Hey Guys,
I just got home from the doctor’s so bear with me as I try to put together what happened today. Mike had the appointment with the orthopedic surgeon at 1:30- but first I need to back track. Before we left, I went and pulled the car around so he could get into the car without stepping in the major river that is flowing in our driveway right now. I was waiting for him to get into the car and it seemed to be taking longer than usual. I looked up behind me and saw him fall! I raced to him, but he shook me off and told him to let him do it- get up I mean. He was having a really hard time getting up on his feet but he finally did. I could see by his face that he was in pain (he landed on his bad leg.) He got into the car but it wasn’t easy for him. I could tell he was hurt and asked if he was okay and he said he thought he twisted his leg.
Ok so we get there and he is hustled off because the MRI is inconclusive about the myleostitis (bone infection) They had him do a series of films with him standing on his leg. When he got back to his seat he was pale and shaky but said he was “fine.”
They finally called for us and we were ushered into a small exam room. Finally the surgeon walks through the door and the first thing he said was “This is really bad!” He flipped up some films on the light board and showed us in the fall, Mike HAD Fractured HIS FIBULA! The fracture is circular which according to Lin (the surgeon) is good- because it is a bigger area to heal. But, the bad news is they noticed more bone missing from his heel- and all his metatarsi and tarsis bones (the bones going to the toes) have been broken- the toe fractures are old except for maybe one, but Mike didn’t even know that all his toe bones were busted.
He does have a bone infection as well but the surgeon says that right now according to the films the infection is localized in the bone right by the abscess. Until he gets in to take a look he won’t know for sure, but right now he is saying he can save the foot! YAY!
But he told Mike with as much severity that he could muster that if he gets foolish or stupid and bears weight on his leg and breaks it more- there is nothing he can do and he will cut off the leg immediately. He told Mike to take this seriously and not put any weight at all on the leg.
So they put a cast on him (and it is hinged so they can remove it) because they will have to remove it in order to do surgery on the foot and they cut a window in it for the abscess as well. They will not even entertain the notion of putting pins in his leg to set the break. The diabetes, the weight the vascular issues are all against him for that, so they have cast it hoping it will reset on its own.
He is in the hospital He is going to have surgery in the morning. I am just not sure what surgery they are doing. The plan when I left was still up in the air, but they want to do an angiogram on his foot to see if they can even have a hope of opening up his arteries and bringing healing oxygen and blood into his leg. If the test pans out and they believe this is a good option, they will do that surgery first. Then Dr Lin will step in and try to clean up the bone and tendons of his foot and work on the abscess. They will also do bone biopsies and cultures while he is under sedation.
He got a bit whiny when they told him they were putting him in the hospital and I can’t blame him. No one likes to be in the hospital. I do not know how long he will be in there- nor does the doctor. Mike keeps saying he will be in there for four days- but I suspect it might be a bit longer unless they can open the arteries up and give his leg that much needed oxygen and blood.
I tried to take notes as there was so much going on- and I hope I remembered it all. I am going to call late tonight to the nurse’s station and find out if he is going into surgery in the morning or if they are going to wait.
Love,
Mary Anne