Heading South

The flight out to NYC from London Heathrow was smooth & on time, the foot was reasonably comfortable,able to be elevated for the entire time, due to the club seat/ beds. For some reason I was personally welcomed on board by the chief steward (?).

I had a wheelchair service at both of the airports which was really efficient & amazingly the Clexane syringes weren't even questioned. The scanner guy's comment on my hand luggage as it passed through the scanner was " Wow ! That's a lot of drugs." But everyone was kind & courteous, which made it much less of an embarrassment.

Swelling only became noticeably painful during the descent to landing in Newark.

So the weather was hot & sunny in Manhattan, around 78c on average. I spent most of Friday around Wall street, Seaport & Pier 17. Whilst sitting on the pier enjoying the sunshine, a couple of men who were engaged in slightly high pitched dialogue, were edging along towards me. One chap was moving backwards with the other a "Jackie Chan" lookalike moving towards him holding what looked like a flick knife. To start with I watched them with mild bemusement & wondered if they were acting out some sort of street theatre .......
People around me started to back away from them & move along the pier, getting their mobile phones & cameras out of their pockets etc while they did so.
As I looked at "Jackie Chan " I noticed his eyes were bulging & he had a deranged expression fixed on his face, the other guy was wearing an amiable smile, whilst speaking softly. He was big built but quite young I thought. Anyway, after watching these two dance around each other for a few moments,it became apparent to me that "Jackie Chan" clearly was wired, unhinged & serious ! I then noticed that I was the only person left sitting on the steps & considered to
myself how quickly I could move away from them on my crutches looking as inconspicuous as possible. I looked upwards & the upper levels were lined with crowds of people filming & taking photographs!
I got up slowly & inched my way along the pier sideways, crab like really, all the time
watching "Jackie Chan's" wild eyes but trying not to meet his gaze full on. Two lads ran past & then wrestled the Chinese guy unceremoniously to the deck in seconds. One of them sat on him while the other wrestled the suspected weapon from his grip. I looked at it, as it was thrown to the ground but i couldn't really make out what it was exactly other than it had a bright green plastic handle. Then the NYPD arrived, trussed up the little China man like a chicken ready for the oven & carried him away.
I mused for a while about the "what if's" & then headed to the Pacific grill for lunch which turned out to be a bit of a disappointment. The rest of my day was pretty uneventful after that, a bit of shopping, the Brooklyn bridge & a little bit of Little Italy & Chinatown.
We had dinner that night at The Waters Edge restaurant in Long Island, it has a complimentary water taxi service from the Skyport marina which provides stunning & romantic (take note Glenn) of the Manhattan skyline at night along with a complimentary glass of champagne The food is pretty good too !

Next morning the sun was shining high in the sky as we headed to Central Park. After a taxi ride we entered by the Lake & Boathouse & walked to them via Strawberry Field. I took the obligatory photograph of the Imagine mosaic & some great close ups of the bridge & staircase down to the fountain, before we hobbled around to the Loeb Boathouse. I couldn't believe our luck, we got a great table by the lake for lunch. The view was so beautiful, of people trying to row their boats around, of the sun glinting on the water & glowing through leaves on the trees. I ordered the Maine lobster roll & it was delectable, slightly sweet but not too chewy, delicious, the glass of bubbly complimented it perfectly too !

Afterwards another taxi ride, but this time to The Empire State building. Although I have been up it before (2005) I wanted to watch the sun set & hopefully capture a bit of it in some photographs .

We finished the day by heading to some bars just off of Broadway & the foot & I boogied to
Michael Jackson before heading back to the hotel.

Yesterday we drove over 700 miles (after getting lost) through West Virginia & along the Blue
Ridge to arrive in Greensboro NC. Lovely chappie has a two day course to attend before we can continue onwards to our next destination which is Cherokee.
Whilst chilling out & watching daytime tv in the hotel room I saw an advertisement for a male grooming gadget, it had a bright green plastic handle & looked very familiar ..

I'm hoping to be able o visit an Indian reservation & maybe have a pow wow with the Chief !

The foot is crossing the pond !

Good morning everyone,
Thank you for your comments, they were a lovely reminder that I'm not the only one dealing with these problems........

The news is, I've decided to go ahead with my trip. A distraction is what I need at the moment I've decided. After a few days of stewing, a few minor alterations to our plans, we are flying out of Heathrow T5 this evening!
My lovely chap (yes he did hang around,despite the foot)has booked me club class all the way to NYC. Which means the foot will travel in style & will be elevated the whole way.
I am back on the Clexane to hopefully fend off a possible DVT & we have organised wheelchair assistance through the airports on both sides of the pond.
We have cancelled both of our internal flights & now plan to drive from NYC to Greensboro NC before heading to Cherokee & the Smokies. The beauty of this is we can stop as often as the foot needs & run to our own schedule. We've even decided to include Philadelphia in our return journey back to NYC.

I brought a new DSLR a few months ago, so I will be snapping away & will try to post as often as I can. We plan to have dinner at The Waters Edge restaurant tomorrow evening (Birthday) which has stunning views from Long Island of the Manhattan skyline. We were there last November, on our 2nd date so it's sweet to be going back. I may try to watch the sunset from The Empire State building, I visited it in 2005 & perhaps a picnic in Central Park .......
I've also researched wheelchair hire companies, if it comes to it, I'll swallow a bit of pride & use one.
So for the next two weeks, it's not about the foot & what I can't do, it's about exploration, fun, adventure & me ;-)

Fractured forefoot

My consultant was quite concerned when I arrived this evening. The CT reported a fractured forefoot which apparently is the part from the bottom of my metatarsals to the tips of my toes.
I just need to fracture my ankle & I've done the full set !

Thankfully it's not displaced & my mid foot reconstruction is still intact with no misalignment. Therefore as long as it stays that way I won't require surgery. It just needs lots of TLC.
So I feel some sense of relief but am upset & frustrated to be back in the aircast boot & on crutches for the next six weeks. The Osteopaenia is partially to blame apparently making my bones more brittle than normal, but the good news is it doesn't slow down the bone recovery rate.
I developed Ostepaenia as a result of the time spent none weight bearing, it should resolve itself in time I've been told. I am continuing with the vitamin supplements & will try to eat a diet to encourage the mineral density in my bones to improve.
It hurts, but the drugs are good, it's very swollen too, ice packs & elevation here I come!

So, on Monday 3/10 it is the six month anniversary of my Lisfranc fracture & on Friday 7/10 it will be my birthday. On Thursday 6/10 I am supposed to be flying to NYC to celebrate :-(
My consultants advice was I could travel but he wouldn't if it was him in this situation. I will have a higher risk of developing DVT being pro coagulant at the moment due to the fracture. He did say he would put me back on the Clexane injections if I went ahead with my trip to try to prevent a possible DVT.
I'll need to restrict what I do in NYC though & will need to put my foot up as much as possible (De Ja Vu !). I will need to sit in the back of the car with my leg up for the road trip in the Smokies as well .........  However I don't think we can get a refund on the airline tickets now. So, I don't know what to do really. I was so looking forward to seeing the Smokies in the Autumn, I bet the colours are stunning this year. But I'll be able to do very little in NYC, my planned cycle ride in Central Park on my birthday can't go ahead.......... Hold on, do they have tandems ??? Hehe I could just sit on the back & get my chap to pedal.

Travel insurance could be a problem too, getting cover for the foot !

With this unlucky streak, I don't think it's worth my while buying any lottery tickets.

Yes......... I panicked !

Last weekend, after managing fairly well for 3 weeks without the boot & using my crutches less & less I had planned a sailing reunion with my crew down in Southampton. Unfortunately I hurt my foot! I stepped up with my good foot, wobbled backwards & lost balance with my entire weight dropping back onto the ball & toes of my injured foot. The pain was immediate & severe. I felt a horrible crunching in the base of my toes, followed by a searing pain through the bottom arch.
It swelled pretty much straight away, a band of swelling all the way across the bottom of my forefoot & base of my toes. The pain was scarily similar in sensations to the pain I'd experienced following my 1st surgery. I took a hefty dose of ibuprofen & hoped that it would settle down & that perhaps I'd just jarred the joints & ligaments or something. The fear, just kept rising up inside though, managing that whilst being with my sailing crew was difficult. A couple of times the fear & panic overwhelmed me to the point that I shed a few tears. Sure I felt run down due to the pain, but the panic & fear overtook.

48 Hrs later I gave in, walking was incredibly difficult, the ball of my foot & underneath the forefoot felt horribly tender, my 2nd & 3rd toes were pretty swollen too with some bluish bruising starting to materialise. So on Sunday evening I found myself in the A & E department of a nearby hospital. After waiting for a couple of hours I was seen & lateral & AP Xrays were taken. To my immense relief no significant fractures were evident on either Xray !
But the consultant was concerned enough about my inability to weight bear & the swelling to give me another pair of crutches (my 3rd !) & prescribe very strong pain killers before discharging me with strict instructions not to weight bear until I had visited my own consultant.

So I saw my own consultant last night & after reviewing the Xrays again he agreed there are no significant fractures evident & my midfoot reconstruction still looked intact which was great news. He was slightly concerned over the swelling & tenderness in my forefoot & toes, with my planned holiday to the US due to happen in a week he has requested a CT scan before confirming that I'm OK to travel.

So it's been a pretty eventful few days, & here I am waiting to go back to hospital this afternoon for the CT. I feel so relieved I can't tell you, the thoughts of having to go back into surgery or back into cast were enough to make my stomach lurch & my heart sink. So I'm keeping everything crossed & thinking positive thoughts that the scan results are good, I'll get them during my follow up with Mr Ritchie on Saturday. In the meantime resting the foot & only partial weight bearing with crutches allowed.

Breaking the silence .......

Well ! Where have I been ?
Apologies first of all, I know I've been a bit quiet, it's been a very tough couple of months........
So after my second operation on the 15th July, I got an infection in the wounds. Which set me back a few weeks. Innitially after the op I felt great. It turned out to be more complicated than planned, I needed some tendon repair & cleaning up which meant another 2 1/2 hrs under anaesthetic. But I felt good and after a couple of days & was looking forward to walking without my crutches relatively quickly. What actually happened was the two weeks planned holiday following the op were spent with me feeling quite ill & eventually not being able to walk at all.
It put me back,but all in all I got over it quite quickly,
What was harder was the walking & weaning out of the boot. I'm no wimp, but when I started to walk I couldn't believe how painful or difficult it was going to be, or was. I knew it wouldn't be straightforward but no body explained to me or prepared me for just how hard it would be. The initial disappointment was so hard..............
I tried to stand up, but I just couldn't. Taking the first few steps out of cast were petrifying. People just do not prepare you for it.
Dealing with my weakness, limp & the pain have been a huge problem. I suppose that maybe I've been hoping that when I came out of the boot I would walk normally. in fact I think I've been in some sort of denial for the last 5 months & was pinning my hopes on it all being fine once I got out of cast.
So when it happened, that is the failure & pain when trying to walk normally, I really struggled with facing up to just how serious this injury is. I didn't deal with it, I cried lots & pushed more & more, hoping for a breakthrough, it didn't happen.

Physiotherapy, shoes & all that follows Lisfranc Surgery

2 1/2 wks post op removal of compression plates, fixing screws & arthroscopy.

I saw my surgeon last night for my post op check & all things considered I didn't think the foot looked too bad .............. I now have one more incision, on the inside of my foot following the arthroscopy but he used the same scar for the metalwork removal & I have to say, I think he did a better job of closing it this time then after the original surgery. What was encouraging was the lack of significant swelling, this is a positive sign apparently & is as a result of all of the elevating & rest it has been given. So there we are, the Lisfranc mantra of "keep your foot up" obviously works !
I still have internal stitches which will dissolve in time, but I can go back to bathing with "my foot"- heaven ! I looked down after the dressings were removed & thought there were a couple of blonde hairs that were perhaps stuck to the sticky residue left behind, but after a gentle tug & a bit more scrutiny, I discovered that they were in fact attached ! They were the 'tails' for the internal stitches- LOL
I will start with an intensive moisturising regime & will buy some "Bio Oil" to rub into the scar. My surgeon says that this stuff really helps with scar healing.......... time will tell !


I explained how I'd tried to build up the weight bearing last week & the amount of pain that I experienced afterwards.............. After an examination, there was some tenderness around the 3rd & 4th metatarsals. My surgeon commented that it is possible the bones haven't fully fused yet, which would explain the discomfort. He was hoping that I would start full weight bearing in a shoe yesterday, but in view of the pain etc, he has asked me to continue with trying to build up the weight bearing whilst wearing the (now stinking !) boot & I will see him again in two weeks time for another examination & X ray. But the good news was I am now ready to meet with the physio terrorists as I fondly call them & they can now be let loose on "the foot".
I must say, my ankle & foot are so painful & stiff at the moment it is hard for me to believe that I will manage to walk in a shoe in a couple of weeks time, but I'm hopeful that along with targeted physiotherapy exercises & a focused effort from me, it can happen. I'm sitting at the moment on my sofa with my laptop on my knees & both feet flat on the floor. Not really weight bearing, but bending the ankle joint & flattening the foot on the floor. My ankle joint has been in a rather odd position pretty much since I had my accident & although I do try to bend the joint & rotate it from time to time, it still will not reach the 90 degree angle which is normal.The pain has been gradually building whilst I've been writing this post & I know I will have to elevate it again shortly.
It's all very well, but when does this need stop ? Does anyone know if this need to elevate gradually lessens & "the foot" will build up enough strength to become strong enough not to need it so often ? I'd be grateful for an indication of how long from where I am now this will begin to happen too.

I have been thinking that swimming would be a good thing to do, but there are no facilities close enough to me to be able to get to without a lift or taxi. Maybe I might just have to stomach the bills & overcome the diminished self confidence & just go ! Quite frankly I think I'd do anything at the moment to help reduce the pain & accelerate the recovery process if I could.

1 step forward......... 2 steps back

Well, I've kind of had the wind taken from my sails so to speak. It seems I didn't respect "the foot enough" this week & it let me know !
So 4/5 days ago, I started walking around just using one crutch more & more often, around the house to start with & then I did venture out. I brought myself a new DSLR recently & a friend offered to take me to the Pantiles last Sunday morning. It was such a beautiful day, I took my camera & really enjoyed hobbling around (in the boot), snapping pics as & when I saw them. It wasn't a long walk or particularly challenging, I took my time & used just one crutch. I was tired when I got home but that was about it. The foot was a little sore, but after a painkiller it settled down. On Monday, I was home all day, hobbling in the boot & sometimes using one crutch, sometimes none. Well that evening, the foot really started to hurt, in fact it did feel scarily similar to the pain I had a few weeks after my 1st op. I had sharp pains in the arch & under the ball of my big toe, along with lots of prickly spasmodic type pains across the bridge/top of my foot & some pain up the back of my leg. I took pain killers & elevated it. the strange thing was, my toes didn't look particularly swollen. A little puffy but they've been alot bigger ! The next morning, it seemed OK, no lasting pain carried over.

My dog was desperate for a walk on Tuesday, I had arranged for someone to come over & take her, but it fell through. So after deliberating, I decided I could possibly manage a gentle hobble (in the boot & with one crutch) around the block with her & gave it a go.
I didn't go anywhere else yesterday, just pottered around the house, sometimes using a crutch & sometimes not. Instead limping around in the boot & using props around the house to support myself on. Last night I really suffered for it. The pain was all of the day before, but much stronger & at times nauseating ! I even had a grinding ache all along the balls of all of my toes (underneath the bases). I'm not sure if that's the right term for that area, but hopefully you'll understand from this odd description which part I mean :) I got up to use the bathroom & hopped all the way on my good foot to it, each hop I took, made "the foot" hurt, a bruised type of pain.
It stopped me going to sleep last night, I couldn't get comfortable in bed at all & I was seriously worried. I lay in bed trying to work out if this was the tendons & nerves healing following the most recent op or if I had somehow managed to damage "the foot" again. I had to go back to elevating "the foot" on a cushion outside of the bedclothes again. So after worrying & feeling pretty sick, I had a poor nights sleep & decided that today, I would hardly weight bear at all, using two crutches if I did.
I've spent the entire day on the sofa pretty much, trying to work, taking pain killers & If I'm honest still worrying. The thing is I still have all of the bandages on, so I can't actually see my foot & I have no idea if the surgeon went back in through the old scars, or if he has made new incisions (I forgot to ask). Therefore I'm not sure if the rest of the foot swelled as a result of the weight bearing & that's what caused the pain, or if it is the tendons etc healing or what, really.
I feel a bit deflated, after feeling so positive & that it really wouldn't be much longer before I could drive (it's my right foot) my car & get back to the office perhaps around the end of August, I'm now not quite so confident. I was also hoping to sail in the last couple of races of the season which are in September. I had realised I couldn't do foredeck, but in this amount of pain, to do anything except sit in the cockpit would be difficult. Not too mention dangerous really. I don't know, frustration & anxiety probably sums up how I'm feeling this evening. Since resting all day, "the foot" has calmed down & isn't hurting me quite so much, although the spasmodic prickly twinges are still happening.............

Last night I was all set to ring the hospital today, but I decided against it & thought I'd try the rest treatment first. I'm really hoping that I've just overdone it & perhaps pushed for too much too soon. I have to go back to the hospital next Tuesday which is 6 days from now, I think I'll just continue to rest it as much as possible, & see if I can gently work back up to one crutch by then. If I can't then I'll just have to make notes on how the foot feels & tell the doc.