Two hospitals, one day, and three orthotics.

Thursday was a busy day, and not just because it was Valentine's Day and I was sorting through my large pile of cards from admirers for the best part of the morning.

Lol.

Actually, I did end up with three cards - one from the hubby and two from the Little Lady, bless her - but I was busy because I had two hospital visits.

The first was at the Royal Berks to the orthotics department. You may remember I'd asked to be referred when I had my casts off, and the appointment came through very fast.

It turns out that it came through too fast, and I have to go back in a month, but I did have a full appointment anyway.

I saw someone called Emma. I'm not sure what her title was because I didn't catch it (does anyone ever? They just rush their name and title at you as soon as you walk in and I'm lucky if I remember their name) and she isn't listed on the department's web page so I can't look her up.

What can I say about her? She was young, probably mid to late 20s, she was Scottish...oh yes, she nearly crippled me.

Obviously she needed to examine my feet, but she took hold of my left big toe, grabbed it and then YANKED it up towards the ceiling!

I nearly hit her!

It was so painful, but she didn't feel the need to apologise. She just carried on.

I did ask her to be more gentle, and we managed the rest of the examination without incident, although afterwards she said "I thought you were going to assault me". If I had, I'd only have been returning the favour!

I wasn't very impressed with Scottish Emma, which is a shame as we share both a name and a heritage, but she told me all about how bunions are not caused by anything at all, and are not only purely genetic (that bit's true) but "just happen". Hmmm. Not what almost every other medical professional will say, but she certainly seemed to believe it.

Another medic to add to my "do not believe" list I guess.

I came away with some insoles for my shoes, with added-on bits supposedly making them a bit more tailored to my feet.

When I go back they will see whether I need custom-made ones, which was what they were going to make for me this time but can't. The ones I was given cost £50 while the custom ones cost £150, so I imagine they'll try to avoid making some for me if possible.

This is what they look like.




The coloured bits are the added-on sections.

And this is the box, in case you're interested. Emma told me that it is cheaper to buy them direct from Talar so if you want to get some then this is the box to look for. I had a look on their website and am not sure which ones are mine exactly, but they definitely are cheaper direct.







Emma told me to wear them for short periods and build up to a full day because the foot has to get used to a new position. I figured that I am a) not walking much and b) getting used to new foot function anyway, so I'd just wear them whenever I wear my trainers.

That appointment done with, and a new one booked for next month (at which I hope I get someone else), I went to my local hospital in the afternoon for a physio assessment.

Townlands Hospital is a cute community hospital which has been saved from closure numerous times, although much of it has been shut down, including the maternity unit. These days if you want your child to be born in the town then you have to have a home birth (which is exactly what I did, although not for that reason).

We still have one building left, which houses the minor injuries unit (like a mini A&E, very useful) and the physio department, plus X-ray facilities, and other things such as clinics. My first appointment with Mr Nugent was at Townlands; it's an excellent facility to have.

Enough eulogising!

My appointment was with Ed. Unlike the RBH physio bit I went to while on Hunter ward, which was like a storecupboard, Townlands has a large room filled with equipment, although there was only Ed and me there.

We chatted about my history and operation, and Ed had a look and tested my mobility.

Sadly, because nobody measured my mobility before my op, we don't really know how much I have lost. Ed says there's no 'normal' so it's impossible to say, which is a shame really.

But what I do have is the ability to bend my toe 35 degrees, which is about two-thirds of what Ed can achieve, so I'm not doing too badly. I am pretty hypermobile, so I probably had much more than that, but average will suit me fine.

Apparently my toes are weak and stiff, but that's only to be expected really. Thankfully, Ed approves of all my exercises (see here and here) and just added in one more, which uses an elastic band (very high-tech!) as a resistance band for my big toes.

Basically I have to use the band to pull my toe in one direction, like towards me, then use my toe to push against that the other way, then swap and do it in the other direction. This will build up my strength in my toes.

Ed also had a look at my orthotics, and devised me a different one, for my most painful foot. It's a short-term fix for my pain when walking. The idea is that my other toes are lifted up so that when I propel off from my toes the big toe doesn't have so far to travel.

In the short-term this will help me learn a new gait or way of walking that is correct, as at the moment I'm tending to either walk stiffly, or to propel off the side of my foot.

This orthotic looks like this:




It's basically made from thin foam board (probably not the proper name for it) like the stuff you can get for crafts, and some cut up pieces of that padded sticky stuff (also not the proper name) that you can get from Boots, like this.

All very Blue Peter, but it does work.

One thing you might notice is that it has been cut to my actual foot shape. Yes, that is my actual foot shape! Amazing. I'm so pleased.

I see Ed again in a couple of weeks. Our goals are to maximise mobility and minimise pain, so we shall see if we can manage it.

Ed did say he might read the blog, so if you are reading Ed, then hello!

Let's get practical

I know that at the moment, most of my readers are friends and family, or people who 'know' me off various internet forums (hi everyone! *waves* and apologies to those who are disturbed that I have a real name! lol).

But I started this blog mainly with the intention of it being helpful to people planning to have bunion surgery, because a lot of what I knew in advance about the recovery period was gleaned from blogs.

So this post is probably only really of interest if you are going to have bunion surgery, or a friend or relative is. But of course, everyone is welcome to read!

I found that my surgeon and hospital did not give me any information on how the recovery process would go, or what I might need to make it easier. If you go private, or live in a country where you have to go private, you might get a better level of information, but if you are NHS, you may well find this really useful.

So here are the things I think you need to know, or need to get.


THINGS YOU NEED TO GET

* A beany lap tray (or two). These are so useful, for using a laptop in bed, eating meals in bed, writing things in bed, you get the picture. Or even as a kind of table to have next to you on the bed. You definitely need one. I borrowed two.

* A pouffe or high footstool. For elevating your foot when you're able to get out of bed. Get one as high as you can, or add pillows/folded blankets to make it high enough. Your feet should be higher than your hips ideally. This also has the advantage of marking you out as needing special care, and even small children seem to honour that (well, a bit, anyway).

* A wheelchair. Not absolutely vital, but if you'd like to be able to leave the house before you can walk on crutches, or if you'd like to go further than you can walk on crutches, then a wheelchair means you can be pushed places. I used mine to go to the Little Lady's nativity play, which I would otherwise have had to miss. I got mine from the Red Cross.

* A decent pair of ergonomially designed crutches. Another thing that's not absolutely necessary, but they are much more comfortable than the NHS ones. I imagine you can get them from the Red Cross, although I borrowed mine.

* A toilet frame. Another Red Cross item. I've already said in another post how much I have valued this piece of equipment. It has enabled me to go to the toilet by myself, which is vital for dignity. Without it I would have had to have someone lift me on and off the toilet.

* A large pair of soft socks. For keeping your toes warm when/if you go outside. You can buy fleece things on the LimbO website but they are a tenner (!) and of no use afterwards. You could always make a fleece toe cover, but socks are easier. I bought a supersoft thermal pair in a size larger than my usual one (6-11 when I am a 6).

* Lots of pillows. For elevating your feet and propping yourself up. I use three behind me and about four for my feet, plus a rolled-up duvet tied to keep it rolled. Yes, it is a lot!

* Lactulose. We covered this before but both anaesthetics and codeine cause constipation. Lactulose is a gentle way to resolve it. Nuff said.

* Help at home. There is no way you will manage on your own, even if you have batch-cooked and/or live on ready meals or takeaways. You will get tired easily, you have very limited mobility, it is not going to work. Try and organise someone to be with you 24/7 for at least four weeks (ideally more), or for someone to come in to do mealtimes and cleaning if that isn't possible. If all else fails, employ a cleaner and cook. Seriously. Do not try to do it yourself.

* A TV in your bedroom (if you don't have one already). I hooked up an old computer in our bedroom so I can watch catch-up TV. I haven't used it all that much, but I prefer it to watching TV on the laptop, and it's nice to have it available.

* Waterproof cast covers if you want to be able to shower (or you can strip wash at the sink instead). If you do want to shower, I suggest you might also want a waterproof chair to sit on while you do it. Personally, I haven't bothered with showering but am just washing at the sink. My surgeon recommended LimbO covers, but at £15 each, I decided to live without. YMMV.

* Mobility scooter I think I'm going to hire one of these when the hubby goes back to work. I can walk with crutches a little now but as I have the Little Lady, I'm concerned I won't be able to keep up with her or keep her safe. With a mobility scooter, she can sit on my lap while we ride into town or to preschool. I definitely think it will give me more freedom than I would otherwise have, and would enable me to go shopping.


WHAT YOU NEED TO KNOW

* You will need help washing your hair. If you don't want to be a greaseball for nearly two months, then you will need to get help to wash your hair. The way I have found works best for me is to sit on a chair next to the bath. I sit on the chair sideways with my back facing the bath and then lean back on the edge of the bath, which I pad with a folded-up towel. You will get wet! Get a friend or loved one to wash your hair for you. If you prefer (and I do) they can just wet and rinse it while you do the actual shampooing and conditioning. This does make the back of your neck hurt so sitting up at points throughout is helpful.

* You will have to strip wash. Before I had my casts changed, I sat on a chair at the sink, then washed with a flannel. I am lucky enough to have a tilting wall mirror so I could see my face to wash it, but you could use a standalone mirror, like a shaving mirror. Now I have the smaller casts, I am able to stand at the sink instead of sitting.

* You will have almost no concentration. Before I had the operation I thought I could spend my recovery time knitting, writing and generally catching up on things. But I have found that I can't concentrate on things for too long, so have spent most of my time surfing the net, reading magazines (even books are beyond me!) and doing only things that I can spend small amounts of time on. This is not the time to decide to write that novel, IMO.

There are probably more, and I'll edit and add to this post as they occur to me or as I encounter them. Feel free to add your own in the comments.

Two steps forward, one stumble back - day 13

Sub-titled Progress and A Cautionary Tale

Because I've read in so many other people's blogs that doing too much too soon causes pain and can even affect your overall recovery, I've been really erring on the side of caution, and doing everything I can to maximise my recovery.

So I've been elevating all the time, even overnight, and only walking around to go to the bathroom.

But pride comes before a fall. In my case, literally.

To get around, I'm using the hospital-issue crutches. I do have some lovely ergonomic-handled ones my friend George has lent me, but I'm saving those for downstairs. It's like an incentive to graduate!

Anyway, when I first came hom from hospital I was properly crippled. I could hardly bear to put weight on my feet, and really bore my weight through the crutches. It took me ages to shuffle slowly and painstakingly to the bathroom.

In fact, I borrowed a toilet frame from the Red Cross so that I have help to get onto the toilet by myself. Here it is:

It just sits around the toilet and has handles at just below hip height, which means I can hobble in on crutches, lean the crutches against the wall while leaning my weight on the frame, and then use both frame handles to lower myself. They're also extremely useful to get back up again.

I honestly think that without this frame I'd have needed physical help to sit down on the loo and get back off it again, so it's really saved my dignity (which presumably I've just lost through telling you all this).

I have borrowed a few things from the Red Cross: the toilet frame, a wheelchair for when I go outside further than I can hobble (pretty much everywhere for a while) and I did also borrow a commode chair, as I'd read from another blogger that their pain was so bad they couldn't do anything more than slide from bed to commode.

Thankfully, I haven't needed it so it will be returned unused.

The Red Cross is amazing. They are a charity, so they lend you the equipment for just a small £5 deposit. And then you just pay what you can afford for the hire. Obviously, we will be giving a reasonable donation because we're not poor, but how fabulous for those people who don't have much money, because the hospital won't help at all - they refused to lend me a wheelchair.

I found out about it accidentally while Googling, but if you want to know more then have a look at their website here, and if you are able, please consider giving them a donation in recognition of their incredible work.

Back to my progress report.

So at first I could hardly move, it hurt and was difficult and I really NEEDED those crutches.

About three or four days ago, so on day nine or ten after surgery, I realised that I wasn't leaning on the crutches so much, In fact, I was able to walk a few steps just holding the crutches.

I experimented a bit, and discovered that I could stand without the crutches or any other support, so suddenly I was able to turn the light on for myself, or open my curtains, instead of having to call for help.

And that was my problem. I got a bit cocky on the crutches. And yesterday, I was speeding back to the bedroom when I lost my balance. I stumbled, which is fine if your feet haven't been sliced and diced, but was not great for me.

I banged my left foot on the floor trying to catch my balance. I didn't get shooting agonising pain or anything like that; in fact at first I thought I'd got away with it.

But since then, my left foot has been unhappy with me. It aches and twinges at the place where I knocked it, which just happened to be the exact spot where it's been cut open.

It's obviously not very happy. And I feel so stupid for rushing around and not taking it easy. After all, I'm not in any kind of hurry at the moment.

So this is my cautionary tale. If you're having this surgery, make sure you take all parts of your recovery slowly. Don't rush, don't push yourself too far too fast.

From now on, I'm staying like a little old lady and leaving the speeding to Lewis Hamilton.