It seems like this is not an uncommon injury if there is too much force applied during activity post operatively.
Two case studies here.
"Aggressive rehabilitation in the early postoperative period is unwise since the proximal tibia is weakened by the oblique osteotomy. Early weight-bearing and unrestricted activity have caused fractures in a few patients. Even late in the postoperative period the osteotomy may adversely influence the biomechanical properties of the proximal tibia."
Also, from the case reports, these patients had been healed and were at least 12 weeks post-op:
"Bony healing of the osteotomy had been demonstrated on plain radiographs at ten and at 12 weeks. After a Fulkerson osteotomy, jogging and activities which impose considerable impact force should be discouraged for at least nine to 12 months."
Sounds like your PT, even if they were very nice, really fucked up. There's no evidence of infection (osteomyelitis) on your radiographs, and the implants are placed at appropriate depths and angles. The revision was likewise done well. There's a reason your therapist freaked out - this is a surgery where you need to be careful with the forces you apply to the leg post surgery, even up to a year out.
This is like how total hip replacements need to be soooo careful post-op, or you WILL break the femur. With a Fulkerson osteotomy, you've deliberately broken the bone and then screwed it back into place during the initial surgery, and that weakens the whole area for a long while afterward.
I'm sorry you've gone through this, I hope everything is healing well!
Interesting. Thats not a protocol use for ketamine with us.
We ketamine for pain/rss/rsi. Our behavioural pts get benzos (versed/midazolam or ativan/lorazepam) as a first line, haldol/haloperidol second line. (Well, verbal conflict resolution as a first line, but you get the point)
A really cool thing about my protocols is that they're available to anyone here
Any chance your protocols have an app? I like seeing how other services operate
This lady was changing a tire on her car when the jack collapsed causing the car to fall on her foot. She jacked the car back up, finished the tire change and drove herself to the hospital; she walked into the ER complaining of a broken foot. She claimed on a pain scale of 1-10, her the pain in her foot was a 3.[reddiquette](/wiki/reddiquette) Reddit Enhancement Suite
This book by Dr. Wolfe. It's a book he wrote for fun but he touches on real life scenarios where people have absolutely lost their shit due to drugs or chemical imbalances. He also talks about prions and viruses. He also has an Instagram where he posts interesting stuff he finds at autopsy (anatomy_and_the_dead) and a podcast (Knife After Death).
The exact cause of pilonidal cysts isn't clear. But most pilonidal cysts appear to be caused by loose hairs that penetrate the skin. Friction and pressure — skin rubbing against skin, tight clothing, bicycling, long periods of sitting or similar factors — force the hair down into skin. Responding to the hair as a foreign substance, the body creates a cyst around the hair.
From the source:
>A volvulus is when a loop of intestine twists around itself and the mesentery that supports it, resulting in a bowel obstruction. Symptoms include abdominal pain, abdominal bloating, vomiting, constipation, and bloody stool. Onset of symptoms may be rapid or more gradual. The mesentery may become so tightly twisted that blood flow to part of the intestine is cut off, resulting in ischemic bowel. In this situation there may be fever or significant pain when the abdomen is touched.
Disclaimer: This is not my image and I have no affiliation with its source. If this is your image, please contact me and I will attribute or remove as appropriate.
Source: Oral Myiasis—A Pauper’s Affection: Case Reports and a Review of 62 Cases.
Not much is known about the case. The patient, a 54-year-old homeless woman, was brought in to the hospital by some outreach volunteers. The nature of the wound was thus that she couldn’t really talk, so she couldn’t give a history. The wound was debrided under local anesthetic, but she refused a biopsy and refused to be admitted. She was given some antibiotics and told to come back for more debridement but “unsurprisingly” she never did.
I'm not sure where on your mom's rib cage is broken, but mine were broken on my back side. Sleeping on those reusable ice packs was a miracle. Buy her 2 or 3 of these.
1 1/2" GashGuards: Deluxe Plastic Bed Frame End Caps, Sheet Savers, Set of 2 https://www.amazon.com/dp/B005JS8ZKA/ref=cm_sw_r_cp_api_glc_fabc_59x4FbHSQ4XA8
The smallest things can improve your life a lot! Happy healing!
I started on an xr200 when I was about 10 and and I’ve had a bike ever since. My buddy is selling an XR650R right now. It’s street league and it’s decked out for a good price. xr650r
I found an update!!
>Surgery was achieved in less than 2 hours with no bleeding, especially after sections of oculomotor muscles and optic nerve. Dilated skin tissue was long enough to heal the whole orbital cavity, and postoperative care has been uneventful after a follow-up of two years
Please give this a read before you have your surgery. I'm well aware, an internet stranger telling you to read a book will seem like bullshit, but it really helped me.
From Here to Eternity: Traveling the World to Find the Good Death is a much better book, same author but you can't go wrong with either of them!
There’s a really good book, The Arsenic Century, about 19th-century arsenic poisonings, both deliberate and accidental. All the info in there about adulterated food made me grateful for the FDA.
In Northern India, her life might very well have been at risk from getting pregnant, and not just because of all the medical complications from pregnancy. “Honor” killings happen there are on the regular over FAR less than an out of wedlock pregnancy.
I read a book recently about a case in Northern India where two teen girls, best friends, were found hanging together from a tree in a field near their homes. The case was initially assumed to be a double murder and their families were outraged and demanding justice.
But it turned out the girls had been caught by a neighbor messing around with some boys in that field and, too scared to go home on the assumption that the neighbor told their families about it, had banged themselves. When their families were asked what they would have done to the girls if they had known about the girls messing with the boys, their families (who earlier had been furious in rage and grief when they thought their daughters had been murdered by someone else) were like, “Of course we would have killed them.” And those girls weren’t pregnant and may not have even been having sex. They were in a field kissing boys and that was enough.
I’m from Denmark :) the standard is a long stemmed here also. This is experimental, and I’m a part of my surgeons research. There is something with the lining and vitamin D and something also.
Thank you for correcting this! Mu doctor is Poul Torben Nielsen and this is called a primoris.
This is what I was told from my surgeon. I found this. https://www.semanticscholar.org/paper/Hip-arthroplasty-with-the-Primoris®-stem%3A-Bone-a-Christiansen-Laursen/7290eb46ae2380a535d04f26f0911131839ea441
I’m a chronic pain patient now, but they say there’s nothing mechanical wrong now, so they won’t do more. They cut the psoas major on both sides also, afterwards.
Thank you for correcting! Gave me a bit more hope 🏻
ooo fellow, very clumsy woman here. I've skinned myself a number of times until I switched to a double-edge razor and ditched the commercial crap.
This is the razor I use. I highly recommend getting an assorted pack of blades so you can try different brands and see which work best for you like this I'm partial to the astras
In addition, get yourself some shaving cream like Cremo or Prorasco. It doesn't foam as much as the canned stuff and let's you see what you're doing better.
I too have GERD and took PPIs but stopped after being horrified by long-term effects. Thought my life was really fucked and was looking into fundoplication, electrostimulator implant, etc. Was also treated for SIBO with a week of antibiotics.
After taking 2 culturelle probiotic till throat reflux stopped then 1 a day, I basically don't notice I have GERD anymore -- until I stop taking it for a few days that is.
If you haven't tried it, trust me it is worth the try.
When I got mine removed the surgeon left my wound open to scar from the inside out. Stuffing 4x4 gauze into my gapping wound was the fuckin worse.. removing it was fucked too. Wondering why you got closed up.
I thought they didn't close it up so that it doesn't return. Maybe that was old school.
Go buy yourself a foam donut made for people with hemorrhoids to sit in the car and chairs with..
Something like this
Good luck 🤞
PI is in your yard/garden and cat's fur readily picks up the oil, and then the oil is transferred to you and your furniture. Remove the PI from your yard, and get some packs of makeup remover facial wipes and wipe down the cat when it comes in.
Voldyne 5000 Volumetric Exerciser https://www.amazon.ca/dp/B00RR5VJAQ/ref=cm_sw_r_apan_i_3NWMT8PQVNH910R13T51
I bought something like this. Worked wonders and it's more "fun" than just breathing in and out.
Watchig tv, and a commercial comes on? Use it. Playing online and your squad just got destroyed? Use it. Make your breathing a priority. You do not want pneumonia setting in.
Trying to get a knife like this out of a blister pack without scissors or anything like an idiot
Seeing OP’s fingers reminded me of my own. I’ve bit my nails since before grade school and while I’ve never had an infection like this before, I definitely wanted to break the habit but have struggled to do so cold turkey.
This stuff really helped, as I hope it will help many of you who want to quit. :)
ORLY no Bite (0.6 oz) for Nail... https://www.amazon.com/dp/B000PI16WI?ref=ppx_pop_mob_ap_share
Kitchen torches range from small ones like this one: https://www.amazon.com/Sondiko-Culinary-Refillable-Adjustable-Desserts/dp/B07L8YPYQK/ meant for finishing creme brulees and the like yes, all the way to https://www.amazon.com/Bernzomatic-TS8000-Intensity-Trigger-Start/dp/B0019CQL60 used for searing steaks and brazing copper pipes together in plumbing jobs.
I'm 99% sure the torch was one like the former and not the latter however.
That looks like a wound from an auger that uses the principal of a rotating screw to carry materials from one level to another via a hollow tube. This is a toy one that shows how it works for grain. You can get them for cement or rocks or dirt or just about anything.
If you get your hands/feet caught in them, usually they do a lot of damage or do amputations if they are very powerful.
This guy needs to update his tool box - the drilldo is not likely to get stuck (without some effort)
That is a good idea lol.
They also have these pouches you can purchase for pets who are awful about getting their nails clipped.
You're welcome! I use the kind in the tub. Friends told me about it years ago after a speedskating accident I had. I swear by this stuff now.
Palmer's Cocoa Butter Formula Daily Skin Therapy Solid Lotion, 7.25 Ounces https://www.amazon.com/dp/B000RGBWPO/ref=cm_sw_r_other_apa_glt_i_DXCZHG25EHCZ1XQ8WJVT?_encoding=UTF8&psc=1
I asked him to clarify as I'm not an electrician. He said he regularly uses this to remove the sheathing off the last inch of large cables. He has even had it slip before, but the guard has always meant no harm was done. He thinks it must have just happened to catch a fold in the skin and because it's so sharp it just went straight through.
Mederma kids works well on scars. My daughter busted her chin falling and then walked into a car door on another occasion. Can't really see either scar now.
Wicked laceration, none of our stitches have been a cut that bad. Now I need to pay better attention to the dogs when they get excited around the kids. Here I was just worried about the girl walking into shit.
Idk what kind of bed frame you have but I have a simple metal platform and honest to god this stuff is a toe saver. I cannot count the times in 6 months that I would have slammed my toe into a solid metal rod if I hadn’t wrapped them up in this. Hope this helps!
While you're waiting to see the Dr. These may be helpful
I can't find the Aquacel Ag Advantage that we use, but there are close products on amazon. Very expensive out of pocket. Generally if you visit a wound care center or have a home health nurse they order it and depending on insurance they pay.
But then the sharp edge is all around the opened lip of the can?
Btw, I remember these "safety can" openers like 10+ years ago that would wedge in between the seal and sort of pry the can open. All the edges were blunt.
Oh here, I found one: