Monday, 23 November 2015

Day 108 - How to Cone a stump

16:00
I slept well after a 2 hour battle with the phantom pain keeping me from sleep.
Last weeks chemo seems almost wore off. My angiosarcoma will only have to wait a few more days before it gets another chemo whack.

We drove to the wound care lady and I got my stump wound looked at. She says it looks perfect. She played with the scabs from the stitches. She said the scabs are not ready to come off yet. Maybe next week, but most probably the following week. Only after the scabs fall off by themselves will she start the coning procedure. She guesses 2 to 4 weeks of coning before the stump is ready for its first socket. So we are looking at first of the new year before any prosthesis work can begin. I am ready now!

Coning is a pain, but necessary to get the stump shaped right for the socket.
Here is how to cone a stump.
 The biggest hassle with coning is the stump must be unwrapped, massaged, and re wrapped every 6 hours. The stump will quickly regain a swollen shape if left unwrapped for more than a few minutes.
It usually takes between 2 and 4 weeks to get the stump shaped properly and ready for a socket.
An above the leg amputation has special problems. There is no firm support between the body, and the prosthetic leg. Just a fluid filled stump. Right now my stump looks like walrus. All fat and jelly like. Coning tries to remove most of the moisture, so as to have a more firm place to attach the prosthesis.

One interesting thing I read today, is the recommended medications for phantom pain. They recommend Pregabalin (Lyrica), Tripaline, and Tramadol (Tramacet). I guess my doctor reads the internet, because I am on all three.
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18:30
I just crutched .5km. I was going to do a kilometer, but my shoulder started talking to me, and I did 1km yesterday, so maybe I need a bit of a break. I want to crutch to the blood test place tomorrow. It is about 1.1km from home. Maddie will meet me at the small shopping center for breakfast.

We didn't watch Green Lantern last night, so we will watch it tonight.


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