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Hello, everyone.

How's it going?

My name's Andrew, and it's great to be back here with you for another edition of Simplified Speech.

Simplified Speech is the Q -Lips series, which features clear, natural, and easy -to -understand English conversations between native speakers.

Today, in this episode, I'll be joined by my co -host, Indiana, in just a moment,

and we're going to talk about a bit of a difficult topic today, to be honest with you guys.

I think this is kind of pushing the boundaries of simplified speech.

We're getting into a little bit of a tricky topic, but don't worry.

We're going to do our best to explain this topic as we go through it along the way.

And of course, there will be a helpful study guide available for this episode as well.

And our topic for today is about an operation that Indiana had recently.

Now, as a runner, this is one of my worst nightmares.

Indiana is also a runner and she recently, over the last year or so, was injured while running.

Well actually, it wasn't a running injury per se, but it started and she noticed it because of running.

And so this injury was something that was very, very painful to her and could only be fixed by having surgery.

So she's going to join us here in a minute

and she's going to tell us about the whole story about how she was injured, about her surgery and going to the hospital,

about the recovery and rehabilitation process post -surgery.

And also she's going to tell us a little bit about the healthcare system and the medical insurance system in the USA.

So as I said, it's a little bit of a difficult topic for today, but I think you can do it.

And as I mentioned, there's a helpful study guide for all QLips members to accompany this episode.

And also guys, don't feel ashamed ever if you need to listen to an episode more than once.

It's not like you have to listen only one time and then perfectly understand everything.

Nobody can do this when they're learning a language.

In fact, repetition is extremely helpful when we're learning English and building our English fluency.

So absolutely no worries if you have to listen to this episode more than once

or or several times or a hundred times, it's okay.

And it will all help you in the end.

A few announcements before we get started here for you.

The first announcement, this is really exciting actually, and something we're going to do more and more often here at QLips.

And that is, this is a fully video episode.

So we'll put the video for this on our YouTube channel.

Of course, if you prefer to listen to audio only, that's cool.

No worries at all.

We've always up until now been mostly an audio only podcast, but going forward, we want to give people that option.

If you want to listen to audio, we got you covered, but if you'd rather watch the video

and some people prefer to maybe watch a video so you can see our mouths move as we speak, right?

Visual clues like that are an important part of learning how to say words in English and English pronunciation.

So if that's your goal, or if you just want to see what we look like

and how we move our bodies and our gestures and all of those visual cues that come with speaking English,

then you can check out the fully video version of this episode that we'll put on our YouTube channel.

And I'll link it in the description for this episode as well.

So you can easily find that.

So yeah, exciting news.

I think video episodes, we're going to try and do more and more of these at QLips going forward as well.

And this is the very first simplified speech episode that's video only.

So that's the first announcement that I have for you.

The second announcement is about QLips membership.

If you are a QLips member, then you'll get that helpful study guide that I talked about just a moment ago.

You'll also get an interactive transcript for this episode.

You'll get a comprehension quiz and you'll be able to join the speaking classes for this episode as well.

Each week we have three speaking classes for QLips members

and it's a great opportunity for you to to meet with other members of the QLips community

and to practice your English speaking.

It's really, really fun.

If you haven't tried it yet and you are a QLips member, I'd really invite you to join us for one of these speaking classes.

They're a lot of fun and super, super helpful for improving your English fluency as well.

So you'll also get what as a QLips member, ad free audio, our member only series, the fluency files and so much more.

There are tons of resources and tools that we've created to help you hit the next level with your English fluency.

So sign up and become a member today for a really affordable price.

And you can get that study guide.

You can join our speaking classes and more.

So just visit our website, QLips .com to sign up and become a member today.

Well, I think it's time for me to be quiet and we're going to invite Indiana here to the show.

And she's really the star of this episode, everyone.

It's her story.

And I am just sort of interviewing her to get some facts and details about the story from her.

So without any further ado, let's invite Indiana on to the show here and we'll get started.

I don't want to say that I hope you enjoy this episode

because talking about a medical issue and surgery is not the most pleasant topic, but it's a real life episode.

This happens to real people in real life, and it's important that we learn how to talk about it in English.

So I don't think you will necessarily find this to be a funny episode or a fun episode,

but I hope it will be a helpful episode for building your English fluency about this kind of everyday medical topic.

So yeah, without any further ado, let's welcome Indiana to the show and we'll get started.

Here we go.

Joining me now to talk about her recent surgery and operation is my co -host Indiana.

Hey, Indiana.

How's it going?

Are you doing okay?

I am doing okay.

I'm about a little over a month post -op, so following my surgery in December.

Yeah, I'm feeling pretty good.

How are you, Andrew?

I'm doing very well as well.

And I don't want to say that I'm excited to talk about this topic

because it's never a good thing really to have to go under a big medical operation procedure surgery like you did.

But I'm intrigued and I'm curious about it.

And since you're doing okay, I think it's going to be an interesting discussion that we'll have about it.

And I think this will be the first of its kind on Q -Lips because I've never had a surgery before.

And I don't think we've talked about any of them on the podcast.

So this is going to be great.

Something a little bit different and new for our listeners out there as well.

So, Indiana, thank you for being so open and talking with us about it.

I guess we should start at the start.

And maybe I'll let you just tell everyone about what kind of operation you had and why you had to have it,

those kind of background details.

Could you fill us in on the backstory?

Absolutely.

So to start, I should say that I run.

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I go on jogs for exercise.

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That's like a sport that I do casually.

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And I've been doing that for many years.

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And then in November 2023, I started to have a weird pain in my leg during a run.

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It was kind of on the inner thigh area.

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And it wasn't a strong pain, but it was definitely unusual.

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It was out of the ordinary.

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So I, you know, I just kept experiencing it

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when I went on runs and I would cut my runs short

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and eventually I was like okay maybe this is not just a normal injury

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or a sprain a strain you know I'm not just overusing the muscle

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and um so as I said that was November 2023

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and after many many visits with urgent care orthopedic doctors so that would be the doctors that treat bone and joint concerns,

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physical therapists having MRIs or one MRI really,

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I eventually learned that my problem was a tear in my labrum.

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So I know we're going to have a lot of medical vocabulary in our discussion.

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I'll try to keep it as simple as possible.

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But that is the labrum is a ring of cartilage in your hip socket.

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So it basically cushions where your leg bone, your femur, where it sits in the hip socket.

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And there was a tear in that ring of cartilage.

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And the problem with this injury is that there's

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so little blood flow getting to that part of the hip joint that it really just doesn't heal on its own.

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And if it's left untreated, it could lead to arthritis, which is that inflammation of the joint,

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which is a really bad issue that you don't want to have to deal with.

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So eventually I learned that the best option for me would be to do a surgery to fix this torn labrum.

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Indiana, let's just take one little step back to

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and explain a really common body part word that everybody should know because it is just a really common one,

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but it is a little bit difficult at the same time.

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That word is cartilage.

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Could you.. break that down and explain it to us?

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What is cartilage?

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So cartilage is like this soft tissue that connects parts of your body.

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You could touch your nose and feel between the nostrils, there's a bit of cartilage between the skin there.

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So that is one of the places in your body that has cartilage, right?

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So this is just a ring, this ring of cartilage in my hip.

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It's not bone, it's not muscle it's a little bit different

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but it's a the soft connective tissue

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and in this case acting as a cushion in the hip yeah

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this is like my worst nightmare as a runner come come to life for you

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so I'm sorry that you had to go through that it's interesting

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that you said

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that you were feeling the pain in your leg where did you say it was in your calf

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that you were feeling the pain, but it was actually a problem with the hip?

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Inner upper thigh area.

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Yeah.

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And that is part of the problem with this injury is the pain can show up in all sorts of different areas.

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Like it could be near the hip or near, you know, your, your, um, glute or your, your, you know, butt area.

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It could be closer to that, uh, upper thigh that I experienced it.

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It could even go down closer to your knee, like all the way down your neck leg.

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So it's quite difficult to identify this, uh, this injury.

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And yeah, I spent a lot of time treating it as

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if it was a different kind of injury before I had an MRI.

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So how long did you spend just like YouTubing it and searching on the internet,

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trying to find out what kind of common runner's injury you had

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and trying some of these different exercises before you're finally like, I don't think that's it.

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I should go to the hospital and get it checked out.

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I think I spent because, well, part of the issue is to get approved for

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and then schedule an MRI can take quite some time in the US.

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I suppose it depends where you are.

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But I think I was spending five or six months before I had the MRI,

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just trying to figure out what it was and treating it with physical therapy or seeing different specialists.

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Yeah.

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I even went to my gynecologist in case it was somehow related to something not about my muscles or anything like that.

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I was absolutely at a loss for what this injury could be, what this pain was.

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And a gynecologist is a specialized doctor that specializes in women's health issues, right?

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Gynecologist.

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Exactly.

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I'm glad at the end of the day, after this period of five to six months, you were able to diagnose correctly what was happening.

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And were there any other treatment options on the table available for you?

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Or was the doctor like, you must get a surgery.

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This is never going to heal on its own.

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It's kind of the only option was the operation?

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Well, so there's a few schools of thought about this injury, and that just means that there's a few different common opinions about it.

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I went to a surgeon, and in his opinion, the best thing to do

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if I didn't want to get arthritis when I'm 40 or 50 was treat this with surgery.

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But he did say, you know, you should try your best to at least give physical therapy more of a shot if you want.

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He didn't want to sound too eager to do this surgery.

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So I did, after him, I tried physical therapy for like, yeah, another five months, just to be sure, another four months.

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And my physical therapists, one of them had this same injury.

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And she said with physical therapy, she was able to exercise and live pain -free.

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So I think another common opinion about this is if you put in the work and you do all this physical therapy,

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you can live your normal life with your sports and exercise and not have pain.

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But I decided, okay, let me get another opinion from a surgeon.

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And he just had the same exact opinion as the first surgeon.

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Like, sure, maybe you can live pain -free, but you will still slowly be wearing down this injured cartilage and it will cause arthritis us eventually.

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And so I was like, okay, I'm not completely pain -free yet after four months of physical therapy.

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It did help with the pain, but I wasn't completely pain -free.

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So I said, okay, I'd better just do this surgery at this point.

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Were you experiencing any pain outside of running?

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Was it only painful when you were running

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or was it bothering you just as you were going about your daily activities as well?

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Yeah.

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In the beginning, like at the end of 2023, beginning of 2024, it was constant.

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Like it was affecting my sleep.

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It was just a constant painful ache.

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And, you know, people often will talk about pain on a scale of one to 10.

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Right.

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You know, when you go to the doctor in the US or I'm sure in many countries.

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Right.

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How is how bad is your pain?

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And it was always floating around like a four or a five even.

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Yeah.

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And then sometimes it would get worse to like a seven out of 10, I would say.

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So pretty bad in those early days.

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It was really, really frustrating.

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But, you know, through physical therapy, yeah, as time went on,

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it basically got down to like a zero sometimes or like a one or a two out of 10.

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There was a significant impact of the physical therapy.

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But yeah, just thinking about the long term consequences, I decided I should do this surgery.

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Well, definitely you did the right thing in getting a second opinion.

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It's always good to get a second opinion and to consult with different doctors and with your physical therapist as well.

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So you did the right thing.

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And yeah, you made the difficult decision, I guess, to go ahead and get the surgery.

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So I'm curious in my country, in Canada, you know, we have a health care system that is so -so in Canada.

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It is like healthcare for all, so you don't really have to pay out of pocket.

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It's covered.

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The government covers surgeries and stuff like that.

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So that's good.

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That's the nice part of the medical system that we have in Canada.

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The bad part is that the waiting lists are really, really long.

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And so sometimes you have to wait.

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I mean, it really is case by case depending on where you live, what kind of operation you need, how serious it is.

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If it's a life or death situation, then sometimes you're able to go first, right?

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You go to the front of the line, but maybe a situation like yours, Indiana, you'd sort of be waiting for a couple of years.

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So what about where you live?

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Did you have to wait a long time from once you made

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that decision to get the surgery and then actually have the operation, or was it a pretty quick fluid process?

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Yeah.

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So in this case, it wasn't too bad.

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When it came to scheduling the MRI, that scan that I needed to figure out what was going on, that did take a couple months.

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And of course, you know, you said a couple of years for some things in Canada,

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that's quite a difference, but that did still feel like quite a long time to me in that moment, right?

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I thought, you know, it's just an MRI, right?

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But the surgery itself, I could have scheduled about a month out,

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but I ended up scheduling it a few months away from

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that time when I got that second opinion because my husband has a guaranteed week off at the end of the year.

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And I knew that after the surgery, I would definitely need a lot of help around the house

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and I didn't want him to have to take an extra week off there.

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So yeah, I just kind of aligned it with like a good time at the end of the year to,

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you know, not be working and things like that.

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So you made the decision to get the surgery.

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You had it scheduled.

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Tell us about what it was like a few days before the surgery, knowing that you would have to go through that process.

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What was your thought process like?

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Were you feeling nervous or confident?

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What was the buildup to the surgery like?

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Honestly, I was so scared.

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I think I was being a huge baby about it.

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I think I would be too.

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A lot of medical anxiety.

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Yeah.

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I think mainly because of the sedative, sedation or anesthesia.

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So, you know, when you're given something in an IV drip or perhaps an injection to calm you down,

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make you feel sleepy or actually put you sort of to sleep.

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that just that idea scares me so much.

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Like, what if I don't wake up?

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What if something goes wrong?

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I think that was the scariest part.

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But yeah, for the other part of the surgery, I wasn't too scared.

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I thought, you know, I can sure I can manage the pain.

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I've been managing pain all year.

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So that part wasn't too scary for me.

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Okay.

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And did they put you fully to sleep or was it just a localized anesthesia?

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And maybe we should break down these expressions and these terms as well.

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If you put someone to sleep, it means that they give you some drug or some medicine that makes you unconscious, right?

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A lot of surgeries are done that way, so you don't feel the pain.

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And a local anesthetic is just when one part of your body is numbed, right?

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So that you can't feel it, but still you're consciously awake and yeah, you're, you're with it, right?

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You're, you're conscious.

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You can, you're still awake essentially.

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So those are two different types of options.

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What was your option?

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Were you local or fully under?

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So I wasn't fully under and I think, yeah, if you're fully under, you probably have a breathing tube and you're completely unconscious.

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What happened for me was I had an IV drip, which, you know, saline solution, just some basic, basic drip into your veins.

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You get injected with a needle there and a needle inserted.

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And they added a sedative to that IV drip, which, so I wasn't asleep.

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I wasn't unconscious, but it made me feel very calm.

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And in fact, I don't remember after like five minutes of this IV drip, I don't remember anything.

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So it basically made me quite loopy and calm and, and, you know, out of sorts.

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I suppose I was talking to the medical staff, but I don't remember a word of my conversation,

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which is great for me because then they injected my spine with another local, like you said, local anesthetic.

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And just the thought of that freaks me out so much.

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I really don't want a needle in my spine.

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So I'm very thankful that I don't remember that part.

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Yeah.

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A little bit scary, but you made it through, right?

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And the operation was successful in the end, I assume?

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It was.

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And in fact, now a little bit more medical vocabulary here

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so the reason that I had the labral tear this this tear

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and the cartilage in my hip was

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that I had a deformity of the top of my femur so that's the bone in your thigh your upper leg

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and so this is a little bit gross but as part of the surgery so because of that deformity it doesn't,

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the bone doesn't sit properly in the hip.

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And so that wear and tear, it caused that break in the labrum.

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The surgeon had to shave down the bone to make it the normal size.

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Horrible to think about, but that was part of the surgery ultimately.

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So in addition to stitching up that labrum, I had my bone shaved down.

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So your bone was too big then, I guess.

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Exactly.

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That was the deformity.

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Oh, interesting.

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Okay.

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Was it just like that on one side or do you think it's maybe like that on the other side as well?

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That's the bad news as well.

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So if it's like that on one side, it is going to be like that on the other side.

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So it is possible that later in life,

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this same injury is going to happen to me and I will have to do this surgery on the other side,

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which is really depressing, but I've done it once.

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So I know what it's like it'll be less scary and hopefully it doesn't happen soon.

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Yeah.

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But if I, if I continue to run, which I would like to, uh, yeah, I guess I just need to really work on my form

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and try to strengthen some muscles to minimize the impact on that joint, but I might just injure the other side in the same way.

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So that's a shame.

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That is a shame indeed.

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Okay.

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So you had the surgery.

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Tell us about that one week after.

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You said your husband was off work for that week, so that's great.

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He could take care of you and be your personal nurse, I guess, taking care of you for that week.

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Was it pretty painful afterwards?

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How did you deal with pain management in the immediate week after?

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It was definitely painful, but it wasn't too bad.

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I was prescribed several different kinds of painkillers.

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So there's the anti -inflammatories.

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In the States, you know these as ibuprofen or Aleve, naproxen sodium.

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So, you know, just throwing these words out there because, yeah, you'll often see those on the shelf.

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And I also was prescribed an opioid.

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So that is a type of drug that mimics opiates.

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So as a very relaxing effect, and you have to be extremely careful with those because if they're misused, they can be quite addictive.

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But both of those really helped with my pain.

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And yeah, I only took the opioid for about a week.

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Yeah.

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And it really was not too bad that with those medications the first week, the pain was totally, totally manageable.

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Okay, that's good.

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And I imagine you were pretty much bedridden.

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Like, I couldn't imagine you were up and walking around.

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Did you have a wheelchair or some crutches?

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Or were you just lying down?

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What was that like?

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I was expecting that I would be stuck in bed all week, but really, I did have to use crutches,

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but I left the hospital the same day after the surgery, and I just kind of sat on the couch in a comfortable position all week,

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and yeah, I used my crutches to get around.

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In fact, I had to use crutches for about three weeks after the surgery, so that got old after a while.

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It became quite annoying to use those and try to do daily activities.

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But, you know, part of the process.

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Did you binge watch anything while you were just hanging out on the couch for the first little while?

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Oh, boy.

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Yeah, I watched so many movies.

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And I was actually also playing a lot of video games.

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I was playing a game called Ghost of Tsushima.

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And so that's like a cool game about a samurai.

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And then I started

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Black Myth Wukong, which is about some Chinese mythology.

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I wonder if some of our listeners are familiar with these games or not.

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Both of them are great.

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Yeah, wonderful game.

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So I was gaming while I was recovering.

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Well, that sounds okay.

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The gaming sounds okay.

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What about going forwards in the rehabilitation process?

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You said you would like to run again sometime in the future.

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So I imagine that it's going to take a little bit of time before you're able to do that.

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Are you going to physical therapy or are you supposed to do some special exercises

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or anything to make sure that your leg is as good as new again?

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Yes.

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So I've started physical therapy.

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I did a few weeks in a pool doing exercises

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and range of motion activities in the pool and now I've moved on to land.

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Yeah, so there's just a lot of stretching and strengthening that's required to, of course, there was some muscle loss during the surgery and the recovery.

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I was sitting on my butt all day on the couch, but yeah, so to get it back to normal,

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I definitely need probably at least three months of physical therapy, if not more, but I have a really wonderful physical therapist that I really like,

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and I will be returning to her for, you know, getting her insights on how I can safely return to running.

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And because I think she really had a great understanding of my gait.

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And that's the way that you walk or the way

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that you run sort of your form and the problems that might have contributed in addition to this bone deformity to this,

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you know, this injury.

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So I look forward to, you know, being examined by her and working on some strategies to run perfectly.

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I'm not sure, Andrew, how much you pay attention to form, but yeah, this has been such an educational thing for me.

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I was doing things wrong that I did not realize were so wrong. So yeah.

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I'm sure I'm doing things the wrong way as well.

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I have, I had a little bit of tendonitis recently in my ankle and thankfully it's gone away,

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but it was bothering me for like four or five months.

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And that started to make me question my form a little bit.

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And so I did a little bit of research into that and I've been trying to make some adjustments, but it's hard.

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You know, you just, you've been running a certain way your whole life essentially.

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And then it's like, nope, that's not the right way.

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You got to change it up.

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It's hard to make those adjustments.

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Yeah.

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Yeah.

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Getting the advice of an expert would definitely be helpful in that regard.

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Indiana, I'm curious about if you thought about maybe switching sports.

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Probably you hear this comment all the time because I know as a runner too, non -runners, they always tell you like,

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you know, you should probably not run in the future.

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You're going to get arthritis or you're going to have knee pain or back pain or something like this.

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And I hear comments all the time from my non -running friends who just don't get it.

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But as a runner, I totally get it.

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And if I were in your situation, I would be pretty heartbroken.

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I think that I'd have to give up running for such a long time.

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Now, if I were you, I probably would be exactly the same.

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I'd be like, I'm going to do the work.

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I'm going to do the exercises, the rehabilitation so I can start running again but I have to ask

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because probably a lot of listeners are curious have you ever thought about just being like okay running's done

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I'm just going to swim from now on

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and I won't have to worry about injuring myself or anything like

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that have you thought about switching sports yeah

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so my the second uh surgeon

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that he actually did my surgery he was saying you know runners don't like to hear this

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but with this kind of injury and you know it's the same on the other side if you have this bone deformity.

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you know, it's probably going to happen again and you really shouldn't run.

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And he was like, I know that you're probably not going to take my advice.

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You're probably just going to run.

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But if you can not make it your main sport

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and it could maybe be what you do a quarter of the time, you know, 25 % of the time, 20 % of the time,

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then that would be good.

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And it's still very hard to like wrap my head around that reality.

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So I don't know what I'm going to do yet.

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I definitely want to run because it was truly like my mental health release.

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It like helped me de -stress.

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I slept better when I was running.

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And like no other sport is as easy to get into, I find.

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Like I can just, you know, do some stretches and get out my door with running.

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Whereas swimming, I have to drive to the pool.

426

I have to shower multiple times from the chlorine.

427

Maybe I'll get into biking.

428

But even that is, you know, there's a little bit of that barrier to entry.

429

It's a little hard to get started.

430

You have to find a trail.

431

You try not to get run over by a car.

432

So the answer is, I don't know, but I really do want to run.

433

So I'll probably, you know, continue to at least do it sometimes.

434

Yeah.

435

Although I've heard this is how triathletes are born.

436

And if you're a triathlete, it means that you participate in a triathlon, which is swimming, running, and cycling.

437

And so many triathletes, actually, they start as runners, and then they get injured, and they have to do something while they're recovering.

438

So they start either cycling or swimming, and they get good at that.

439

And then they're like, okay, now I'm recovered, I can run again, but I'm also a good swimmer, or I'm also a good cyclist now,

440

So I might as well just start being a triathlete.

441

And I think that's how many triathletes get their start.

442

So maybe that'll happen to you as well, Indiana.

443

But I completely understand the barrier to entry to get into some of those other sports.

444

Now, quickly here before we wrap things up, I would like just to ask you a little bit about the healthcare system in the United States,

445

because I know it's really different state by state by state.

446

And also we hear so much about this on the news.

447

Of course, America is always on the news and even people who are not American like me,

448

we know a lot and hear a lot about the American healthcare system.

449

So since you just had this really close up insider's perspective on this,

450

maybe you could tell us a little bit of information about what it was like to navigate that situation.

451

Yeah, definitely.

452

I think our healthcare system is very,

453

can be very frustrating with especially the communication between medical providers and private healthcare.

454

Like, I remember with my MRI, I scheduled the MRI, but they warned me at the office.

455

They said, you need to contact your insurance to make sure

456

that they received this request and it's all approved because we can't really schedule it until, you know, we have it tentatively in the calendar,

457

but it's not going to be scheduled until it's approved by your insurance.

458

So we're sending them this form.

459

They can review it.

460

So just give them a call and see, you know, if they get it, they should get it in a couple of days.

461

And I swear I was calling the insurance like every single day for two weeks.

462

And they're saying, no, we didn't receive the form.

463

You have to call the medical provider and have them resend it and this back and forth for weeks.

464

And it just felt so ridiculous that I was stuck doing this.

465

And I thought if we just had one health care provider, like health insurance, public health, like, oh, that would be so convenient from this perspective.

466

There's not this bureaucracy.

467

There's not this miscommunication and finger pointing like, no, actually, it's the doctor's office's fault.

468

No, actually, The insurance isn't responding.

469

So that was just one of the sort of negative experiences with dealing with the American health care system in this case.

470

And another thing which is tough, you know, I have private insurance through my husband's work.

471

So I'm very thankful for that because it opens up a lot more options.

472

You know, then if I was paying, I think, through.

473

Like a state, a state paying a state premium.

474

but there's a deductible.

475

Now this is also getting into some tricky vocabulary, but this is great to know.

476

There's a very high deductible for this health insurance.

477

So what that means is

478

that the health insurance provider is going to pay for what you need after

479

you put in this initial amount of money for the year.

480

So it could be thousands and thousands of dollars

481

that you are initially paying out of pocket and then if you have some major, major expense.

482

after you meet that deductible, the rest can be covered by the health insurance provider.

483

So that's just kind of annoying because you think, oh yeah, I have health insurance, but you're still paying exorbitant, very, very high medical costs.

484

So that's another kind of issue that I often hear about and experience this year.

485

Could you give us a ballpark, just because I know healthcare is so expensive in the USA.

486

If you did have to pay out of pocket, if you didn't have insurance, how much approximately would the surgery have cost you?

487

Did your hospital give you an invoice for the surgery or maybe they just send that right to the insurance companies?

488

I don't know.

489

Do you have a ballpark about how much that would cost?

490

I do think I have I received like the breakdown the information

491

this is what was covered this is what you're paying out of pocket um

492

and by the way even after I met my deductible I was paying a lot out of pocket

493

so it's I don't know it's ridiculous

494

but I don't know it could have been maybe close to eight

495

or ten thousand dollars all together um but I yeah don't quote me on that but something a little close to that.

496

Yeah.

497

Yeah.

498

Cause I need, I would need to review my breakdown of expenses, but yeah.

499

Very expensive, but actually a little bit less than I was expecting.

500

So maybe it's not as bad as I thought it was.

501

Sometimes you just see the extreme cases on, on social media when people post their hospital bills and I'm always shocked at how expensive it is,

502

but yeah, well, at the end of the day, you got the surgery, you're on the road to recovery.

503

And you have this story to share with everybody about how you were brave

504

and you were a badass and got the surgery done.

505

So thank you for sharing that with us today.

506

Yeah.

507

Thanks for having me on to discuss it.

508

It's therapeutic to talk about my experience.

509

That's good.

510

All right.

511

Thank you, Indiana.

512

Thanks, Andrew.

513

okay everyone

514

that brings us to the end of this episode thank you for listening all the way to the end

515

and again a special huge thanks to indiana for sharing her story with us

516

and we're all wishing indiana a quick

517

and speedy recovery i hope she's out there running sooner than later

518

and i hope

519

that she never has any of these medical issues in the future we'll cross our fingers for her Don't forget

520

that there's an interactive transcript and helpful study guide available for this episode for all Q -Lips members.

521

And also don't forget

522

that we have a Discord community where you can chat about this episode with other Q -Lips listeners from around the world, just like yourself.

523

And Indiana is also on our Q -Lips Discord server as well.

524

So that if you had a question for her, if you wanted to ask her a question or leave her a comment,

525

maybe you could say, Indiana, feel better soon.

526

speedy recovery something like that

527

if you want to leave a message for her then our discord server is the place to do

528

that as well the link to join the discord server

529

and it's free for everyone to join is in the description for this episode well guys

530

i think that's it for us today here at qloops

531

but we'll be back soon with another brand new english lesson

532

for you very very soon we'll talk to you all then goodbye

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Từ vựng và ghi chú luyện nói cho bài học này

Bài luyện nói này dựa trên video “Real English Conversation: Talking About Surgery”. Những từ được nhắc lại nhiều nhất trong bài: episode, Culips, English, member, topic. Video này có 3 câu và 1090 từ để luyện shadowing. Phần lời nói dài 38:34. 86% số từ nằm trong 3.000 từ tiếng Anh thông dụng nhất; phần còn lại nên xem trước khi luyện.

Từ vựng quan trọng trong video

15 từ đáng học trong video, kèm phiên âm và nghĩa:

Từ	Phiên âm	Nghĩa
topic danh từ	/ˈtɑpɪk/	chủ đề
helpful tính từ	/ˈhɛlp.fl̩/	hay giúp đỡ
audio tính từ	/ˈɔ.di.oʊ/	âm thanh, âm tần
announcement danh từ	/əˈnaʊns.mənt/	thông báo
invite động từ	/ɪnˈvaɪt/	mời
runner danh từ	/ˈɹʌnɚ/	người chạy
quiz danh từ	/kwɪz/	đố vui
everyday tính từ	/ˈɛvɹiˌdeɪ/	hằng ngày, thường ngày
membership danh từ		số hội viên
resource danh từ	/ɹɪˈzɔːs/	tài nguyên
painful tính từ	/ˈpeɪn.fl̩/	đau đớn
ton danh từ	/tʌn/	tấn
affordable tính từ	/əˈfɔɹ.də.bəl/	phải chăng
pleasant tính từ	/ˈplɛz.ənt/	dễ chịu
nightmare danh từ	/ˈnaɪt.mɛɚ/	ác mộng

Cụm động từ bạn sẽ nghe

Từ	Nghĩa
check out động từ	tính tiền, trả phòng

Ngữ pháp trong video

Những cấu trúc người nói dùng nhiều nhất, kèm đúng cụm từ trong video:

Cấu trúc	Trong video
Câu điều kiện if + mệnh đề, will/would + động từ — điều kiện và kết quả	if I were you, I probably would be
Thì hiện tại hoàn thành tiếp diễn have/has been + -ing — việc bắt đầu từ trước và vẫn đang tiếp tục	I've been doing · I've been managing · I've been trying
Thì hiện tại hoàn thành have/has + quá khứ phân từ — việc đã xảy ra nhưng còn liên quan đến hiện tại	haven't tried · we've created · I've never had
Câu bị động be + quá khứ phân từ — nhấn vào việc xảy ra, không phải người làm	be joined · was injured · be fixed

Phát âm cần chú ý

Người nói dùng 30 dạng rút gọn, ví dụ we're, you'll, don't. Hãy nói theo dạng ngắn đúng như bạn nghe.

Âm “sh” và “zh”: ashamed /əˈʃeɪmd/, rehabilitation /ˌɹiː.əˌbɪl.ɪˈteɪ.ʃən/, comprehension /ˌkɑmpɹɪˈhɛnʃn̩/, pronunciation /pɹəˌnʌn.siˈeɪ.ʃən/, repetition /ˌɹɛp.əˈtɪʃ.ən/
Từ dài — đặt trọng âm cho đúng: interactive /ˌɪn.tɚˈæk.tɪv/, necessarily /ˌnɛs.əˈsɛɹ.ə.li/, affordable /əˈfɔɹ.də.bəl/, rehabilitation /ˌɹiː.əˌbɪl.ɪˈteɪ.ʃən/, accompany /əˈkʌm.pə.ni/

Những âm người Việt thường gặp khó:

Cụm phụ âm cuối — đọc đủ từng âm, đừng nuốt âm cuối: announcement /əˈnaʊns.mənt/, transcript /ˈtɹæn.skɹɪpt/, pleasant /ˈplɛz.ənt/, podcast /ˈpɑdˌkæst/, ashamed /əˈʃeɪmd/
Âm /tʃ/, /dʒ/ và /ʒ/ — tiếng Việt không có, đừng đọc thành “ch” hay “gi”: gesture /ˈd͡ʒɛs.t͡ʃɚ/, injure /ˈɪn.d͡ʒɚ/
Âm /æ/ — mở miệng rộng hơn âm “e”: interactive /ˌɪn.tɚˈæk.tɪv/, transcript /ˈtɹæn.skɹɪpt/, podcast /ˈpɑdˌkæst/

Cách luyện với video này

Nghe hết video một lần, chưa cần nói, và ghi lại những từ bạn chưa biết.
Nói đuổi từng câu ở tốc độ bình thường, lặp lại mỗi câu đến khi nhịp của bạn khớp với người nói.
Ghi âm giọng mình rồi so với bản gốc, chú ý các từ như topic, helpful, audio.

Phương Pháp Shadowing Là Gì?

Shadowing là kỹ thuật học ngôn ngữ có cơ sở khoa học, ban đầu được phát triển cho chương trình đào tạo phiên dịch viên chuyên nghiệp và được phổ biến rộng rãi bởi nhà đa ngôn ngữ học Dr. Alexander Arguelles. Nguyên lý cốt lõi đơn giản nhưng cực kỳ hiệu quả: bạn nghe tiếng Anh của người bản xứ và lặp lại to ngay lập tức — như một "cái bóng" (shadow) đuổi theo người nói với độ trễ chỉ 1–2 giây. Khác với luyện ngữ pháp hay học từ vựng bị động, Shadowing buộc não bộ và cơ miệng phải đồng thời xử lý và tái tạo ngôn ngữ thực tế. Các nghiên cứu khoa học xác nhận phương pháp này cải thiện đáng kể phát âm, ngữ điệu, nhịp điệu, nối âm, kỹ năng nghe và độ lưu loát khi nói — đặc biệt hiệu quả cho người luyện IELTS Speaking và muốn giao tiếp tiếng Anh tự nhiên như người bản ngữ.

Phương pháp shadowing: đọc hướng dẫn từng bước đầy đủ →

Luyện nói tiếng Anh bằng Shadowing qua video: Real English Conversation: Talking About Surgery | Simplified Speech 215

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Từ vựng và ghi chú luyện nói cho bài học này

Từ vựng quan trọng trong video

Cụm động từ bạn sẽ nghe

Ngữ pháp trong video

Phát âm cần chú ý

Cách luyện với video này

Phương Pháp Shadowing Là Gì?