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The Staff of SOH
Just so you know...
- Thread starter Rami
- Start date
Reply...
Here is the whole deal. I had a CT Scan done on my arteries and veins with contrast, and it showed some surprising results and some unexpected complications. I had a severe DVT in my left leg in 2001 at the age of 23 that went from my ankle to my waist, and another in my right leg in 2005 that did less damage to the right leg. I am not diabetic, but do I have Factor Five, and the skin of my lower left leg is pigmented and I have chronic venous stasis ulcers, and have been dealing with this particular episode since February 2016. I have a compression bandage that I keep on my lower left leg, and have this bandage changed three days a week. The reason why I was hospitalized was because the wounds began exuding a copious amount of drainage that was causing the surrounding skin to macerate. They are doing an MRI this morning to check for a bone infection. I wouldn't be surprised if there was some degree of cellulitis.
The CT scan I had on February 15th, 2017 revealed that I essentially have little or no inferior vena cava from my pelvis up to about my kidney; it has shriveled from atrophy because of the deep vein thrombosis down to about the size of dental floss. What my body has essentially done to get around this is take the veins closer to the surface and turn them from country roads into highways, which creates more venous pressure, and makes the veins on my stomach, thighs, and pelvis look like the street map of Greater Pittsburgh. The doctor said that the fact that my body managed to do this at all without me dying is kind of a miracle. I've been hearing that my whole life with all the birth defects I had.
The vascular surgeon fears that if they attempt to put a stent in and something were to fail it could damage my kidney and I would end up on dialysis. I've had abnormal kidney function since birth; one is grossly enlarged and does most of the functioning, while the other one's functioning is limited. The stent could damage the good kidney. If they also attempt to go in with a catheter, the blockages have been there for so long, they are like cement. If they try to push out or remove the clots, it could either shred the vein or dislodge part of the clot and cause an embolism.
There is also a question now about amputation...first, whether there is enough good venous flow to facilitate healing for the flap. Second, whether they would have to go below or above the knee, and third, the edema, or swelling I deal with is not solely limited to the lower limb where my skin ulcers are, it's elsewhere as well, and if they amputate, the swelling may retard the healing and recovery, or worse, blow out the sutures and require another operation.
My vascular surgeon decided to consult with some of his colleagues in Boston to try and find a solution to this. Until then, I am in limbo. I also found out that I could be in the hospital and/or rehab up to three weeks...
Gaucho_59,
Here is the whole deal. I had a CT Scan done on my arteries and veins with contrast, and it showed some surprising results and some unexpected complications. I had a severe DVT in my left leg in 2001 at the age of 23 that went from my ankle to my waist, and another in my right leg in 2005 that did less damage to the right leg. I am not diabetic, but do I have Factor Five, and the skin of my lower left leg is pigmented and I have chronic venous stasis ulcers, and have been dealing with this particular episode since February 2016. I have a compression bandage that I keep on my lower left leg, and have this bandage changed three days a week. The reason why I was hospitalized was because the wounds began exuding a copious amount of drainage that was causing the surrounding skin to macerate. They are doing an MRI this morning to check for a bone infection. I wouldn't be surprised if there was some degree of cellulitis.
The CT scan I had on February 15th, 2017 revealed that I essentially have little or no inferior vena cava from my pelvis up to about my kidney; it has shriveled from atrophy because of the deep vein thrombosis down to about the size of dental floss. What my body has essentially done to get around this is take the veins closer to the surface and turn them from country roads into highways, which creates more venous pressure, and makes the veins on my stomach, thighs, and pelvis look like the street map of Greater Pittsburgh. The doctor said that the fact that my body managed to do this at all without me dying is kind of a miracle. I've been hearing that my whole life with all the birth defects I had.
The vascular surgeon fears that if they attempt to put a stent in and something were to fail it could damage my kidney and I would end up on dialysis. I've had abnormal kidney function since birth; one is grossly enlarged and does most of the functioning, while the other one's functioning is limited. The stent could damage the good kidney. If they also attempt to go in with a catheter, the blockages have been there for so long, they are like cement. If they try to push out or remove the clots, it could either shred the vein or dislodge part of the clot and cause an embolism.
There is also a question now about amputation...first, whether there is enough good venous flow to facilitate healing for the flap. Second, whether they would have to go below or above the knee, and third, the edema, or swelling I deal with is not solely limited to the lower limb where my skin ulcers are, it's elsewhere as well, and if they amputate, the swelling may retard the healing and recovery, or worse, blow out the sutures and require another operation.
My vascular surgeon decided to consult with some of his colleagues in Boston to try and find a solution to this. Until then, I am in limbo. I also found out that I could be in the hospital and/or rehab up to three weeks...
miamieagle
Charter Member
Wish you well!
Reply...
Hello,
Hey...no bone infection, no major surface infection, and I could be discharged tonight, or at the latest tomorrow morning. Being at home with my leg back in full compression will help these ulcers heal. I won't be going back to work for a couple of weeks, though, but I have already contacted my school about teaching in a wheelchair for the remainder of the school year to protect my leg.
Hello,
Hey...no bone infection, no major surface infection, and I could be discharged tonight, or at the latest tomorrow morning. Being at home with my leg back in full compression will help these ulcers heal. I won't be going back to work for a couple of weeks, though, but I have already contacted my school about teaching in a wheelchair for the remainder of the school year to protect my leg.
The B24 Guy
SOH-CM-2022
Great news Rami.
Take care of yourself and get that leg well.
Regards,
B24Guy
Take care of yourself and get that leg well.
Regards,
B24Guy
(And no, it won't be "Swing low, Sweet Chariot)Rami.......
"And no, it won't be "Swing low, Sweet Chariot" and it better not be 'Tom Dewey" either! Glad to hear that you may get sprung. Guess that you are now " one leg up" on us! (As Foghorn Leghorn would say " That's a joke son, I say, That's a joke son!!!)
ERRATA: song should be Tom DOOLEY, not Dewey!
"And no, it won't be "Swing low, Sweet Chariot" and it better not be 'Tom Dewey" either! Glad to hear that you may get sprung. Guess that you are now " one leg up" on us! (As Foghorn Leghorn would say " That's a joke son, I say, That's a joke son!!!)
ERRATA: song should be Tom DOOLEY, not Dewey!
Last edited:
highpockets
SOH-CM-2025
Glad to hear your release.
I went through the hospital thing, a couple of times in the last 8 years, and I am 73, and I thought I had it tough. You have and are going through a tough regimen after the fact. Hope you manage. We'd be a lost bunch without you!
I went through the hospital thing, a couple of times in the last 8 years, and I am 73, and I thought I had it tough. You have and are going through a tough regimen after the fact. Hope you manage. We'd be a lost bunch without you!
Killer Svend
SOH-CM-2024
Glad to see you back in business, but take care of yourself, don't do things that I wouldn't do, wish for your full recover soonest.
Killer Svend
Killer Svend
Reply...
Hey guys,
While I am happy to be home, the hospitalization was not really a success. The hospital which I went to did not, despite my repeated requests, put my leg into a compression wrap, which is the normal course of treatment in addition to elevation and IV antibiotics. They only had my leg in elevation, and because of that, my leg swelled once release from the hospital until arrival at the wound care center, where I have my compression bandages applied and removed, to 6cm larger (48cm) than it usually is without it being in compression, and this already is a swollen state.
Accordingly, I called the patient relations department at the hospital and chewed them out for their lack of effective treatment, and I checked an admitting nurse in the emergency department with another local hospital to ensure that they do allow for compression dressings to be applied/administered during hospitalizations. If I have another episode like this and hospitalization is required, I will go there. I also have my leg back in compression, which is helping to reduce the edema and tenderness, not to mention making me piss like a race horse.
On the positive side, they did extensive lab work on my blood, and all of my blood levels and numbers are well within normal limits, and I continue to rejoice in the fact that my blood sugar remains normal and I am not diabetic. That would only further complicate my condition.
Hey guys,
While I am happy to be home, the hospitalization was not really a success. The hospital which I went to did not, despite my repeated requests, put my leg into a compression wrap, which is the normal course of treatment in addition to elevation and IV antibiotics. They only had my leg in elevation, and because of that, my leg swelled once release from the hospital until arrival at the wound care center, where I have my compression bandages applied and removed, to 6cm larger (48cm) than it usually is without it being in compression, and this already is a swollen state.
Accordingly, I called the patient relations department at the hospital and chewed them out for their lack of effective treatment, and I checked an admitting nurse in the emergency department with another local hospital to ensure that they do allow for compression dressings to be applied/administered during hospitalizations. If I have another episode like this and hospitalization is required, I will go there. I also have my leg back in compression, which is helping to reduce the edema and tenderness, not to mention making me piss like a race horse.
On the positive side, they did extensive lab work on my blood, and all of my blood levels and numbers are well within normal limits, and I continue to rejoice in the fact that my blood sugar remains normal and I am not diabetic. That would only further complicate my condition.
Sue time!!!!!
Rami;
If the compression is a normal type of treatment for this condition and they ignored repeated requests for compression bandages, along with a worsening condition, I would advise you to seriously consider retaining a proven track record medical malpractice law firm.
You might have gotten a doctor who is still "practicing" so that some day they will get it right, trying something new as a personal theory, or staff that is just too indifferent or lazy to do it. Chewing out the hosp rep only results in you feeling better, they hang up the phone and could care less.
I once was employed as a medical insurance field representative, fancy rephrase of medical malpractice investigator, and have seen people sue for less and win.
Rami;
If the compression is a normal type of treatment for this condition and they ignored repeated requests for compression bandages, along with a worsening condition, I would advise you to seriously consider retaining a proven track record medical malpractice law firm.
You might have gotten a doctor who is still "practicing" so that some day they will get it right, trying something new as a personal theory, or staff that is just too indifferent or lazy to do it. Chewing out the hosp rep only results in you feeling better, they hang up the phone and could care less.
I once was employed as a medical insurance field representative, fancy rephrase of medical malpractice investigator, and have seen people sue for less and win.
Reply...
Fibber,
To be honest...I've never been much of a lawsuit guy, maybe because I'm not dumb enough to put a hot cup of coffee between my legs. But I will say this....if they try to bill me for any uncovered services, I will tell them that I've contacted a lawyer and am already considering a lawsuit. I'm sure that will make those bills disappear like a pizza at a weight watcher's convention.
Fibber,
To be honest...I've never been much of a lawsuit guy, maybe because I'm not dumb enough to put a hot cup of coffee between my legs. But I will say this....if they try to bill me for any uncovered services, I will tell them that I've contacted a lawyer and am already considering a lawsuit. I'm sure that will make those bills disappear like a pizza at a weight watcher's convention.
Reply...
Ivan,
I primarily teach US History I and II, World History I and II, Civics, and Modern World History post-1945. (Levels include AP, Honors, and College Prep)
I am licensed for teaching High School (Grades 9-12) and Middle School. (Grades 5-8) The History classification is for both age levels, and I am also fully licensed for Middle School Humanities. This includes Geography, Ancient Civilizations, and a significant amount of history through literature, so in that capacity I've coordinated heavily with the English teachers. I've also occasionally dabbled in teaching Psychology and Sociology, though that's not really my cup of tea.
Ivan,
I primarily teach US History I and II, World History I and II, Civics, and Modern World History post-1945. (Levels include AP, Honors, and College Prep)
I am licensed for teaching High School (Grades 9-12) and Middle School. (Grades 5-8) The History classification is for both age levels, and I am also fully licensed for Middle School Humanities. This includes Geography, Ancient Civilizations, and a significant amount of history through literature, so in that capacity I've coordinated heavily with the English teachers. I've also occasionally dabbled in teaching Psychology and Sociology, though that's not really my cup of tea.
highpockets
SOH-CM-2025
Rami,
My cousin taught 8th grade history in Newton N.J. for 30 years and LOVED every minute of it. Good for you.
We need, good committed teachers these days to teach the REAL thing!
My cousin taught 8th grade history in Newton N.J. for 30 years and LOVED every minute of it. Good for you.
We need, good committed teachers these days to teach the REAL thing!