Hey there Achilles Brothers and Sisters.

Quick question: what is the usual protocol with using the boot for showering and day-to-day moving around? Does the Doctor usually allow you to remove it when in the shower/sleeping or must you keep it on you 24/7?

I am trying to convince my Doctor to actually use one in my rehab (apparently he usually keeps all patients in a NWB cast for 6 weeks, then into 2-shoes) after about 4 weeks but am not sure about the pros/cons vs the cast. Clearly being able to sleep and shower without would be a big pro - “fragrant” is how I would describe my cast after 2 weeks on!!

 

Tommo

Now that it’s been a week since I had the operation, it was time for me to head back to the Hospital for a wound check and cast change.

This was not before I had my first session with Big Willy, however, the Physio at the hospital. Willy is a total legend, very keen for me to get out of my very unsexy cast and into a superfine Space Boot asap. He even showed me a sample in his wardrobe that looked like somebody had gone an pinched it from the set of Clone Wars or something. Can’t see it matching my Onitsuka Tigers high tops, but whatever, boot = progress right?

Willy started with some radio-wave thing that supposedly send radio waves through the wound and the Achilles, helping with healing and scar tissue. This thing was straight out of a Chinese Cold War prison let me tell you, big humming thing with an enormous dial that increased the frequency of the waves the more it is rotated. It made the op site and Achilles feel really hot, which was disconcerting at first (surely THAT can’t snap it again Willy?!?!) but ok once you get your head around it.

20 mins of that and I thought I was home and hosed, but ohhhh noooo, Big Willy had other ideas. Lying in a very prone position on my back, Willy put 4 similarly James Bond Villian-looking electric pad-things on various spots around the quadricep of my affected leg. I really wish he had told me what was coming next, because he hit a few buttons and all of a sudden by muscles started jumping around like there was an earthquake going on inside my thigh. My reaction wasn’t helped by the fact that Willy was standing over my prone, twitching body grinning like that crazy guy fromthe Goonies at the “toooo funnyyyyy” joke he’d just played on me. It tingled like hell and I almost spontaneously rolled off the bed and onto the floor, the sight of my involuntarily flexing thigh too much for me after the last dramatic week. Needless to say, it wasn’t actually that bad, and I even handled some increases in the voltage toward the end of the half-hour session. Apparently this helps with maintaining the strength in the quad while it is largely inactive, so that I don’t end up with 1 chicken leg and 1 He-Man quad after 8 weeks. Whatever!

 

Crazy Electrocution torture device

Crazy Electrocution torture device

 

 

After Willy-san it was time for the surgeon to check and clean the wound and replace the lining etc. of the cast. By this time it was 7pm and Dr Otrhodrone (he of the impeccible Chinglish) seemed pretty keen to get out of the hospital and into a Dry Martini. Luckily, my stitches/wound etc.  were fine, no infection and apparently healing nicely (Side note: in a seperate conversation with Smish, my scar, given its size and level of aggression now has a name: The Octogon). I guess he really wanted that Martini because he used about 1/150th of the padding that the first guy who did my cast used, meaning I basically had Plaster directly on bone around the foot and knee - JOY! This did not occur to me at first, but of course became apparent as soon as I tried to lie down when I got home - a comfortable position being impossible to find. In fact, it was REALLY bloody painful and annoying, to the point that I had to go back this morning and get it changed AGAIN to include more padding. They didn’t screw around this time though, I now have the equivalent of front, side and rear airbags around my leg under my cast - and am cruising in the comfort zone.

So by now I have spent a few days inthe hospital and been back a few times for follow up. The nurses there (it’s not a big hospital) know me and they have figured out that I am a University Representative for colleges in Canada, the UK and Australia. This has turned out to be almost as traumatic as the injury itself, as all of these lovely nurses are “somewhat interested” in studying nursing overseas and getting the hell out of Mao-land, I only have to walk within 100m of the hospital building and I swear they can smell me coming…

“Mr Tommo, how is your leg?” 

“Good thanks Lily”

“Can you please please please help me get to Australia to become a nurse”

“Fix my leg first…..then we’ll talk”

Party on!

While playing AFL footy on a delightfully smoggy Sunday here in Beijing, I pivoted about 180° to hare off after a loose kick (how I could see the ball through all the dense coal particles is another matter). After pivoting, I tried an explosive start and immediately heard the telltale “pop” of the achilles tendon rupturing. It really did sound like a gun and felt like someone kicking me in the heel, and despite my efforts to continue after the ball I collapsed in a very unfashionable heap near where the injury occurred.

Peeved at this perceived lowly act of un-sportsmanlike behaviour from my mysterious assailant (natural instinct when you grow up in the land of the convicts), I started yelling at my teammates (now 10 m away from my prone figure) asking after which *&#% had kicked me in the leg and kept going. Later descriptions of my state likened me to a Teenage Mutant Ninja Turtle who had been knocked onto it’s shell and, furious at its inability to get up, started venting its frustration on fellow Ninja Turtles. By this stage our illustrious Captain had realised my predicament, and helped me to the side of the field.

With the entire team gathered around and still hungover from Saturday night’s nocturnal activities, there was no shortage of expert diagnoses on the nature and extent of the injury. “Perhaps it’s a twisted ankle?” was popular, “How about remote paralysis?” another frightening contribution. Perhaps of most concern was “syphillus of the ankle?”…..not what you want to hear at that point, possible or otherwise…

After being taped up by our team “physio” (the Orthopod later likened it to the work of a 3-year-old) and stretchered to a waiting Beijing taxi on the back of a pushbike (another hilarious picture, pity there were no cameras), it was an immediate trip to the Hospital Emergency Room. 

Given the reputation of medical services in China, I was not hopeful of a “positive patient experience” but was pleased to see a smiling Canadian Physician as soon as we entered the ER. My smile (and his) wore off quickly, however, when he asked me when the last time I ate was. “What did this have to do with my heel?” I asked….naively. Almost as soon as I asked I knew it was in reference to my very-imminent requirement for general anaesthetic. ” It’s for the medieval-ass surgery we’re about to perform on your busted foot” he (almost) replied.

The non-resident Orthopedic Specialist happened to be on-site (at 6:30pm on a Sunday - impressive!) and willing to see me. He turned out to be a very professional, experienced Chinese Orthopedic  Surgeon, and, through a mixture of Chinglish and Chinese, we managed to decipher that he was prepared to do the surgery that evening.  ’Delighted’ with this news (I had only ever had surgery once before - in a western country) I decided to go ahead but was ultimately thwarted at the last minute by the bane of every expat’s existance - the Insurance Company. Their “24 Hour Emergency Line”, it turns out, had been subcontracted to someone else who (naturally) didn’t have the authority to authorise a guarantee for the costs of my surgery and who, tellingly, spoke with a Chennai-twang. Alas, I would have to delay the surgery 24 hours, giving me time to take the bits and pieces of information I had gleaned from the Surgeon’s brave but ultimately flawed Chinglish and piecing them together (with the help of Wiki and this  brilliant blog) into something I could report back to my distraught mother in Australia.

I was required to arrive at the hospital for surgery at 2:30pm the following day, and, after receiving faxed approval from a non-sub-contracted department of my insurer, I turned up at precisely 2:29pm the next day. The problem this time  was that this was my scheduled surgery time (of course!!), hence all the hospital staff were in a panic upon my late arrival.  Traditionally, it seemed, people arrived an hour early for their pre-surgery consultation with the anaesthetist and surgeon prior to going “under the knife”. I asked the registrar why I wasn’t told to come early, to which she cheerily replied “it’s my fault, haha!”. “Hahahaha…..hahahahaha” I nervously replied back.I chalked this up to another of these great cultural experiences I am accumulating here.

Given the time, I was “briefed” by the anaesthetist in the pre-op waiting room and the surgeon in the surgery room, about 27.3 seconds prior to being anaestietised. As I drifted off into a narcotic-induced slumber, my last memories were of the anaestietist saying to the others in the room “he seems awfully tense!” For the life of me I cannot imagine why…

Post-op I spent 2 days in the hospital recovering and being monitored. I had the “good drugs” (morphine etc.) at my disposal, but having used them once manually I found them to put me in a weird state of tension and lack of concentration, something akin to an ADHD-affected 3-year old after too many lolly snakes (the ones with real sugar). I couldn’t even watch 5 mins of The Wire (easily the best show on TV after West Wing) without wigging out and calling for the nurse to ask when the Ewoks would kindly disembark from my brain. After half a day they took me off the good stuff and put me on oral anti-inflammatories, which were great, kept me “normal” and really helped with the pain and swelling around the wound. In the next day and a half I managed to plow thorugh 2 whole seasons of The Wire and 3 full Chinese hospital meals - braised mutton ligaments anyone? - before they kindly discharged me and let me escape for the comforts of my couch (with my full-body indent in the cuchions still intact!) and the remaining 3 seasons of The Wire.

I have spent the following 3 days since propped up on the sofa watching pirated DVDs and feeling sorry for myself, although my darling wife (now 3 months into our marriage - oopss…) has been a real hope-beacon, and unfailingly contributes to my increasing comfort (and waistline) by bringing me regular smoothies and Tim Tams (best biscuit IN THE WORLD).

I have been sleeping well, likely due to post-anaesthesia effects and the lack of pain or discomfort in my leg. Like many bloggers on the site, I now have an affinity with those poor souls that do this every day through permanent disability or long-term illness, especially with young children. If it were me I’d probably knock them out with my cast…Ninja Turtle style….

I have my first post-op consultation with the surgeon this Wednesday, 9 days post-op, to have the stitches removed.  I will also have my first out-of-hospital consultation with my cheery Physio “Willy” on the same day. Willy is a legend who has prompted me to commence early, easy resistance exercisees on my quads, hip and groin on the affected leg to minimise atrophy, which I have been doing religiously while The Wire is on….go Willy.

Will update again after Wednesday - Party on Achilles brothers and sisters!

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