Tuesday, April 30, 2013

Surgery #2 Follow-up

Today I had a follow-up appointment with my surgeon (post-screw removal surgery). They took the wrapping off my leg and removed the two small stitches (which was a lot less painful than the staples the first time around). This was probably my last appointment at the hospital in my college town since next week is finals and I'll be moving out next Wednesday.

After they removed the stitches, I talked with my surgeon and asked him what kinds of exercises I could do. He just said to keep stretching it, maybe do the bike/elliptical at the gym, etc. He said I can try running (which doesn't seem like good advice...right?) and I'll be back to normal running in 3-4 months...so around July/August?

My leg is feeling really good! The last time I used crutches was Saturday in the morning for breakfast. I had an orchestra concert Saturday night, which I walked to without crutches. Sunday I felt pretty good as well, so I didn't use crutches that day. And finally for the first time since February, I was able to walk to classes without crutches on this Monday! I even walked back to campus from the hospital today after my appointment was done. It's about a 10 minute walk and the weather was great today (in the 70s!) so I thought I'd just walk back to my dorm.

My ankle still feels sore/stiff but my limp is getting less noticeable. I still walk slower than normal but I feel my calf getting stronger and my range of motion is a little better. Right now I just have a sterile strip over my most recent incision (where the stitches were) that will fall off by itself, and I have a big bandaid over that.



So I guess from here on out, I can start working more on flexibility and walking! It's a great feeling to finally see the light at the end of the tunnel (especially now that I'm off crutches FOR GOOD)! I have two physical therapy appointments in my hometown when I get back from college, then I leave for the BWCA on May 14th. This year went by so fast! Let's hope this healing process goes quick too.

Saturday, April 27, 2013

3 days post-screw removal surgery

Today is three days post-screw removal surgery, and I'm feeling pretty good! It was only one screw, so I took some advil for the first two days, and I've felt fine since then. The day of the surgery, I came back to my dorm room really tired and exhausted, but after that day things got better. I was completely non-weight bearing using crutches for the first few days after surgery. My surgeon told me I could start bearing weight a few days afterwards. I had gone to the gym yesterday with a friend and after doing the stationary bike for half an hour, I decided to try walking and it felt great! I think exercising it and moving it around more helped. I can still only walk short distances with a limp, but I hope to be off crutches by finals week (which is 9 days away...AH)!

I still put ice over my wrapping. I'm not sure how swollen my ankle looks because I can't take the wrap off until my appointment next Tuesday. I have been getting more muscle back in my calf, which is a good sign! Overall, I'm feeling good about this surgery (and glad it's over). Now that Minnesota finally has spring weather (yesterday was in the 60s, today is in the 70s!), I am getting that urge to go for a run outside...unfortunately that probably won't happen for a few months. I'm still enjoying the weather, but I can't wait for the day when I can finally walk "normal" and get rid of the crutches.

Wednesday, April 24, 2013

Screw Removal

Today is 11 weeks post-operation, and I had my screw removal surgery. I had 9 screws in my leg, but opted to get one of the screws (the larger one that goes through both the tibia and fibula) removed. Sorry, but this post is going to start with a rant...skip to "Rant over" to skip to information about my surgery.

RANT BEGINS...

Once again, the horrible hospital in my college town outdid themselves today. Last week, I was told I was going to have surgery in the afternoon today. Then I got a call saying they had to reschedule for another time because they didn't check my surgeon's schedule. But they had to wait to call me until Monday. So I got a call this week on Monday saying my surgery would still be today (Wednesday), but they would move it to 7:30am. Later that day they called again to remind me to be there 15 minutes early, at 7:15am. Then on Tuesday, like always, I got an automated voice message reminder for my appointment...but the voice message said to be there at the old schedule time in the afternoon. Later that day I got another call saying that I have to be there at 7:00am to get an antibiotic IV before surgery. This all happened the day before my surgery.

Fast forward to this morning. I woke up at 6:00, ate a banana and drank some water, then called the campus police to drive me to the hospital (which is two minutes from campus). They always drive me to my appointments, but they get mad if I call them too early before I need them. So, like always, I called them 15-20 minutes before I needed a ride (this was at about 6:30am) and the first time they didn't pick up the phone (and campus police is supposed to be a 24-hour service). So I waited 3 minutes and called again. This time they said they were a little busy and that they would try to pick me up in time. They eventually came and got me 5 minutes before my appointment. When he dropped me off he said to remember we have a town shuttle bus I can call...so much for making it feel like campus police is "accessible". Sorry I have a broken leg and can't drive myself to my surgery...I should have taken all this as a sign this day was just going to get worse.

When I got to the hospital I checked in at the front desk and was told to go upstairs a level to the nurses station to get my IV, just like they said on the phone on Tuesday. I went up there, talked to the women at the nurses desk, and was brought to a family conference room where I waited 10 minutes. A doctor later came in (I vaguely remember him from the day I broke my ankle, but he wasn't my surgeon) and told me I didn't need the IV after all and that I should be back downstairs waiting to get X-rays. So I went back downstairs and he told me to wait in the chairs for my x-ray. One of the women at the X-ray desk said hi to me twice, then finally asked me if I registered for x-rays. Usually when I have x-rays, they give me a sheet of paper with information, so I told her that I wasn't sure and the doctor just told me to wait in this waiting area. So I had to sit at her desk and get registered for X-rays. It took her about 5 minutes before she realized I was already registered, then she said "nevermind, you can sit down again." So again, I sat and waited. Later the women at the desk got a call that I was supposed to be getting my IV on the second floor at this time. So the same doctor that told me I didn't need an IV came back down to get me and brought me back upstairs for my IV...more on that later.

I then had my surgery, and asked for an X-ray of my leg post-operation (with the screw taken out). They said sure and I never got it. I then called the town transit because I didn't want to bother the campus police again since they made such a big ordeal about driving me to surgery. I waited 15 minutes for the bus, and when I got on, the driver didn't say hi back to me and it smelled like cow poop. I told him which residence hall I lived in, but he dropped me off on the edge of campus because he had someone else to pick up. At this point, I just got out of surgery, was again NWB on crutches, and in a town of 5,000 people, the driver has someone more important to pick up right at this moment that he doesn't have time to drive one more minute through campus to my residence hall. I'm usually not this crabby about things, but this entire morning was just extremely frustrating and unorganized. It added unneeded stress to my already stressful surgery, and I can't wait to be done with these hospital visits.

RANT OVER!

Today I got the long screw removed from my ankle. My surgery was scheduled for 7:30am, but I got to the hospital at 7:00 for an antibiotic IV so I wouldn't get an infection during the procedure. I'm extremely scared of needles, so I was really nervous for the IV. It took about 10-15 minutes, and they took my blood pressure, temperature, etc. at the same time. I then went to the operation room and put on one of those beautiful hospital gowns.

One of the surgeon's assistants was training in a new nurse, so she was showing her all the tools (this is where I started freaking out just a little, when I saw the screwdrivers). They put some green antibiotic stuff all over my leg and told me to lie on my side. Eventually the surgeon came in and they used a machine to take an x-ray to find where the screw was located. At this point, I got multiple shots of novocain in my leg (which hurt A LOT!) and they started the procedure. It took probably 15-20 minutes total from they sanitized my leg to the end of the procedure where they stitched me up. I couldn't feel any pain when they unscrewed the screw or made the incision. I could kind of feel moving in my bone when they were unscrewing it, but it didn't hurt at all. I could feel the stitches a little more though. They then wrapped me up and told me I probably shouldn't walk on it today, and to keep it covered when I shower. I can't take off this wrap until my next appointment on Tuesday when he removes the stitches, which is kind of a bummer. I was hoping I would be able to walk since I have an ESL banquet on Thursday night, and I will be in the Twin Cities all day Friday with my college orchestra. 

I was given my screw to keep after they sanitized it, but they never gave me a picture of my x-ray. Hopefully I'll be able to see it and get pictures of it next week. I left the hospital around 8:30am and went back to campus. I don't feel much pain right now. I haven't taken advil or any left over pain medications from my first surgery, but my surgeon said I might want to keep those handy today for when my leg un-numbs (de-numbifies?) later today. Right now I'm mostly feeling exhausted, partially from hardly sleeping last night, partially from the pain I experienced today, and partially because of all the things that happened this morning (see "RANT"). 

I'm glad it's over and done with though. Hopefully my road to recovery will continue going well. Here are some photos from today:



My screw. The nurses called it my "keepsake". 


My whole foot was blue after the operation! It's gotten a little better since then.

The nurse wrapped my leg up and put my ankle brace back on.




My hand after IV. I felt like a boxer or like I got into a fight...

Monday, April 22, 2013

Week 11 Post-Op (and SNOW in April!)


This Wednesday will be the day of my 11 weeks post-operation. Right now, I'm bearing as much weight as comfortable while wearing an ankle brace and tennis shoes. My ankle is more stiff when I wake up in the morning, but it gets a little better throughout the day. I can walk short distances fine, but getting to classes is still too far. Plus it's still snowing. Which means, again, I have to be extra careful not to slip (which is how I got in this mess in the first place). Minnesota just isn't giving up on this winter! Although it's Earth Day today, I'm not too appreciative of this weather we have! The good news is my surgery is coming up in two days! I'll finally get the big screw removed, so hopefully that will allow for more range of motion in my ankle. Here are some pictures from today:

This first video is my ankle range of motion, just to record what it was like before the screw removal surgery.


Outside my dorm room. April 22, 2013.

My ankle brace


The scar. It's getting a lot better! The scar itself is flat, but still a little red.

Still a big, swollen ankle...



Thursday, April 18, 2013

Walking for the first time! (76 DAYS POST-INJURY)!

I had my doctor's appointment today. They took another x-ray and scheduled my screw removal surgery for next Wednesday, April 24th. I can now put as much weight on my foot as comfortable, and they gave me a soft ankle brace to wear with tennis shoes instead of the boot. I will still be using crutches just to make sure I don't slip (can you believe it...it's snowing in MID-APRIL)! I also still have a lot of muscle to regain in my leg and I walk VERY slow, so I'll need crutches for a while longer. Otherwise, things are going pretty well. I don't have a lot of pain, but I can feel the plate. My leg is still very swollen and tight, but I'm sure that will go down over time.

Here are some videos from today, April, 18th. It has been 76 days since I last walked (without crutches or a boot). At first I wasn't sure if I'd be able to walk without the boot, so the first video is walking with the boot and no crutches. The second video I tried walking without the boot.




Wednesday, April 17, 2013

Ankle after icing (10 weeks post-op)

Here are some pictures of my ankle ROM and size after icing for an hour. April 17, 2013. (10 weeks post-op)








These last two are videos from my phone from April, 17th showing the range of motion in my ankle.



Swollen ankle (10 Weeks Post-Op)

My doctor's appointment got moved up a week since I decided to get the syndesmotic screw in my ankle removed. My next appointment is tomorrow, April 18th.

Since my last appointment, I've been 50%WB with crutches and a walking boot. I usually ice my ankle once or twice during the day in between classes and at night while I'm sleeping. In the meantime, my ankle gets pretty swollen during the day before I ice it.

Here are some pictures from today, April 17th, 2013. (10 weeks post-op)








Range of motion after walking all day (50%WB) and before icing it.

Range of motion after walking all day (50%WB) and before icing it.



Range of motion

Range of motion