Posts Tagged ‘RA’

One less doctor – - -Yay!

Friday, March 13th, 2009

I now have one less doctor on my “With whom/when?” appointment list. I wasn’t thrilled at the need for trekking across a fair amount of the city this morning to attend the post-op visit with my foot surgeon; the weather has turned freakin’ cold and WET the past few days. Wet is good. . . .wet is great, actually, as the Edwards Aquifer levels have been dropping near water-use restriction levels recently. In San Antonio, however, rain is best dealt with inside the safety of one’s own domicile. Our drivers seem blissfully unaware that a speeding car does not stop as quickly on rain-slick streets, nor does said car perform right-angle turns as obediently as it might in dry conditions. Coincidentally, they also are unaware that their cars (especially white & light blue ones) are much more visible in a heavy downpour if they Turn On Their Headlights. Sigh – with thunder rumbling and rain striking the roof, I was not happy to leave the house!

The drive was worth it. This is the doctor I dubbed the “hedgehog” months ago, because of his prickly and pugnacious bedside manner. He pronounced himself delighted with my progress, actually deemed himself “ecstatic” in the recorded report (earning startled looks from both me and his nurse) and said no further visits were necessary! YAY!

Whee – I'm driving again!

Wednesday, November 26th, 2008

DH has been making frequent trips to the market for necessities since Oct. 30th, but we haven’t done a full food shopping since????? The pantry and refrigerator were looking quite bare, and DS will be here tomorrow for Thanksgiving dinner; it was definitely time to go to the market with a long list! My poor, much-loved Camaro hasn’t moved out of the driveway in nearly a month, so I asked DH if I could try driving to the store. . . .we needed its carrying capacity, and I could easily pull over and let him take the wheel if it hurt too much. I had an absolute blast! I’m not wearing shoes yet (that has to wait on additional healing plus the prosthetics), but I have my comfy/colorful socks and the protective post-op shoes/boots are comfortable. My feet are still tender, but accelerating and braking were just uncomfortable, not painful, and the feeling of regained freedom was exquisite. I used an electric cart to chase DH around the store, grinning like a fool the entire time. (Confession time – I bumped two stacked displays while trying to make the tight turns to transition from one aisle to the next – but only knocked one box off. I also ran right into DH’s butt once! LOL!)

Now, if I could just get back on my Enbrel therapy! Between cold fronts and increased physical activity, I am definitely noticing sore joints.

Stitch removal & stubborn surgeons

Tuesday, November 25th, 2008

Generally, I’m pretty tough; I was awake for the surgery and didn’t freak out when I heard the bone saw (probably fitted with a grinding disc, actually) start up, after all! Still, I know my limits. While monitoring the healing process (and trying to get adjusted to my “goose feet”), I’ve noticed a few facts about the stitches which were due to be removed today. Most obvious was the sheer number of them…..removal was going to take awhile. Also, they were very, very tight…someone (as it turned out, it was a nurse whom I like very much) was going to have to pull up rather firmly on each of them before they could cut them. The visible portion of many of the stitches was only barely-visible, being embedded in scabbing along the incision line…….hmm, that wasn’t going to feel good, either! OK – Tough, yes. . . .stupid, no – - -since DH was doing the driving and I’m still using the wheelchair when away from Casa Blackburn, I arrived at the doctor’s office fortified with pain medication, a muscle relaxant and a tranquilizer! It was still a thoroughly nasty procedure!

Have I previously mentioned that my surgeon is something of an opinionated curmudgeon? Well, he is. When pitted against a stubborn and opinionated patient (um, that would be me), that practically guarantees some arguments. . .er, discussions are going to occur. Today’s “civilized discussion” took place before the stitches were removed, when he asked me how the prosthetics tech he’d sent me to was progressing with the tow caps. I reported on the progress, and then admitted that I didn’t go to “his” tech. . . . .same company, to be sure, but I went to the branch much closer to my home and the tech I had seen for several years! How shall I put this? My surgeon was pissed, disapproving and unhappy ~ yeah, that pretty much covers it! Now I have to call my branch, have them halt progress and transfer my file to his branch, call and make an appointment to have his tech re-evaluate me and re-do the molds! More time lost, more delays and (probably) more ouchies because he’d “have to write a page and a half of instructions” for any other tech! Sigh!

I do have more freedom now; Dr. B. approved me for a few more steps at a time. Since I’ve been wandering around the house quite a lot the past few days (hehe), I take that as permission to ramp up the activity! DH found some soft, cushiony socks for me a few days ago, in outrageous colors with ‘traction dots’ on the soles. Since then, I’ve been walking without the worry of slips and slides on our wood and tile floors :)

I KNEW they'd do that!!

Wednesday, November 19th, 2008

When I had my post-op checkup, the surgeon told me to go see the orthotics/prosthetics group and have them fabricate toe fillers & carbon fiber shanks for me. Uh oh! The toe fillers (prosthetic toes) will prevent the front part of whatever shoes I wear from curling up like Persian slippers in short order. O.K. – preventing curling is a good thing, but the alarm bells went off.

I have been visiting the wonderful, caring staff at HK Orthotics & Prosthetics for several years now. They are a terrific bunch, and I like them immensely. However, I delayed for two days before calling for an appointment because I knew what they would have to do! When I whined about it at home. . . .”They’re going to have to take molds of my feet. They’re going to press down on the stitches (and the rest of my feet) to get a clear mold in semi-rigid foam!”, I was met with ‘comforting disbelief’ by family members. “Maybe not.”, “You don’t know that.”, “I don’t think so; this is different.”, etc.

Yeah, well. . . . .I made the appointment, and DH took me to the clinic yesterday afternoon. When my name was called, I took him in with me – to meet the crew, to provide moral support, and to prove that I know what I’m talking about :) My technician was a bit taken-aback; the file mentioned amputation… it didn’t say all ten toes. He gently tested my mental & emotional reaction with, “Um – is this a ‘Good Thing’ ?” (Read: “How’s the adjustment to two deformed feet going?” Hehe, they were deformed BEFORE he surgery!) Once we got past introductions and surprise. . . .out came the semi-rigid foam mold blanks! My tech was as gentle as he could be. . . which means he had to push slowly but firmly, on both incision lines, until he got a useable mold. Ow, ow, OW!!!!!

Apparently, the carbon fiber shank will not only keep the toe piece in place, but will “put a spring in my step”. Hehe – - -translated, that probably means I am going to fall flat on my face trying to learn to walk with the prosthetics!! It’s all good . . . . . .or will be as soon as my feet quit hollering!

I Got an "A"

Friday, November 14th, 2008

The surgical bandages have been on my feet since October 30th. I got a very brief peek at the surgeon’s work late that afternoon, when both incisions sprung a leak and the PA had to redo the dressings, but it hasn’t helped me to answer the standard questions which have popped up over the past two weeks; questions like. . . .”Why does it hurt way up there?”, “Is that a staple poking at me?”, “Are they healing well?” and “What do they Look Like!?”

Today was “answer day” (and my first time out of the house since Nov. 1st!) – time for the big reveal and answers to the questions. In short: 1) It hurts there because the incisions are longer than I envisioned (about 23 stitches in one foot & 22 stitches in the other). 2) Despite the fact the surgeon said “staples” while briefing DH after surgery, no staples were used. 3) Despite the surgeon’s conviction that I was a very bad candidate for proper healing (because of the Enbrel therapy), I am healing very well, thank-you-very-much! He was surprised, and I sort of had to rub it in a bit :)

4) “What do they look like?” Well. . . . . . .sort of a cross between duck or goose feet and something totally alien. I’ve unwrapped them a couple of times since we got home; it’s O.K. to do that, now, and I need to come to terms with this rather radical change in my self-image. Right now, I am vacillating between a healthy dose of humor (referring to my ‘new’ feet & current gait as “Quack! Quack! Waddle, Waddle.”) and cringing when I look at them. Since the latter reaction isn’t going to get me anywhere, I am trying to lean towards the humorous approach!

I’m now cleared for “a few steps at a time” – since that is what I have been doing for a week, I will take it to the next level :) To start with, I am going to venture out to preside over my miniatures club meeting tomorrow! No, I won’t be driving (or walking a great deal) – a club member is going to take me and my wheelchair to the meeting and back, but it will be a fun outing and a complete change of scene!

My stitches come out on November 25th – maybe the feet will look a little less alien then :)

** I almost forgot the Best Part: I no longer have to sleep sitting up, with my feet elevated!! YAY!

When Your Doctor Growls. . . .

Friday, August 1st, 2008

I knew “Dr. P” (my Rheumatologist) was going to be less than pleased to see me in a ‘walking boot’, but that didn’t half cover his mood when I discussed my upcoming appointment with the orthopedic surgeon!

The rest of the “maintenance visit” went fine; we’re both delighted that I have responded quickly (again) to the Enbrel therapy, the Dexa scan (bone density test) read rather well for an old broad and he was impressed at how well the ‘attempted amputation’ had healed.

Then I told him I was scheduled to see Dr. B. on August 13th, to discuss surgery on both feet – that is when he began to growl! I understand (and agree); we’re both expecting the proposal to be joint fusion, and that’s a very bad idea on so many levels!

We’ll see:)

Oh, BTW – I drove myself to my regular appointment with “Dr. P” this afternoon. I’m back to running most of the errands, though it’s very tiring. Cannot operate the accelerator or brake with the walking boot on, so it’s 1) Drive with the right foot protectively wrapped, 2) Park and put the boot on, 3) Return to car and begin again with #1. Tiring, but it works.

What. . . . .again?!

Thursday, July 17th, 2008

When you think you have a handle on things, that handle is going to break off! (I’m sure this observation appears somewhere in “Murphy’s Laws” – LOL!)

I haven’t been able to wear a shoe, slipper or ACE elastic bandage on my right foot since my July 9th encounter with the vicious & anti-social dining room chair, but frequent cleaning, salt water soaks and triple-antibiotic ointment had allowed the deep split to close without any sign of infection. I’m beginning to suspect that the fourth toe (neighbor to the “baby toe”) was & is just badly sprained, but the fifth/baby toe is definitely broken. I suspect it isn’t a nice, clean, non-displaced fracture, either. Still. . . .with every toe dislocated prior to this injury (thank you, RA), there’s little point in seeing an orthopedic surgeon! The overall swelling was nearly gone. . . .the deep blue/purple purple band under all five toes was fading. . .I just needed to be patient. Right? Um- – -wrong!

Although I’ve tried to be cautious while limping around the house, there have been some slip-ups. Bumping the abused toes against baseboards or the coffee table hurt. Catching said toes on the mattress rail of our sleigh-bed and bending them upwards HURT. Well, I thought it did, until I re-fractured the baby toe by stubbing it against our hamper this afternoon! Adding insult to injury, I reopened part of the still-healing split! Sigh – I hate Murphy’s Law!!

What is that muttering I hear? “Did you finally go to the doctor?” Of course not – - – I’ve made more of a mess of it, but there’s still nothing they could do!