I know that I have not blogged in a very long time, I could not let today go by without blogging though. Why today? Because it has been exactly six months since I have been discharged from the wound care center. I feel like today is a good day to give an update, as a way to sort of mark the day.
These six months have been a period of great transition for me. When I was first discharged I remember being terrified to tell anyone that I was healed. As the weeks went by though, I realized that eventually people would need to know, so gradually I began to open up and told a handful of people. The people that I intentionally kept it from the longest were my parents. I kept it from them as a form of protecting them in case it was going to open again in any sort of catastrophic way. Also, I was probably subconsciously protecting myself from having to see people disappointed. Once the cat was out of the bag and everyone knew, it was a relief, I physically felt lighter. Finally, I would be able to move on, or so I thought.
The switch from patient to then being the person that was helping take care of my boyfriend’s wound was actually relatively easy. Aside from loving my boyfriend and genuinely wanting his wound to heal, I was absorbed in wound care because so much information about it had been floating around in my head for so long. Of course, I went to every doctor’s appointment with him, because he wanted me there but also because of the relationships that had developed with the doctors and nurses that work at the wound care center.
Shortly after my boyfriend had been discharged I began to realize just how much this whole journey really affected me. When this journey began, back in January of 2009 I was of course bummed out that I had for only the second time in my life developed a pressure ulcer. I was upset that I had let it happen in the first place, and then of course it was really upsetting that I was going to be stuck in bed for the duration of the healing process. The wound of January 2009 only lasted a month though so looking back it was really not that big of a deal. When the wound developed in April 2009 I was beyond devastated. I really felt like I had been doing everything I could to prevent one from happening so I was caught off guard. I feel like although I may not have been entirely aware of it at that time, I began to shut down when I was told I had one again. I continued to do everything my doctor and nurses told me to in order to get the wound to heal, to a certain extent. I didn’t listen to myself when I originally got a weird uneasy feeling upon meeting the doctor at the first wound care center that I was treated at. I don’t know why I ignored the feeling, except to say that it was probably because I had never had a really bad experience with a doctor. As a result of sticking with that physician for so long I was further isolated. I could not leave my bed to really do much of anything. As such, I was forced to accept help from other people, which admittedly is something that I have never been very good at. To me, this wound meant a loss of independence. I had to rely on family members to give me the majority of my meals in bed and also to take care of cleaning my room for me; two things that I am incredibly picky about. In addition, I was completely isolated from everything outside of my room, let alone of my house.
Eventually, when I got fed up with the first doctor, I got another opinion which then lead to my going to the wound care center a couple of towns away, where I had very good experiences. After a couple of appointments with my surgeon he said to me that he didn’t even think that my wound was a pressure ulcer in the first place. The surgeon said that he thought the wound developed from a pilonidal cyst. While, I was relieved to hear that the wound may not have been directly caused by anything I did, I was more than a little annoyed that I was only hearing about this after having dealt with it for more than two years. The research that I did independently, due to my own curiosity explained that if it had been properly diagnosed at the beginning the cyst could probably have just been removed, leaving me with a small wound that would, with proper care most likely close on its own.
I never really told anyone how I was feeling, and I’m not sure why I kept it to myself. Of course my close friends knew, without me having to say much but as far as talking to anyone that could help me process some of those feelings, I never said anything. Having to rely on others instead of myself was a huge adjustment but honestly, having to rely on myself, now, post discharge is even more daunting. I am better now than I was, say two or three months ago but sometimes I still catch myself feeling hurt if someone does something that I consider making a decision for me. For example, at the beginning of the summer my boyfriend, parents, a few family friends and myself were going to attend a town wide concert. The day before the concert my boyfriend got in touch with me to tell me that unbeknownst to me my father had sent him a text message telling him to buy ponchos for us because it was going to be raining the entire time we were at the concert. I was angry that my dad had gone ahead and sent that message because I didn’t feel like it was his place. My boyfriend and I are adults after all and I didn’t feel like it was my father’s decision what he and I wore to a concert. I didn’t feel like I had to words to express how I was feeling to my father directly so I didn’t say anything. Instead my boyfriend and I got our own raingear and I did my best to just let it go.
The concert in and of itself was a huge thing for me to go to. I must admit when we first arrived I was a little bothered by the amount of people. It has to have been because I had been so isolated for so long that being in a crowd was overwhelming at first. Once I was able to calm down and relax I did have a really good time. As my boyfriend and I were leaving, I decided that instead of getting a ride with my parents I wanted to push home. The concert was less than a mile away from my house and I know that I have pushed from there to my house before and I wanted to prove to myself that I could do it. I told my boyfriend that I didn’t want us to take a ride and he said that was okay with him.
Though it took longer than I would have wanted it to take, I made it. It took a whole lot of tears and some positive self-talk and some rather colorful language but I did it. At one point my parents pulled over and asked if we were sure we didn’t want a ride and I insisted we were fine. When we got to my house I looked absolutely horrible because I was tired, and wet and I had the brilliant idea to get my face painted at the concert which due to all the tears the paint had run and smudged and looked gross. At first my parents were really worried that something had happened but I explained to them that it was something I HAD to do and that they would never really be able to understand.
Later I was talking to my boyfriend and said to him that I did it and he reacted by saying, something like “yeah no kidding, it isn’t that far”. At first I was crushed that he responded in that way, until I talked to my best friend who explained to me that what he probably meant was that he knew I could do it so although he was happy for me, in his mind it was never in question that I COULD do it. Once she said that, I understood and realized that she was probably right. I kind of took the accomplishment of pushing home from the concert as a sign that I Really was going to be okay.
For awhile, that was enough to get me to begin to adjust to my life again but I still find myself unsure about my wound really being okay, and in trusting myself to make all of my own decisions, many of which had been taken away from me while I was bed bound. Approximately a month ago I really began to feel depressed. I let it go for a little while and then I decided it was absolutely time to reach out to someone who could maybe help me process everything. I called my regular doctor and explained to her a little bit of what was going on and how exactly I wasn’t coping. She gave me a few phone numbers of therapists she usually recommends, after getting in touch with one of them, who was not going to be an option for me I was discouraged. Here I had made what I felt like was a big step and asked for help and the first therapist I called was not going to be able to help. I am now pondering the other names she gave me and will hopefully come to a decision soon. In the meantime, being that I cannot turn my brain off, I have decided to try to learn a language. I don’t really know what possessed me to pick Latin, but I find myself with a textbook and workbook so it’s actually going to happen. That was a decision I made by myself!
**This post was so emotional that I’m not even posting it on the exact six month since discharge date (7/23/13) anymore. Oh well, writing it this way was cathartic. :)
Showing posts with label adjustments. Show all posts
Showing posts with label adjustments. Show all posts
Wednesday, July 24, 2013
Monday, April 29, 2013
A (Happy) State of Confusion
The following day, when my boyfriend arrived he almost immediately checked to make sure that my wound was still doing well. We were both pleased when he told me that it was still closed and was beginning to look even better since we had started using the Zinc.
When my boyfriend and I went to the Wound Care Center for his appointment later that afternoon, the nurse was incredibly happy when she took the dressing off of his wound. She said that to her it looked closed and asked how long it had looked that good. My boyfriend said that it had looked that way for about a week and that it hadn’t been draining. I looked at his wound and was very pleased to see that it was in fact closed.
When the surgeon came in the room we spent a few minutes catching up because he had been away for a few weeks. He agreed that my boyfriend’s wound was healed and told him that he no longer had to keep it covered but that he should use moisturizer on it for at least the next several weeks. That sounded like an awesome plan. The surgeon then asked us what we were going to now with our lives being that neither of us needed to see him anymore.
At that point I spoke up and asked if he had heard that I was at the wound care center the previous week. I was surprised when he said that no he had not heard that and then asked me what had happened. I in turn was surprised because I thought that the nurses would have told him and also because I knew I had already blogged it and he previously told me that he was reading. I told him that the week before I was seen, my wound had opened and I had gotten really scared and wanted it checked. The surgeon then said that it was a very good idea to get it checked because it is always better to try to catch it at the beginning. I told him that that was exactly my thinking when I called to make the appointment. I also explained that it had closed by itself again before my appointment but that I went in because I was nervous.
The surgeon then told me that the nurse and doctor that had seen it the previous week must have been confident that it was actually doing well, or else they probably would have told him. I kind of assumed as much. The surgeon then proceeded to tell me that if it opens again I should definitely come get it checked because it “could be osteo”. I knew from previous experience that “osteo” relates to bone. I said that I would absolutely come back in if I were uncomfortable with how it looked. We left the Wound Care Center and began to live our lives again.
Things were going well for about a week when I suddenly got “that” feeling. The area was a little sore but it was mostly an emotional gut feeling that had me on edge. When my boyfriend came I asked him if he would please check and see if anything funky was going on. He looked and said that it didn’t look open to him but an area below the wound seemed to have formed a very small blister. I had no idea what to think of that news so I asked to see a picture. I saw something that may have been a very small blister but nothing was draining so I took the “wait an see” approach. On one hand I know that things need to be checked as soon as possible, yet I also didn’t have the horrible gut feeling that I usually get. We waited a few days and when my boyfriend next checked it he said that the blister seemed to have either popped or been absorbed by my body because it was gone but now that same area had a small piece tissue that had come off. We were unable to tell if it was just dead skin from a part of the blister or if somehow some of the scar tissue had sloughed off. We’re both rather confused by the situation but neither of us really feels like it absolutely needs to be seen. We are going to continue to monitor it to see if any other strange things happen, if so we will definitely get in touch with my surgeon.
When my boyfriend and I went to the Wound Care Center for his appointment later that afternoon, the nurse was incredibly happy when she took the dressing off of his wound. She said that to her it looked closed and asked how long it had looked that good. My boyfriend said that it had looked that way for about a week and that it hadn’t been draining. I looked at his wound and was very pleased to see that it was in fact closed.
When the surgeon came in the room we spent a few minutes catching up because he had been away for a few weeks. He agreed that my boyfriend’s wound was healed and told him that he no longer had to keep it covered but that he should use moisturizer on it for at least the next several weeks. That sounded like an awesome plan. The surgeon then asked us what we were going to now with our lives being that neither of us needed to see him anymore.
At that point I spoke up and asked if he had heard that I was at the wound care center the previous week. I was surprised when he said that no he had not heard that and then asked me what had happened. I in turn was surprised because I thought that the nurses would have told him and also because I knew I had already blogged it and he previously told me that he was reading. I told him that the week before I was seen, my wound had opened and I had gotten really scared and wanted it checked. The surgeon then said that it was a very good idea to get it checked because it is always better to try to catch it at the beginning. I told him that that was exactly my thinking when I called to make the appointment. I also explained that it had closed by itself again before my appointment but that I went in because I was nervous.
The surgeon then told me that the nurse and doctor that had seen it the previous week must have been confident that it was actually doing well, or else they probably would have told him. I kind of assumed as much. The surgeon then proceeded to tell me that if it opens again I should definitely come get it checked because it “could be osteo”. I knew from previous experience that “osteo” relates to bone. I said that I would absolutely come back in if I were uncomfortable with how it looked. We left the Wound Care Center and began to live our lives again.
Things were going well for about a week when I suddenly got “that” feeling. The area was a little sore but it was mostly an emotional gut feeling that had me on edge. When my boyfriend came I asked him if he would please check and see if anything funky was going on. He looked and said that it didn’t look open to him but an area below the wound seemed to have formed a very small blister. I had no idea what to think of that news so I asked to see a picture. I saw something that may have been a very small blister but nothing was draining so I took the “wait an see” approach. On one hand I know that things need to be checked as soon as possible, yet I also didn’t have the horrible gut feeling that I usually get. We waited a few days and when my boyfriend next checked it he said that the blister seemed to have either popped or been absorbed by my body because it was gone but now that same area had a small piece tissue that had come off. We were unable to tell if it was just dead skin from a part of the blister or if somehow some of the scar tissue had sloughed off. We’re both rather confused by the situation but neither of us really feels like it absolutely needs to be seen. We are going to continue to monitor it to see if any other strange things happen, if so we will definitely get in touch with my surgeon.
Wednesday, February 13, 2013
Learning to Relax (in more ways than one)
It has now been approximately three weeks since I have been discharged from the Wound Care Center. My visiting nurses are still seeing me once a week and they are confident that my wound is really closed for good this time. Their confidence is great; I am just waiting for my mind to catch up to it. I am still incredibly nervous that it may open again. I am trying to strike a balance between being aware that the wound has opened in the past, yet trying to adjust to having my life back to normal. I still regularly make sure that I’m not seeing any discharge and also, asking my boyfriend to check to make sure that it is closed between nursing visits. When my nurse came yesterday she assured me that it is closed and then warned me that the next visit may end up being my last. Apparently when she told me that I had a terrified look on my face because she immediately said that she really does only live a couple of minutes away and that it was okay for me to call her if I really felt that something was weird after I was discharged. She said that she would either come out to check the wound if I was really upset or if I was just mildly concerned she said she might just try to talk to me and try to get me to calm down.
My boyfriend has said that it is okay with him if I post a few of the pictures, so though I chose to keep my wound pictures private, I will share his.
Boyfriend's wound picture taken approximately September 4, 2012
After the visiting nurse and I treated it for a few weeks, it began to look too dry:
Picture taken October 16, 2012
Picture taken mid October, after treating with Hydrogel
Picture taken late October 2012
Picture taken early November 2012
Everything after that seemed fine until I saw it again in late January 2013. That is when I told him that it needed to be seen.
What my boyfriend's wound looked like in mid/late January
Photo from the first time the wound care center saw the wound (January 30, 2013) after it had been treated with Calcium alginate and a Tegaderm Foam Adhesive
Taken at wound care February 6, 2013 after having daily ABD dressing changes
Photo taken approximately February 8,2013 after Bactroban ointment
Taken February 9, 2013 after continued Bactroban
Calm down seems to be a recurring theme in my wound-life because when my boyfriend left to go to his house last week I was a little bit worried that he would have to take care of his wound without me. I was confident that he is not incompetent and could change the dressings without a problem, but I was worried that he would minimize it if he suddenly weren’t doing as well. That paranoia lead to me regularly asking him to text me pictures of his wound so that I could stay as up to date on its progress as possible. I am getting ahead of myself though, last week at my boyfriend’s appointment at the wound care center he was told that the culture results had come back positive for MRSA.
The surgeon therefore prescribed Bactroban Ointment an antibiotic to treat the infection, which my boyfriend was to apply to the wound bed once or twice a day when he changed the dressing. When the surgeon examined the wound itself though, he said that he thought it appeared a little smaller. I concurred (as if my opinion actually matters. ha-ha) that it did seem to be a little better than it had been, at least since the last time I had seen it.
My boyfriend is continuing to treat his wound himself at home and is periodically updating me on what he thinks is happening. He goes back to the wound care center next week. The surgeon said the he had a feeling that treating it with the ointment and just a small gauze pad would get it going in the direction we wanted it to go in. Hopefully, the surgeon is correct. Currently I am waiting for my boyfriend to visit so that among other things, he can show me a picture of my wound again so that maybe we can drill it into my head that it really is closed.
I know I am bordering on ridiculous with my level of paranoia about my wound; it is just that I cannot get the previous time that it was closed out of my head. I was so incredibly happy and relieved that it had closed (after 3+ years) and then absolutely devastated when it opened after six weeks of it being closed and living a normal life, once again doing what I wanted to do without having to worry about a wound.
My boyfriend has said that it is okay with him if I post a few of the pictures, so though I chose to keep my wound pictures private, I will share his.
Boyfriend's wound picture taken approximately September 4, 2012
After the visiting nurse and I treated it for a few weeks, it began to look too dry:
Picture taken October 16, 2012
Picture taken mid October, after treating with Hydrogel
Picture taken late October 2012
Picture taken early November 2012
Everything after that seemed fine until I saw it again in late January 2013. That is when I told him that it needed to be seen.
What my boyfriend's wound looked like in mid/late January
Photo from the first time the wound care center saw the wound (January 30, 2013) after it had been treated with Calcium alginate and a Tegaderm Foam Adhesive
Taken at wound care February 6, 2013 after having daily ABD dressing changes
Photo taken approximately February 8,2013 after Bactroban ointment
Taken February 9, 2013 after continued Bactroban
Calm down seems to be a recurring theme in my wound-life because when my boyfriend left to go to his house last week I was a little bit worried that he would have to take care of his wound without me. I was confident that he is not incompetent and could change the dressings without a problem, but I was worried that he would minimize it if he suddenly weren’t doing as well. That paranoia lead to me regularly asking him to text me pictures of his wound so that I could stay as up to date on its progress as possible. I am getting ahead of myself though, last week at my boyfriend’s appointment at the wound care center he was told that the culture results had come back positive for MRSA.
The surgeon therefore prescribed Bactroban Ointment an antibiotic to treat the infection, which my boyfriend was to apply to the wound bed once or twice a day when he changed the dressing. When the surgeon examined the wound itself though, he said that he thought it appeared a little smaller. I concurred (as if my opinion actually matters. ha-ha) that it did seem to be a little better than it had been, at least since the last time I had seen it.
My boyfriend is continuing to treat his wound himself at home and is periodically updating me on what he thinks is happening. He goes back to the wound care center next week. The surgeon said the he had a feeling that treating it with the ointment and just a small gauze pad would get it going in the direction we wanted it to go in. Hopefully, the surgeon is correct. Currently I am waiting for my boyfriend to visit so that among other things, he can show me a picture of my wound again so that maybe we can drill it into my head that it really is closed.
I know I am bordering on ridiculous with my level of paranoia about my wound; it is just that I cannot get the previous time that it was closed out of my head. I was so incredibly happy and relieved that it had closed (after 3+ years) and then absolutely devastated when it opened after six weeks of it being closed and living a normal life, once again doing what I wanted to do without having to worry about a wound.
Subscribe to:
Posts (Atom)