Back in the Fall, after over a year of issues with movement and pain in my foot, I finally went to see my foot specialist.
I wasn't keen on the idea. Last time we met, he had done a minor procedure, shaving a bone growth off the arch of my foot. That sucked...but the MRSA I acquired after was a lot worse. It took months to get over it---and four separate courses of antibiotics. Add that to my my long, and unfortunate history with other kinds of surgery, and you could call me gun shy. This time, instead of just pain, my foot was just locking up...no warning. When it happened I literally could not walk for several minutes...which went from being galling to occasionally dangerous. (How long can you stand on one foot?) But I was losing my ability to get around---and I need to be mobile.
So...I saw the doc. He asked for tests---but he showed me the difference between my feet. The left was fine..normal looking. The other...well...looked like a squid. My toes were sort of all over the place...something he attributed to tendon damage. The GOOD news (there was good news?) was that he had wonderful success with this new implant...it was a minor procedure...no PT after...and it would give the tendons a shot at healing. Otherwise, there was another surgery---much more complicated with a six month healing period. Hmmmm. I admit...I let myself be persuaded. I didn't want ANY surgery...but not walking didn't seem like a good option. They did it on Black Friday. And yes, it hurt like a bitch at first...but for five weeks after, it seemed to be improving. I could barely walk at all...trips to the bathroom were my big adventures. I couldn't drive. Then...it stopped getting better. And then it got worse.
Back to not being able to walk again.
Back to pain that woke me in the middle of the night...and prevented me from walking more than an hour a day.
(Hint...that's not much time. Keep track sometime...and you will be amazed at how much time you spend just trying to get from point a to b in your own home.)
The swelling made the doc unhappy. So did the weird coloration. More meds. We also started me on prednisone. The swelling went down...the pain lessened...but not if I stop taking the steroids, or even reduce them beyond a certain level. You can't stay on steroids for life. Now what doc? We discussed removing the implant, but he doesn't really want to do that. He thought I may have developed a sensitivity to the metal. (Titanium is pretty benign...but 4 percent of the population can't handle it.) He suggested I wait til May, to give my tendons the best chance to heal. Then , last appointment, he said "Maybe we should send you for PT."
Um.
My insurance covers Physical therapy...but the co-pay is $50.00 a session.He suggested three sessions a week.
DOUBLE OUCH. Not in the budget.
He said it's called Compartment Syndrome...and that the surgery was in fact successful. Only...it may have caused CS as a result.
http://www.nlm.nih.gov/medlineplus/ency/article/001224.htm
Now this is where doctors and patients come to disagreements.
I went to him with two ideas in mind.
1. Fixing my foot so I could walk.
2. Getting rid of the pain.
That was my plan...my objective if you will.
He decided that the implant would help...and would save my tendon.
That was HIS plan. It seemed like we were on the same page, with the same goal.
Right up and until he said the surgery had been successful.
No offense doc...but it hurts to walk ALL the time now...and I can't do much at all. So forgive me if your definition of success strikes me as different than mine. Intellectually, I understand that in your view, it did what it was supposed to...but since walking without pain was my objective...and we're not there...I see it differently. Then he said my only other option was Pain Control. THAT was when I started to cry. See...Pain Control is a bad place to be. I've written about my not so thrilling experiences with that specialty. It's where they send you when they "can't help anymore". You are chronic...and they want you off the books. You bother them. You are not fixable. And he actually seemed ANGRY at me.
"You'd be a lot worse off if we hadn't fixed your tendon."
Probably true. And I wish that made some difference. But walking? Without Pain? THAT was the point.
I hate Doctors.
I know they are not bad, or evil people. I know most do their best...but too often I have been shipped to the Leper Colony known as MMI...Maximum Medical Improvement...and that is a shit place to be. It means that where is pain is concerned, you are THERE, spot marked X. The pain experts will stick you with needles, spinal blocks, trigger point injections...a whole array of sharp options...none that work a damn for me. Then they talk about burning nerves---to block pain transmission. That doesn't work either. The doctors themselves are terrified of being considered Legal pushers---so they are reluctant to prescribe pain meds beyond a certain point. I went off them for three YEARS, just to show that I could...but that was a different injury.
And now...he wants to send me back to Crazy Town...so forgive me Doc...but I don't count this as a "success" at all.


Recent Comments