I am very humbled by the show of support I received when I said I wasn't going to write about my health anymore. With your encouragement, I've decided to continue. For my friend, Mamie, this is how it all started.
One day I innocently went walking at the lake in a new pair of slip on canvas sneakers. It was hot and I didn't wear socks. By the end of the walk, I had rubbed blisters on the big toes of both my feet. Ironically, the blister on the right healed quickly. The one on the left decided to be stubborn.
We've all had blisters. Right? So, I thought nothing of it. I kept it clean. I bandaged it. I put triple antibiotic ointment on it. I thought it was going to heal. I stayed active, so that probably didn't help its pace of healing. However, it didn't cause me pain. I watched it and gave the area attention daily.
Somewhere along the way, some well meaning person suggested that I soak my foot in Epson Salts to help it heal. I did that. That's really when I started having problems. My toe got tender. So, I backed off the soaking. (I have since learned that if you know you are diabetic you shouldn't soak your feet.)
August 18 was a very hot Saturday. I felt yucky. I was chilling and felt feverish. I thought I was coming down with something sinus related. That wasn't the case. It was the infection starting to go wild in my toe.
I woke in the night with a huge red swollen toe. My whole foot felt like it was asleep. That feeling didn't go away. It scared me and I went to the emergency room. I ended up being admitted.
They worried about infection in the bone, which did turn out to be the case. I had an MRI and a bone scan. The results were that the infection was in a tiny portion of bone in the top of my toe. However, the infection in my toe was channeling in the tissue. I was put on some very strong IV antibiotics. The hope was that with six weeks of this treatment, my toe could be saved.
Then one morning the doctor took off my bandage to look at my toe and I nearly fainted. There was puss at the surface and it had to be opened by a surgeon to see if draining would help. The next day my doctor decided to transfer me to a larger hospital where I could see an endocrinologist, an infection specialist, and a wound surgeon.
All this was happening as my blood sugar remained hard to stabilize. You can imagine my fear. I kept telling myself that it was only a toe, but still I didn't want to lose it.
The infection turned out to be staff, but it wasn't in my bloodstream. It was contained to my toe. I wasn't contagious, but I was placed in isolation as a cautionary measure. That also scared the hell out of me.
The surgeon had scheduled me for surgery on Friday the 24th, but I was too scared to go through with it. He told me that if I was his sister, he would want me to do it. He explained that I could try and fight it with antibiotics (IV) but I would in all likelihood lose my toe anyway if not worse. I decided to see what the infection specialist thought. He agreed with the surgeon. So the following day, August 25, my toe was surgically removed.
My entire immediate family was there. They were allowed to be with me as I was given the sleepy juice. My nephew said the last thing I did was laugh before I was completely under because he asked if he could hold my cellphone for me. (That's a running joke between he and I.) I don't remember any of that. It was my first surgery in my life.
The wound area had to be left gaping open to heal because infection in the tissue had spread down to where the incision was made. (As you all know I had the wound vac until I had the bad reaction to the tape. Now that area is packed with wet gauze and covered with dry in what is called a wet to dry dressing and changed three times a day.) As my surgeon would say, it has to heal like the cavemen did it. This isn't the end of the world.
I was in the hospital another five days before I got to come home.
The endocrinologist was wonderful. I had to be on insulin at the beginning of my stay. After the toe with its infection was off, my blood sugar stabilized with only the need for two oral medications. It fluctuates a bit still, but I am told that is normal while I am healing.
That pretty much is how this whole ordeal started. It made my head spin with the speed in which it happened.
People, if you suspect your blood sugar is high or have a history of diabetes in your family....please, please....stay on top of it.
CW
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