I came back from Boston Wicked Smaaht

Ok that’s not even a little bit true, I’m still the same dumb ass I was before I went on the trip, BUT I did learn ALOT (good and bad).  It was definitely an adventure…..

If you’ve got some time I would like to tell you about it…..well about getting there and our first day in the city.

SOMETIMES the weather forecast is right

Before we left, I had been half listening to the forecast.  The forecasters said that we would be ‘blessed’ with a wintry mix of snow, sleet, and rain and temps of 26 degrees beginning 2 hours before we were to head out for the airport.   After sleeping 3 hours, I woke up at 1 am, showered, coffeed, and looked out the window.  Of course they picked THIS time to be correct….smh

We left Einstein’s house at 2 am, and headed to my house to pick Thing 2 up.  She was driving us to the airport.  (well I was driving us to the airport, and she was taking my car home)  That 20 minute drive took almost an hour….grrrrr

wintry mixok MORE coffee….(the American Airlines app, I downloaded on my phone said the flight was still on time, so we were doing this)  Driving to the airport sucked, since everyone forgets how to drive in the winter.  (It’s not like we haven’t had a long enough winter for people to relearn)  smh AGAIN.

When we got to the airport, Thing 2 ran in and grabbed a wheelchair for me.  I NEVER thought, I would be so grateful to have one.wheelchair  (Our trip hadn’t even started and I was completely exhausted.)

I won’t claim that it was perfect, but since I know the rating system affects the person driving the wheelchair directly, (he really was a nice guy) I did give the experience a perfect 😀 score on the “she has been delivered” tablet you have to sign when you are dropped off at your gate.

Security was a breeze

I probably shouldn’t say this, but the “trick” to getting through security quickly is having a bag of pee strapped to your leg.  The poor girl that had to do my pat down apologized so many times about having to “feel me up” and couldn’t comprehend what a foley catheter was, I don’t think she even noticed or swabbed the great stuff on my hands.  In hindsight, it is really scary that the people that are supposed to be providing our security are so afraid of “offending” someone, that they “overlook” certain things.  I hope I am wrong and they tested me some other way without my realizing it.  I assure you I will not be complaining to them.

Clear skies

Boarding the plane was also a breeze.  I did get a little nervous when the person sitting next to me started coughing,  (Oh no, not the plague again) but for supposedly being a full flight, she was able to move to another seat closer to other family members.  YAH ME!!  In fact, both seats next to me were empty!!!!  Double Win!  I took off my leather bomber jacket, used it as a pillow, used my sweatshirt as a blanket, and I was out.  🙂 I woke up a couple hours later in Boston, not quite fully rested, but refreshed nonetheless.

The airline had a wheelchair waiting for me as I deboarded the plane.  I didn’t get a picture of the woman driving (though I should have since she was also the one who helped me reboard on the way home and she was SO HELPFUL)  After taking us to the baggage claim area for my companions suitcase, I explained that  “according to my research” we were supposed to take the SL to the blue line and I needed to buy a ticket somehow.  “Oh no honey, you don’t need to buy a ticket, it’s all free”, she said.  Huh?  Nothing in life is free.

There are still some free things in the world

Transportation FROM the airport is free via the Silver Line and the Subway (as long as you don’t leave the station).  Who knew?!?!  silver lineWe boarded the SL1 which is an electric/gas powered bus.  It was electric leaving the airport, then temporarily shuts off to restart and run on gasoline…..WHAT?!?!?  Don’t laugh, I really had no idea such a thing existed….

We rode the SL to the end of the line and then tried to figure out which direction we needed to head on the blue line to get to our destination.

I must really have the “damsel in distress” look, because people were constantly coming up to me offering to provide help or direction.  A man and a woman (not a couple) even debated with each other which way would be easier.  The man said we should take this route…the woman directed her eyes to my cane and suggested that MAYBE, the orange line would be a better choice.  Orange line it is!.. The announcement said the the orange line would be approaching on the center platform….

Look BEFORE you leap

I heard “center platform” and crossed the tracks to head that way.  No I did not notice the train that was heading directly for me before I stepped onto the tracks.  Talk about your life flashing before your eyes….HOLY SHIT….(yah for the foley cath, since I think I would have pissed my pants without it).   No I didn’t get hit by the train, but I didn’t escape unscathed either.

Wait there is more….

So now I am standing on one side of the platform, my companions on the other.  The orange line pulls up and we need to be on that train, but how to communicate that?  I am using hand signals through the glass trying to tell them to get on the train as I proceed to board.  Once on the train, I don’t see them….Oh shit should I get off?!?!?  I try to step off the other side of the train to see if they are still on the platform, only to get my feet caught up in my suitcase or the cane and down I went.  20 minutes in Boston and I wipe out.  The upper part of my body is on the train, but my legs are hanging out the door and I can’t pull them up. 

I really am a train wreck (pun intended)

For the first time in my life, I am grateful that people don’t mind their own business. Someone pulled me into the train car just as my companions found me.  How the hell have I survived 44 years on this planet?!?  Have I mentioned GRACEful I am not?!?!still alive

I’m not done yet though…. not with my life or with this story….

We did make it to the apartment we were staying at to drop off our bags without any further mishaps.

We also found a great little pizza place.  regina

While we were eating we decided our next stop would be the Prudential Skywalk.

The UBER app can kiss my ass

Believe it or not, I did listen to the advice I was given before leaving that uber was the easiest way to get around while we were there, so I downloaded it to my phone before leaving.  After my “near death experiences” from the morning, I thought MAYBE now was the time to actually use it.  The app had other ideas.uber sucks

OH come on!!!!!!!!!  WTF?!?!?  How can it be disabled, I have never even used it before?!?!?  Visiting the website they sent me too was no help either…. Ok so back to the train…. If at first you don’t succeed try try again?  In fact I was more determined than ever to figure this “whole public transportation” thing out.  When we got back to the train station, I took a picture of the map (schedules had changed effective April 1st and new ones weren’t available yet?!?!)  I made a “new friend” who suggested that we buy a one day charlie card which would allow us unlimited use of the buses and trains throughout the city for 24 hours.

mbta helpmbta map

 

 

 

By the end of the first day, I was cold, tired, and completely worn the hell out…. but I CAN boast that I have become quite proficient at using the MBTA.  ( I still think that using a horse would have been easier)

homeless

IT RAINED ALL DAY!!!!!!  (at least it wasn’t snow though)

I took a selfie before crashing for the night.  I don’t know that I will claim damsel in distress, but definitely helpless, homeless, or in someone in need of assistance.

I’m not sure if I made an impression on Boston, but after one day, it certainly left an impression on me.

I will write more about our trip later this week,  not only did I come back from Boston with a semblance of a silly accent, but I also picked up a scratchy voice and fever 😦

 

 

 

You’re getting Botox Where?!?!?!

IN MY BLADDER

Who? What?  WHERE?!?!?…..     In your bladder?!?!? 

(Jokes about a bad connection or needing glasses)

Seriously though,  in my bladder (although some other areas could maybe use it to)

I have neurogenic bladder which is described as:

Neurogenic bladder is bladder dysfunction (flaccid or spastic) caused by neurologic damage. Symptoms can include overflow incontinence, frequency, urgency, urge incontinence, and retention. Risk of serious complications (eg, recurrent infection, vesicoureteral reflux, autonomic dysreflexia) is high.

FOR ME, personally, this means when I have to go I have to go.  Get the hell out of my way it is coming NOW!!!  Most times I can tell that I have to urinate before it happens, but not always, and just because my brain sometimes gets the message that I have to pee, it doesn’t mean it lets me know that I have to go more than 10 seconds before it starts to flow…… smh… yeah yeah “it sucks to be me” I know.

Just to keep it interesting though, my body seems to have forgotten HOW to pee.  So my brain gets the message (most times) “Hey you should probably RUN”, and I attempt to move as quickly as possible toward the nearest “facility”.  I get there, and then NOTHING!  Not even a drop sometimes!….ARE YOU FRICKING KIDDING ME?!?!?   How do you live with that?

Learning how to Self-catheterize

For starters, I self- cath.  I have included this link not only to show a “carton image” of how the whole thing is done, but because it cracks me up that even a medical site doesn’t really “get it”.  One hand to spread your labia, your second hand to insert the catheter, and your THIRD hand to hold a mirror?!?!?…lol yeah good luck with that.  Either way I have figured it out, and it helps.

I try to pee on a “schedule”, and before I leave the house, or before I have sex, or go to the store and and and.  I’ve also learned which drinks aggravate my urgency (surprisingly water is worse than coffee) but more on this at another time.

Percutaneous Tibial Nerve Stimuation (PTNS)

I’m not even going to try to explain how this works, but it does help with the urgency.  Here is a link that does explain the science behind it, if you are interested.  I’ve also copied a portion of the site here:

Percutaneous Tibial Nerve Stimuation (PTNS) is a low-risk, non-surgical treatment. PTNS works by indirectly providing electrical stimulation to the nerves responsible for bladder and pelvic floor function. During PTNS treatment, the patient’s foot is comfortably elevated and supported. Also during treatment, a slim needle electrode is placed near the nerve at the ankle known as the tibial nerve. A device known as the Urgent PC Stimulator is connected to the electrode and sends mild electrical pulses to the tibial nerve. These impulses travel to the sacral nerve plexus, the group of nerves at the base of the spine responsible for bladder function. 

By stimulating these nerves through gentle electrical impulses (called neuromodulation), bladder activity can be changed. Because this change happens gradually, patients receive a series of 12-weekly, 30-minute treatments. After the 12 treatments, when the patient’s response to therapy is assessed, occasional treatments may be needed to sustain symptom improvement.

The last time, I went for my “maintenance treatment”, (which is every 4 weeks) the nurse let me take a short video showing how the procedure is done.  I have posted it to my Youtube channel if you want to see.

Botox Injections for Urinary Incontinence

Okay FINALLY to the point of this post.  I am having surgery next week for Botox injections in my bladder. Yes fricking surgery….AGAIN!!!  The Botox website SAYS that the procedure can be done in the office, and it can, but for me it has to be surgery.  😦  I can’t really explain why.  I used to drive to Chicago (2 hours away) to have the procedure done at the University of Chicago, and then drive (albeit uncomfortably) the 2 hours home, but  I had a “falling out” with one of the doctors there about the frequency I felt I needed it and the frequency she was willing to perform the procedure so I have been having it done locally for the last 2 years.

Why does it have to be surgery?

The doctor who performs the procedure locally does not have the equipment or permission or something to do it in his office, so I have to go to the hospital.   To use the operating room at the hospital, they have to call it surgery?  I have to go through the whole sedation game and get a driver because of that.  I have asked them not to sedate me when I go, hell they can even skip the numbing part if they have to, just do it and be done, but that hasn’t worked so far :(.  So next week, I am having surgery, if I can find a ride. ( weather permitting)  What a lousy day!

Surgery will be in the middle of the day.  They will require me to get there with only one cup of coffee in my body.  (They finally agreed to this after dealing with me with NO COFFEE, it wasn’t pretty…. people got hurt ) The check in, vital taking, meeting with the anesthesiologist, (countless nurses), and some doctors too will take approximately 4 hours, and then I will come home and sleep….smh…what a waste of a day.  Oh well, it is what it is, and for me the Botox injections have been the most helpful treatment for my bladder issues.

If you want more information about the procedure ( how it’s done, what bladder conditions that it treats etc) here is their website.  If you have any questions about Botox, or PTNS, self cathing or any other bladder treatments, feel free to send me a message.  Again, I am NOT a doctor, but I have a lot of experience with testing and treatments.  ( I was part of the FDA drug trial for Botox too).  I have lots of bladder stories, including my diagnosis which I will write about later.

If you are having symptoms of bladder urgency or incontinence TALK TO YOUR doctor.  I know it’s not a “fun” topic, but there are many things you can try to not have to suffer in silence.