A cautionary tale this weekend: last week my foot encountered a stick. The skin abrasion was so minor that I didn’t worry about it, though when it started to show signs of infection rather than recovery three days later, I reached for antiseptic salves and bandaids. Two days on from there, when my whole foot was swelling rapidly, I took advice and headed in for urgent after-hours care at the hospital. Yup, cellulitis – the bacterial infection was spreading rapidly into the surrounding soft tissue and skin.
I have been in this situation before, about 20 years ago. In that case, I knew I was in trouble within three hours of puncturing my foot and went for medical attention. Unfortunately, that escalated over the next week to the point where I became an emergency admission to hospital for surgery and then a four-night stay on intravenous antibiotics. In that case, the problem was that the bacteria, just a particular strain of E coli, was resistant to all but the remaining last-line-of-defence hospital-only antibiotics but it took a week of spiralling infection and ineffective antibiotics before that was ascertained. I was understandably nervous about this scenario repeating itself but fortunately, this time the bacteria responded to the more common antibiotics that are tried first. My foot is fine now but I still have another four days of antibiotics to take to finish the course.
Ringing at the back of my mind is my mother’s oft-repeated anecdote that the first autopsy my father ever carried out was on a man who died of a whitlow – a hang nail. That would have been before antibiotics were widely available because my father qualified in the later 1930s. I bet the victim developed cellulitis from that minor skin tear and it all spiralled out of control from there.

The left foot is just a little swollen today but I shall no longer garden in my jandals.
What is disturbing is that our future holds a return to this past if antibiotic resistance continues to grow. It is genuinely worrying. Without being too neurotic about it, the lesson we have learned is to keep a close eye on the minor injuries that we often sustain as part of our gardening activities. I have heard of major complications being caused originally by rose thorns. I am telling myself that I must garden in closed shoes, though that wouldn’t have helped me this time because I was just wandering out to pick up a couple of ripe rock melons to give away. I am not going to put on protective boots every time I go out the back door.
For overseas readers living in countries where medical attention is a personal cost, the total charge for my recent experience (hospital care at Accident and Emergency, a precautionary tetanus injection, antibiotics and after-care if required) was … $5. Yes, $5 for the dispensary charge on the extended course of antibiotics. I am feeling very kindly towards paying taxes this week.














Oh look, here is a little photo taken earlier. Best guess is that it is early 1960s, when Felix planted it in the rockery. I am reassured that he, too, could plant without doing adequate research on ultimate size. Or maybe he thought it was a dwarf conifer at the time. At least he moved it out of the rockery while he could but it would have been helpful had he moved it more than 8 metres from the house. It is now over 20 metres tall, though not very wide, and we are psyching ourselves up for its removal. Should it fall (and it did have an issue with rot at its base, though that appears to have healed over time), it is likely to take out a good part of the house, starting with our bedroom. It is one of those major and expensive jobs that we know is coming up sooner, rather than later. Beautiful tree. Wrong location.


