Spectator

I've had quite an eventful couple of weeks!

I went in for a check-up at TOSH last Monday.  Doctor visits are always hard for me because it is a reminder of just how bad my injury was, and how life-changing it has been for me.

I got a set of x-rays taken, and everything appears to be lined up properly and healing well.  My bones are still not quite as strong as they were before, and it will just take time to build back the bone density.  Otherwise, the x-rays looked great and there were no major issues that could be seen.  The doctor did say that he could see evidence of very mild arthritis through my midfoot already, but it was nothing to be concerned about at this point.

I am still having quite a bit of pain and stiffness in my big toe.  There wasn't anything on the x-ray that could point to the cause.  The doctor examined my foot, and he thinks that it is just stress on the foot after not using it for so long.  He said to continue with my plantar fascia stretches, and to also work calf stretches in, by hanging my right heel off a step and dropping it down.  I also still cannot really come up on my toes at all on my right foot, and the doctor said that that is usually one of the last things to come back.

I was also given clearance to start weaning out of my Superfeet.  I have been wearing those inserts for arch support ever since I started weight-bearing, so I've become quite accustomed to them.  But, my arch has built up enough strength now to be able to support my foot on it's own, so I can begin to phase them out.  I wore a pair of boots to the grocery store over the weekend without them, and I didn't really notice too much of a difference - other than there was a lot more room in my shoe!  Walking barefoot has certainly gotten a lot easier; it's not my favorite thing to do, but at least I can stand walking around on it a bit after I get out of the shower without running for my shoes first thing.

I got the standard set of instructions for the next 4 months until my next appointment:  low or no impact exercises, a stiff supportive shoe, and monitor for pain.  The next time I see the doctor will be the 1 year post-op mark.  

I also took another trip last weekend, to Phoenix.  The hubby was doing the Spartan Race, and I signed up to be a Spectator, so I could watch him compete.  It was HOT down there - 90 degrees - compared to about 50 here in Salt Lake.  I had a lot of mixed emotions about him doing the race, though.  We had an agreement that I would NOT cry the entire trip or there would be consequences.  It was incredibly hard though, because every fiber of my being wanted to be out there with him running the race.  He was also running it by himself, and that made me so nervous for him, and I felt bad I could not be his support.  But, as a Spectator, I still was able to see him quite a bit on the course.  They block off an area for "spectators" in the main festival area, and you are able to see about 6 of the obstacles.  But, there were 22 of them in the race!  

I don't do well with "rules" so after he took off from the start line, I started my own race around the course to find him and cheer him on! I had a course map and an iPod.  I was really surprised at how my foot held up during my escapades.  I was climbing hills and walking around with no real pain, or problems!  Descending was another story - although it was mostly psychological.  I didn't have the confidence or trust in my foot when I was coming down a steep hill, so it was very slow, and steady.  But, I made it, with no falls!  I trekked my way to 6 obstacles (Over-Wall, Rope Climb, Herculean Hoist, Rolling Mud, Barbed Wire Crawl, Bucket Brigade), plus the 8 in the designated area.  So, I got to see him do over half of the race!!  I took pictures and provided vital nutrients such as Gatorade and water.

I also watched him tackle the obstacle that caused my injury!  It was nerve-wracking and really hard to watch, (and exponentially harder not to cry while watching), but he conquered it like a boss.  He later admitted that he was shaking the whole time, and that he had "words" with the obstacle.

He finished the race (mostly) injury free!

And I didn't cry!

Boot the Boot

Yesterday was my first day that I was allowed to be out of the boot all day!

I've been working on weaning out of the boot for the last week and a half or so.

I still don't walk "normally", or what I would consider normal anyway.  I think that will just take time.  I move pretty slow when walking, and I have a little bit of a limp.  As the day goes on my limp starts to get a little worse.  I can't say that walking is necessarily painful, but my foot feels stiff and a unnatural. I still have plenty of hardware inside my foot that I am sure is not helping.  I don't know how long it will take until things start to feel normal again, but I can say that I'm just happy to be walking.  My arch still isn't ready to support my barefoot, so I need to have shoes on, preferably with an insert, to do any walking around.  I have been trying to stand up more in the shower, rather than using my gimp stool, but my right foot still feels slippery on the tile.  Like my foot can't grip onto the smooth surface or something, so I still need to steady myself on the wall.

I did have a follow-up appointment this week at TOSH.  They took a set of x-rays, and this is the very first time I've taken a weight bearing x-ray on my right foot!  I was a bit sore afterwards, since I had to be barefoot and my foot is still not ready for that.  The doctor indicated that everything looked great, and had me schedule surgery on December 15th to remove the two screws.  I was very specific that the surgery not conflict with the new Star Wars movie release, since I already have purchased our midnight tickets on opening night!  He confirmed that my plate will stay in, mostly because the navicular bone does not get a lot of blood supply and taking it out may cause it to just crumble.  Ain't nobody got time for that.  Also, all of the screws will stay in the plate as well.  I guess I'd always just assumed that they would come out.  I can feel them, and it bugs me, but I'm sure after a while my foot will just get used to it's permanent guests.  There is also a screw head that is across my Lisfranc joint (at the base of my 1st and 2nd metatarsals) that is poking my inside arch.  It's been increasingly painful as I start to increase walking without the boot.  It has been really tender the last few days.  When I mentioned this to the doctor, he pressed down on the area to confirm it was the screw and not anything else.  My yelp confirmed that yep, it's the screw.  Ow.  It was so sore that day after he did that.  Jerk!  Lol.  I'm glad that screw will be removed in a couple of weeks.

Thankfully, I've got a lot of vacation time banked at work, and I will use most of it for my surgery and my holiday vacation.  My co-workers unfortunately won't be seeing me much in the month of December!

For Black Friday, Nate and I splurged a bit and purchased a spin bike for our basement gym.  Since I can't run, I actually couldn't even really walk for exercise right now, I wanted something at home that I could do for sustainable cardio.  I really have been limited to lifting weights with my Power Blocks, or my TRX.  While I love both of those,  I need to do cardio (says the extra 20lbs I've put on since surgery!) and that is not really an option with strength training.

Even when I can start walking enough to increase my heart rate enough to the point of cardio, let me remind you that it is winter in Utah.  Not only is the air freezing cold, and the ground icy, but we have this lovely thing called inversion, when the cold air gets trapped in the mountain valley, along with all the smog and pollution.  It's quite disgusting, and breathing the air outside is not pleasurable.  Most of January and February, when the inversion is at its worst, I struggle to breathe and often have horrible sinus issues. Exercising outside just makes it that much worse.  Here's an example of the lovely crap the Salt Lake Valley gets to deal with for the majority of the winter:

  
I also had a birthday this week!  I'm now at the ripe old age of 32.  Nate got me a gorgeous necklace
that holds my wedding ring, and took me on a hot date to Ruth's Chris where I had the most phenomenal surf & turf.

The last time I got fancied up was for our anniversary in August.  I was still on my scooter, non-weight bearing and I had to keep my foot elevated most of the time.  It was great to be able to go out without having "special needs" and I could be a normal girl for a night out on the town!  It also made me reflect on how tough this year has been on me (and Nate) and I am so grateful that I had my best friend by my side the entire time and I realize that I could not have made it through this without him.

The Initial Diagnosis

After the race, we went home, and my husband helped me out of the car, up the steps to our garage and into our house.  I crawled awkwardly through the kitchen to the bathroom, leaving a trail of mud behind me.  I needed to go to the ER, but I also needed to clean off the gallon of mud that had started to cake on my skin.  I flopped into the bathtub somehow, and laid down to shower, completely exhausted.  I managed to get myself dressed and somewhat presentable for an ER visit.

With the help of my husband again, we drove down the street to the Riverton Hospital Emergency Room.  Just my luck, they were extremely busy, and I waited over 2 hours to see a doctor.  They x-rayed my foot in a various number of positions.  My foot was numb; I couldn't flex or wiggle my toes.  I had a tough time complying with the radiologists requests so that they could get all the pictures they needed of my little piggy bones.  The radiologist noticed my husband wearing his Spartan Finisher shirt, and asked if we had done the race.  To which he replied, "Yep.... that's kind of why we are here."

Eventually, I saw the doctor.  She examined my foot for the obvious injuries, and up my leg to find any that may have been missed in the x-rays.  The doctor then sent a PA in, who fitted me for a splint and a dose of ibuprofen.  He said the doctor would be by soon to answer any questions and I'd soon be on my way home.  I'd never broken a bone in my life, I had no idea what it felt like, but it couldn't be that bad of an injury if they were sending me home with a splint and a couple advil.  Nate and I watched the World Cup and joked about Canadian food while we were waiting for her to return.    I wasn't really worried about anything at all at this point, and just wanted to get home to my cats and my sweet dog.

Then the doctor came back to crush all of my dreams.  She casually mentioned that I had a few broken bones in my foot.  And there was one that was shattered into several different pieces.  Oh, and I'd need surgery next week, and she given me the name of an orthopedic surgeon that I needed to contact on Monday.  Recovery would be more like months, not weeks.  She wasn't a specialist, so she'd called the on-call Foot and Ankle surgeon, and mentioned something about fixing a LisFranc injury.  What?  I was given strict instructions to not bear ANY weight at all on my right foot until I saw the surgeon.  She then handed me some Lortab and told me I'd need something much stronger than Advil.

Wait.  What?