Saturday, March 08, 2014

2014 SMR 10.... BAD CRASH

I'll just keep all my recovery status entries here as one post (rather than make new entries for each), drop by daily if you're interested - won't be any ride reports for a while.  Newest posts on top.


Update Thursday, March 27

19 days post crash and had a doctor follow up appointment today.  They took an X-ray, did some poking around and leg manipulation and said I'm healing fine.  Dr. Coufal says I should do some stretching and can start riding a stationary recumbent bike at the health club - I'm going to have to get over my aversion to looking like a dork; most of the people on those things are pedaling 20 rpm while they read magazines or update social media on their smart phones.

To a doctor, an X-ray is a valuable diagnostic tool,
but I only see how funny it looks to see my belt buckle
and pants zipper just sort of floating there.


UPDATE Monday, March 24

Not off the crutches yet; disappointing but only because I wasn't being realistic in the first place.

Felt good enough to do some laundry yesterday and I did a close-up inspection of my bike clothes - nothing but a little dirt... no tears, no scuffs... I'll have to find another justification for buying some new bibs.  Also got some photos of the bike damage... I don't think the saddle scar will be a problem and I needed new handlebar tape anyway.








UPDATE Saturday March 22

Two weeks post pelvis fracture.  I have a lot of good moments when I almost feel like I can walk, but when I try to use just one crutch I get a reality check... not ready.  Still, Orthodoc said two weeks with no weight on the leg so I'm going to start testing it a little bit... might be just something I have to work through.


UPDATE Thursday March 20

Emergency room bill came in:  $21,000 in charges at the normal billing rate, $11,000 at the insurance negotiated rate, and only $100 for my copay out of pocket.  Thank you Blue Cross!

Still haven't gotten a firm appointment for my Ortho follow up, but I think I'll be off crutches by this weekend.  Usually I'm not in much pain but every once in a while I'll bump my leg into the wall or something and get a reality check.  Down to two Percocets per day; when I run out I guess I'll just take Aleve or something as needed.

Showering in the tub/shower is going well - I use the walker to get in and then I just don't move around much when I'm in there.

Driving is going well also, no problem except that I hate sitting in traffic.

I have dreams about walking normally.


UPDATE Sunday March 16

Felt good all weekend except I tweaked my left leg somehow, making walking extra painful for a few hours Saturday night.  Much better on Sunday and I even did a test drive in my truck - yes, planning on driving myself to work tomorrow... things went fine: I can get in and out OK with my crutches and use all the pedals so no problem.  Also planning to use the bath tub shower in the morning.

A friend at work said he might come over next weekend and we could brew a batch of home made beer - he'd do all the heavy lifting in exchange for half the product and some lessons in mashing.  I should be mostly off the crutches by then.  I'm supposed to have a follow-up appt with my ortho doc in a week or so, but his office won't call me back.

UPDATE Friday March 14

Getting around on crutches OK.  First thing in the morning I need the walker until the pain pill kicks in. Gradually then the pain shifts from an excruciating broken bone kind of pain to a more tolerable dull and sore, achy kind of pain.

Diablo Daughter has nicknamed me Diablo Scoot.

I'm anticipating a really boring weekend... maybe have to download an audio book or something.

UPDATE Thursday March 13

No biggie - got up early, went to work, did a full 8 hours.  Everyone wanted to help me do something so I had them carrying papers from the printer to my office, get me water, things like that.  Still significant pain but not feeling so useless.


EXTRA UPDATE Wednesday March 12

Practice with the crutches today went well, still too hard to get in and out of bed, or up and out of chairs unless I've got my walker or something sturdy to hang on to.

Also my first SHOWER !!!  That felt great.  We have a smallish stall so I wasn't afraid of falling over and I would've stayed in there longer except I was standing on one leg the whole time and it's getting tired of doing double duty.

Going in to work tomorrow, hoping for the best but not expecting a full 8 hours.



UPDATE Wednesday March 12

Things are going a little better.  Wheelchair tour of the neighborhood was enjoyable but all that arm cranking kind of aggravated my rib bruising so that feels worse now.  The wheelchair is for total invalids and isn't designed to be self-propelled for distances greater than the length of a house.  I'm going to try the crutches again today - if I can use those then I'll try getting into my pickup - and if that works I figure I can go in to work at least for a while.

Yep, this crack is the reason I have zero injuries to the head.
I remember hearing the sound of helmet against pavement and
thinking, "that was a non-trivial impact".  Giro Atmos is 
2-3/12  years old and will be given early retirement.


Lots of time to make videos, not much material to work with.

Diablo Scott is Busted from Diablo Scott on Vimeo.


UPDATE Tuesday March 11


There's no way I can get in the bathtub, PT guy said the shower stall is a better option so I can do that as soon as I'm confident standing in there for a while.  In the meantime, I've been giving myself sponge-baths by sitting on the toilet and using the no-rinse skin cleanser the hospital gave me.  It's possible the Percocet is interfering with my olfactory receptors, but Diablo Wife assures me these sponge-baths are more necessary than I had evaluated them to be.

A few photos from Saturday's ride:

Green is beautiful.

Random fast guy passing us


After the fire, there was a lot of talk about how the 
wildflowers would be awesome... so far only a few 
weeds and manzanita sprouts are coming up through 
the ashes.


We joked that if you had to pick a day to get lost on
the trails, today would be a good choice.

Here's the accident scene, two hours before smack down 
(crash was on the opposite side).This area is way too 
small for a traffic circle; larger vehicles and trailers can't 
even make the turn and run over the curbs.  It used to be 
a three-way stop, but traffic out to North Gate High in 
the mornings wasn't moving fast enough so they stuck 
this thing in there.  Normally things work pretty smoothly, 
but how many more pelvises must be broken before the 
City kills this monster?




UPDATE Monday March 10
Today I let my pain meds wear off just to see what my untreated pain was like.  Script says 1 pill every four hours, and by six hours I concluded this was a dumb experiment.

Doing anything in the walker is really slow... took me almost 30 minutes just to get a cup of coffee; and I had to drink it standing up in the kitchen because I can't walk and carry a cup.

JB came over after work to help me do a bike inspection and put things away.  My saddle is a little scarred up, and the handlebar tape will need to be replaced, but the frame and wheels and components are all fine... that was a big relief.

I again told the story about how I had hit my helmet on the pavement but it was undamaged - he looked at the microshell and agreed there wasn't even a scuff mark.  Then Diablo Wife picked it up and said "What about this big CRACK?!?!?"  Sure enough, the foam was cracked even though the shell looked like new.  Thank you GIRO !!!  I'm going to get an exact replacement.

Looked through my bike-cam videos and the file with the crash somehow got broken - don't have anything from the descent below Junction.

Thanks for all the well-wishers on Strava, blog comments, and e-mails.  Tomorrow:  wheel-chairing around the neighborhood.


UPDATE Sunday March 09
Woke up in the hospital and they gave me some of the serious pain killers before Jim the PT guy came to see me.  He taught me how to use a walker for my injury - no weight on the left foot; so I move the walker, move my left foot forward and just make contact with the floor, then support all my weight with my hands on the walker while I scoot the right foot forward.  Jim said most pelvic fracture patients don't want to move at all, so I was doing well with two laps around the orthopedic wing.  He said he'd tell the doctor I was cleared to go home from his perspective.  The Ortho MD didn't show up until about 4pm and after he assessed me also cleared me to go home.  Had the opportunity to enjoy one more hospital meal before they got around to releasing me though.

Those pain killers can cause constipation though, so that was starting to be a problem - my ribs are a little bruised and applying sufficient pressure to expel the intestinal solids was painful and ineffective.  Had a glass of Miralax at bedtime instead of my usual Rooibos tea.


UPDATE Saturday March 08
2014 SMR 10 was a great ride.  The weather was beautiful, my first ride of 2014 in shorts, no jacket just a wind vest; felt great all the way to the Summit.

Regular Rider Recognitions:  Dudley, Tuck, and Mike

Search and Rescue was having a practice drill with staging at Juniper.

AVISO-  water is turned off at Junction and Juniper, plan accordingly... still available at the Summit water fountain.



Descent was pleasant as well.  But then off the Mountain, off North Gate Road, at the traffic circle where Oak Grove, Walnut Avenue, and Castle Rock Road come together, I hit a patch of slippery stuff while leaning into the tight-radius left turn and BAM, went down hard on my left side.  My helmet hit as well, but I didn't see any damage.  The traffic circle was full of cars, but the guy behind me in his pickup was a good driver and stopped well clear of my crumpled heap of flesh.  

JB saw the whole thing happen and he and the pickup guy (PG) got me loaded into the truck for a ride home... PG told me his name but I've forgotten already.  I was in serious pain and couldn't even stand up without help.  PG got me home and into the wheelchair I have in my garage, and wished me well.  It took me about an hour in the wheelchair, and multiple failed attempts to stand up with crutches before I allowed Diablo Wife to take me to the Emergency Department at John Muir Hospital.

Triage included leg manipulation, X-rays, and CT scan; diagnosis = three cracks in my pelvis.  No surgery necessary, but they admitted me as a patient and gave me a room.  Diablo Wife, Diablo Daughter, and Boyfriend of Diablo Daughter all stayed with me in the patient room until lights out.

Approximate locations of "non-displaced pelvic fractures"



*****************************************************
three pelvic fractures, night in hosp but I'll be ok... watch this spot!

15 comments:

Anonymous said...

Sorry to hear about your crash. Hope you rrecovr quickly. I too suffered two pelvic fractures during a crash. Took awhile to heal but I was eventually riding again

Curtis Corlew said...

Wishing you well. I could see the sudden stop on Strava.

Anonymous said...

Scott, wishing you a speedy recovery!!!

Keith said...

Scott! Iconic chronicler of all things Diablo! I wish you a speedy and hopefully non-surgical recovery! Keith

Curtis Corlew said...

I am watching this spot... Need DS updates. Wishing you well as can be.

SpikeMuffin said...

Sorry to hear this Scott! Details please...I'm on my way up there. Hope you have a speeding recovery and get back on it soon! Take care and listen to the PT's.

SpikeMuffin said...

I went through there this morning doing a rare up and over from the North side(I'm a SouthSider) and was thinking how that could happen. One wet leaf would be all it takes. Freak accident DS, time will take care of it if you follow instructions!

Midland said...

Sorry to hear about your crash. Hope you mend well & quickly. We will be "borrowing" your mountain until your back at the summit.

ben said...

Hey Scott, just read the bad news... I go down at least twice a year and know how quickly and unexpectedly it happens. (if it happened predictably, it likely wouldn't happen a all, right?) I'm glad you are healing, but sorry to hear about the extreme pain! I've heard that about pelvic injuries. Keep us informed of your condition and let us know when enough time has passed to allude to the obvious relationship between your age and your broken hip. I don't want to overstep the boundaries of common decency on that one. Stay strong. -Klein guy Ben

Diablo Scott said...

Hey thanks everyone - but you anonymous guys should identify yourselves for me.

@Ben - Notice on my pelvis photo that the hip joints are well below where my cracks are. Of course hip joint was exactly what I was afraid of, regardless of the old person stigma of such an injury, but the hip joint is fine. Ortho doctor said if I had clipped out before the fall it might have been worse, but since my feet were attached, the widest part of the bone is what hit the floor, and my leg didn't get yanked sideways or anything which would have involved the hip joint. So not having any time to react or prepare for the fall was actually a good thing.

Anonymous said...

There goes your Paris Roubaix---best wishes for a speedy recovery -- Pumpkincycle

Keith said...

Hey Scott!
I enjoyed the walker cam but got a little worried when you headed for the potty! I look forward to the crutch cam and after that the cane cam! Maybe you should buy yourself a new gopro to replace your orphaned contour. Retail therapy! As always your wry humor shines through. Hang in there

Rick said...

Scott,
I smiled when you wrote about not feeling so "useless" :) Now you have to worry about feeling "listless"! Diablo Scoot, that is a hoot!

Curtis Corlew said...

I am reading your followup posts and wishing you well. I rode your mountain for you Sunday, but skipped the wall as folks were waiting for me at te junction. I would have done the true summit, but I recall reading that you said the lot still counts. Take good care of your own bad self. BTW, didn't you promise of the end of your last ride?

Mike said...

Just checked in to see how you are doing as I get everything via feed reader and hadn't seen anything. Glad to see you up and around. Interested in the beer brewing - that's something I'm looking at doing myself soon.

I read somewhere that Beer helps bones heal faster
;)