It has been a month since I left trail.
I have a few updates on things.
I was definitely ill with cellulitis. Specifically, it was ocular cellulitis. Again.
The first time I had cellulitis in this location was 6 years ago. It remained localized to my nostril and due to it being in my nose I actually made an ENT appointment. And it took 3 weeks and I had to drive to Marshfield. And by the time I got to see the doctor it was starting to get better. I was heavily dosing on garlic pills and my body was starting to beat it. The doctor looked, scolded me for not getting in sooner (internal eyeroll, YOUR office wouldn’t let me come sooner), diagnosed it as cellulitis and gave me an antibiotic ointment. He also, usefully explained that cellulitis is more of a tissue infection treated by a general practitioner than an ENT thing. It just so happened that my weird infection lump was inside my nose. So I at least came away with the understanding that next time I could go see my regular doctor. I immediately decided that I should get a regular doctor and did so.
The second time I suffered this infection my regular doctor wasn’t available. I went to a clinic over in Minocqua. The infected location was visibly swollen with a domed blister-like presentation inside my left lower nostril – same spot. The physician I saw poked at it with her scope and I had an immediate and nasty ugly adverse reaction. I broke out in a heavy sweat, got dizzy and then vomited, all within 30 seconds. All of these things are very much out of the norm for me. I felt better almost immediately afterwards but the treatment I received that day was inadequate. She re-prescribed the ointment I had received from the ENT. It didn’t help. I was back at my regular doctor when she returned to town because the left side of my face was swelling and beginning to experience numbness. The diagnosis was ocular cellulitis. Infection had spread in the left side of my face and it took a month of antibiotics to defeat it. I know that poke was the moment when it spread. The dam broke and my body experienced a flood of infectious toxins that caused my reaction. But that isn’t to blame the clinic doctor for the event. The infection was obviously ready to spread and the poke with following toxic shock reaction were just memorable because of the severity. It would have probably happened without the vomiting but it was poised to happen already. Anyway, with better diagnosis and a month of antibiotics, everything got solved. I did get a lecture to not ignore such things because cellulitis, especially something in your facial tissues can be lethal. (Internal eyeroll. You weren’t available. The other doctor tried to kill me and gave me an ointment as a door prize. I wanted treatment.)
Flash forward to this occurrance. I am getting to be an old hand at this. I knew what was going on, even though I couldn’t really see it. I KNOW that spot. This is the 3rd time in 6 years that it has become swollen and infected. And that means cellulitis infection. So I messaged my doctor while riding the shuttle to Duluth. I didn’t hear back but that wasn’t the intent of my message. I wasn’t trying to have a conversation or get an e-diagnosis. I wanted to convey some information. The intent was to let her know that I thought I had an infection again.
So… When I called for an appointment the next morning (Wednesday) I got in pretty quickly (Friday). THAT is the value of the messaging system. It is not there so you can get your doctor’s opinion on everything or to get an appointment without going through the receptionist. It IS there so the doctor can make a better informed decision and make a note that says get this guy in within a day or two because he can’t wait 3 weeks.
This time it only took 2 weeks of antibiotics to fix the infection. Chances are that we will have to deal with this again in the future but both the doctor and I know this infection now. She has seen it 2x now on me in the same spot and I have seen it 3x there.
I have another issue that isn’t diagnosed or solved yet. I have been cold. A lot.
Typically, I run warm. My hands and feet stay warm pretty easily. I can get away with wearing lighter gloves and footwear than temperatures would indicate. My normal winter footwear is not insulated. My normal winter gloves are temp rated for 20F but I wear them down to about 0F before going to heavier stuff. It is just where my comfort zone is. I’m not being macho. If I get cold, I switch to heavier stuff in a heartbeat. Which is what has been going on.
Post trip I have been cold almost every day. Our temps have been below average, a lot some days. We hit -4F on November 10th. That is not normal. 35-40 is normal.
But neither is my need to wear heavy gloves and base layers every day lately. Just hanging out in the shop I am chilly unless I have 3 shirts and sometimes my jacket on. And base layer bottoms. And tall socks.
Hopefully this will pass soon.
I don’t expect perfect health. I certainly don’t have it. But I do appreciate consistency from my body when I can get it. This cold feeling is disconcerting.
My other trip injuries have healed.
I took 2 days off when I got home. Then after seeing the doctor and picking up my first week’s worth of prescription I went to the shop so Jessica could have a day off. I was a little gimpy but between being dry and being clean I felt pretty good.
The bruise on my left calf from falling on a stump took about 12 days to go away. The contusion was ugly. I should have taken pics but didn’t.
My left knee felt better after about 4 days at home. I am convinced that was my ITB. (Iliotibial Band). It is a ligament that runs from your pelvis down to your shin. It can rub against your thighbone and other places and become irritated and inflamed, causing all sorts of pain and issues. Runners typically have problems with it. Massage and foam rollers can help a lot. When I massaged my legs so much sitting up all night in the campground shower house my legs felt so much better the next day. I put on over 18 miles despite being awake for 40 hours straight. I might have to do more self maintenance on trail but I think I can deal with the knee/leg pain proactively and get my miles in even if I have muddy slippery conditions adding weird stresses.