Mohs on the Nose

Archive for the ‘third metatarsal fracture’ Category

OK, kids, today we’re gonna learn about fractures – foot fractures, to be exact. To start, here’s an X-ray taken today of my swollen foot.

Fractured 3rd Metatarsal

As you can see, the third, or middle metatarsal is broken. Why didn’t this show up on the first set of X-rays I had taken almost two weeks ago? Well, here’s the theory, and it makes sense. The day the first X-rays were taken was the same day that I later gimped all over the neighborhood carrying one dog while chasing down the other one. Stress fractures usually don’t show up on X-rays because they’re more like a crack than a break. Most likely, that’s all  I had when those first X-rays were taken. The “runaway dogs” episode is prolly what completed the break and dislocated the bone. So, I’ve been walking around with this injury for at least two weeks, plus the week that it was most likely a stress fracture.

What’s interesting about this fracture is that it’s uncommon for the third metatarsal to break. It has the support of two other metatarsals on either side, which usually protect it. How mine broke is anyone’s guess, but if anyone is going to have an unusual injury or illness, it will always be me. (Any of my friends will confirm this.)

What are we doing about this fracture? Well, nothing really. Except staying off it as much as humanly possible. It has already started the healing process and Dr. G. expects it to heal normally without using a cast or walking boot. He said if I still have pain in four weeks, I need to see him again; otherwise, I’m on my own. I’m soooo glad I don’t have to wear a walking boot or a cast!

Now, about the nose….When I took the bandage off this morning before showering, my nose was covered with yellow “seepage” (the stuff scabs are made of) as the wound continues to heal. I tried to *gently* remove as much as I could, but it actually made me nauseated. I broke into a cold sweat, the room started spinning, and I started to gag. I had to lie down until the nausea passed, and I didn’t mess with it any more, except to put the new bandage on after my shower. I will say, tho, that it’s healing really well. If you’re wondering why I didn’t take a pic this morning, hello? Go back and read the first two sentences of this paragraph. If it made me sick, imagine what it could do to the general public.

Today was also the first day in almost two weeks that I put on any makeup. It gave a major boost to my self esteem, even tho I still have a bandage on my nose. Not only did I go to the doctor’s office and radiology lab, I also strolled around Marshall’s and picked up groceries at Nob Hill. Only one person seemed to notice my bandage, and I was very close to saying to her, “Hey lady. Don’t be so rude. It’s only a bandage.” Geez.

When my doctor first saw me today, he looked at my bandage and asked, “Was this intentional or an accident?” He thought for a minute that I’d had a nose job. When I told him it was the result of Mohs surgery for skin cancer, he said he’d had basal cell carcinoma removed from his face, too, but his didn’t require Mohs. Lucky guy.

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