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Old 02-19-2014, 11:46 PM   #106
Rex Nemo OP
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Damn, that looks like hell! Also rather familiar, sadly. I'm glad I didn't have to deal with a neck injury and a staph infection on top of my already-existing injury! Good thing we humans are so resilient.

The 3rd metatarsal seems to have moved back closer into line, and remained there. The surgeon today felt it and said, "Huh. Well, good!"

An ADVrider fella came over a little while ago, looked at the DR350 in the faint glow of my backyard lights, and kicked it over pretty easily. He rode it around and came back and handed me a wad of bills...and full of feelings of regret and relief and closure and uncertainty, I watched him ride away on the slick and shining streets in the rain. May they have excellent adventures together.

I took a rifle class at the local range this weekend, and was actually able to hobble up and down the range, transition from prone shooting position to sitting, kneeling and standing, even under time pressure--pretty proud about that. I was also faced with the realization that my ability to concentrate and my energy levels are greatly reduced from the levels they once occupied. This made the first day frustrating--my shooting was all over the place and I couldn't get a handle on what I was doing wrong. Fortunately things started to come together the second day and went much better. Resilience! It will take a while to work back to hyper-alert motorcyclist mode, nonetheless. Another goal to work towards.



Unfortunately I injured myself overdoing it in the lap pool yesterday. I tried a little water jogging and suddenly it felt as if hot knives were slicing through the butter of my foot. I got to the edge of the pool and got myself under control with some pain-breathing exercises and some help from my partner, but the damage was done. Went in to see the surgeon and the physical therapist today, and was told I likely injured my arch from overdoing exercise before the foot was fully stabilized. They think the tibialis anterior tendon is probably inflamed, and there is likely at least one large nerve that gets pinched by the screws in the foot.

Did not get reassurance; got serious faces and "hmm" and "I'm surprised there wasn't more nerve pain before now" and a prescription for rest, ice, elevation...and neurontin. They want to prevent a chronic pain cycle from beginning. Gah.

For now, it's back on the crutches.


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Old 02-26-2014, 09:44 PM   #107
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So sorry to hear about your set back. I went through much the same with a badly broken knee in 1968. Had it replaced in Feb. 2000. Went from 32 years of pain 24/7 to 0 after the recovery from the replacement.

Please keep us up dated, and good luck.
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Old 02-27-2014, 05:54 AM   #108
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I'm not overly familiar with foot anatomy, but I can tell you that compartment syndrome is no laughing matter. You could have easily lost your foot / toes from unrecognized compartment syndrome.

I've also witnessed a fasciotomy (How they relieve the pressure in the muscle compartment) in person .
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Old 03-05-2014, 10:04 AM   #109
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Yuuup--I had never heard of compartment syndrome til I nearly lost a limb. Yow. I was very grateful to the young intern who recognized it. I'm told that if a fasciotomy is not performed within 6 hours of developing compartment syndrome, limb/extremity use is severely reduced, permanently.

As for the pressure, well, the surgeon said that it was good they were wearing face shields when they performed the fasciotomy, because it was so built up in there that I squirted the hell out of the first person to insert her scalpel!

Fortunately my setback has been brief, I've been able to manage pain with ibuprofen instead of gabapentin, and I have been able to return to exercise gradually and carefully. Just a reminder to take it really slow and not get cocky.
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Old 05-29-2014, 09:16 AM   #110
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I have so much progress to report! For now, I'm a touch perversely proud of being a minor footnote in the annals of Science. Here's a poster presentation given on my case recently--glad I could help my surgeon and several interns advance their careers a little, and hopefully treat trauma patients a little more effectively in the future.

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Old 05-29-2014, 03:33 PM   #111
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Puns abound herein and warrant further lay treatment. For now I'll just say you've underwritten numerous student loans, car payments, mortgages, swimming pools etc. Would that the assessment, treatment and recovery process been so concise and clinical from your perspective. "Pain out of proportion" indeed.

Quote:
Originally Posted by Rex Nemo View Post
I have so much progress to report! For now, I'm a touch perversely proud of being a minor footnote in the annals of Science. Here's a poster presentation given on my case recently--glad I could help my surgeon and several interns advance their careers a little, and hopefully treat trauma patients a little more effectively in the future.
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Old 06-20-2014, 05:08 PM   #112
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After much struggle, pain, and surgeon-convincing, I have a surgery date coming up to remove the bone screws! I've been developing bony growths near the tips of the large 1st metatarsal screws, and they make it tough to wear firm shoes (like, oh, motorcycle boots), and walk long distances. One of my tendons has a pesky habit of snapping across one bony spot like a painful rubber band--really lights me up for a few minutes when that happens.

I'm not looking forward to the same old round of surgery, opiates, constipation, limited mobility, pain and recovery...I had never wanted to see the peg leg or the shower chair again. But what a relief to have those ouchy metal foreign objects out of my flesh and bone!

After topping out at the 5-mile hiking mark and having continued irritation I started to push the reluctant surgeon to take the dang screws out. First he wanted to try a corticosteroid injection...



it helped once the butchered injection site healed (they brought in a couple of really novice students to inject the stuff, and they bent the needle, got stuck, missed the right spot, pushed into the bone, you name it--while I laughed and grimaced). Still, the irritation remained, so at last the surgeon agreed that it was time to take those suckers out.

In the meanwhile I have been breathing deep and engaging with a little mild PTSD and RIDING.



No dirt yet, but commuting to work, easing down the twisty roads, and doing errands on the bike again is an intense experience. I get shivers of fear interspersed with overwhelming jolts of pure physical joy...while trying to just be cool and ride it all out. One mile at a time.
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Old 06-20-2014, 11:26 PM   #113
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had a few screws removed form my left foot after they began rubbing against other bones but they never turned my toe nails green like yours hope it all heals up well for ya - cortisone injections suck
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Old 07-08-2014, 11:25 PM   #114
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Yeah, I try to keep the local podiatry department entertained with my colorful toenail polish. The corticosteroid injection actually proved to be pretty helpful; over the course of a week I could feel an easing of pain travel from the main (peroneal) nerve along the top of my foot, and spread as the nerve splits into 5 and heads to each toe. Pretty cool.

Been doing well--more riding (even one little overnighter camping trip a couple of weeks ago!), and the PTSD symptoms are easing up. Bicycling, working out in the gym, working more, etc. Just wish I could get these darn bone screws out.

I was supposed to have surgery this Monday...but got a call from the surgeon's office on Friday: Your insurance company has declined to cover the hardware removal, surgery's cancelled.

The surgeon is appealing; we'll see what comes of it. I can live with things this way, but I'm pretty steamed about having my mobility level decided by faceless corporate functionaries.
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