Author Topic: The Ischaemic Foot  (Read 958 times)

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Offline sedge

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The Ischaemic Foot
« on: 16 March 2016, 04:37:36 PM »
- I have one and the other one is on the way there.

Or so the Podiatry lady told me today having taken my pulses with ultrasound after by hand and done the microfilament and the blunt/sharp thing also the tuning fork.  She was a bit surprised that

a)  I've never been referred to Pod before - 'You are at high risk!'  'Yes, I know that, I've always said that to my GP whenever I've gone to ask about 'foot' thing - but have always been told until now that the fact that I cut my own toenails therefore automatically means I have absolutely no need whatever to be referred to Pod'  Eyebrows disappear into hairline LOL

b)  Cardiac services aren't looking to see if they can operate on the offending artery(s) in my left leg to ease the situation.

I would comment about the latter that this branch of the Pod service are not housed within the hospital - they are in what was the old Cov & Wrawick hospital building (which has been virtually rebuilt anyway) which houses all sorts of community health services - dentistry/orthodontics - the incontinence service - health services for abused children etc and is tied up with Social Services rather than the Hospital Trust.  I believe the 'Special Multi Disciplinary Foot Clinic' specifically for Diabetes, IS actually at the hospital.

Anyway - the thing I actually went about, would you believe, during the last week has improved so much - and so has the 'bent-ness' of my bunion and the next toe - that neither Pete nor I can believe it.  Absolutely no idea why or how that can happen!

So anyway she says they need to see me from now on, every 8 weeks.  Back to reception.  First available apt? - 27 June! ie 15 weeks - DOUBLE the time she said I NEED to see them!   

(And George thinks they can do MORE with less money and staff .........   :banghead: )
Jenny

T1 DX 1972, pumping Novorapid 24/05/11

HbA1c - 7/07 8.7, 1/08 7.8, 9/08 8.4, 3/09 7.3, 7/09 7.2, 12/09 7.3, 11/10 8.1, 2/11 8.6, 9/11 6.5 2/12 6.4  5/12 50/6.7  11/12 52/6.9  01/13 46/6.4  06/16 46/6.4  12/16 45/6.4

Offline Pattidevans

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Re: The Ischaemic Foot
« Reply #1 on: 16 March 2016, 08:05:26 PM »
I had to look up Ischaemic foot and came across this explanation http://www.podiatrynetwork.com/document_disorders.cfm?id=174  Curiously it doesn't mention diabetes.  However it sounds horrible... so sympathies!

However, very pleased you eventually got to see someone about it and hope they will be helpful (despite the wait for an appointment being months rather than 8 weeks).  Could this lead to more attention from cardiac services and something being done about the offending arteries?
Quote

Anyway - the thing I actually went about, would you believe, during the last week has improved so much - and so has the 'bent-ness' of my bunion and the next toe - that neither Pete nor I can believe it.  Absolutely no idea why or how that can happen!

Agh... I wish someone could tell us how your bunion became un-bent!  I have a bad one on the left foot and it makes buying shoes a blooming nightmare, whereas I have always had slender feet and been able to find shoes easily!
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 April 2016.


© 2015 Patti Evans

Offline sedge

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Re: The Ischaemic Foot
« Reply #2 on: 17 March 2016, 12:21:23 AM »
I have never been able to buy shoes easily - I have quite bony feet - but my 'pad' in broad in comparison, with a slim heel - Dad was naturally quite angularly-boned and my mother had horrible bunions on both feet.  Consequently we were absolutely never EVER allowed to wear too-narrow shoes growing up, and fortunately by 1966/7 when I was buying my own, stilettoes and pointed toes were 'old fashioned' (like beehives and sticky out skirts) and though I always loved to wear fashionable things, I also appreciated that my feet needed to be comfy, and by judicial buying - would happily visit every shoe shop in Birmingham city centre over the course of a week or two to get the 'right' pair at an affordable price.

I currently have about 12 - 15 pairs of shoes - mostly in their original boxes and original tissue paper cos that's how I like to keep shoes - other than eg trainers, m/bike boots etc -  that I have finally admitted are too high for me to wear - and far too good to throw out - about the cheapest brand amongst them, would be Clarks.  They have all been worn, but not to death.  Anyone on here size 5 1/2, passing Bedworth soon and likes smart court shoes and rather lovely heeled sandals/evening shoes? 

I have absolutely no idea whatsoever why my tootsie has gone straighter - it seems so unlikely, you'd think I was making it up if you didn't know me!

I have the standard NHS I-foot leaflet - and that defo mentions the dreaded D amongst the other things like cardiac stuff and hardening of the arteries (and smoking naturally)  All the feeling is still there though.  I'm in two minds whether that's good or bad - yeah great if you happen to stand on a nail or something - but there again the only time I actually go barefoot unless I'm swimming, is to the loo in the middle of the night - so that's never been particularly likely - and I know damn well if I get even a tiny bit of grit in my shoe or sandal - but not so great when they've gone numb and the blood flow eventually gets to your toes again.  VERY painful.  BUT if the feeling is there it must mean I still have SOME blood flow - and where there's life there's hope!

Yep - I'm glad I'm on their radar Patti, I've wanted to be for years - just for reassurance in the past.  Once you are known to them - you can ring if you have any prob and they'll try to squeeze you in somewhere asap.  I would never never abuse that privelege.
Jenny

T1 DX 1972, pumping Novorapid 24/05/11

HbA1c - 7/07 8.7, 1/08 7.8, 9/08 8.4, 3/09 7.3, 7/09 7.2, 12/09 7.3, 11/10 8.1, 2/11 8.6, 9/11 6.5 2/12 6.4  5/12 50/6.7  11/12 52/6.9  01/13 46/6.4  06/16 46/6.4  12/16 45/6.4

Offline himtoo

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Re: The Ischaemic Foot
« Reply #3 on: 18 March 2016, 08:41:47 AM »
glad you got onto their radar-- just a caution-- opthalmology at my hospital is a real nightmare getting the 6 monthly appointments

I currently have a complaint lodged with the HCP that is awaiting a meeting between myself and the department managers representative ( so we shall see )

but do hound them if you need to

all the best !!
T1 Dia Aug 1972 -pumping omnipod since 29/09/15  Losartan 100mg , simvastatin 40mg,Furosemide 40mg, Omeprazole 80mg , Doxazosin 8mg
Hba1c - 06/2013 6.1 02/2014 43(6.1) 07/14 42(6.0) 08/14 40( 5.8 ) 12/14 39 (5.7) 08/15 41 ( 5.9) 10/15 44 ( 6.2 ) 03/16 49 (6.6)
cholesterol --nov 2011 4.3 june 2012 4.4 June 2013 4.1 Feb 2014 4.1 dec 14 4.5 oct 15 4.4
Dafne grad. necrobiosis lipoidica on legs
laser treatment on both eyes 2002 and 2012, injections left eye 3 , wearing Noctura mask since oct 2014

Offline Ziggy

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Re: The Ischaemic Foot
« Reply #4 on: 18 March 2016, 09:58:16 AM »
I emphasise with you Sedge, I have a 'claw toe; which gives me quite a bit of discomfort )and I believe they include diabetes as one of the "more liable to get of you have ...." list


 8)   8)   8)
ZigSig:-
T2 Since 22-May-2008 - HbA1c Dec 2015 - 38 or 5.6.  Chol - 5.8
 

Ramapril 10mg, Omeprazole 20mg
Exercise - am running on a fairly regular basis - knees don't fail me now :)  and Diet (am a lacto ova vegetarian and am trying to stay low GI/GL)     Still on the Road To Find Out

Offline Pattidevans

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Re: The Ischaemic Foot
« Reply #5 on: 18 March 2016, 10:03:46 AM »
Sedge, I will be passing your way later this year, but unfortunately I take a 5 or I could maybe relieve you of those nicely boxed shoes.
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 April 2016.


© 2015 Patti Evans

Offline sedge

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Re: The Ischaemic Foot
« Reply #6 on: 18 March 2016, 12:25:03 PM »
You could indeed, we do have the same taste - but I thought your feet were smaller.

Think those ones I have worn in the evening might be OK though as they aren't bordering on the 6 as it were, so if I don't find em a home meanwhile ......
Jenny

T1 DX 1972, pumping Novorapid 24/05/11

HbA1c - 7/07 8.7, 1/08 7.8, 9/08 8.4, 3/09 7.3, 7/09 7.2, 12/09 7.3, 11/10 8.1, 2/11 8.6, 9/11 6.5 2/12 6.4  5/12 50/6.7  11/12 52/6.9  01/13 46/6.4  06/16 46/6.4  12/16 45/6.4

Offline Pattidevans

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Re: The Ischaemic Foot
« Reply #7 on: 18 March 2016, 12:46:24 PM »
My feet are smaller Sedge.  Size 5.
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 April 2016.


© 2015 Patti Evans

Offline Alan

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Re: The Ischaemic Foot
« Reply #8 on: 18 March 2016, 08:28:13 PM »
I currently have about 12 - 15 pairs of shoes - mostly in their original boxes and original tissue paper cos that's how I like to keep shoes - other than eg trainers, m/bike boots etc -  that I have finally admitted are too high for me to wear - and far too good to throw out - about the cheapest brand amongst them, would be Clarks.  They have all been worn, but not to death.

As a mere bloke I had to smile at that. I also have problems finding shoes that fit because I went barefoot to school until I was 10, thus need width EEEE. I found New Balance EEEE in 2006, wore them until they self-destructed in 2011 when I replaced with a new pair of the same, ditto 2014. My other pair is a pair of cheap sandals for wearing when visiting Temples :)

Quote
Anyway - the thing I actually went about, would you believe, during the last week has improved so much - and so has the 'bent-ness' of my bunion and the next toe - that neither Pete nor I can believe it.  Absolutely no idea why or how that can happen!

Glad to see the improvement. I hope the underlying problem is properly sorted soon.
Cheers, Alan, T2, Australia.
--
Everything in Moderation - Except Laughter.
There is nothing I could eat I like more than my eyes.
Type 2 Diabetes - A Personal Journey (latest: Small New York Baked Low Carb Cheesecake)
Born Under a Wandering Star (Latest:Dambulla, Sigiriya and Polonuwarra, Sri Lanka)

Offline sedge

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Re: The Ischaemic Foot
« Reply #9 on: 18 March 2016, 11:15:12 PM »
I shouldn't think it will be TBH Alan.  I doubt very much if it's only in one spot - self inflicted so my own fault, therefore can't really complain too much !
Jenny

T1 DX 1972, pumping Novorapid 24/05/11

HbA1c - 7/07 8.7, 1/08 7.8, 9/08 8.4, 3/09 7.3, 7/09 7.2, 12/09 7.3, 11/10 8.1, 2/11 8.6, 9/11 6.5 2/12 6.4  5/12 50/6.7  11/12 52/6.9  01/13 46/6.4  06/16 46/6.4  12/16 45/6.4

Offline Alan

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Re: The Ischaemic Foot
« Reply #10 on: 19 March 2016, 12:04:34 AM »
I shouldn't think it will be TBH Alan.  I doubt very much if it's only in one spot - self inflicted so my own fault, therefore can't really complain too much !

I hope you're wrong with your prognosis. Best wishes either way.
Cheers, Alan, T2, Australia.
--
Everything in Moderation - Except Laughter.
There is nothing I could eat I like more than my eyes.
Type 2 Diabetes - A Personal Journey (latest: Small New York Baked Low Carb Cheesecake)
Born Under a Wandering Star (Latest:Dambulla, Sigiriya and Polonuwarra, Sri Lanka)

Offline sedge

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Re: The Ischaemic Foot
« Reply #11 on: 19 March 2016, 12:26:18 PM »
So do I Alan! - thank you.

Someone commented on TV the other night that 'a pessimist is never disappointed' - LOL

(Think it may have been Giles on 'Gogglebox' - but I dare say that will not mean anything to you LOL - it's a TV prog where people have cameras at home which record them en famille watching various TV progs - and it can be absolutely hilarious the way the people react to certain things that have been aired in the last week.  I mean when we were all working, we'd probably have discussions with our colleagues about anything that has impressed for whatever reason, or that you have reacted to - but you don't do it often with other people really - so it confirms or contradicts what YOU thought about the content - which is interesting, to hear someone - and a variety of people from different backgrounds - else's opinion)
Jenny

T1 DX 1972, pumping Novorapid 24/05/11

HbA1c - 7/07 8.7, 1/08 7.8, 9/08 8.4, 3/09 7.3, 7/09 7.2, 12/09 7.3, 11/10 8.1, 2/11 8.6, 9/11 6.5 2/12 6.4  5/12 50/6.7  11/12 52/6.9  01/13 46/6.4  06/16 46/6.4  12/16 45/6.4