Naomi After Surgery
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I’m absolutely exhausted after a very long and stressful day, so I won’t say too much now. Only that Naomi’s surgery this morning, to replace her prosthetic hip, seemed to go well, and she is in good spirits and without pain, but still groggy from the anesthetic when I saw her. I am taking photos to document Naomi’s recovery from this surgery as part of a special project that Naomi and I want to work on together. I won’t say more now, but stay tuned for more information. Now I need to crawl into bed…
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Naomi’s Arthritic Feet – Photo Study
As part of my ongoing photo project covering Naomi’s Life With Arthritis, I plan not only to photograph the happenings of Naomi’s daily life, but also document the effects that the disease has had on her body. Today’s photos are the first of these documentary photos, and show Naomi’s feet.
Although the arthritis effects every joint in Naomi’s body to some degree, her ankles are by far the most painful and crippling. It is due to the physical damage already done to the joints and the bone that Naomi suffers most of her pain, and is currently forced to use crutches.
As the following photos document, Naomi’s feet, and in particular, her ankles, are quite swollen. The swelling as you see it here is typical, but on some days can be far worse than this. Also note the angle of the ankle joint, especially as seen from behind. This rolling in of the ankles is due to the damage, and makes standing and walking difficult, and forces Naomi to stand with an uncomfortable posture.
It’s not all doom and gloom, however. Today we saw Naomi’s specialist, and he’s trying to get his hands on a special injection that will hopefully be able to provide a buffer for the damaged ankle joints and if it works as expected, provide significant relief for the pain for up to six months. We’ll keep you up to date.
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Naomi Walks From Chair to Bedroom
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For this series of photos I experimented with a couple of ways of presenting a sequence. The first image is the traditional way of showing a series, and shows everything clearly, but is unimaginative. For the alternative I tried overlaying most of the images on an auto-aligned panorama of all of the photos. This looks pretty cool, but due to the path that Naomi took, later photos obscure the earlier ones, so you don’t see her getting out of the chair.
I have presented both versions here for demonstration and documentation purposes. I want to experiment more with sequences in the future.
Naomi’s Life With Arthritis – A Long Term Project
Home alone last night, I was watching the exceptional BBC series “The Genius of Photography“, when I was struck by inspiration. I have felt that I have been lacking a direction in my photography. Suddenly it occurred to me, that I have been ignoring a very important subject, my wife.
Naomi is an exceptional and inspirational person, who has suffered most of her life with the debilitating disease, Juvenile Onset Rheumatoid Arthritis, never more than now. She is currently in hospital, fighting an infection of her prosthetic knee, a complication of the treatment of her disease. With this recent issue, the interest and concern from family and friends has been great, and it has reminded me to varying degrees how little most people understand the disease, and more importantly, what it is like to live with it.
Our family and friends, in particular, generally have a good understanding of what Naomi is going through, but that only goes so far. The general public understands even less. I feel that many people have a poor appreciation of what it is like to experience life with a debilitating chronic disease.
A New Project
I intend to photograph Naomi, and expose what her life is like, living with arthritis. I want to take a journalistic and documentary style, something which I have never really done before. I want to show Naomi’s life as it is, conveying the reality and emotion as clearly as possible. It won’t be art, and it probably won’t be pretty, and I apologise to Naomi in advance if the photos show her in a less than flattering light. However I firmly believe that an unfettered, unfiltered view of this disease is essential. She has given me her consent to undertake this project.
This will be a learning experience for me, and to an extent, I will be exposing myself and my life’s experiences through these photos as well. I will never be able to be truly objective and removed from the subject in the true journalistic sense, as I am very much a part of Naomi’s life, and her disease affects me as well in many ways. I expect this to be a difficult and emotional experience for us both.
I hope that you will find this project interesting and informative, and hopefully I will be able to convey what I think is the most important thing about Naomi’s life with arthritis: the hope and determination this inspirational girl shows every single day of her life.
24th Day in Hospital
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Naomi has surrounded herself with various bits and pieces to make life in hospital more comfortable, and to pass the time creatively and productively.
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A PICC line enters Naomi through her arm and via a vein leads directly inside her heart, allowing for the delivery of antibiotics to fight the infection in her knee.
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Naomi passes the time creatively, by working on a beaded bracelet of her own design.
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Despite the damage to her finger joints, and the swelling and pain that results, Naomi has been able to stay relatively nimble and doesn’t find her beading hobby very restricted by the damage to her hands.
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A nurse administers a dose of intravenous antibiotics, which take from three to five hours to be fed via the PICC line into Naomi’s body. During this time she is tethered to the pump, and must take it with her if she needs to leave bed for any reason.
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Bandages cover an approximately 20cm long wound where Naomi’s knee was opened in surgery to “flush” the joint of infection. The bacteria are able to attach themselves to the prosthetic joint and potentially avoid the antibiotics, leaving a lingering question of how effective the treatment will eventually prove.
For those who are following the saga, the latest news is somewhat mixed. Naomi was expected to be discharged on Monday, to be treated for the next six weeks via “Hospital in the Home” with daily home visits by nursing staff. Unfortunately a test of a key marker for infection (CRP for the medically inclined) just hours before she was planning to leave showed the marker level to have jumped from 15 to 158! This concerned but did not alarm the doctors, but then could not let her go home.
This morning, a follow up test of the same marker showed a minimal decrease to 157, not any better, but no worse either. Naomi suggested that the marker – which indicates inflammation, a typical by-product of infection – may have gone up due to the worsening of her arthritis as a result of needing to come off the drug trial, which she has been on for three years. Her specialist, however, does not believe this is the cause, unfortunately pointing the finger of suspicion back to the infection.
Again the doctors are concerned but not alarmed. This is mostly because Naomi appears otherwise to be in good health, not showing other symptoms one might expect from a bad infection, such as fevers or nausea. For the time being they want to keep her in hospital for observation to see what happens to the CRP levels. They have also given her a moderate increase in her dose of antibiotics.
So for now it’s a waiting game.
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