Jul 15 2012
Hi Everyone ..
So, it’s been a while since last post (6/11) and not a lot has happened .. for the better at least ~ 7 weeks 2 days since surgery and I’m still on crutches. Not good. So, a week after my last post ~ on 6/18 ~ I got my cast off & stitches out .. and, in the 4 weeks since then (tomorrow) .. the incision down by my heel has not fully healed. In fact, there are 2 open wounds/holes on my lower leg that are not healed yet.
After my initial appt. when the cast was removed/stitches out, I was going back to my ortho every week to check incision & check on ROM and strength of actual achilles .. well, 2 weeks after cast removal, the achilles had taken a back seat and the fact that the incision hadnt healed has become the main focus of my Dr. and myself .. 2 weeks ago, my ortho was concerned enough, that he sent me to a plastic surgeon @ the Wound Center at the hospital where I had the surgery done. So, last week on 7/10 ~ I went for my first appt @ ”The Wound Center” .. and, believe me, when I walked into the same entrance of the hospital I did on Fri 5/25 when I had my surgery, it was not a good feeling .. Oh, btw ~ I shouldnt say walked in … I crutched in .. I forgot what walking feels like.
So, basically, the 2 wounds are about the size of a quarter & a dime. The plastic surgeon was pretty clinical and had the personality of an IRS agent. His first question to me was “do u have diabetes?” .. “ummm, not that I know of?” And he responded ~ “Well, that would explain why your wounds havent healed, bc you’re a young guy(41 yrs old) and these should have healed by now” .. My response “Well, isnt the achilles heel notorious for being hard to heal bc of lack of bloodflow, no meat on heel, etc” .. his response “well, yes ~ but I have the feeling u have diabetes” .. in my head ….”this guy is a plastic surgeon telling me I have diabetes” something doesnt seem right , etc .. Anyway~ long story short .. he basically proceeded to blame me for the wounds not healing .. “where do you work?”…. Manhattan .. “do you have your leg elevated all day” ? No, I work on a trading desk and it’s hard to do my job w my leg on my desk” … “Well, you havent done a good enough job keeping your leg elevated, taking it easy, and letting your leg heal, etc ..” “OK, Dr. that may be the case, but, what do we do about it now ?” ..
So, he prescribed 3 weeks of a compression cast & a special dressing that I have to have changed bi-weekly @ the Wound Center at the hospital by a nurse .. And, I also cannot put weight on it or walk in my boot ~ which my ortho had not given me permission for anyway bc of the open wound situation. So, last Tues, I got the initial dressing/compression sock on . and just had it changed 2 days ago on Fri for the first time .. some good news though w that is that the smaller wound did look a lot better in only 3 days of treatment. So, every Tues / Fri I go back to hospital until the fateful 2nd appt w Dr. Gloom on 7/31 .. I want these wounds healed just to spite this guy. I HAVE done A LOT better job of keeping it elevated since last Tues & I think the compression sock has def helped w the sweeling. And ~ I am happy to report that I DO NOT have diabetes as the blood test I took on Tues at the hospital told me when I got the results on Wed .. the first good news Ive had w this injury in 7 weeks.
So, in reality ~ Im still in limbo .. still supposed to be NWB and on crutches and in boot (Vaco & standard one I got from my Ortho) , although I am doing a bit of walking w/o crutches in my Vaco Cast around house, etc . My achilles seems v strong and the ROM is great .. I am standing on 2 feet in shower (back to shower bag bc of compression sock) when I know it’s going to be a quick shower, etc … The main priority now is to get wound healed, so I can move on to PT and get rid of these freaking crutches … over 7 weeks on crutches is killing me and I’m extremely frustrated. This wound situation is just bad luck & it’s delaying my recovery a lot & making me very angry in the process. It seems like Ive only had bad luck since 5/19 when I ruptured my achilles.
What happens if I go back to the plastic surgeon on 7/31 and it’s not healed ? Well, “that would be bad” according to him .. With diabetes off the table, he told me we would then look at the possibility of a bone infection in my leg and or blood flow probs in my veins .. he also threw out the idea of forced bed rest w leg elevation w/ taking short term disability from work (Not going to happen) .. So, if these are my other options, you can bet that I’m relying heavily on the wound healing by 7/31 .. I’m doing my part w the leg elevation and I hope the compression sock & special dressing are doing their part. Also, I bought the cryo-cuff that I saw on KimJax’s blog & am using it now as I write this (feels good) .. I’m also praying a lot for healing as well.
So, that’s it .. surgical complication has slowed me down and thrown me a little curve ball .. nothing about this injury has been easy, so I really shouldnt be surprised about what’s going on now w the wound problem .. I just want the wound healed, want to get rid of the crutches, and want to start putting weight on the right leg & start PT. I want to play golf in Sept … that’s my goal.
I’m reading everyone else’s blogs & am very happy for all of your progress. Feels like I havent been making much and have been very frustrated .. which is why I havent posted anything in over a month. But, reading about all you guys is keeping me motivated & I hope I have better news for you about my progress very soon. Take care ..