Josephine Poof and friends. Thank you so much. I went to my primary doctor this am. She saw how much pain I was in and ordered me a shot of Demerol before I left. That was at about 9am. It took away the burning on my shin. Finally some relief! She ordered me Norco 10 1 or 2 q 4 hours. It worked for my right knee but hopefully it will work with my new shin pain and left knee. She told me to take the boot back and insist on a size small.
My son talked to his buddy an OS and they don't see any issues with weaning the pain med at 2 weeks! Give me a break! He had already told me to stop wearing the boot at night. But now my son says I just need to be non-weight bearing that there really is no need for a boot since I don't have a displaced fracture or anything. (sure makes sense!). My primary said she thought it would be difficult to get another ortho to take me since I have a complication.
Wrote that earlier, now have my pain under control. But more weird news. First of all, the office manager at Dr. Reff's office called me (they had already heard how lousy I am doing from Betsy, my PT). I told Esther that I had gone to Dr. Ha and was now feeling better. I told her I needed a size small boot and she said they can do that. But then she starts talking about me going to pain management since they have someone who does that in their office a couple days a week. I said no thank you, my primary is managing my pain now. She really didn't get it and I finally said, "I do not need any pain medication from Dr. Reff." She asked about Dr Ha as if they'd never heard of her yet she is all over my chart and did my clearance for surgery.
A little later I get a call from my primary dr. Dr Reff called her and was rude to her. He told her I was taking/wanting too many narcotics. She assured him she'd known me for 15 years, and I was not a drug addict and that she would take care of my pain control. Then she asks him if he got the culture results (negative) and he didn't seem to even know what she was talking about with a culture. She explained she took a culture last Saturday and put me 3 antibiotics (one just a shot). He denied that he knew anything about it! I remember it very well because I couldn't get ahold of him over that weekend when the incision opened up and had drainage so I'd gone to my primary. Then Monday I called their office and they had me come in. He looked at my incision and said "that's not an infection but finish up the antibiotics". So he is saying he had no knowledge of that and resented that Dr. Ha had not called him with that info.
Then he says he has heard I am not wearing the boot! She said, she is wearing the boot.
So my PT also came today and was shocked at the jumbo boot and was going to report back to them that the boot is not safe. I can actually pull my foot all the way out of it even at it's tightest. Betsy, PT, and my primary are still concerned about infection in the incision. Betsy put more steri strips on my knee incision since the edges were never approximated correctly and so I have little flaps.
My son is going to call Dr. Reff. Tomorrow I have my bone scan. My worst fear is osteomyelitis but I feel pretty sure its a matter of those screws holes just maybe collapsing on themselves or something. Its my son who has the osteo concern as well as Josephine. ha!
I want to get a second opinion. Lets say this is a stress fracture, I need to have a doctor I can trust when he tells me what to do. Wear an over sized boot 24/7 even when not weight bearing? I want someone I can trust and I don't have one spec of trust left in this guy now that he called me doctor. I think he's got dementia! How could he have forgotten that whole thing with the incision infection and me calling him all weekend and him not knowing who was trying to get ahold of him!!! He forgot that whole thing!
So after my scan I am going to see if I can get an appointment with Dr. Kharrazi with Kerlan Jobe. He doesnot do replacements but recommended me for one then treated my left knee while Dr. Spitzer treated my right leg. (Dr. Spitzer could only handle one leg at a time! ha!).
My pain is under control. I can't tell you how that feels. Such a relief. And no nausea now since it's just hydrocodone!
So hopefully I can get a second opinion and he will just take my case so I never have to deal with Dr. Reff again.
Thanks for listening! M