Kristin’s One Footed (Now Two-Footed!) Blog

Hey all. Well, the good news is that I think I’m healing…but at a slower than slow pace. But, I’m really down today. Went to plastic surgeon today. He assured me that wound would close…but, it’s going to take a while. Plastic surgeon cut away the dead tendon. I asked him…if we do this every week will we cut it all away…and he said no. I don’t really understand how this won’t happen.  Question-tissue grows back…but am I right that a tendon doesn’t regenerate and grow does it?  I’ll ask ortho tomorrow.  I also asked Plastic surgeon is he could graft it…and, the tissue in the hole isn’t healthy and a graft wouldn’t take. So, I have no options…my only option is to wait for the wound to close by itself. It’s such a big hole…I know the body is a miraculous thing…but c’mon.  Dr. said he’s thinking at least 2 mths or so. Meanwhile, I’ll keep going to him each week to cut away dead tendon.  When I ruptured my achilles, I knew to be patient, and I AM patient and that’s great. But the thought of enduring a few more mths being disabled (APRIL 6th is when I began my one-legged adventure) is very depressing.  That blows the entire summer for me. I visit ortho in the morning and infectious disease in the afternoon. I’ll see if I.D. will re-swab wound or see if we’ll stay on same antiobiotics. And, I’ll see if I can try another hospital’s wound guru’s for any tips on helping wound close faster. (I’m trying to eat more protein, etc.) I also don’t want this f*&*#ing wound to compromise any re-hab. (had to use some bad language here…can’t use bad language at home…and, occassionally I’d use it on tennis court, and I don’t have that anymore.

So, if I were a normal person like everyone else on the blog…I’d almost be out of my last cast…then go to a boot. We’ll see if all of this can be done with my wound.  I’ve been really patient but I’ve about had enough of all of this crap. I know I can’t look back..and maybe this isn’t the case…but if those worthless “expert” wound care folks would have cultured me immediately when wound was only 1cm…then I don’t think I would have this gaping hole that happened on the 3rd week of being treated by these “wound wonder guru’s.” I know people make mistakes…but it sucks when the mistake has left me with a big hole that I have to clean twice daily for a few months. Ok, I’ll try to be more positive in my next post. Later friends!

Hey friends. I went to the gym yesterday. It was a nice change of scenery. I did a lot of pilates-type leg work, did leg extensions on my good leg, and worked arms. I tried not to overwork my arms, because…wouldn’t be too good if arms were to tired to crutch around.  

I can’t recall who, but someone a while ago asked for a picture of my wound. So, I took some and have attached them. The yellow stuff you see is my tendon…some of it’s healthy and some not. Believe it or not, it looks 100% better than it dead…that’s scary because it looks horrible.  Since most of you are strong tough guys out there, you’ll not be squeemish. Ignore the little bits of stubble. I didn’t take a sec to shave before taking the picture. That’s another thing you guys don’t have to worry about (or maybe some of you shave your legs too. :)) …shaving is a pain these days. You guys have it easy..just your little faces. Hope your Sunday was good.

Again, I thought you’d be interested in seeing what my wonderful wound looks like. Whenever I go to another Dr. I jokingly charge money to see it…it’s like looking in a biology book. But, my friends…you get to look at it for free. Hehehehe. 

On Tuesday I return to plastic surgeon…the pic you see..the hole is filling in some…but, at this rate I think it would be months for it to fill in. And, I’m sure it will leave a great scar. Guess no leg modeling for me anymore.  So, we’ll see next week whether we’ll do a Wound Vac (attached to wound and sucks dead tissue out and promotes healing, skin graft, or let it be.)  I want to avoid another surgery just because I don’t want to get another infection from the d&#$ hospital.  (And, I was even outpatient for my ATR surgery.) Once you’ve had staph, prior to any surgeries you need to do a lot of pre-op meds.  And, on Weds. I go back to the Ortho and also to the Infectious Disease Dr. again. We’ll see if we’ll stay on the same antiobiotics (Rifampin 600mg and Bactrim).

I’ve been watching the French Open…and, watching hubby give my kids tennis lessons in the driveway. My 4 year old can wack the ball really great!  He keeps asking when I’m going to sign him up for lessons so he can play tennis good like mommy.  

Also, I was looking through my daughter (age 7) school work and journal and I remember how another blog friends’ kids cld our crutches “Crunches.” My daughter wrote this in her journal entitled “What I did on Spring Break.” “On Sunday, my mom rashered her keliy’s hill.  Her teammates were trying to take here shoe off and it hurt.” Thought you’d like the spelling of our “keliy’s hill.”

Have a great Memorial Day all!

Hey there. I’m hanging in there. Cleaning my 2 inch round wound twice a day. It doesn’t make me want to vomit anymore…but I have to wear gloves bec the thought of touching it is gross.  The wound is looking better. I keep saying I’ll put a picture up, but haven’t gotten around to it. It looks much better this week than last week.  I attended my son’s graduation from Harvard this evening…no, really he’s just 4 and he graduated from Pre-K. What an accomplishment…after years of painting and playing…err I mean studying he’s ready to move on to the real world…Kindergarten. We didn’t do the cap/gown thing when I was little. Anyway, my son is always the loudest..and best (really the teachers always say it) singer out of all 18. American Idol watch out! Anyway, the antiobiotics (2 of ‘em) that I’m taking…one of them is cld Rifampin…and it turns everything red…tears, sweat, etc. So, I’m trying not to cry too many red tears. Mentally I’m doing much, much better…because I know in a matter of time I’ll get rid of the staph. When I look at the wound I still don’t see how it’s going to close without the help of surgery, but I’ll stay positive and believe that it will. I can’t imagine when the skin grows in to fill the hole that the skin won’t automatically adhere to the tendon..which is just laying right there. That’s what’s gross about the area…there’s not much tissue around it..just tendon. I’m not worried though, because I’m taking care of myself and practicing some really good medicine. The past week, I’m a board certified Ortho surgeon, a plastic surgeon, wound dr., and an infectious disease dr. So, if you need any medical advice, pls send me your $40 co-pay and I’m happy to practice medicine on you too! I’ll keep you waiting a long time and I’ll spend 5 long minutes with you.  And, I’ll even not return your phone calls. That’s a great deal!

Tomorrow is the last day of school for my monkeys. Where has this year gone? This week we were supposed to be on vacation in Florida, but I canceled the trip. I’d rather go when I can enjoy myself a little more…like be on the beach, etc.

I have a knee walker and I leave it in my car to use if I have to go to kids school, etc. I should use it in the house, but I have a split level and I can’t get it and me up the stairs.

Lastly-I know many of you complain about this..but my good leg/calf/ankle is getting really sick and tired of hopping around all by itself with all of my weight. I know we all need to ensure our good leg is taken care of. Besides icing, let me know if any of you have ideas on how to keep the other leg working in this trauma that we are putting it through.

Happy dreams to you guys…oh, and girls. (we’re so in the minority around here.)  Happy foot washing too!

Hey warriors. Just wanted to let you know that things are looking up..I think. I went to plastic surgeon this morning and he looked at wound, debreeded some of the dead tendon away. And, he said if the antiobiotics rid me of the infection that he thinks the wound will close on its own…so no skin graft surgery! Of course, time will tell. So, I’m believing that the wound will close on it’s own, but we’ll see. The past couple of days I’ve noticed that it looks like it’s filling in a bit. Cleaning it doesn’t gross me out too much anymore.  AND, then I visited Santa Claus. I had the plastic surgeon refer me to infectious disease dr. Plastic surgeon nurse gave me their number and said to call to make an appt. Then, I really nicely asked if they could call and see if I could be worked in today…since this has been brewing since surgery on April 15th. So, the North Pole let me visit Santa today (aka the I.D. dr.). I knew I needed to see an infectious disease dr, and when he walked in I told him how happy I was to be with him. I explained to him how long this has been going on, and that I wanted to be aggressive in treating the infection and he agreed with me. By the way, it is MRSA infection…not good. Thanks Karen for all your advice. And, for everyone else’s advices too…from the meds, etc. I appreciate it. Anyway, I.D. dr. put me on 2 stronger antiobics (funny, it’s the same ones that the urgent care folks put me on, but my ortho was pissed that I switched from cirpofloxacin to go with the urgent care’s recommendation…funny that I.D. has me back on those antiobics.) So, each week I’ll visit I.D. until it’s gone. So, now…I’m in good hands…took a while, but yippee!

Thanks again everyone for their comments. I appreciate them.

IMPORTANT - For those who are new on the adventure…I’m the only one on the blog that has had these type complications, so it’s a great thing that I’m in the minority. If you ever have any wound as a result of surgery…demand that they swab it. I asked twice…but each time they said no need. NOT GOOD! So, get everything swabbed so you know what you are dealing with.

Good night, sleep tight everyone!

Hey fellow handicapped warriors. Just wanted to say thanks so much for your encouraging words, and especially all the resource ideas. On Monday I’ll be calling around looking for some dr’s at Emory, and also will locate other surgeons around the area who are experienced in wound care and grafting over tendons. I’ll need to rid wound of staph, and on Tues when I have a consult with plastic surgeon I’ll see if he is equipped to handle dealing with treating my staph. Because typically plastic folks just care about getting skin ready for graft. I’m feeling better today and trying to get out of this rut and begin living again. With regard to staph, I’m not sure what kind it is but I did get the sensitivity results back and it said that cirprofloxacin is good for the staph I have. So, I’ll stay on top of infection and be sure we have a handle on it.

Sweet son I have - He’s 4 and he’s really sweet. Both my kids and hubby’s have been very patient with the patient since April 6th. But, my son opens my door so it’s easy for me to get in the car…and he always carries my purse. But today he did the sweetest thing. I was finishing my long shower and dressed…and was ready to go. I have to walk thru the laundry room to get out. And my son said, “Mom, there’s a puddle of water on the floor. You better be careful.” And, he got a towel and mopped it up. It was dark in the laundry room, so if he wouldn’t have seen the water I know I wouldn’t have. It was just so, so sweet how he is taking care of me. Oh, and the other antiobiotic I was on…it’s really yucky stuff the pharmacist said…’cuz everything from my body exudes red…like sweat, tears, etc. I told my kids this and my 7 year old kept saying, “Mommy, cry so we can see red tears.”  That was funny too. Guess I’m entertainment for everyone. 

Have a good day everyone!

Hey all. Thanks so much for all of your thoughts. I really do appreciate them and I’m trying to be positive. Sigh. This morning I went to ortho surgeon…and right when I arrived at the office I learned that my Dr. wasn’t there. So, given all that I’ve been through and the casualness of how their office is acting I started sobbing immediately. With everything..you think he could have come in. But, I understand people take off…but, anyway. His PA and nurse saw me. I had a list of concerns and voiced them. His PA said that I nded to stop seeing other dr and follow the protocol that plastic surgeon advised. I explained why I sought out others. First, I sought out podiatrist bec wound ctr rec I see him. So, he is the ONLY ONLY ONLY one that swabbed my wound…and, it’s because of me going to him on my own that I even know that I have staff. At wound ctr from the beginning we asked if we nded swab and they said no…same thing on Tues when I went to plastic surgeon…again…he was on vaca…so I saw his Nurse Prac. And she said no need to swab. So, I explained that it’s bec I went there that I now know I have staph. Also, explained when I cld ortho office re:staph…left 2 messages but never heard back. So, that evening I cld a friend of mine who cld one of his vascular surgeon friends and over the phone they discussed my case…I was seen in his urgent care ctr. They said they swab everything…and they did bloodwork, and put me on 2 really strong antiobics. The wound protocol the urgent care ctr had me on was helping bec the wound looks like it’s getting some pink tissue granulating on the outside. So, that was a plus. Anyway, back to the Ortho. I explained also that I was concerned that the wound protocol the plastic surg advised with the chloropactin (bleach-like) was leaving my wound looking like a cadaver (that’s what the urgent care dr said..it looked like a dead person’s). So, I was concerned with tendon getting too dry. Bottom line, the ortho nurse admitted that they didn’t do a good job reassuring me at all through all of this. And, all along ortho was telling me to slowly move foot.  Well, nurse cld ortho on his cell and he asked his partner to come take a look at my leg. Man, I wish this doc would have performed my surgery…within the few minutes he was there he explained so many things.  Prior to him leaving…and thank God he came in….he said I nded to be immobile…because moving the foot can spread the staph infection. Again…had I never gotten staph diagnosis I would have just kept on moving leg and who knows. And, I’m wondering would plastic guy have ever swabbed me…or would he have attemped to do graft with infection? Can’t worry about that. So, got the staph report back and it just so happens the Cipro…antiobiotic that the Plastic folks had me on …the report said that this will fight the staph. The ortho nurse told me to stop being a Dr…but I told her that I had to that I am my only advocate. I told her they have a lot of patients, and while they care about me…they don’t care about me as much as I do and my 2 kids and husband do. I told her that I have to do what I can so that this case doesn’t end up another one of those bad stories. My BP is still crazy high bec of the stress. I need to re-read my Eckart Tolle books…or do something to chill my nerves. Nurse wanted to prescribe me Xanax or something but I don’t want to put more drugs in my system…I’m trying to do that myself. Even after the nurse spending time talking with me I’m really not reassured and don’t have faith in the medical folks. Here I am trying to be an infectious dr. too….Do any of you know the steps that they take to fight staph? I’m assuming I’ll be on current antiobitic, then I’ll ask to be swabbed and tested to see where we are. Then I’m assuming I’ll move on to stronger antiobiotic until it’s gone. But, see….I want to be aggressive and keep a handle on the infection and I’m not sure how we know how it’s doing. I don’t like the reactive approach in terms of waiting and seeing if I get those red streaks and septic.  See, nurse said that she’s seen much worse wounds, but my wound is bad because of where it is. The tendon area is such a bad spot. So, Tuesday I visit the plastic surgeon…but, he’s out of network so I need to talk with him to see if he can possibly bill me in-network charges or something. If it’s too much money then I’ll see if he can recommend another plastic surgeon. I asked my ortho to refer me to an in-network experienced plastic guy and he didn’t know of any. He said this guy was good. (I’ve met my in-network deductible with all this other stuff…out of network is a 6500 deductible then things are covered at 60%….so, unless this guy can do something then I know I need to go elsewhere.) The key here is that the surgeon needs to have dealt with grafting over tendons, and know wound care etc. (If anyone knows any plastic surgeon’s in Atlanta that meet this criteria let me know. I have a friend who is an O.R. nurse at St. Joseph’s which is a really good hospital..so, she’s checking for me.) But, I’m getting ahead of myself. First, we have to rid me of staph…and I’m trying to figure out the path to do that. God knows how long that will take. I’ve been so patient with the ATR surgery…and am in the for the long haul, but this open wound and staph is a little much. Crutches since April 6th. I think my ortho office knows now that I’m serious about getting better, and I’m taking charge of my health…so, if they don’t act then I’ll find someone who will. Again, I just don’t want to be another mishap statistic.  So, I wish I could say I feel comforted. I know that it’s better if i have a positive attitude and believe that everything will be ok. Let me work on believing that I’ll be ok. I’ll be ok…maybe I need to say that like 1000 times or write it down.  Thanks for listening…or reading.

Hello fellow friends. Well, I guess I just can’t have a NORMAL recovery…I should be about where Craig is right now. So, I have this gaping gross open wound with my achilles tendon just there…Anyway, yesterday I got a call from the podiatrist who I saw on my own…and he is the only one all this time who has swabbed and done a culture…well, they said I have heavy staph infection. I’ll know tomorrow the specifics of what it’s resistant too. When I found out I cld my ortho surgeon and told the nurse I had staph. She asked that pod. fax over results. I left her 2 msgs yesterday afternoon, and never rec. call back. Me, I know staph is serious AND that’s why my wound must never have closed from my surgery ON APRIL 15th!!! So, I cld a friend of mine whose hubby is a dr.  and he cld a vascular surgeon friend for advice and I went to the immed. care ctr my friend owns. They swabbed me again, did bloodwork…and by the way, I was SO beyond upset, stressed…I never have high blood pressure and my bp was like 130/105…tonight it was up again also. I need to relax. Anyway…I’m on 2 super strong antiobics (tomorrow I should know detailed report on staph). And, I’m supposed to clean my wound with a sterile soap like they use to scrub for surgery, then put Bactroban cream on the wound and wrap it up. Funny…to keep staph from spreading they want me to shower twice a day…you guys know how much an ordeal a shower is…twice a day….hmmm.  So, I have an appt. tomorrow morning with Ortho surgeon. I need him to look at how I am stretching my tendon…I’m doing stretches a couple times a day…I’m trying to not strech too much bec I don’t want the wound to open more…but, I also don’t want an adhesion….so, I need to figure the right amount to do. Also, Tuesday I will see a plastic surgeon…only bad thing is that my ortho referred me to him and he is out of network,……so, I’m checkin around to see if there are other plastic surgeon’s in network, that have rights at the “Good” hospital that: 1. have experience with complex cases 2. have experience dealing with wound care 3. have successfully performed skin grafts over tendons.  So, I’m asking a lot of folks…and, I’ll call the hospital tomorrow to see if they have a referral list. I tell you…yesterday was some day….Early in the day I discovered that this plastic surgeon that I was referred to was out of network…..then, the staph infection…and I’m still dealing with having to clean my horrible, hole in my leg twice a day.  So, that’s where I am. I am my only advocate…no one is helping me make these decisions….my ortho nurse said that I nded to stop going to various dr…while I know that too many cooks spoil the soup….also…their office referred me to a plastic surgeon that’s on vacation for a week…never got a call back when I said staph….so, I knew I needed to take care of. I’m getting so desperate that yesterday morning my son had an ENT appt…and in the same bldg there was an ortho office…I just want to go knocking on doors for help. And, last night I almost drove to hospital to be admitted so someone can help me. I’ve learned so much from this….I’ve done everything right…seen wound “care” “experts” (HA!) for 3 weeks and no one ever swabbed…even plastic surgeon’s office last week said…oh no, we don’t need to swab. If only…anyway…no looking back…need to go forward. I just feel like if IIIIIIII don’t make the right, exact decisions….then I’m really screwed. This is the story you read about…well, she just went in to repair her achilles, then she had an open wound, then…… I have to pray that I can turn this boat around. Pls hope I find the right surgeon and medical staff who can take my wound and infection seriously. 

I hope all of you are hopping along really well.  Take care and thanks for reading.

P.S. one of the antiobiotics I’m on makes everything I secrete red…so pee is bright red, tears are bright red…interesting huh.

P.S.S. I’m also going to ask my smart, god-like, relaxed and calm ortho surgeon if he thinks we should visit Infectious Disease dr. to get a handle on.

Well, you are supposed to be visiting a plastic surgeon for something fun like lifts, tucks and boobs. If you’re squeemish read no further. I went to plastic surgeon’s office yesterday. The nurse pract. undressed my wound and gasped. It’s an 1.5 inch open wound, a hole…and my achilles tendon is just right there on the surface…it is so gross.  So, I bought into the religion of the Wound Ctr, but after 3 weeks when the wound just split open and grew double in size Ortho nded to send me somewhere else. It’s so interesting the different thinking in wound care. See, my wound isn’t just an open wound but the tendon is right there exposed. Anyway…wound ctr took off some dead tissue each time and then put collagen on the wound to try and help it fill in the hole. They put a bandage on it, and I was only to remove the bandage if it was really seeping through. If I removed bandage I would simply put new piece of collagen. Well..plastic surgeon’s office was like….there is no way that wound can heal if all the dead tissue remains on the top. So, they cut off all the dead tissue and cleaned it, then packed wound it chloropact which smells like bleach. So, my new religion says to clean wound once a day with mild soap…then pack with gauze soaked in chloropact. Well…since I’m not doing the wound ctr religion anymore I cld and cancelled my appts. I really believed in what they do…but I think that since my wound isn’t just a wound that it’s tendon exposed it was a difficult case. Nurse at wound ctr cld me back to see why I cancelled and I explained the new cleaning regimen to her. She was concerned about the chloropact and said that “I’d better be careful so that I don’t kill all the good achilles tendon too.” So, at this point I’m getting in touch with my Ortho to explain that Wound Ctr that he referred me to has concerns about new cleaning regimen. BOTTOM LINE IS I HAVE HAVE HAVE TO PRESERVE MY ACHILLES TENDON AND DO WHATEVER I CAN TO ENSURE THAT I CAN GET SKIN AROUND IT TO GRANULATE AND HAVE GOOD TISSUE so that Plastic Surgeon can do a skin graft to cover the wound. At this point with the hole and no good tissue around the plastic surgeon’s office said that graft wouldn’t hold. So, I’m trying to research and figure out how the best way to treat my wound where the tendon is exposed an inch and a half. I took a picture with my BB phone, but the memory on my phone is so full that the pic didn’t come through. So, I will take a photo (some of you have asked) and will post it later on the site for your viewing pleasure. As you know, going through all we’ve been through getting our achilles repaired…I can’t let anything happen to it. So, that’s where I am. Also, after seeking advice from many medical professionals, my internist and friends in medical field I’m opting for plastic surgeon grafting my skin vs. the podiatrist grafting using pegasis graft (from a horse’s heart) and an Integra graft. The podiatrist I was referred to is on the cutting edge of many achilles things…but, the hospital and plastic surgeon is well-respected and John Hopkins certified…although all of this is just practicing medicine…I know it’s not a science but an art. This is the first time I’ve had to make difficult decisions about what to do. Because I feel like if I make the wrong decision, or don’t ensure I dress the wound with the BEST solution than I’m at risk for losing my achilles tendon. Again…I’ve learned SO much from all of this….also I know what those folks that are forced to decide on protocol, dr’s, etc. Like if they have cancer…one oncologist says this…the other says that…..Lastly, if ever my wound is good enough to graft, surgeon would graft (just takes 30 min’s). Then, I’ll be in hospital for 4-5 days with leg up. I usually wouldn’t say this…but I welcome a hospital stay with someone taking care of me.  I know that this too shall pass. Just a little freaking out because my tendon has been exposed for a few weeks now. Good thing is that the tendon is functioning ok at this point. I’m trying to flex it and do ABC’s. But, I’m also trying to balance working the tendon vs. splitting the wound even more. THANKS TO EVERYONE FOR THEIR ENCOURAGEMENT!  I appreciate it!!

Hey all. First, thanks so much for your earlier replies. I have a question on exactly which type Dr.’s to turn to for 2nd opinions. The hospital wound ctr recommended a Podiatrist who has had success with achilles and complications. So, on my own I went to see him this afternoon. He’s done about 16 or so of these open wound surgeries. He would operate, make a larger incision, clean up the area and then graft with 2 materials: 1. Pegasis Biologics Skin Graft and 2. Integra Graft. So, neither graft would come from my skin. I would then go home with a vacuum hooked to the incision to help drain it. The Podiatrist’s opinionis not to have skin grafted from me because it’s not as sanitary and more room for infection in the area that they took the skin from.  Tomorrow morning I go to the Plastic Surgeon and they will talk to me about grafting from my skin. I’m trying to call around to friends to see if they work in an O.R. and have experience to help me with my decision. Seeking another ortho isn’t the answer I don’t think because the achilles has been repaired…I’m just left with this open wound with the achilles sticking out. I pray that the tendon hasn’t been damaged thus far with the weeks of exposure. Yes, I’ve been treated by wound ctr throughout. Pls let me know if there are other doc’s you are thinking would be good to confer with. I left a msg with my PCP (an internal med doc) to see if his nurse can offer any insight on the better option. There are risks I know with taking skin from me…then I’m thinking….hmmmmm a podiatrist?!!??! I know they are licensed to perform surgery. Just not sure. I just want the area healed and my achilles in good shape so that I can maybe….get on with this cld…healing?!?!?!?? ARRRRRRRRRGGGG. So, let me know which other doctor’s you might think would be good to seek out. Anyone have any magic out there that closes wounds…poof and it’s gone?  If so, then fly down on your broom and help out. Thanks all.

Well, I wish my recovery could be normal. I would be in a cast now. Oh well. Surgery on April 15th. Since then for 3 weeks I’ve gone to hospital wound ctr for treatment. Well, today when I went to Ortho then Wound Ctr my open incision has ripped open more. It’s now 1 inch in diameter and my achilles tendon is on the surface, visible. So, since no progress at wound ctr…Ortho is referring me to plastic surgeon who can look at doing a skin graft (taking skin from my thigh or butt) and attaching it. But, I have to ask a lot of questions to ensure that you can skin graft a tendon that doesn’t have any pink tissue on it. Very discouraged today. Sad. It’s been 3 weeks with my achilles tendon exposed. I’ll aggresively work towards a resolution now that the 1st option with the wound ctr didn’t work. I hope that there isn’t anything horrible about leaving achilles tendon exposed for a few weeks. If I lost the tendon….I don’t even really want to think of this…typing this now makes tears well up in my eyes…I don’t think they do transplants on achilles tendons…not sure. So, I’ll keep you posted on options. May all of you progress normal…like I thought I would. I’m always so healthy and heal quickly….Ortho said that’s he’s seen this happen before, but it’s never happened to him.