Not sure why, but the foot is much more swollen then it was yesterday and the cast feels very tight at the ankle. I’ve asked the PA to call the doctor and see if they’re concerned. the PA added a diuretic to see if it helps reduce the swelling. Just what I need, more trips to the bathroom.
She also upped my Effexor dose to see if the depression improves.
I took ONE dose of the diuretic and said Never again. Getting up every hour to pee is not acceptable. I finally spent most of the day in bed with leg elevated. Today, the swelling is less so I’m in the recliner.
Had 1st Post-Op appointment with OS who did the flap and graft surgery today. The cast came off and drains removed. OS said everything looked good. I need to wait three more days for a real shower as the bandages over the drain holes need to stay one for three days. On the positive side, I can wash the leg as long as I keep the bandages dry.
I asked him about best case scenario for recovery. He said “keeping the leg.” OUCH. He made a point of telling me to follow up with Infectious Disease to discuss to the antibiotic next steps. That‘s on my list for tomorrow.
I then asked about mobility best case scenario. I can expect full extension - good. Flexion? 45 degrees. Not so good. I am not even sure if that means I can do steps. Double Grr. I think I am screwed.
No ROM PT until I see him in four weeks. GRR. I am cleared to walk which is good. PT while I am still in the SNF will focus on balance work which I really need as I am definitely at risk of falling.
This picture is after cast removal. The dark scabby stuff isn’t a scab. It’s dead skin which I can wash away. I am very glad I have the knee immobilizer as it prevents me from picking the scabs.
I have a hinged implant which means the two components are connected by coil/spring like cords. Is it possible to have lost leg length as a result?
My left leg (non-operative) is about 1/2 shorter than the Right. Since the most recent surgeries, I found walking very awkward when wearing a shoe on my Left leg and no shoe on the Right. When I took off the shoe and walked barefoot, walking was much easier. The PT said my shoulder were even without shoes. With a shoe, the shoulders weren’t level, the Right one was lower.
Tuesday, 10/3 Update ~ it’s official, I am being discharged Friday morning!! I’ll need to wear the knee immobilizer until the appointment on the 24th and take two antibiotics for another 30 days, I’m hoping to start ROM activities when the immobilizer is removed. In the meantime, PT will focus on balance work and walking endurance. Today in PT, I walked 100 yards. The right leg and foot are still pretty swollen so I can’t get the only shoe I have on it. I may have some looser shoes at home. If not, I may invest in a pair of crocs so I can walk outside. I need to be able to get the mail and want to be able to walk to the glider under the pergola so I can watch the changing leaves in the distance.
Even though the bloodwork indicates the infection is gone, I am concerned about it returning. When I see my PCP on the 11th, I am going to ask her about ordering regular blood tests for awhile just to keep an eye on the numbers. Otherwise, I have to rely on symptoms: fever, sweats, chills and THEN go to the doc and determine if it’s COVID, the flu or an infection.
At least I can spend the weekend at home. I am so excited. I’m even looking forward to doing a bit of laundry.
Boy was it nice to sleep in my own bed last night. I am very tired today so after doing a few things around the house, I am going to rest the remainder of the day. I didn’t realize Gabapentin is a controlled substance in my state so I had to wait for a neighbor to pick up the script today. I really missed it last night - so many zingers, I had trouble sleeping. If I keep up with the Gabapentin, Tylenol, and Methocarbinal regimen, I am pain and zinger free.
The home health nurse comes today for the initial assessment. I’m using the same agency used after the May surgery. The PT pinged me on Thursday asking what happened as she discharged me the week before all hell broke loose in August. I gave her the short version. I’m looking forward to working with her on balance and endurance issues.
Because of the limited bend in the knee, I’m looking to have the car fitted with hand controls. The evaluation should be in a couple of weeks. Of course, none of the 3 - 4k cost is covered by insurance.