Six hours under the knife Part II

Safety TIP: Watch for frost.

Dipping nighttime temperatures bring frost to windshields and roads. Keep a windshield scraper and small broom in your car. Decelerate or gently brake when approaching bridges and overpasses; open spaces are more prone to collect frost on the roadway surface. Keep alert for shaded areas that could create black ice during early morning and evening hours.

Six hours under the knife Part II

I spent the day Monday busying myself making contact with people, explaining what had happened and my current situation. It seemed that every time I explained to someone how I had come to be where I was, the whole matter sounded more bazaar.  The news spread among my family and friends, and I started to receive calls at a surprising rate from across the country, some from people I would have never expected. I am still amazed at how fast news can travel.

During the day Monday I got a roommate. The new tenant was a gentleman in his middle ages, who had been admitted for a back surgery. He was very talkative and livened up the room somewhat with his many conversations with his wife. Because there was only the privacy curtain and a few feet of space between his bed and my own, all conversations in the room became public knowledge. My roommate went to great lengths to express his displeasure in the outcome of his surgery. He explained that he had been less than convinced about the need to conduct the operation on his back but had agreed to the surgery on the recommendation of the doctor. After the operation, which failed to accomplish the desired goal, his doctor had recommended that possibly another surgery would be needed to correct the problem. While alluding to his strong faith in his religion, he preached to his wife over and over again that he had no desire to allow another operation. “I am satisfied with what I have,” he said. “I am not going to go through this again!”  The man’s wife, who was very soft spoken, never said much but tried to console her husband saying the doctor had done the best he could.  

The day went by quickly and I found myself meditating on the planned events of the next. My wife left shortly after dinner with plans to be back at the hospital prior to the time I was scheduled to be moved for surgery. I thought of the fact that I had only had one surgery in my life, about five years ago when I ruptured the Achilles tendon in the same leg.  This operation was performed as an outpatient procedure and had only taken about an hour.  I recovered at home, and then resumed my daily activities with the aid of a support orthopedic boot. The recovery was relatively quick and I had not thought about it again until now.  However, this felt a great deal more severe. I was not sure what to expect. I ended the evening with a prayer and drifted off to sleep.  

            At about 5:45 AM Tuesday morning I found myself alert and anxious.  The nurse had been in for early morning vital readings and reminded me of the planed operation.  She explained that the transport team would have someone down to get me soon.  I looked at the wall clock and wondered if my wife would arrive before I was moved out to begin preparations.   The pace of the morning’s activity seemed to carry an added intensity and I found myself developing feelings of anxiety as time seemed to speed by.  Then like a breath of fresh air my wife stepped into my room saying, “Good morning.”

The transport team arrived about 6:30 AM, and I was moved to the operating room for pre-op.  In the pre-op area I met with the anesthesiologist, the doctor and some members of the operating team. The doctor confirmed what and where surgery was to take place and actually marked his initials on my right leg to confirm that he would operate in the correct area. My last pre-op memories were of making small talk with my wife. With her standing beside my bed, we held hands and said a quite prayer.

Next week: Recovery begins

Six hours under the knife part I

Safety Tip: Make adjustments for the light.

We lose a minute of daylight every day until the clocks are set back in October. And shorter days mean shorter light, making it more difficult to see pedestrians, cyclists, and children playing in the late afternoon. Be on the lookout. If night vision is a problem, adjust your driving times or find alternate, well–lit routes whenever possible. On the flip side, later sunrises mean drivers need to adjust to the brighter sun at different times of the morning. Always keep a pair of sunglasses in your car to shield your vision. Pull over completely if the sun's glare affects your ability to safely see ahead.

Six hours under the knife part I

Sunday morning the 15^th of August proved to be a surreal time. Around seven AM, I woke to the sound of a medical assistant’s voice asking me if she could get vital sign readings. As she went about her task, I could see the morning light wash across the room through the thin curtains that covered the large window to my left.  My room was positioned directly across from a nurse’s station and there was lots of movement and conversation as nurses went about their morning duties, recording information and discussing patients. I thought about the fact that I had slept well for the last few hours and was surprised at how comfortable my leg felt in the traction device.

“How are you feeling this morning? Is there anything I can get for you,” she politely asked as she completed her work.

“No, I’m fine,” I said.

“Breakfast should be here in a few minutes,” she said as she left the room rolling her equipment.

I had finished my breakfast of eggs, French toast, and juice, when my wife walked in carrying my laptop computer, some reading material, my cell phone charger and other comfort items.

“Good morning,” she said as she moved around the bed, leaned over and gave me a kiss. “How are you feeling?  I brought your things.”

“Thanks, I feel OK,” I said.

 The night before we had began to talk through the many challenges that now face us as a result of the current situation. Before she had finally left for the night, we discussed the fact that I needed to notify my job, my school and our auto insurance of the accident. We also had to cancel our reservations in Georgia and Florida for the upcoming week. For this I need a computer and email access. I had confirmed with one of the nurses that wireless access was available and free in the room. I would spend the day Sunday taking care of details and making arrangements for what looked to be an extended time away from work and school.

At the job I had taken ten days of leave starting the Thursday of the previous week. Our plans were originally to drive to Georgia where I would take care of some legal issues on Friday, finalize the preparation to rent out our house in Savannah then drive to Florida early Monday morning. However, due to requirements my wife had for her online class, our plans had changed to staying put for the weekend and driving straight to Florida early Monday morning.

“You will not be allowed to eat anything after midnight tonight in preparation for the surgery on Monday,” a nurse said as she checked my blood pressure and temperature. “I don’t have a scheduled time yet, but I will let you know as soon as I do,” she said.   

On Monday, evening after fasting all day, I found out that the orthopedic surgeon, Dr. Stewart, still did not have a scheduled time for my surgery due to the large number of priority and previously scheduled operations. After some investigation my nurse was assured that my surgery was confirmed for Tuesday morning at seven AM. “I wish they had told me this earlier,” she said “let’s get you something to eat.”

Next week:  Six hours under the knife part II

Chapter 6: It took hours to repair what it took seconds to break

Safety Tip: Steer clear of wet leaves.

The fall foliage is beautiful, as long as it stays on the trees. But once those leaves start falling, get wet from rain they can become a serious driving hazard. Wet leaves are slippery and reduce traction. They can also cover parts of the yellow and white pavement markings on the road, making it difficult to determine shoulder and lane widths. Additionally, wet leaves can get clogged under your wiper blades, impeding wiper performance and visibility. Always keep your windshield clean of leaves, and watch for wet leaves on the roads especially as you are making turns. Also, park free of leaf piles as these can be a fire hazard against catalyst converters.

Chapter 6:  It took hours to repair what it took seconds to break

It was around four AM when I was rolled into a dual occupancy room on the sixth floor of Fairfax hospital, room 659. The empty room had two beds separated by privacy curtains. I was to occupy the bed closest to the door. It was a relief to be out of the ER, and it seemed that progress was being made to bring an end to what had truly become one of the most traumatic days of my life.

Doctor Peck walked in shortly after the nurses had completed transferring me from the stretcher to the bed. There was a trapeze connected to the bed and positioned overhead with a triangle shaped handle for me to use to reposition myself by using my upper body rather than my legs.  The doctor had brought with him the weights for the traction device. I curiously watched as he went through the process of arranging the items on the end of the nylon cord and the metal pin that was placed through my leg earlier. The entire thing was much less sophisticated than I imagined. The cord hung down the back of the bed and was attached to a hook that held several individual weighted rings.

“We are going to begin with 30 pounds,” he said as he lowered and positioned the weights. My leg automatically felt the tension and was lifted and pulled down toward the end of the bed. I braced myself for the expected pain, but was surprised at how little discomfort I felt.

            “How does that feel,” Dr Peck asked as he continued to slowly lower the weighted device until its full effects were realized on my leg.

“It’s not too bad,” I said.

“Are you sure? Is that comfortable? “

As we talked I realized that the weight was increasingly becoming unbearable and that I would not be able to sustain the current pull for an extended period. 

“It’s pulling a bit much,” I said. Can you adjust it some,” I asked.  

“Sure, less take it down to 25 pounds. How is that?  Feels better?”

As he made the final adjustments and started to leave, Dr. Peck said, “I am not sure but it looks like your surgery will be scheduled for Monday.”

After surveying the room and accessing the situation, I encouraged my wife to go home and get some rest. Earlier, she had insisted on staying at the hospital until I was settled in a room. During the evening since getting my very unexpected call, she had driven to the accident site, witnessed her son extracted from the wreckage of what was my Jeep, driven to the hospital and comforted my son as he endured the examination and treatment for a broken arm, moved back and forth between my room and my son’s room throughout the evening monitoring and ensuring that all questions were answered and that we received proper treatment.  At around midnight my son was discharged so she drove him home got him settled and left him in the care of our daughter. Then she drove back to the hospital to be with me as the doctors worked through the diagnosis and treatment plan. In other words she had been fully engaged executing the duties as a mother and wife on notice and non-stop for over 10 hours, and I knew she was exhausted.       

Next week: Six hours under the knife.

Chapter 5: The Joy of Tractions

Safety Tip:

Be Smart About The Traffic Laws: Traffic laws and traffic signage are supposed to be uniform, but they aren’t. It pays to be careful though because, according to the National Speedtrap Exchange, there are over 50,000 speed traps in the United States. If you are ticketed, don’t fight your battle on the roadside. If you truly feel exploited, you can challenge your ticket in court by yourself, with help from the National Motorists Association, or through an attorney. Just don’t let it spoil your vacation!

Chapter 5: The Joy of Tractions

First, let me admit that the title of the chapter is grossly misleading; there was nothing that remotely resembled joy associated with being in tractions.

After multiple trips for x-rays and scans the doctors were convinced that there were no other serious issues to be concerned about and began to pay closer attention to my right pelvis and leg. It was determined that the force during the impact of the crash had driven my right femur violently backward causing multiple fractures of the Ashtabula (hip socket). By now it had started to sink in that was a serious injury with possible long term implications.

“You will have to be scheduled for surgery to correct this,” Doctor Peck said, “but we must ensure that the femur is readjusted and not lodged into the hip socket. This means we will have to pull that bone back to its correct position”.

OK, I said, instinctively, not quite understanding what this entailed.

“You will need to be in tractions until the surgery,” he said then went on to explain the procedure of putting the leg in tractions.   “I will need to drill through your leg just below the knee in order to insert a rod that will hold the weights. It shouldn’t take long. Do you have any questions?

I couldn’t think of anything but the possible pain and said “No, nothing I can think of.”

“I will be back shortly and we will have you all set up by the time your room is assigned and prepared,” he said as he turned and walked out.

When the doctor returned with his equipment and began to apply the anesthesia to my leg, I looked at my wife who was now standing beside my bed looking as if she could already feel that pain of having a drill plowing through your leg.

“I’m not sure how much support I will be but I will be right here with you dear,” she said with a smile.

We laughed as the doctor’s cell phone started to buzz. He finished the last of the injections and answered the phone as the medication began to take effect on the leg. After a few minutes and a couple of brief tests, he positioned the metal drill bit against the outside of my right leg as I turned my head, clinched my teeth and braced as best I could for the pain.     

When the drill bit emerged through the left inside of my right leg the pain was excruciating and my loud outburst caused him to stop and reapply anesthesia to that area before forcing the drill completely through. He then quickly placed a metal pin that had a nylon cord through it into the hole, clamped the two ends together and said “there you are. You’re all set. We will not put weights on you until you are settled in a room.”  

Next Week: It took hours repair what it seconds break

Chapter 4 ER Experience

Safety Tip:

Check Your Belts And Hoses: Modern automobiles are remarkably reliable - they will absorb a lot of neglect and abuse and still get you to your destination. The weakest links in the reliability chain are coolant hoses and the belts that convey power to alternators, water pumps, and other components external to the engine. These too have improved dramatically, but they should be checked periodically.

Chapter 4: The ER Experience

The ambulance slowed and pulled into the emergency entrance at the hospital, and I was instantly reminded of the devastating pain as the stretcher was lifted down to the ground and rolled inside. Immediately, I was thrust into the frantic pace of activity in an ER of a major city hospital on a Saturday afternoon. Everything seemed to be a blur as I listened to the EMT communicate to the hospital personnel my condition and as much information as he had. I was wheeled into an open bay and quickly surrounded by people asking questions and connecting lines to me. 

It seems as if I was asked the same questions at least ten times by different people. Sometimes someone who had just ask me the list of standard questions was still standing there when the next person walked in and starts asking the same questions. I honestly felt like saying, “Ask that guy, he has all the answers.”

“Can I get something for this pain in my leg?” I asked. “We are going to get you something in a few minutes sir,” someone said.  “Are you allergic to any medications?”

 When Dr. Peck arrived and started examining me, he explained that he had just completed setting my son’s wrist. “He is a brave young man,” the doctor said.

“Is he doing ok,” I asked. “Yes, he should be done shortly”.

 “So he will not need to be admitted?”

 “No, he will be going home tonight.  Let’s see what going on with you.”

During the next ten hours I was x-rayed, CAT Scanned, prodded, poked and rolled around the hospital more times than I care to remember. My diagnosis was multiple fractures to the right pelvis and a possible dislocated right femur.

Next Week: The Joy of Traction

Chaper 3 Rescue Part II

Safety Tip:  Alternate Drivers If Necessary: Traffic accidents common to vacation travel can often be traced to fatigue and being in unfamiliar travel environments. Stay fresh, trade off driving, take breaks and get some circulation going. If you’re fresh and alert unexpected events or situations will be less likely to cause confusion or dangerous reactions.

Chapter 3 Rescue part II

My wife later informed me that she arrived at the accident scene just as they were putting me into the ambulance. Arriving from the opposite direction of the route we were traveling, she pulled her car to a stop on the far side of the six lane street. Not knowing what to expect, she worked her way through the crowd praying silently as the firemen were still working to get my son out of the car. Men using the “Jaws of Life” tool were at work sawing away at the crushed metal on the right side of car. At first the decision was made to cut-off the rear passenger-side door in order to free him, but the workers met with more resistance than expected.  Eventually, both passenger doors were removed and my son was lifted out of the wreckage.

At the same time, I lay bracing myself and listening to the siren blare as the ambulance rolled and bumped its way toward the hospital.  The emergency medical technician (EMT) asked me a series of questions and filled out a form as we road along, “What’s your name? Do you know what day it is? What happened? Where is the pain?”... I tried answering his questions as quickly and as calmly as possible when I realized that I was still holding my cell phone.

 It only had one power bar when I made the initial call home following the crash and I wondered if it still had any power left. I activated the phone and dialed my wife’s number. To my surprise it worked.

 “Hey dear, they are taking me to Fairfax hospital.” I said and I gave her the street address of the hospital as the EMT relayed it to me.

“OK,” she said.” They just got David out.”

“Is he alright?” I asked,

“I don’t know. They are putting him in the ambulance now.  They’re taking him to the same hospital. OK, I’ll see you at the hospital. I love you,” she said sounding as if she was out of breath.

I turned the phone off and relaxed as best I could.

“There’s some road construction going on up ahead so it’s going to get a little bumpy.  We will be there in a few minutes,” the EMT said.

I almost did not care. My wife had just given me the news I was looking for. My son was free and out of the car and though she was not clear on his condition I suddenly felt much better. 

Next week: ER Experience

Be SAFE on the Road!

Hello, I decided to use safety as the focus of my blog because I was recently in a motor vehicle accident. I count myself as blessed and I realized that but by the grace of God things could have been much worse for me and my family following this sudden tragic event. This accident proved to me that anything can happen at any time to anyone. However, knowing and following basic safety procedures on the road can help to mitigate the negatives. I will use this blog to avail readers of auto safety tips that may someday prove useful. Along the way I will tell the story of my personal experience and how it has changed my life.

SAFETY TIP: Take An Extra Key: Not many experiences are more frustrating than to be 300 hundred miles from home and to lock yourself out of your car. New automobiles can be a real challenge to enter, even by pros, when they are locked. Placing or hiding a key somewhere on the exterior of the vehicle will turn a potential nightmare into a minor inconvenience.

Chapter 2: The Dramatic Rescue

The quiet went away as quickly as it had started, and I was immediately fully aware of what had happen and the grave situation that we were in. I tried again to move and found I couldn’t. I ask my son again if he was ok and he said, “I think so,” this time holding his right arm and showing pain on his face. I struggled to find my cell phone in one of the cargo pockets of my shorts and manage to get it out. I remembered that it was down to its last bar of power, but I knew I had to call home to let my wife know what happened. I dialed the number and when she answered I blurted out the information as clearly as I could. I could hear the distress in her voice, and I knew what she must be feeling. She said, “I’m on my way.”

Then I heard voices outside the car asking Are you ok? Are you hurt? Someone tried to open the driver-side door from the outside, but couldn’t. “Can you get out,” a man’s voice asked? “No,” I answered. The man responded, “Just sit still. Help is on the way.” I could see the man using his cell phone describing the incredible scene to the person on the other end. I then start to notice other people crawling out of cars in front of the Uhaul truck. One person was trying to sit down while another assisted him. It was then that it began to dawn on me what had happened. Not only had I crashed into the back of this truck, but the truck crashed into the vehicle in front of it and that vehicle hit the one in front of it and so on. There was a total of five vehicles involved in the accident. I wondered if anyone else was injured.

My attention quickly turned back to my son and our situation. I ask if he could get out and he tried his door. “No,” he said, “the door won’t open.” The smell of the chemicals from the deployed airbags started to fill my nostrils as my heart began to race. I tried my door and it was stuck also. I reached over and turned the key in the ignition, thinking that because the car had power locks turning the engine on would allow me to unlock the doors. I tried opening the locks again from the driver-side panel. I leaned over and bumped and push the driver-side door with all my might. Finally it opened. I could feel the cool air rush in as people on the outside pulled the door open wide. Still I couldn’t move. It was like my right leg was dead weight.

The car had somehow stopped partly off the roadway onto the shoulder of the road. It felt as if the passenger side of the car was elevated a little and I wondered if my son could crawl out the driver-side door. By this time he was starting to rub one of his knees, but I was still not sure how badly he was injured. I decided to work my way out so that he could come across and exit the same door. I found this was not a simple task. Every time I tried to move, the pain seemed to get worse. I realize that the longer I remained there the more it would hurt to move, so I just began to pull my body toward the door. I shifted and turned and tried to ignore the pain. When I was able to get my left leg out I used the door to help lower myself to the ground. At first I found myself lying on the roadway with my right leg still hanging in the doorway of the car. People start to help me while telling me to just stay where I was and wait for the emergency crew. I continued to try moving but then realized I couldn’t. The pain was too great. I rested for a while and then pulled again to get my right leg free. The pain of moving the leg down from the car to the ground was almost more than I could imagine. I started to ask the people gathered around could they help get my son out.

“Are you ok? Just lie still.” I looked up and recognized the fireman’s uniform as a man was asking me questions and started to assist me. “I’m ok, can you get my son out,” I asked.

“He’s going to be ok. They are working on it now. Where are you hurt?”

“I’m ok. It’s just my leg; can you get his door opened. He said he couldn’t open the door.”

“Ok. Ok. We’ll get him. Just lie still.”

The next thing I knew they were slipping a neck collar on me and rolling me onto a backboard.

I noticed that traffic had come to a stop on both sides and people were moving around all over. The sound of sirens filled the air and the crowd seemed to enlarge by the second.

“We are going to get you in the ambulance sir, so that we can further check you out.”

“Have they gotten my son out yet,” I asked.

“They are still working on it. We will not leave until they get him out.”

After being lifted into the back of the ambulance, the one of the EMS tech said, “T hey have your son out of the car, but he will be transported in a separate ambulance. You are both going to Fairfax hospital. It will be about a ten minute ride.” I said ok with a sigh of relief and I tried to position myself on the stretcher to reduce the pain in my right leg.

Check in next week for the: Trauma in the Emergency room