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Good News.

Went to my Ortho appointment this morning and not only were we home by 11:30 (there are people around who've had morning appointments and not gotten home until 4 or 5), but also I can now 'weight bear as tolerated' on the right leg.

This is good news. It was a bit of an anti-climax when I got home of course, because it doesn't mean anything immediate - it's just the go ahead for the next stage of slow rehabilitation. (Oh, and this decision was based on the x-rays done two weeks ago, which means if they'd been reviewed while I was an inpatient, like I tried to get them to do, I'd have had an easier time of it all since getting home...but nevermind...).

So I got home feeling chirpy and then felt at a bit of a loss. But I'm okay again now. Mmm. Coffee!

I'll probably be getting a bit more pain as I increase activity, although this had already started happenning over the last few days because I was getting more and more toey about not doing stuff and therefore more inclined to be adventurous and take risks.


One's perspective on adventure changes of course. "Adventurous" meant walking to the clothesline over grass. I don't know if I mentioned that they had an obstacle course in rehab, and the day I found out I was likely to be around for another week I went to physio and asked to have a go on it because I was feeling all grumpy and needed some fun.

It's actually designed for amputees, they have to complete it before going home and it even includes a set of tram steps of the old, steep style, leading up to a tram seat. (Very cute actually).

Apart from the curious little play tram with its steps, you wouldn't notice it was an obstacle course unless you were an amputee or someone like me. It doesn't help that it's called a "mobility garden". It's a series of different path surfaces with a practice drain to negotiate, a bit of train/tram track, and wooden decking. But seriously, when you're in that state it's an OBSTACLE COURSE, no more no less and I thoroughly enjoyed it. Mobility garden my arse.


I just digressed, lost in a reverie of how much fun I had that afternoon on the obstacle course and thinking it might be fun to navigate my way to the clothes line again, or possibly behind the armchair next to me to the stationery shelf...I could take sandwiches....

But now I'm back and I've just had a look at a CD of x-rays, including the one of the fracture before traction and I no longer feel bad about screaming: the broken top bit of my right femur is out at a 90 degree angle to the rest of it. It's pointing outwards, FFS! Also, not only can you see my knickers, you can see am impressive amount of further detail beyond my knickers to the point that I'm not going to be waving them around.

Not knickers, not x-ray.


Today's reviewing orthopaedic surgeon was the worst one yet in terms of bedside manner, I can only assume he'd had a really shit morning. Plus a personality bypass and humourectomy.

I have come to the conclusion that orthos only come alive in emergency when you're screaming your head off. Then they look right in your eyes and tell you what's happening and what needs to happen and they ask for your trust and you hand it over willingly. They'll use your first name like they've known you all your life. They also pat you a lot in a manner that I, for one, found very reassuring, although it's since been pointed out to me that that's how they check the rest of your bones for breaks as well.

And once it's all over, they're gone. You will see them, they'll turn up to check on your progress, but they'll never look you deep in the eyes again, never run their hands over you with reassuring confidence like they did on that night that was like no other. And now you're Patient Noodles with #rfemur and elastoplast allergy, not Splozza whose jokes are hilarious and religious views are entirely profound.

Strange creatures indeed.


( 14 comments — Leave a comment )
Dec. 5th, 2011 04:54 am (UTC)
My ex brother in law is an Ortho, and yes, they do get very distant when out of the emergency ward. My sister, who was just a general trauma surgeon, was similar. I think its a learned behaviour to protect from emotional damage - they need the rapport to gain patient trust when it's extremely important that the patient trust them, but they can't afford the involvement later.
Dec. 5th, 2011 05:18 am (UTC)
Yah for progress! Now - don't over do it.
Dec. 6th, 2011 02:50 am (UTC)

I might have already done that just a little bit.
Dec. 5th, 2011 06:11 am (UTC)
Yay for weight baring! :D

That X-ray sounds very full-on but also cool but also more OUCH!
Dec. 5th, 2011 08:23 am (UTC)
Wow I think I want one a um "mobility garden". You make them sound so much fun... must ask santa.
Dec. 5th, 2011 08:51 am (UTC)
I reckon those tram step are a genius idea!
Dec. 5th, 2011 11:39 am (UTC)
hee! mobility garden!

You should be aware the when you say "obstacle course" I immediately picture you dressed as a member of the WWII commandos.

You look rather dashing in kahki, actually.
Dec. 5th, 2011 12:13 pm (UTC)
Weight-bearing deserves a BIG YAY!!!!!!
Your leg will tell you what's ok and what's not...my kneww was very wise in that respect.
I agree with the theory that most doctors use a distant attitude as defense mechanism against feeling overly much when they're faced with dozens of personal tragedies in their practices. It must be awful dealing with so much suffering despite the good moments.
Dec. 5th, 2011 12:14 pm (UTC)
90 degrees
oof splodge you bloody well did break your leg!
Dec. 5th, 2011 04:30 pm (UTC)
Yeah. I noticed, when I had my operation some years ago, that as soon as I was fixed, the surgeon lost all interest in me. He dutifully verified my recovery and the success of the procedure, but in as little time as possible. I just didn't intrigue him anymore. ;)

As for the X-rays -- I can't believe they're as bad as you say. You should post them so we can check them for embarrassing detail. (more winkies)
Dec. 5th, 2011 05:07 pm (UTC)
90° - ouch. Screaming definitely to be expected.
Dec. 5th, 2011 07:09 pm (UTC)
oo, good - you're sounding all "Splodgy" - your sense of humour is showing. :-)
And yay on the 'official' pass on touch-weight.
Dec. 5th, 2011 07:18 pm (UTC)
Re dr relations - my er dr the other week (George) was really nice. I would have had dinner with him if asked. His sense of humour came naturally.

But the senior ER dr was crap. He woke me up out of an exhausted sleep, so I literally came to already answering his questions. The questions consisted of saying "and then?" a lot and staring at me. Of course I was totally floundering and couldn't think straight. And they had accessed my Pain Clinic records by then (since it's at the same hospital) so I had to justify my use of THC while semi-conscious to an unfriendly face. Fun, fun, fun. I asked at the end "um, who ARE you?" and then he told me and said I must have been asleep when he introduced himself. Well, der.

Then the surgeon with his 'ducklings' was just Mr Super Imposing Surgeon, you know what *they* are like. Super professional and their suits cost more than most things I own, put together.

Wonder what the Professor's 'bedside' manner will be like? I hope he's nice!

I'm a bit scared of my new GP. But she's what I need - a very 'by the book' dr that gives me that impression she doesn't take crap from anyone. (Working in the Western Region Health centre, I'm not surprised!).
Dec. 6th, 2011 05:25 am (UTC)
Congratulations on your rehabilitation progress. Orthos and anesthetists, if they're any good, both have that amazing, reassuring humanist gentleness that makes you feel like the skittish horse that calms down for the horse whisperer. Maybe its the same mojo that con-folk use, but used for good instead of evil?

Oncologists have it too, but they have to stay nice until you die so maybe a bit of indifference is no bad thing?
( 14 comments — Leave a comment )


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