


It has been an emotional day for us. Our visit with Carl's surgeon was as we expected it would be, both positive and negative. First the good news: As of today, Carl can put weight on his left leg! He was so-o excited about the prospect of "being vertical"! He got crutches and went straight to therapy after the appointment. His leg can hold his weight for a short time but the biggest issue at first is an ability to balance. After 13 weeks of being off his feet, it's understandable, and will be short-lived. He'll be up and around very quickly, I suspect.
We all took turns getting standing-up hugs from him today. It was wonderful to be held...
The results from Carl's nerve test were mixed:
*his right femoral nerve (front of thigh), which allows the knee to straighten, sustained moderate damage from the crash and has a good chance at recovery.
*the tibial nerve on the inside of the right leg provides sensation to the inside and bottom of his foot. This nerve allows the foot to push down, like on a pedal. This nerve was severly damaged and recovery remains to be seen.
*the peroneal nerve on the outside of his leg was severed. It is gone, with no chance of recovery. This is the nerve that allows the foot to flex upward (toward your head.) So the doctor will eventually fit Carl for an insert or "boot" placed inside his shoe which will act as a spring and propel his foot upward when he walks.
Carl's right leg can not bend because of severe scar tissue in the knee. During the initial surgery, they had to remove a lot of cartilege and now it is mostly bone against bone in that area. The surgeon will likely need to go in and clean up (scope) the knee area. He wants to wait until all the bones are healed on that leg to pursue other options--probably surgery to bend it or as he calls it, "manipulate" the knee. Some other possible future treatments include a surgery to release muscles and tendons, including the achilles tendon. This should allow the leg to loosen up a bit to allow him to learn to walk. He is also a candidate for knee replacement in the future but the doctor wants to put that off as long as possible. Dr Essis said, "We'll get you a gait" which means he will learn to walk somehow!
I know this is a lot of information, maybe too much. But for tonight, we look at how far Carl has come in the past 3 months and rejoice in the fact that he can now use crutches. We still don't know what the future holds---but then, who among us does?