advertiser.com.au saturday january 17 2015 …called i am batman, named by her son, and cost a cool...

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ADVERTISER.COM.AU SATURDAY JANUARY 17 2015 WEEKEND EXTRA 57 V1 - ADVE01Z01MA say I got a mosquito bite on my foot, or sunburn. It would take months to heal because the blood flow wasn’t right.” Back in Adelaide she saw a surgeon who laid it on the line. The only real possibility was amputation. She saw another doctor, a vascular surgeon, and he said the same. That began a series of gruelling round of visits to specialists. “They don’t just remove limbs; you have to go and sit through a board of medical people who all have to agree it is the right thing to do,” she says. “It’s not a matter of say- ing ‘can you cut my limb off?’ They won’t do it. If they can save a limb, they will save it.” She saw a psychologist, a rehabilitation specialist, an- other orthopedic surgeon and a pain specialist. On July 27, 2011, three years after seeing a doctor about her ankle, her lower limb was removed. Since then she has had 25 surgeries, many of them re- lated to pain control. In Au- gust last year she had a second amputation above the knee. Her stump had been too short for a prosthetic and her pain problem was exacerbated by a nerve in the stump. If she wanted to be able to walk, more of her leg had to go. I T WAS an unimaginable ordeal and she doesn’t know how she got through it. “The last ampu- tation was the worst for me,” she says. “I had less tears with the last amputation but from a psychological point of view it was quite difficult. And my pain management was all over the place.” She had children relying on her and giving up wasn’t an option. Slowly, she is getting her life back. In April last year she and her children moved from Adelaide to the Gold Coast where she is part of a national elite sports develop- ment program, training in kayaking and va’a – a Tahitian outrigger canoe. Out in the water she feels strong and in the past month completed a 15-second personal best, put- ting her on track for the Para- lympics in Rio. “I feel like I’m equal to everyone else, I feel strong, even though I am categorised An ankle operation left Melissa Sullivan in the middle of a medical nightmare, writes PENELOPE DEBELLE. Powering on through pain and heartbreak I feel like I’m equal to everyone else, I feel strong ... when I’m in a boat I like paddling past people who are walking their dogs or whatever because they don’t know that I’ve only got one leg VERSATILE: Melissa Sullivan with her children Madeleine and Kaleb in 2009, top; left, playing wheelchair basketball for Adelaide Thunder; and trying out for the Rio De Janeiro Paralympics. the incorrect spot. And some- thing new had happened. In- stead of the post-surgical pain she was used to, this operation had left her in agony. And her foot, when it was revealed, looked odd. It was a purplish colour and felt cold. She continued to experi- ence constant and unusual pain and every step was pain- ful. Worse, she had no idea what was wrong or what to do. She braved it out for a few months but the pain got worse. Finally, she visited a lawyer and asked for help. The process from then on was to establish the damage that had been done – and see what could be done to fix it. Sullivan was dogged by bad luck. The saga of the ankle and its future was overshad- owed by the world of pain she was in. She was diagnosed with three pain syndromes, one of which could have been treated if it was known about in time. The first was a serious case of Complex Regional Pain Syndrome (CRPS), pain that sets in after a fracture. Sullivan says she was at the extreme end. “Out of zero to hundred, I was at the 95 per- centile,” she says. “Nobody could tell me what the prob- lem was.” S HE also suffered deaf- ferentation, a nerve dis- order that translates into hypersensitivity. A block of ice on her skin, instead of feeling cold, would read as ex- treme pain, “like someone shoving in a knife”. And later, when her limb was amputated, she suffered phantom pain. “My foot does all these weird and wacky things and the pain that the foot goes through, I feel it,” she says. “I paddle with a guy who had his legs blown off in Afghanistan and he complained one day about an itch and it lasted five minutes and he couldn’t scratch it! He had nothing at all. They don’t know why some people suffer and some don’t but I just happened to get all three.” She went for months with- out treatment and was in a wheelchair. Everything was painful. At the same time she was juggling a failing marriage and the care of two young children, both with serious medical problems. Her daughter, Madeleine, has kidney disease while son Kaleb has Asperger’s syn- drome and was fed through a gastrostomy tube for the first few years of his life. She sold her real estate business and became a full- time carer. At one point she had both children in hospital while trying to fit in wheel- chair basketball. At her lawyer’s direction, she flew to Melbourne to have a report done by an indepen- dent specialist to appraise the extent of the physical damage and see what could be done. He told her he could try and rebuild a foot and calf out of bones harvested from else- where in her body, and from donors. It was hours of sur- gery with a strong likelihood of failure. For the first time, amputation was mentioned. “There is going to come a time when you are going to have to have the limb ampu- tated,” he told her. “It is not a viable foot. Toes are curling over, your toenails are dying.” She already knew her foot wasn’t doing well but it was hard to hear. She had watched her skin grow translucent to the point where she could see through it. “You could see veins, it was quite weird,” she says. “And as a paracanoeist,” she says. “I know this sounds weird but when I’m in a boat I like pad- dling past people who are walking their dogs or what- ever because they don’t knos that I’ve only got one leg. “They will look at the boat and they won’t know I have a disability.” Under the care of Adelaide pain specialist, Dr Philip Cor- nish, she has overcome most of the complications caused by her surgeries. She has visible under her skin, sitting almost on top of her sternum, a small, square device called a neuromodula- tor that inhibits her body’s neuro transmitters. Apart from an occasional jolt of CRPS pain through her non- existent foot, it has brought her pain under control. Reaching a settlement late last year with the orthopedic specialist’s insurers has brought a measure of peace, and comfort. She has the se- curity of being able to provide for her family. And she now has a new leg. It’s software is called I Am Batman, named by her son, and cost a cool $106,000. All amputees should be entitled to these, she says, but hers only became possible after the settlement. At some point she wants to paddle the 6600km Mississip- pi, with her children and part- ner Fred Tanner, her former coach. If she doesn’t make the 2016 Paralympics, the Missis- sippi will be on. Her next goal is to make the Australian paracanoeing team for the Milan world titles this year. She has won world titles under the Australian Outrigging banner and is cur- rently the fastest woman in the world in her category. She isn’t bitter. She and Tanner are about to start a business on the Gold Coast and she says she has become more empathetic. If the sur- geon walked through the door of the Adelaide restaurant where we met, she says she would speak to him. “If he came through the door now and recognised me and came up and spoke to me, I would talk to him,” she says. “He made a mistake. Un- fortunately he made three and he changed my life, and my children’s lives as well.”

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Page 1: ADVERTISER.COM.AU SATURDAY JANUARY 17 2015 …called I Am Batman, named by her son, and cost a cool $106,000. All amputees should be entitled to these, she says, but hers only became

ADVERTISER.COM.AU SATURDAY JANUARY 17 2015 WEEKEND EXTRA 57

V1 - ADVE01Z01MA

say I got a mosquito bite onmy foot, or sunburn. It wouldtake months to heal becausethe blood flow wasn’t right.”

Back in Adelaide she saw asurgeon who laid it on the line.The only real possibility wasamputation. She saw anotherdoctor, a vascular surgeon,and he said the same. Thatbegan a series of gruellinground of visits to specialists.

“They don’t just removelimbs; you have to go and sitthrough a board of medicalpeople who all have to agree itis the right thing to do,” shesays. “It’s not a matter of say-ing ‘can you cut my limb off?’They won’t do it. If they cansave a limb, they will save it.”

She saw a psychologist, arehabilitation specialist, an-other orthopedic surgeon anda pain specialist. On July 27,2011, three years after seeing adoctor about her ankle, her

lower limb was removed.Since then she has had 25surgeries, many of them re-lated to pain control. In Au-gust last year she had a secondamputation above the knee.

Her stump had been tooshort for a prosthetic and herpain problem was exacerbatedby a nerve in the stump. If shewanted to be able to walk,more of her leg had to go.

IT WAS an unimaginableordeal and she doesn’tknow how she got

through it. “The last ampu-tation was the worst for me,”she says. “I had less tears withthe last amputation but from apsychological point of view itwas quite difficult. And mypain management was all overthe place.”

She had children relying onher and giving up wasn’t anoption. Slowly, she is gettingher life back. In April last yearshe and her children movedfrom Adelaide to the GoldCoast where she is part of anational elite sports develop-ment program, training inkayaking and va’a – a Tahitianoutrigger canoe. Out in thewater she feels strong and inthe past month completed a15-second personal best, put-ting her on track for the Para-lympics in Rio.

“I feel like I’m equal toeveryone else, I feel strong,even though I am categorised

An ankle operation left Melissa Sullivan in the middle of a medical nightmare, writes PENELOPE DEBELLE.

Powering on through pain and heartbreak

I feel like I’m equal to

everyone else, I feel strong ...

when I’m in a boat I like

paddling past people who are

walking their dogs or whatever

because they don’t know

that I’ve only got one leg

VERSATILE: Melissa Sullivan with her children Madeleine and Kaleb in 2009, top; left, playing wheelchair basketball for Adelaide Thunder; and trying out for the Rio De Janeiro Paralympics.

the incorrect spot. And some-thing new had happened. In-stead of the post-surgical painshe was used to, this operationhad left her in agony. And herfoot, when it was revealed,looked odd. It was a purplishcolour and felt cold.

She continued to experi-ence constant and unusualpain and every step was pain-ful. Worse, she had no ideawhat was wrong or what to do.

She braved it out for a fewmonths but the pain gotworse. Finally, she visited alawyer and asked for help. Theprocess from then on was toestablish the damage that hadbeen done – and see whatcould be done to fix it.

Sullivan was dogged by badluck. The saga of the ankleand its future was overshad-owed by the world of pain shewas in. She was diagnosedwith three pain syndromes,one of which could have beentreated if it was known aboutin time. The first was a seriouscase of Complex RegionalPain Syndrome (CRPS), painthat sets in after a fracture.

Sullivan says she was at theextreme end. “Out of zero tohundred, I was at the 95 per-centile,” she says. “Nobodycould tell me what the prob-lem was.”

SHE also suffered deaf-ferentation, a nerve dis-order that translates

into hypersensitivity. A blockof ice on her skin, instead offeeling cold, would read as ex-treme pain, “like someoneshoving in a knife”.

And later, when her limbwas amputated, she sufferedphantom pain.

“My foot does all theseweird and wacky things andthe pain that the foot goesthrough, I feel it,” she says. “Ipaddle with a guy who had hislegs blown off in Afghanistan

and he complained one dayabout an itch and it lasted fiveminutes and he couldn’tscratch it! He had nothing atall. They don’t know whysome people suffer and somedon’t but I just happened toget all three.”

She went for months with-out treatment and was in awheelchair. Everything waspainful. At the same time shewas juggling a failing marriageand the care of two youngchildren, both with seriousmedical problems.

Her daughter, Madeleine,has kidney disease while sonKaleb has Asperger’s syn-drome and was fed through agastrostomy tube for the firstfew years of his life.

She sold her real estatebusiness and became a full-time carer. At one point shehad both children in hospitalwhile trying to fit in wheel-chair basketball.

At her lawyer’s direction,she flew to Melbourne to havea report done by an indepen-dent specialist to appraise theextent of the physical damageand see what could be done.

He told her he could tryand rebuild a foot and calf outof bones harvested from else-where in her body, and fromdonors. It was hours of sur-gery with a strong likelihoodof failure. For the first time,amputation was mentioned.

“There is going to come atime when you are going tohave to have the limb ampu-tated,” he told her. “It is not aviable foot. Toes are curlingover, your toenails are dying.”

She already knew her footwasn’t doing well but it washard to hear. She had watchedher skin grow translucent tothe point where she could seethrough it.

“You could see veins, it wasquite weird,” she says. “And

as a paracanoeist,” she says. “Iknow this sounds weird butwhen I’m in a boat I like pad-dling past people who arewalking their dogs or what-ever because they don’t knosthat I’ve only got one leg.

“They will look at the boatand they won’t know I have adisability.”

Under the care of Adelaidepain specialist, Dr Philip Cor-nish, she has overcome mostof the complications causedby her surgeries.

She has visible under herskin, sitting almost on top ofher sternum, a small, squaredevice called a neuromodula-tor that inhibits her body’sneuro transmitters. Apartfrom an occasional jolt ofCRPS pain through her non-existent foot, it has broughther pain under control.

Reaching a settlement latelast year with the orthopedicspecialist’s insurers hasbrought a measure of peace,and comfort. She has the se-curity of being able to providefor her family. And she nowhas a new leg. It’s software iscalled I Am Batman, namedby her son, and cost a cool$106,000. All amputeesshould be entitled to these,she says, but hers only becamepossible after the settlement.

At some point she wants topaddle the 6600km Mississip-pi, with her children and part-ner Fred Tanner, her formercoach. If she doesn’t make the2016 Paralympics, the Missis-sippi will be on.

Her next goal is to makethe Australian paracanoeingteam for the Milan world titlesthis year. She has won worldtitles under the AustralianOutrigging banner and is cur-rently the fastest woman inthe world in her category.

She isn’t bitter. She andTanner are about to start abusiness on the Gold Coastand she says she has becomemore empathetic. If the sur-geon walked through the doorof the Adelaide restaurantwhere we met, she says shewould speak to him.

“If he came through thedoor now and recognised meand came up and spoke to me,I would talk to him,” she says.

“He made a mistake. Un-fortunately he made three andhe changed my life, and mychildren’s lives as well.”