You have
probably realised that over the couple of days before the Sydney test match my
foot had been deteriorating at quite a rate. I had not changed my care routine
and had not done any really excessive walking, but for some reason it had gone
crazy and my whole foot and lower leg had swollen significantly. I needed to
take advice and today was the day.
I had been
given the name of a 24 hour medical centre where, for $100, I could have a
consultation with a doctor. I thought
that a GP would likely want to refer me to a specialist podiatrist or wound
expert and therefore decided to try and cut out the middle man and try and find
a hospital. As luck would have it there was one about 15 minutes away and the
web site suggested that it specialised in the required treatments and was a
pretty new facility
I
fortunately have had little experience with A&E departments, but have heard
all sorts of horror stories. The day after a rugby international, close to an
area where there was clearly a drug problem, I feared the worse, but, within 2
minutes of walking in I thought I must have taken a wrong turn. It was more
like a top end hotel spa than an inner city hospital.
After a
quick interview and an examination by two nurses and the duty doctor I was told
that I would need to see a wound specialist. Within 10 minutes I was taken to
the Emergency Medical Unit, a squeaky clean, airy, well equipped ward that
actually looked like a film set for mission control in a Bond film.
As I waited,
I envisaged that I would be back on the streets, start to finish, within an
hour and was busy looking at hotel rooms on my iphone and contemplating a Lions
celebration steak lunch down at the harbour. A sharp intake of breath and a
‘wow’ from the pretty young East European wound expert snapped me back to
reality.
That was
approximately 1pm on Sunday 7th ..........
-
Hundreds
of tablets
-
Dozens
of injections
-
Litres
of intravenous antibiotic
-
1
mri scan
-
2
operations under general anaesthetic
-
and
the surgical removal of one toe ............ later, it is now Sunday 21st
I am still in hospital and to date I have no release date.
Bugger!!!
So what happened?
Briefly, on inspection the wound looked bad and the first
view was that I would lose at least my big toe, but I needed an exploratory
investigation to assess the extent of the infection. The big fear was infection
in the bone so the situation was to be re-assessed after the operation.
The next meeting brought good news. The wound had been debrided
and the infected tissue had been removed successfully. Infection had not extended
to the bone and, although it looked dodgy and was going to take a lot of
healing, the prognosis was good, but I needed an mri scan to confirm things.
I had to wait 12 hours for an mri (last time it was 18
months!!!) and this time it was good and bad news. The wound was clear, as was
the underlying bone, however, the bad news, was that the little toe ‘Lit up
like a Xmas tree’. Somehow, there was clear evidence of osteomyelitis in my
pinkie!!!
A major meeting with the senior vascular surgeons left me
with a decision to make.
Option 1
Remove the top two joints and part of the next bone to
completely remove the infection. Expect the wound to heal in about 6 weeks.
Live with a slightly strange looking foot, but with very little, if any,
adverse effects.
Option 2
Treat the infection for 5-6 weeks intravenously, move to
strong oral antibiotics, without a particularly good prognosis, due to the notorious
difficulties in treating body extremities.
Expect the infection to return and anticipate it spreading,
which in due course will almost certainly require surgical intervention and at
that time, surgical requirements may well be more extensive.
My decision was based on the above, a discussion with my uk
podiatrist mate (cheers Scotty) and the fact that when I asked the junior
surgeon what he would advise his dad if faced with the same dilemma. His answer
was instant and unequivocal.... Option 1.
So that is what I decided.
I cannot talk highly enough of the care, facilities and hygiene
here. The staff are enthusiastic and attentive and even the food is pretty good.
The building is new and very well presented and although I am on the public
rather private wards, there is no difference between what I have here and any
private hospital I have visited in the UK.
Since the operation the team is delighted with the results
but as yet I have not got a release date. I can walk on a special shoe that
keeps the weight on my heel, but they really want me in bed with my leg raised,
so that is what happens 23+ hours a day.
I feel incredibly frustrated that the whole of Sydney is
outside my window, the weather is record breakingly good and I am stuck here
not able to experience it, but recovery is paramount.
How this leaves continued progress I do not know yet. I will
do everything to ensure that I continue with the trip, but it may have to be replanned/rescheduled. Whatever happens I will return to the UK from the west and tick the circumnavigation box.
As you are no doubt aware the time here has enabled me to get
bang up to date with my blogs and I hope they have been of interest. Spread the word if you have enjoyed them.
For now it’s fight the boredom, especially difficult when
others on my ward have loads of visitors, and because Oz tv is complete crap. I
have introduced the nurses to ‘Guess the blood pressure’, (the most fun you can
have on a night shift ward without waking your neighbour} and, if we get the
right mix on my 4 berth ward, ‘Mystery fart tennis’ is a game possible when the
drapes are pulled.
Enjoy the heatwave guys and more news will follow in due
course
I’ve got a phone: +61 4987 22201
I’ve got e mail : bigmikeontour@gmail.com
Sydney is GMT + 9 hours
Take care all
Mike x