{"id":4921,"date":"2011-10-11T19:35:46","date_gmt":"2011-10-12T02:35:46","guid":{"rendered":"http:\/\/blogs.law.harvard.edu\/yulelog\/?p=4921"},"modified":"2011-10-11T19:35:46","modified_gmt":"2011-10-12T02:35:46","slug":"still-hobbling-along","status":"publish","type":"post","link":"https:\/\/archive.blogs.harvard.edu\/yulelog\/2011\/10\/11\/still-hobbling-along\/","title":{"rendered":"Still hobbling along&#8230;"},"content":{"rendered":"<p>And now it&#8217;s three weeks, give or take a day, that this mystery ailment has limited my mobility: <a href=\"http:\/\/blogs.law.harvard.edu\/yulelog\/2011\/09\/28\/what-does-a-sprained-foot-have-to-do-with-trust\/\">I&#8217;m referring to my possibly-stress-fractured right foot<\/a>, which still hasn&#8217;t <em>significantly<\/em> improved. As I wrote on Sept.28, an x-ray failed to reveal a fracture &#8211; and I was actually quite happy about that &#8230;probably because I thought I&#8217;d be tripping the light fantastic within a week since, surely, there was no fracture. Right? Well, my glee was premature.<\/p>\n<h4>Turns out I needed a bone scan after all.<\/h4>\n<p><a href=\"http:\/\/en.wikipedia.org\/wiki\/File:CT_3D_human_Foot_Skin_and_Bone.jpeg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright\" style=\"border: 8px solid white\" src=\"http:\/\/upload.wikimedia.org\/wikipedia\/commons\/d\/d6\/CT_3D_human_Foot_Skin_and_Bone.jpeg\" alt=\"\" width=\"240\" height=\"240\" \/><\/a>Earlier today, I went to the hospital to get an injection of <a href=\"http:\/\/en.wikipedia.org\/wiki\/Radioactive_tracer\">radioactive phosphorous<\/a>, and several hours later my foot bones were scanned for about 30 minutes in three 10-minute increments: both feet together, once in pigeon-toe position; then side-by-side from the side; and finally flat on the plate, filmed from top and bottom.<br \/>\nWhile it will be another week before I can return to the walk-in clinic for the doctor&#8217;s assessment, I did get a peek at what the technician was producing for the radiologist who will read my scans. Did not like what I saw.<\/p>\n<p>First, the good-interesting part, the science (as understood by unscientific me): The method for getting the images is ingenious &#8211; from what I gathered, the radioactive material (quite a minimal amount) emits &#8230;well, radioactivity, which the camera can then pick up, over 10 minute increments (times 3, for a total of 30 minutes). This in turn creates a composite of what&#8217;s going on in the foot: where in the foot is the osteo-related cellular activity going gang-busters, for example, and where is it just chugging along in business-as-usual mode. Think of it as a webcam on a live event. In an x-ray, tissues and bones are bombarded by a single &#8220;large&#8221; dose of radiation all at once, which the camera snaps quickly. But in the scan process I underwent today, it&#8217;s sort of the reverse: the camera works slowly, capturing the tiny amount of radioactivity that&#8217;s actually in my system, and which is making visible what&#8217;s happening with the bones (maybe that&#8217;s the phosphorous part?, I don&#8217;t know). It captures this over time, and all that data is put together to create an image. Neat! \ud83d\ude42<\/p>\n<p>But now for the part that&#8217;s bad-mysterious: from the scans, even I could tell that there were two major problem areas in the right foot. The heel (which, interestingly, had been giving me problems for months &#8211; <em>like<\/em> plantar fasciatis, yet <em>not<\/em>), and the <a href=\"http:\/\/en.wikipedia.org\/wiki\/Tarsal_bones\">tarsal<\/a> (cuboid) area right across the foot were clearly in trouble. Both areas lit up like xmas trees.<\/p>\n<p>I plan to walk for decades to come. Sure hope we can figure out not just that there&#8217;s something broken, but also how to make sure there&#8217;s no repeat performance once it has healed.<\/p>\n<p>On the comic relief front: after injecting me with the radioactive phosphorous (which is done in the hospital&#8217;s <a href=\"http:\/\/en.wikipedia.org\/wiki\/Nuclear_medicine\">nuclear<\/a> facility &#8211; I kid not, scientists don&#8217;t mince words), the technician cautioned me to stay away from pregnant women and told me not to coddle babies (no problem). She also said that if I were to travel through airport security in the next week or so, I might alarm the security personnel. For some reason, this made me want to book a flight right away.<\/p>\n<p>When I went back in the afternoon, a man was lying on a gurney &#8211; he didn&#8217;t seem conscious. While I sat in the waiting area for my scan, he woke up, calling for a nurse. He needed to urinate, so the nurse provided him with a plastic bottle &#8230;which her colleague then took from her, saying (no joke) that she needed to dispose of it since the contents were radioactive.<\/p>\n<p>This of course made me wonder how I&#8217;m contributing to toxic waste in the <a href=\"http:\/\/www.crd.bc.ca\/\">CRD<\/a> when I go to flush my toilet at home&#8230;<\/p>\n<p>I also asked how much I was costing the system with my scan and was pleasantly surprised to learn that my procedure was only at the ~$400 mark. Well done, <a href=\"http:\/\/www.health.gov.bc.ca\/msp\/\">BC Medical<\/a>. But if I had my druthers, I&#8217;d prefer not to cost you a dime&#8230;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>And now it&#8217;s three weeks, give or take a day, that this mystery ailment has limited my mobility: I&#8217;m referring to my possibly-stress-fractured right foot, which still hasn&#8217;t significantly improved. As I wrote on Sept.28, an x-ray failed to reveal a fracture &#8211; and I was actually quite happy about that &#8230;probably because I thought [&hellip;]<\/p>\n","protected":false},"author":311,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[203,1242],"tags":[],"class_list":["post-4921","post","type-post","status-publish","format-standard","hentry","category-health","category-just_so"],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/archive.blogs.harvard.edu\/yulelog\/wp-json\/wp\/v2\/posts\/4921","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/archive.blogs.harvard.edu\/yulelog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/archive.blogs.harvard.edu\/yulelog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/archive.blogs.harvard.edu\/yulelog\/wp-json\/wp\/v2\/users\/311"}],"replies":[{"embeddable":true,"href":"https:\/\/archive.blogs.harvard.edu\/yulelog\/wp-json\/wp\/v2\/comments?post=4921"}],"version-history":[{"count":10,"href":"https:\/\/archive.blogs.harvard.edu\/yulelog\/wp-json\/wp\/v2\/posts\/4921\/revisions"}],"predecessor-version":[{"id":4931,"href":"https:\/\/archive.blogs.harvard.edu\/yulelog\/wp-json\/wp\/v2\/posts\/4921\/revisions\/4931"}],"wp:attachment":[{"href":"https:\/\/archive.blogs.harvard.edu\/yulelog\/wp-json\/wp\/v2\/media?parent=4921"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/archive.blogs.harvard.edu\/yulelog\/wp-json\/wp\/v2\/categories?post=4921"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/archive.blogs.harvard.edu\/yulelog\/wp-json\/wp\/v2\/tags?post=4921"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}