Hi, everybody.
I'm back home after two and a half weeks in the hospital. What an unexpected and totally frightening experience. I so, so appreciate everybody's good wishes and prayers.
So what happened?
About 3 1/2 weeks ago, I was trimming a callous on my left foot with a sterile scalpel at work. I barely nicked into good skin...about what I would equate to a paper cut. I stopped. It didn't even need a band aid.
3 weeks go, I went to Sacramento to do a gentle walk-run around the a lake. I had 12 hours to go as far as I wanted. I stopped at 31 miles, and rested on a picnic table for the next 3 hours or so for Scott to finish up. I felt fine. The only reason I stopped was because my right Achilles was feeling tight and I didn't want to overdo it on my first ultra back.
When we got back to the hotel (in Sacramento), my left foot was noticeably more swollen than my right. It started to hurt. I took a couple of vicodins.
Driving back the next day, it hurt more and more.
Sunday night, I went to work, where it swelled more and hurt more. I iced it, took ibuprofen, wrapped it in ace bandages, and as the shift progressed, I could no longer put my foot in my shoe.
When my relief came, I had him look at it. He prescribed some antibiotics and told me to keep it up. He gave me some vicodin and told me to follow up if it didn't get better in the next day or two. I also had an x-ray, which didn't show any fractures.
I lay low on Monday, but had so much pain that I took both vicodin and ibuprofen and still had no relief. I kept thinking that if the antibiotics could just get established over the next 48 hours, that I would get better.
Tuesday, I started to vomit. And vomit. And vomit. It became evident that I was going to need to go the ER.
I got checked in and my good buddy Tom Morris took care of me. They thought that I had a cellulitis, which is a soft tissue infection. The 5th toe on my foot was purple, my leg was swollen to my knee. I went to the OR for an incision and drainage, as well as culture of the drainage they got. Then they put me on three IV antibiotics, pain meds, and put me to bed.
The next week was an absolute nightmare. I was so nauseated that I could barely hold clear liquids down. They tried nine different meds for nausea before this started to subside. In spite of multiple antibiotics, the toe continued to look worse and worse, and the area of infection wrapped around the later aspect of my foot. My swelling continued. Ultimately, I gained 44 pounds of fluid, all in my left leg. They started to fear for my toe.
Because this was much more severe than the run-of-the-mill cellulitis, they started to look for other problems. I had a CT scan of my entire body (except my brain), which showed no blood clots in the lungs or legs, no pelvic masses or lymph nodes, no bone infections. The only thing they found was that I had so much fluid overload that it was also in my lungs. Why so much fluid? My protein level in the blood was about the level of a 100 year old nursing home patient. Why? Don't know. So then they gave me protein. Lots of protein. Protein shakes, meat, Whoppers from Scott (once the nausea subsided), and IV protein. My protein levels came up. My swelling started to subside.
I started to get better (everything except my foot). They took me back to the operating room to do deep debridement and I ultimately ended up with a defect in the skin and subcutaneous tissue about the size of a kindergartener's hand. Can you say flesh-eating bacteria?
So now I get to go to the Redding Hyperbaric Oxygen Unit for 90 minute treatments three times a week to help accelerate healing. I also get to see a plastic surgeon to see about whether this will need grafting.
Great fun.
To see Scotts take on it, see his website and
www.coachweber.com and go to his training log.
I don't exactly know when I'll be back at work. I know for sure that I can't bear any weight on that foot, which means working on crutches once I get back. It's been done before. My partners have been absolutely great at working with me on this. I hope to be back in the next couple of weeks. I NEED to work.
I think that this whole experience has made me a better doctor overall. Everybody should be a patient every now and then just to remind them how powerful their words are and how miserable their patient can truly be.