Search for a Doctor

Monday started off roughly. Once 8:30am rolled around, I started making phone calls trying to figure out what the next steps would be. I only had two things from St. Peter’s—the name of a doctor (Dr. L) and the phone number to St. Peter’s orthopedic clinic. Neither proved to be helpful.

First, I called the orthopedic clinic. They had no record of a Dr. L and really no idea why I was calling them. They were only open for appointments on Thursdays and were obviously going to be closed the Thursday of that week, Thanksgiving Day. They told me to call an orthopedic group across the street from the hospital which supposedly had a Dr. L.

I called this clinic but they had no doctor by that name. They also did not take my insurance so that avenue was a dead end.

Starting to get frustrated, my wife told me to call St. Peter’s emergency room. I did. The nurse who answered was very helpful and at least gave me the first name of Dr. L. Lou. She also gave me his office number.

I called the doctor and got his receptionist. I was hoping that his office already had my information and were expecting to see me that day. After all, it was an orthopedic resident associated with him that gave me the impression that I was going to be seen on Monday and operated on Tuesday. The receptionist had no record of me and could not believe that a resident would tell me that I could have surgery so quickly.

“Have you had a blood test?”

“Yes. They took my blood at St. Peter’s to get me ready for a potential surgery,” I replied.

“Well, have you had an electrocardiogram?”

“No.”

“Well, all that would have to be done before surgery.”

I was becoming increasingly aware that getting surgery before Thanksgiving was not a high probability and more and more frustrated at the information given to me at the hospital (or rather the lack thereof).

The receptionist did tell me that I could see Dr. L that day. But when I told her my insurance, she said that he did not take it. Another dead end.

Since Lou was out, I decided to try Stu since he seemed to be a more experienced and more acclaimed orthopedic doctor any way. I called his offices but they also did not take my insurance and couldn’t see me for awhile.

Now I was irritated. What seemed like a fairly definite plan—doctor on Monday, surgery on Tuesday—was looking more and more like doctor in a few weeks and surgery who knows when. I was mad at the hospital, my insurance, and my kids. No real reason to be mad at my kids except that I was frustrated and they kept running around the house. Thankfully my wife kept me sane and gave me another avenue to try. She suggested the orthopedic doctor who did her knee surgery a year and a half earlier, Dr. C. At least I knew he took our insurance. And if he couldn’t see me or do Achilles surgery, perhaps someone in his group could.

I called his office and relayed my story. At first, the receptionist did not seem too optimistic but she put me on hold and went and talked to the doctor. In a few moments, she came back and asked if I could be up there at 2pm. I said, “Definitely.”

Before I could see Dr. C., I had to get approval from my primary doctor. Oh, the joys of HMO’s! I called them and thankfully they were accommodating. Thank You, God.

I saw Dr. C at 2pm. He remembered my wife and her surgery and that helped break the ice. He unwrapped my leg and examined my heel. It was the first time I had seen it since the injury. It was swollen now and slightly purple. He performed the Thompson test and felt the back of my heel. “It is completely ruptured.”

Dr. C told me my options and suggested surgery as the best long-term solution. I had already determined this so now the question was when.

“I could do surgery next Tuesday. My schedule is fairly open then. But if you want to get it done quickly, I could add you at the end of the day tomorrow around 5pm.”

I jokingly asked. “You won’t be too tired then, will you?”

“No, I can handle it,” he replied.

“Thank you. I’ll do the surgery tomorrow.”

I was so impressed with the doctor’s willingness to see me and add me to a busy surgery schedule. Though I wasn’t looking forward to the surgery, I was glad it was sooner rather than later. The recovery time is so long for an Achilles injury that I didn’t want to wait too long to get started. Thank You, God, for guiding my steps.

The rest of the day was fairly relaxed. I was nervous about the surgery but I was even more grateful that everything worked out so well. Having my foot unwrapped also felt good. We went out to eat that night at Friendlys. It was where we had planned to go after Jonah’s black belt graduation. I wanted to enjoy this treat with him. The meal was decent; the ice cream was good.

That night I took a good hot shower on my butt which was different but manageable. I could put a little weight on my foot but I didn’t trust it to hold me up so it felt better to sit.

I slept well that night.

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Church on Sunday

I slept in my own bed on Saturday night which made me feel a little better on Sunday morning. Getting ready for church was a challenge but not too bad. I took a bath the night before with my left hanging outside the tub so I didn’t have too much to do to get ready in the morning except brush my teeth and get on my clothes.

As God’s providence would have it, I had no responsibilities on Sunday, either in the service or in Sunday School, for the first time in probably a year. Thus, once I got to my seat in church, I was pretty much set for the services.

A number of people came over to me to find out what happened. I relayed the story at least twenty times and doctored it with falsehoods and exaggerations occasionally to make it more exciting. “Yeah, I was in taekwondo doing an axe kick with the back of my leg through four cinder blocks. Unfortunately I only made it through three of them.” That certainly sounded more interesting than “Yeah, I wasn’t really doing anything in taekwondo except getting ready to jump.”

Being in church was an encouragement. The singing was refreshing and the baptisms during the service were great to hear and watch. Receiving so many well wishes, prayers, jokes, hugs, and handshakes reminded me how blessed I was to be at Sayre Woods. One of the best greetings of the day came from a friend of mine who said, “Hey, we are getting ready to do the Christmas Carol at church. Would you be Tiny Tim?”

At home, it was back to the couch, answering emails, reading books, talking on the phone, and watching football on TV. The day went by pretty quickly and was probably the most relaxing day that I had had in several months. And since I couldn’t do much, I didn’t feel guilty for not doing much.

Perhaps the Achilles rupture was God’s way of slowing me down.

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DAR (Day After Rupture)

I slept fairly well on the couch though I certainly felt groggy in the morning. The crutches and the lame foot were an instant reminder that I was in for a long day. Even a simple trip to the bathroom was a chore. Thankfully I had no real responsibilities for the day and there was plenty of football on TV to occupy my time.

I still had no pain which I was thankful for. An Achilles rupture is only initially painful. After that, it really doesn’t hurt at all (until surgery).

I was also thankful for the timing of it all. Though I certainly wouldn’t have ordered an Achilles rupture for myself, I had to thank God that it happened when it did. The two months prior had been non-stop activity and responsibility. A Senior Saints trip, an apologetics conference, a five-week sermon series, and a men’s retreat were all on my plate. Now the plate was fairly empty. Plus the Thanksgiving holiday time presented a shortened week and some days off.

My only real desire was to get the surgery done before Thanksgiving. I knew this could be a challenge. The only information I had from St. Peter’s was the last name of the doctor, Dr. L.. An internet search revealed a slew of doctors with that last name in New Jersey. Only two in the area were orthopedic surgeons, Lou and Stu. Looking at their profiles online, I was hoping it was Stu. Unfortunately, no place that I called on Saturday was open so I simply had to hope that I could figure it all out quickly on Monday morning.

A day of no responsibility and football on TV was nice, though I felt like a lazy bum when the day was over. My taekwondo instructor came over later in the evening to bring some fresh baked chocolate chip cookies and see how I was doing. That was the best part of the day.

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Colossians 2:20-23

20 Therefore, if you died with Christ from the basic principles of the world, why, as though living in the world, do you subject yourselves to regulations— 21 “Do not touch, do not taste, do not handle,” 22 which all concern things which perish with the using—according to the commandments and doctrines of men? 23 These things indeed have an appearance of wisdom in self-imposed religion, false humility, and neglect of the body, but are of no value against the indulgence of the flesh.

How easy it is to drift away from the simplicity of the gospel!

  • I am a sinner.
  • I fall short of God’s righteous standard.
  • I am powerless to save myself and I stand guilty before a holy God.
  • However, God loved me enough to take on flesh in the person of Jesus Christ and to die in my place.
  • Jesus’ bodily resurrection is the ultimate proof that He alone has power over sin, Satan, and death.
  • I receive eternal life, a free gift of God’s grace, through faith/trust in Jesus Christ.
  • I now live a righteous life out of love for God through the enabling power of the Holy Spirit.

So simple that a child can understand it. So simple that we as humans are compelled to add something to it to make it seem more religious, spiritual, and impressive to others.

The Colossians were being enticed by a group of super-spiritual, religious ascetics. Don’t touch that! Don’t eat that! Avoid this! Make sure you observe this day and that day! It sounded good and certainly looked spiritual. This group had also developed intricate views of angels, the movement of the stars, and the cosmic harmony of the universe. It was a complete religious system with everything a highly spiritual person would want. But Paul pointed out three big problems with the system…

1. Everything concerned things which are temporary. Food, drink, religious days, ascetic discipline, knowledge, etc. All of it is going to pass away. To focus all of one’s attention on religious regulations that ultimately make no eternal difference makes no common sense. Jesus combated the same thing with the Pharisees whose countless rules on one’s diet had no effect on a person’s heart. There is nothing that enters a man from outside which can defile him, but the things which come out of him [from the heart], those are the things that defile a man (Mark 7:15).

2. Everything was based on man’s rules. We tend to follow religious rules that correspond to our own spiritual wants and practices. Just go to beliefnet and you can find whatever religion you want. The problem is, how do you know it is true? If any person can make up their own religion, then what’s the point of any religion? However, Christianity rises and falls not on its religious teachings but on whether or not it is historically true. If Jesus died and rose again, if He is truly God in the flesh, then His words are more than man’s words. They are God’s Word. And they are truth and life.

3. Nothing truly changed the heart. The religious system of the Gnostic ascetics sounded good, looked impressive, and had such great physical demands that it garnered a lot of attention. But in the end it had no value against the indulgence of the flesh. The heart was still self-centered, self-righteous, self-promoting, and self-gratifying.

My spiritual heart is so damaged that more religious exercise and a strict diet won’t help. I need a new heart.

I will give you a new heart and put a new spirit within you; I will take the heart of stone out of your flesh and give you a heart of flesh. I will put My Spirit within you and cause you to walk in My statutes, and you will keep My judgements and do them (Ezekiel 36:26-27).

This is the promise and hope of the new covenant in Jesus Christ. And, as Paul would say, if this is what you have in Jesus Christ, then why go back?

Lord, help me to hold on to the simplicity of the gospel. Help me not to drift into legalism, asceticism, or self-righteousness and so lose my love for You.

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Ruptured Achilles

Friday was a typical day for me. I went into the church office in the morning–studied, met with a staff person, had a counseling session, answered emails and phone calls, and researched curriculum for a church campaign in the spring. I came home early to get ready for taekwondo graduations that evening.

I have been taking taekwondo off and on for seven years. I reached the level of second degree black belt but have never been sure that my skill matched my rank. My wife, Liz, and four boys also take taekwondo. Their commitment and skill level surpasses my own. My wife and three older boys have all earned state champ rankings in forms and/or sparring. I am happy to simply pass a mid-term test (aka graduation), held every two months.

The adult graduation was scheduled for 7:30pm. But since we had a church business meeting at 7:30pm, we decided to graduate with my older boys’ class at 5:30pm. My wife and I and two others were the only adults in the class. Being at a graduation with a lot of younger kids was a little awkward for me but since I knew most of the kids (and they knew me) it wasn’t too bad. I was somewhat thankful that there were not a lot of parents there since we did sort of stick out in the graduation.

Forms were the first part of the graduation. I sat in the back, squatted like a catcher waiting for my turn. We had done a quick warm-up before the graduation but squatting in the back helped me to continue to stretch and get ready for my form. My older boys went before my wife and me. They do their form very well and my oldest son especially has very smooth and high kicks. Several of the other kids also had very high kicks. As an adult, I knew I couldn’t kick that high but I certainly wanted to do my best in front of all the “young guns.”

My wife and I and the other adults went last. I felt good doing my form. I had corrected a lot of things over the past few weeks and it seemed like my form was finally coming together. I kicked as high as I could and can remember flexing my foot more during the round kicks since I noticed Nate and the other kids doing this during their forms. I ended my form right where I started—a good sign that I had done the form well.

Next was the weapons demonstration. Again the adults went last. I was a little shaky with the weapons form but got through it okay. There are a lot of rear stances in the weapons form which probably put some stress on my feet.

Finally we got ready for testing sparring. I put on all my equipment and prepared to spar. I was feeling good and had some energy. When it was my turn, I was paired with another young adult. We faced each other and bowed. When sparring began, I remember doing a kick or two and then waiting for my partner to do a few kicks. While he was kicking, I switched feet, putting my left foot in back. I was preparing to do a front jump kick, pushing off with my left foot and kicking in the air with my right. As I went to push off, I felt something hit my back heel. I thought someone sparring next to me had fallen, landing right on the back of my leg. However, when I turned around no one was there. For a split second, I remember thinking, “That’s weird. What just happened?” I can even remember making eye contact with my taekwondo instructor who was at the judges’ table right behind me. He seemed to have the same confused look I did, wondering why I had stopped to look around behind me.

Then, the pain hit. I crumpled to the mat and began holding my leg. I knew what had happened. My Achilles tendon had popped.

The diagnosis was clear in my mind because I could remember talking with two guys in our church who had popped their Achilles. Both of them had relayed to me the same information. “It felt like someone hit me in the back of the leg with a bat but when I turned around, no one was there.” Their words stuck in my mind because I can remember thinking, “Man, that must have hurt!” I certainly didn’t ever want something like that to happen to me. In that instant, lying on the mat in pain, I realized that it did.

The initial pain felt intense. My own mind, knowing what had happened, probably didn’t help the situation.

People rushed to me, not quite sure what was going on. After all, I had fallen to the mat in pain without seemingly doing anything. My wife and instructor helped me remove my gear while a pack of ice was soon applied to the back of my leg. The ice helped and the pain seemed to dissipate fairly quickly. My mind, however, kept reminding me of what happened. The thought of a snapped Achilles was enough to make me wince in pain.

I was dragged to the side of the mat where I was able to say a few words to my sons who were all visibly concerned for me. I told Jonah, my third son, to do well at his graduation. He was graduating in the class right after us, going for his black belt. It was a big night for him. I hated missing it but I knew I needed to go to the hospital. A friend from church, Dan, arrived at the taekwondo school at almost the exact time I fell. He had come to see Jonah graduate. Instead he was recruited to take me to the hospital. Two of the men in the school carried me to Dan’s car. And soon, Dan and I were headed to St. Peter’s Hospital.

Another hospital was much closer but, knowing of too many nightmare stories with that hospital, I decided to go to St. Peter’s. At the time, the pain was not too bad which made the longer trip seem bearable.

The emergency room at St. Peter’s was packed as usual. Dan got me a wheelchair and wheeled me in. Most of the occupants were parents with young children. My taekwondo uniform made a number of people take a second look at me as I was wheeled in.

The wait was not as long as I thought it would be. Within an hour, I was called in. A triage nurse took down the initial information of my injury and checked my vital signs. When he asked to rate my pain level on a scale of 1-10, I said a “1.” I was ginger with my foot and didn’t want anyone to touch it, but amazingly there was really no pain.

I was wheeled into an examination room. Again, my uniform brought looks, a few smiles, and lots of comments. When the emergency room doctor finally saw me, he did the Thompson test on me. I had no idea what the Thompson test was until then. Basically I lay on my stomach with my feet hanging off the end of the bed. The doctor squeezed both of my calves. Though I couldn’t see what was happening, Dan later told me. Squeezing my right calf caused my heel and foot to flex. Squeezing my left calf caused nothing. The Achilles tendon was gone and my left foot no longer had a connection to my calf muscle. The test was fairly conclusive. I was just thankful that it wasn’t painful.

About an hour later, an orthopedic resident came in to see me. He performed the same test and concluded that my Achilles was completely ruptured. He contacted an orthopedic doctor that he worked with, Dr. L., and said that I could be seen on Monday and probably have surgery on Tuesday. Though an Achilles rupture could be treated non-surgically, surgery was advised since the chance of re-rupture is less likely. I agreed.

The resident made a splint for my leg and wrapped it in cotton cloth and several ace bandages. Within a short time he was gone. X-rays were taken to confirm the rupture and I was given a CD to take to the orthopedic doctor. After about four hours in the emergency room I was discharged.

I got back home a little after 11:00pm. Liz and the boys, as well as two of our friends, were waiting to see me. I used crutches to get into the house and onto the couch. Jonah relayed to me all the information about his graduation and showed me his new black belt. I watched the video and congratulated him. About an hour later, I was asleep on the couch.

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