Archive for January, 2012

Kidney Dialysis and Pnumonia

January 2004, the diabetic doctor told me that Charcot was rare and not mentioned much in medical school. That’s why it was missed. The type of surgery performed was just taking the foot to the ankle as it was not infected. This was, sort of, a rare surgery for Charcot, but new procedure. The physician said I was a good candidate.

Though the surgery was a success and was healing well, I developed what was determined as gout. I was allergic to the prescribed med. Vioxx. This was like 4-5 days after surgery. Within 24 hours I started swelling up.

I wound up in ICU. After many tests it was determined my kidneys had failed. I was placed on continual dialysis for 5 days. After the five days, they had removed 100 Lbs. of fluid. I was still taking an antibiotic drip for eight hours, every 3 days to fight the MRSA. I was then transported by ambulance to their health care unit. My kidneys did not operate for eight weeks. So, I was placed on dialysis 3 times a week, 4 hours each session. Normally, it is a three hour session. They transported me to the Dialysis Facility (which had many, many machines) every Monday, Wednesday and Friday evening. The session began about 7 PM and it was normally midnight before getting back to the care center. This lasted, just, over four weeks.

During this process, I developed pneumonia. So in March, I was taken back to the hospital as this was my second bout with pneumonia. I was on oxygen for a few days each time and had to use the little breathing apparatus to clear my lungs and expand them. The surgeon had to place a port in my left side about three inches down from my shoulder so all meds were given to me went through it. They were constantly giving me something. After kidney failure another port was placed on the left side just to the right of the left breast so I could be hooked up to dialysis machine. I just about forgot, during the first bout with pneumonia, I was not eating, or would not eat and a tube was inserted through my nose to my stomach for the propose of feeding. I had that in from first part of February 2004 until end of February when I was moved to Providence Health care (Rehab and Senior Living housing)

Before Vioxx shut down my kidneys, I had been given an antidepressant. The doctor and nurses kept asking me questions after surgery. I thought I was doing OK, but they determined from my answers to their questions, and the fact that I was not eating, I was depressed. Again I really don’t remember much about the hospital and the pneumonia bouts. I really feel my poor body had been given so many drugs it revolted and said enough already.

Bonnie’s continuing story

Brought to you by Charcot Awareness Education Foundation

Infection: Don’t Take It Lightly

Until I had the incident with an infection and saw how concerned my doctor was, I really didn’t realize the effects it could have. Foot ulcers in the diabetic is problematic. It is easy to injur the foot and not know it. Years ago, my husband and I went to Las Vegas. I was wearing socks and sandals on my feet. I was not a diabetic at the time. It was a very hot day. We walked a long distance taking in the sights, malls and casinos, then worked our way back to the RV Park where we were staying. I looked down at my feet as I stepped up into the RV only to discover my bloody feet. I had worn blisters on them. They had broken and bled. I should have gone to a doctor, but didn’t as we were in a strange place and didn’t know any one. We used a home remedy for over a week. I stayed off of my feet and took really good care of them. They healed and I didn’t get an infection. I think back now and believe I had the neuropathy then. Unfortunately, many don’t check their feet. They may even believe the ulcer or wound will heal on its own. It may be under a callus and become infected. Infection compounds the problem.

What is infection? It is a bacterial invasion that under favorable conditions multiplies and produces injurious effects. P7160109

What does it look like? (Symptoms) It could be sore, red, warm, or tender to the touch, swollen, and could even weep with a fluid, or pus. These could be ulcers and could turn into calluses anywhere on the bottom, side or toes of the foot. If ignored and nothing done to heal these, amputation could be the end result.

Where should I look for infection? Infection can be anywhere on the body, but with Charcot Foot one should be most concerned with the feet. Examine your feet often. Check for wounds, blisters, bruise and cuts. If the heels are cracked or areas are showing evidence of increased pressure, one needs to moisturize the skin and possibly be fitted for orthotics by a professional to cushion the foot.

Is infection easily missed? If one has Nueropathy some of the symptoms will no be evident. We have the tendency to think it will just go away, or heal on its own. One needs to check the area often, both morning and night. If it is not healed in a couple of days, one should seek medical attention.

Since MRSA has become a very serious concern, I would like to share this poster which was on display at the hospital.P6120074

Brought to you by Charcot Awareness Education Foundation

What You Don’t Want : An Infection

What you don’t want an infection 1/5/12

#4 Set copyAbout a week had gone by and I noticed the incision on the leg where the muscle had been slipped was a little red. My next appointment was July 10th only a few days away. Unfortunately, when we went in I learned I had an infection in both the surgical incisions. These still had stitches. He removed the staple from my ankle and left the stitches on the leg and ankle. Then scraped both areas that were red and infected. We were all disappointed and weren’t sure what caused the problem. Maybe because it looked so good earlier we were in too big of a hurry.

Again my leg was wrapped like a cast and sent home for bed rest. I could wear the boot or surgical shoe. The surgical shoe was best as the boot was too tight and hurt the foot. For the first time I had to take an antibiotic once a day. Because of this, I had to be back on Wednesday as infections are serious.P7160111

Dr. Roukis Fitting ShoeJuly 16th Dr. Roukis scrapped the infected section on the leg, purposely making it bleed. He cleaned and packed it in such a way that the infection would heal. he was very meticulous.

He said it looked good and we were to repeat what we had done last week. We had another

appointment July 24th and things were progressing well. He removed the scabs with a scalpel and not a drop of blood. His skill never cease to amaze me. Then we learned he was going to be out of the country for a couple of weeks.Max rewrapping
He wrapped my leg and put me back in the surgical shoe.He gave Max the instructions for care and wrapping. Things went well. The entire process was about six weeks and I was back to walking quite normally with caution. Infections are scary and shouldn’t be taken lightly as many amputations take place because of them.

Brough to you by Charcot Awareness Education Foundation