Utah Pierpont Mystery

Yesterday my grandson asked a question related to an article he had seen while doing his schoolwork. He had seen a reference to Pierpont Avenue in Salt Lake City, UT, and wondered how it related to the Pierpont family. As the historian of the Pierpont Family Association, I was naturally intrigued and thought that this deserved investigation. There were a lot of “rabbit trails” along the way, but in addition to finally answering his question, I also learned about a branch of the Pierpont family that I had not been aware of.

 

Pierpont Avenue

Pierpont Avenue is located in downtown Salt Lake City. It runs east-to-west between 200S and 300S, i.e. 2.5 blocks south of the main east-to-west street, Temple Street. It begins one block west of Main Street (thus only 3.5 blocks from Temple Square, the home of the Morman church). It is currently broken up into six segments with discontinuities caused by railroad lines, a small river, and, most recently, by the construction of both I-15 (which runs N-S) and I-80 (which runs E-W in the small space between 200W and Pierpont Avenue).

This section of I-80 was the last part of I-80 to be built. Although it was part of the original Interstate plan from 1956 which was proposed under the Eisenhower administration, the section near Salt Lake City did not open until 1986 (30 years later).

There are a number of buildings along this route which also carry the Pierpont name: Pierpont Building, Pierpont Place, Pierpont Townhouses, Pierpont by Urbana, and Pierpont Lofts. One of the questions that needed to be addressed was: were the buildings named after the street or was the street named after one of the buildings? Some of the buildings were obviously quite new, i.e., Pierpont Townhouses, but others looked like older buildings that had been remodeled. So, there were a few “rabbit trails” that I might need to follow.

But a more significant question was: is there a significant Pierpont family in Salt Lake City’s history that was being recognized in the naming of both the street and the buildings? I decided to investigate this possible family connection first.

 

The Salt Lake City Pierpont Family

The most significant Pierpont in Salt Lake City in its early years was Thomas Fairclough Pierpont. He had been born in England in 1836, came to the US as a teenager, and married a young lady, Naomi King, from England in 1858. He was nearly 22 and she was 17. They were married in Leeds, Greene County, NY which is just south of Albany. Their first child was born there, but when the Civil War broke out in 1861, the family moved to Canada where they remained until the close of the war. While there they had 3 more children. In late 1865 the family moved to Salt Lake City. He and Naomi went on to have a total of 10 children by 1879, of whom 7 survived to adulthood.

At some time during his life (probably during their time in NY), Thomas became a Morman. As was accepted at that time, Thomas married a second time to Juventa Beck in 1873. She was only 22 and Thomas was 37. He began having children with Juventa, even as he was still having children with Naomi – in one case having two children less than a month apart. The two families lived in separate homes. In addition to his 10 children (7 living) with Naomi, Thomas had 11 children with Juventa (10 living).

The population of Salt Lake City when the Pierpont family arrived in 1865 was only about 11,000, most of whom were Mormans, but by 1900 it was 7 times that. (With the Pierpont family supplying 17 living children and other Morman families similarly expanding, the population could grow quite quickly!)

While Thomas was a stalwart in the LDS church, they were not famous. In the 1900 census, Thomas is listed as a machinist who has not worked for over a year. He died in 1908 – both of his wives being listed on his gravestone.

[Gravestone]

 

His children kept up the same tradition of having large families, but they were not of the best of character. One of his sons, also named Thomas, had moved to Provo, UT when he was only 19 and, in the tradition of his father, had started the Provo Foundry and Machine company 10 years later. But he made the news in 1947 when he went to the home of his daughter-in-law and beat her in front of her four minor children – “intentionally, maliticously, wantonly and wilfully with the unlawful intent and purpose of the defendant of injuring, harassing and humiliating the plaintiff in front of the children.” [typos in original newspaper article]

In exploring the ancestry of Thomas (Sr.), I was able to trace his Pierpont family line in England back to 1565. The family even back then lived in Lancashire. The family name was recorded as Pierpont/Pierpoint/Parpoynt, but never as the more typical English spelling of Pierrepont as were the English ancestors of the New England Pierponts.

It’s 120 miles from the Pierrepont family home near Nottingham to the ancestral town of this Pierpont family near Liverpool – not a trivial distance back in 1575. Thus, I have not been able to make a connection between the two family lines. So, this is now another Pierpont family in the US – the other two being the New England Pierponts (who came to MA around 1640) and the MD/VA Pierpont/Pierpoint family of Henry Pierpoint who came to MD in 1665. So that’s still a great finding.

 

Pierpont Buildings

There remained the possible connection between one of the Pierpont buildings and Pierpont Avenue. Were they the source of the name? In looking for information on each of them, there appeared to be only one potential – the Pierpont Building. But the information I initially located showed the earliest date of 1911, three years after James Pierpont passed away in 1908. So I kept looking. Then, finally, I hit pay dirt! In an ad offering the sale of the building. The offering stated, “… the Oregon Shortline Railroad Company in 1897-98 constructed a building as offices for their operations. Before the first phase of the project was delivered, they decided to move forward on an annex and additional building to the west, both of which would be the new home for Utah’s first public high school – Salt Lake High School.”

With this date and the name of the company which built it, I noted that it was associated with a railroad, and I immediately thought of J. P. [Pierpont] Morgan. Some further checking revealed a newspaper article from Oct. 13, 1897 which listed all the railroads that he controlled, including the 1421 miles of the Oregon Short Line. Thus, I had the source of the name!

 

Learnings

J. Pierpont Morgan controlled the Oregon Short Line. The Oregon Short Line constructed a new company headquarters in 1897 in Salt Lake City and named it the Pierpont Building. Subsequently, the street in front of this building was named Pierpont Avenue. As other buildings were later built on that street (such as the Pierpont Townhouse, the Pierpont Place, etc.) they adopted the name of the street that they were on as part of their name. So, the Pierpont name in Salt Lake City is all from J. Pierpont Morgan (1837-1913), a member of the New England Pierponts and a great*3 grandson of the Rev. James Pierpont.

The Pierpont family who were Mormans and who lived in Salt Lake City, while probably distant relatives of the New England Pierpont family, are a previously undocumented immigrant Pierpont family.

One final note – in the 1900 census, Thomas Fairclough Pierpont, his second wife, Juventa, and nine of their children were living at 127 Second Ave, just a half-dozen blocks from the new Pierpont Building which had been constructed just 2-3 years earlier. But while it bore their name, it was not named for their family, rather it was named for J. Pierpont Morgan who lived across the country in New York City. I wonder what they thought about this “other” Pierpont? And I wonder if their high school aged children attended school in the building which bore their name?

 

Back to the Emergency Room

2024 has not been a good year for me – at least medically. I started out by going to the ER the first week of January – a visit which resulted in getting a TransMetatarsal Amputation (TMA) of my right foot, and ultimately spending 2+ weeks in the hospital followed by 2 weeks in a rehab facility. I’ve been waiting for a custom toe-filler prosthesis to be made so I can walk normally and be able to drive again.

But then this past Sunday evening (3/4), I was preparing for bed around 9pm when things went south once again. The symptoms were not fun – an urgency to empty my bladder every 15 minutes, the process of doing so being VERY painful, and, the most upsetting to me, the very obvious presence of blood in my urine. After two hours of dealing with it, I got my wife up, brought her up-to-speed, and we made yet another unscheduled trip to the ER. Fortunately, we have excellent healthcare facilities in the county and it’s only a 20-minute drive away.

I checked in (in the process impressing the nurse on duty when I was able to recite my MRN (Medical Record Number) from memory. During the 30-minute wait, I gave a urine sample (more pain!). Then I was escorted back to a room in the ER. Standard procedure – remove all clothing except my socks, don a tie-in-the-back hospital gown, then get hooked up to various monitors (heart (5 stickers on chest), blood pressure cuff, index finger iron monitor). Also get an IV inserted in my arm so they can administer any needed medications quickly. Had two vials of blood drawn for testing, as well as the urine sample sent off for cultures, etc. They also took me down the hall for a CT scan of my abdomen.

Initial diagnosis was possible kidney stone being passed (although that didn’t show up on the CT scan), or one of several other kidney/urinary tract issues. Decision was made that I needed to be admitted, probably for two days, so Donna was able to drive back home (at 3AM!). (All these medical visits have been just as hard on her as on me – thanks, Honey!) Like back in January, they initially placed me in one of their “flex rooms” at the end of the ER corridor until they had a room available in the main hospital. They also hooked up my IV with a general-purpose antibiotic. By morning, I was feeling much better, figured maybe I had passed a kidney stone. They unhooked me from the auto-monitoring system after lunch in prep for moving upstairs. I even got the opportunity to walk with my IV pole to a nearby restroom so I could void properly.

I was placed in room 7BP5B – just four doors down the hall from where I spent those two+ weeks in January. But this time I had a roommate. Unfortunately, he was 90 and dealing with “confusion”, so kept getting mixed up on whether it was day/night, was confined to bed (with loud alarms if he tried to get up), kept calling for the nurse as he couldn’t comprehend the bedside alarm button, kept getting cold (eventually having 4 blankets wrapped around him), soiled his bed every few hours so they had to change to bedding. I tried to talk to him (through the curtain which separated us) but was unsuccessful. So, I just endured his outbreaks as well as the seemingly continual nurses/techs attending him. I suppose that’s why I was there – because I’m so tolerant of others and will pray for them instead of complaining about them. I also told the nurses that I viewed my job as making their life easier so they had a counter-balance to patients like my roommate.

I was still confined to bed because of my IV hookup, but otherwise I was feeling pretty good – relatively “normal” if that’s possible in a hospital. Had various visits from different doctors – urology, nephrology, etc., and a variety of staff – nurses, techs, cleaning staff, hospital reps, therapists, etc. Never a dull moment in a hospital!

My bloodwork, which they took a couple of times, was showing definite improvement. My urine color and flow was also normal. I was eating normally, etc. Only issue was that I was still waiting on the urine culture – they confirmed that it had been sent to the lab at 11am on Monday and indicated that it usually took 24 hours or so. But I was beginning to get “antsy” to go home as there was nothing negative going on.

Finally, in early afternoon on Tuesday they were preparing to send another dose of antibiotic through my IV port and it began leaking badly. The nurse was perceptive and said that she’d check if they could switch to an oral antibiotic instead of having to remove my IV and find another place to stick a new one in. She went “to bat” for me and contacted the hospital doctor who then called me and said I could go home with the oral antibiotic and a prescription for taking them 4x/day for several days.

At that point I already had two follow-up visits with the urology specialists (one for an MRI of my bladder, and one for the insertion of a camera into my bladder/kidney to confirm the issues behind the bleeding). I also had scheduled additional bloodwork to confirm that the improving trend on a couple of indicators was complete. So I called my wife to come pick me up and waited for the first oral antibiotic dose to be given.

I was glad to get home – and to have the opportunity to catch up on missing sleep as my sleep the prior night didn’t get started until after midnight because of the fuss my roommate was taking and (per typical hospital protocol), ended at 3AM when the shift change meant a visit to take my vitals.

But the story does not end there. Early this morning I received a call from the hospital doctor letting me know that the urine culture had finally come back late at night and the diagnosis was MRSA. But that meant that the antibiotic they had prescribed would not work and they had ordered a new one. I checked with the pharmacy and they did not have any in stock, nor was it covered by my insurance. But if I was willing to pay for it (the grand sum of $8 for a week’s supply), they would order some from another nearby pharmacy and have it ready later that day.

There has also been a good side to this just like there was for my amputation. Because of the way that the various medications I’ve been taking impact various body organs, they have removed two more of my medications that I had been taking daily. So instead of 7 pills each morning and 3 each evening (2 of which are repeats), I’m now down to just 3 each morning and 2 each evening (just 1 repeat). I’m also going to check with my PCP when I see her next week to see if I really need the weekly shot of Trulicity anymore. I’ve not had any for a month as it’s unavailable and on back order at the pharmacy. It’s also the most expensive one I’m still taking so I’ll be glad for that savings as well. My glucose numbers are doing fine without it, so why do I need it?

Besides being able to reduce the number of meds I take each day, my glucose levels are also staying down. And, perhaps, related, I’m keeping the weight I’ve taken off from coming back. I’ve had a number of people at church tell me that I’m looking pretty healthy, so those remarks are very encouraging.

As a friend told me, “You’ve used up all your sick days for the year.” I agree. And I’ve already got 7 visits scheduled for the next few months (follow-up with hospital doctor, bloodwork, semi-annual visit with PCP, toe-filler prosthesis, bladder MRI, urologist, and follow-up with foot surgeon). That’s already too many! I’m ready to stay healthy for a while!

 

Little Things Count

Bob Koning’s latest story was titled “Whalen – The Other Side of the Story” (you can read it here). In his research, he says the following: “23 civilians were killed and were not remembered. Wahlen has no church anymore. … It felt weird: 23 civilians were killed and there was no place to remember them.”

He goes into a lot more detail on why there is no church, and that the graves are now located in the neighboring village of Steinfeld. But because there is no church in Wahlen the people there, several of whom are descended from those civilians who were killed during the bombing of 25 December 1944, no longer feel comfortable visiting the graves in the next town.

Such a simple thing – the government decided to not rebuild the church in Wahlen, the graves were moved to a different village, and now they sit among weeds and small bushes with no one visiting them.

[Cemetery in Steinfeld]

 

But that got me to thinking – about how some simple things (also associated with war) had significant outcomes.

 

Ruloffe Van der Kerr (VanDeCar)

I wrote the story of Ruloff, my wife’s great*5 grandfather, a few years ago (see here). But why did he choose to enter the Revolutionary War on the side of the British when all of his brothers and cousins sided with the colonists? As I looked at all the details of the story, there were some simple things that accounted for this.

The Van der Kerr family had been in the Hudson River valley for over 100 years before Ruloffe was born in 1745. His great-grandfather had been born there in 1637. So why would some still be favorable with the British? There were a number of reasons.

The first is the terms that the British gave to these Dutch inhabitants when they took over the Hudson River valley in 1664. While Charles I was a horrible king (he was beheaded by order of the British parliament), and his son, Charles II, was not much better, when agents of Charles II approached the Dutch, they gave them very favorable terms. As you can see here, the Dutch got to keep their weapons, their ale houses could remain open, etc. The terms even stated that “All people shall continue free Denizons and enjoy their Lands, Houses, Goods, Ships, wherever they are within this Country, and dispose of them as they please.” So the Dutch were given no reason to hate the new British government (unlike people in other parts of the British empire).

A second reason is that about the time that Ruloffe was born (in what was called at the time Loonenberg, but is now called Athens, NY), the British colonies were involved in the French and Indian War. A man by the name of Edward Jessup (1735-1816) (see here and here) had been living in Dutchess County, NY, but served as a captain in the NY Militia in 1759. Following the war, he and his brother moved to an area above Albany, NY where they received 500,000 acres of land from the British Crown. The area where they lived became associated with the British and remained so when the Revolutionary War broke out not too many years later.

Meanwhile, Ruloffe had moved out of the farming community where his relatives lived and had taken the profession of tanner and shoemaker. This seemingly simple choice of occupation meant that instead of being bound to the land, having other farmers as his principal contacts, and needing to tend crops/animals every day, he associated with men who could afford shoes and who walked as part of their everyday lives. These would have included men like the Jessup brothers as well as British soldiers. Thus, when the war began, 30 y.o. Ruloffe had his allegiance to his customers, including the British, instead of to the colonists who tended to be farmers. So he joined the group known as Jessup’s Raiders.

When the war ended in the early 1780s, Ruloffe was forced to flee to Canada. The British there, following their pattern, reimbursed him for the losses he had suffered. He remained loyal to the British for the remainder of his life. It was only after his death in 1830 that one of his sons moved back to the US – but not to nearby NY. Rather he went to the newly settled territory of Michigan which became a state in 1837.

One small thing – the choice of an occupation – but significant consequences for Ruloffe.

 

Peach Tree Creek

Like my wife’s VanDeCar ancestors, my Russell ancestors who lived in the Hudson River Valley were not unfamiliar with war either. My great*5 grandfather, John Russell (1756-1833) had left his young wife and newborn son to enlist with the NY militia on 1 May 1776 where he served until Aug 1777. Thus, when the Civil War engulfed the country, it was not unexpected that Stephen Simmons, the husband of my great*3 aunt, Rebecca Russell, also enlisted in a NY regiment in the fall of 1862. Rebecca, together with their two children (ages 10 and 9) moved back with her parents on the family farm. But Stephen’s service was not confined to the Hudson River valley and by mid-1864 he found himself as part of General Sherman’s armies in northern Georgia.

On 17 July 1864, the Confederate President, Jefferson Davis, had replaced General Joseph Johnston with General John Bell Hood, due to Johnston’s practice of a strategy of retreat (see here and here). As Sherman’s armies were approaching Atlanta, Hood’s strategy was to allow the Union Armies of Tennessee and Ohio to move east, but to attack the Union Army of the Cumberland, under General George Thomas, as they were crossing Peach Tree Creek and were most vulnerable. This was an excellent plan, however Hood lacked the insight to realize that he needed to position his troops where they could protect themselves from the Tennessee and Ohio forces on their right while still engaging the Cumberland forces crossing the river.

The original plan called for Hood’s forces to attack around 1-2 p.m. on 20 July, but because of the delay of about 90 minutes while they shifted to the right, they were not ready to attack until 3:30-4:00. By then the bulk of the Cumberland forces had completed crossing the creek and this led to a victory by the Union forces instead of the Confederate forces. With the Confederate forces once again being forced to retreat, the stage was set for the Battle of Atlanta two days later.

Just a small delay of 90 minutes in a war that had been going on for four years. But that simple delay was enough to change the course of the war by allowing Sherman’s March to the Sea.

But that outcome did not change the experience of Stephen Simmons. He was one of the casualties of the Battle of Peach Tree Creek. His wife filed for a widow’s pension, remarried three years later, and moved to CT with her new husband.  

 

Simple things sometimes have significant consequences. That’s partly why the study of history is so fascinating!

Military Research

It Started with Bob

Fifteen years ago, in the winter of 2008-2009, my younger brother announced that he had published a book of poetry that he had written. I had not realized that self-publishing was something you could do, but thought I could do some as well. The first book I published was a book of poetry that had been written by my father during his time on board a small ship in the South Pacific during WWII. He had passed away a few years earlier and I had come into possession of his collection of poems. I organized them, typed them up, and published the book of his poetry, called “My Father’s Love”, in March 2009.

A few weeks later, I was meeting for breakfast with a small group of men who got together every few weeks at a local restaurant where we shared what was going on in our lives and prayed for each other. I brought along a copy of the book that I had just published to share with them. As I was doing so, the distinct words that came to me – a message from God – were “Go see Bob.” Bob Kauffman was a retired gentleman from our church. He had not attended much for the prior few years as he was dedicated to taking care of his wife who was bedridden. She had passed away a few months earlier and I knew that was struggling with what to do next.

I also knew that he had written some monographs of his time in WWII where he had served. Knocking on his door (I had never been in his house before), I showed him the book of poetry and offered to organize and publish his monographs. He was stunned, especially since he had just a few days before received an email from a British general whom he knew who had also said that he should get his stories published.

Bob wanted to write an opening chapter of how he came to enlist in the US Army, but in the meantime, he gave me a folder with copies of all his monographs. I spent the next few months editing them, eliminating duplicate accounts, putting them in chronological order, etc. Over the summer it all came together and his book, “The Replacement” was published in September 2009. (See here).

It was an immediate success. Over the next few years until his eventual passing in 2013, he gave innumerable speeches to various civic organizations, schools, and churches, appeared on TV, and was even invited as a special guest speaker at the Gettysburg National Cemetery during their annual day of remembrance.

But perhaps the most significant speech he gave was at the Normandy Cemetery in France in 2012. Bob had memorized many of the chapters in his book and was honored to repeat it to a group at the daily flag-raising ceremony that day. (You can see it here).

 

Another Bob

During this period of his life, Bob was taking annual visits to Europe to see the places where he had served. He often took others with him. It was on one of these trips that he met a young man, Bob Konings. Bob was originally from the Netherlands but had recently moved to the small village of Grandmenil, Germany, where he had opened a bed-and-breakfast. He was enthusiastic about researching history, especially of the town of Grandmenil. As he notes on his website (https://www.battletour.be/about-bob/), he published some of his findings in early 2009. Then just a few months later, in May 2009, he met Bob Kauffman and they became close friends.

Although I have never had the opportunity to travel to Grandmenil, I also have begun working with Bob on some of his research. My specialty is using my skills at genealogy to find relatives of the various soldiers who were killed at some of the battles in that area and trying to make connections with them so that we can get a fuller picture of the men involved. If you look at one of Bob’s websites (https://www.battle-of-the-bulge.be/the-ottre-massacre-sources-and-acknowledgments/), you can see the thanks that he gives to Bob Kauffman and also his acknowledgement of me as a fellow researcher. I’m happy to be associated with all the individuals in this research and to be able to add my small contribution to it.

 

Add in Myra

One of the other researchers involved in this research is Myra Miller. Not only does she have a keen interest in WWII research, but she is fortunate to live just outside of St. Louis near the National Archives and Records Administration (NARA) facility there. While NARA is headquartered in MD, the National Personnel Records Center, which houses military records (Official Military Personnel Files (OMPF)) is in their St. Louis facility. Myra and her team of researchers (officially called Footsteps Researchers (see https://www.footstepsresearchers.com/founders) spend many hours combing through the NARA records each year.

It was about this time that Myra and her four siblings began the research on a book that would honor their father and his service in WWII. They put together a large (338 page) collection of the stories that their father had told them as well as stories from another 140 WWII veterans. The book was called “Soldiers’ Stories: A Collection of WWII Memoirs” (see here). By the time it was published in late 2016, I had already worked with Bob Konings and Myra for a while and ordered a copy for myself as soon as it was available. Of course, one of the soldiers featured in it was Bob Kauffman.

This book was also an instant success and as others began sending Myra their own stories (or stories from their father or grandfather), they quickly had a collection of enough other stories for a second volume. This second volume, published in 2020 (see here) also included a story that I wrote about my father’s time in the US Navy. You can see what I wrote here.

Myra continues to do WWII research through the NARA records as well as leads small groups on battlefield tours of the European theater. I am happy to be connected to both Myra and Bob Konings in social media.

 

Add in Joey

The final member of the collaborative team is Joey van Meesen. Rather than contributing by writing, Joey uses his skills to produce documentary videos. His website is called Snafu Docs (https://www.snafu-docs.com/). As you can see on his website, he partners with Battle of the Bulge Tours (Bob Konings), with Footsteps Researchers (Myra Miller) as well as with others. Not having skills in this area, I have not worked directly with Joey as I have with Bob or Myra, but I have viewed all his videos.

 

Pulling it all together

I had already decided earlier this week to write this blog post. But then within the last 24 hours three separate items brought it to the forefront of my mind.

First, in my Youtube feed I received a reminder of a video of Joey’s that I had watched two years ago. The video was a short documentary about looking for the person who was in a picture from 1944 in a small town in Luxembourg (see here).  The people on the search team were Joey, his father, and Bob Konings. Naturally, I watched it again – and put this blog writing on the top of my list.

Then, late last night, two items showed up at the top of my Facebook feed. The first was a posting from Myra, showing the Footsteps Researchers/Snafu Docs teams at a display table at a convention in Louisville. Both Myra and Joey were in the picture.

Finally, early this morning (European time) there was a posting by Bob Konings about a recent trip he and his wife made to the small village of Wahlen, Germany looking for the graves of the civilian victims of a bombing run of a plane that crashed near where they currently live. So, in the middle of the night (my time), I not only read his post, but resolved to write this blog post TODAY! And, the focus of his post will be the subject of a subsequent post that I’ll begin writing this afternoon.

Just like when I showed my father’s book of poetry to a few friends and received the message, “Go see Bob,” I now have received the directive to write this latest post!

 

Two Steps Forward, One Step Back

Why Do I Post These Updates?

Before I get to the topic mentioned above, I thought I’d give some of the rationale on why I post these detailed insights into my current medical situation.

I’m not doing it for personal glory, nor to try to shock you with all the details of what I’m going through. Rather, I recognize that we all encounter new things/challenges in our lives and we need to adapt to these changing circumstances. It’s important to remember that God is in control of all things. So we can rely on Him to help us. Thus, rather than be upset that we are not in control ourselves, we don’t have to be upset, but can learn from these new/changing circumstances.

 

New Steps Forward

The past several weeks have been a bit of a wild ride. First, about two weeks at home not feeling great because of COVID, then two and a half weeks in the hospital, then two weeks in a rehab facility, and finally a few days at home. I’ve known for quite a while that getting my right big toe amputated was a possibility, but it was a bit of a shock when the doctor determined that I needed a trans metatarsal amputation, i.e., the entire front of my foot. But I dealt with it with little difficulty and took the opportunity to minister to others in the rehab center.

There have been two really positive “side effects” that I’d like to share:

First, probably because of the CCD (Constant Carb Diet) that I was on in the hospital and the rehab center, my weight has been dropping. As of my latest stepping on the scale at home (which I’ve used before, so I know it’s pretty accurate), my weight is down 20 pounds compared to a few months ago. I’m now at the lowest that I’ve been going back at least several decades. I’m now in the “older normal” range. Now my challenge is to keep it off. My wife is trying to replicate the same CCD types of meals, but that’s not been easy, as she doesn’t know the portion sizes that they were using.

Second, and also related to that same diet, my average blood glucose is holding fairly consistently in the range that I’ve been shooting for over the last few years since I met with a nurse who started me on insulin, i.e. 100-130 target. My A1C the last few times it was measured was about 6.8-6.9, indicating a glucose level of about 140. But my average over the last 30 days is only 115, indicating an A1C of 5.4. Not sure if I’ll be able to keep it there, but if I can keep it below 130, that would be great! (This morning I was at 113, so this new diet appears to be working!)

 

One Step Back

However, I have had one setback….

It was great last Friday to have the wrap on my foot removed, the stitches taken out (after less than two weeks post-op), and come home. But then I had to figure out how to adapt the getting around on my knee scooter, going up the few steps into the house, and to make the various transitions to recliner, to bed, etc.

When I went into my den and wanted to get off the scooter into my recliner the alignment of the scooter to the chair was on the wrong side of the scooter, and there was not enough space to turn around. (I’ve now changed to getting off on the futon first, then making a second transition from the futon to the chair, but this was my first time and I hadn't figured that out yet.) Even with the assistance of my wife and daughter it was awkward. In the process I began losing my balance and I set down my right foot to stabilize myself. While I caught myself, I twisted my right ankle and heard an audible “pop” and felt a pain in the back of my right heel.

While neither my wife nor my daughter had heard the “pop”, I believed that it was like my Achilles tendon. It was late enough in the day that the orthopedic surgeon’s office was closed, but I contacted his office and left a message about what had happened and asked for an appointment on Monday. On Monday morning I heard from his office and we scheduled a short visit for early afternoon.

He quickly determined that I was correct in my analysis. He did not seem overly concerned as part of the eventual plan was to lengthen that tendon to compensate for the lost dexterity in my now shortened foot. But in the meantime, I needed to have it splinted to give it time to heal without any further damage.

[Splinted Foot]

 

The above picture shows the size of my splinted right foot compared to my still-normal left foot. You can see the size of the combined splint and wrap. The splint has several layers: gauze against the skin to prevent irritation; a sock to hold the gauze and give a slippery base; a splint (material that is wet to activate, then the water squeezed out, then shaped from beyond the front of the foot, around the heel, and up to just below the back of the knee where it hardens in a minute or so); a wide tape of elastic material. I covered it with bag-like black sock that my daughter got for me that keeps it all clean and doesn’t look quite so clinical.

So now my foot is immobilized and I can’t bend my ankle for the next two weeks. Just one more adaption!

 

Movement and Transfers

The process of moving around and transferring to various seats has been a shifting landscape. In the hospital I was confined to bed and only allowed up to sit on a commode right next to it. The bed was alarmed if I tried to get up, so I had to call the staff then stand and pivot on my left foot. In rahab I started out on a wheelchair with a right leg support and had to get cleared by the therapist to demonstrate that I could transition to the toilet before they would let me go unattended. Then I got a knee scooter but had a belt around my middle that they could hold to ensure that I did not fall – eventually cleared to use that unattended as well. Finally got training on a stair-climbing cane to show that I could go up/down the few steps at home.

At home I started using the knee scooter, but it requires space to turn and so it was very awkward for things like going to the bathroom as there was no turning space. I’ve now transitioned to using crutches in the house and using the knee walker when I go out (so far only to doctor visits and church). This also facilitates any transitions (to recliner, to bed, to kitchen chair for supper) as the knee scooter only allows exit on the left side where my left leg is. I’m also using a urinal so I don’t have to make the trek to the bathroom if I wake up at night. Every change creates a new learning experience!

 

What’s Next?

If all goes well, then the splint on my leg will be removed in two weeks. Then I can make an appointment with a local company that will make a prosthetic insert that will attach to the front of my foot and enable me to use a regular shoe. I’ll then be cleared to drive and be somewhat back to normal. Not sure when I’ll need additional surgery on my ruptured Achilles tendon to give me the needed flexibility.

I’m continuing to learn new things – new things about my body, new ways to get around, new adaptions needed to transition, etc. But in all this, God is in control. Psalm 46 says, “God is our refuge and strength, a very present help in trouble. Therefore we will not fear…” I will continue to rely upon Him!

The Power of Prayer

One of the advantages of my time here in rehab is that I have more time to myself instead of being involved in the homeschooling of my grandsons. So I’ve been using that time to spend time in prayer. I’m not doing anything different except for the amount of time. For several years I’ve had a routine for organizing my prayers that I’d like to share.

I have several lists on my smartphone to organize the names of people whom I pray for. Here they are – not in any priority order:

 

Shepherding Group

Although I transitioned from being an active elder at church to elder emeritus status last year (after 40 years), one thing that I retained was my shepherding group of 20 families. I not only regularly pray for them, but I try to touch base with them at church each week. I also periodically reach out to them via email asking if there are any specific things that I can pray for.

Praying Around the World

There are a number of missionaries from our church scattered around the world. I also have friends in a number of countries whom I have made over the years. I’ve organized them by geography, and I pray for one area of the world each day. So Monday is Europe, Tuesday is Africa, then South Asia, Southeast/East Asia, Caribbean and South America. There are 2-3 families in each of these. But concentrating on one geography each day means that I can pray specifically for each family regularly.

Long-term Prayers

I keep a list of 6-10 individuals who have long-term issues – things like physical situations or family situations. By putting them on this list I’m trying to not forget them. There is a human tendency to pray when we first hear about something but then forget about it after a while and this list keeps these individuals in front of me. Some of the people on this list I’ve had for 4-5 years.

Church Prayer Chain

Our church sends out a prayer chain twice a week. Some of these prayer requests are for people in the congregation and others are for family members that they are concerned about, i.e., please pray for xxxx’s sister-in-law. I generally only like to pray for people I know so I can put a face to each prayer, so rather than pray for these latter types, I pray for the church member to know how to work with their relative.

Family

Last, but certainly not least, I pray for my family – wife, children, grandchildren, siblings, nieces and nephews, etc. I don’t have these in a list as that’s not needed. But we can’t forget to pray for those who are closest to us.

 

There are many people who pray for things that do not fall into the above categories. For example, I’ve heard prayers like “Pray for our country, our president, our elected officials,” or “Pray for such-and-such organization.” If someone is leading a prayer like this, then I will certainly participate, but I do not put these on any of my lists. I want to be able to visualize the face of the person I’m praying for and to make my prayers personal. There are others who have other practices and I’m fine with that, but this is my focus.

There are a lot of benefits to prayer and there is power in prayer. Even if God has other ideas and we do not understand the eventual outcome, prayer helps to align us with God. And looking to Him is always a good thing!

 

Getting an Amputation

The beginning of 2024 did not go as planned. Below is a synopsis of the last few weeks.

 

Background

I’ve shared before about the problems that I’ve been having with my right foot – how some arthritis at the base of my big tie caused a deformity that put all my walking pressure on that spot, how the callous there broke off leaving a big hole, how I’ve been dealing with trying to get it closed up for five years, a couple of bouts of sepsis, etc.

Just before Christmas our son-in-law got COVID, in fact his entire workplace was shut down for a week. Before he knew he had it, he shared it with our entire family. The symptoms weren’t too bad, but apparently, the extra level of infection was enough that it exacerbated the infection I was already dealing with in my foot (I had just finished a regimen of antibiotic). Thus, after not feeling 100% for the week between Christmas and New Year, I started feeling even lousier. My wife and I made the decision to have me taken to the ER on the day after New Year’s. There I was diagnosed with COVID, given an at-home monitoring kit, and sent home the following morning with instructions to come back if things didn’t get better. They didn’t!

 

Round One – Goodbye Big Toe

The next few days were a bit of a blur. All kinds of blood tests, etc. They did not have a bed available in the main hospital, so initially I had a room at the end of the ER in a “flex” unit. The following day I got moved upstairs. While there I continued to get various blood tests (ever feel like a pincushion?), x-rays, a CT scan, etc. My white blood cell count was really high, my urine was the color of dark tea (indicating the issues my kidneys were having trying to clear the infection from my blood), etc. I was feeling bad enough that they had to abort my first CT scan.

By Saturday, 1/6, they had made the decision that I needed to have my big toe, and the metatarsal behind it, removed. They normally do foot surgery on Tuesdays and Fridays, so rather than the chief foot surgeon, another doctor from that office did the surgery. The doctor indicated that it would be a multi-part surgery – one that I mentally classified as “cut it off”, “clean it up”, close it up. That mental classification turned out to be mostly accurate, but the second part I underestimated.

I did take a picture of the results of that first surgery – but not one that I’m sharing as it’s too gross. At the time I was glad to finally be rid of the source of all my difficulties. They wrapped it up and I was confined to bed for a few days. Was feeling better at that point, but still getting lots of blood draws and there was still concern about my white blood cell counts, etc.

 

Round Two – What’s a TMA?

On Friday, 1/12, I went down for my second surgery. In the meantime, I had an MRI of my foot so they could complete their evaluation. Apparently the level of infection had spread through the rest of the bones in the forefront of my foot, so the decision was made not to just “clean it up”, but to do a full TMA (Transmetatarsal Amputation). This is essentially the removal of the entire front half of my right foot – all five toes, and cutting through the set of metatarsal bones behind them.

[TMA Picture]

 

Just a bit more than a “clean it up”!

The good news is that all the infection was now gone. The ulcer that I had on the bottom of my foot for the last three years is also gone. But there are also downsides to this operation.

 

Round Three – Close it up

After the second surgery, my foot and lower right leg were in a soft cast. I was under strict instruction of NWB (No Weight Bearing) for that foot. So, naturally, I remained confined to bed – a position that ultimately I would be in for two solid weeks.

[Soft Wrap]

 

On Tuesday, 1/19, I had a final surgery to close up the wound. As part of that surgery, they also did an Achilles tendon extension – making some carefully placed cuts of the tendon that will make the tendon longer as it heals and give me some additional flexibility in the ankle.

One of the interesting issues with surgery is that you can’t have any food/drink after midnight on the day of the surgery. That was not an issue with the second surgery as it was at 7am, but the third was in mid-afternoon so I had no nourishment from 7pm the day before until 7pm that night – a long time between meals. And as the meals in the hospital were all low-carb (i.e. no more than 40 carbs), my stomach was perpetually growling.

The day after the surgery I saw the surgeon in my room. Besides the NWB order, there were strict instructions to leave the soft cast in place and to have a follow up visit with him in a few weeks, i.e. the first part of February.

 

Round Four – Rehab

It took a few days to make the arrangements to get moved to a rehab facility. My first choice was at Fellowship Community – a place connected with our denomination and where some of the senior citizens from our church reside. But they didn’t have any short-term rehab rooms available so my second choice was Complete Care, a place that relatively close to where we live and where my wife would be easily able to drive to it. It’s an older facility and a bit shabby, but the staff are very caring and the food is excellent.

[Rehab menu]

 

I’m in a semi-private room and have a roommate, but he’s not terribly communicative. He’s 91, really doesn’t want to be here (he normally is in an assisted living home perhaps 50 miles away). He won’t eat the food – just wants a jelly sandwich on white bread, orange juice, and oatmeal made with milk (not water) and with honey drizzled on the top. He’s quite hard of hearing and often seems to be deliberately ignoring the staff questions to him. So we’re co-existing.

 

Next Step – Discharge and Going Home

This morning I met with the head of physical therapy for evaluation. Tentative plan is for two weeks here then discharge to home. In the meantime I have to build up my strength (especially my arms and left leg as I can’t use my right one), learn what assistive technology will work best (thinking at this point is probably a knee scooter for around home, then transition to a wheelchair at church). Longer term, I’ll need to have some sort of adaptive foot prosthesis so I can wear my shoes and get back to driving. But I’ve got a couple of months before I get to that stage as I need my foot to completely heal.

[Healed TMA]

 

This has been an interesting experience. This two+ weeks in the hospital probably doubles the total hospitalization I’ve had in my life. Even my heart attack was only four days. And then two more weeks in a rehab/skilled nursing facility means an entire month away from home – and away from the rest of my family. I’m anxious to get back to see them, but in the meantime I’ll be patient.

Whatever happens, I continue to rely on knowing that God is in control and he knows the outcome. Go God!