Tuesday, January 8, 2013

Broken Bones and Medicine in Howard County



Happy New Year! I hope everyone had a great holiday season and spent time with their loved ones. I definitely did, what with spending time with all my brothers and actually getting out to play Lazer Tag, which kind of shows you never really grow up if you don’t want to. It was as close to paradise as I think I’ve gotten in a long time.

I’m back in Iowa, though, and I have an appointment set up with the Mayo Clinic in early February to take a look at my poor left foot, which is still in an air cast two months after it had been broken. The usual time it takes a broken foot to heal is eight to ten weeks, according to my kendo sensei, who has dealt with broken bones before. The ten week mark has come and gone, and it will be a good three weeks before I get to see the doctor at the Mayo Clinic. I’ve almost gotten used to this stupid cast, but there are still times, like if I’m trying to climb stairs, that it’s particularly frustrating. What makes it more frustrating is that the doctor’s office here in Cresco has, after years of being quite reliable, decided to turn into a Kafkaesque nightmare.

I suppose it started with the doctor I went in to see being very sure I had just sprained my foot. Just in case, though, I should get an X-ray. This isn’t exactly unknown—when I broke my leg in sixth grade the doctor was sure I’d sprained my leg until the X-ray showed a crack through both the tibia and fibula. And I would have bet money against a broken bone this time. Still, she gave me and air cast, and said I might want to think about going to a podiatrist.

The past couple of times I’ve gone in to get my foot checked, though, the diagnosis has been reversed. On the first follow-up visit, the doctor didn’t think I was healing at all, and that I should probably go to Decorah to see a podiatrist. Two days later, I got a call from the doctor’s office, where the doctor’s nurse told me that a radiologist looked at my X-rays and said that actually, my foot was healing up nicely (but wouldn’t I like to see a podiatrist anyway?).

The next trip in, the doctor said I was healing up nicely and actually gave me a boot that would give me more mobility than the air cast. Two days later, her nurse called and let me know that actually, the radiologist hadn’t seen any significant healing and I might want to think about scheduling an appointment with a podiatrist.

A couple of things have bothered me about this series of events. First, why not tell me to visit a podiatrist? It’s like they keep trying to upsell me doctor-wise, but they don’t tell me why. Just that a podiatrist might have a better idea of what’s going on. It’s my choice, though. This is what the doctor has told me over and over again, as though she were selling me on the idea of going to see a podiatrist instead of saying I need to, although to be fair she’s now said I need to because there hasn’t been any healing, which of course comes after she said I was healing. Oh, and if my foot does need some more care, then why not send me to, say, an orthopedic surgeon? Someone who can determine if I need surgery or not?

This is why I am more than happy to switch doctors. I am taking advantage of the fact that I live an hour away from one of the best medical clinics in the world and going to them. While a copywriter who lives in the middle of nowhere with a broken foot is a far cry from the prestige of treating the king of a foreign country with a wasting disease, I will have the privilege and the comfort of knowing some of the best doctors in the world will be examining me. I want a straight answer and good advice more than anything else right now.
I apologize that this is kind of an introspective blog, with a lot more complaining about the doctors in the area than actually talking about the neat things I’ve encountered in Iowa. Doctors screwing up is not restricted to northeast Iowa. It’s not limited to small towns, for that matter. Still, getting out of this cast is a pretty important part of my life right now. I promise I’ll come back next week with something neat about the northeast Iowa region.