Monday, November 17, 2008

Testing

This week dh is having alot of testing done. He is getting another cat scan one each of his hand and arm, leg and toe and his other arm too. Our co-pay for these tests are $150 per body part so in one day we will accumulate about $500 in medical bills. That is not to say anything of the other appointments dh has this week. I can barely keep track. He is at an appointment right now but he was unsure of what type of testing they wanted to do. He did know they were doing testing though. I think this part aggravates me so because I like to have information and my hubs is a sort of go with the flow person. I am afraid to even see what will happen. Sometimes I which I could charge the doctors for our time. Dh drove about an hour one way just to have pressure cups attached to the ends of his fingers to see the blood pressure. Ok I can see the value in the test, I do really, but he has had this done already. To drive that far for something like that makes me upset. He is not getting much blood to his fingers. Really no kidding(dripping with sarcasm).

Last night he was cleaning up and re bandaging his ulcer on his finger. He came in and said there is puss. What ? In all this time when we thought he had infections in his finger not once did he have puss come out of any of the ulcers. The other thing was that some of his skin came off when he took the old bandage of. A pretty decent sized chunk. I was dismayed to say the least. It is so helpless to not at least be able to help him out. I asked if he pulled the skin off on purpose because I know it is dry and bothering him. He said no it just came off with the gauze. I am scared of not knowing what will happen and all these terrible visions of worst case scenario dance through my head. This has led me to some interesting thoughts.

His toe on the other hand seems to be doing better. It has decreased in size and we think we can see some skin under there. I wonder how much we are projecting onto him getting better and are we really seeing that improvement or not. This is the main reason I have begun to take pictures, they don't lie and I can honestly compare one time period to another. Looking at the pictures that I posted I can say that yes his toe does seem to be getting better. I will have to take a picture to show you . Dh was so very happy about it. I could see it in his eyes. I saw tangible hope something he could see and grab onto and hold.

Vanessa

1 comment:

Pixiegirl said...

Vanessa,

Did your dh have an MRA or doppler study done? An MRA (Magnetic Resonance Angiogram)& MRI can show the vessels more clearly than CT's. The doppler study (blood pressure measures in many areas of leg/feet) can give the pressure readings of the vessels and give a good idea of how well circulation is with the inflammation. I'm guessing he already had the battery of bloodwork (autoimmune and clotting tests).

Your picture idea is a good one! I finally ended up doing the same thing with mine.....it's so hard to tell if there is improvement. Measuing the wound or putting small mm ruler next to the ulcer before taking the pic might help too. Your dh's finger looks very close to what my toe ulcer looked like. Even with a few dark/black areas....it wasn't gangrene and went away. The bandages sticking to the sores....hard to avoid. Pouring saline on the area before taking off the bandage sometimes can help. Having skin come off with the bandage is okay (but sure hurts). Happened to me a number of times (then I figued out taking the pain meds before changing really helped!). In a way it sort of debrides the wound and takes away an area where more moisture can get trapped (and I remember when we used sugar for patients when I was in nursing school, lol). Pink, red....are signs blood is getting to the ulcer and healing though....so a good sign!

Pix