Lisfranc fracture dislocation

Ugh... I stepped on something and rolled my foot on 11/9. X-rays in the ER showed a fractured 3rd metatartsal. Followed up with an ortho PA on 11/11 who suspected a lisfranc injury and also found a fractured 2nd metatarsal and sent me for a CT on the 14th. Saw a locum in the office on 11/18 who (since it wasn't his practice and he was only there for a week) didn't feel comfortable making the call on whether I should have surgery or not. Got called into the office by the PA on 11/20 who said he went over my x-rays with the regular surgeon... who also didn't feel comfortable making the call on surgery. SOOO, got referred to a podiatrist on 11/24 who said the displacement is only 2mm, borderline for surgery or no surgery. Weight bearing x-rays that day showed no shifting. I decided not to have surgery. He put me in a cast, still non-weight bearing. Followed up yesterday with the ortho surgeon. For some stupid reason I talked him into taking off the cast and letting me go back to the boot I was in the first two weeks after my injury. Now my foot hurts again off and on. I am currently 4 1/2 weeks into my injury, still non-weight bearing. I'm extremely frustrated because the doctors don't give you any information that helps you make an informed decision. I've been confused through the whole thing. I'm thinking about seeing how it feels tomorrow, and if it's still bothering me, calling the ortho doc to get a cast put back on . Don't really want to but I don't want my foot messed up any more than it is either. Did I make a mistake or will I be ok if I follow doctor's orders for no weight bearing and leaving the boot on? The locum had said the boot was "adequate immobilization" GRRRRR lol

[FootDoc]

All of what you have related are judgment calls by examining doctors. How could you possible expect that someone who has never examined you and knows only what you've related, especially when you've made it clear that you haven't received enough understandable information upon which to base a decision, could meaningfully add to the prospects of your making a good decision, much less opine as to whether, in the end, you will be ok. Frankly, I don't know why you're laughing.

Well, first of all if I didn't laugh I would break down and cry seeing how I'm trying to get back on my feet as quickly as I can for my two kids. Second, maybe I should have made it clear that what I was looking for, FootDOC (?ehem) was what another doctor would have done, more information about the injury and healing time etc, or other similar experiences from other posters. Frankly, I found your reply actually quite rude. Thanks for nothing.

[FootDoc]

Well, you're "extremely frustrated" by your own doctors (all four of them), as they "don't give you any information that helps you make an informed decision," and now you're mad at me because of your unrealistic expectations of receiving better information based on even less information. But, if I might assume by the syntax of your post that you are female, in the words of Clark Gable as Rhett Butler in "Gone with the Wind" . . . Frankly, my dear . . I don't give a damn. Seems that as you haven't gotten a better opinion by paying for it, perhaps you might either alter your expectations or just keep on laughing.

The anger you've perceived is born from the frustration. I'm extremely frustrated because the way things work where I live you get passed around to whoever has an opening in their schedule, info doesn't get relayed from one to the other, and you have five minutes to speak with the doc. The closest podiatrist is 2 1/2 hours away from my home. From what I've been able to research this is a rare injury. Something about what you've had success or failure with would have helped. Lack of information? Now you know how I feel. What I have posted is everything I've pulled out of the docs here about my injury (which was like pullling teeth). 2mm displacement, no shifting on subsequent x-rays (yesterday being the most recent) Good sign? Bad sign? Guess I'll never know. Hopefully you are the kind of doctor that takes the time to fully explain things to your patients. I'm not interested in a diagnosis, I already have that. Different experiences so I can wrap my head around this injury that I will most likely be dealing with for the rest of my life is all I was looking for.

[FootDoc]

Look, what I've attempted to explain to you is that what you have related are judgment calls by your various doctors. Someone such as me, having no ability to examine you or to determine what the true nature and extent of your injury might have been, or what is presently your status, is in no position to weigh in on which, if any opinion you have obtained, now best suits your needs and serves your best interests. It doesn't matter what I have had success or failure with in treating patients who may or may not have sustained similar injuries to yours, as I don't know, and I can't know enough specifics about your situation to determine how similar or dissimilar your condition and status is to those patient. So how can I possibly advise you as to whether or not you've made a mistake or of will you be ok if you follow doctor's orders for no weight bearing and leaving the boot on? Such is NOT the purpose of forums like this.

But in regard to your dealing with your doctors . . Part of obtaining good medical services may involve DEMANDING it, and I'll wager that you have not given the doctors who are accepting your money for their services any of the sort of lip or piece of your mind or disrespect that, in your anonymity, you are more than willing to give me . . and as someone donating my time and efforts with no expectation of or desire for remuneration, I resent that.