Five-days after I last wrote in my blog there was a sloppy, snowy puddle in a dark stairwell at one of my sites. I should’ve been more careful, because a 15-year-old who I was walking out after our session fell there 20-minutes before. I helped him up. He had scrapped his shin. I thought “Don’t wear Crocs.”

Except that the stairwell is really dark when it’s overcast, so I didn’t see the puddle and fell at the base of the staircase. My leg went under and behind me. The knee hyperextended. All my weight fell on it. I had to awkwardly pull my leg out from under me. I tried to do the group that is scheduled, but my knee just kept swelling. I had to call our Human Resources Department and then get a case number and head to Urgent Care.

Although it happened on the 3rd, I had problems with the insurance adjusters. I didn’t get a MRI until the 30th. The Physician’s Assistant called me yesterday. It’s three things. Two are old things. One is brand new. I have damaged all the cartilage behind my knee cap.

I have severe osteoarthritis. This diagnosis isn’t shocking. My leg was in a full leg plaster cast for 14-months as an adolescent. I didn’t get a walking cast for a long time and then had to rehab my knee for a couple of years.

I have chondromalacia. I was born knock kneed on my left leg, and then getting hit by a car and having 7 fractures was largely unhelpful.

I will finally see the Physician on Friday. However the Physician’s Assistant told me that what is likely is that he’ll send me to the Orthopedic Surgeon for a consultation.

I’m in very good physical shape for 50. I have a realistic, yet mostly positive outlook. I think if I’m being honest with myself, it’s really a matter of timing and figuring out the best way to get a total knee replacement down the road or sooner.

It’s been very sad for me to do a super long hike quickly and then be like someone in her 70s coming back down. I am so slow with downhill anything. This issue has been going on for a long time. Now, it’s so much pain that I haven’t been able to bike to work, run on the treadmill or do the elliptical, had to quit bowling and couldn’t be on either of the kickball teams this spring.

Oof. Any thoughts?