Lewis did not get the radiographic exam that he was due to have earlier this week. The technicians felt they needed to manipulate the leg to accurately evaluate the condition of the bone, and the doctors felt that it might be too early to perform such manipulation. Since Lewis continues to walk on and use the leg, we are hoping that healing is occurring.The infection may be lessoning, with the drainage beginning to clear up. Lewis’ spirits are such that he still wants to steal food from Psycho; so he has some of his original “gumption” still there! We are so pleased to hear that despite the long confinement and challenging process of healing, that Lewis is “still Lewis.” We owe the staff at OSU more than they can imagine!
fred
I must apologize for not making more frequent updates; and thank everyone for their emails about Lewis. The latest information is that Lewis’ spirits are good, and he is being walked outside in the lovely spring weather we have finally been getting here in Indiana. He has a new stall mate, an alpaca nick-named “Psycho,” who he tries to steal food from! Obviously his appetite is still good which is always a good sign. The circulation in his lower leg appeared to be affected after the surgery. Hydrotherapy and time have improved this and the leg seems warmer now and he is using it to walk; all good indications.The fixator has been holding now for over two weeks, also a critical factor. However, there is still exudate and infection which is not responding completely to treatment. Lewis will have more radiographs next week to evaluate his progress. The continued infection is worrisome, but his general condition under the circumstances and willingness to keep fighting are encouraging.
The staff at OSU have taken some digital photos of Lewis and the gang, and we hope to put some of them on the site here as soon as we get them, so check back!
Surgery and AfterLewis has had his first day of recovery after surgery on March 28. He is reported in good spirits and eating, as well as standing. However his exercise will have to be limited due to the fear of putting too much stress on the fracture at this time.
The good news after the surgery was that it went well, with Dr. Silveira debriding considerable dead bone and tissue. He also removed the plate and all the screws, so these will not be able to cause any future problems or infection. An external fixator now supports the leg instead of the bone plate. The fixator can be much more easily removed once it is no longer needed. The bone was packed with antibiotic “beads” and a drain installed for twice daily flushing to prevent further infection. The doctor is optimistic that he has achieved the intended clean up of the bone and surrounding tissue.
The bad news is that the bone callous was not sufficient to supply any support for the leg. Considerable dead tissue was removed, so that the leg is essential broken again. Lewis’ two greatest risks at this time are that the leg could collapse, or that he could become depressed and stop eating. Since everyone is reluctant to take him for his daily walks outdoors, depression is a real danger. However, exercise could stress the leg beyond what it might be able to handle. What a dilemma!
Lewis’ previous stall mate, the beautiful female alpaca on loan from the university research program, is due to have a baby! Lewis now has another buddy, a male alpaca, who is keeping him company.
We appreciate the emails and calls we have received about Lewis. Your prayers are needed more than ever now, as Lewis’ prognosis is guarded until significant bone growth can occur to support the leg safely. The staff at OSU continues to take the best of care of him, and they try to keep his spirits up during this long ordeal. We thank everyone more than you can know!