Joe leaving the house today. His main question was - when are the pins coming out and how's it going to be done. Previously when he broke and dislocated his arm they were pulled out with a pair of pliers with no aneasthetic, so he's having visions of a similar approach.
Joe in the hospital waiting for the consultant.
I think it's the fact that if you know about sports injuries, you know that people bounce back from these relatively quickly and it's only if you scroll back through the blog to here that you can refresh your memory of how bad this injury is and you see the situation from a realistic perspective.
So with that in mind think about the positives.
1. The scar tissue is nearly completely sealed and the bloke said not to look at the scar tissue now from an aesthetic point of view and think that this is how it's going to be, he was saying in a year, the difference will be dramatic. I asked about having the scars treated with massage and he seemed to agree that it was a good idea, but also seemed to think that this will be inlcuded in the physio stages of the recovery. Michelle asked about the physio and he said that this could now start and forms were filled in to instigate the physio. I asked about whether the scar tissue and wounds were such that they affected the muscle structure and he said that on the scans this wasn't evident.
2. The bones he was happy with and feels there's no issue. What he did say though was that Joe needs to be progressively looking to load weight onto the foot/leg. He explained to Joe, that in space where the astronauts are subjected to weightless-ness all their muscle tissue wastes away and calcium deficiency in the bones becomes an issue...
From - http://www.livestrong.com/article/362352-the-effects-of-zero-gravity-exercise/
He then said that if Joe puts weight onto the leg, the body responds in that it feeds more calcium and hormones to the leg and the recovery process speeds up and becomes more efficient. Michelle asked - in that case could Joe remove the boot and walk around indoors without the boot putting weight through the injury and he said yes. So indoors now the order of the day is boot off and more weight, hopefully Joe will buy into it and do this. I'm trying to get him to have the leg up high as well when he's sitting around.
3. The Pins; The next appointment is at the end of August and the consultant has said that they'll then consider the removal of the pins, if the bones look good enough, it then maybe as little as a month and the pins will be removed. I think the procedure for the removal is general aneasthetic and a over-night stay?
4. Physio; This is to start soon it seems, it's just a case of waiting for the letter to come with the 1st appointment. This will be interesting as the physio's that we saw last time were hard-core, we were joking in the car that they'll have Joe hopping around the ward on his bad leg within minutes. But seriously these Physio's at the hospital don't muck about - they will have him doing stuff straight away miles out of his comfort zone, but I reckon he needs it, especially now that I know about the astronaut analogy.
5.Weight; I'm concerned about his weight, with no exercise and still eating in the way that he normally does, he is definitely putting on weight and this is something that we'll have to address.
In summary, it is a long process and I can see that it is going to take a year and that there's no way that he's going to be taking part actively in sports during the first months he at his new senior school. I was kind of hoping that by mid September he may be walking around without crutches, but increasingly that seems unlikely. But, everything is moving slowly forwards and the thing I'm looking forward to seeing is the physio taking place.