NB: Ulcer photos – don’t click through if squeamish.
I’ve enhanced the colour to make it a bit clearer. The ulcer is mottled yellow, the leg below and the foot above, pink. Between the two, on the left, there’s a semicircle of deeper pink tissue at which the arrows are pointing – that’s blood. Some days it’s more obvious than others.
The vascular surgeon, today, pointed that out as an area of healing. No it’s bloody not! That is an area of growth. Every dressing change the ulcer has expanded into sound skin, with the boundary showing as a bloody fringe (the red band), which, in turn, is swallowed up by the yellow.
If this guy – the expert – can’t see that, what possible hope do I have of getting any useful treatment?
Oh, and he’s pretty much reneged on the surgery I need. He says that, last time I saw him, I changed my mind about having my leg amputated. Not true. We did discuss the phantom limb problem – my leg might be gone, my pain might remain! – and I suggested that we should also look at other ways of controlling the pain since there was no guarantee the surgery would work.
What we should not do, I suggested and he agreed, is get too focussed on compression, but think outside the box for once.
What happened today? He’s focussed on fucking compression! It’s not going to happen until the pain is not just controlled. but shut down totally. It’s too severe to even contemplate compression otherwise.
I let myself be talked into an ultrasound scan of my leg veins while I was there today. I was quite right in rejecting the version offered in 2013, as my leg, below, was in such bad shape it would have been hideously painful.