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#1
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10-20-2012, 06:02 AM
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Open Wound on My Foot
A few nights before DR went down I had made this post: http://www.documentingreality.com/fo...2/#post3236237 That day I had been cleaning up my back yard, mostly old wood from inside my house. A nail had penetrated my shoe and went into my foot, maybe 1cm deep. I washed it out with peroxide that night, and put triple antibiotic ointment on it, and thought I was done with it. On October 12 my foot had some minor swelling and felt a little warm, with a small pus pocket where the initially wound had been. On the 13th the pus pocket has grown to the size of a golf ball, and my whole foot had nearly doubled in size. And my foot was very fevered. I could still walk on it, but putting a shoe on was impossible. Stubbornly I didn't go to the ER. On the 14th I was running a fever, and the puss pocket ruptured, I was unable to put any pressure on my foot. I cleaned the wound. On the 15th the pain was so bad I finally went to the er, I wasn't expecting the reaction I got from nurses and doctors. The first nurse gasped, so did the doctor. I didn't have to wait in the waiting room though. It finally hot me, how bad it was. My previous post about being hygienic during my shooting up ritual was true, but the irony of it all is that my iv drug use indirectly caused this. It took nurses an hour to get an iv started, to only have the vein collapse after one bag of antibiotics. Then 3 hours to get another IV started, only to have that vein give out too. They thought about putting in a central line, but were finally able to find a reliable vein. Me using the veins in my leg and foot has caused me to have poor circulation to my feet, so wounds don't heal as well. I was admitted to the hospital, after they debrided the wound. Lidocaine doesn't anesthetize dying tissue very well, so the debriding was not a particularly pleasant experience. After three days of IV antibiotics and pain meds I got to come home, but I still have to have home health care, more oral anitbiotics, and of course more pain meds, it feels like an elderly person at this point and I'm still in my 20s. The doctor was afraid that I had MRSA, thankfully it was an infection that responds well to antibiotics. The diagnosis was necrotizing cellulitis. If everything continues to heal well I won't have to have anything else done to it, but I may have to have a skin graft if it doesn't want to close. I apologize that I didn't get pictures from the beginning, but I'm going to take them every day while cleaning it. These first pictures are from earlier tonight(except for the one with the gauze, it was taken after the doctor debrided the wound. I wanted to take a video of that, but she was kind of scary so I didn't push it) and it looks a lot better than it did. Tomorrow when I clean it, I'll take more pictures and put something there to give an accurate representation of size. |