Wednesday, August 8, 2012

The Appalachian Trail- (D. 34, 12.1 mi)

Day 34 (Erwin, TN --> Deep Gap Patch) (354.1 mi total)
Alright guys,
Hope all is well and sorry for the temporary lack of attention that I have given the blog.  Unfortunately the internet and/or libraries aren't as important in some of these towns as we might think.  I meant to update in Demascus, Va but the library was in between location changes.  Therefore I am finally getting the time to update here in Marion, Va.  A lot has happened since we last talked.  If you weren't aware Ed has headed home in hopes of seeing his first niece/nephew being born.  Alsobrook reluctantly left a little earlier in the trip due to a pretty serious injury to the foot.  No worries, he is currently in recovery back in Memphis and has left me with a link explaining his situation.  Brasky has a way with words so if you aren't one for details I put an arrow next to the juicy stuff.  I love Brooks (even if you cant say it back ;)  ) and Ed and will miss them dearly on this trip!! Can't wait to see you guys soon again in the M.

My Guardian Angel Wears a Hardhat
Written by William Alsobrook aka “Brasky”
I’ve been home for 2 days, and it is boring.  This is only exacerbated by the fact that I am somewhat resigned to the couch/bed.  But in my boredom, I came to watch The Last Waltz, the final concert of The Band.  I had actually never seen this before and when Eric Clapton came on stage to play with Levon and friends, I remembered how this all started.  “Wait, what?” you may say.  I’ll explain what’s going on. 
Well, it all started Sunday July 22, 2012; see we were on our way out of Hot Springs, NC very much anxious to break into the 300s in terms of mileage.  On this particular day, we were set up to do about 15 miles, but were off to a slow start due to some extenuating circumstances (one of us was ill, but that’s not my story to tell). 
Ever since we had left Hot Springs, I could feel my little toe on my left foot rubbing against my shoe, but the irritation didn’t seem like much and did not occupy my thoughts.    I had other blisters that were doing ok; it seemed to just be part of the experience. I did find it strange that I was having blister trouble now after having been walking for 4 weeks already, but it’s always something, isn’t it?
Now it was about mid-day on this Sunday and we were taking a break at Allen Gap (mile 286).  Water was somewhat scarce or unreliable and we were about to climb.  Before we got ready to go, I offered to backtrack a little ways to throw our trash away in some canisters that we had passed. On the way, a song by the name of “Further on up the Road” played in my head.  (This is the same song Clapton played with the Band, here is a link if you are so inclined to have a listen: http://www.youtube.com/watch?v=A6IGH53PZ6Y )
As I walked, I could feel that my toe was definitely not liking things and it started bothering me.  I knew that I was going to need to try to patch it up before going any further on up the road.  The band-aid already in place was not enough.  When I took off my shoe and sock, there was no blister, only a very tender area.  I thought placing some moleskin over the area would alleviate things, so I did my best with duct tape and the moleskin and put my shoe back on.  It definitely burned pretty good for a few minutes.
It took a while to warm up and the toe began to become the focal point of the walk.  I had to move on, though; we had something like 11 miles to our destination.  It was a rough 11 miles.  Half a mile from the shelter, Robert saw a huge black bear heading towards him on the trail and I was feeling out of it; lethargic would be a good word and maybe add flu-like in there as well.  I didn’t want to eat when we got to Jerry Cabin Shelter, and I sure as hell didn’t want to take off my shoes and see the damage.  I ended up just setting up my hammock (with the help of Robert) and called it a day at 8 o’clock.   
I woke up the next morning feeling much better, except my toe was a mess. For what was probably 30 minutes, I attempted to drain the blister on my little toe, using a lighter and a sewing pin.  But the small holes would close off and the blister would fill back up.  I sat there just wondering how in the world I was going to patch it up to walk on it.  I ended up just wrapping the toe in clean toilet paper, putting some moleskin on top and prayed to my guardian angel to help me out.
We had a big day planned, as we were going to Ed’s cousin’s house for a night off the trail, but we had 17 miles to get to the pickup point.  Over the course of our hike, we had come across a sayingl, “It’s just walkin’.”(or sometimes “It’s just Christopher Walken.”)  So that’s just what we did.  We walked those 17 miles and the thing is, my toe never gave me too much of a problem.  It hurt far more the day before. 
Jim, Ed’s cousin and provincially an MD, picked us up at Sam’s Gap.  After stopping and cooling down, I started feeling lethargic.  We got to the house, where Margie, Jim’s wife, greeted us.  We took showers and then ate dinner.  So then it came time to look at my foot.  Margie had some nursing experience in this area and led the examination.
I’ll describe it (there may be a picture somewhere out there), my left foot was entirely swollen, red, and hot to touch.  My little toe looked bruised and had evidence of some bleeding.  The blister was on the inside top part of the toe and consisted of the full length of it.  I also had blisters on both heels and underneath the left big toe.  The most telling sign, though, was a red streak going up my left leg.   A visit to the emergency room was suggested; I conceded.
In the ER, I got tested for tick related diseases, X-rays, blood cultures, blood work, and cultures from my blisters.  I also received and IV of Rocephin.  The attending physician told me no hiking for 5-7 days, gave me a script for Doxycycline, and discharged me.  I went to sleep that night wondering what the hell was going to happen to my wilderness excursion, but that would be decided for me shortly. 
The next morning Margie woke me up, wanting to look at my foot before Jim went off to the hospital.  It was still pretty swollen and hot, but it appeared the red streak had retreated, slightly, down to my shin.  Jim recommended I go see a podiatrist; again, I followed his suggestion.
I called my sister, Anna, the night before and told her the news, now it was time to inform my parents.  I had already come to terms that I would not be able to continue but I did not know how the next step would play out.  I looked for ways home, bus rides from Knoxville and plane tickets from Charlotte.  Anna was going to meet me, coming from the area on her 3 days off, and we planned on going to Knoxville.
Margie, on her day off, drove me the 30 minutes to the podiatrist’s office.  Another set of X-rays were in store and another person I had to tell my story.  Well, I’m not sure what I expected when I walked into that office, but I was not mentally prepared for what was in store.
Dr: “Well, I know you probably don’t want to hear this, you having been on this long hike for several weeks and you probably have just now settled into it.”
 I thought, “It’s ok, I’ve already come to terms with stopping for a week or two.”
Dr: “But with the state your foot is in and the rapid onset of symptoms and that red streak…” 
“Here goes him telling me I’m going to have to quit for a few weeks.” I thought
Dr: “I think you need to be admitted to the hospital.”
“WHAT?”
Me: silent (imagine that, I don’t think I said a word)
He tells me he is going to call some colleagues in Asheville who do hospital rounds.  He then goes on in the next five minutes conveying the seriousness of the situation and thoroughly freaking me out.  He says that depending on how deeply the infection had infiltrated would determine the recovery time.  Amputation was very unlikely, but...  “But…why say but? No, there is no but.” I thought.
Well, change of plans.  I was a direct admit to Mission Memorial Hospital in Asheville.  Margie drove me there.  Anna met me there.  I was really there.  I hadn’t been in one place for more than a day since we left over a month ago.  How long would this take?
Margie stayed until I got situated and all I could do was wait.  The podiatrists wouldn’t be there until around 7 or 8 at night.   There was talk of debridement (cleaning of wound/excision of dead tissue and infection) so I did not eat anything.  Then around 3 they say, go ahead, eat, they won’t do anything tonight.  Well, first thing Dr. Moore talks about is debridement.  “When did you last eat?” she asked.  “Haha, for real?” I thought.  I had to wait until midnight for the procedure. 
In the OR they said I was the healthiest patient they had seen Dr. Moore work on.   I guess she sees a lot of diabetics.  All said and done, it took about 40 minutes and I was back in my room asleep.  Thanks be to Anna for staying with me for 2 ½ days and for sleeping in a chair and all on her days off work.
So basically I waited around for days for the cultures to come back so the infectious disease doctor could figure out what oral antibiotic to give me.  Meanwhile, I got IV antibiotics, slept a lot, and had to explain to countless people what had happened.  I also had more X-rays (totaling 3 sets in 2 days).  I finally got out of there after 3 ½ days and my parents came up (thank you) to take me back home, which is where I’ve been for 2 days.  Hopefully in a short time I can get back out there; I do still have both feet and ten toes.  I know this was a bit anticlimactic, but I realized it was getting longwinded and I needed to finish this up.
----> ****To recap this whole ordeal; I got some blisters, blisters got infected, walked some, met up with some extremely helpful people, went to the ER, went to a podiatrist who scared me, went to the hospital, sat around for a few days, got antibiotics, went home and that is where I am now; bored by sitting.  The food ain’t so bad, though.
I want to say thank you so much to Margie and Jim for everything.  They went above and beyond in order to take care of not just me, but all of us.  They called every day I was in hospital just to see how everything was progressing and to see if they could be of any help.  It was a blessing to have run into them at the time we did; my situation could have been much worse without timely intervention.
So in case you noticed I was missing from some previous conversation, or maybe you had no idea I was even on the trip, that’s my story and maybe, at some point, I’ll be able to go further on up the road.  

Here's some photos from the day after we left Erwin, TN.   The campsite we found was my favorite by far, everything seemed to work out this day.  Great water, great fire, and great location. 
Ed (formerly Jax, currently Jude) creating fire with bolts from his eyes.

Trying to capture the little glimpse of sunset we got. 

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