Thursday, September 25, 2014

SUMMARY (9/25/2014)

Update:

I’ve been thinking about the events of the last couple of years, so I did a little checking.  Let me give you an overview of some of the events.

In June 2012 a couple of days after riding my ATV particularly hard, I had excruciating pain in my left foot.   For the next 18 months, I used crutches and minimized the use of my foot.  I was in constant pain whenever I walked.  It presented itself like arthritis and with my family history that is what we thought it was—so I lived with the pain and minimal use.

During the fall of 2013 I caught every cold and flu that was going around.  I would spend a week in bed, feeling better the next week and then get sick again by the third week.  During this time I had an ugly sore develop on the bottom of my left foot.  Eventually it began to heal and seemed to respond to treatment.

The Sunday before Thanksgiving 2013, I got the flu again.  I couldn’t keep warm, had the shakes, and lived in front of our woodstove trying to beat this latest bug.  On Thanksgiving morning, my wife having determined that something was very wrong, took me to the emergency room.  My white cell count was out the roof.  Doctors told my wife that if she had waited another hour to bring me in, I most likely would have died.  I was one sick puppy with an infection raging through my blood stream.

I was given all the heavy duty antibiotics by continuous IV.  Even those barely put a dent in my infection, so they began looking for the cause.  It was my left foot.  The sore that we thought was healing was on the outside; but on the inside, the infection raged on.  On November 30, 2013 I had my first surgery (debridement) to determine if the foot could be saved.  The conclusion was that the damage to my bone and tissue was too severe and eventually I would lose the foot.  The surgeon said that most people try to save the foot and usually about 18 months later they are faced with the reality of it cannot be saved and then they amputate.  I decided that I had already suffered for 18 months already with a bum foot and I didn’t need to waste another 18 months trying to save a lost cause.   I quickly elected to have the foot amputated. 

They determined that I didn’t have arthritis; instead I had Charcot disease.  It weakens the bone structure causing breaks and deformity which results in ulcerous sores and often end in amputation.   I probably had an infection from it all through the fall of 2013 and that is why I caught every cold and flu.  We also found out that I had diabetes.

I had to wait a couple of days to get stronger before I could undergo the next surgery.  On December 3, 2013 my left foot was amputated just below the calf muscle.  Surgery went well and the doctors were very optimistic that I would eventually return to a very active, healthy life. 

Since I tend to heal slowly and because of my age, my surgeon wanted me to have plenty of time to heal before being fitted for a prosthetic leg.  After 2 ½ months in a wheelchair, on February 24, 2014 I was given a shrinker sock to begin preparing my stump for fitting.  On March 3, 2014 they made a cast model of my leg in order to build my first prosthetic, called a “test socket.”
I took my first steps in my test socket on March 17, 2014!  Woot! Woot!  There has been a gigantic learning curve for being an amputee with a prosthesis.  I continue to learn new things about care and my new life each day.

I had been given exercises to do in my bed or on the floor on the day after my surgery.  Now that I could walk, I was given physical therapy and my exercise list grew exponentially. 

During the first few months and then throughout the first year or two of wearing a prosthesis, your residual limb (or stump) shrinks in size calling for adjustments and eventually a new more permeant leg.  I received my first “permanent” prosthesis on April 24, 2014.

During this time I got serious about losing weight and striving to lower my dependence upon insulin.  I finally listened to my wife’s nutritional advice and drastically changed my diet and intensified my exercise program.  So far, I’ve lost over 40 pounds.  I still have another 30 or more pounds to lose.  I gone from a 50 inch waist to a 42 inch waist and I am still losing.  I was able to maintain a healthy blood glucose level without insulin this summer.  My blood glucose levels are so good now that I am no longer considered a diabetic. 

One side effect to the undiagnosed diabetes is that my retinas have been damaged (especially the right eye).  Even after the diabetes is under control, the eyes continue to deteriorate.  I’ve been receiving monthly treatment in my eyes which slowly seems to be helping my vision.

I’ve been very fortunate to have very little pain and stay in relatively good health.  I had a 3 ½ week period this summer when I couldn’t wear my prosthesis while I let a blister heal.  That was a bummer being back in the wheelchair 24/7 again.  But even then it didn’t stop me from doing most of what I wanted to do. 

This summer I bought a bicycle that works with the range of motion of my prosthetic leg and started riding 8-10 miles per day.  Recently I joined Gold’s Gym and I am working out about three times per week.  With some accommodations, I am hunting whitetail deer with a crossbow this fall.  I am able to ride my motorcycle.  And I am so blessed to be surrounded by a wife and family who love me, as well as my church and emergency services friends who support me.  I thank God for giving me what I consider extra innings to my life (since I nearly died last Thanksgiving).  I am so blessed.

I took some time to add up my medical appoints since my amputation.  I actually might have missed a few; but I know for certain that since being discharged from the hospital in early December 2013, I have had at least SIXTY-THREE medical appointments.

By Category:
Primary Care physician—2
Surgeon follow-up—4
Physiatrist (oversees health concerning the prosthesis and its use)—6
Physical Therapy—9
Eye care—16
Podiatrist (for my remaining right foot)—4
Prosthetist (makes and adjusts my prosthetic leg and orthotics for my right foot)—22

My wife lovingly calls me her “high maintenance man.” And that’s what I truly am!  Hopefully I am the kind of man that is worth everything she has to put into our relationship!

Thought for the Day:

“Don’t let yourself…
Worry when you’re doing your best.
Hurry when success depends upon accuracy. 
Think evil of anyone until you have the facts.
Believe a thing is impossible without trying it.
Waste time on trivial matters.
Imagine that good intentions are a satisfactory excuse.
Harbor bitterness towards God or person.”
               [John Maxwell, Encouragement Changes Everything].

At times each of us needs encouragement to move forward in life.   We may have the skills and aptitude to accomplish the goal; but without encouragement, we may not even try.

Choose to be an encouragement to others. By your words and deeds seek to inspire others to try, to take a risk, to stretch their wings and attempt to fly.  Be a motivator.  Inspire others to attempt the things just outside their grasp, as well as to think and dream a little further.  Believe in others and let them know it!

I am not espousing the power of positive thinking or that everything is possible if we only believe.  I know that many things will remain out of reach and unattainable; but conversely, many things will never even be attempted if we don’t inspire others to try.

“In the sport of athletics, the four-minute mile is the act of completing the mile run in less than four minutes. It was first achieved in 1954 by Roger Bannister in 3:59.4. The "four-minute barrier" has since been broken by many male athletes, and is now the standard of all male professional middle distance runners. In the last 50 years the mile record has been lowered by almost 17 seconds.”  [Wikipedia, Four-Minute Mile].

For years prior to Bannister breaking the four-minute barrier, it was considered an impossible feat.  Bannister utilized fellow runners as pacesetters to accomplish his record run.  They became his encouragers enabling him to exceed his own best time and to succeed where others had failed.  No runner before him had ever run so fast.  Bannister’s record lasted a mere 46 days before someone else bested his time.  Once he achieved what was thought impossible, suddenly many others accomplished it as well.

This is why stories of heroism or gaining victory against insurmountable odds are so powerful.  They encourage us to try to live up to other’s examples.  Even the act of watching someone struggle (regardless of whether they succeed) has a powerful effect on the actions of others. 

Although I am not the fittest man, nor all that strong; I have had a number of people come up to me at the gym and tell me that I am an inspiration to them.  Really?  The people who have said that to me are obviously stronger and in better shape.  They lift weights that are impossible for me to budge.  What inspires them as they watch a 57 year old, out-of-shape amputee?  I think it is because they see me struggling against the odds.  If I put so much effort into to trying despite my current situation, well then they can try harder too.  In the process of me trying to better myself, I am an encouragement to others trying to do the same.  Cool!  As I watch other people exercise, it encourages me to try and work towards the goal of someday doing something similar.

Wherever we go and whatever we do should be attempted with such an attitude that others are inspired.  Don’t be satisfied with the status quo or good enough.  Strive to do your best and seek to help bring out the best in others as well. 

My wife directs choirs and directs plays.  Her goal is to coax the best performance out of each actor, musician, or singer.  It really is amazing to see the results of normal, everyday people encouraged to do their best. 

How necessary is a coach to a football team?  Would the quality of play be as good without them on the sidelines and on the practice field? 

A good teacher reaches her students and draws the very best work from them.   

The best parents help their children envision things that are currently impossible but are worthwhile goals.  How many of us would be able to ride a bicycle today unless our parents had encouraged us?


Look around today at those who encourage you.  Look around today for those whom you can encourage as well.

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