What's Wrong with Lars?

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Instead of writing a new long email to thirty people every two days I will just update this page.  THANK YOU for all of the well wishes, I will be fine eventually, but it has been quite an adventure.  If you want to know where I am in the leg recovery process just check here.

Ugh, I've read this already, skip me down to today's entry...

The whole story (as of 10/23/2016 at 12:54pm)

Prologue:  Tore Achilles Tendon July 10th playing B-ball at CYO w Kenny and Daryl.  The good Lord saw a hethen playing churchball and he smote me! Surgery 7/14 to repair.  Sept 25th, ten weeks post-op, re-injure AT.  It is completely retorn.  Schedule a new surgery after discussions of there being less tissue, etc.  New surgery 9/30.  Two weeks post op and it's time to visit ortho and have bandages removed.  We pick up the action here, 10/17/2016...

Will come back and flesh this section out with pictures of the first go round later...

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Monday, October 17th:   My first visit post "second" surgery.  Due to a scheduling snafu my ortho, Nilesh Patel, is not on duty, but I get Dr. Ramadi to look at me.  In Dr's office the staff removes my bandages.  The wound is a black bloody mess.  The stitches have popped out.   It is clearly infected.  You can see the Achilles tendon through the hole in the leg.  They re-wrap it, put me on Keflex (antibiotic) and tell me to return to see Nilesh (Dr. Patel) the next morning at 8am.

  The girls who work in the EMOG (Edison Metuchen Ortho Group) were hilarious.  They had never seen anything so messed up before.  One young lady went ashen and tried to hide her dismay from me the whole time so I would not become upset.  I said that I could see it was infected and things were bad so this put them at ease a bit.  I then asked if they had ever seen anython worse.  One girl immediately started shaking her head side to side and said, "No way... Never..."   This didn't help me much.  The second girl said she had seen something similar once.  It was a woman who's leg had been run over by a car.  I have a long way to go I think...

Tuesday, October 18th:  I rise and go directly to see Dr. Patel.  He knows what's coming but is shocked by the damage.  He scheduled me for emergency debridement/clean up surgery that night and tells me I will likely spend the night at JFK.  I go at 3pm to check in, get processed and am under the knife by 6pm.  I wake in recovery at 8pm.  Pain is not so bad.  They take me to room 3135 in the ortho wing at Kennedy.  I did not know it at the time, but it will become my home for five days.

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Kenny got my laptop to me fast so I would not go into DTs

  The debridement went well.  There was not enough tissue to close the wound on the back of my leg so the doctors are using a "wound VAC" where a sponge is placed in the gap and negative atmospheric pressure is applied to bring the wound together and to keep the nearby skin dry and not wet with seepage.  I have a hole in the back of my leg with a black sponge hooked up to a shop vac in it.  Tired.  Need some sleep.  Black sponge is a great band name.

Wednesday, October 19th:  Thought I was going home today.  Run through a bazillion blood tests.  Met with plastic surgeons.  They will perform surgery next week to close the wound.  Want a consult on Monday, 10/24 and to operate on 10/26.  Good, less time with the Kirby vacuum in my leg.  Talk with some nurse at home people about doing my own IVs and running the wound vac for a few days.  Eating well.  Told at 4pm that they cannot find a portable wound vac by end of day so I need to stay in the hospital.  Not thrilled, but no big deal.  One day closer to surgery to close wound and I have professionals keeping the hole in the back of my leg clean.

Actually a cool process -
https://en.wikipedia.org/wiki/Negative-pressure_wound_therapy


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Thursday, October 20th:  TODAY I'm going home.  Leg wound re bandaged.  Man, what a mess.  Lots of meds and antibiotics.  I keep asking on check out procedure.  No one will give me a clear answer.  Am told at 4pm that the infectious disease doctor will not clear me to go home.  Huh?  I talk to my Ortho and he says not to worry on it, that they will just do antibiotics and we can still do surgery on next Wed.  Good, all I care about.  But why can't I go home?  Been here two days, the wound vac portable is here.  Have instructions on nursing service for antibiotics.  Nurses installed a PICC line in my arm today to make IVs easy.  I'm ready to go.  Doctor says the culture is not back from the surgery on Tuesday so she cannot release me.  In retrospect, I think they double checked before telling me what was going on.  Read on...

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Having only one leg to stand on I am a Fall Risk, another great band name...

Friday, October 21th:  The day of the Curveball.  I wake at 7am and notice that the nurses are whispering and hanging some weird supply bag on my door.  Now when they come in they have gowns and gloves on.  A nurse comes in and wants to take blood.  She tells me that I was positive for a bacteria in my culture.  The infectious disease doctor will be in to talk to me later to discuss antibiotic treatment.  OK, I guess it's no big deal.  I am not quarantined, I am "contact precaution."


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  Finally I get why the nurses were acting the way they were.  I have MRSA.  The wound infection was a MRSA infection, the super bug that is resilient to 50 different types of antibiotics.  People are running around like it's the andromeda strain.  I talk to the doc and it turns out we have to try a bunch of Vancomysin antibiotic (it still knocks out MRSA) and some other types, so they start testing.  Antibiotic, bloodwork, antibiotic, bloodwork, my left arm is blown out with needles.  I will not be cleared to go home by docs w this in my system. 

  Now a narrative that makes sense is forming though.  I have had MRSA in my system the whole time.  It was asymtomatic, but it was there.  It slowed the healing of the first AT repair and made it weak.  Then it infected the second one at the incision point in the leg and got to the tendon.  NOW my experiences are making sense (as much sense as they can with a PICC in your arm, a sponge in your leg and a pee bottle next to you).

Friends all came Fri night, dressed in gowns and made asses of themselves so it was fun.  I will be here Saturday.


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Saturday, October 22nd:  Was told early that I would not be cleared until Sunday earliest.  Sunday looks good for release now, but I've heard that before. Then again, Cubs are in the series so anything is possible...  Maureen came to visit.  Peter in afternoon.  Howie, always a good time at JFK. Infecteous disease wants to postpone surgery now.  Fight ensued.  Always something.

  They have taken so much blood that there're no more spots to bleed me...

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Sunday, October 23rd, 2016:  Think I may get out today.   I have to get released by ID, Infectious diseases.  They are running me through one more bag of vanco.  Listening to Giants v Rams from London on the laptop.  According to the nurse I still have my consult with the plastic surgeons tomorrow in order to get the gap in my leg repaired.  That's a good thing..   Dr. Ramadi stopped in this morning.

 Looking like today is release day.  Plans are being made for the nurse to visit my house tonight to teach me how to give myself IVs.  The wound care nurse is being scheduled for Tuesday so they are going to change my leg dressing today... Looks like I may be paroled.  Infectuous disease doctor still needs to release me so we will see...  That, and a few staff have told me not to get my hopes up as they NEVER release people on weekends... Ugh...

  UPDATE:  Will be leaving hospital tonight.  At home infusion people will be over at 9am tomorrow to bring the antibiotics and JFK at home nursing will be over Tuesday to change out the dressing for my leg.  We re-bandaged the leg a little while ago and I took some pictures.  

 Not for the squeamish....

  6:20p - Just had last meal... well, here anyway.  Veal Parm was good.  Just waiting for IV bag to finish and to get leg wrapped up.  Almost out of here.  My buddy Howie here.  Last IV bag... FINALLY get to wear shorts again... Clean up, pack, final dressing for the leg, clean out IV line...

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 So much paperwork.  Tick, tock, tick tock.... Done at 8:30p.  FREE!!!!  Well, not totally...

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I am quickly back in my natural habitat, in front of my laptop in my dining room...

But I have two new friends...

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The portable wound vac pump to keep suction on the wound and my PICC line so IVs are easy to do at home.

  Today is a good day no matter how you slice it because I am out of the hospital and in my house.  Tomorrow moves me down recovery road a bit more as I have a visit with the infusion nurses who are going to teach me how to give myself IV antibiotics for the next four weeks so we get rid of the MRSA and anything else for good.  I will also learn how to take care of my PICC line properly.  THEN I hop a ride back to the hospital!!  But this time across James street as I will get a consult from the plastic surgeons tomorrow and we will begin to put together a plan to have a flap grafted over my open wound and start to make that area a place where a new Achilles tendon can grow.  THEN I go to Walgreens to get my Lovenox as I have to give myself anti thrombosis shots in the belly for the next ten days (needles are so thin tho, it's actually easy, I was dosing myself in JFK bf I left).  

 One day at a time.  Today was a busy one.  Tomorrow will be too.  But home again.  Thanks to the nurses and support staff at JFK if they read this.  They were great to me even when, at times, I may not have deserved it.  

 I'm going up to bed (10:46p) as I am SHOT...  We'll see how sleeping with a pump on your leg at home works...  More tomorrow...

Monday, October 24th, 2016:  Slept like a baby.  Feels like I just laid down 5 mnutes ago and now it's 9 in the morning and I'm waiting on the nurse from Nextron Infusion services.  They are going to teach me how to do my IVs here at home and how to care for my PICC line, the IV thingie hanging out of my arm.  Leg feels OK today.  More after the nurse arrives...

  OK, Karyn the Infusion nurse is coming at 9:30 so I called the plastic surgeon to try to get a PM appointment to have them examine the back of my leg and start planning the flap surgery that will close up the wound.  He's in Edison in the AM, but I am w the nurse.  I may have to hump it out to his office in East Brunswick this afternoon...

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  I just learned how to take care of my PICC line and how to give myself antibiotics at home.  Not bad.  Need to do my Vancomycin twice a day for an hour and my CeFEPime three times a day for fifteen minutes.  Tons of saline and heperin washes, got netting for my arm to keep everything packed away when I'm not using it.  OK, think I have this part of it licked.

  Have an appointment with the Plastic Surgeon, Tushar Patel, in his East Brunswick office at 3pm today.  Howie has graciously agreed to haul my ass out there so we will see about getting my leg closed up later today.  I also have to go to Walgreens and get my Lovenox as well.  No rest for the infected!

12:04p - Just finished my first go round w antibiotics.  Not hard.  Did my Vancomycin and then my Cefepime.  Saline, Heperin, and then tuck everything away until my next Cefepimetonight at 8ish.  This is doable.

12:08P - BEEPING!!!  BEEPING!!!  My portable wound vac has not been plugged in for the last 16 hours and let me know about it.  Jeez.  It's now plugged in and getting a charge.

UPDATE : MORE SURGERY!!!
 Went to Walgreens to fill scripts for Lovenox and pain killers.  Scripts are filled out but my name is not on them.  Ugh.  Then Howie dragged me out to East Brunswick to see Dr. Tushar Patel, the plastic surgeon.  Everyone has GO fever and wants to get this process underway so I am going in for more surgery on Wednesday night at JFK.  I will spend the night and (hopefully) be coming home Thursdasy night.  At JFK they always find ways to keep you so who knows. Hopefully I will come home sans vacuum as well.  So the next step takes place in two days....  Cool.

  I will be having a flap created and placed over the wound on the back of my leg.  This graft will get blood flow from its previous place on the upper part of the leg while it begins to adhere to the new spot.  Then, after a few weeks, we have ANOTHER surgery to disconnect that blood flow and we're done.  THEN we worry about fixing the Achilles (likely with casting at first, we'll need some material to work with.)  So, Wednesday and we're off again!!

 JFK visiting nurse is coming out tomorrow so I will get the wound cleaned up one more time before the surgery.  I think the idiot brigade is coming here to watch Monday Night Football so there will be pictures of that later.  I told them it was OK as long as they bought me a pizza.

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Touching Moments

 Here is a new section of the blog called touching moments.  Got this from a former student this afternoon...

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This, of course, is the proper response.  I don't have cancer.  I'm not in a wheel chair (yet).  I'm a chubby former basketball player with a bum leg and a super virus.  It'll pass.  
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It's been a long day.  Walgreens took five hours to get the prescriptions ready, but they're there waiting now (8pm).  Got some Spaghetti n Meatballs at Tony's, picked up the Lovenox and got some coffee.  Time for some football...

My leg is falling off but that does not stop Monday Night Football from happening...

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(left to right : Dar and Miller, Texans v Broncos, Lars, Cliff, Dar)
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(Reading email - Edwin Diaz, esquire, looking for hot sauce)
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  Gave myself a Lovenox shot in the stomach (not so bad) and started my big Vancomycin IV at 10pm (twice a day every twelve hours).  Going to end the day with operation take a shower.  Need to bag my leg, bag my PICC and sit in my shower seat in the tub.  Mercifully for you dear reader there will NOT be any pictures of this operation.  

 Two different nurses coming around tomorrow (Karyn  to get blood and my new JFK nurse at home for my leg wound cleaning) so it should be yet another interesting day.  And then Wednesday there's a new surgery...  Never ends...

Tuesday, October 25, 2016 : Slept pretty good considering.  When I went to the plastic surgeon yesterday I did not have a replacement sponge for my vacuum.  Because of this they dressed my leg wound in a wet bandage.  Man there's a big difference.  Dryer is better people, the wound feels MUCH better when all of the smootz is being vacuumed out.  

  Took first real shower last night.  Glorious.  Bagged the leg, tried to bag the PICC (did a bad job) and showered away.  Used every last bit of hot water in that tank.  Awesome.  Dryed off, grabbed the kindle, popped two Oxys and I was off.   Leg only woke me once in the am.

 I left one of my fawcetts (like Farrah Fawcett?  it's faucets) running last night so I woke to a bathroom flood.  Rains it pours.  Laid down towels.  

 Karyn, the IV nurse came first.  She took blood and cleaned up my PICC after I admitted that it got pretty wet in the shower last night.  I did my first Cefepime while she was here and then switched to the big hour long Vanco ball.  We chatted a bit and she left round 10:30.

 Then Hanna the visiting nurse came to clean up the leg wound.  Nice.  So much easier to deal with when the vacuum is going.  That may sound weird but a dry wound is less painful and the pressure feels good in a Temple Grandin hug box kinda way.  Feels like mending.   Anyway, once we found all the gear and the new sponges Hanna was off the races and I was hooked up to the vacuum with as clean setup in no time flat.  

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The view from my Dining room chair and Hanna doing paperwork

Going to chill for a while, but need to get ready as tomorrow is another surgery.  I have meant to do some googling and become a Wikipedia instant expert on flaps and what the hell is going to happen to me tomorrow.  Maybe I'll put up some of that stuff later.  I also have to do prelim surgery stuff with the people at JFK.  I'll be back later...

  Surgery a go.  Nothing to eat or drink after midnight tonight.  Tomorrow at 3pm I need to be at the JFK same day surgery center for my "flap" surgery.  There are a bunch of different ways to close up a big ole hole in one's body.  One is to do a "graft."  That's when you take some skin and just uproot it and move it to the spot you want to cover.  Another is to do a "flap."  A flap keeps the bloodflow from the original spot and uses it to create heathier and quicker adhesion to the new spot.  Then, when all looks good, you go in and remove the previous spot's blood supply as the new spot has its own blood supply.

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https://en.wikipedia.org/wiki/Flap_(surgery)

5:45p - Did my small Cefepime antibiotic.  Easy.  Next one is Vanco at 10pm and then I lay off because I have surgery tomorrow.  

Need to travel light.  Otherwise you take too much and leave things behind (sunglasses, hats,etc).  Tomorrow is just shorts, shirt,  phone w charger, bag w just laptop and charger.  That's it.  Like a hobo w all my stuff in a single bandana.  

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This modern picture of Hobo Erectus shows things nicely.  Take the patch from the front pant leg and put it on top of the hole in my leg and we are in business!  He's even sporting a carnation.  This shows he was once a gentleman before hard times ravaged him.  

Ok, I have five hours left before I have to stop eating and drinking, the 26th is a surgery day.  So, I put out an APB via text and my buddy Gary answers the call.  Takes me to Stop & Shop for duct tape and takes me to McDonalds (shit food, but I don't feel like making something).  He drops me off home and I plop down in front of the TV.  It was my intention to watch game 1 of the world series, but I realize that I am watching Netflix off my PS3 on HDMI2 When I want to be looking at DirecTV via HDMI1.  I need to get up to change the source (long story) so instead of watching baseball I am watching Super Hero shows (middle of season 1 DC's Legends of Tomorrow.  Fairly Meh but OK empty calories in spots).  How many people with ambulation issues have lowered expectations and watched crummy TV because they could not get to the TV and change the content source?  Then Howie kicks the door in.  He has duct tape and a chicken dinner for me.  I have good friends, they just don't communicate very well.  At least now I have company besides Hawkgirl and Captain Cold.

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10pm - Still have to do a big Vanco IV ball, my Lovenox shot to the stomach and charge up the wound vac so it casn run on battery all night.  I unwrapped the top of the leg to let it breathe...  Lovenox done.  Doesn't hurt at all, needle super thin.  

Wednesday, October 26, 2016:  Slept in for the first time in forever this morning.  Didn't have to get up for an IV at 9am because this is a "no food or water or medicine after midnight" day, I'm going in for my fourth surgery in the last four months, third in the past month and my second in the last eight days today.  Hopefully, at the end of today's proceedings, I won't have a hole in the back of my leg (we're shooting high here folks).

  I took a shower and failed to cover the PICC line well enough yet again.  I don't know how people do it?  I was able to bag the leg fine, dry as a bone after the shower.  Reading email, getting stuff together.  Hausser Limo service taking me to JFK at 2:45p for 3p check in.  Will be staying the night.  Starting to get old.

I expect to wake, look down and see a patch of fur.  Wide eyed, I'll look up to a group of doctors and they'll say, "The original graft was rejected... we're so sorry, the gorilla.. the gorilla was all we....  "  AHHHHHH.... There's a banana next to my pillow... AHHHHHHHH

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Is he yelling "groan" or groaning?  I think he's groaning.  Why a bubble then?  Where's Scott McCloud when you need him?


Thursday, October 27, 2016: The early AM edition:  

  Hello Mr.and Mrs. America and all her ships at sea.  Lars Sorensen reporting live (well, 12:40am) from rm 2517 at luxurious John F Kennedy Memorial Hospital in Edison NJ.  From all reports surgery to repair the gaping hole in the back of my right leg where my Achilles tendon once was.... has been successful.  I have a wrapped up lower leg, but no continued need of the wound vac.  My lower right leg is a self contained ball of pain.  Very cool.  

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Got to JFK Same Day Surgery at 3pm.  Admitting, Same day surgery, predicatble backup at end of day as a 5pm surgery becomes 6:10, upstairs to bullshit with all the people I met last week during my first emergency surgery (everyone is OK BTW ;-) ), and under the knife at 6:20.  The OR was FREEZING and they were blasting Metallica, like the Michael Burry segment from The Big Short blasting Metallica, really loud.  I asked them if it was DHA or SOU but they said it was just Pandora. I just laughed.  The song was Creeping death.  Snappy tune for an OR, yes?  I thought it was pretty funny.

Lie back, Oxygen mask, "Die, by my hand, I creep across the land, killing first born..."   Out like a light.

Wake up in OR recovery on 4th floor.  Pain not so bad so far.  A few of us predicted that this surgery would be the bad one because of all the nerves and nerve center stuff involved.  Now things are getting interesting.  We may have been onto something.  I hate pain meds. Hate em. Can't read when I'm all zonked out on narcotics.  That said, I waved the nursing staff over and asked politely for all the morphine they had.  Mrs. Sorensen didn't raise any dopes.

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This sounds like instructions for Daryl's Ribs at Famous Dave's!  Never remove the Blue Cheese dressing in his presence, check, of course the Dry Rub, check.  Did Daryl order ribs on Rtes 1 & 18 tonight and get instructios to clean w Saline, elevate and take Percocet every three hours?  Has there been a terrible mix up?  Why was I not offered Burnt Ends?

I am free of the vacuum.  Still no weight bearing.  Still no Achilles tendon.  But I'm free.  I can walk in my crutch without a plastic tube coming out of my leg.  It's the little things.  I need sleep.  They rolled me out of OR recovery after about an hour.  Having not eaten since the night before I was in bad shape and the OR nurses moved the earth to get me that turkey sandwich shown above.  I am forever in their debt.  They moved me to 2 East.  There's a screamer down the hall but she seems to have stopped.  One of the spots where they grafted skin is starting to bark...

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"Stop staring at my sexy legs ladies," said Hagrid as the gravy rolled down his beard....

Tons more tomorrow.  Perhaps a scheduled release?  Dare I dream?  A schedued release from JFK, the sticky fingers spider web of local hospitals?  We shall see...

 11am JFK Hospital - the Wasteland:  Wow.  This hospital is the worst.  I cannot begin to explain.  The nurse's take 30 minutes to respond to buzzers.  There's garbage on the floor.  There's a broken light that they decided to fix while I was trying to sleep. The only thing that's missing is the dogs in the hallway ala Sunny in Philly.  Why am I not home?  I was not on a machine being monitored.  I can take IVs at home.  My vitals were only taken once at 1am and then not again until 9am. A call to an ambulance from my Metuchen home is a quicker response than these nurses. WTF am I here for except to bill me.  

  I had some scrambled eggs and bacon and then a dietician came in two minutes later and told me not to have the bacon because of the water retension and the surgery.  Now what the NSA was doing hits home.  Was a FISA request put in to intercept my bacon order?  Doubtful.  If I can't have the bacon then why am I on an unrestricted diet?  She had no answer.  I ate the bacon in front of her.  So now you can claim a consult on a hospital bill lady but I'm getting my bacon. It's soooooo transparent.  

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You can't make this shit up.

 They missed one pain shot all together.  I purposefully buzzed them a half hour early the next go round and THE NURSE WAS STILL LATE.   There are IV pumps beeping throught the unit as rooms go unattended.  So outta here...  

The path to Discharge:  I asked what it would take to get me out of here.

1. Consult with PT. Huh? Nope.  Another waste of time, I'm going home.  I came here on a hands free crutch for God's sake, I can get around fine.  I said I would meet with the PT if they let me fight them.  Like a Kangaroo on a tail I would bob and weave...  Just another chance for them to bill for unneeded services.  
2. Talk to the surgeon.  It would be nice.  I have no idea how to care for the bullion cube chunk he took out of my thigh...  Don't know when he wants me back in his office, when this new cast is coming off, how many more surgeries do I need, etc...
3. Another IV.  Screw that.  I have a tube in my arm running to the top of my ticker so I can do that shit at home.  No reason to sit here.
I told them that they have until 5 to get the surgeon on the horn, cuz at 5 I'm going home...  More pain driven unreasonable belligerence soon...

5pm:  KIDS, DON'T READ THIS, ADULTS, YOU KNOW ALREADY:  It's a bit of a shame, but stubborness works.  It works very well in some instances.  I went to the nurse and told her flat out that I was walking (well, limping) out the door at 5pm.  Either we got everything done by 5pm or I would just sign myself out.  I meant it and this actually got them moving.  PT nonsense cancelled.  PICC consult moved up to 3pm.  I called the plastic surgeon and told them that whomever was making the rounds at JFK had better do so by four or I was walking out the door.  I just don't have days of my life to throw down that semi-sterile sinkhole, people are sheep.  So that got them moving and I became the first consult when the plastic surgeon hit Edison.  A shame, but only by being a complete asshole did I get out of there by 4:30 today.  Had I not made a stink and just lied there like a milk fed veal I would still be there, likely resigning myself to another night's stay. Never again. Being a dickhead works. Squeaky wheels get oiled.

Going against the grain of this blegblog: SOME GOOD NEWS?? :  Alert the media.  When I met with the surgeon, Tushar Patel's colleaugue who's name escapes me but she assisted in the procedure, she gave me the low down.  It's all pretty good news.

1.  Cast off this Monday, light dressing to be changed every other day.  Still no weight bearing, duh.  I have no Achilles.
2.  No need for flap!  REPEAT!  No need for flap!!! They did a "reversal."  This means blood flow does not have to be stopped or redirected later, it's good as is.  If things heal well THIS WILL BE THE ONLY RECONSTRUCTION I need for the back of the leg.
3.  Now, there's no free lunch so in order to do this they grafted a chunk the size of a taco bell hot sauce packet off my thigh.  That's gonna be a wicked heal because once the bloody bandage comes off you have to committ to two straight days of letting air and nothing else hit that spot.  Crazy...
4.  No more shop vac.  Thing of the past.  No more hole in my leg...
 
Moving Forward:  And bang!!  If this goes well then in a few weeks I will go to Nilesh (my ortho) and we will point the toe of the right leg, cast it, and let some material start growing back in there for three weeks.  Then we recast at a more acute flexion and do it again.  Then we walk in a boot for a month.  Then we do an MRI to see if

a) we have something resembling an Achilles Tendon to work with or
b) we have enough meat to GO IN YET AGAIN and this time, infection free, craft an AT with other body parts  (my parts, not a Frankentendon)

 THAT's an OK road forward considering the shitstorm that started last Monday...
 
Home Again:  So I am home again.  Howie dragged me home from hospital.  Maureen made me a tin of ziti so Daryl, Cliff, Kenny and Howie are coming over to eat it (sorry Mo) while we watch Thursday Night Football.  How tough can life be?

  Karyn the PICC line nurse has to bring me a new extension lead for my PICC lne so I can do my Vancomycin tonight and I think she is drawing blood tomorrow so news from the land of infectious disease is on the way and I think I am going to spend the weekend in Mt. Laurel terrorizing my nephews and catching up on my Python course stuff.  As I said, no rest for the infected.

  Ok.  Karyn came, gave me an extension for my line.  Called Kir, planning on going down for the weekend.  Cliff on way with Ziti for tonight.  What a last 30 hours!   Frankly, there should not be any more busy days like this the rest of the year.  If this is the last recon/cosmetic then it's all casting and non weight bearing for the leg until 2017.  Now the major battlefield switches to the germs.  They bumped the Vanco to 1.25 grams twice a day today.  Awesome.  Burn it out!!  This should be the last surgery of 2016.  Four of em total.  Jeez.

More soon.  Man, I'm tired...  Look for next report (nowhere near as long) from my sister's tomorrow.

Friday, October 28th, 2016:  The first normal day?  :  Sleep.  Sleep.  What you quickly realize when you have a bunch of these surgeries/operations is that you have to build in more sleep time.  That was this morning for me.  I went right up to sleep after the football (what a lousy game) last night and slept for 10 straight.  It was awesome.  First real sleep I'd gotten in 48 hours (could not sleep in the hospital).

  Now I'm at my sister's in Mt Laurel for a weekend of just reading and relaxing.  I already got caught up with some school stuff and am about to do my Vanco IV.  Aside from the IV stuff I feel normal today.  No surgeries.  No doctor visits.  No nurse visits.  Nice.  Calm.  

 More over the weekend.  Definitely more with a surgeon followup and a nurse's visit on Monday.

Saturday, October 29th, 2016:  Rest.  Vanco tears you up boyo.  Tired.  Getting rest though.  Late seventies theme going on here as Blues Brothers was on last night and today was a James Bond marathon (the Roger Moore's, Golden Gun, Spy Who Loved Me, Moonraker on now...)  Chillin on my sister's couch, playing around on the laptop, teaching my nephew how to code w Python later, all good.  

Need to find out what one of these would run me...

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Sunday, October 30th, 2016:  Leg feels decent.  Still sore.  Something is going on behind this cast, but it feels like mending though.  Going to surgeon tomorrow to get the cast off and see what it looks like.  I still have my bag of blood on the side of my leg...

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  It's where the skin graft happened.  The surgeon told me that before I remove the bandage I have to be committed to keeping that area clean and exposed to the air for 48 hours.  I asked if I could do it after the weekend and she said sure.  I will likely ask the doctors to remove it tomorrow when I am in the office.

  My nephew Peter thinks that every Norwegian family is assigned a vampire.  He thinks this because I told him so.  Anyway, because there are more famlies than there are vampires (duh) we only have to deal with these vamps every five years or so.  Our vampire is called Uncle Orlock and when he visits us (around the holidays, he imposes) we help him out with some blood and whatever else we have laying around.  Peter thinks the contraption on my leg is me preparing the Christmas blood for Uncle Orlock.  I have no way to disprove this so I'm going with it.

  Today was the first day that I really, really, felt the full frontal smackdown of these antibiotics.  God damn.  1.25 grams of vanco twice a day and 1 grams of cefepime 3 times a day.  This stuff tears the ass out of you.  Jesus.  It is like injesting drano.  Today, after my first two morning doeses, I was exhausted.  I nodded in and out of the Redskins and Bengals.  I actually fell asleep during Bucs/Raiders.  NFL was just killing time until tonight's Eagles/Cowboys game though, yes?  That said, Falcons v Packers was good...  I digress.  I have finally gotten to the point where I do not have a surgery, do not have four different appointments to go to or have to fast before a procedure.  No, the last few days it has been semi-normal so if something is amiss it's because of the antibiotics.  I did get the Vanco dose upped on Friday and can tell it's doing something different.  I'm going with it, being tired be damned.  Kill, kill, kill that mrsa...  Kill.  Kill em all.

  My BIL Casey drove me home during the 4 o'clock games and I was back at HQ in Metuchen by 6:30.  Fun time at sisters this weekend.  Getting cleaned up and ready to watch the Sunday night game.  Need to be up early tomorrow for a nurse visit (they need Halloween blood, they are in league with Orlock!)  and to get a ride together for the surgeon's visit.  As always, no rest for the infected.  

Monday, October 31, 2016 : Halloween :  Up early because Karyn my nurse is coming over to get blood this morning.  Speaking of blood, Orlock's blood bag opened up last night.  Mostly did so in shower so no huge mess.  I kept bandage on it last night so I would not be rolling around over a wet wound, but as of this morning it's exposed to the air

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  Made some phone calls and got a surgeon's appt at 2:30 so they can take off the cast and get a look at the reconstructed back of the leg.  Fingers crossed.  Feels OK, little sore I guess, but the surgery was only four days ago.  More later.  Need to go food shopping, nothing here in house.  Need to pay some bills.  Just got done w my Cep and Vanco balls and am officially exhausted.  

4pm : Went to the plastic surgeon today.  Had the bandage taken off of franken foot and was told that all is well.  Need to have the dressing changed every other day from here on out and need to go back to see the docs in a week.  Had 10 staples taken out today.  Next week is every other suture.  We are easy a few months away from another reconstruction (AT) attempt.  Need to keep chin up, keep going w antibiotics and get through.  

  What's bad is that it's Halloween.  All the neighborhood kids are going to think I'm the mean old man who doesn't buy candy.  I'm not!  I'm the mean old man who can't walk to the door!  They are different kinds of mean!!  I feel like a shit not being able to give the kids candy.   More later.

8pm :  Ugh.  It happened.  I had kids coming up on my porch, looking through my window and seeing me at the dining room table.  I would yell, "I have a bad leg, I can't walk.." but they didn't seem to understand me, they would just turn their heads in wonder and puzzlement.  They would mutter something to their parents, shrug and then leave.  I am a Halloween curio.  Ever read "I am Legend?"  I am Robert Neville.    I washed all my bed sheets and stuff today so I went upstairs to setup all the clean stuff and ended up passing out on the bed for a few hours.  I am shot. Back downstairs for Monday Night Football, a Vanco IV and a little web surfing.

Tuesday, November 1, 2016 :  Just busy.  JFK at home services is a mess.  I called to get them to come over and change the dressing for the leg tomorrow.  I was told that I cannot schedule, only my scheduler can schedule.  OK then, how do I get my scheduler to schedule?  Well, you ask them to schedule...  They have their heads so far up their asses that I think I'm going to do the bandages myself and tell them to F off.  

  Infusion services called.  I don't have enough Vanco but it turns out that this is a good thing because Dr. Ramasubramani is upping my dose.  Ugh.  Now my Vanco will be a 90 minute ball of killing w 1.5 grams.  Good.  Kill, kill, kill...

 I actually found some time to be normal today and did some CS advising stuff with students.  I want to go sit in my office at Rutgers but the infectious disease docs want me to wait.  I'm losing patience with all of this frankly.  

 Bulwicz is taking me to Stop & Shop later tonight as the cupboard is getting bare.  I need paper bowls for my oatmeal!  I need pears, they're on sale!!  I'm going to rally after my embarrassing Halloween performance and buy some post Halloween on sale candy!

Wednesday, November 2, 2016 :  Today is shaping up to be a bizarre one.  
I tried something new today.  Last night as I made my way up the stairs (you should see that operation) I brought with me my morning antibiotics.  This way I can take the cefepime ball at 8am, get done at 8:30am and then start the big 90 minute Vanco ball and go back to sleep til 10.  Then I do a Cef at 4pm, a Vanco at 8:30pm and the last Cef at midnight.  Done.  This worked fine except for the waking up at 10am when the Vanco was over...  Slept right through it and stayed conked out until 11:30.  Must have needed it and the Vanco tears you up anyway so may as well sleep through it.  

  Today I need to start with a shower.  Bagged the leg, bagged my PICC line, into the breach.  Awesome.  I did it this morning because if I messed up the leg it would be no big deal as the dressing is being changed today.  Who is going to change it is the question of the day.

 I called JFK at home services again to see if a nurse is coming out.  They had no plans to send one even though I had called yesterday.  This is pretty ridiculous and I am not surprised.  I told them to either send a nurse to change the dressing or send someone along to pick up their shit and get it all out of my house.  I hope they choose the latter frankly, but then I am left to tend to my own surgical dressing and I don't know if I have enough medical stuff laying around to do it myself.  It's now 3:30pm and I still don't know if there is a nurse coming or not.

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I am going to go Hugh Glass, build an igloo in the backyard, light a fire, cover the reconstructed leg with maggots and sleep in a hallucinagen haze all night. Once you see the Revenant can you complain about having to clean up a six day old preofessionally done surgery?  At least I'm not sleeping in a horse carcass.  

NOW we get to the infectious disease doctors.  Dr. Ramasubramani has been a good egg thusfar.  She keeps up with Karyn the nurse and has been tweaking my antibiotics for the last week.  Most people (hell, even me sometimes) reading this blog are thinking it's all about the leg problem, but I am daily reminded that I am reaching the limit of what I can injest at home as 3 grams of Vanco a day is getting at it pretty good.  She has been trying to get me in for an appointment but I have been running around doing fifty other things so today she finally set me straight and had her office call and say if I did not call I would have to be readmitted to the hospital.  They know how to get my attention.  I called back and they wanted me to come in this afternoon.  Huh?  I can't drive and I'm at home, what am I supposed to do?  That, and I MIGHT have a nurse coming.  If I leave (uber, friend give ride) then the nurse will definitely show, yes?  The next time she has office hours in Edison is nine days from now.  Nine days?  Why bother having an office here at all?  We compromise by me saying I will go to the thier Somerville office tomorrow at 4:30pm.  I still have no idea how I'm going to get there.  Is there a car for people with no legs?  I need to rent one.  That's not a joke either, the whole can't drive thing is worse than the can't walk or have a deadly virus floating around my insides thing.  If I had a car I could drive I could just hop in and go...

4:50pm - Still no word from JFK at home.  Ugh... Looks like there's going to be some interesting pictures up here very soon...

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Surgery at Home

Ok.  First thing to tackle is the fact that the bandage for the skin graft is sticking to the wound.  That can't be good so I am going to hold a hot water compress over it for 20 minutes and then try to remove it....

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Yes, it feels like it looks... AHHHHHH....  Ok got it...  Looks like some sizzlean has been cut off...

Ok... now for the other part, redressing the reconstructed leg...  I still haven't seen it in all its glory... no time like the present...

Ho boy.  Was planning on a straight up presentation but this guy still looks like 40 miles of bad road.  Cool the way they did the surgery though... Lets start slow.  First off, I should not have to do this for myself.  This situation, of course, is my own fault.  Never trust anyone with stuff you need.  Stuff you want, maybe.  Stuff you need, see to it yourself.  By trusting flakey JFK at home services I am now two days since my doctor's visit, in need of a dressing change and there's no one in sight.  I should have foreseen this and prepared better.  I didn't.  

 That said, I am not going to leave the leg in a crappy 48 hour old dressing so that's coming off come hell or high water...

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These are the only supplies I have.  A stack of guaze and some skin cleaner/disinfectant.  Gonna make it work.  I start the unwrap the leg... first the ace bandages, then the soft white guaze wrap.  then I'm left with the two guaze bandages that are denser than the regular guaze that I cannot replace.  They have to go though, they're filthy.  


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Like a dream sequence... It looks normal from this angle...

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The way the wound is I could not get the guaze to stay on the wound and wrap it up correctly.  Enter Bulwisz.  I texted Gary and with four hands we were able to wrap it properly.  How they expect people to do this on their own is beyond me.  How people in 2016 can call for a nurse visit and not even get a call back is also beyond me though.  Let it be known throughout the land and the humble kingdom of Metuchen/Edison, Gary Bulwisz of Hickory street (formerly Maple) is more reliable than JFK at home nursing.

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Game seven.  Time to make some soup and get ready for the baseball methinks...  What a day...

9pm:  Just put in my Vancomycin IV.  Tribe just tied it.  Now Cubs have 1st n 2nd w no outs though.  1-1 Game Seven as of 9:10pm... Ooops, Cubs up 2-1...  Now Zobrist scores, 3-1...   Howie is going to take me to Dr. Ramasubramani (from here on Dr. Rama... jeez) tomorrow afternoon so I have that ride to the infectious disease doctor problem licked!  Nurse visit at 9:30am.  No rest for wicked.  Am likely going up after my vanco ball.  I do not think I have ever cared less about a game seven in my life.  Not the Mets, not the NFL, not the Islanders, who cares.  I'm in ther dining room putzing around on the computer with this blog and other stuff, just have the TV on in the living room.  

 These new Vanco balls are massive...  

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Now 5-1... Goodbye Goat... Tribe choked.  Loser club vs loser club and the Tribe was worse.  Meh.
Howie came over and brought coffee.  Still in dining room.... Until the Davis HR...
Then the rain delay... but still a Tribe loss, and still meh...  Lets get to April and start this over, shall we?
By April I might be walking and the Mets will be in contention.  Hot damn...  Lets get to April....

Thursday, November 3rd, 2016 :  It is not easy to sleep when you have an exposed bacon strip on the side of your leg, therefore I am downstairs early and waiting for the infusion nurse...

Carol the infusion nurse came today (Karyn had a meeting so Carol filled in) and she was very cool.  She redid the dressing for my PICC line, discovered that it was sluggish as far as drawing blood and ordered a de-clotting thingy for Karyn's next visit and then she drew some blood the old fashoined way.  Only took about an hour and the time went quickly because she was so pleasant.  Given my recent luck there's no way the day continues this well...

Did some work stuff, wrote some emails and now I think I''m going to take me and my big Vanco ball upstairs to try and steal a few hours of ZZs before going to see Dr. Rama in Somerville.  I called ahead and got the appt time changed from 4:30 to 4pm so if H and I leave at 3:30 we're good to go...  Went upstairs, passed out w Vanco ball.  Woke at 2:45.  Better get ready.  Went downstairs.  Howie texted, he has a flat!!  He changed it though and we were on the road to see Dr. Rama by 3:45 and in her parking lot by 4:10... not too shabby.

Good/Great news.  She thinks the 3 grams a day is good.  My white counts are all good.  There's nothing going on with the wound.  I got her up to date with all the surgery related stuff (follow ups, what they think, etc).  OK.  Follow up visit in two weeks and then I can get off of the antibiotics!!  NICE!!!  Can I go back to work?  She said go easy.  That hits my ears as yes so I think I'm going in next week!  Thank God.  Being cooped up here like an experiment is mind bending.  I talked with the doctor for a little longer, promised her I'd be good and got out of there by 5.

Howie and I went to Rite Aid to get some surgical dressings but all they had was generic shit and not the telfa bandages we were looking for.  "We're professionals with professional maladies here Rite Aid, save the generic shit for the tourists, we're real screw ups and need industrial strength stuff!"  I still got some surgical tape and some guaze.  I will see if Tushar is in Edison tomorrow and just bum rush the shop, asking them to change my dressing for me and hopefully steal some of their telfa on the way out.  That's how we change surgical dressings in New Jersey.  We steal them.  

Tony's is next door to Rite Aid.....  ahhhhh..... of course we got dinner.  Marinara and meatballs.  Good as always.  H and I talked about how someone is going to make a killing one day by renting cars to people w no legs or ambulation issues like me.  Driverless is a ways off, the messed up leg rental business has wheels!  What I need to do is <law enforcement do not read> get an automatic trans car, sling my gimpy right leg into the center console area and drive with my left.  Very doable as I did it with my pick up truck when I had my ACL done in 2003.  Thing is, my Jeep is a manual so I can't work a clutch.  I have to find a way to drive even though it's nowhere near legal to do so</law enforcement do not read>  

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Home after another day's medical adventures.  Good news though.  Next week is my second recon follow up and I get half of my stitches out of frankenfoot. I am going to try to steal over there tomorrow and get the back of my leg cleaned up right and try to steal some supplies on the way out.  Now that Dr. Rama has cleared me (sort of) I'm going back to work next week (will likely shoot for Wednesday, I have advising hours from 2-4), my bacon strip on my leg will be well on the way to healing (past the 24 hour mark now, been exposed to air since home surgery yesterday) and after two and a half weeks of complete insanity I think I can start living my life again...  

We'll see.  I need to find a way to drive.  If someone wants to trade a Jeep for an automatic with a console low enough (or non existant) that I can throw my right leg over to the passenger side while I drive w my left then email me.

Friday, November 4th, 2016:  OK... started out the day by being woken up by the infusion nurse people pounding on my front door.  Usually this is not a hassle.  Get up, run downstairs, open door.  In my present state this process becomes...  wake up, roll eyes, roll over exposed bacon strip, wince in pain, get out of bed balancing on one leg.  Hop to dresser.  get shorts, get shirt, hop back to bed, yell "I'm coming" as loud as you can, get dressed, get up on one leg, hop to iWalk 2.0, put on pirate leg, walk to stairs, go down stairs backwards slowly (this is the best way w iWalk), open door.   I got my antibiotocs and all the new lab stuff so all was well at the end of the day.

Operation shower went OK, I have that process down pretty good at this point.  Bagged leg, bagged PICC (even this is better) and took a long hot shower.  I stood up on one leg for a while just to feel normal for twenty seconds.  Something as trivial as standing up in the shower makes you feel like a normal person, it's like John Merrick (real name was actually Joseph the silly blogger found out after Wikipedia-ing Elephant Man) sleeping on his side even though it'll kill him, you just want to be normal.  

Today has three goals.  One, get a God damn haircut.  I was due for a buzz three weeks ago and have had to postpone for obvious reasons.  Today I want to get it done.  Second, get the right medical supplies for my bandage cleanup.  Went to Rite Aid last night and got skunked.  Called Tushar's office today and found out that they are in Shrewsbury today (these doctors have 7 different offices, more on this phenomena later) so I won't be crashing in and getting an impromptu dressing clean up, I have to DIY this bad boy.  That means a ride to the surgical supply shop in Fords to try to get my Tefla guaze.  Once I get some of that then clean up later tonight and a dressing change should be easy and will hold me over until my doctors appoitnment on Monday.  The last thing, and I can do this later tonight, is that I have to start cranking out stuff for my Python class (through this whole process I have been teaching my computer programming class for the Rutgers graduate school online, it needs some TLC tonight).  I need to do a few YouTube videos and prepare some resouerces for my students.  Let's see if we can get it all done....

4:15 Update : 2 outta 3 ain't bad....  :   Ok.  I need to get downtown from my house on Hickory str in Metuchen.  My friends are all busy and I've been hitting them up for stuff too much lately anyway.  I've been blessed with a ton of really good and loyal friends, I must have done something right in a previous life, but if I don't start to find ways to take care of my own business I would not blame them for disowning me.  Because of this I will find a way downtown without bothering them.  

Enter Lyft.com.  I have been thinking about trying Lyft or Uber for a while now.  Today I will pull the trigger.  I have been looking at the rates and comparing them and it seems that Lyft has cheaper fares (but possibly longer wait times as Uber has more drivers it seems).  Takes me 5 minutes to load the app on my iPhone and punch in a credit card.  OK... I'm ready to go downtown to get a haircut...  I press the button that says Set Pickup...

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Snazzy.  Abraham the Lyft driver was in Woodbridge, but now he's coming to get me.  I only have to wait 6 minutes (took the picture above as he was driving to me).  Pretty good.  He came right to my door.  Opened the door for me, took my crutch, really good kid.  He drove me the four mintues downtown to the front of Pete's Barber Shop.  He sat w me and showed me how he ends the ride (it was only $1.75... you HAVE to be kidding, Metuchen taxi charges $10 for the same ride I hope this puts those theives out of business, you hearing me taxi theives, I wish you ill) and then I tip and rate him.  Turns out he rates me too.  Funny.  I gave him a 5 and gave hime a $5 tip on a $2 bill so I can build good karma w these Lyft fellas, I think I may be using them more often now...

Went to Pete's.  Saw Jack and Lou.  Lou cut my hair.  Fast, short, sweet.  Pete's doesn't take credit cards (never knew) so I went to Kraussers (or whatever the hell it is now) and got them the haircut money there.  First item, done.

Second item.  Don't think I want to Lyft it to Fords and the surgical supply shop, so I do the next best thing and walk over to Boyt's Drugs.  I used to work for Boyt's when I was in high school and I know they have a decent amount of wound care stuff in the back.  I was not disappointed.  While not Telfa I found a pretty good dense non stick telfa facsimile.  Grabbed two boxes and was done.  Second item, done.

Figure I'll walk for a bit as I need to take advantage of being outside.  I walk down to Roberto's Pizzas and sit.  If I were not on antibiotics I would be in Haileys drinking a Blue Moon so fast your head would spin, but I gotta be a schmarty and not knock down the antibiotic's effectiveness w a glass fulla booze.  Soon I shall return to functional beer based alcoholism, but for now I must mend.  So I sit for a spell and figure I'll walk a little towards home and see how I feel.  This experiment ends quickly as I walk up the main street hill by the post office.  Took me forever.  Screw this.  Hello Lyft.  I sat in front of the Metuchen Post Office and took out my iPhone.  Driver named Kyle was 10 minutes away.  Click.  Same experience.  Good kid, skateboarder from Somerset.  Ride took 5 minutes and only cost $1.75.  I tipped him $5, gave him a 5 rating and before 4pm I was home and done w two of my three obejectives of the day, a fresh buzzcut so I can feel normal again and some non stick surgical supplies for my busted ass leg.  Progress...

So, vive le Lyft.  That service is a keeper.  I may try taking it to Rutgers next week.  Feels good to have no hair.  Now I will make some spaghetti for dinner (too much pasta this week) and spend the night cranking out YouTube videos for my Python class.  More later...

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Still need to trim that beard and shave the cheeks tho.... baby steps...

Saturday, November 5, 2016 :   Missing a Rutgers home game.  That always sucks.  Been a season ticket holder since 2005.  My good buddy Edwin Diaz Esquire has my ticket so it is being put to good use at least.

Had a restless night of sleep as I was worried about the leg.  I undid all of the bandages to clean it last night (change the dressings every two days were my instructions) and what I found looked horrible.  I'll spare you the pictures.  Now I am unsure as to whether this is healing the way it should or whether something popped stitiches.  After the last go round I'm scared to death of an infection (which is silly as I'm pumped full of antibiotics right now) and I want this to go well.  Now I'm worried.  I clean it, take the surgical tape off, now it starts to bleed a bit.  Ugh.  Should a surgery like this be bleeding after 9 days?  I have no idea and of course it's the weekend so I can't run to the surgeon tomorrow.  You're always guaranteed to get a toothache at 5pm on Friday...  ---  

Fast forward to today and I'm a little less worried.  Howie drove over and woke me up to see if I still needed a haircut (he didn't read the Friday entry) and I told him that I had to stay put.  Last night Dr. Rama changed my prescription AGAIN and is taking me off of Vanco and Karyn is visiting later so I have to stay put.  That, and I fear having to run back to the hospital with the leg.  So Howie goes to get a haircut and get some coffee and I sit down to look at the leg again.  In the bright noon light of the day and with a bunch of cleaning stuff around I feel much better.  There's obviously no infection or bad stuff going on.  A few wipes of water to wash away some brownish dead skin reveals pink/purple healing bruises and a big half moon opening near the main incision.  The main incision is as clean as a whistle, it's the half moon that's troublesome.  It almost looks like it was stitched together and popped.  But if it popped it would be bleeding, this guy has never been a bleeder.  And it's TOO wide and well covered underneath to have been an accidental pop.  This is an area with the graft underneath in the well and I am not sophisticated enough medically to realize it.  Also, when I revealed it on Wednesday the surgical tape that the surgeons put there Monday was over the open wound, as if it was already half mooned when they examined it. This may be a case of me being nervous Nelson, I have a funny feeling the leg is supposed to be this way but it looks so crazy that a normal person wouldn't think so.  

I'll put up the picture later...

So I cleaned it with some water and the dermal surgical cleaner stuff I have.  Wrapped it up.  It feels fine, just sore as those bruises would feel, but I am in a much better place than I was last night.  There's no infection so whatever the F is going on it'll keep til my sugeon's appt on Monday.  Need to do a video for Python class.  Did one last night and put it online.  So out of practice that I forgot to turn on the webcam so the students couldn't see my face... lucky for them... They will not be so lucky today!  Also Karyn coming over at 3:30 to clean my PICC and get me started on my new antibiotics (which have not arrived) so that adventure is coming as well...  BUT THE BIG event of the day is, of course, the monthly poker game.  It's the first Saturday of the month so the six plus (Lars, Ken, Dar, Cliff, Howie, Eddie, sometimes Marlon, sometimes Pete) are playing cards tonight in the gaming epicenter of Middlesex county NJ, the basement of casa de Diaz.  More on this later as well....

So Howie comes back and got me a meatball sub!  He's the man.  He's gotta go because Devlin, his son, has a football game today and he's going to watch so I decided to shoot my Python video.  I did that and start producing it.  Cool...  Then Karyn came...

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Late last night, for a reason unbenounced to me, I was taken off Vancomycin.  Dr. Rama, even though I saw her Thursday and she had supposedly seen the bloodwork, doesn't like the levels.  So now I'm contact caution again.  So long poker night.  And my PICC does not let you draw blood from it.  This could be something simple and we just need to hit the line with an anticoagulant or it could be pinching somewhere.  It never ends.  She gives me an IV ball of my new poison, Cubicin, and she watches to make sure I do not have a reaction as it gets sucked into me (PICC is OK for going in, just going out is messed up...).  So now we have to wait for new blood work.  If it comes back w bad levels I may have to go back to the hospital.  This is getting nuts.  So two days after thinking I turned a corner and I now am unsure that the leg graft is healing correctly and won't know for sure until Monday and my antibiotic got switched up because the old one was not knocking down the killer bug in my bloodstream enough.  Wonderful...


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et
Elliot.... Elliot... Phone..... Phone.....  Phone my bookie, Cleveland is playing a rookie QB.  20 times on Dallas minus the seven....

Not really a rally, but the day ended up OK.  Poker got cancelled, the boys scattered so we'll probably play next week.  Howie, the good egg he is, ran over to Jade Dynasty to get me some Hunan Beef and then ran home to take his wife to dinner so he was a mench and I gobbled down dumplings and hunan beef while binging season 2 of the Fall on Netflix (now that season 3 is out I gotta catch up).  Soon I have to lose this "eat whatever you want cuz you're hurt" shitty attitude and knock off all this food before I weigh 300 pounds.  What's worse for the leg.  Bad enough I can't swim or ride my bike w this leg, I don't want the good leg to have to deal with extra weight.  Might have to knock off the eating soon, get down to 205 (I'm 228 right now, they weigh you before surgery so that was as of 10/26, the plastic surgery).

I did some more googling of leg reconstructions and plastic surgery and found a few pictures of "free flap inserts" that looked just like my leg so I'm thinking my leg is supposed to look that crazy now.  Over time that middle area will go skin color (albiet darker) and be fine.  By comparison it's not a huge one either, some people have had some REAL crazy shit happen to them over the years, I am just a piker in in the ocean of reconstructive surgery my friends.

Extra hour tonight as 2am goes back to 1am.  Love it.  May use the time to do a Python recursion video and take a shower before NFL Sunday kicks off tomorrow...

Sunday, November 6th, 2016 :  NFL Sunday and for the first time in two weeks I am home where I belong.  I do not give those theives at DirecTV $300 a year NOT to watch the games after all.  Two weeks ago I was in the hosptal.  A week ago I was at my sisters.  Today I am home, but I am MRSA man and do not want to infect people so I am in limited action.  Being NFL Sunday, Spider came over for the Jets but I told him about the MRSA so he said he would not stay long.  He brought the KFC bucket that is his trademark and we watched the Jets and the Cowboys.

 Dallas beat the stuffing out of the Browns 35-10 (ET would have won $100) and have opened the season 7-1 so all is well in Dallasland.  It won't last though.  The defense is so crappy and built upon the offense performing well that it will catch up to them.  The first time idiot Sean Lee concusses himself it'll turn into the 81 Chargers and they'll start losing games 33-32.  Then Romo will come back in and there will be a split locker room and all hell will break loose.  I just hope they wait until Thanksgiving and split w the Steelers and Ravens.  Go into Turkey Day vs the Deadskins w a record of 8-2 and how can you complain?  Dak and Elliott looked great again.  Looks like we stepped in shit and will be well healed for the next six or seven years.

j

Spider bolted afetr the Jets blew the Dolphin game and I did a Python video for my course as none of the 4pm games were super compelling to me (I may watch Packers/Colts second half).  I do want to watch Raiders v Broncos tonight.  Rooting for Raiders this year, they have been down too long.  I like Derek Carr.  

Healthwise it's a holding pattern day.  I did my new cubicin antibiotic (the replacement for the vanco), did my cefipeme.  I now have a rash on my chest and arms but I think it has to do with the PICC and not the medicine, I was getting it right before the switch and not after.  Will tell Karyn about it tomorrow and I'm sure it will set off alarm bells and insanity.  The leg feels OK today.  I am going to surgeon to get "every other" stitch removed from the back of leg tomorrow.  I will also get the chance to hit the doctor with 20 some odd questions...

Is this how it is supposed to look?  
When can I get it wet and clean it normally?
How long until I do not need a bandage?
Can I put weight on it in a boot (I still have no functioning AT in this leg) eventually?
If so, when?
Can I drive with it?
When can we start to seriously think about doing an Achilles tendon recon?  January?  February?  
I want to swim ASAP.  Can I?
I want to ride my bike in spring 2017, lets get fkn moving here...


Two weeks ago I was worried about losing my foot.  Doc said it was a close one.  Then I'm worried about MRSA.  Now I'm just fed up and want to get back to normal.  Three weeks of hospitals and surgeries and nurse visits and antibiotics and all this nonsense is starting to wear thin.  Time to start getting better and getting back on track.

Monday, November, 7, 2016 :  Mixed bag day...

8am - Karyn comes over.  I am covered in a rash now.  Seems I'm alregic to the Cefepime.  Took two weeks for it to manifest.  Now getting antibiotics changed yet again.  Told to go load up on Benedryl and Zyrtec to get rid of rash.  Up side is that I am no longer contact precaution, but now with yet another antibiotic switch who knows.  Karyn cleaned out the PICC and drew blood from it so I don't have to go back to the hospital for that.  This is getting old.  I'm one step from stopping everything and getting a second opinion here.

All that drama ends and I call Dr. Patel (Tushar, the plastic surgeon) to confirm that appointment.  They can get me in at 1:45 in their East Brunswick office so that's set.  I go upstairs, catch an hour of Zs and get back up as Howie is going to take me to East Brunswick at 12:30 after we go to Rite Aid and get my Benedryl and Zyrtec.  That done we go to the docs.  Early (1:15p) it turns out but they saw me anyway.

Again, a mixed bag.  I asked all my questions and got everything explained to me again.  No swimming in near future, I can shower without the bag (this is huge), I was able to swipe some medical supplied for the next time I change the dressing.  The leg IS how it's supposed to look.  The only problem is that in a few spots the top layer of skin is dying off and is brownish.  Dr. Patel is on vacation and his assistant Anna, also an MD, didn't want to mess w the sutures without Dr. Patel seeing this so she balked on the planned removing of every other stitch from the big closure.  So am I worried about that or am I happy as if she said to wash the damn thing in the shower how bad can it be?   The question I did forget to ask is if there is weight bearing, even in a boot, in my near future.  I can drive in the boot.  Anyway, Anna seemed happy w the progress (save the brown spot), said there was nothing acute and nothing bad going on where the graft was done so she was happy.  I made an appointment for the Edison office for 10am next Monday to go back and have Dr. Patel see the leg.  This will never end...  More later...

7pm: Karyn coming over to administer the first dose of my new antibiotic.  The infusion folks sent a new box over.  So now I throw away all of the Cefepime and start some new stuff.  I took the Zyrtec and the Benedryl before and the Benedryl got me.  Slept on couch fm 4:30 until 6... Jeez.  I'd heard it knocks you out but Jesus Christ.  Zonk.

Karyn came over and gave me my new medicine.  Azactam.  It's to replace the Cefapime they think I'm allergic to.  Karyn also brough some beef stroganoff so that was a good thing.  I sat and did my medicine like a good boy and she took off around 7:40p.  I'm exhausted but I do not want to mess up my hours too much so I am going to force myself to watch the first half of Seahawks and Bills before going upstairs and popping two Benedryl.  If experience is any guide the Benedryl is going to put me right to sleep.  What a day.  Oh, almost forgot.  Dr. Rama wants an appointment to see me.  She suggested Wednesday but I said no, I am going into work Wednesday come hell or high water.  We settled on 5:30pm on Friday.

Tuesday, November 8, 2016:  Wow.  Benedryl knocks the snot out of you, yes?  I slept until 11.  I woke to find a message on my phone from my Ortho, Nilesh.  Just checking in or did Anna call him and tell him to get a look at my leg?  Don't know.  Called back and everyone was at lunch.  We shall see.  So after that it's time for all my med stuff.  Benedrty, check, Zyrtec, check, Pepsid, check.  This is all to control the rash the last antibiotic gave me.  Now I stick the Cubicin in my arm and get my daily dose of that.  Next will be the Azactam.  That's three times a day so I'm off schedule w/ it now.  Maybe I'll wait til 4pm.

Election day.  I need to go vote later.  My polling place is my old elementary school and it's only two blocks away.  I am going to write in Ace Frehley.  He's more qualified than the two choices we've been given this year.  This country has hit a new low.  Still, I want to go vote so that's what I'm going to do.  I will hum "Cold Gin" or "Shock Me" while I'm in the booth...

a

Hold on to your hats!  Some good news.  Nilesh called back.  He just wanted to check in because it's been a few weeks.  I told him I was at the surgeon yesterday and explained all that's going on.  He said to have Tushar (plastic surgeon) call him after next Monday.  He wants to keep me non weight bearing as long as Tushar recommends and then.... then.... wait for it.... PUT ME IN THE BOOT!!!!  The Boot means walking!  The Boot means driving (though not legally, keep that on the down low, yeah?).  BOOOOOOOT!!!!

He wants a recon of the AT to be a last resort and wants to let it grow back naturally and try to rehab from there.  I do not know the time table but I agree with the plan.  After what I've been through and seing as I just turned 49 the goal is not to return to hardcore crashing basketball, the goal is now to be able to walk normally and go swimming and biking.  Sure, I'll play hoops from time to time, but I won't be a dick about it (I say that now....).  I just want to be able to get around.  Anyway, Nilesh is a good egg.  We talked for a few more minutes and I promised him I'd be in touch next week.  OK.  Things are OK on the leg front, now we just have to get rid of these antibiotics and this rash stuff...

Wednesday, November 9, 2016 :  May you live in interesting times.  President Trump.  The President once fired Gene Simmons.  

I am done laying around so I decided I was going to work today.  Slept til 10 (was up til 4am watching election coverage) and then took a shower.  Karyn got me some more bags that are meant to protect the PICC but I used one for my foot.  Seems to work well.  I could have gone in the shower w/o it but I am going to wait until tonight to unwrap the leg and expose the stitches and sore skin to the air for a spell.  So, the shower done I went downstairs to do my IVs and get some oatmeal.  This takes about an hour.  I also took all my allegy stuff meant to clear up the rash that the antiobiotics gave me.  Then I sent out an APB to the boys to get a ride to campus.  Howie answered the call and he hauled me into Rutgers...

l
Me in my office in the Hill Mathematical Center at Rutgers

I have advising hours on Wednesdays from 2 to 4 and I was determined to do them in person this week.  Mission accomplished.  I am going to hang here for a while after four to get some more work done.  I may Lyft it home to spare my buddies having to be taxi service.   Hopefully this is a first step towards becoming normal again.  

Caught a ride home with Howie after I rang up Lyft and they wanted $32 for a ride!!  That's the rub I guess.  Try to get a ride during peak hours and you're up shit's creek.  I got home, got a quick bite to eat and then it was time to clean up the leg.  Every other day I need to change the dressing and it's been feeling like it's mending the past few days.  I was pretty happy when I unwrapped it... Here...

Not for the squeamish number three...

So that actually made me happy.  I started my second Azac ball of the the day.  Realized I needed paper towels and tp so I texted Gary and he took me over to Stop & Shop at 9pm to grab some groceries.  Been a decent day.  I feel like the leg is making progress.  I went to work today.  I'm chugging along with the antibiotics.  Keep chopping.  Need to be able to walk and drive.  Will get there soon...

Thursday, November 10, 2016 :  Slept in.  Woke around 11.  Leg feels good today.  Still no weight bearing but Nilesh saying the "B" word the other day (Boot) got me excited.  I want to walk and drive badly, I need my life back.  Went downstairs, coffee and a bagel dropped off by the ever helpful Howie and I started reading blogs and doing some work.  Sick of election stuff already so I'm trying to read science stuff.  Confirmed Doctor appointments for 5:15 tomorrow (Rama for infectious disease) and 10am on Monday (Tushar for plastic surgery).  Did my two antibiotic balls (cubicin and azactam).  That takes an hour but the cubicin is only once a day so it's not so bad.

I didn't mention this the other day, but I dropped my last good left eye contact lens down the sink drain two days ago.  I'm near sighted, so I can read and I can make out stuff within four or five feet of me, but further than that?  Forget it.  I'm not driving right now so I have been able to procrastinate, but I have to go get set up soon.  Because I live in New Jersey I can't just buy more contacts.  I need a doctor's exam EVERY time I get a new batch.  Eye doctors paid lobbyists and NJ pols got payola to create a law that forces me to either buy bootleg lenses (NY, Dark web) or go get an exam.  I'm an old fart at this point so I am going to save my lawless behavior chits for bigger things and just go get an exam, but that doesn't mean it's not bullshit.

b

Friday, November 11, 2016 :  Good Day.  Today was the closest to normal I have been in three weeks and it felt good.  I got up at 10, showered, messed up the bag around my PICC and got it soaking wet, but que sera sera.  Had my oatmeal, did my email, did some work and then caught a ride into Rutgers with buddy Doug.  Got into the office and got some paperwork done, met with a few families who came for a tour of the department, caught up with a few friends, met with a few students for advising, felt good to be in the Hill Center.  I did not get a chance to go to the CAVE which sucked.  I got caught up with the visitors and then had to go at four because I had an appointment with Dr. Ramasubramani (I know, I spelled it all...) at 5pm across the street from Kennedy hospital.

Howie drove to Rutgers and picked me up.  We went to 98 James Street and I went to Dr. Rama's office on the second floor.  The rash is gone so no more Benedryl (Thank God) and no more Zyrtec either.  I only have to do the antibiotics for another week and I even got a perscription for the PICC removal!  I can't wait to get this shitty tube out of my body.  Dr. Rama said she will get in touch w Tushar and Nilesh.  I have an appt with Tushar on Monday so he can see the leg.  Speaking of the leg...

It's two days since the last dressing change so it's time to clean up the leg....

Not for the squeamish number four!  Soon I will just put these up as it's getting a little better...

Not too shabby.  Feels OK too.  Progress.  Even better it seems the boys are rallying and we're going to get the monthly card game in tonight.  Can't complain today.  Light at end of tunnel with my mrsa and antibiotics.  PICC out in a week.  Got some work in, got out and about... Pretty good...

Saturday, November 12, 2016 :  Finally, a lazy day to catch up...  Played cards last night (lost $40.  Was break even before the last two rounds and then didn't place.  We had seven players.  We throw in $20 each and play Hold em.  Winner and second place divvy chips according to what they have when there are only two players left.  We got six games in last night.  I had two seconds, $35 and $55, after four rounds so I was even (stake for 4 games is $80) but I got skunked in the last two games (I was in the last three for the final round but got no cards ;-) )  We played from 10pm to 3am so it was a late one, but super fun.

I slept in today (11ish) and then got up to do homey stuff.  Laundry, dishes, guzzled coffee, did my antibiotics.  I also need to use today to catch up on all the stuff I need to do for my Python class.  I need to do grades for Unit 3 as Unit 4 is ending this weekend, I need to prep Unit 5 as it starts this Monday, I needed to create the Unit 4 quiz that goes out to the students tonight, no rest for the infected.  Want to get it done in afternoon so I can spend time reading tonight.

Got some emails from my nephew Matt as he is trying to teach himslef Python.  He's only thirteen.  It's a nice job.  More later...

Sunday, November 13, 2016: NFL Sunday. Paying some bills, doing school stuff.  Trying to catch up.  Have a busy one set for tomorrow.  Nurse, visit to surgeon's office for leg, going to work, need to get back to normal even if I can't walk.  I hope to have all stitches removed tomorrow and get a date when I can walk in the boot so I can plan.  Boot means I can drive (even though I shouldn't) so instantly things approach normal.  You still need to plan on things taking longer because you're literally dragging an anchor around.  You still can't ride a bike or go swimming or anything, but the ability to get to and from Rutgers without having to ask for a ride is the key.  Back and forth to RU means I can spend all my time w/ school, class and work, so that's not a bad thing.  We'll see...  It's coming up on six weeks since the second surgery and a month since it was found to be infected (10/17) so it feels like the wild ride is slowing a bit.  Three surgeries in the past 44 days (9/30, second AT repair, 10/18, emergency debridement, 10/26, reconstruction and wound close for back of leg).  All this while dealing w the antibiotics and the MRSA bullshit as well.  I'm tired.  Got shit to do though.  Rest later.

NFL Update.  Was not until today that I genuinely thought, if they stay healthy, that Dallas could be in Super Bowl.  Today was a loseable game.  In Pittsburgh where they have tons of trouble (so does everyone else) they could drop a game and not get killed for it.  The refs were CLEARLY on the warpath. They were calling ticky tack shit against Dallas all day.  It wasn't just the stuff they called (10-98) it was the stuff they did not call (missed the first facemask w Beasley in last drive, the second Pittsburgh TD was clearly a drop, etc).  It got to the point where Pittsburgh was begging for a flag after every play.  Anyway, Dallas had every excuse in the world lined up if they dropped this game.... and they didn't.  They fought through and won anyway.  8-1 with quite a few quality wins (In Green Bay, down 10 vs Eaglits, this game...) so things are looking good. Take care of business vs a Ravens team that you should beat and you are 9-1 going into Turkey Day vs the Deadskins.  Gotta be happy if ur a Starhead.  Elliot going up the middle remind you of Emmitt doing same vs Eagles on Monday night in 95?  Best game of the season, easy.

Hey, it's leg cleaning day.  Going to see surgeon tomorrow but I needed to clean up tonight.  Running out of guaze...  Going to forget the squeamish from here on out and just throw the leg out there... ready...

j  h

I hope tomorrow to get some stitches out.  I think once I'm done w the antibiotics (this Friday) my system is going to make short work of this thing and it's going to heal right up.  As gruesome as it seems I think it looks good and it's only 2 weeks and a few days out.  These things take time so I think I'm in OK shape.  We'll see if the doctors agree tomorrow.

Seattle 12 - Pats 7... Good one so far for the Sunday nighter...
Seattle 22 - Pats 21 now... end of third.  I am doing my last Azactam ball before going to bed (need to be up for Karyn early tomorrow morning) so the NFL is doing a good job keeping my busy (as well as my Python class, end of Unit 4 tonight)
Wow.  Seattle won...  Cool...  Going to bed...

Monday, November 14, 2016 :  JFK III - Return of the Hospital

jfk

Welcome back to the jungle.

OK.  Today started OK... Got up early to see Karyn, she was coming to get blood and clean up my PICC.  I went downstairs at 8am, made some coffee and tooled around the web reading NFL box scores and checking out what my day held not knowing it would all go to shit.  

Karyn is about to take blood when I mention that my arm felt swollen last night and seems puffed up this morning.  She measured it and it was a cool 4 to 5 centimeters larger than the other arm.  In PICC land this means fear of a clot.  Karyn wants me to go get an ultrasound somewhere.  I am furious, when will this bullshit stop?  I say no, she pleads and I say I will mention it to Tushar, I'm going to see my surgeon at 10am.  Karyn leaves and like the pro she is she ratted me out to Dr. Ramasubramani... It's all good though, keep reading...

Kenny comes and gets me at 9:40 to get to the doctor's office on James street by 10.  I get there and sit in the waiting room for an hour.  At 11 when I get in it's all roses though.  The leg looks good. Tushar (who was on vacation last week) likes what he sees.  He's not only good for taking out half of the stitches, he's onboard with putting me in the boot!  BOOOOT!  That means walking!  That means (quasi-legal) driving!  BOOOOOT!  I am going back next week to get the rest of the stitches out and so he can examine how the back of the leg held up to five days of walking, cuz I'm going to be in the boot!

This happiness is short lived.  In the waiting room I come to my senses and realize that a swollen arm w a PICC in it is serious so I have to do what Karyn said.  I text her and ask her to call Dr. Rama and ask for a script at University Radiology.  Dr. Rama tells her to forget the script and just bring my sorry ass across the street to the JFK emergency room to get checked out...  Ugh... the spider web.   Once they get you they keep you... forever... useless tests... bloodsuckers looking for consults... they want to take my bacon...  But I have to do it so I leave the surgeon's office and have Kenny drive me across the street to JFK's emergency entrance.

ugh
My POV as I am carted from test to test...

I limp to the desk in my pirate leg.  I tell them my tale.  They bring me into the emergency room pretty quick.  They dump me in the corner of the A wing, in the hallway in front of room A7.  In fact, A7-A is my designation.  The first of the hall dwellers near A7.  I speak to the attending.  They call all my doctors.  They take blood.  Within a half hour they roll me down to ultrasound (great name for a comic book villian).  The tech is a Cowboy fan with a big star on her gown.  Funny.  We talked about the Pittsburgh game.  She is not allowed to give me results, but she does tell me that the PICC is likely coming ot today.  UGH....

I have a blood clot in my arm.  I was on blood thinners post surgery forever.  I was sticking Lovenox in my stomach at home for twelve days post op, that only stopped a week ago.  Today I have a blood clot.  Shit.

Doctors put me on Heperin drip.  PICC nurses come and take their evil device out of my arm.  Doctors set me up for a bunch more tests.  They take more blood.  They tell me I'm staying the night.  Jesus.  This never ends.

j  l\  k
  I have a new braclet for the collection thanks to my clot.  Helen the nurse was really good to me seeing as I was stuck in a hall...

They do more ultrasounds.  This time on my legs.  They do a nuclear test for my lungs.  They do a chest xray.  I am admitted, but I do not have a room.  I am in the hallway in the corner of A wing in emergency (I remain here at 11:27pm as I type this).  They run me all over the place.  People recognize me from previous stays and yell "Hi Lars!" in the halls.  When that is going on in a hospital you're in trouble (it usually occurs in the local bars).

More fun?  There's a clot in the leg too.  Only the bad leg and it's because it has not been used in seven weeks (since reinjury 9/25). This was not a shock but now everyone is nuts because clots from the leg break loose so now I'm being watched real close.  Howie came and visited (with a coffee thank god) and I am still in the hall.  I think tomorrow will bring a few more tests.  Someone will procrastinate and I will end up here all day tomorrow.  So much for getting back to normal.  Still, I should be OK.  This does not change the plans to get me in a boot three weeks post op so on Wednesday this mrsa filled clot havin' fat Norwegian is walking around come hell or high water.  I will end up on blood thinners for a cool four to six months though, once you get a clot they have reason to rope you into "sickland" and it is serious so you're a dope to ignore the doctors and warnings.  Que sera sera.  Getting old and shitty sucks.

d   j

One cool thing about today is that my gadgets kept me knee deep in NFL.  I was able to stream highlights and game replays all day via my phone and when Kenny brought me my gear from home I setup a hotspot and streamed the Monday Night game for all the people in A wing.  Viva le tech and viva le NFL!  I got a few extra applesauces from the staff.  Making friends in the right places yall...

So that's where I am at the end of the day.  11:39pm and I still sit in the middle of the hall by the nurse's station (Hmmm, maybe that's by design, never thought of that) waiting for a room.  I jumped online and did my email at halftime.  Almost midnight and another psycho day in the books.  It occurs to me that none of what has ailed me in the past few weeks and months has anything to do with my injury.  I got mrsa from a surgery (we think the first one now), I got an alergic rash from the antibiotics.  I got a clot in my arm from a PICC and a clot in my leg from lack of use because this process has gone on for the past seven weeks...  They absorb you and keep you in this sick health care web.  Cascading compensation injuries and lack of proper usage corrodes your body.  I need to fight it and break out.  More tomorrow I'm sure (if my AT&T data plan hasn't popped like a tick).

LATE NIGHT UPDATE:
I can't sleep in hospitals.  They got me a room.  3 South.  Thank God.  If it were 2 east I would have made a break for it.  On the way there they took me through hospice...

k

I hate JFK hospice.  They off'd my mother.  Well, off'd is strong, we kinda signed her up for it when she was in no shape to care.  I don't like it one bit though.  Just a reminder that this building is where Metuchen/Edison people come to die.  When we went into hospice I looked at the nurse and said, "Don't leave me here." and that made her smile.  God, I hope I don't see it coming.  Why is it preferable to die with carpeting?  Looks like Felix and Oscar live here.  Is this the beginning of a Christmas Carol type dream...  Christ, I hope not.

Only a few doors down (3116) from where I spent Oct 18th to the 23rd (3135) I sit staring out the window into the parking lot.  I get my phone setup as a hotspot and fire up my laptop.  I do some stuff for my Python class, Unit 5 starts today...

k
Coffee and my laptop.  My security blankets.

The nurse came in and she asked me fifty questions.  They set up my antibiotics, the put on a heart monitor, they got me some tylenol and it's five to two so I am going to give sleep and honest try.  No promises, I really can't sleep in these places, but I will try.  Tomorrow I get my left arm ultrasounded (just for shits and giggles) and then I try to gauge when I'm getting out of here.  More later...

Tuesday, November 15, 2016 :  Hospital Day Two

Not even 9am and I have already seen the hemotologist and Nilesh (Dr. Patel, my ortho).  The Hemotologist, Dr. Canavan, explained all that is going on with my clot situation.  He says both are likely explained by the PICC (for the arm) and the surgery (for the leg) but that they will do a workup to make sure it's not some genetic factor rearing its head so I will likely be on blood thinners for the next three months with hopes to get off of them if things clear up (this is what getting old is like, huh?)  Dr. Caravan says that the newer meds aren't like coumadin was (have to wait and see what a good level is) and I might get stuck on Xerelto or something and get bounced soon.  I like it.

Nilesh came in and just shook his head.  It was nice to see a familiar face.  We talked about my visit to the plastic surgeon yesterday and he made me promise to get the clot people on board with the weight bearing before I go trapsing all over the world in my boot.  I promised I would (and I will).  The breakfast guys came by and when the saw me they shook their heads.  We laughed and I updated them.  Yes.  I ordered bacon.  More later...

I ate my breakfast and then I went to get an ultrasound on my left arm.  Just want to be thourough I guess.  I go and see Suzanne, she was the tech who's a Cowboy fan, and get my arm checked.  No clots in the left arm.  Back in my room by 11:30am.  I finally get a chance to catch some sleep.  I am woken up every now and again for vitals, but I catch a few hours of sleep.  Lousy day out anyway, yes?  May as well get all this handled.

Nurse came in and told me that the hemotologist has taken me off of Heparin and put me on Eliquis.  Eliquis is a pill so goodbye IV (at least when I am not doing an antibiotic).  Free of the IV I get up, put on my pirate leg and walk around.  I talk with my roomate Kenny, he used to run a garage and had to give it up when his health problems persisted.  Stories like this scare me now.  It's so easy to get gobbled up by this shit.  

I ask the nurse what the plan is.  Hemotologist is OK w my going home.  Nice. Dr. Casale (main attending in hospital) is OK w that too, but she thinks my bp was too high on a few occasions and wants to put me on a small dose of a bp med.  I say no.  Once you go on a bp med you never get off and I have blown 135/85 my whole life.  It was normal in 1986, slightly hypertensive in 1999 and now it's high and needs medicine?  Horseshit.  To be honest a few readings were high but this is likely due to my not being able to sleep and my being furious with this entire situation.  I think about it and decide to play ball.  This one is on me.  I agree to her small dose for a bp med.  I know this will end up being a mistake.  When I go off the med the bp will go up, likely past my usual 135/85, and now I will be considered hypertensive and they'll have given me another ailment to join the mrsa infection, allergy rash and blood clot as maladies stemming from treatment and not the underlying problem (which is just an Achilles tendon).  I say it again.  This cycle needs to be broken..

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A happy grump - Like the crazy beard w the buzz, people know you're going grizzley adams on purpose.

Tried the pasta for dinner and it was decent.  Did some emails, did some student advising stuff.  Pretty sure (95%) sure I'm getting out tomorrow so there's nothing left to do but relax and absorb this shitty situation.  Again, vive le tech.  I have my AT&T hotspot setup w my phone so I have uninterrupted internet.  I was able to do my email, a little advising work and I just paid my mortgage from my hospital bed.  Pretty snazzy.  I do have to see if I can easily buy data for my AT&T plan (I only get 5gigs a month and never use it, but these hospital visits have gotten me close.)  If it's like $10 for another 10 gigs I would do it. Need to look into it...  As usual AT&T makes nothing easy.  If I burst over 5G it will likely cost me $25 bucks or some crazy punitive fee.  I'm only at 1.3 of 5 gigs for the month so I am likely fine, but I am curious.  I never use the hotspot if I'm home (why? I have wireless) so it's not a big deal.  Still, I need to look at Verizon or Sprint.

Update:  I was re-reading this on 11/18 at home.  One night in the hospital Howie came by and we were talking about plans and data and he gets a family plan for him, his wife and two kids so we were comparing them.  We did some investigstion and found that AT&T and Verizon are like criminally guilty of gauging customers for data plans.  If you're a tech person you know how cheap this stuff is, and they want like $10 PER GIG extra.  I threw out $10 for 10 gigs before and thought that was too much.  Now I find it's $10 for JUST A GIG.  I may cancel my phone just on principle.  WTF AT&T, the mafia earns their money more honestly than you.


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Even if escape is not utilized, it must be planned.  A six minute wait, a $6 ride and I'm home.  Too easy..

Early AM Update :  12:45a.  I can't sleep.  I have not gotten more than an hour straight since yesterday morning.  Is it any wonder my bp is high.  I had my second dose of eliquis and my first dose of the bp med (name escapes me).  Dr. Ramasubramani came in while Howie was visiting and says that she is OK for me to leave tomorrow.  She is going to forgo the last two days of Azactam and just have me finish out with the Cubicin.  I will likely go home with an IV in my hand and Karyn will use that for two days to give me my Antibiotics.  Then, after Friday, I'm done.  The vascular nurse who works with the hemotologist came in.  She said they are OK with weight bearing.  I told her to tell the nurse.  Tomorrow when I get home it's into the boot and getting used to some weight bearing.  Things would actually be awesome were it not for this latest bullshit, now I'm stuck on a blood thinner and bp meds for the next six months.  WTF.

 Turns out Dr. Casale put me in for a consult with a cardiologist because of the bp thing.  I don't know if this is another money grab or what?  I don't know any of these people.  I'm sure she is just covering her ass (and mine perhaps), but I'm getting sick of seeing every specialist they can throw at me.  If I stay here long enough I will have diabetes, cancer and yellow fever, I just need to get the F out of here.  Going to make another attempt at sleep around 1:30a.  Until then I will surf around and read for a bit.  More tomorrow, should be an interesting one.  Leg wound cleaning, cardiologist consult, discharge?  Sign out?   We shall see.  My having to eat another shitburger for some reason and staying for another night?  Hope not.  Again, we shall see.

Wednesday, November 16, 2016: Going Home?

9am: That's what people are telling me.  Didn't sleep much.  In and out from 4am to 7am.  Better than nothing I guess.  Dr. Canavan, the hemotologist, was by this morning.  He's good with 10mg Eliquis for a week and then 5mg until I can get in to see him in December.  He's good for me to go.  Did my antibiotics, that's done.  All I have to do now is see Tushar (leg surgeon, he got on the rounds list) and the cardiologist that Dr. Casale put on the agenda yesterday.  We shall see...  I would not mind getting out of here at 2pm versus 7pm... We'll see...

OK.  2pm now.  Just got my last Azactam, they did put me in for an afternoon one.  Still no Tushar.  Cardiologist looking for an echo they did of my heart thre weeks ago.  I need to get out of here today, they need to get moving.  Already making plans with Karyn to get the Cubicin via IV tomorrow.  Dr. Rama is foregoing the last two days of Azactam so all I need is the last two Cubicins (Thur and Fri) and that's only once a day.  Snazzy.  That, and I can walk today.  I just need to get out of here.  More soon.

Some progress.  Tushar in surgery.  He told nurse how to dress the leg so that part is taken care of.  Chrissy the nurse came in and changed the IV line so I can go home with it.  That's how Karyn will give me the Cubicin for the next few days.  No more Antibiotics after Friday so I have that to look forward to.  She also re-dressed the leg.  It looked good...

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Well, good is strong.  Looks like it's healing and it's not infected.  It's a crazy world when you can look at that picture and say, "Looks good!" but that's what all the docs say.

So now I just wait for the Cardio consult.  Chrissy is doing my paperwork for release.  Hopefully we get this process moving and I get out of here soon....

4:45p - Saw Dr. Casale.  She said the old cardio dopler they did was negative for anything troubling.  She said that there seems to be no damage laying around due to long term hypertension so she is more likely to buy my version of the story, where I'm blowing high because I'm not sleeping and am incredibly frustrated by this whole situation.  I had a few lower readings since last night, but she says to be safe I should stay on the meds while I'm on the Eliquis.  I will do so.  After that it's gone.  Dr. Casale told me to go see Dr. Elber next week (he's my primary but does not do hospital visits anymore).  Next week is Thanksgiving week though.  I may be seeing Tushar on Monday and doing the rest the week after.

5:49p - Still waiting on Dr. Cana.  He's the cardio guy.  

6:10p - Saw Dr. Kana.  He was great.  He does not think I need to be on bp meds.  He wants me to take my bp in the morning (need to get a machine over the next few days) and if the systolic is over 140 take a pill.  If not, don't bother.  Sounds fair.  He said all of my other cardio stuff looks good and normal.  OK.  He then released me and my file to the discharge nurse.  I'm going home.

Kenny came and got me.  Home by 7pm.  Got in the boot.  Walking slowly.  Boot is tight on skin graft.  Take off boot, put on sneaker, use cane.  A little better, but not really as safe as the boot.  Will have to try it everyday until it is tolerable.  Will unwrap it later to make sure all is well.  Right now just happy to be home.  Shower and bed... I can't wait...  Of course I got in the Jeep and drove to McDonalds.  It felt good, even though I can't see (still no contacts).  Safety first!

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Need to treat the leg carefully so I don't have another setback, but do not want to go soft on it either.  Will play it by ear.

Tomorrow is a big day.  Karyn in morning for penultimate cubicin.  Then I need to go down to Rite Aid and fill my two perscriptions (Eliquis and the bp meds in case I go over 140).  Then I may go to my old contact place and set up an appointment.  That or go to the one near Bridge street.  Then I want to go into work for a while.  If I can tolerate the boot I can drive and go into campus.  We shall see.  

10:30p : Going upstairs to get a shower and to get into bed by 11.  9 hours of sleep.  My own bed.  I have not slept more than two hours straight since Sunday.  Being in my own bed is going to be like morphine.  I can't wait...

Thursday, November 17, 2016:  Sleep

I am home and can finally sleep.  I got a solid eight hours last night.  Karyn the nurse came at 8:30.  She gave me my penultimate cubicin ball and I signed all my discharge stuff.  All I have to do is give myself my last cubicin ball tomorrow and take out the IV.  Done.  She gave me instructions on how to take out an IV and we were done.  Karyn was a good egg and people who get her as a nurse are lucky.

We did my BP and it was 144/91...  Ugh.  So when I get my meds at Rite Aid later I will take the Novasc today.  Do not want that to become a habit but I will listen to the doctors for the time being.  All this done I went upstairs to get some more sleep.  Zonked out until 1pm.  

I have to go to Rite Aid to get my eliquis and amlodipine (Novasc) but I am testing out the boot for a while.  If there is a full ace bandage dressing on the leg and I stick it in the boot the pressure is too much on the surgery area.  If I reduce the bandages down to just covering the wound and lose the socks then it's not so bad.  I add the cane and I can take some pressure off of it too.  This combo seems to work well.  Did some email.  Time to go down to the drug store.  Might bite the bullet and go see about getting my contacts replaced today too...

The Tale of the Pharmacies:  As the past month (this blog is a month old today... hopefully soon it becomes a once or twice weekly endeavor, but for now it is a daily affair) shows, nothng in this life is easy.  I needed to fill two prescriptions today.  One for eliquis, a blood thinner, and one for amlodipine (Novasc).  A little after 3pm I hop in the Jeep and drive down to Tano Mall in Edison.  Go back and re-read that sentence.  Driving.  It's really the key.  I can do things myself now without Kenny, Howie or Eddie having to come pick me up and wreck their own schedules to help their friend.  It's nice.  

Anyway, for folks who do not know, Tano is three minutes away from my house and is always good for what ails you.  Walgreens, Dunkin Donuts, Tony's Italian Restaurant, Sushi Saga, Carvel, Grocery store (formerly A&P, now Super Fresh), you name it.  Everything from a towel to a turkey can be acquired at trusty Tano Mall.  Or so I thought.  I go to Rite Aid to get my prescriptions filled.  I go to the counter and hand them in.  They will take ten minutes to prepare so I decided to handle another problem I have.

Tano Mall is also the home of Dr. Janet Wosck, Optomologist.  I need my contacts.  She is behind the desk as I walk in.  My last time there was 2014 so I need the exam.  I make an appointment for 11.29 and she gives me, wait for it...., a replacement lens!!!  I will be able to see (I think, more below)!!!  This is cool.  I grab my -1.75 left eye lens and make my way back to Rite Aid.  I'm killing birds with only one trip to Tano Mall.  This is great!  Then the trouble began.

Rite Aid in Tano Mall does not have Eliquis in stock.  I'm not a pharmacist so I don't know if this is bad or not.  I know Eliquis is pricey and Rite Aid is a blue collar knock-around kinda place so I get it, but this sucks.  The pharmacist was polite and asked if I wanted to go to another Rite Aid in Edison (Inman Ave).  Ah, no thanks.  Now, I can't miss a day, this is a blood thinner that I'm on after having a clot, you don't mess w this.  I have to go somewhere else.  Shit.  Then she says the amlodipine is ready.  I look at her like she has five heads.  If you can't fill my eliquis what makes you think you're getting my business for the other one?  I told her to cancel it and give me back the scripts.  She said it was ready already and I told her I didn't care.  She cancelled it and gave me back my scripts.  After my first hospital stay Rite Aid did not have Lovenox.  Now they don't have Eliquis.  What do you have?  Rite Aid in Tano Mall lost my business today.  It's a shame too because it was convenient, but enough is enough.

So then I quasimodo over to Walgreens.  I hate Walgreens as a Pharmacy.  They make you wait five hours for simple things.  There is always a line.  The people behind the counter are mean to customers, it's actually hilarious.  So I go over there and there is a line three deep.  I get in line and wait.  And wait.  And wait...  There's no one being helped, the counter is empty.  This goes on for five minutes.  I can't do it.  I walk out of line and to the door.  Is it any wonder why I have high blood pressure?

I rally by going old school.  When I was seventeen I drove for the local Metuchen Drug store, Boyt's, delivering prescriptions.  Today I went home again (FU T. Wolfe) and brought my two prescriptions to Boyt's.  A short drive from Tano, downtown Metuchen is not that crowded this afternoon.  I walked up to the counter at Boyt's and handed them my prescription.  Ten minutes later I have my drugs.  Nice.  I looked at the #s and see that the price of the Eliquis without a prescrition plan is $501.  Jesus tap dancing Christ.  That's ridiculous.  I only paid $10 for it.  I'm lucky.  I feel shitty for people who are not as lucky as me with my health plan and prescription plan.  It's really been something I haven't had to worry about through this whole ordeal.  As I am walking out the door, ready to sing the praises of Boyt's and I look down at the prescriptions one more time... Shit...

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The inside of Boyt's looks the same as it did in 1985.

I am listed as Lars Sorensen Jr of 30 Orchard Avenue, Metuchen, NJ.  Sounds OK, but that's my Dad.  If my Dad is buying drugs it's a really neat trick as he's been dead for two years.  I went back to the counter and told them that they have the wrong Lars.  Life long Metuchen residents, my whole family is in the Boyt's database so this is understandable.  I'm Lars the third on Hickory Street.  They make the switch and I'm on my way...

So, I have my drugs, I'm driving (not legally, in the boot), I have a replacement contact lens, I AM WALKING!!!  Cannot slice this any other way, it's a good day.  First day post hospital visit number three.  One more day and I am OFF ANTIBIOTICS.  The leg seems to be holding up.  The knee tweaks me every now and again but that's to be expected.  A) It's my ACL rebuild knee, B) I'm walking sideways so I do not hinge the foot and C) I haven't been weight bearing on this leg for seven weeks (2nd AT surgery, debridement, recon... all two weeks after the other..) so the leg has atrophied to nothing.  It'll come back fast, the ACL leg did, but I am still without a functioning AT in that leg so I need to be careful.  I went upstairs to confirm that I kept my right eye contact.  I DID!!  but it's dry and shrivelled as the RENU dried out.  I fill the capsule with RENU and leave the shrivelled contact in there so it comes back to life.  I expect it will.  

I have the leg out of the boot as I type this and I'm slurping coffee so how bad can it be.  I'm going out driving later.  I have no idea where I'm going.

The simple things:  I could have driven anywhere I wanted tonight.  I went to China House for Hunan Schrimp and I went to Stop & Shop for Ketchup and Half & Half (OK, I got some ice cream too...).

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NOW I FEEL NORMAL...

Ate my chinese, watched a few episodes of Blacklist (no spoilers, I'm only on season three) and drank coffee and read.  It's the closest to normal I've been in a while and it felt real good...

Friday, November 18, 2016:  Back to normal?  

I'm typing this entry from my office in the Hill Center.  That makes me happy.  More soon...

When I don't get to this blog until 2am Saturday morning it was a good day...  This morning was the last of the antibiotics...

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You can see the saline seeping out from the wrap after I flushed it.  After I was done with the Cubicin ball I took the IV out of my arm for good.

Goodbye antibiotics.  Good riddance.  OK.  Done.  I can walk in the boot, no more antibiotics, I can drive, this is looking up.  I take my blood thinner.  I take the bp medicine because I have not gotten a machine yet (no Karyn this morning) so I conservatively act as if I was no good and take the pill.  I'm tired, the antibiotics get to you after a while, but I'm going to work today.

I clean up, get some coffee, do the initial email wave from home, but then I drive into Rutgers.  Not gonna lie, walking was slow, but it was doable.  Saw my co-workers, got some stuff done, it felt nice and normal.  I didn't call any doctors today.  That alone is a feat.  More on the that tomorrow.  After dinner I set about sending out grades to the students in my Python class and doing a video for YouTube.  Going to be a whole lot of Python going on this weekend.  More tomorrow.  Super tired...  Need to get a look at the leg after walking on it all day...

Saturday, November 19, 2016 : Tired

Today is the day where it's catching up to me.  First day with no antibiotics, no doctor, no work, and I am exhausted.  I slept until noon and it was great.  I am going to catch up on my class stuff this weekend so I start grading midterm assigments (I teach a programming class but I make the students write a paper for their midterm, much to their dismay, because they have to learn how to communicate as well as code).  I also need to make a YouTube video for them later in the day.

It dawned upon me today that the leg injury/wound/area/whatever is more akin to a burn than anything else.  I have the graft, the stretched area of skin between and the major incision that runs up the back of the leg.  When weight is put on it things hold up well, but there is a tightness, a rawness, something I was lacking the ability to explain until now.  Now, as I think upon it as a burn, things make sense.  What is a burn at the end of the day.  It's skin in crisis.  Well that's what sections of my leg are.  When I take the bandage off I probe it to see what areas are causing the pain I feel.  It's not the ones you would think.  The open graft feels fine.  The incision feels fine.  It's the areas around the graft and incision that have been stretched or tightened that are causing the most discomfort.  It gets better everyday though.  Having stolen an ample supply of gauze and tape from the hospital two days ago I clean and re-dress the wound daily now.  It's starting to look better and I can envision what it will look like healed.  Things are going to be OK.  I can see the graft area getting smaller and assimilating.  I see the big incision closed up perfectly where the stitches have been removed.  I walk around the house with the boot but I walk to the dining room table to the bathroom without it (yes I'm careful ) and it feels fine.  The leg (the heel, ankle) is getting used to bearing weight once again.  Things are looking up.

Missing Rutgers/Penn State.  8pm start at Rutgers.  This sucks, but there's nothing I can do, I am not at the point where I can go to an event and be comfotable.  Probably a week or two away from that, so brains won out over emotion and I stayed home to do Python stuff instead.  Think I may drown my sorrows in some Tony's later ;-) and then gobble down some ziti in from of season three of the Blacklist (no spoilers damn it)...  More later.

Sunday, November 20, 2016 :  Sorry Peter

Dear Peter,  

  Your Uncle is very proud of you for fighting the urge to be a Giant fan like your mother and your filthy brother.  Being a Ravens fan is a bold move that is to be encouraged and rewarded.  Were it any other year I would have rooted for the Ravens to beat Dallas today (because we're usually 3-6 around now and I would want a high draft pick) but this year we have a shot so I had to root for you to take a beating.  Dallas 27  Baltimore 17.  Baltimore is a cool choice for an out of market team, you're a smart guy.  I will get you Poe and Mencken stuff when you're older and know who those guys are ;-)

Your broken Uncle,

 L-

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Ok.  A week ago tonight I thought I was getting back to normal.  Then the tale of the blood clot began and JFK sucked me back in.  Now I'm trying agian.  I have a surgeon's appointment tomorrow at 10:15a and then I'm going to work.  I'm walking in the boot (still hurts a bit, been cheating and walking without it in the house) and I can drive (take off the boot and put on a sneaker to drive.  Works well, just use leg as a club, do not have to flex the right foot) so things are good right now.  

Tomorrow I need to make a ton of phone calls to wound vac people, nursing people, moving my primary from the people I was with when I was a kid to a new doctor (actually someone I knew as a kid... funny) in town.  I still do not have a BP machine so I need to go and get one of those after work.  It's a long one, but I'd rather be busy than bored and injured.  Need to keep moving forward.  More tomorrow.

Late Night Clean Up : 12:45a

I have an appointment tomorrow at 10:15a, but I took a shower and the bandages got wet so I changed em up...

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Flash, No Flash, looking like a regular leg.  Getting there...

Except for some scabbing in the center, the main incision is pretty much closed up.  The stretched skin between the big incision and the graft is still working out what it wants to do.  I think it's a good thing because it seems to be spreading out.  This leg has borne weight for the past four days as well.  Looks like it's holding up OK.  We'll see what Tushar says tomorrow, but it looks OK to me.  Tomorrow we may be stitch free, we'll see what he wants to do with the ones in the middle.

Monday, November 21, 2016:  Good Day, but long and tired...

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Hey Ma, no stitches.  It looks like hell but it's better than having a hole in the back of your leg

Tuesday, November 22, 2016 :  Stop & Shop

Hey, two days in a row and no time to blog.  Yesterday I had the stitches out as you can see.  Today I went to work.  No doctors, no craziness, just went to work like a mormal person.  It was nice.

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I got home late, but I had to go to Stop & Shop to get light bulbs and some other stuff.  When I drive I take the boot off and put on a sneaker.  When I arrive at S&S I do not feel like putting the boot back on, so I limp into the store with my right leg pointed to 2 o'clock (so I don't flex forward on it and put all the weight on the heel).  It's not super safe, but if you are careful and semi-coordinated it works.  Ok.  Clear your mind.  We're going to paint a picture here...

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Imagine you turn the corner into the frozen foods section of your grocery store.  Imagine you find someone talking to themselves. Imagine a portly gent in old sweatpants and a sweatshirt.  He has on a long dark coat and a scarf as well.  He has a hygenically challenged scattered beard and a crew cut, an odd combination unless you're in a biker gang or ISIS.  He is muttering "No diet, never diet, no sugar" and he is limping in circles.  His sneakers are different colors.  Then he looks up at you and squints, looking confused.

How to say this delicately so as not to offend?  You have stumbled upon a special needs adult, yes?  Hot water burn baby, hot water burn baby!  Three minutes to Judge Wapner, yes?  No. Tonight it was yours truly in the S&S frozen foods aisle.  They never have the diet pops!  See the empty shelf above the sugar pops.  It pisses me off.  The non sugars taste just as good and they are zero calories, BUT THEY ARE NEVER THERE!!  And they are always on sale!  They mock me.

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I have different shoes on because only my old NBs go wide enough to accomodate the wrapped up foot and not hurt.  You can see the minimal bandage I was going with today.  This is because I was in the boot and a big bandage would be too painful.   I was alone in the aisle talking to myself when a poor woman turned the corner and stopped dead in her tracks.  I looked up quick and squinted, I didn't have my contacts in.  I was still talking about the popsicles.  She quickly turned and left the area.  Like quasimodo me and my mismatched sneakers began the journey to the check out counter, I bought my light bulbs (and yes, I got the God damn sugar pops) and made my way home.  

Here.  I have a new leg picture...

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I took it today.  No stitches.  Tushar gave me ointment to put on it, said I can get water on it in the shower and that when I wanted I could take the bandages off and just let the air hit it.  Thinking it will heal up more quickly now.  

Going to Kirsten's for Turkey.  Going to pack a bag and leave for Mt. Laurel right form work so the next time I update will likely be from down there.  More soon.

Thursday, November 24, 2016 : Thanksgiving

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As much ungodly insanity as I have been through this autumn there's still a ton more to be thankful for.  After everything... I can walk today.  I am going to watch three NFL football games today in a warm house full of family and an endless supply of food.  After you get out of your early teens and don't give a shit about gifts anymore, Thanksgiving EASILY becomes the number one holiday on the calendar.  ESPECIALLY when you don't have to cook!  

Happy Thanksgiving everyone.  I'm bringing all my gear down to my sister's as I will likely stay a few days down there so perhaps there will be an update later.  I have to get going because I need to get bagels (you can take em out of NJ, but you...) so Me, Matt and Peter have something to nosh on while we make fun of the people in the parade.  it's a tradition.

Sunday, November 27, 2016 : Finally got there...

Thanksgiving was good.  Stayed until late Friday and then drove home in no traffic at like midnight.  Stuffed w Turkey.  Vive le Cowboys.  Slept like a baby on my sister's couch, that never happens.  I guess this eliquis is good for something.

I think I'm finally at the point where a post everyday is too much.  Nothing is really changing in the land of the leg.  I'm resting while the eliquis and time work away the clots in my system.  It makes me tired, I have no energy.  I have plans to get a new primary, will make the call tomorrow.  I must be a dream for a doctor, good insurance and fifty maladies.  I have packed up the portable wound vac and just have to drop it off at a UPS drop off.  Missed Nextron, they came to the house while I was at work.  Need to call them.

Took a standing shower this morning with the leg completely unwrapped.  I will spare you the pictures.  I am going to wait until I'm at a point where the leg is demonstrably different and you can see it.  It is going to be a cool sequence when I get the pictures lined up from hole in leg, franken foot purple, healing w stitches, healing w no stitiches...  Am typing this at my dining room table and have the leg out in the air and in a flip flop.  Feels OK.  Still some pain at the heel because I'm not walking on it properly (can't go heel to toes w no Achilles) but that's not so bad.  Still some numb skin areas from where the leg was cut.  That may be permanent, cut nerves are cut nerves, but we'll see.

Will make appt w. new primary tomorrow (will tell that story later) and have appt to do eye exam Tuesday morning.  Soon it will be December and I will need to make promised follow up visits with Dr Kana (cardio) and Canavan (hemo).  Never ends.  Nah, it'll end, just not soon enough.  As long as I'm riding my bike and swimming by springtime I'll be OK w things...  More later...

Tuesday, November 29th, 2016:  Bug Eyed...

Today I spent the morning at Tano Mall in the the offices of Janet Wosk, optomologist.  Finally, I am getting my contacts.  First I had to do an eye exam though.  It was fast and Dr. Wosk does a good job of explaining things along the way.  Took pictures of the eye, glaucoma blast of air into my eye (pressure was OK), reading the eye chart and futzing w the prescription, looking in the viewmaster thingy and clicking when there were wavy lines, the usual.  There's a change in my prescription because I'm getting old and shitty.  I'm -2.25 in both of my eyes now.  She suggested that I try the bi-focal lenses.  What the hell.  I put them in and they seem fine.  I will try them out for a week before she orders me some.  Progress.  I need to try out my reading glasses and see if they are better or worse w the new prescription.

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Back to Rutgers.  I have advising hours from 1pm to 3pm and I teach tonight (my hybrid course meets once a month and tonight is one of those classes) so the rest of the day is filled with academic goodness.  Nice to get back to normal a bit...

Thursday, December 1, 2016 : Lucky Guy

I am a very lucky guy.  I have been able to go to work every day this week.  I taught Tuesday night.  Today I was in my office and my kids stopped by.  They know I've been banged up for a while so they all pitched in and got me a gift, a Norwegian drinking horn.  It was really thoughtful and it was hard to maintain my tough guy shell in the face of it (I did though ;-) ).  It was really cool. My kids are awesome, they were/are a special bunch.  Once I get off the blood thinners and the BP meds I will usethe horn for its intended purpose!

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Some of my kids, Tim, Eric, Jon, Alison, Aedan

 Then I get to come home and watch Dallas play a GOD AWFUL football game where all they did was make mistake after mistake after mistake.  Whitehead fumble, Elliott fumble (he recovered it but it blew a down), Dak fumble, bad exchange on last drive, Asshole Escobar is allowed to come back on after a hold and decides to clip someone and kill another drive.  ALL NIGHT the Vikings can't put the ball in the end zone so the defense lets them walk down the field and do it in less than two minutes at the end of the game. All unreal.  THEN THEY COMMIT A PERSONAL FOUL on the two point conversion.  It went uncalled and they won 17-15, but man, did they try to lose this game. Good sign when you can play like shit and still win.  Ten days off and then the Giants.  If NY loses to Pittsburgh then that game may be for the division clinch.  All and all it's been a pretty good day.  

Almost forgot.  Esteemed professor of Computer Science Dr. John-Austen Francisco has talked me into getting my Diablo up and running again.  Who am I to say no?

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I had not logged in for quite some time (I have been playing Minecraft and Farmville, the latter for research) so Battle Net had locked my account.  Whomever I put in as my "favorite teacher" could not be remembered as I could not answer their security question and had to go home to find my old D3 box so I could give Battle Net my serial number for the game and get back in the good graces of the folks at Blizzard.  I may run around with my Barbarian Largantuan later tonight...

Will get a new leg picture up soon, it's looking better.  Will also need to go see some doctors soon.  It's been two weeks since I got out of the hospital so I have to keep my promises and see my primary, cardio and hematologist....  

More over the weekend...

Monday, December 5, 2016 :  Progress is steady

Reporting live form my dining room after going to a morning appointment at the office of my esteemed plastic surgeon Tushar Patel.  After two weeks of more healing and weight bearing he and Anna are happy with the progress.  The silvadene they gave me to break down the big section of skin in the middle of the rebuild is working and they said, "Keep doing what you are doing and come see us in a month."  Can't be in bad shape if they are setting you free for a month, yes?  It's funny because we are jumping through fire hoops to put the leg back together again just so Nilesh can cut it back open again in the spring to do another Achilles surgery.  That's for the future though.  Now I have to do some housekeeping in the next few weeks and make followup visits for the cardio (Kana), hemo (Canavan) and primary (trying a new doctor, Misko).  Will likely keep Monday and Thursday mornings free for doctor stuff going forward.  

Walking back to the Jeep after my visit this morning I realized that I need to give myself a chance to recover.  I was thinking that if I were eighteen the damn leg would be healed up already, but then I thought about it and realized that in the past two months I've had three surgeries, dealt with an alergic reaction to antibiotics AND dealt with a blood clot in my arm.  That's a lot of stuff and it's only a few weeks since my last hospital stay.  I need to give myself a break and rest.

I also figured that part of the issue with hoops and running around ripping Achilles tendons is my weight.  I was 235 when they did my last surgery (they weight you like a hunk of meat before they operate).  I'm going to be Bacchus for the holiday season and then go Spartan January 1.  Last January I quit smoking cold turkey and it stuck (just my pipe, but it was not easy.  I smoke NOTHING now) so I figure I'll make the weight the cause of the year and that will make me stick to it.  The "guts gotta go" tour 2017 will kick off in January.  

Other than that it was a good weekend.  We had to can poker cuz two of the guys were out of town.  I did a bunch of stuff with my Python class and some video game stuff (research, not just playing ;-) ).  I had breakfast w the boys on Sunday as Cliff had to move some furniture.  I couldn't move anything but I could be at the Edison Diner for a hunter's special!!  No poker but I got a chance to hang out w Eddie, Cliff and Howie anyway.  Football was good as the entire NFC east lost yesterday and Dallas clinched a playoff spot.  Be tough to mess up home field for the NFC but I'm not counting chickens.  Atlanta loss was big.  Seattle losing Thomas to the busted leg was big, that defense needs him.  

In closing for this post the recovery is slow and steady.  I feel OK, I'm not as tired anymore so I think my body is getting used to the Eliquis.  I want to start exercising and may go to the Y one night and just ride the bike, hiding my surgery w a high sock and then going home to shower like a dirtbag (do not want to expose wound to Y locker room.  For all I know that's where I got the fkn MRSA).  We'll see.  Slowly getting the leg repaired to cut it open again and I now have a plan to get thinner.  It's all good.  I have plans to get dinner w some of my old students on Wednesday so I will likely report back after that and have some good pictures.  Later.

Fantasy Justice

When the Chiefs intercepted a 2-point conversion try by Atlanta yesterday and ran it back for 2 points of their own I laughed and laughed.  If Atlanta loses then they will fall out of contention for the NFC's 1 seed and that's good news for Dallas.  Then, this morning, I checked in on fantasy...

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As we all know, the Metuchen Maulers are America's favorite fantasy team!  Anywho, I got knocked out of the playoffs (top 4 make it) and will switch spots with Raise the Jolly Roger because of 1 point!!!  I lost by 1 point!!!  Then, I found out WHY!!!

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IT WAS THE XP INT RUNBACK!!  I was laughing at my own demise!  Oh, sweet irony.  That single play has knocked me out of the playoffs!  I still have one week to get back in so hopefully things work out, but Jesus....

Fantasy (In)Justice Update:  

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My 1 point loss dropped me from 4th to 7th.  The new Yahoo playoff format has the top six teams playoff with the top 2 getting a bye and 3-6 facing off.  The returned extra point didn't just cost me a game, it cost me the playoffs.  If I beat Jolly Rodger by a point I'm in the playoffs.  Unreal...

Thursday, December 8, 2016 : Chugging Along

Late on Thursday and I figured I would do an update.  One last weekend of rest and I am going to start my central NJ doctor tour by going to see all the folks I met when I was in Kennedy for the blood clot before Thanksgiving (Kana, Canavan, Etc.)  The leg seems to be healing well.  I'm putting Silvadene on the hardened dead skin in the middle of the healing scar and it's getting smaller by the day.  I walk around the house with the leg out in the open as the big wound is completely closed and without stitches and the graft is healing.  Still looks like hell:

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but it actually feels fine when there's no pressure on it.  The only time it bugs me is when it's wrapped up and in the walking boot or at the end of the day when the leg is all shot up from walking funny for fourteen hours straight.  It'll pass.  Gonna heal up in the next month and then start thinking about getting the Achilles tendon repaired so I can ride my bike and swim and be normal by summer.

Some of my kids who graduated took me out to dinner last night.  Ed (With his new Elvis haircut), Shahan, Eric and Tobias.  Went to Hibachi and got Sushi (Shahan thinks this place has jumped the shark, I'm not enough of a foody to know the difference, tuna rolls were OK to me) and chinese food.  It was good to see them.  It's only been six months and they are already sick of working!  Hahaaaa... Half of them are coming back to go to grad school (Eric is already signed up and Tobias is applying).  Good time had by all.  Some generations of kids that go through Rutgers Computer Science are good, some bunches are great.  Ten years from now I'll still be friends with these guys.  Premo.

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               Edvis, Shahan                                                 Tobias, Me, Eric, Ed and Shahan

Not a lot of time now, but hopefully over the weekend I will have time to tell the tale of the hole in my roof.   I will be in the CAVE all weekend (there's a Ludum Dare (google it) this weekend and a whole bunch of game makers will be in the lab Fri and Sat as we host it) so I should have some time to stop and blog for a spell.


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More later...
Saturday, December 10, 2016 :  Feeling Good...

Will have to wait on the roof story, I'm a little pressed for time.  There is a game jam/hackathon that takes place three times a year called Ludum Dare.  We are hosting it in the CAVE (my lab) this weekend so I will be at Rutgers doing game dev stuff (and catching up on Python grading) tonight.  I'm sure to put up some pictures later so stay tuned.  

Also, I was curious the other day about what my leg looked like when compared to a month ago.  It looks a lot better.  When people ask me what it was like I don't want to just send them here because it's long and the pictures are hidden on "for the squeamish" pages and so forth.  Because of this I did a real quick timeline page with mostly pictures.  It's quick and is a better way for people to SEE what's going on without having to read this crazy blog.  Check out the timeline.

Cleaned the leg up this morning.  I now take a standing shower every morning as usual (It's nice.  It really is the little things you appreciate) and I am able to actually scrub up the wound site now.  I'm guessing all the dead skin we have the silvadene working on will be gone in a week.  Things are really looking better (uh oh... this is when something crazy happens...)

More soon

Saturday, December 17, 2016 : Rehab Math

A week.  Wow.  The state of a recovery is proportional to the amount of time betwen posts.  That's a good thing methinks, but some people are complaining that there have been no updates of late.  They have expressed that they were worried and thought that something new has occured.  After reading about infections and rashes and blood clots who can blame them I guess.  The opposite is true.  I am slowly getting back to normal.  Not there yet, but close.  When you get bashed up you close down.  In my case I stopped doing work, research, hobbies, everything in order to concentrate on getting well.  On the other side of this is the inevitable expansion of the accordian.  As you feel better you begin to add things back.

  I have only been walking for four weeks.  Seems longer, but I only got weight bearing back around mid November.  It's great to start walking again, but it makes you tired.  You do not know it or admit it, but you need to take things slow because healing from the surgeries takes a lot out of you.  Add the blood thinner meds and I was walking dead for the last two weeks of November.  I hated it and was concerned it was going to be a new normal.  Thank God it wasn't.  I began to get my wind back in the first week of December and now I think my body is used to the blood thinner meds.  I still need more sleep than I used to need, like 8 or 9 hours.  

ALL THAT SAID, things are good.  I did Ludum Dare w my kids in the CAVE last week.  I went out to get beers with the guys on Monday for the football game.  I am going to work everyday.  The leg adds time to everything, I have to clean and wrap it twice a day, putting the boot on and off takes time, etc, but I can shower easily standing up now, I can walk in the house (even though I should not, I still have no Achilles tendon in my right leg) and I am in good spirits.

The plan now is to let the leg heal more and start to think about what to do to repair the AT in mid January.  The dead skin in the center of the wound is getting smaller daily and if you look at the timeline and see what oit looked like just a month ago compared to now you'll see the progress.  In a month's time it will be even better and I can start thinking about getting the AT fixed.  I have an appointment with Dr. Canavan on Friday the 23rd, he's the hematogist., so I am starting to go see the doctors from my blood clot adventure.  After the holidays I will go see Misko and Khanna (discovered it's not Kana) so I get a check in with primary and a look see from cardio done.  Never ends.

Enough for now.  Don't want to get pedantic.  More in a few days.  I still need to tell the tale of the hole in my roof.

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Ludum Dare last weekend in the CAVE.  

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These pictures are from December 15th.  Still a two centimeter length in long wound that needs to close more and the dead skin where the stretch was (the surgery "stretched this section between the graft and the closing and expected it to die, but it heals naturally that way as it's doing).  Pain is not bad, just discomfort and I can walk around in a flip flop to get it air now and again.  

Tuesday, December 27th, 2016 :  I am a Mutant, and Xmas

Greetings all.  Sorry it has been so long.  I had a busy week at work getting the semester cleaned up.  I had to do all of the grading for my Python class, the final unit, the last final project, it was a lot.  I got all of the grades loaded on Friday the 23rd and was ready for some Christmans.  But first, let me tell you about Dr. Canavan's.

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Got up super early on Friday morning, the morning of the 23rd.  I drove twenty minutes from my house in Metuchen to Dr. Canavan's office in North Edison off of Inman Ave (for those of you from around here).  I got there at 8am for my 8:15 appointment.  I had forgotten to fill out all of the paperwork so I sat down and got all of that done.   I finally got called into the office and waited for the doctor.  Dr. Brian Canavan is about my age and and carried a bunch of paperwork into the examination room with him.  He was the hematologist that was called in when I had my blot clot incident in the middle of November. He put me on Eliquis and said that I should visit him after Thanksgiving but before Christmas. He said he would have a workup done of my blood and we could discuss it then. Well, that then is now.

  He tells me that the body has three major clotting factors, Protiens C, S and anti Thrombin.  These guys race in when you need to clot up.  Now, you can't clot up forever so now we need something to say enough is enough, let's get back to normal.  These are Factors, like Factor V and Factor VIII. These guys signal the clotting factors and tell them to stop clotting and go back to normal. Here's the fun part.  Northern Europeans, which your humble Viking narrator is a member of, have a 5% chance of having a genetic mutation that messes up Factor V. You can get it from one or both parents. If you get it from both it increases the chances of a blood clot developing by 80 times. If you get it from only one parent (heterozygous) then the chances of getting a clot are only quadrupled. This is not a bad deal as the chances of getting a blood clot out of the blue are only 1 in 1,000.

  Wait for it... wait for it... Yes.  I have the mutation.  It's called Factor V Leiden (from the dutch town, I think it's where they discovered it). My Factor V is out of whack so when I get a trauma (surgery, a PICC line in my arm) I have a greater chance of developing a clot than your average bear. I am the single parent variety so I am not that bad, and Dr. Canavan says that we do not have to put me on blood thinners for the rest of my life, but when something kooky occurs (surgery, bad injury, etc) he's got to be on the list of people I let know. So I'm a mutant. My power is that I make blood clots. Do I get to teach at Xavier's School for Gifted Youngsters now? If so I'll give Rutgers my notice. This is good to know I guess as I can keep my eye on it, but jeez, I need to catch a break with all this nonsense. Just one more thing...

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  Not sure Christmas could have been better. I got down to Mt. Laurel to hang out with my sister, brother in law and my two nephews. Tons of food, presents, dessert, NFL, it was great. The kids got a PS4 so we played video games in between the football, It was a great time. We are Scandinavians so we do XMas on the 24th. We got up the next day and did Jewish Christmas too as we went to see Star Wars Rogue One and then got Chinese food. Just perfect. I crashed on the 24th and drove back home late on the 25th. Perfect Christmas.

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 Me and Peter.  He's not happy because the Steelers won.  Go Ravens.

More soon.  Still need to tell tale of roof.  More on Dallas and scary football. Movies are cheap on Amazon right now. Went on a Fincher binge and bought Fight Club and Zodiac (can Se7en be far behind?).  And of course more on the leg.  I will take a picture at the end of the week.  It is healing up nicely.  I still clean it twice a day and keep it wrapped. I want to start getting it more air. The back is pretty much all closed up now, it's just a matter of getting the middle section cleaned up. I'm coming down with a cold too. Hopefully the next time I chime in I'm feeling better. More soon...

Sunday, January 1st, 2017

  Happy New Year.  A lot of people have been saying it, but I have about six months of data that lead me to firmly say that 2016 ending is a good thing for me.  I'm hoping that 2017 is going to be about getting back to normal for me.  I had a good break so far.  I went back down to my sister for New Year's so I just got back in time to watch the Cowboy game here at home.  Will put up some pictures tomorrow.

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  Will do another update tomorrow as I will take some pics of the leg during clean up tonight.  New year will see me going to the doctor some more and devising a plan to get a working AT in the back of my leg.  I need to spend the year cleaning and simplifying things.  More soon...

Tuesday, January 3, 2017

  OK.  Learning a new editor for the web.   Kompozer was not keeping up so I did some surfing and installed BlueGriffon.  Decent interface, fairly easy to use, we'll see how things go.  I am not doing anything complicated here HTML wise so all should be well.

I promised to get back to things yesterday but got caught up reading and doing other things.

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   New years was good.  We ate a lot (that's all done now as I have to diet and get slim, more on that in a sec) and watched the Twilight Zone and everyone played their computer games and Matt and Peter got Steam accounts for XMas and a great time was had by all.  We saw Mariah Carey implode, we saw all the old hip hop guys on FOX w Pitbull, it was funny.  Batman Arkham Knight was on sale at Steam for like $8.  No brainer, right?  I bought it, did the 40 gig download and installed it.  It's giving me problems because my graphics card (Nvid GTX 860M) only has 2 gigs vram and my proc (i7 5500u at 2.4) is getting to be slow when it comes to gaming.  Amazing as the machine is not even two years old yet and I'm starting to run into games I can't run without futzing around with things.  I got it running, but I may just keep the Diablo and Minecraft in the PC realm and get a PS4 for Batman.  Belongs on the big screen.

  Above you see Matt.  He got all bent out of shape because his brother got on the blog and he didn't.  Equal time for the twins so here you go M.


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  Here's the leg as it looked January 1st.  Pretty good, yes?  Only a small area of dead skin left to get debrided away.  Am going to see the plastic surgeon on January 9th and we will discuss next steps then.  Met with Dr. Canavan (hematology) before Xmas so next week I will make an appointment with my new primary and get that ball rolling.  I am still in the boot when I am not home and want to start doing things (riding a bike, swimming) so I need to get going. 

  When I chime in next I'll tell you about the STFU diet and how I need it now...

Saturday, January 7, 2017 - Winter Weekend

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 Things are going slow here at the leg blog.  Just healing and biding time.  I have an appointment to see Dr. Patel (Tushar) on Monday morning so weshould get some news and/or new results then.  It's that quiet calm time after the holidays but before the students come back to campus at Rutgers, so things are quiet and calm there as we prepare for the kids to come back on Jan 17.  I'm teaching two classes this semesters, my Python course and a course on demonstrations and technology in science teaching over at the graduate school of education.  Should be a fun semester.  I'm currently trying to get the schedule together for the CAVE (my lab at the CS department) so life is proceeding at work a little bit now.  Only six weeks removed from the blood clot hospital stay and the inability to walk and it seems like it was six months ago already.  Need to appreciate my luck and be careful, but it feels so much better to walk around and live my life than when this insanity went down.  I go back and look at what happened from Oct 17th (finding out second surgery was infected) to November 18th (release from hospital after second blood clot) and realise it included three hospital stays, two surgeries, MRSA, a reconstructed leg, wound pumps, blood clots, just crazy.  And it was only one month.  Nuts.  Hopefully the road to recovery is a lot smoother from here on out.


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The books I got with all my amazon gift certificates

  Anyway, it's snowing pretty good here in Metuchen right now (2pm Saturday).  Tonight is poker night and I think we're still on.  I am starving because I put myself on the STFU.  The STFU is what it sounds like.  It's the name of my diet.  I did it in 2009 and dropped like 50 pounds.  Time to do it again.  I got weighed at Dr. Canavan's office and they said I was 245.  That's way too heavy for me.

  STFU is easy.  Oatmeal, banana for breakfast, two pieces fruit and yogurt for lunch, one piece of four oz chicken (I broil thighes usually), half a baked potato and veggie for dinner.  You do this five days a week.  Thursday is cheat day, eat anything you want.  Sat or Sunday is cheat night (as long as you did exercise, this is what allows cheat nights).  No soda.  No bread.  No pasta.  All the coffee u want.  All the seltzer you want.  All the beer you want.  Exercise for a half hour three times a week (when I was younger this was easy, now with the hurt leg not so much).  All the fruit that you want.  It's not Atkins cuz I get my potato and you're not a carb nazi, it's mostly a calorie counting diet.

  I short myself 1,000 calories a day.  At the end of the week that's 7,000 calories or two pounds.  Do this for 20 weeks and viola!  This chunkey monkey bcomes 205.  I have been good for the first week, no breaks or violations.  Had Hunan beef from Cheng's Kitchen on Thursday.  Been hungry at night but toughing through.  I want ice cream.  STFU.  I want doritoes.  STFU.  I want to eat a whole pizza.  STFU!!  That's the idea.  Dieting is temporary privation so just shut up and take it, it's not forever and if you do a good job you'll be splurging on all the crap food you like in no time.  The key is that it's temporary, you just need to reset the system.  Another key is no exceptions.  That just leads to even more exceptions and then you fall off the wagon and you're eating out every other night.  Not good.  Stick to it and you're good.  Will be reporting in as the leg blog proceeds with diet updates I'm sure.  I have not done a weigh in yet, I will go a week or so before doing that.  I will report in when it happens.

  Ok, be good now.  I'm going to clean up a bit and then start watching football.  Wild card weekend.  Looking for Raiders and Seahawks today but would not be surprised if the Texans find a way.  Can't believe the luck of the Patroits.  Bye week and then winner of a game where both teams have crummy QBs.  The luck.  Instantly NE is in the AFC championship game.  Must be nice.  Dallas will have to deal with the Packers or the Giants (the Lions are dead) so they have a tougher road to the NFC championship.  I digress.  Let's see how this weekend shakes out and then I'll rant about the idiot Cowboys.

Have a good weekend, more after my doctor's appointment this coming Monday...

Sunday, January 15, 2017 - Cowboys - School almost here

 
Been a week, more than a week, so I thought I would jump in here quickly and give everyone an update.  I went to see Tushar on Monday morning and all is well.  They changed me from Silvadene to Santyl to go on the leg wound and it seems to be healing quickly now.  He also told me to make an appointment to see Nilesh.  It's time to see what we are going to do about the Achilles.  I think something is going on down there.  I have range of motion.  No pain when I try to walk normally.  I can feel some movement in the calf when I flex it up and down.  I am not an expert and reserve the right to be terribly wrong, but I think something might be coming back naturally.  We will see.  I am going to let the semester start (Tuesday), get organized and make an appointmet to see Nilesh either Friday or next Monday.  I should know more then.  Until then I diet, take my Eliquis and be a good boy...

  Cowboys v Green Bay in an hour.  I can't help but think that all these rookies are going to bite us in the ass very soon.  I just want to get this game.  Progress.  Went to divisional in 14.  Last year was when Romo was hurt, and now we get back to the divisional.  We need to get to the NFC championship.  That will not be easy as Atlanta looked real good yesterday.  I think Dallas has a 55, 60% chance of getting a win today, but it won't be easy.

 More soon.  I'll get some new leg pictures up (no more dead skin patch, big ulcer is closing fast...) and some pictures from the CAVE on opening day...

Saturday, January 21st, 2017 - Beginning a new semester

  Starting a new semester is always insanely busy and the past four days have shot by very quickly.  Dallas lost but it was a classic game and we had a lousy defense and two rookies so I didn't expect to win a Super Bowl.  Still, would have been nice to go further.  I have not gone to see Nilesh yet.  Next week.  I have had so much hit me at work.  I am teaching two classes and needed to get them up and running, I am advising for the department and tons of students had issues trying to put together their spring schedules AND I have to get my student staff ready to man the CAVE (my lab) this semester so I was there everyday as well.

Here's a picture of the leg as it appeared a half hour ago...

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  The leg is healing nicely.  The dead skin spot is gone.  The wound where the skin stretch was is getting smaller and getting the same consistancy of the graft section.  Even the graft section seems to be getting smaller.  When I go to work I wear my walking boot like a good boy, but at home I go without and I do not have that much pain.  Now, I am not a doctor and I reserve the right to be 100% wrong, but I think something is growing back.

  I can move my calf a little.  I'm not sure if I could do that without an AT or at least the beginnings of one.  It feels a little tighter in the back of the leg and seems to be forming a bent peak like a healthy leg, but that could be the fact that there is not enough skin to do anything else!  I just don't know.  I am likely being too optimistic.  I'm like a puppy.  I REALLY don't feel like going through another surgery and I desperately have to have a normal semester with work and class and research to tend to so I am being cautiously optimistic and not pushing things.

  Nothing to really report though.  I take my Eliquis.  I redo my bandage once a day (down from two since seeing Tushar 12 days ago) and I try to stay off of it when I don't have to go somewhere.  The STFU is in full effect and I have not fallen off the wagon in 21 days.  Feeling better.  Sure I'm lighter but still have not done a weigh in so who knows.  Who cares too, not interested in weighing myself daily.  Will need to do it soon though.  Once every few weeks to make sure the STFU is taking off the 8 pounds a month (that's forty pounds in just 5 months!) and working properly.  I worry as I can't really exercise and that used to allow for the cheat days.  Now I have cheat days but no YMCA sessions to take off some extra cals...  We'll see.  I definatley feel better.

OK, enough for now.  More next week if something happens.  My life seems to be coming back to me though.

Sunday, January 29, 2017 - Cars, Batteries and Toilets

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  Funny how real life just grabs you every now and again.  I was walking out of the Graduate School of Education at Rutgers Wednesday night after teaching my new class, Demonstrations and Technology for Science Education, and the Jeep refused to start.  Felt like a battery issue, but I just replaced my battery less than two years ago.  Could be the starter, voltage reg, no way to know in the dark on a Wednesday night.  I had brother Gary come get me, jumped the Jeep and all seemed OK.  Maybe I just left the lights on?  (Not likely, I arrived at GSE at 4pm, it was light out).  When we got home (Gary lives on Hickory Str in metuchen as well) the Jeep would not start back up.  The car ran on the way home, so likely not the alternator (though the cable to the battery could be bad or the voltage reg switch could be open?) so I think I have a shoddy battery on my hand.  I have a warranty that's good for three years so I need to take the battery back to Batteries Plus on Rt 1.  That's going to have to wait until the weekend, I have too much to do at work.  Over the next two days I catch rides to and from work from Kenny, Doug and I did the Lyft thing twice...  Time passes and now it's Saturday!  That means it's time to fix the Jeep!

 So Gary comes over at noon and we're going to pop out the battery and go get it tested.  Gary whips out a multi-meter and seems to be getting 12 volts out of it though.  We clean up all the terminals on the battery and clean some crud off the clamps and give it a go.  Vroom.  It started right up.  The terminals had gotten so cruddy that it could not keep a good connection to the battery clamps.  Quick trip to pep boys for a new neg clamp, some spray protector and new washers and we were in business in less than an hour.  I have been driving the Jeep for the last 24 hours and all is well.  Nice.  Only cost me $15!

  Now onto the second operation of the weekend.  Sunday.  The toilet.  My upstairs commode has been REALLY bad with flushing properly.  It feels like a bad flush valve so I am going to run to the Home Depot, get a $4 part and be done with it in a half hour.... Yeah, right.

  Edwin Diaz is my friend, point guard and the King (Rey) of the Dominican plumbers.  He fixed all the toilets in my house like three years ago during my annual basketball party.  Problem is, he doesn't use Fluidmaster toilet gear.  He uses Eco-something EZ doesn't work with any stadard replacement parts stuff.  Ugh.  I bought a $4 replacement valve at Home Depot (HD) but it didn't work.  I figured I'd do this right and just replace the entire mechanism with Fluidmaster stuff so I'm OK to use replacement parts going forward.  So I trudge back to HD and get the whole enchilada.  Only $12 and it took like twenty minutes to install.  Adjusted it, flushed a few times, cleaned the toilet... Crazy productive and it only took an hour longer than I thought the initial fix would.  Done.  Jeep done, toilet done.  What a weekend...  Still, it was cool.  It had nothing to do with legs or blood clots or MRSA or any such stuff.  It was regular problem stuff.  I actually had fun this weekend.

  Alright, alright, on to the reason we're here.  The leg.  Good progress.  I postponed (procrastinated?) and did not see Nilesh this week.  I hope to get in there this Friday.  The would is all but closed and I am walking on it semi-normally inside my house.

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  Again, I am not a doctor and will not be surprised if I'm wrong, but I think something is growing back naturally.  I can lift of the front of the foot.  I do not believe I would be able to do that in the absence of an Achilles tendon or something trying to act as one.  I can move my calf (even though it's withered away).  I think I'm pushing off the doctor's visit because I do not want to find out that I'm wrong.  I'm getting SO MUCH done at work, teaching my classes, doing my research, that I fear being told that I have to stop again and spend another two weeks off my feel because of another operation.  I know I will have to do it soon.

 Enough for now.  Almost February.  Three days ago was three months since my reconstructive surgery.  Only ninety days and I have come a long way (and had a clot, and found out I'm a mutant).  More soon I'm sure...

Sunday, February 5, 2017 - Super Bowl Sunday

 
Super Bowl Sunday.  At the beginning of the season I was in week 6 of a rehab process after my first surgery.  Over the course of the 2016 NFL season I had three surgeries, a blood clot, an infecteous disease that most antibiotics are useless against and I healed through a complete reconstruction of the back of my leg after having a gaping hole there.  Been an interesting season.  I got to see Dallas play well with the two rookies even though I hate my defense and they ended up being my Achilles heel (no pun intended, I need as many Achilles heels as I can get!!)  I'm rooting for Atlanta today.  Will not lose sleep if Pats win, but if they lose they'll be 4 of 7 and an argument can be made that they're not so hot, just the default in an AFC that's been a bit down for the past 15 years.  Truth be told, the whole league is watered down.  Should only be 24 teams.  But, I digress.

  Still holding pattern as I did not get to any doctors in the past week.  I have been too busy.  Work, teaching class, preparing for a few special events coming up this week (Python workshops for the CS dept, A Python bootcamp for CSTA teachers this coming Saturday, etc) and I have no free time during the day.  I need to get to my ortho, my general and Dr. Wosk so I can switch out these test contacts.  They are four weeks old now and feel like putting bricks in my eyes.  Anywho, tomorrow first thing I am going to call Nilesh and get an ortho appt.  I can't keep putting it off.  I think something might be growing back naturally, but if it's not I may as well find out and start taking my medicine.  Here's a picture I took an hour ago.

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  Not so bad.  The open spot is smaller than the top of my finger.  The silvadene completely removed the dead skin patch that developed and now the Santyl is keeping the spot clean while the surrounding skin closes in and heals the wound.  What a process.  This is what people who have serious burns go through.  I am still going to follow Dr. Patel's instructions and wrap it daily, but I'm sure I could leave it open and it would heal up properly at this point.  If it were summer time I would likely do that.  Also, I had a really good day yesterday as far as the STFU diet is concerned.  Will report in on that in the middle of the week.  I am going to try to do two entries for a while.  This BlueGriffon software makes it easy, I've just been too busy... More soon...

Sunday, February 12, 2017 - NFL withdrawl and the Diet...

  When you roam the earth as a chunky monkey it beehoves one to keep their mouths shut when they go on a diet.  That way if it's an abortive attempt or something goes haywire you don't need to catch crap from your asshat friends.  That said, I think I'm in good shape so I will report progress on STFU NOW or The guts gotta go tour 2017.  I started the diet as a New Year's resolution.  Last year's resolution, to drop smoking (even though it was just a pipe in the evenings) worked, so I figured a weight loss effort with resolution strength behind it would have a chance at success.  That, and thinking the leg is going to end up OK hauling around an extra 40 to 50 pounds is stupid.  Time to do something about it.

  STFU.  I reported on Jan 7 that I was starting it up and I have been faithful to it thusfar.  I did a weigh in last week and was 231.  My start weight was 248 (heaviest I have ever been) so that's 17 pounds in five weeks.  That's about right.  At first you throw the water weight.  That's 7 to 8 pounds and then STFU is setup to shed 2 pounds a week. that's another 10 so a 17 pound lost from day 1 at week 5 is about right.  I will do a weigh in at the begining of March and am looking for 223.  Do the math.  If I keep it up, fight through plateau's, eventually add some exercise and I will be 199 by June.  200 is the target.  After that I will eat the biggest steak I can find and decide whether to go for more weight loss or hang at 200 for a spell.  I am past the initial three weeks so it's not physical anymore, I do not get hungry at night and have a handle on the difference between hungry and bored.  That's big.  It's just a lifestyle change.  You throw the switch, fight through the initial three weeks and then let father time do his work.  I'm glad that I seem to be healthy enough that the old tricks are still working.

  STFU has a flaoting cheat day once a month, you get a cheat day when you drop ten pounds, throw in the cheat day once a week and I have too many cheat days right now.  I did break down and use one last night.  Got Hunan Beef, wontons and broccoli and garlic sauce.  Watched "Sully" (meh) and "The Seven Five," a documentary about corrupt cops in Brooklyn around the time I was at St Johns.  Really interesting.

  OF COURSE I still have not gone to the ortho.  I had an INSANE week the past week (started up a Python workshop for masters students at Rutgers, Did a teacher workshop for the CSTA yesterday, teaching two classes, running my lab... tired...).  As I always say, "I hope to go this week."

 Here's the leg...

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   Something, right?  Just today I decided that I can start just using a band-aid.  I use an ACE bandage when I go out for some extra stability.  I wear the boot at work still but I don't know that I am going to need it much longer.  I have no pain if the leg is still.  I only have soreness at the end of the day.  I think I have something growing in the gap as I can lift off the ground with the leg (as part of a pair though, not alone, not strong enough for that).  Without thinking I went down a flight of stairs normally yesterday and did not realize it until I was done (I took one step at a time going down, that has not happened for six monthes).  I'm having success with it and it's so great to be normal that I am scared to death of Nilesh (my ortho) telling me I'm nuts and that I need a surgery.  Like I've said though, I have to take my medicine soon...

  Lastly, this is the first week of NFL withdrawl.  If there were games today I would have been shot.  I got to relax today.  I did some grading for Python, some planning for DTSE, some reading for my research group (I read the Kuhn Na'ama) so I got a bunch done.  Later tonight I am driving into the CAVE so I can sit with Hans, my iLab Asssitant and my TA, to get some work done so things are back to normal, even if it is Sunday.

  OK, enough for this week.  Soon I won't even need the band-aid.  Recon almost totally healed.  Took 10 weeks.  Not so bad if you recall the mess I was in.  More soon.

  Sunday, February 19, 2017 - The day is almost here!

  It has been a busy week and a busy weekend.  On Friday night Dr. Brian Kernighan of Unix and C fame came to speak to the students at the CoRE Auditorium on Busch campus.  It was a great talk and the students did a really great job hosting the event.  Then, the next day, HackHERS began.  HackHERS is a female themed hackathon that ran all weekend.  I was a judge this morning as all the students demoed their projects.  There were some really creative ideas, like learning to code through doing art, using games to do budgets and even an app that plays music based on the current weather!  Now it's Sunday and it's time to get ready for the week ahead.  No rest for the wicked.

  I am going to see Nilesh on Tuesday.  It is then that I will find out whether I have something to rehab or I will need another surgery.  Hoping for the former obviously.  I really do believe I have something growing back in there, but I will find out for sure Tuesday.  I also called Dr. Wosk and am getting new contacts on Monday morning.  I had a setback with the diet!!  Not anything with the process or with me cheating, it turns out my scale may be broken and I weigh more than I thought!  It's a funny story and I'll tell it the next time I chime in.  Here's some pictures of Kernighan and HackHERS... I'll get the new leg picture up after I go to the ortho.

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One more tidbit... My father used to work for Bell Labs in the seventies when Brian Kernighan roamed the halls as well.  Because he was a Sorensen my father was sure to steal everything that wasn't nailed to the floor (he stole my first computer, good story, for another time).  Well he used to steal books too.  One of them was The UNIX Programming Environment by Kernighan and Pike.  I had it in my bookshelf in my office.  Yeah.  I had Brian sign it...


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Tuesday, February 21, 2017 - The day I've been waiting for...

 
Today is the day I have been waiting... dreading... postponing... waiting for.  I went to see Nilesh Patel, my faithful ortho, to see what the future has for my leg.

 There's a tendon there.  Yup, the Achilles is growing back.  Miracle of miracles.  Even after having a four centimeter section of it ripped out it managed to grow back.  I went in for a ten o'clock appointment this morning.  I got in the office, took the leg out of the boot and waited for Nilesh to come in.  He was genuinely glad to see me, he knows I've been through a bunch.  I nervously showed him what I can do with my foot.  Range of motion, toe scrunches, flexing.  He put his hand on the back of my leg and said, "Do it again."  I did.  He smiled.

  He instantly started telling me about how we were going to rehab conservatively.  I stopped him.  "No more surgery, right?  There's a tendon in there?"

  He smiled again and said, "Yes."

  I didn't hear anything he said for about a minute after that.  No more surgery.  No worrying about teaching or school being affected.  Time to look forward to healing up and getting back to bike riding and swimming.  This is awesome.

  He said we're going to go with the boot for another month.  Then the sneaker w the heel lift in it.  After six weeks I go back to visit Nilesh again and only THEN do we go to rehab.  He approved me for riding the stationary bike if there is no resistance and I am careful.  Hello YMCA (I will wait until I see Tushar next week though, I want the skin graft to continue to heal well).  Until then I, and these were his words, "keep doing what you're doing."


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Today was a good day.  Coming back.  More later in week....

Saturday, February 25, 2017 - Getting used to the new normal, I think I am out of the woods...

  OK.  First week (well, since Tuesday) that I am fairly sure (anything could happen) that I am not going to have to re-arrange my life and find two weeks to get another surgery.  This is such a releif.  I'm in a groove with work and teaching right now.  I want to add the research back to get that back on track.  Now I can do that.  I can plan ahead without having to worry about stopping for two or three weeks to take care of my health.  There is no way to put into words how great this is for me.

  I have been wearing the boot at work and will do so until I am back from Seattle (going out there from March 8-11 for a conference).  Then I will go with the two heel lifts in my New Balance until i return to Nilesh in the beginning of April.  I am not going to push it.  I am going to take it easy and make sure things stay good.  Even since Tuesday I can feel the back of the leg strengthening.  The way I walk is calf heavy (have always had decent sized calves due to this) so I expect my walking style to do half of the rehab for me once I get back into sneakers.  I also think my "Princess and the Pea" body is better off healing naturally without all the metal work.  I still can feel the mesh in my gut from my sports hernia in 2006 and you can dig down and find the titanium screws in my knee from my ACL rebuild in 2003.  I would be a cyborg soon if I keep getting more parts.  This is better.

  Here's a good story. I usually take the bandages off my leg when I wake up.  I take a shower and then I go downstairs.  Before going to work or starting my day I will sit down and cover the "burn spot" with Santyl and rebandage the leg.  Today the leg felt so normal I forgot.  Wound is not wet.  Dry as a bone.  I'm leaving it.  Better for the air to hit it and get done with all this medicinal stuff.  Will keep the blog updated, but I do not think I'm even going to bandage it anymore.  What progress.  A week ago I was in fear of new surgery and bandaging it twice a day and today I'm thinking conservative rehab and no bandage.  Life is good.  I like nice surprises.


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Last picture is not very clear.  Just walking around the house on a Saturday with my sneakers (yes, I have the heel lifts in).

We're getting there....

Thursday, March 2, 2017 - Getting Better

 
Just dropping a quick post in here as I don't know what the weekend will bring.  It's poker weekend, have a lot of work to do.  I went to see Tushar this past Monday.  He wasn't in the office yet, but I saw Gina, his assistant.  She's an MD and has been following my case all along.  I told her that Nilesh said my Achilles was growing back and she was surprised.  Truthfully, no one thought I was going to get out of this without another surgery. 

  She looked at the skin graft and the back of the leg and said that I could quit using the Santyl and quit wrapping it.  Quit wrapping it.  YEAH!  Everyday I have had to wrap up this leg.  For the first two months it was twice a day.  Done.  All the dead skin from the stretch spot is gone and I can let it scab up and heal normally.  As you will see below it already is. I still use the ACE bandage but that is just for stability and so it won't rub up against the boot (I use the boot at work as instructed by Nilesh, I only cheat at home). 

  So things are good.  Work good.  Classes are OK.  About to fire up the research project engine.  Basketball party on the horizon.  Seattle next week for a Computer Science education conference.  Things are looking up for a change.  More in a week...


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Small scab where the stretch was.  Can leave things unbandaged from here on out.

Sunday, March 5th, 2017 - Like I said, time to get better...

  OK, I have fifteen minutes here before I heat up my dinner, time for a small update.  I have a funny story about the scale in my house but it will have to wait.  Today I will just do leg stuff and not diet stuff.  I did do a weigh in two days ago and was 224.  That's only a pound off where I should be today so February was a success.  Eight pounds a month so I will be looking for 215 during the first week of April.

  But enough of that.  Leg.  The last entry I did said that the open spot on the leg was already closing up.  Well, the scab fell off in the shower Saturday morning so I wasted no time.  Time to go to the YMCA and go for a ride on the stationary bike.  The Metuchen YMCA has these new bikes where there is a video screen in front of the bike and you can go on "video" rides in different spots.  You can do a training session, ride in a forrest, ride in a desert... It's cool.  As someone who studies how people learn with video games I may do something with this.  Not learning per se, but I think it's a use of video gaming that augments exercise and can lead to better results.  Anyway, on a very low level, as instructed by Nilesh, I had a bike ride through a Redwood forrest.

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  The ankle, leg, Achilles, all felt fine.  I rode for a half hour.   It was great.  Baby steps, but just getting to the Y and doing something on a weekend is something I have been unable to do for eight months.  It was truly awesome.  Also, because the scab fell off and I no longer have an open wound on the leg I hit the steam room.  Again, for the first time in eight months.  It was glorious.  I just sat there glugging cold water and letting the steam render the goo from my fat body.  It took everything I had to keep from falling asleep afterwards.  Only at the Y for 75 minutes, but it was a good day.  An hour later I was eating dinner (Chicken - STFU!) and the leg felt fine. 

  So now I can go back to the Y.  In two weeks I lose the boot.  In a month I can go back to rehab at Kessler.  Getting there.  More later in the week.  Flying out of Newark to go to Seattle early Wednesday morning so I may blog a little then. 


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Going to have to get some sun on that eventually.  My calf is mush...  hahahaa...  Time and work.


March 25, 2017 -  Seattle, Snow, Party, how blogs die, and oh yeah, the leg...

 
My oh my.  Three weeks without an entry.  Not good.  Hopefully when I finish here you will understand.  Very shortly I think I am going to bring this particular blog to a close.  At least I hope I can.  The purpose was to chronicle the goings on with the leg and my health and both are returning to normal.  It is almost April and I will be visiting Dr. Canavan to get off the blood thinners then.  Perhaps I'll go through a little of the rehab process.  We'll talk about the leg later, let me tell you what I've been up to the past three weeks...

Seattle

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  I traveled to Seattle for a Computer Science Education conference the week of March 6th.  I flew out there on Wednesday the 8th and did not return until March 11th.   Seattle is great.  The food is awesome, the people are cool, and the conference was great as usual.  I usually bolt home on Friday night but a colleaugue was giving a talk on Saturday morning so I stayed.  I left Seattle Tacoma Airport at 3:30pm Seattle time.  I lost three hours coming home and then lost another hour as March 11th was daylight savings.  Brutal, but Seattle is a keeper (first time I'd been) and I can't wait to get back.

Snow

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As Bulwisc was walking back to his house he shot this pic of me finishing the driveway

  You can never be sure that your leg is on the mend until you shovel out a few driveways.  Well, March 14th gave me that chance.  It was not as bad as predicted.  The weather channel and local forecasters said 22 inches and we got around 8 inches.  Still, it's the first time I would have to tackle snow.  As you can see, it has been three weeks since I saw Nilesh at the EMOG so I am out of the boot!  I'm wearing a heel lift in my sneaker and being very careful, but the boot is a thing of the past.

  I had gotten home from Seattle on March 12th, went to a conference in Somerset on the 13th and the next day the snow hit.  I went into Rutgers on Wednesday to make sure the labs were clean (it's spring break so no students) and then it was home to prepare.  To prepare for the NCAA basketball party....

The Party

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  OK, long story short.  For the past eighteen years I have had a four day basketball party for the first four days of the NCAA College Basketball tournament.  Me and about twenty of my closest eat, drink, talk and watch basketball for four straight days.  We set up three TVs in the living room and do not miss a single game.  Being older it is more about eating than drinking these days.  Everyone brings different foods like chicken, pierogies, mac salad, steaks, ribs, you name it.  We start with breakfast at Le Peep on Thursday.  Then we watch hoops from noon to midnight.  The next day we meet at Le Peeps again.  Then, being St. Patrick's Day, we went to Haileys and had a few rounds.  Then back to the house to do it again.  Saturday and Sunday are noon to midnight as well, just no breakfast.  Man it's fun but man it's also tiring.  We all fill out brackets and see who has the best sheet because we keep track of the yearly winners.  We call it the Pantheon.
 
 By Monday I'm shot.  Seattle, snow, the party, keeping my classes above water during the process (thank God it was spring break), it's nuts.  I got things back to normal a bit at work the week of the 20th, but today, Saturday the 25th, is literally the first day I've had to myself in close to three weeks.  I need to rest, fire up my research and get back to fixing the leg and working the diet (the diet was SMASHED during the party, but that always happens.  Already back on track.) 

How Blogs Die

 It seems like yesterday that I was writing the entry about my going to the Y.  Blogs die because people get away from them and then do not want to return because it's too much work to get them current.  I toyed with the idea of just starting with today and not even mentioning Seattle or the party, but three weeks is not that bad so I bit the bullet and did it.  If it had gone a bit longer I may have abandoned things.  At some point I will put an end to this but it will be when I am running or perhaps the first basketball game I play post injury.  I still have to report on the rehab process after ten weeks, I have not gotten there yet.  We'll see, but I will try to do weekly posts from here on out.

The Leg

  Lastly, the purpose of this thing, the leg.  I do not bandage it any longer.  I do not use the ACE bandage for support any longer.  At the end of the day the ankle is sore, but it's not that bad and it gets better every day.  The only hassle is a patch of callused skin where the heel lift is pushing up the heel of my foot.  The graft and the split are completely closed, nothing open and I shower normally.  That's awesome by the way, I can be in and out of a hot shower in five minutes and use the steam room at the Y.  It really makes a huge difference.

  I am, today, five months post reconstruction, four months post clot, four months post MRSA and walking around without a boot or the iWalk for the first time in the past five months.  Took a while but I got here.  What a trip.  Now I am being careful, not pushing things, but I feel the leg getting better.  I still have to go to my general doc for a check up, I pushed that off and then just forgot to do it.  Soon.  Right now I am enjoying my new freedom.  No bandaging sessions.  No limits as to how far I can walk in a given day because I have to lug a boot around (I wore it in Seattle, no reason to take a chance).  I leave the heel lift in my New Balance running shoes and that's it.  I do some light range of motion exercises, but other than that I do not pressure it.  The way I walk, high on the balls of my feet, will rehab it all it needs, I'm fairly certain of that.  I'm not walking in that "Ten to Two" fashion to take the pressure off the tendon, I'm going toe to heel when I walk.  It's good, real good.

  I plan to go to the Y tomorrow and ride the bike for an hour.  If the weather starts getting nicer I will take out my Raliegh Mountain bike as well.  Still have not gotten back in the pool.  I need to do that soon.  With STFU in effect, biking, swimming and some rehab next month I should be back to normal soon.


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Would look nuts to most, but knowing what it was like just 90 days ago and this is great...

 6-9-2017 - It's been two months, time for an update...

  Not looking to make this super long.  The last time I chimed in was a cool two months ago and I have been busy.  April and May shot by and now June is halfway done as well.  Time really does fly.  At the end of May I was seven months removed from the reconstruction of the leg.  I'm still nowhere near 100%, but the progress continues.  I have been to the ortho since and we decided to be conservative and wait for rehab.  I am going to see Nilesh this week so I expect rehab to start next week. 

  I still have open cuts in the back of the leg as the skin is dry and stretches when I ride my bike (I can ride the bike outside, got myself a new Raleigh as a survival gift) but it's not so bad (especially as I still have parts of the leg that are numb ;-)

  All and all I'm in good shape.  Work is decent, I am getting back on track with my research and I can bike and swim.  What else do you need?

 I'll add some pictures of the bike and leg later...



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