Hellminthic Clinic - Now open - Page 5 - Rape Board

gaggirl · 08-13-2009, 06:02 PM

okay so whats the probability of breaking this leg again.

I had a spiral fracture of the tibia and fibula, with a tibial nail and screws inserted (still in place) I notice that when I accidentally twist my leg it feels different now, I'm assuming as the bone normally flexes under stress cant now has a nail in it (or doesnt flex as much).is that right??

but it does put pressure/pain on the other parts instead eg: I notice the medial proximal part of my knee and the lateral distal part of my ankle hurts in this case.

My first step class post op (cant do ballistic movement yet) my knee was hurting, how long is this likely to continue?

are the screws rubbing against muscle or putting tension in the bone its screwed into?

so sexy doctor am I:

A)more likely to break the leg at these aforementioned sites (are they indeed weakened?)
b)more likely to break leg at the original fracture site
c) no more likely to break the leg than before

also.... when I see guys with the external fixations getting around, arent these external wires direct routes into the body and the bones?? Like a come on come all "welcome" rod for microorganisms? are these patients given lots of long term antibiotics to combat it?

pervipete · 08-13-2009, 06:19 PM

Quote:

Originally Posted by gaggirl

how cool though if we did all actually work together, it would be non stop jokes and rapey innuendo.. it might have ended up like an "allo allo with a twist of troma" style sitcom. Youd never want to chuck a sicky!

Sounds like it would be a laugh...

hellminth · 08-13-2009, 06:19 PM

Quote:

Originally Posted by gaggirl

okay so whats the probability of breaking this leg again.

I had a spiral fracture of the tibia and fibula, with a tibial nail and screws inserted (still in place) I notice that when I accidentally twist my leg it feels different now, I'm assuming as the bone normally flexes under stress cant now has a nail in it (or doesnt flex as much).is that right??

but it does put pressure/pain on the other parts instead eg: I notice the medial proximal part of my knee and the lateral distal part of my ankle hurts in this case.

My first step class post op (cant do ballistic movement yet) my knee was hurting, how long is this likely to continue?

are the screws rubbing against muscle or putting tension in the bone its screwed into?

so sexy doctor am I:

A)more likely to break the leg at these aforementioned sites (are they indeed weakened?)
b)more likely to break leg at the original fracture site
c) no more likely to break the leg than before

also.... when I see guys with the external fixations getting around, arent these external wires direct routes into the body and the bones?? Like a come on come all "welcome" rod for microorganisms? are these patients given lots of long term antibiotics to combat it?

wow, feel like I am sitting an exam

Can't you make it at least true or false questions?

Before I go diagnosing, how long have you had your fracture? Normally takes about 6-8 weeks for upper limb, 8-10 weeks for lower limb to heal, and even then they are not at 100% strength. So the answer is YES, they are weakened, but should be around 90% solid by that stage for them to remove plaster / nail if required. It may also feel different because of potential nerve injury or compression from the trauma, the procedure, or the oedema around the site. Depending on the mechnism, the duration of symptoms would vary, but I would guess weeks to months. If the nerve is "trapped", may even need a procedure (neurolysis) to manage.

As for Ex-fix, yes, they are more prone to infection (like 30%), and when they do, it's a big big problem. Hence there are antibiotic impregnated rods, cement, and always under strict surveillance. However, longterm emperic antibiotic use can lead to resistant organisms, which becomes even harder to eradicate, and limb prognosis can be directly related to the aggressiveness of organism.

Hope this helps

pervipete · 08-13-2009, 06:23 PM

Quote:

Originally Posted by gaggirl

the nurse job taken? looks like a fun thread! studying to be an RN so this up my alley

Hey, gaggirl, just thought, we don't have to be limited to just one nurse...

Actually just thinking, instead of Janitor, put me in charge of the office, lets be honest, our sexy receptionist will have enough to do looking after the staff and patients without worrying about all that nasty paperwork

, and I will have access to addresses for 'follow up surveys'

gaggirl · 08-13-2009, 06:49 PM

thanks hellminth.. its been 11 months!!

I had no cast. which I always thought odd and annoying because kids and cats seem to think crutches and black and bruised bits of legs ought to be used for target practice. It was slow to heal, every time I went to the clinic they said to spend more months off it.

I did try walking on it early at various stages getting into trouble, but figure by NOW it should be pain free. the only nerve issue I notice now is that part of my knee is numb and probably will stay that way.

so now you know you can go on diagnosing lol

hellminth · 08-13-2009, 07:50 PM

Quote:

Originally Posted by gaggirl

thanks hellminth.. its been 11 months!!

I had no cast. which I always thought odd and annoying because kids and cats seem to think crutches and black and bruised bits of legs ought to be used for target practice. It was slow to heal, every time I went to the clinic they said to spend more months off it.

I did try walking on it early at various stages getting into trouble, but figure by NOW it should be pain free. the only nerve issue I notice now is that part of my knee is numb and probably will stay that way.

so now you know you can go on diagnosing lol

11 months?!! Geez, that bone should well and truely be healed, and yes, painless should be the norm.

It is difficult to comment over the net in such a small clinic

, but if the bone has been Xrayed and cleared of damage, then you are really left with residual nerve damage. That could be a number of reasons - from the accident itself, from the procedure, from the actually regenerative process, or nerve entrapment. Most of this is management by pain specialists (not orthopedics), and eventhough most (like 95%) disappear with time, there is the odd patient who's left with it for life, or requires a procedure to improve control.

I would see a pain specialist, and based on history, examination and some nerve conduction testing, they might be able to pin point the problem better.

Yes, that means some nasty doctor will make you strip, feel your leg and give you pain

Make an appointment with our temporary receptionist / storeroom manager Pete.

*note to self - ring genophan for ideas re: gaggirl*

gaggirl · 08-13-2009, 09:01 PM

PAIN management? awesome! so I can have some oxycottoncandy before training? haha! its only pain when Im twisting the leg (as in a roundhouse kick) or exercising , not at the fracture site itself anymore. this is logan hospital for you:. they discharged me in may without giving me a final xray.

so last time they sai my leg was healed but not yet "mineralised"

anyways. if its just nerve damage I can fight through that pain. which is pretty much what ive decided to start doing. I just hoped that my leg wasnt weaker at the screw sites now.

fanks..

Flesh4Fantasy · 08-13-2009, 09:14 PM

Quote:

Originally Posted by hellminth

Did I miss anyone?

Need receptionist

and maybe an evil Janitor ...

Oh and patients

*sigh* I guess I can be a janitor.

How evil can I be? Can I punish the sexier patients and make them clean up their own messes?

Hmmm... Alternate uses for a plunger come to mind right away... I'm sure I'll think of more.

Just don't listen when the female staff complain about the janitor giving them the creeps.

hellminth · 08-13-2009, 09:51 PM

hehehe F4F c'mon mate, you are perfect for security

You sure you know what to do with the restraints?

Now go find us some patients! (and please don't just KO SO )

as for you Pete - for some reason, I've always thought of you as the evil janitor that lurks in the corner ... and watches ... then jumps in when patients get out of hand

and sexy nurse gaggirl - geez, do i have to get security to accompany you because you can't roundhouse patients?

Flesh4Fantasy · 08-13-2009, 10:18 PM

Doc - you didn't say you were hiring security - hell yes I'll take that job...

Imagine interviewing the complainants.

Now, Miss when he touched you there: did his hand just linger in the area, like this? Or was there actual penetration, like so?

Brooms and mops retired - Hello nightstick and shackles...

gaggirl · 08-13-2009, 10:28 PM

hehe Pete hes calling you a creepy perve! oh wait.. perves your nicknake.

as for me not doing roundehouse kicks I have something better. its called a hit or a hip check, and I can do them so long as Im on skates.

hellminth · 08-14-2009, 02:42 AM

what is a hit or hip check? is it like clotheslining but with your hip?

gaggirl · 08-14-2009, 02:45 AM

A hip check you bump em a bit and push, a hit is when you cut the track at speed and wipe them out

pervipete · 08-14-2009, 05:17 AM

Quote:

Originally Posted by hellminth

as for you Pete - for some reason, I've always thought of you as the evil janitor that lurks in the corner ... and watches ... then jumps in when patients get out of hand

Hmmm...could be interesting, just don't take any notice of any complaints about me cleaning the ladies changing rooms while they are in use..

Stainless Steel Rat · 08-14-2009, 08:12 AM

Hellminth my good man never let it be said that the SSR doesn't do his part to help folks out. With the obviously growing interest in your practice here you are bound to start experiencing crowding and overflow conditions. As this could be detrimental to patient health I am offering you the use of a section of the Labyrinth as an overflow hospital for the expected increase in your patient load which will soon be developing. Of course we expect you to provide a suitable nursing staff to care for the ample supply of sexy female patients who will be housed within. And I'm sure I can make time in my busy day to give thorough "examinations" to all the ladies who seek out your care to make sure that they receive the attention the so richly deserve! And of course I will extend this offer to your nursing staff as well

Cheers all from the "I always wanted to be a doctor" Stainless Steel Rat

hellminth · 08-14-2009, 08:55 PM

Quote:

Originally Posted by Stainless Steel Rat

Hellminth my good man never let it be said that the SSR doesn't do his part to help folks out. With the obviously growing interest in your practice here you are bound to start experiencing crowding and overflow conditions. As this could be detrimental to patient health I am offering you the use of a section of the Labyrinth as an overflow hospital for the expected increase in your patient load which will soon be developing. Of course we expect you to provide a suitable nursing staff to care for the ample supply of sexy female patients who will be housed within. And I'm sure I can make time in my busy day to give thorough "examinations" to all the ladies who seek out your care to make sure that they receive the attention the so richly deserve! And of course I will extend this offer to your nursing staff as well

Cheers all from the "I always wanted to be a doctor" Stainless Steel Rat

Hahaha - yes overflow of patients spilling out of the ER. Can't have them wondering the streets with just a patient gown on! Security! Round them up and take them to that Bazaar-looking place near the Labyrinth, and put some of those videos on the TV to distract them while they wait

*adds budget to gowns, gloves, lubricants and restraints*

FuckingRotter · 08-14-2009, 09:33 PM

*grabs cudgel and heads out on to the street to press-g, erm, keep an eye out for anyone that may need medical attention*

What? It's called pro-active public health provision....

gaggirl · 08-15-2009, 08:16 AM

SSR.. the wannabe doctor is the scariest kinda doctor... how about I just assist you and be the patients non advocate! *ignores the tasteless nurses uniforms of today and donns a tight white zip front number*

pervipete · 08-15-2009, 10:07 AM

Quote:

Originally Posted by gaggirl

*ignores the tasteless nurses uniforms of today and donns a tight white zip front number*

Stops mopping up the blood from Geno's examinations <didn't sign up for that> & wanders out to trip...sorry...find some hot patients

hellminth · 08-16-2009, 06:33 PM

That is wayyyy too much blood - Geno, I thought I said to give the patient a transfusion, not drink it!

Look at that mess you made of that poor girl - oh well, clean up and NEXT!

(wonders if i am a good villan for Hostel 3 or Saw 9)

08-13-2009, 06:02 PM	#81
gaggirl * yawn * Join Date: Nov 2006 Location: Australia Posts: 3,058 Reputation: 40178	okay so whats the probability of breaking this leg again. I had a spiral fracture of the tibia and fibula, with a tibial nail and screws inserted (still in place) I notice that when I accidentally twist my leg it feels different now, I'm assuming as the bone normally flexes under stress cant now has a nail in it (or doesnt flex as much).is that right?? but it does put pressure/pain on the other parts instead eg: I notice the medial proximal part of my knee and the lateral distal part of my ankle hurts in this case. My first step class post op (cant do ballistic movement yet) my knee was hurting, how long is this likely to continue? are the screws rubbing against muscle or putting tension in the bone its screwed into? so sexy doctor am I: A)more likely to break the leg at these aforementioned sites (are they indeed weakened?) b)more likely to break leg at the original fracture site c) no more likely to break the leg than before also.... when I see guys with the external fixations getting around, arent these external wires direct routes into the body and the bones?? Like a come on come all "welcome" rod for microorganisms? are these patients given lots of long term antibiotics to combat it? Last edited by gaggirl; 08-13-2009 at 06:05 PM.

08-13-2009, 09:51 PM	#89
hellminth Privileged Member Join Date: Jan 2009 Location: Australia Posts: 214 Reputation: 19313	hehehe F4F c'mon mate, you are perfect for security You sure you know what to do with the restraints? Now go find us some patients! (and please don't just KO SO ) as for you Pete - for some reason, I've always thought of you as the evil janitor that lurks in the corner ... and watches ... then jumps in when patients get out of hand and sexy nurse gaggirl - geez, do i have to get security to accompany you because you can't roundhouse patients? __________________ Open up and say AHHH!

08-14-2009, 02:42 AM	#92
hellminth Privileged Member Join Date: Jan 2009 Location: Australia Posts: 214 Reputation: 19313	what is a hit or hip check? is it like clotheslining but with your hip? __________________ Open up and say AHHH!

08-14-2009, 08:12 AM	#95
Stainless Steel Rat Lord of the Labyrinth Join Date: Jul 2008 Location: The Center of the Maze Posts: 397 Reputation: 68922	Hellminth my good man never let it be said that the SSR doesn't do his part to help folks out. With the obviously growing interest in your practice here you are bound to start experiencing crowding and overflow conditions. As this could be detrimental to patient health I am offering you the use of a section of the Labyrinth as an overflow hospital for the expected increase in your patient load which will soon be developing. Of course we expect you to provide a suitable nursing staff to care for the ample supply of sexy female patients who will be housed within. And I'm sure I can make time in my busy day to give thorough "examinations" to all the ladies who seek out your care to make sure that they receive the attention the so richly deserve! And of course I will extend this offer to your nursing staff as well Cheers all from the "I always wanted to be a doctor" Stainless Steel Rat __________________ "The lost souls of the Labyrinth"

08-14-2009, 09:33 PM	#97
FuckingRotter The Fist of Fury. Join Date: Oct 2008 Location: Entering the.... Posts: 9,649 Reputation: 118903	grabs cudgel and heads out on to the street to press-g, erm, keep an eye out for anyone that may need medical attention What? It's called pro-active public health provision.... __________________ Fist is a four letter word. So is fist, fist, fist, fist, fist, fist fist, fist, fist, fist, fist, and, well you get the fist-fucking picture.... THE WESTCOUNTRY SHALL RISE AGAIN! Yay! It's pink! Don't think.... FEEL! We're Englishmen, and we came here, to rape your women and drink your beer. I went back in time and voted for Hitler. Pouring oil on troubled waters since 2008. Then lighting a fucking match.

08-13-2009, 06:49 PM	#85
gaggirl * yawn * Join Date: Nov 2006 Location: Australia Posts: 3,058 Reputation: 40178	thanks hellminth.. its been 11 months!! I had no cast. which I always thought odd and annoying because kids and cats seem to think crutches and black and bruised bits of legs ought to be used for target practice. It was slow to heal, every time I went to the clinic they said to spend more months off it. I did try walking on it early at various stages getting into trouble, but figure by NOW it should be pain free. the only nerve issue I notice now is that part of my knee is numb and probably will stay that way. so now you know you can go on diagnosing lol

08-13-2009, 09:01 PM	#87
gaggirl * yawn * Join Date: Nov 2006 Location: Australia Posts: 3,058 Reputation: 40178	PAIN management? awesome! so I can have some oxycottoncandy before training? haha! its only pain when Im twisting the leg (as in a roundhouse kick) or exercising , not at the fracture site itself anymore. this is logan hospital for you:. they discharged me in may without giving me a final xray. so last time they sai my leg was healed but not yet "mineralised" anyways. if its just nerve damage I can fight through that pain. which is pretty much what ive decided to start doing. I just hoped that my leg wasnt weaker at the screw sites now. fanks..

08-13-2009, 10:18 PM	#90
Flesh4Fantasy Banned Join Date: Apr 2009 Location: Wandering the Formless Void Posts: 1,779 Reputation: 76205	Doc - you didn't say you were hiring security - hell yes I'll take that job... Imagine interviewing the complainants. Now, Miss when he touched you there: did his hand just linger in the area, like this? Or was there actual penetration, like so? Brooms and mops retired - Hello nightstick and shackles...

08-13-2009, 10:28 PM	#91
gaggirl * yawn * Join Date: Nov 2006 Location: Australia Posts: 3,058 Reputation: 40178	hehe Pete hes calling you a creepy perve! oh wait.. perves your nicknake. as for me not doing roundehouse kicks I have something better. its called a hit or a hip check, and I can do them so long as Im on skates.

08-14-2009, 02:45 AM	#93
gaggirl * yawn * Join Date: Nov 2006 Location: Australia Posts: 3,058 Reputation: 40178	A hip check you bump em a bit and push, a hit is when you cut the track at speed and wipe them out

08-15-2009, 08:16 AM	#98
gaggirl * yawn * Join Date: Nov 2006 Location: Australia Posts: 3,058 Reputation: 40178	SSR.. the wannabe doctor is the scariest kinda doctor... how about I just assist you and be the patients non advocate! ignores the tasteless nurses uniforms of today and donns a tight white zip front number

08-16-2009, 06:33 PM	#100
hellminth Privileged Member Join Date: Jan 2009 Location: Australia Posts: 214 Reputation: 19313	That is wayyyy too much blood - Geno, I thought I said to give the patient a transfusion, not drink it! Look at that mess you made of that poor girl - oh well, clean up and NEXT! (wonders if i am a good villan for Hostel 3 or Saw 9) __________________ Open up and say AHHH!