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From: Doug Lloyd <dougl_at_islandnet.com>
subject: [Paddlewise] A Different Storm
Date: Sun, 20 Jan 2002 14:56:59 -0800
Dear Paddlewisers:

Just wanted to let you know I was released from hospital yesterday,
exactly three weeks from when I was first symptomatic with severely
painful invasive streptococcus A infection. Unfortunately, 3 to 7
persons in 3,000.000 develop necrotizing fasciitis (also known as
flesh-eating disease) with Vancouver Island experiencing a much higher
percentage than normal. The good news is my family was spared, my life
was spared, my leg was spared, and the portion debrided by the surgeons
only extends from the ankle to the knee (albeit with a hefty 5" wide,
1/2" deep,  margin). It was touch-and-go for a few days.  While that is
a fair bit of one's leg to loose, its all along the inside of the leg
with no loss of my calf muscle (in the end, yeah!) or ankle tendons.
Once I learn to walk again and toughen up the skin graft, the
significance of the above is that I'll be able to retain my Nordkapp's
gas-peddled rudder-controlled system (rather than buy a Mariner :-)),
while the bottom portion of my leg (unaffected by the surgery) will
comfortably rest on the inside bottom of the hull - within the tight
confines of the cockpit. Throw on my wetsuit over my new leg pressure
garment (have to wear it for two years - uh, the garment, not the
wetsuit), and away we go! Probably no more bailing out in log-infested
storm-surge for me now, but that may be a good thing.

Surprizingly, my spirits never suffered once. Many things in life are
not within our control, and lying in a bed immobile for the past three
weeks with an IV line pumping penicillin almost directly into my heart,
proved that (difficult for a guy like me, busy and always able to push
harder when the going gets tough - who stayed home with unimaginable
pain and fever for the first three days before seeking definitive
medical help - a huge mistake. Talk about patterns in one's life). But
we can control our attitude and response to bad situations and
suffering, so we do retain a kind of control by staying positive, even
if were not responsible for the outcome.

I never stopped trusting my Creator, even through the nasty
complications of nearly uncontrollable atrial fibrillation due to high
toxin levels with a pulse of 180 for days, with numerous attempts at
cardioversions (I'm still heavily medicated and will require an ablation
procedure). The latest copy of Sea Kayaker Magazine (especially Peter
Bray's matter-of-fact article) kept me motivated in hospital. While the
whole episode in emergency and then in-patient hospital played-out like
a re-run from the TV series "Touched By An Angle", my love of sea
kayaking and my spiritual relation to nature in that context, had
already predisposed me to accepting every day as a gift in a universe of
marvel, mystery, and magnificence. I still look forward to my first
paddle of the New Year (missed a New Year's Day paddle with Kirby
Stevens and friends due to the very fortunate and timely admittance to
hospital that day), and find myself a bit emotional with other painful
complications from surgery as I write this, looking forward to getting
back on the water. I leave you with these words from Thomas Traherne (a
Celtic Saint who lived from 1637 to 1674), with apologies and deference
to my non-religious Paddlewise friends:

"You never enjoy the world aright, till the sea itself floweth in your
veins, till you are clothed with the heavens, and crowned with the
stars...till you can sing and rejoice and delight in God...you never
enjoy the world."


Doug Lloyd - back safely from a different kind of storm, thankful to
those who sent cards and positive thoughts. Iits been a "slice"  :-)

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From: Melissa Reese <melissa_at_bonnyweeboaty.net>
subject: Re: [Paddlewise] A Different Storm
Date: Sun, 20 Jan 2002 15:33:46 -0800
On Sunday, January 20, 2002, at 2:56:59 PM PST, Doug Lloyd wrote:

> Dear Paddlewisers:

> Just wanted to let you know I was released from hospital yesterday,

Welcome back Doug!  It's a great relief to know that you've survived
this terrible ordeal.  Your healthy spirit, as always, is an
inspiration.

Melissa
-- 
PGP public keys:
mailto:pgp_keys_at_gmx.co.uk?subject=PGP_Keys_1&Body=Please%20send%20keys

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From: Andree Hurley <ahurley_at_viewit.com>
subject: [Paddlewise] Various things
Date: Fri, 1 Feb 2002 14:17:57 -0500 (EST)
Thought I'd mention that I'm still in LA - I bought a new van to replace
the one that burned up (http://www.onwatersports.com/van.html), and am
accepting a shipment of a couple of Kajak Sport boats. Then I am going to
drive back to Port Townsend in March or April, and hopefully visit and
paddle along the way. I guess I'm mentioning it to see if anyone is
interested or has a great idea on a place to paddle.

I've also been going through major physical therapy for shoulder
impingment - has anyone else had it? I got over it once, redid it, and now
have a whole new series of exercises
to do to strengthen the muscles that
got weak while I was gaurding, etc. It takes a lot of patience and time.
If people are interested, I'll try and post some of them.

I also got a digital camera (mostly for xmas) and am excited to make
movies of people's techniques for them to take home. I tried one out on my
dog in Hollywood - since I don't have any kayaking footage yet on digital
- http://www.viewit.com/Viewit/SuciaHollywood.mov.

That's about it then!

Andree

			________________________
			      Check it out!
	http://www.viewit.com/		http://www.onwatersports.com/
			Both updated with new links!

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From: Mary Zuschlag <mzuschlag_at_attbi.com>
subject: RE: [Paddlewise] A Different Storm
Date: Sun, 20 Jan 2002 16:05:57 -0800
visit my website: http://www.mzuschlag.com

I still look forward to my first
paddle of the New Year (missed a New Year's Day paddle with Kirby
Stevens and friends due to the very fortunate and timely admittance to
hospital that day), and find myself a bit emotional with other painful
complications from surgery as I write this, looking forward to getting
back on the water. I leave you with these words from Thomas Traherne (a
Celtic Saint who lived from 1637 to 1674), with apologies and deference
to my non-religious Paddlewise friends:

"You never enjoy the world aright, till the sea itself floweth in your
veins, till you are clothed with the heavens, and crowned with the
stars...till you can sing and rejoice and delight in God...you never
enjoy the world."


Doug Lloyd - back safely from a different kind of storm, thankful to
those who sent cards and positive thoughts. Iits been a "slice"  :-)


Welcome back Doug you have been missed!  I am praying you continue to
recover and re-enter the cockpit on your Nordkapp soon.

I have had my own health trials and it is amazing the perspective it gives
life.  Godspeed and good paddling! -- MZ

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From: Steven A. Holtzman <sh_at_actglobal.net>
subject: Re: [Paddlewise] A Different Storm
Date: Sun, 20 Jan 2002 16:20:12 -0800
Ok Doug, you've won. I don't think that there is another kayaker out there who
has paddled bigger waves or a more dicey storm than the one you just
conquered. 





I'm really glad to hear you are back amongst the living and am eagerly
awaiting a trip report for your first paddle of 2002.





Steve Holtzman





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From: Wes Boyd <boydwe_at_dmci.net>
subject: Re: [Paddlewise] A Different Storm
Date: Sun, 20 Jan 2002 20:22:22
At 02:56 PM 1/20/02 -0800, Doug Lloyd wrote:
>Dear Paddlewisers:
>
>Just wanted to let you know I was released from hospital yesterday,
>exactly three weeks from when I was first symptomatic with severely

Good to hear they turned you loose. Hang in there!

-- Wes
---------------------------------------------------------------------------
Wes Boyd's Kayak Place               http://www2.dmci.net/wesboyd/kayak.htm
Kayaks for Big Guys (And Gals) | Trip Reports | Places To Go | Boats & Gear
---------------------------------------------------------------------------
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From: Alder Creek Kayak & Canoe <aldercreek_at_qwest.net>
subject: Re: [Paddlewise] A Different Storm
Date: Sun, 20 Jan 2002 18:17:47 -0800
Doug,

I just hope you're going to be in shape for that Columbia Bar explorer we
have planned!  =:-o)

Glad to have you back!!!!

steve
Alder Creek Kayak & Canoe    N   45º 39' 47"
250 NE Tomahawk Isle Dr.     W 122º 36' 16"
Portland, OR  97217          Web: www.aldercreek.com
Phone: 503.285.0464        Email: aldercreek_at_qwest.net



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From: ralph diaz <rdiaz_at_ix.netcom.com>
subject: Re: [Paddlewise] A Different Storm
Date: Sun, 20 Jan 2002 22:41:48 -0500
Doug,

It is good to see that you are okay.  I remember how kind you were to pass
on to me that old mag clip about Klepper paddling in Alaska and our phone
conversation a year or two back.  Also thanks for all the hairy tales of
your extreme adventures albeit...they were only extreme in the conditions
not in your level of preparedness.  Sorry to see you laid up with such a
horrendous malady.  Luckily for you, you are a fairly beefy fellow (form
your fotos) to begin with and so ...  Imagine Twiggy having your ailment and
losing as much as you have! :-)  (The Twiggy reference no doubt ages me!)

Glad you are back and in good spirits.  Canadians are always wonderfully
upbeat.  I know.  I have been married to one (an Albertan) for, god, 40
years this coming June!!!

carinos,

ralph diaz

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From: Michael Daly <michaeldaly_at_rogers.com>
subject: Re: [Paddlewise] A Different Storm
Date: Mon, 21 Jan 2002 17:42:46 -0500
From: "Doug Lloyd" <dougl_at_islandnet.com>

> confines of the cockpit. Throw on my wetsuit over my new leg pressure
> garment (have to wear it for two years - uh, the garment, not the

Pressure garment?   Hmmm... sounds like you'll be able to add
some high-g manoeuvres to your paddling repertoire.

Good to hear you're back!!

Mike

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From: Doug Lloyd <dougl_at_islandnet.com>
subject: Re: [Paddlewise] A Different Storm
Date: Tue, 22 Jan 2002 09:00:28 -0800
ralph diaz wrote:

> Doug,
>
> It is good to see that you are okay.  I remember how kind you were to pass
> on to me that old mag clip about Klepper paddling in Alaska and our phone
> conversation a year or two back.  Also thanks for all the hairy tales of
> your extreme adventures albeit...they were only extreme in the conditions
> not in your level of preparedness.

Thanks ralph for the note regarding preparedness. I was going to back off
anything too extreme this year in deference to my family and body which isn't
getting any younger. I think those who practice karate understand this concept
with respect to honoring one's body: as the body grows older, karate students
move to higher levels of orchestrated maneuvers so as to minimize potential
injury. Speaking of preparedness, my brother-in-law joined the CG Auxiliary, and
now gets to chase down kayakers in distress. We had a big blow just before
Christmas, and two intermediate paddlers had taken out a new female paddler.
They were blown off-shore and were in trouble big-time. Inappropriate apparel
also was noteworthy. He really had a hard time understanding the mentality (he's
actually ruined Christmas dinner in the past berating me too - but always
conceded my prep levels)..

>  Sorry to see you laid up with such a
> horrendous malady.  Luckily for you, you are a fairly beefy fellow (form
> your fotos) to begin with and so ...  Imagine Twiggy having your ailment and
> losing as much as you have! :-)  (The Twiggy reference no doubt ages me!)
>
> Glad you are back and in good spirits.  Canadians are always wonderfully
> upbeat.  I know.  I have been married to one (an Albertan) for, god, 40
> years this coming June!!!

Well, I was a bit of a wimp in my last post. I hadn't slept a wink due to
extreme chest sidewall pain. After two nights of it (my first two nights after
discharge) I finally headed to emergency (I'm getting better at seeking help)
and spent the day with the CT scanner looking for blood clots. I'll be there the
rest of today too. I'm still looking forward to the first paddle of 2002, and
will definitely be seeking the help of friends at first. Thanks for the
interest, and sorry for any complaint. Compared to folks with brain injuries,
cancer, infections of hip joints, the folks I heard crying through the night in
the burn unit, or the folks in Victoria that lost limbs, lives, male
reproductive organs, etc., I survived very well indeed.

> carinos,
>
> ralph diaz

May the wind always be at your back,

Doug

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From: Doug Lloyd <dougl_at_islandnet.com>
subject: Re: [Paddlewise] A Different Storm
Date: Wed, 23 Jan 2002 09:46:46 -0800
Bob Denton wrote:

> To a fellow Nordkapp paddler who has always reminded me: "Same boat,
> different sport", I wish you a speedy recovery. How did you get hit with
> this nasty bug? Too much cold water and adrenaline? Was it water borne?

Sorry for the slow response -- I'm just dealing with some post-op
challenges. As far as Streptococcal  fasciitis, as a public service to
Paddlewise, I'll briefly mention my thoughts. My wife had a severe Strep-A
throat infection for a number of weeks and was on a regime of antibiotics.
She reinfected and got sick again. We had the whole family throat swabbed at
our insistence. My daughter was a carrier but non-symptomatic. My wife
again, and now one of my daughters went on antibiotics. At the same time, I
had a bad case of athletes foot from wet weather cycling to work. My wife
also has a skin graft on her foot from previous cancer, and it split from
too much walking. Strep-A germs were leaking from her foot. Put two and two
together. Some kind of mutegen got into my foot, and the rest is, well,
flesh under the bridge.

One fellow who lost his private parts had a daughter with Strep-A throat
infection. He had a small pimple on the inside of his thigh. In his case,
the issue would appear to be air-borne. Other folks were infected while
gardening through a small finger cut, so who knows.

Certainly personal hygiene can make some significant difference, and I would
highly recommend a lot more attention be paid to washing one's hands much
more frequently with warm, soapy water (antibacterial soap isn't necessary).
We are becoming religious about it now. As far as back country paddling, I
would recommend a bit more of a civilized approach to personal hygiene, good
small wound management (at home too), and certainly take that VHF radio so
you have some contact with the outside world. An emergency locating device
might also come in handy. NF can move at 3 cm per hour. Seeking medical
attention quickly can be the key to surviving (as with a number of different
infections). Do not, whatever you do, ignore an area on your body that has a
disproportional amount of pain if fever, chills, or flu-like symptoms are
present; or, especially if you have had or have been in close contact with
someone with Strep-A.

In my case, I was miss diagnosed with cellulitis at first. But fever spikes
hitting 39 at 40 Celsius in the ER got me admitted on Tuesday, Jan 1st. I
first got sick on the Saturday night. I went to a clinic on Sunday, but they
missed the symptoms and gave me a shot for a severe migraine. My headache
was so severe from fever and toxins, and sweating episodes while being as
cold as I've ever been in my life, along with delirium and ankle pain that
prevented walking, including red streaks to my groin, eventually led me to
the ER.

They delayed treatment until the Friday, which was rather silly. If the
bacteria got into my blood, it could have been lights out. They were also
talking about removing my leg because the infection extended all the way to
the groin. The CT scans were not showing gas bubbles under my skin, and the
raw area by my ankle was moving too slow for a correct diagnosis. The
leading NF specialist in western Canada pulled me off antibiotics and said
I'd be home in a few days recovering from simple cellulitis and strep
infection in my leg. I got upset with him, and lay back, fully accepting my
fate. My flight or fight response I usually use in kayaking turned to a
relaxation mode, and I left it in God's hands. The new weekend surgeon came
in to see me late that Friday, took one look at the leg, put me back on
penicillin, and ordered the microbiology team in for 1:30 am. As soon as he
walked into my ward and I saw the older, well experienced surgeon, I knew I
has been saved. I was transferred to CCU then ICU then went through two
surgeries to remove the growing black bacteria under the skin. Bottom line:
Scissors wins over paper (i.e. the infectious disease specialist's
credentials). Also, everyone's physiology is different. My ability to keep
the NF from spreading in a normative pattern almost worked against me.

>
>
> I hope you're back on the water as soon as possible.

Thanks Bob. This will be my last post on this non-paddlewise topic. I will
send the list my recovery technique for stretching, as it has broad based
sports appeal, in the next day or so.

Doug
CU2

>
>
> Cya!
>
> Bob Denton

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