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Author Topic: Cactus Spine Wound Requires Amputation of Leg - MUST READ  (Read 2299 times)
SHANEA
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« on: January 16, 2007, 08:15:51 pm »

:shock: Interesting read.  Everytime I come back from the West Texas Trans Pecos Big Bend Region I always have to pull out a few cactus needles here and there from inadvertant contact (sounds like a football penalty - 15 yards and first down).  And you thought that lions and tigers and bears and maurdering bandidos were your main worries!  

http://www.thenewsdispatch.com/articles/2007/01/14/news/n1.txt

Quote
Crutches can't hold him back

By Rick A. Richards, The News-Dispatch


Ed Bohle Jr. had a pretty good hunt in November. During a special deer hunt at Indiana Dunes State Park in November, he got three deer. Not bad for a guy who just a month earlier lost his left leg below the knee.

“There wasn't any doubt I was going hunting,” said Bohle. After a day spent sitting on a picnic table where he'd been placed in the “disabled hunter” area because of his leg, Bohle decided to head back to the woods. So off he went - on crutches - to bag his deer.

“It was tough,” said Bohle. “My crutches kept sinking into the ground and I got all tangled up in weeds.”

But he got his deer, and with help from some friends, was able to haul it out.

Now 57, the avid outdoorsman, former Michigan City police officer, scout leader and contractor wasn't going let something like the loss of a leg slow him down.

Bohle's attitude, said Frank Daniels, a certified prosthetist/orthotist at Hanger Prosthetics & Orthotics, 1200 S. Woodland Ave., is amazing. “The better the attitude, the better the recovery for people who've lost a limb.”

For the past 25 years, Bohle has made regular trips to the Big Bend area of the Rio Grande in Texas. Since his first trip there, Bohle fell in love with the area. He takes area scouts there in the spring and returns on his own or with his brother, Jim, a couple other times a year.

He and Jim are regulars at Terlingua Ranch, a tiny town of about 150 people that balloons to 30,000 during its annual chili cook-off, where he and Jim are judges.

Last April 2, during spring break, he took members of Sea Scout Troop 101 and Boy Scout Troop 201 on a 10-day camping trip. They visited caves, went hiking and enjoyed the desert scenery. It was on one of those hikes where a minor injury led to the loss of Bohle's leg.

As he hiked up a 30 percent grade on a mountain, his foot brushed a cactus and a needle from the plant penetrated his hiking boot and embedded itself in his big toe. Bohle didn't feel it. “If you've ever cut yourself with a razor, you don't feel it at first. I kept hiking. It felt like a blister and that's what I though it was.”

The wound even looked like a blister. He treated it with over-the-counter antibiotics and when he got back to Michigan City and the wound hadn't healed, he had a doctor look at it. Even with an X-ray, the needle remained hidden because it was right next to the bone. Early in May, Bohle realized what the problem was when the needle worked its way out of his toe, but by that time, a raging infection had set in and spread. The infection couldn't be stopped and on Oct. 21, Bohle's left leg was amputated just below the knee.

“It was a shock to the system,” said Bohle. “Everybody told me to take it easy, that I wasn't going to be able to do what I used to. So I did.”

And he was miserable. A friend he had known for years told him what to expect. That friend was an amputee and Bohle didn't know it. “I had no idea. He gave me the rundown,” said Bohle.

The owner of E.R. Bohle & Associates, a property management and contracting company, Bohle canceled contracts. But within a short time, he was back on the job, although he couldn't do a lot of the hands-on stuff he once did.

In the meantime Bohle started a series of appointments with Hanger, where he was fitted for an artificial leg. On Tuesday, he had his final fitting, where Daniels trimmed and shaped a plastic casting of Bohle's stump.

Daniels paid close attention to the bottom of Bohle's leg to make sure the swelling had gone down, and while he expects more shrinkage in Bohle's stump, he said he was pleased with the healing.

“We want to know if he will be able to tolerate the pressure of the fit,” said Daniels. “We want to know if he can tolerate the weight that will be on his leg. We want to find out if he will be able to balance himself and go up and down steps.”

As Daniels measured and adjusted the casting, he seemed pleased with the results.

Bohle, too, was pleased and left a pair of shoes at Hanger. Inside the left one will be placed an artificial foot that will be screwed onto the bottom of his prosthetic leg.

“I want to get rid of these crutches,” he said.

On Tuesday, Bohle will get his leg. And on Wednesday, he's headed back to Big Bend with no worries about picking up a cactus needle.
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BigBendHiker
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« Reply #1 on: January 16, 2007, 08:18:25 pm »

Whoa!  Thanks for sharing that.

BBH
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RichardM
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« Reply #2 on: January 16, 2007, 09:42:54 pm »

Wow.  Who here hasn't had a cactus needle stuck in a toe before?
By the way, he's from Michigan City, Indiana.  I wonder what his fellow Hoosiers think of Texas and Big Bend after talking to him?
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mountaindocdanny
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« Reply #3 on: January 17, 2007, 08:51:53 am »

Makes you wonder about 2 things:
    1. Is he diabetic? These kind of rapidly spreading infections are more
        common in poorly controlled diabetics as they can have decreased
        sensation in their extremities (peripheral neuropathy), so the
        infection progresses quite a bit before being noticed and they have
        a suppressed immune system that can't battle the infection as
        efficiently.
    2. Was it osteomyelitis, an infection of the bone?: This can progress to
        involve more of the limb than is apparent by simply looking at the
        skin. Once again, much more common in diabetics and the immune
        suppressed.

The moral of the story is that foreign bodies need to be removed. It just seems strange that a spine could penetrate to the bone and him not notice it.
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« Reply #4 on: January 17, 2007, 09:56:39 am »

ShaneA, I’m adding this to my list of things to try to avoid happening to me.

And I’ve found another reason to keep wearing my old,  5+ pound pair of Montrail heavy leather Norwegain welt boots, in lieu of the much lighter high tech boots.

That would be all I need to do now--lose a foot to a Cactus thorn!  If that happened, I'm concerned I would get banned by my wife from ever returning to Big Bend—and BigBendChat.com might vote to close my account for my bad Karma.
 :lol:
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« Reply #5 on: January 17, 2007, 05:57:15 pm »

I have gotten cactus thorns deeply imbedded in more than just my feet before!  Hope I never have to have anything amputated.   It's not unusual for me to "search" my shins and legs every night for spines and pull out 2-3 every night.  I find them by rubbing my hands very lightly across the skin and noting any discomfort.  The Prickley Pear spines are very fine and almost invisible but most of the larger spines are easily located but require more force to pull out.   The worst of all (so far) was when I was hiking full-speed without watching where I was going and hit a Century Plant spine dead-center into my upper shin.  The spine went in about 2" and the blood spurted like a little red fountain when I pulled my leg back and dislodged it from the spine.  I almost fainted it was so painful and unexpected.  It hurt for weeks and created a local numbing for a few days - probably due to nerve damage... TWWG
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« Reply #6 on: January 17, 2007, 07:51:35 pm »

If you suspect you have a cactus spine embedded into your skin you should endeavor to remove it as soon as possible.  There are some species of Cacti which have glochids (small brittle spines) that are very menacing and easily break off at skin level.  Others varieties have very stout spination like the Eagle Claw (Echinocactus Horizonthalonious) and can cause serious problems if deeply embedded.  Some varieties, mostly Opuntia, (Cholla) are hooked at the end of the spine and can actually EXPAND after penetrating the skin.  You must eject the spine quickly!!

Be careful!!

Wayne
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« Reply #7 on: January 17, 2007, 08:59:03 pm »

Ugh.  I'm glad I read this.  It's definitely something I'm going to have to keep a very, very close eye on when I make my next trip.  I have large portions of both my legs that have nerve damage and no feeling due to a car wreck last summer.    It scares me to think what could happen and I'd never feel it or know something was wrong.
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« Reply #8 on: January 17, 2007, 09:08:11 pm »

I think the ol' MountainDoc's probably right;  that's a pretty extreme case unless other factors were involved.  I jammed a lechugilla spine in my instep a while back and didn't get the whole thing out for about two weeks;  never even had to take antibiotics.
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SHANEA
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« Reply #9 on: January 17, 2007, 10:17:08 pm »

Quote from: "mountaindocdanny"
Makes you wonder about 2 things:


Mountaindocdanny - if you check out that link to the story, you might be able to contact the writer or perhaps even the person who had the unfortunate incident and get more info - probably give you more info than some "para doctor" like myself.

I get several "stabs" everytime I'm in the desert.   Get out what I can and I generally just let it fester up a bit and get it out that way.  Might rethink that.

Moderator note:  See this topic for a discussion on Silicon Hydride and its usefulness for fighting infection, etc.
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