Monday, December 12, 2011

this post is not about food, but i promise to still bitch a lot

there is at least one person out there who still wants me to blog, even if all i am going to write about is vomit-inducing amounts of pus oozing out of a boil on my ass. the time has come to give the people/person what they/she want/wants.

on saturday during oktoberfest (september 17... oh my god that was three months ago) i was doing what normal cincinnatians do during oktoberfest... prancing through the streets with mobs of other people with both fists full of giant mugs of spaten optimator (7.6% alcohol) with a name tag on me that said "hans" and stuffing a giant bahama mama down my throat. odds are i was also yelling inappropriate things and trying to grab the ass of anyone wearing lederhosen. this is the same thing i have done at oktoberfest every year since discovering it, and it is one of my favorite things to do in cincinnati.

the optimator and i have a long and sordid history. each year at oktoberfest, i attempt to conquer it, and each year, i lose. the goal for me is to get optimated (taking full advantage of the optimator) without wreaking general havoc on my entire body. to date, i have not been able to accomplish this goal, but i am no quitter. my getting optimated usually ends in me alone in front of my own toilet in a pool of vomit. nothing to be proud of but nothing that catastrophic either.

this year the optimator had other plans for me. "enough of your mockery, 'hans'," it shouted. "i am taking you down this year!" and take me down it did. a quick jaunt into a cobblestone alley, a twist of my leg on some mud, two loud cracks in my right leg, and i was down on the ground on my ass. "i broke my leg!" i started yelling. my friend lavine came running. "no you didn't," she said. "get up."

the very last pre-break photo

"i can't. i broke my leg." lavine rolled her eyes. "maybe you twisted it or something." (i would like to note for the record that this is the exact same reaction lavine had during another infamous incident, known to all my friends as "the time liz broke her nose in an alley in spain").  "no, it's broken," i said. "you have to call 911." neither of us had our phones on us though so lavine had to leave me to go get hers. lavine ran off to where we had left our stuff and our friend sarah, which was about a block away.

lavine returned soon enough with sarah. they started to try to convince me to let them go get the car to drive me to the hospital. 911 still had not been called. i was still laying in a muddy alley in the dark. then they decided to tell the rest of our group what happened. i was again left alone in a dark alley. i heard a dude come up and pee nearby. i wondered if his pee was going to get on me. i wondered if i should yell to him to get him to call 911 but i was afraid i would scare him.

after a while, i realized i was still laying in an alley with a broken leg. after all this time i finally decided to look at my foot. if you are laying in a mud filled alley, your foot should be pointing up towards the sky. mine was not. my foot was pointing toward my left foot. "that's strange,"i i thought. i sat up and pushed on my foot. it flopped over and then was pointing off towards the right. i thought to myself, "my foot is flopping around like a fish. that makes me feel like i am going to vomit and pass out. if i vomit and pass out, i am going to die by choking on my own vomit in this dark mud filled alley. i have to do something about that foot."

so i decide to try to prop the foot up. i scoot over towards a dumpster and push my right leg towards the dumpster. once my leg is right up next to the dumpster, i shove the foot so that it is in position, leaning on the dumpster, pointing up towards the sky the way it is supposed to. this hurt a lot, and involved some disturbing crunching noises, but i felt that it was worth it as opposed to dying due to being unconscious in a pool of my own vomit.

at this point i began to panic because i had been laying in this mud filled alley alone for a very long time (in reality it was probably about 5 minutes). i could not move and anybody could come along and rape me if they felt like it. plus, i felt that my leg was just getting more broken as the seconds passed. i started screaming "lavine!!!" at the top of my lungs.

a group of my friends, including lavine, reappeared. someone again suggested that i get in a car and they drive me to the hospital. there was no way in hell i was letting anyone touch my leg. "CALL 911 NOW!!!!!!!" i roared. an ambulance appeared almost immediately and the paramedics started the whole song and dance again. "try to stand up," they urged, which apparently i did, but i do not remember it, and then i fell down (of course you fucking morons). i kept telling them that it was broken. "that's ok," they said, "we'll just get that shoe off of you." they pulled. i screamed. they tugged. i howled. finally, these fucking nut cases gave up on the shoe and just put a cardboard splint on it. i was then in the ambulance and on my way to university hospital.

apparently i was a good patient even with all the screaming because when i got there, the paramedicts told the ER staff to give me a "nice nurse." i did get a nice nurse because i got drugs you have never even heard of before. 3 shots of morphine did nothing so they started upping the ante. they were squirmish about telling me the names of the drugs because apparently drug addicts go in there and find out what they got and then come back and request it. i argued that i did not look like a drug addict and they said you can never tell and thinking back, i probably did look like a drug addict anyway by that point. the nurses would give me little hints and i managed to figure out that i had gotten dilaudid ("it starts with a d and ends with a d") and fentanyl ("it starts with an f and it's basically heroin"). finally i felt better until they decided to send me over to radiology, where my leg was bent and moved and i screamed in more agony.

 this is what i look like when i am in the emergency room with a broken leg

after the x-rays (which showed that i had clean breaks on both my tibia and fibula, and a fracture and a bone chip on my tibia above the break, and which also finally convinced everyone that yes, i had actually broken something), the doctor had good news. apparently my decision to push my leg up against that dumpster was a good one. "you reset your own bone!" she said. "that was the best thing you could have done. if you hadn't, we would have had to do it here and it would have hurt a lot more. plus that limited the swelling, so you don't have to wait for surgery."

by this point it was about 3 am and i sent my friends home. the minute they left i started to feel ill (up until that point i had been almost punchy and making jokes at everything). i started vomiting up all kinds of shit and i felt like hell. at around 4, i was taken up to a room (no roommate!) and i had to say goodbye to my wonderful ER nurse and i cried my eyes out. fortunately i had a new nurse who was really nice. she informed me that it was her last day and she was moving to north carolina tomorrow. i cried my eyes out again. i sort of dozed in and out and at 6 am, another nurse showed up to take me down to surgery prep.

on the way down to surgery, which i was already freaking out about, or would have been, if i did not still have 10 kinds of opiates and a significant amount of alcohol coursing through my blood, the nurse gave a running monologue about how she is the most sleep deprived person on the planet. "i get home at 8 am and i'm supposed to sleep! but i have 3 kids and they just don't let me! if i get 2 hours of sleep before somebody is yelling that they need a peanut butter and jelly sandwich i'm lucky! my oldest is 8, make your own peanut butter and jelly sandwich! but he says he likes how mama makes it! so i make it for him! how can you say no to that! then it's back to work!" i am frothing myself up into a panic about how this sleep deprived lunatic is going to run us into a wall and jam my leg and crush it to bits, or i would be if i had the appropriate brain chemicals at that moment to get to that state of anxiety.

i get down to surgery and they tell me they are going to be putting an intramedullary rod and some pins in my leg and it's going to take 3 hours. they hook me up on still more drugs and i get to a state of mind where i am thinking, "wow, i am really freaking out about surgery. i am going to be in there for 3 hours. i could die." but i am feeling no emotions related to this.

the next thing i know somebody is waking me up and telling me the surgery is over. i go back to my room and my friends are there. i laze through another mostly pleasant day and a half in the hospital. the food was really good. the nurses were very nice. i got used to the bed pan really fast and enjoyed making the male nurses uncomfortable by demanding that they wipe me ("front to back!  front to back!"  "i want the wet washcloth, THEN the dry washcloth!"). i had visitors and pushed a little button every time i wanted more drugs... and i got them. the next day, i was given physical therapy to learn how to use crutches, and i got some ice packs and i was sent home.

i spent the first week and a half in a soft cast. i was mostly out of it during this time because i was on percocet and was constantly extremely tired and dazed. i had conversations, phone calls, and emails during this time which apparently were totally coherent but which i do not remember at all. my mom and sister, who live in michigan, came down to take care of me. amazingly, my mom stayed with me for six weeks. she went home for a couple days in there but for the better part of a month and a half, she took care of me. she even slept on an air mattress on my floor which you would think would be really weird but it never was.

my sisters each also came, and several of my out of town friends.  and many of my cincinnati friends stepped up and really helped me in ways i could not have even imagined.  it was really amazing.  of course there were also some real duds who totally did not do shit and pissed me the fuck off, but i'm trying to focus on the positive here.

happy 31st birthday liz!  love, your broken leg.  p.s.  you're my bitch.

on september 29 (the day after my birthday), i had an appointment with my surgeon to get the cast off. my leg was doing well (i have a rod inside the length of my tibia with pins holding it in place) and he let me start using an air cast instead, aka "the boot." i was still not allowed to put any weight on it but i was damn happy to be out of the cast.

i continued to stay on the couch for a while. i was still on percocet and at that time, could not imagine getting off of it due to the pain. i began having other body issues such as lower back pain, difficulty sleeping, lots of different body aches, etc. all the things that you would expect from sitting on a couch for several weeks. i started physical therapy, but it was limited to things like leg lifts and pulling on my foot with a rubber band because i could not put any weight on the foot. i had a lot of visitors which was nice, and some friends put together a schedule to start bringing me food because i could not cook.

frankenleg, circa 9/29/11

i went back to work half days on october 10. this was extremely difficult. i was still so tired, and my doctor had told me that i had to be off the percocet before i went back to work. so i was also in a lot of pain. i would prop my foot up at work, but it would still get really swollen and painful. i had to get driven to and from work, and crutching in and out of the building, up the elevator, and to my office, was so exhausting. i would be there for a couple of hours and feel like i was going to pass out by about 11 am. i couldn't imagine what i was going to do when i had to be there longer, or how i was going to do things like get my lunch or go to court or anything like that.

on october 27, i went back to see the surgeon and he told me that i could start putting weight on my leg. he didn't give me a specific percentage but told me to follow the recommendations of my physical therapist. my therapist suggested that i start at no more than 50%, and continue to wear the boot and use the crutches. he helped me take my first steps which was really exciting! i had totally forgotten what it felt like to walk and it was very awkward.

i was still at work part time and i had been having a lot of issues because i have to go to court a lot. although the courthouse is only about 2.5 blocks from my office, it was too far for me to crutch and i had been having people push me in a wheelchair. after i was allowed to start putting weight on my boot, i decided to try to walk to court one day (november 2, if you are keeping track) because all the sidewalks were torn up from construction and it was too hard for people to push me in a wheelchair (plus i felt bad that so many people were having to take so much time to just do things like push me around).

so you thought you were past the nasty frankenleg photo... sucka!

this was a completely stupid idea. it took me over a half an hour each way just to go the 2.5 blocks, and i ended up messing up my left leg because the boot made my right leg longer than my left leg and it had had to work too hard to overcompensate. plus my right leg was in horrible pain from being overworked. my PT told me to stop wearing the boot because it was messing up my left leg too bad.

around this time i also started to notice a small lump on my ass right where my left leg meets my ass cheek. i sort of ignored it until it gradually began turning into the most fucking excruciatingly painful thing i had ever had. i went to the doctor. "it's a boil," she announced, and gave me an antibiotic and some vicodin. it continued to grow and hurt. all i could do was go to work for a half day, sitting on a donut, and then i would go home and sit on a heating pad and pop vidodin and try not to kill myself.

i can't even explain the pain of this thing. it felt as though someone had taken one of those large really strong black binder clips clamped it onto my skin and left it there for a week. the pain was constantly shooting from the boil all the way down to my left foot. my sister came for the weekend and bought me a hot pad which i began sitting on constantly. i could barely focus on anything but the pain. my thoughts were "boil, boil, boil, boil, boil" 24-7.

people kept trying to get me to let them come over or go out and do things and i was like "no. i have a boil. i can't do anything," and nobody got it. i began to hate my friends, myself, my life, and most of all the fucking boil. the doctor had said that she could not lance it until it came to a head or it would risk serious infection. i spent hours googling "how to make a boil come to a head" and "home remedies for boils." i made hot water compresses. i choked down tablespoons full of apple cider vinegar (try that just once and tell me how horrible it is). i rubbed tea tree oil and topical antibiotic and vitamin e oil on it.

at one point my roommate walked in on me mumbling incoherently about scraping out the inside of an egg shell and putting that on it and he announced, "enough with the home remedies!" i moaned. "it's horrible!" i howled. "LOOK AT IT!!!" and can you believe it, he actually did.  now that is true friendship.  and he said that he thought it was coming to a head.

on november 9, i went back to the doctor and she lanced the shit out of that thing. the doctor and the nurse oohed and ahhed. "this is awesome!" they said. "we love boils! we sometimes watch people popping their own boils on youtube!" this is insane but who better to lance my boil? all in all, "3 golf balls worth" of pus came out according to the doctor and i felt instant, although not complete, relief. the boil did continue to hurt for about 4 more days, but it was nowhere near as bad.  my friend heather came right after that and checked my deflated ass boil for me and cooked and cleaned and even washed my possibly mrsa-infected laundry.  how do you thank someone for something like that?

this is what it looked like on 10/15/11, which is pretty much the same as now except there is less bruising and more leg hair

the day the boil was lanced i had a sore throat. the sore throat got worse and worse. it developed into the cold from hell. which then developed into insomnia from hell.  i think i actually started to go insane.  i got a prescription for ambien.  that didn't work.  then i got a prescription for lunesta.  that finally worked.  if you have never had insomnia, you are lucky.  i don't know if it was worse than the boil, but it made me more psychotic.

right before thanksgiving i was given the ok to stop using the one crutch i had been on for the previous couple of weeks, and start walking on my own.  i was down to physical therapy once a week.  it seemed like smooth sailing, other than the fact that i still had to walk extremely slow in order to not limp, and that i could not walk more than about a block without starting to have pain and swelling.  oh and the fact that my body has been consistently rejecting my internal stitches, causing painful lumps under the skin which eventually come to the surface of my skin and start oozing pus and pieces of what appear to be fishing wire.

thinking i was near the end of the road with this thing, i went to the doctor last thursday, expecting to hear the usual "you're doing great and it looks good" type doctor speak.  instead i got, "well your fibula is still completely broken.  so hopefully it will come back together.  see you in three months."  ok, what the hell.  once more i was thrown back into the land of anxiety and insomnia, thanks to hours of google searching in the wee hours of the morning.  i scheduled an appointment to go back to the doctor later this week to ask questions and bitch about the fact that i might have wanted to know that my fibula had not started to come back together at all maybe some point in oh say the past twelve weeks.

so now i am basically at the point that some people are at WHEN THEY FIRST BREAK THEIR LEG (ie- a broken fibula).  yet i am allowed to walk on it?  i think?  but i can't run for... a long time?  and i should probably _____________ but definitely not __________________.  and i will need to be doing lots of _______________ and _________________ in physical therapy.  and if the fibula doesn't come back together within one to one million days, i definitely will or will not have to have more surgery, or do some other type of unidentified treatment, or not.  yeah, i don't know because he did not tell me any of that.  thanks doc!

so that is my broken leg story.  i am planning a future post on the dos and don'ts of dealing with a person with a severe injury.  i just feel that the public needs this information.  stay tuned!

3 comments:

Qualo said...

Yikes.

Cincinnati Bites said...

Wow. Just...well, I don't even know what to say, except that I'm so sorry you've been dealing with this all these months!

I had returned to your blog to thank you for the Asiana Korean suggestion (I had it on my birthday and it was so good!), only to read your horrific story of slow-healing broken bones and pus-engorged ass boils.

I really hope you're doing better, despite everything.

haveanicedayv said...

You are hilarious. As someone who has been seriously injured (a lot) you have captured the madness, boredom and pissed-offness at aloof, smug and supercilious docs that comes with the whole injury/healing process. I had spine surgery this summer and wearing the rigid neck brace for 6 weeks (even sleeping in it) about drove me crazy. Great to see you back in the blogosphere (I can't believe I actually used blogosphere!)