaustion. Well, at least one of us (my sister) had my father’s pride most of the time.

Times have changed and my father’s semi-tyranny has paid off quite handsomely. If I see a mountain now, usually my first inkling is to scale it.

We hadn’t intended to visit the Joshua Tree National Park on this visit but on a quest to find a decent hiking spot, one road led to another and we ended driving to the park. We entered from the west entrance and almost from the start I was intrigued. This was my first time seeing Joshua trees with their think prickly leaves. The state park resembles the pictures beamed pack from Mars. There were huge boulders piled on top of each other everywhere in the desert and they extended all the way to the horizon.

Happily, the park was relatively devoid of crowds. On the advice of the ranger at the entrance, who collected the $15 entrance fee, we headed for the Ryan Mountain, but not before stopping for a quick walk in the desert. It’s an enthralling yet terrifying experience. There’s absolute stillness and desert beauty, yet you realize that disorientation due to heat and dehydration could lead to death. Who’s ever going find a lost person in that vastness?

Ryan Mountain turned out to be a good choice. We somehow missed the trailhead and wondered about for a bit but eventually picked up the trail further up. There are no real tall mountains in the park. Ryan Mountain, at around 5,500 feet, is probably one of tallest. It offered a relatively steep climb and at the top we were rewarded with beautiful panoramic views of the surrounding landscape and an incessant but pleasant wind. Now I know why there are so many wind farms in the area.

I would have loved to spend more time exploring this splendid place, but time was short. The Joshua Tree national park is one of those places that leaves an indelible mark on your mind. It sure made a unforgettable impression on me, leaving me with the desire to come back again for another visit.

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Healthcare and Blood Test

by @ 10:11 pm
Filed under: health

With the political party debates getting under way leading to the US presidential election, the subject of national healthcare has once again garnered some attention. In the last go-around, with the male Clinton in the office, national health insurance became a hot topic but was eventually shelved. It is a known fact that the US is the only industrialized country in the world with no national health coverage and many of its citizens have little or no health benefits. Worse yet, there are no meaningful regulations to even protect the working class. That leaves the entire nation's health at the mercy of the market conditions.

Judging by my latest experience I understand why healthcare is such a controversial topic in this country. Recently my company switched our health insurance provider to Oxford. During the introductory meeting, the Oxford representatives repeatedly emphasized that Qwest Diagnostics was no longer a covered provider and we were to use LabCorp for all medical tests to receive any coverage. It was explained that LabCorp was selected because of their superior service to patients. But it was obvious that there had been a fierce showdown between Oxford and Qwest over money and in a retaliatory move Oxford had dropped Qwest as a covered lab. The animosity between the two was blatantly palpable.

To me this was a non-issue. I have no allegiance to Qwest and In my latest visit for a regular blood work I saw little difference between LabCorp and Qwest. What struck me was the bill I received from LabCorp a few weeks later. The actual cost of the blood test was $271.00, but it was adjusted down to $26.88. That means that by being part of the Oxford network, my final bill was discounted by a whopping 90%.

I understand negotiated rates and volume discounts, but how is it that a company charges its clients so much while it can still make a profit at a 90% discount? How could they get away with charging such an outrageous rate, when they obviously do just fine at 10% of that? If I weren't insured, I would be liable for the full $271.

I might be able to accept such disparity if this was for a luxury item, but health coverage should never be considered luxury, should it? And yet, receiving this telling bill, I can understand why uninsured people skip medical care, or buckle under their mounting medical bills. Is it fair that the wealthiest country in the world has left a large portion of its population without proper medical care and the rest at risk of losing what coverage they might have?

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Digg Vs. Centenarians

by @ 12:01 pm
Filed under: health

I noticed an interesting fact about Digg's registration page today. It's a nice, clean page and, unlike some other sites that ask for everything private but the length of your nose, easy to fill out. The CAPTCHA is a challenge sometimes, but what is a site to do faced with an army of miscreants?

Anyways, the only private question there is the birthday. The day, month, and year fields are all pre-populated drop-downs. That's when I noticed that the year field runs between 1906 and 2006. So let me get this straight, a one month old infant can sign up for Digg, but a 101 year-old senior can't, unless he/she lies about their age. According to the census data there are about 55,000 people in the US with the age 100 or older. There's little doubt that the population of centenarians will continue to rise in the years ahead.

I guess the world really does belong to the young. Alright, I'm not faulting Digg here. I just notice stuff sometimes. We're all guilty of the same sin - writing off the seniors in the society. To borrow a song line from The Who, hope I die before I get old. But most likely their attitude isn’t quite the same anymore. More like, hope I die before I get really really old… well, actually, hope I never die.
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