Tuesday, October 2, 2012

Holding Pattern!!!

Mary's infection seems to be clearing up with Keflex so we saw Dr. Scott today to see if we need to do anything on Thursday, and if we do, that Mary is now leaning toward getting 2 new pins vs. a full leg cast and confirm he is ok with that decision.

Below is a picture of the infection from this morning. It is less red, but the big difference in the status of the infection is the sensitivity is completely gone.


Dr. Scott was surprised that the bone near the infection looked good and has bought us some time!!! Dr. Scott wants us to finish the full 10 days of Keflex (2 more days) and sit tight. If the infection returns (he believes it will) we will jump back on the Keflex.


x-ray of infected pins 10/2/12
We are very happy to have bought some time as is but we still need some positive thoughts that if the infection returns the Keflex and or Clindamycin will hold it off until Dr. Scott returns (he is gone next week.)

Dr. Scott started focusing on Mary's foot and wants us to start doing the stretches below to help straighten her foot and help it gain more flexibility.


If the infection returns, and we need to get rid of the pins, after a future course of Keflex when he puts the 2 new pins in and shortens her fixator he might put her in a short foot cast which will help get her foot in better alignment. Sounds like the best of both worlds. By keeping the fixator on we get to keep the range of motion in her knee that she has worked so hard on but use a cast to help her foot.

The good news about this infection vs. the first two is that Mary hasn't regressed with her PT. She has held constant (knee at -10 and ankle at 0) even though we have backed off the AFO (foot brace), knee brace, and at home PT because they were irritating the infection.

One thing I am continually grateful for is that the lengthening and consolidating (the whole purpose of the fixator) has gone so well. Yes, we have had other "issues" but what we are trying to achieve has really gone smoothly. Dr. Scott still thinks she might be done consolidating a month early (early Nov. vs. early Dec).


10/2/12 new growth one side view



10/2/12 new growth other side view

1 comment:

  1. It is great to hear such fantastic news!!! :)

    ReplyDelete