Showing posts with label hospital. Show all posts
Showing posts with label hospital. Show all posts

Tuesday, December 18, 2012

Broken Ankle

Warning: My X-ray pictures are in here.  If you don't like looking at stuff like that, maybe you should skip this one.

So here's how it all went down.

On the afternoon of December 4, I was in the mother's room at work on the fourth floor, doing the pumping thing that I do three times a day.  Of course I was totally multitasking - getting some work done, going over my to-do lists, making a couple phone calls - distracted, I guess.  I grabbed my milk and my laptop and headed back to my desk on the third floor, like I always do, taking the back stairs, like I always do.  

About eight steps before I reached the third floor, my foot slipped off the front of the stair.  I was wearing these cute ballet flats I had just picked up, and my left foot just slipped.  I came down on my left toe on the next step and sort of wobbled there, trying to catch myself, deciding whether to sacrifice the laptop.  I rocked what turned out to be the wrong way and my leg bone kind of came down independently of my ankle.  

I looked at it and instantly knew it was dislocated.  I mean, you could tell - it was just not right.  I screamed, mostly at the guy who had just passed me in the stairs, "My ankle is OUT!  It's OUT!  Call a doctor!"  A couple people came to be with me in the stairs, and a few more came in because they heard me yelling (and of course the stairwell has perfect acoustics).  The security guards, who have basic medical training, came to sit with me while we waited for the paramedics to arrive.  A couple friends called Travis, gathered my things, and notified my boss.  

The paramedics came and gave me and IV with Fentanyl for the pain (sweet relief!), and then I got my first ambulance ride.  There were a lot of firsts that day: first broken bone, first surgery, first general anesthesia, first, hospital stay...

They rolled me into the ER.  The PA there took one look at my mangled ankle and said "Have you ever had surgery?  You're going to have surgery today."  They took some x-rays.  In order for the ankle to dislocate, the leg bones have to break in about three places.  It's called a trimalleolar fracture.  Even to the untrained eye, it was clearly not right at all.


The orthopedic surgeon came down to reset my ankle.  They knocked me out to do this.  Apparently they put me under and I looked over at the nurse and said, "Heeeeeeey, buddy!"  like I was talking to Andrew.  And then while they were setting my bones, I kept telling them to stop Andrew from jumping on my leg.  I introduced myself to the ortho doc three times.  Fun stuff.

After they reset my ankle, I felt much better.  As in, pretty much no pain at all!  In fact, I said they could just leave it like that and I'd be fine!  Unfortunately, it had to be reinforced for daily life and weight-bearing, so I would still need surgery.  But it looked pretty nice right then.

I went up to pre-op around 8:30p - less than six hours after I even broke the thing.  When I woke up, I had a plate and ten screws in my leg.  Technically the surgical procedure was an open reduction and internal fixation (ORIF), which I guess is pretty standard for this (fairly common) injury.



I stayed overnight in the hospital, and enjoyed the help of the nurses.  I was discharged around 2pm the next day, about 24 hours post-injury.  

The first few days at home were tough, painful, and awkward.  After that, it started to get better, first slowly, then more quickly.  Travis has been an absolute champ, almost completely taking over care of the kiddos, preparation of meals, and management of the house.  Our sitter, Maggie, has helped a ton, including staying overnight with the kids on the night I had surgery.  Some dear friends made us some meals.  My mom came into town for a long weekend.  

I've been in really good spirits for the most part, which has surprised me.  I've only had one really bad mood day (and one day with a migraine, which, whoa).  I think that I credit my kids with keeping my chin up.  It's hard to get down when you've got a baby who smiles at you like you are her entire world while she's nursing, and a rambunctious toddler who loves you so much that he's perfectly happy to sit and read books all day just so he can sit next to you.  

It's hard.  Maybe the hardest thing we've done so far.  But we're making it, day by day.

The prognosis is still a little fuzzy.  I'm going in for my two week check up on Thursday.  They will take x-rays, and I think they will have a much better idea of when I'll be able to start weight bearing and then the long road of rehab.  

My postpartum goal of climbing at least one 14er next summer still stands!





And now some pure cuteness:


Friday, July 8, 2011

Puffy foot: MRI at Children's

I have mentioned in passing before that Andrew was born with a puffy right foot.  He came out this way, which freaked the midwives out a little bit.  His foot hasn't really changed since then.  He's been examined by 4 doctors, including a pediatric orthopedic specialist, and many nurses who all have said the same thing: It has great circulation, all the proper reflexes are in place, the legs and footpads are symmetric, it doesn't seem to cause him pain, and he is able to stand on it/kick with it equally with the left foot.  We're not sure what is wrong, exactly, so we should just wait to see if it resolves on its own or if he grows out of it.




Our pediatrician originally surmised that it had fluid in there, as most swollen things do, then the ortho guy suggested that it was vascular - either blood vessels or lymphatic vessels that grew extras for whatever reason - and now we're back to thinking that it's fluid again.

Fascinatingly, it appears that Travis also had a puffy foot when he was born - his left.  His dad thought he remembered this, but we were able to confirm it in Ohio last week when we uncovered Travis's baby books and albums.  It turns out that Travis's mom wrote in a day planner *every single day for Travis's first four years of life.*  (Makes me feel like a slacker for keeping a mere blog.)  So here are a few entries from 1978 with regard to the foot:

Feb 6, 1978 (just over two months old): "We will go to Doctor's Hospital to get X-Rays taken of his left foot."

Feb 8: They saw the specialist, who recommended one of those orthopedic braces we all had with the bar between the shoes.  (This didn't have much to do with the foot, more with the "legs turning out."

Feb 18: They got the brace.  "Travis did good with his new shoes and bar on.  He did keep kicking them off - especially the left foot that is still swollen from birth."

March 6 (just over 3 months): They saw the specialist again.  "The swelling on his left foot is practically gone."

So Travis's seems to have resolved on its own.  Even more interesting, now we are hearing that there are family stories of a great-great-grandfather who had puffy ankles his whole life and a great uncle who had disproportionately large legs.  It's fascinating - this seems to be a genetic, inherited thing.

At any rate, Andrew's pediatrician decided it was time to take a look in there and see what's going on.  And because it appears to be a soft tissue thing, MRI was the tool of choice.  And because one needs to hold perfectly still for an MRI, and we have a squirmy worm, he had to be under general anesthesia for the procedure.

So yesterday, we, along with Grandma Joyce, headed over to The Children's Hospital for an MRI.




First they took his weight:

Then they took his history:

Took his blood pressure on his leg:


But he was so squirmy they needed to take it again on his arm:

 Then his pulse ox from his toe:

Then he flirted with Nurse Holly:



We met the anesthesiologist:

 He had to wait to eat because of the anesthesia, so when he started to get hungry, Grandma rocked and put him to sleep:

Then it was time to take him away.... and Mommy cried a little.  (God help me if he ever needs to have a serious procedure or surgery done.)


Grandma and I poked around the first floor of the hospital.  As hospitals go, Children's is a pretty fun place to hang out.  Then we sat in the cafeteria to wait for our pager to go off that he was in recovery.

He was still sleeping on the gurney when we got back, with his chin propped up and a nasal cannula helping him out with some oxygen:




This was the little face mask they used to give him nitrous - enough to relax him to get in the IV with the main anesthesia:

He slowly woke up and tried to nurse, though he was a little drunk and uncoordinated:


After a quick diaper change, we were good to go.

On the way home, as he woke up more, he realized he was super hungry, so Grandma soothed him by letting him give her finger a hickey until we stopped for a nursing break.  We finally made it home in spite of a monsoon that hit during rush hour and having to drive all the way across town.

Andrew was a champ and had a good evening and a good night in spite of the traumatic day.  We'll get the results of the scan soon...