Friday, August 17, 2018

Friday (8/17/2018)


Friday (8/17/2018)

I just got home from my trip to the surgeon and prosthetist.  I didn’t come home with a finished product.  On Monday (8/13) my surgeon in Indianapolis gave me the okay to have the prosthesis built, so I headed to my prosthetist office in the metro area of Cincinnati.  Initially things went smoothly and we made great progress.  But my incision line was tender with any pressure and it was difficult to determine if the pain/discomfort I was feeling was from my leg being tender or from something needing to be corrected in the prosthesis. 

 Before and After Surgery Xrays (Before--top; After--bottom): Notice how long the tibia is on the first picture.  I was basically standing on that point.

So after going round and round, I finally decided to wear the temporary socket back home.  I’ll wear it and use it for the next couple of weeks, which should give me a clearer understanding of what needs to be done to improve the socket.  It will also give my leg time to mature a bit (push the fluids out and shrink some).  That means when we build the permanent socket it should las t longer because it will as tight as it can be.  My prosthetist is going for a “Zero Sock” fit.  No matter what, my leg will change over time and use, so I’ll need a new socket eventually anyway.  Every time I have another surgery, the “mature leg clock” starts over. 

Since this is a temporary socket, it’s not made as strong, so I can’t go pushing extremes with this one.  But for right now, I mainly need to walk, walk, walk, and walk some more.  Last night I walked for ¾ mile.  That’s the farthest I’ve walk in over a year!!!  Even with the discomfort/pain, while I was in Cincy, I was still walking over a total of 3 miles a day just taking it rather easy.  Again, that’s a vast improvement over what I was able to do.

My temporary socket:  I am able to reuse my pump and my foot.  The liners and sleeves (not shown) are a completely different style.  

Working with a prosthetist at a distance means that it’s a big trip and we try to shorten the process of fitting down to a week or two.  If I was doing this locally, it would happen with multiple visits over the course of a month or two.  This trip didn’t quite work as well as wanted; but I am walking better than I was already.  And we should be able to complete the process rather quickly when I go back down to Cincy in a couple of weeks.

It also looks like Rob will be able to fabricate a water leg for me fairly cheaply from all the spare parts that I now own.  My current leg can get wet; but only in fresh water.  All the pools that I frequent (and I have family at the Pacific and the Gulf coast) are salt water pools and my elevated vacuum pump can’t tolerate that.  So the water leg would be used for doing water therapy.  It is amazing how much resistance water adds to the easiest of movements.  My left leg is very atrophied and I need to swim, work out at the gym, do water therapy, and do a lot of walking to build it back up.  My left leg is so out of shape that I strained a muscle in it just walking up a small hill earlier this week! 

So things are going well.  Slower than I might wish for; but well none the less.  I don’t really look forward to driving back down to Cincy again in a couple of weeks.  With traffic and construction delays it took me eleven hours to get home.  That’s way too much time sitting in the truck.  But if I get out of the wheelchair and get to walk, well, that’s worth the drive for sure!

Tuesday, August 7, 2018

Tuesday (8/7/2018):

Update:

I have my six-week post-op appointment with my surgeon in Indianapolis on Monday morning (8/13).  I send him regular updates and photos of my limb so he knows how I’m doing.  He’s already told me that he plans to give me the okay to start working on having a new prosthesis made.   Awesome!!!


My Physical Medicine and Rehabilitation Doctor was tremendous squeezing me in to her jammed schedule on short notice so that she could be prepared to write the prescription for my new prosthetic leg.

I’ll travel to Indianapolis (500 miles) on Sunday (8/12), so I’m ready for my Monday morning appointment.

I’ve already set up an appointment with my prosthetist in Cincinnati metro area on Monday afternoon.  He makes the prosthesis in his own shop from start to finish.  With all steps, the adjusting, and getting it just right, it usually takes a week to ten days depending on how things go for me to walk out of there and head home.

The hotel where I stayed in the past has finally been completely remodeled.  In the past because I was there for medical reasons and stayed about ten days, they gave me a great rate of about $95 per day.  Now that they’ve remodeled, the rate went up to $175 a day.  I liked the spot I used to stay at; but not at that price! No, thank you!  I found a different place with more reasonable rates about a 25 minute drive away. 

The first few days in Cincinnati will mainly be spent sitting around while Rob builds my leg.  After that, most of my time is spent walking and wearing the leg to see how it fits and to make any adjustments needed.

Being that I live 750 miles away from my prosthetist means I have to invest the time and energy all in one blast to get there, and get it right before I come home.  Hopefully the process goes quickly.

I look forward to getting out of the wheelchair and back to walking again.  It will be great to be upright and active again!  One of my goals is to get my bow out and start shooting archery again.  I’d like to get out in woods to deer hunt this fall.  We’ll just have to wait to see how it all goes.