Wednesday, January 28, 2015

One down, two to go

**This post is not for the faint of heart**

At our plastics appointment last week, the doctor said it would probably take several more months for Little Dorrit's toes to self-amputate. Well, in this case several more months translated into five days, at least for her big toe. That's right, folks! On Monday, we mourned and celebrated the final loss of Little Dorrit's left big toe. We mourned because it is finally off but also celebrated because the process happened without much complication and now, we just have to wait on the other two (which have oddly fused together and should self-amputate at the same time). Despite it taking over four months to happen, in the end there was no bleeding or infection. That was a main worry of mine because for a couple of months in the hospital, she was on antibiotics because of cellulitis around the three necrotic toes.

For those of you curious how it happened, on Monday, Little Dorrit and I spent several hours in Little Rock meeting with hematologists. Earlier in the day, I noticed her toe seemed looser but I try not to bump or touch it...just because. The whole idea of losing a toe is a bit gruesome even if it just does look like a big scab. Anyway, that evening, we got her ready for bed and put her in her little swaddle sleep sack, or baby strait jacket, as we like to call them. {Sidenote: I sometimes feel guilty putting her in these sleep sacks because she can't move her arms at all since they are swaddled to her sides, but she actually sleeps really well when she is swaddled in them...like sleeps the entire night!} Before Mr. Rochester and I went to bed we gave Little Dorrit her medication and then had to unzip her sleep sack to plug her into her feeding tube. That's when I noticed this new development as her toe was hanging on by a thread. We actually didn't panic since we'd been expecting this for months but we went ahead and called home health to make sure we were doing the right thing. Mr. Rochester snipped the little thread and we'll just continue to put betadine on the area until the other toes fall off. Then, we'll take Little Dorrit back to plastics to see if anything needs to be done. So, now Little Dorrit has a little, bony nub where her big toe used to be. We're just glad it all happened pretty easily. 

1 comment:

Kel said...

Congratudolences! If it's alright with you, I'll both mourn and celebrate with you.

I once met a man at a nursing home who showed me his big toe in a jar. For a moment I thought I would vomit. Once that moment passed, I was intrigued. He told me the story which included a lawn mower, a shower, and a lot of necrosis. You're right, it's not for the faint of heart. And yet, it's amazing that the body can take care of itself.

I have been curious whether she will get inserts in her shoes once all her toes fall off and she starts to pull up and take first steps?