Saturday, February 23, 2013

Phil on the Casting Couch...


So, things have been rather busy here, and one reason is because Mr. Phil has been in a cast for four weeks now. He had a simple little injury to the ball of his right foot that refused to heal, and turned into a somewhat complex injury. Because of the location, on the bottom of his foot, walking on it only aggravated it further, until he ended up at the Wound Center of the hospital. 

And thankfully so, because the doctor and nurses there are amazing. They are kind, gentle, sweet-natured, funny, and their genuine caring shows in their attention to the patients week after week. 

Yes, week after week. Every Tuesday for the past month we’ve been going there so Phil can have his cast removed, the wound examined, and a new cast put on. And heal it certainly has! The doctor and nurses are thrilled with how well Phil’s foot has healed. The photographs they take to document are really amazing and interesting. Alas, I felt they were too graphic for here.

But these aren’t!




Dr. Naldo cuts off the old cast using a rotary blade that merely vibrates; it doesn’t rotate at all.








“Will my toes still be there afterwards?” ;)









Foam padding is taped to the wound area, then an open-ended sock. And then padding for all the pressure points, including ear muffs for the ankles. ;)




A thick knitted stocking is put on next, the extra draped over the top of the foot. It is never draped under, because they want the bottom of his foot to have as equal pressure on the entire surface as possible to allow the wound to heal.





And finally, a very thick knitted sock cast is the last layer in this cast set. It is wetted to activate the chemicals in it that will harden it, then rolled onto the foot and leg.






They pull it up to about three inches below the top of the under padding materials. You can hear it sizzling from the chemical reaction of the water and cast components.






Nurse Jada folds the excess over the top of Phil’s foot and smoothes it down, while Dr. Naldo pulls the top of the padding down over the top of the cast.




And Phil waits for it to dry. His foot must be kept at a 90° angle for the purposes of keeping the pressure on the bottom of the foot equal, and also to make it possible to walk on the cast with the “boot” on.




After about ten minutes Phil can lay down for the cast to finish drying. 

The chemical reaction from wetting the cast makes it grow very warm at first. As it dries, it will cool. Nurse Jada and a new nurse just learning at the Wound Center check to see how hard and cool it is. Not done yet. Another ten minutes or so.





The cast is now hard as a rock. Dr. Naldo chats with us as he puts Phil’s cast boot back on.





                 

                    Can we go now? 

                    Yes, see you next week!


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