Archive for June, 2012

Kidney Failure: The Rest Of The Story

Because of kidney failure, being in ICU, my muscles, and the ability to even set up in bed was not easy. I was placed in the wheelchair with a lift. When I would try to set up, I would get so dizzy. I would almost faint, or get sick to my stomach. So I had to use a “Hoyer Lift”. They lifted me out of the wheelchair to get my weight each time before dialysis. And also, how I was placed in the chair for dialysis. It was neither a pretty picture nor self-esteem builder, but a day to day task.

Rehab at the assisted living place was slow. They took me to a king-sized bed to practice sitting up. Quite a few days was just repeatedly stretching, sitting up from a laying position and to remain sitting up for 5 minutes at a time. It took awhile. Eventually, I got to 15 minutes at a time. Then I progressed to learn to use a “Slide Board”. It was used for moving from a sitting position on the bed, to wheelchair and back to bed. (had not been fitted for prosthesis yet).

First part of March, my breathing/oxygen levels were not good. So, I was on oxygen quite a bit. I did breathing exercises each day also. That was pretty much the extent of rehab that month in between going to dialysis 3 days a week for 4 hours each trip, which were very cold and bumpy. The last 10 days of March was my getting sicker every day again. Low and behold pneumonia struck again and back to Providence Hospital for care.

It was a very rough 10 days, but the GREATEST WAS PRAYER ANSWERED IN THAT TIME – MY KIDNEYS CAME BACK – WHAT A GLORIOUS DAY THAT WAS AND MANY TEARS AND PRAYERS OF THANKS TO THE LORD!! Believe me I fought hard every day to get stronger and continued “The Serenity Prayer continually”.

During this month of March, I also had my most embarrassing moment- hilarious (in a way). Probably bout the 10th of March, a male nurse shows up early in the morning and says “Good morning Bonnie – I have been assigned to give you your first shower (all this time 3 months were bed type baths), but if you would prefer a female nurse just let me know.” I thought about it a moment and started laughing. And I said, “You are a professional person. Part of your job is bathing males/females and at this point everyone/everybody in this place has seen me from one end to the other and giving me a shower isn’t going to change how I look. So, lets get it done.” There you have it -my most embarrassing/hilarious moment. The nurse laughed to and we got it completed.

Bonnie’s continuing story

Brought to you by Charcot Awareness Education Foundation

Assisted Living & Rehabilitation

After spending five days in ICU, and finding that I had Renal Failure (kidney’s had failed). I was placed on dialysis, possibly for the rest of my life. My mental attitude was not great. I was placed at Providence assisted living/Rehab facility. This facility was about 25 years old. The rooms held two persons and not very much room and not very private either. I was not wanting to socialize with other patients. Most were elderly with terminal aliments. I just knew this was to be my life for the rest of my days. Yes, I was very depressed.

My renal (kidney ) Doc., Dr. Gittimer was very positive my kidneys would return to function normally. This became my continual prayer to God minute by minute. Rehab was slow, as I had all my muscles to build up after such a long time of laying in bed. But slowly through the month of March, I got stronger muscular wise. The trips to dialysis were awful. It was cold, snowy and dark. The Renal center had approximately 30 dialysis machines that were busy from 6am to 11pm. Children, teenagers and adults used the facility. It is amazing to know this machine is such a life giver, but the process to me is plain scary. I saw horrible things from some dying to a persons blood flying to the ceiling. The personnel are so well trained, and very consoling and patient. Some people are on the machines for three hours, others four, I was on the machine for 4 hours. The chairs you sit in are very comfortable, vinyl covered, recliner type. You can bring blankets, lunch or snacks. Each chair has a small TV to watch.

This routine was going along through March, my 63rd birthday was March 28th. Tony and Sharon were planning a surprise birthday party for me. Well, I surprised everybody. I had not been feeling real great, so, about the 23rd of March things went down hill again. I was rushed back to the hospital with pneumonia on the 26th of March – no party for me.

Back to antibiotics, oxygen and not remembering much. Tony complained to the nurses that I was always so lethargic and they told him I was asking for pain medication continually. He asked who authorized the pain medication that often. Their reply was at the patients request. Tony got very upset and asked how I was able to decide this, when I didn’t even know who I was. After a big meeting with doctors and staff, I was not given any medication that Tony, or Sharon were not aware of. While fighting pneumonia, a marvelous God thing happened to me. My kidneys started to function, UNBELIEVABLE, I KNEW DOC GITTIMER WAS SURE THEY WOULD FUNCTION AGAIN, BUT I DON’T THINK I DID.

Amazing recovery! which I made in a few short days, and within a week I was moved to the main floor of rehab in the main hospital. Rehab started with a vengeance to get me out of that place and ready to prepare for life at home. Prayers of Thanks to God, our father, for his blessings upon me. I could see home in my future now.

Bonnie’s continuing story.

Brought to you by Charcot Awareness Education Foundation

Blood All Over The Bed

Anchorage, in 1962, was pretty frontierish, but beautiful. I fell in love with the city and surroundings. In a very short time, I found a bank teller job at the bank on Elmendorf Air Force Base. Loving the outdoors, we did camping, fishing and sight seeing. In 1963, I became pregnant with our first child. Pregnancy was easy for me. I felt good and continued to work, but in February my doctors visit confirmed that the baby was breech and not showing any signs of turning. I was put in the hospital for observation on March 10th, so I could be monitored. This was to see if I could have a child naturally, or by C-section. March 17th the baby decided he would meet this world feet first.

The decision to do a C-section was made quickly. We were very blessed with a perfect 7 lb. 3 oz. boy, Shannon Duane (had to be an Irish name of course). Back in those days C- section patients were kept in the hospital for a week. Well, being different, I acquired an infection in the incision and had to stay longer. Finally, the good Lord decided it was time for me to take my baby and go home. However, at 5:36 pm the Great Alaska Earthquake shook things up pretty badly. It was classified at 9.3 on the Richter scale. The 7 story hospital sustained a lot of damage, but not a patient, nor baby was injured. I was scared to death, afraid I would fall and break open my incision, I did fall several times, but was not injured.

Life settled into a busy family life of baby care and working to restore community. I went back to work in a month at the bank. Many wives returned to families in lower 48 (USA). I did not want to leave and found a retired nurse to take care of Shannon. In 1967, I went to work in the airline business as an airport ticket agent. In order to work at the airport, part of the uniform was 2 inch heels. My feet were always hurting, probably from concrete floors with very thin carpet on them.

I became pregnant again in 1970 with 2nd son, Chad Eric, another perfect little boy 7 lbs 8 oz. Since I had first child C-section, the doctor decided to do this pregnancy the same way. However, Chad was in the normal position for birth. Delivery by C-section went very well. As you can see the births were 7 years apart. Yes, I had gained weight. From age 23 to 30 I had gained probably 40 Lbs. When I was pregnant, both times, I was working and gained the normal weight, but after each pregnancy I could not lose that gain. I was always fighting to lose weight . (my height 5″ 2″) Tried all the fad diets. I would lose and gain.

In 1972, Gary and I separated. We were divorced in 1974. The break-up was very difficult for me, as far as mentally, felt I was a failure as wife/mother . I continued to work and take care of the boys, but the one thing that had been lacking in my life the previous 15 years was God. This continued into my single Mom life. Busy with two active boys, working and keeping a house, I took the easy way, or so I thought. I did not include God in it except for occasional prayers.

Except for my weight problem and swelling achie feet, I did not have any major health problems. Gary remained a big part of the boys lives. Our oldest son, Shannon, lived with his father from age 12 to adult. With both parents living in Anchorage it made it easy to be involved with their growing up.

In June of 1978, at a garage sale, I met my second husband, Tony. We were married in Las B:Tony Jan'90Vegas February 24, 1979. Tony was from Texas and worked at Prudhoe Bay, Alaska, his work shift would vary two weeks on two weeks off, or 30 days on, two weeks off. Life was still very hectic, and we decided I would work part time and see if, at age 39, we could have a baby. He did not have any children of his own. I became pregnant but miscarried twice, OB/GYN doctor advised at my age/weight (180) should not try again.

1984-1990 I was property manager for Boomfield Company. I managed 12 buildings meeting with the tenants and relaying their concerns to the owners. This was a lot of walking up and down stairs.

1990 I went back to work full time, Customer Service Teacher/Computer Trainer teaching classes of new employees for airport customer service. I worked in the airline industry 40 years. I was on my feet long hours including in the early years (60-70’s). In my late 30’s early 40’s I started having swelling in my feet/ankles. They became very painful. My OB/GYN Doctors blamed my weight and really checked no further. In 1990, at age 49 I was diagnosed with adult onset type 2 diabetes. I was able to control it with diet and pills, but my feet and ankles just kept getting worse. I could not walk easily. My weight and the fact I was on my feet all the time was blamed for my discomfort. while working, still in airline industry. In 2003 pain/swelling was to the point I could hardly walk. Diabetic doctor sent me twice to a pulmanologist who said my blood flow to feet was perfect, last time I saw him was August 2003. Diabetic doctor was very perplexed as to the problem and why the pain was increasing. Walking was very difficult. First part of October 2003, I woke one morning with blood all over the bed and a hole in bottom of my left foot.

Continuation of Bonnie’s story.

Brought to you by Charcot Awareness Education Foundation

Charcot Poster Reference Information

We thank Dr. Schade for the poster on the challenges of diagnosing Charcot. We have done a little more research on the refrences used. Hopefully, this will help our readers understand the depth of knowledge and professionalism of those involved in this extremely important research.

Each of the journal Articals is listed with the leading physician and where they might be located.

The natural history of acute Charcot’s Arthropathy in a diabetic foot speciality clinic

David G. Armstrong, DPM, MD, PhD Professor of Surgery
Director, Southern Arizona Limb Salvage Alliance (SALSA)
Department of Surgery University of Arizona College of MedicineRoom 431B Life Sciences North 412
1501 N. Campbell Avenue,
P.O. Box 245072
Tucson AZ 85724-5072Phone: (520) 626-1349 E-Mail:
sperry@surgery.arizona.edu

Charcot joint disease in diabetes melitus

Peter A. Blume, D.P.M, F.A.C.F.A.S.
Affiliated Foot and Ankle Surgeons
508 Blake Stree
tNew Haven, CT 06515(203) 397-0624

Usefulness of a brief assessment battery for early detection of Charcot foot deforminty in patients with diabetes.

Kelley D Foltz, DPM; POD
Podiatry, Surgery – Other
(573) 471-0330
1012 N Main
StSikeston, MO 63801

Charcot artthropathy of the diabetic foot. Current concepts and review of 36 cases.

P. K. Pakarinen DPM
Practices in Denmark
No Pictures available

The consequences of complacency: managing the effects of unrecognized Charcot feet.
No picture available

D. K. Wukich is the chief of the foot and ankle division and associate professor of orthopaedic surgery at the University of Pittsburgh Medical Center. He serves as the medical director of UPMC Mercy’s Center for Healing and Amputation Prevention.  His practice involves treating patients with foot and ankle disorders. He is recognized nationally and internationally in this field and practices within the UPMC system and the Veterans Administration Medical Center is Pittsburgh. His 80 publications include scientific articles, reviews and book chapters and he has presented over 150 medical lectures during his career. As a board certified orthopaedic surgeon with subspecialty training in foot and ankle surgery, Dr. Wukich is uniquely qualified to treat traumatic, degenerative, congenital and acquired disorders of the lower extremity. Wukichdk@upmc.edu

Charcot’s neuroarthropathy of the foot and ankle.
Justin Hudson D.P.M.
Dr. Justin R. Hudson sees patients in our Bloomington, Linton and Bedford offices.
Present Affiliations The Foot and Ankle Center
2920 McIntire Drive, Suite 100
Bloomington, IN 47403
(812) 336-1185
(Satellite offices in Linton, IN, and Bedford, IN)

The perils of procrastination: effects of early vs. delayed detection and treatment ofincipient Charcot fracture.

E. Chantelau
222Willow Valley lakes Dr
, PA 14584-9463

No picture available

E. Chantelau

The results of arthrodesis of the ankle for leprotic neuroarthrophy
No picture available
Tashihiko Shibata MD, Phd
Department of Cardio Vascular Surgery
Osaka City Medical School
1-4-3 Asahimachi,
Abeno, Osaka 545-8585 Japan

Brought to you by Charcot Awareness Education Foundation