Legs & Diabetes

911

Well-known Member
Location
USA
I was really thinking hard if I wanted to post the following message or not, but here goes. I am the type of person that if I see someone in need, I will sometimes make it my businesses to intervene. I will often stop at a coffee shop not far from my house to have a cup of java and maybe see someone I know that will sit with me and have a conversation with.

I have seen this fellow in the shop on and off several times the past year, so I asked the waitress about him and she told me that he works there during the overnight hours. As he was sitting at the table some 10 feet away, I saw him continuously rubbing his right leg. I guess he caught me staring at him and he told me that his leg was killing him. I asked him what was the problem and he said that it’s swollen. I asked him if I could see it and he told me that he was warning me that it’s not pretty to look at. I told him not to worry, I saw a man in Vietnam have his head blown off. With that, he raised his pant leg and I noticed his leg being about twice it’s size, very red with very small red blisters.

I told him that he needed to get to a walk-in clinic or to the E-room at the hospital. I also told him that I thought it could be infected. Then, I asked him if he had diabetes and he said that he did. I asked him if he needed a ride to the hospital and he refused and told me that he would call his doctor. Then, he got up and left the shop. After he was out the door, the waitress told me that he was basically homeless. She said that he lives with his brother who only allows him into the house when he “feels like it.”

That statement pissed me off. I hustled out the door and into my car and found him walking down a very busy major highway. I talked him to get into my car and took him to the hospital. I sat there with him for 2 1/2 hours while the doctor did some testing. Luckily the doctor remembered me from my working years and gave us a little expeditious treatment. Finally, the doctor came back into the room and told John (the patient) that he probably should be dead. They told him that his foot and leg are severely infected and that gangrene has begun. Needless to say, they admitted him. I also told them about his living arrangements and they told me that they would contact Social Services and make sure that he is properly and humanly treated.

With that done, I left. Do you think that I should continue to watch over him, or have I done my job? I wrestle with this. Maybe just check back in a few days or a week and make sure he has secured suitable living arrangements? I don’t know. You know how it is. Sometimes when you involve yourself, you kind of feel responsible, or at least, I do.
 

It's imbedded in you for life to spot issues of the needy folks around you and be a guiding force for them.....you are so admired from all of us for that xo....and you've seen so many horrible things being part of law enforcement and emergency situations....
my opinion is that your support with this fellow will surely be accepted if you follow up on him, even if he feels a bit of intrusion....you can keep it short and sweet if you detect his not wanting the attention cuz of embarrassment, shame, etc....not to mention he's probably very lonely too.
besides, how are you ever gonna know his progress as he travels thru this experience by himself?

I know lots of folks out there don't want the help they should get cuz life is just too hard for them and they have no hope.

Keep us posted guy ;)
 
I think for my own peace of mind, I need to just make sure he is being properly cared for. The problem is due to the virus, it’s not like before where anyone could just walk into the hospital. So, I have the doc’s name that took care of him in the E-room, so I am going to start there. I’ve come this far and feel like I have a small vested interest and I need to make sure that he is OK.
 
I thought gangrene was visible.
I never saw his foot, but his leg was enough. I never knew a whole leg could swell like his. The small blisters or whatever they are were very suspicious looking. Some looked like they were open and draining. I never knew anyone with diabetes and saw a leg like that. I know people that have diabetes, but never asked to see their leg.

When I walk into my doctor’s office, he has a sign on the wall that reads, “If you have Diabetes, please remove your shoes and socks so the doctor may check your feet.” I often wondered why?
 
Good on you for trying to help.
A homeless person will probably not eat the way a diabetic should eat; most likely he will have to eat whatever is available. If he occasionally lives in his brother's house, he will have to eat whatever he finds there & if his brother is not diabetic, he won't have diabetic-friendly foods.
Example: People who don't have diabetes can just "Grab a Sandwich & a Pepsi." A diabetic has to think about the 20 gms carbohydrates in each slice of bread, plus whatever is in the sandwich, plus the 40 gms sugar in the drink.

It is often difficult and challenging for a diabetic to eat healthy, even when he is physically able to. He probably also won't have access to testing supplies or insulin.
 
Bless you,911! That’s the most wonderful story of human kindness that I’ve heard in months.
And such an advantage that the Dr knew you. I know you will make the best decision about following up.
Sounds like the poor guy might not have been treating his diabetes at all.
fmdog44, when diabetics have gangrene from circulatory problems it often starts in the toes, Even leading to amputation of one or more. 911 may not have seen the man without shoes.
The docs want to check diabetics’ feet regularly for signs of redness, infection, and literally “tickle” the feet with a microfiber to check for loss of feeling.
 
I never saw his foot, but his leg was enough. I never knew a whole leg could swell like his. The small blisters or whatever they are were very suspicious looking. Some looked like they were open and draining. I never knew anyone with diabetes and saw a leg like that. I know people that have diabetes, but never asked to see their leg.

When I walk into my doctor’s office, he has a sign on the wall that reads, “If you have Diabetes, please remove your shoes and socks so the doctor may check your feet.” I often wondered why?
Diabetics often have peripheral neuropathy - which is nerve damage. It causes pain, tingling & numbness in the feet. That means someone can step on something & not feel it & it can cause an infection that may not heal because of circulation issues with diabetes and aging. If it progresses, it can lead to gangrene & eventually result in amputation of toes, feet or legs to save the life. We also have to check our feet daily for any injuries, blisters, sore spots, etc. because we may not always feel that something is wrong. And we should never wear shoes that don't fit perfectly & cause sore areas & other problems. Feet are farthest from the heart, so circulation problems with diabetes will often cause problems in the feet.
That's why diabetics are instructed not to walk barefoot indoors or out. We also have to watch for Athlete's Foot, which is a fungal infection & it can be worse for diabetics because it can easily spread & infect the whole foot. We have to keep our feet ventilated in hot weather because fungus likes hot, wet feet. Same with "Jock Itch" which is the same fungus.
In the summertime, sandals are much smarter than shoes.

Then there are those cracks that show up on callused skin on heels & toes. Cracks allow bacteria in, so diabetics want to avoid them by using a foot cream like the one I use - "Gold Bond Foot Cream For Diabetics." Dry skin leads to calluses, which lead to cracks, which can lead to infection. I use one of those battery-powered files for calluses.
Calluses also prevent sensation in feet, making it harder to know when there is an injury that needs attention, so filing calluses helps maintain feeling in feet. I'll still get cracks occasionally, but I treat them right away - wash with soap, dry, apply Neosporin, bandaid. That applies to any wound.
We also have to be careful with toes - making sure toenails are trimmed properly.

My doctor used to check feet; now she's rushed & doesn't bother, so I make sure to check mine myself.
 
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