{"id":6177,"date":"2025-04-28T16:42:35","date_gmt":"2025-04-28T16:42:35","guid":{"rendered":"https:\/\/ngtrains.com\/blog\/?p=6177"},"modified":"2025-05-25T16:11:55","modified_gmt":"2025-05-25T16:11:55","slug":"one-step-forward-one-step-back","status":"publish","type":"post","link":"https:\/\/ngtrains.com\/blog\/one-step-forward-one-step-back\/","title":{"rendered":"One Step Forward &#8211; One Step Back"},"content":{"rendered":"<p>I\u2019m not particularly thrilled that my blog is all about my bad leg but as it currently dominates my life and friends and customers keep asking how I am doing this is the easiest way to keep them posted.<\/p>\n<p><a href=\"https:\/\/ngtrains.com\/blog\/wp-content\/uploads\/2025\/04\/April-Comparison-for-web.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-6174 size-thumbnail\" src=\"https:\/\/ngtrains.com\/blog\/wp-content\/uploads\/2025\/04\/April-Comparison-for-web-150x150.png\" alt=\"\" width=\"150\" height=\"150\" \/><\/a>We left the wonky leg looking much better last Tuesday immediately prior to it being placed in the next round of compression bandages and feeling a lot more confident it was getting better as the improvement in three weeks was remarkable.<\/p>\n<p>In the background I had been on a course of antibiotics, the fifth since this kicked off, which finished on Easter Saturday and would have been working their way out of my system by the good news Tuesday.<\/p>\n<p><a href=\"https:\/\/ngtrains.com\/blog\/wp-content\/uploads\/2025\/04\/Pads.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-6178 size-medium\" src=\"https:\/\/ngtrains.com\/blog\/wp-content\/uploads\/2025\/04\/Pads-153x300.png\" alt=\"\" width=\"153\" height=\"300\" srcset=\"https:\/\/ngtrains.com\/blog\/wp-content\/uploads\/2025\/04\/Pads-153x300.png 153w, https:\/\/ngtrains.com\/blog\/wp-content\/uploads\/2025\/04\/Pads-523x1024.png 523w, https:\/\/ngtrains.com\/blog\/wp-content\/uploads\/2025\/04\/Pads.png 600w\" sizes=\"auto, (max-width: 153px) 100vw, 153px\" \/><\/a> By Friday it had all gone horribly wrong! My leg was bleeding and that was sticking to the dressing. The pain had gone from not hurting on Wednesday to can\u2019t bear to stand on it by Friday.\u00a0 Initially, I was blaming the nurse that did the dressing as only a few are trained to do it and this was different (we do have a league table -the others are all amused that the boss is bottom of the table). <a href=\"https:\/\/ngtrains.com\/blog\/wp-content\/uploads\/2025\/04\/League-table.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-6181 size-medium\" src=\"https:\/\/ngtrains.com\/blog\/wp-content\/uploads\/2025\/04\/League-table-300x88.jpg\" alt=\"\" width=\"300\" height=\"88\" srcset=\"https:\/\/ngtrains.com\/blog\/wp-content\/uploads\/2025\/04\/League-table-300x88.jpg 300w, https:\/\/ngtrains.com\/blog\/wp-content\/uploads\/2025\/04\/League-table.jpg 530w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a> I phoned to try and get an appointment that day (stop laughing) but was told to cope and they\u2019d see me first thing on Monday.<\/p>\n<p>Annie &amp; I get a rating as we had to reassemble it all on Saturday using recycled components!<\/p>\n<p>When I took the dressing off it was clear it wasn\u2019t just crap dressing but that the infection was back with some force. By the end of Saturday the other leg was joining in.<\/p>\n<p>Its fair to say I was pretty despondent that such good progress had been wiped out.<\/p>\n<p>This morning was bedlam at the surgery. I had two appointments on different floors that overlapped. In the end I was in one room having Tanya doing the dressing done whilst the nurse for my INR test, Jade, nipped into stab me for that plus the duty doctor, Dr Forrest, was called into see my leg.<\/p>\n<p><a href=\"https:\/\/ngtrains.com\/blog\/wp-content\/uploads\/2025\/04\/Post-Tanya-Monday.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-6179 size-medium\" src=\"https:\/\/ngtrains.com\/blog\/wp-content\/uploads\/2025\/04\/Post-Tanya-Monday-139x300.png\" alt=\"\" width=\"139\" height=\"300\" srcset=\"https:\/\/ngtrains.com\/blog\/wp-content\/uploads\/2025\/04\/Post-Tanya-Monday-139x300.png 139w, https:\/\/ngtrains.com\/blog\/wp-content\/uploads\/2025\/04\/Post-Tanya-Monday.png 400w\" sizes=\"auto, (max-width: 139px) 100vw, 139px\" \/><\/a>The despondency has turned back towards a bit of optimism tempered by my leg still hurting like hell for the moment. There was an immediate restart of the anti-biotics, a swab taken to check they\u2019re the right ones, and advice as to which of the GP\u2019s its best to see to talk about longer terms treatment. Even then at that point I was thinking, \u201cyeah, I bet that\u2019s three weeks on Thursday at the earliest.\u201d Then Tanya played a blinder, bypassed the receptionists and booked it for 11:15 tomorrow. There\u2019s a reason she\u2019s top of the league table!<\/p>\n<p>Hopefully, we&#8217;ll be on course for improvement again. \u00a0The nurses that do this compression bandaging have additional training. Rachel, in particular, its her specialisation and set up the original compression care plan.<\/p>\n<p>There is a bit of conflict between the nurses and doctors at this point. The wound care and compression treatment can increase the risk of the infection as, basically, its squeezing the bad stuff out of the leg. The treatment plan indicates that a longer term course of a mild antibiotic may be warranted to stop this happening. Trouble is the nurses have to get the Dr\u2019s to sign the prescription and they\u2019ve all had the memo about antibiotic resistance without the specialist knowledge that in this case mandates it and won\u2019t sign the chit.<\/p>\n<p>I\u2019d argue that six courses of flucloxacillin does more for compromising antibiotic immunity than a long low dose of a milder one.<\/p>\n<p>Rachel failed but Sharron last Wednesday got somewhere and sent me a message to make an appointment to see a Doctor to discuss.\u00a0 The trouble with that is that, like many, you can end up with a random doctor. Our surgery has 20 Drs and 3 sites. I\u2019ve never seen the one that is my nominated doctor.<\/p>\n<p>The other slight advantage of this mornings medical mobbing was that Duty Doc Carolyn was able to say \u201cyou\u2019re best seeing Dr Vanessa for this issue\u201d and Tanya made an appointment bypassing the receptionists.\u00a0 [should add that the receptionists are generally very good but are up against it with too many people for too few appointments]<\/p>\n<div class=\"pvc_clear\"><\/div>\n<p id=\"pvc_stats_6177\" class=\"pvc_stats all  \" data-element-id=\"6177\" style=\"\"><i class=\"pvc-stats-icon medium\" aria-hidden=\"true\"><svg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"chart-bar\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\" class=\"svg-inline--fa fa-chart-bar fa-w-16 fa-2x\"><path fill=\"currentColor\" d=\"M396.8 352h22.4c6.4 0 12.8-6.4 12.8-12.8V108.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v230.4c0 6.4 6.4 12.8 12.8 12.8zm-192 0h22.4c6.4 0 12.8-6.4 12.8-12.8V140.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v198.4c0 6.4 6.4 12.8 12.8 12.8zm96 0h22.4c6.4 0 12.8-6.4 12.8-12.8V204.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v134.4c0 6.4 6.4 12.8 12.8 12.8zM496 400H48V80c0-8.84-7.16-16-16-16H16C7.16 64 0 71.16 0 80v336c0 17.67 14.33 32 32 32h464c8.84 0 16-7.16 16-16v-16c0-8.84-7.16-16-16-16zm-387.2-48h22.4c6.4 0 12.8-6.4 12.8-12.8v-70.4c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v70.4c0 6.4 6.4 12.8 12.8 12.8z\" class=\"\"><\/path><\/svg><\/i> <img loading=\"lazy\" decoding=\"async\" width=\"16\" height=\"16\" alt=\"Loading\" src=\"https:\/\/ngtrains.com\/blog\/wp-content\/plugins\/page-views-count\/ajax-loader-2x.gif\" border=0 \/><\/p>\n<div class=\"pvc_clear\"><\/div>\n","protected":false},"excerpt":{"rendered":"<p>I\u2019m not particularly thrilled that my blog is all about my bad leg but as it currently dominates my life and friends and customers keep asking how I am doing this is the easiest way to keep them posted. We left the wonky leg looking much better last Tuesday immediately prior to it being placed [&hellip;]<\/p>\n<div class=\"pvc_clear\"><\/div>\n<p id=\"pvc_stats_6177\" class=\"pvc_stats all  \" data-element-id=\"6177\" style=\"\"><i class=\"pvc-stats-icon medium\" aria-hidden=\"true\"><svg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"chart-bar\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\" class=\"svg-inline--fa fa-chart-bar fa-w-16 fa-2x\"><path fill=\"currentColor\" d=\"M396.8 352h22.4c6.4 0 12.8-6.4 12.8-12.8V108.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v230.4c0 6.4 6.4 12.8 12.8 12.8zm-192 0h22.4c6.4 0 12.8-6.4 12.8-12.8V140.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v198.4c0 6.4 6.4 12.8 12.8 12.8zm96 0h22.4c6.4 0 12.8-6.4 12.8-12.8V204.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v134.4c0 6.4 6.4 12.8 12.8 12.8zM496 400H48V80c0-8.84-7.16-16-16-16H16C7.16 64 0 71.16 0 80v336c0 17.67 14.33 32 32 32h464c8.84 0 16-7.16 16-16v-16c0-8.84-7.16-16-16-16zm-387.2-48h22.4c6.4 0 12.8-6.4 12.8-12.8v-70.4c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v70.4c0 6.4 6.4 12.8 12.8 12.8z\" class=\"\"><\/path><\/svg><\/i> <img loading=\"lazy\" decoding=\"async\" width=\"16\" height=\"16\" alt=\"Loading\" src=\"https:\/\/ngtrains.com\/blog\/wp-content\/plugins\/page-views-count\/ajax-loader-2x.gif\" border=0 \/><\/p>\n<div class=\"pvc_clear\"><\/div>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-6177","post","type-post","status-publish","format-standard","hentry","category-commentary"],"a3_pvc":{"activated":true,"total_views":136,"today_views":0},"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/ngtrains.com\/blog\/wp-json\/wp\/v2\/posts\/6177","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ngtrains.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ngtrains.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ngtrains.com\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/ngtrains.com\/blog\/wp-json\/wp\/v2\/comments?post=6177"}],"version-history":[{"count":2,"href":"https:\/\/ngtrains.com\/blog\/wp-json\/wp\/v2\/posts\/6177\/revisions"}],"predecessor-version":[{"id":6183,"href":"https:\/\/ngtrains.com\/blog\/wp-json\/wp\/v2\/posts\/6177\/revisions\/6183"}],"wp:attachment":[{"href":"https:\/\/ngtrains.com\/blog\/wp-json\/wp\/v2\/media?parent=6177"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ngtrains.com\/blog\/wp-json\/wp\/v2\/categories?post=6177"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ngtrains.com\/blog\/wp-json\/wp\/v2\/tags?post=6177"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}