Thursday, December 2, 2010

Starting off on the (new) right foot

Today was stitches out day, day 10 after surgery.  I coudn't wait to get all that bulky dressing off and to see my new foot!  My friend took me down to the medical center area to Dr. B's office.  Dr. B works in a large practice of orthopedic surgeons (48 surgeons at that location, with 19 other satellite locations!).  So when you enter the waiting room there, it's this huge space filled with people on crutches, in wheelchairs, on knee-walkers, and in casts.  I told my friend, "This is where all the broken people are."  When I got called back, they took me to a place called "The Cast Room."  What a funky place!  One wall is lined with high patient tables; there's a large island in the middle with all sorts of cast saws, wrap material, cutting instruments, and miles of gauze and Ace wrap ready to be unrolled and applied to the broken people.  So they called me and two other guys back all at the same time and lined us up on tables.  Three eager Cast Room Guys in scrubs immediately reached for their saws and shears.  It was a bit of a grisly scene as they sawed and cut us out of our casts and, in my case, surgical dressings.  Long Frankenstein-like surgical sites were revealed, all stitched up, bruised, and puffy with swelling.  It was definitely not for the faint of heart.  (Neither are the pictures when you scroll down, by the way, so consider yourself forewarned.)
When I first saw my foot, I was a bit shocked, because it didn't look anything like my foot.  It was a completely different shape.  A bit surreal to see that unfamiliar thing attached to my ankle and positioned where I normally see my foot. It took me a while consider it mine.
Next, Cast Room Guys cleaned up the feet of my Cast Room Buddies and me and then wheeled us one by one to get x-rays.  When we returned, in came Dr. B, escorted by his nurse.  He stopped at the first table, checked out his work, chatted with the patient, gave instructions to the attending Cast Room Guy, and moved on down the line, until he had seen all three of us, quick as can be.  Now that's efficiency!  Then Cast Room Guys taped and bundled us all back up.  The other two needed to go back into casts, so the wrapping and wetting and forming was interesting to watch, while I just got two band-aids and a spacer and some surgical tape.  Big complaints from the other two tables at having to go back into casts while I got to go home in such an unencumbered foot.  I win!  :)  Feels GREAT to have my foot out of that dressing and ACE wrap.  Okay, enough chatter, I know you've been waiting for PICTURES!  Here they are:
Cutting off the bloody dressing--yuck.

My first glimpse. Whoa. Doesn't look too good, but both Dr. B and my Cast Room Guy commented on how great it looks! I guess that's all a matter of perspective. I do think it looks like good work, although I'm a bit worried about that space between my 1st and 2nd toes. Dr. B told my Cast Room Guy, "Put a spacer between the toes to maintain the first toe's position, but not too thick.  It looks like it might be a little over-corrected." Yeah, that's what I thought. But I'm sure it will look amazing in a few months!


So much bruising! Dr. B asked me to flex my big toe up and down.  "Sure!" I said, confidently. But when I tried to move it, it wouldn't go anywhere.  He said I've got to get it moving or it will stiffen up on me.  So he showed me how to move the joint, using my hand to force some flexing and extending. It hurt!  Sigh, physical therapy time--no pain, no gain.



The best view of my incision. Going to take a while before that looks good!

I'm worried about that 4th toe--he doesn't look happy at all!

The Cast Room--view from my exam table.

Taking out the stitches--youch!

The "before" x-rays, taken in September. Notice how the big toe bone has 
drifted off to the left, away from the small round sesamoid bones.  In the 
next picture, it's back in correct alignment. 


Sporting some new hardware.
Wow, I've never seen anything like that in all my research about bunion surgery.  I've been worrying that if I put weight on it, I might dislodge the newly fixed bones.  Now that I see the hardware, I don't think it's going anywhere, no matter what I do!



Funny how differently my feet are shaped now



2 comments:

  1. Wow Julie! Maybe over time they'll look more alike, it's still really swollen, what an ordeal! Hang in there!

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  2. I can't believe they remove casts assembly-line style! That's crazy!! I would think that would violate some kind of HIPAA law. It's amazing to the see difference now between your right and left foot. So....when are you getting the other one done? ;)

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