Doctors of VN

#151
#151
Jxn Vol said:
Surgery is the only thing that will permanently fix a medial patella femoral ligament. Sometimes they will do a tibial tubercle osteotomy to relocate the Patella tendon insertion point to the proper spot on the tibia. They may go in and scope the knee and do some soft tissue releases also. How they decide to fix it depends on the severity of the problem. It's a tough rehab from what I hear but worth it if the patella is tracking so bad that it affects daily activities.

I am not a doctor but work in and around orthopedics. Sports Medicine is a portion of what I do.
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The rehab is hell. At least a full year. When I had mine I went to PT the next morning and these other girls were down there at 90 degrees flexion on their CPM and I couldnt stand to even get to 10. I remember thinking wow I'm such a poocee. Got discharged that pm and went home and killed myself to get to 60 - like laying in bed crying for 8 hours a day while that machine worked because I thought I was that mentally weak and had no pain tolerance.

The following Monday I went to the doctor and apologized for not being at 90 degrees and pleading my case. He looked at me and said you didn't have a sissy ACL surgery, you had a major surgery and I would have been happy to have seen you at 40 degrees flexion today.

The bathroom in my house was 15 steps from my bed to the toilet and it would take me at least 10 minutes to get in there. Every time I stood up the feeling of a "rush" of fluid I'd get to my knee was about more than I could take. It literally felt like my knee would explode every time I stood up.
 
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#152
#152
Orangedogsrule said:
I had pretty bad Osgood Shlatters Syndrome in both knees and I was told the simple explanation is the tendon below the kneecap doesn't keep up with your growth.

But omg yes it hurts. Sophomore year (50 years ago ..jeez I'm old) I got cut from all sports because of it. None of the 3 Dr. in my little hometown would pass my sports physical. My son is just about to finish his residency as an MD and tells me that now there are treatments and PT for all kinds of growth and injury issues. I may not have had to quit if they existed back then. All I can say is make dang sure you're taping it right. I looked and there's a bunch of youtube videos on taping your problem. Even found thrm for Osgoods. Good luck with it.
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Had the exact same thing! "Nothing we can do about it, you just have to let it grow"
 
#153
#153
BEATBAMA12 said:
Yeahs it's not there, I've now been recommended by my PT to go buy a 170$ pair of new balances that will improve my gate and posture, hopefully ease the foot pain and get me back to working out.

I swam in high school and trained for triathalons while riding broncs in the winter, I need to join a rec center with a pool again and swim.
My weight is at 230 I'm 5'11" and need to get down to 185 where I was at 22 and in great shape
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In 1976 I had problems with a ruptured disc and my orthopedic surgeon sent me to get plaster casts of my footprints and have special arch supports made from those. Got two kinds. One set for dress shoes made of some kind of amber plastic. The other were for athletic shoes and made from leather and super dense foam. I used them in NB's until the leather surface cracked. Still got them and they would still work great with a new cover leather top.
I use the amber ones in my boots and they keep my ankles from rolling in where Dr. Scholls or anyone elses' inserts doesn't ever feel right. Good luck with the fitness program.
 
#154
#154
Well atleast I have extremely high pain tolerance! Which is a devil in disguise, I dislocated my left shoulder twice and never knew it, blew out a tarsal in my right foot in a motorcycle accident and walked away, with road rash on most of my upper body, you could stick bamboo under my finger nails and I'd probably laugh at ya! I like to brag about being tough.(but when I saw the trailer for "A dogs purpose" I cried, my ole labs name was Bailey)
 
#156
#156
Here's a question. I know a 10 year old boy. His mother says he's urinating blood, vomiting green and passing white stool. She's had him to the ER twice and all they do is check him for the flu and strep. Any guesses? She's thinking gall bladder but would that cause blood in his urine?
 
#157
#157
kentucky sucks said:
Here's a question. I know a 10 year old boy. His mother says he's urinating blood, vomiting green and passing white stool. She's had him to the ER twice and all they do is check him for the flu and strep. Any guesses? She's thinking gall bladder but would that cause blood in his urine?
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I would be curious if it's actually blood, our if it's just really dark. (Dark can be a sign of gallbladder/liver) Pale stool is usually from a lack of bile salts, which gives it it's dark color. The green emesis and white poop, make me think gallbladder. Unusual for a 10yo, though. Find a pedi doc / ER.
 
#158
#158
jhamilton1208 said:
I would be curious if it's actually blood, our if it's just really dark. (Dark can be a sign of gallbladder/liver) Pale stool is usually from a lack of bile salts, which gives it it's dark color. The green emesis and white poop, make me think gallbladder. Unusual for a 10yo, though. Find a pedi doc / ER.
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I'd be inclined to say gallbladder as well. Wonder if there's a stone blocking the biliary duct.
 
#159
#159
Thanks for the responses. His mom took him to his pedi and she ran some tests today but they haven't heard anything. I'll let you guys know what comes of it.
 
#160
#160
kentucky sucks said:
Thanks for the responses. His mom took him to his pedi and she ran some tests today but they haven't heard anything. I'll let you guys know what comes of it.
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Yeah, unless the pedi's office is in a hospital it'll take 3 days to get the labs back.
 
#161
#161
I would have found the closest children's hospital and took my son there.

I had a high school friend die from having a stone pass into his pancreas.
 
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#163
#163
kentucky sucks said:
Here's a question. I know a 10 year old boy. His mother says he's urinating blood, vomiting green and passing white stool. She's had him to the ER twice and all they do is check him for the flu and strep. Any guesses? She's thinking gall bladder but would that cause blood in his urine?
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Got to be a bile duct obstruction. That's textbook presentation, and the dark urine is actually from bilirubin, not blood. Stones are not common in children, so I'd worry about a stenosis or compression from outside (neoplasm, lymph nodes, cyst, etc).
 
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#164
#164
kentucky sucks said:
Thanks for the responses. His mom took him to his pedi and she ran some tests today but they haven't heard anything. I'll let you guys know what comes of it.
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If they don't have an answer and he is still symptomatic, tell them to go to the nearest quality children's hospital.
 
#165
#165
kiddiedoc said:
If they don't have an answer and he is still symptomatic, tell them to go to the nearest quality children's hospital.
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And go immediately. It is nothing to take chances with. My wife threw a stone that hung up in the "common duct". I took her to an urgent care place and the doc kept her in a room "for observation". After about 2-1/2 hrs a nurse came out told me the doc was not right in what he was doing, he wanted to keep observing (finding ways yo bill insurance) and to just go in the room, get her out, and drive straight to UT Hospital ER....There, tests showed she had insanely high blood amylase count, so her pancreas was basically "digesting itself". Long hospital stay, and actually "smelled sick" for weeks.

Take no chances. If stones, they can keep moving til they pass, or hang up with different symptoms or damage based on where.
 
#166
#166
kiddiedoc said:
Got to be a bile duct obstruction. That's textbook presentation, and the dark urine is actually from bilirubin, not blood. Stones are not common in children, so I'd worry about a stenosis or compression from outside (neoplasm, lymph nodes, cyst, etc).
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Sphincter of Oddi dysfunction maybe? That can cause bile to back up into the pancreas. Unlikely, but a possibility.
 
#167
#167
xJesusx56 said:
Sphincter of Oddi dysfunction maybe? That can cause bile to back up into the pancreas. Unlikely, but a possibility.
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Those symptoms (acholic stools, bilirubin in urine, vomiting...) are suggestive of a complete blockage.
 
#168
#168
kiddiedoc said:
Those symptoms (acholic stools, bilirubin in urine, vomiting...) are suggestive of a complete blockage.
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Definitely not likely, not exactly the usual demographic for someone with SoOD either. First thought was definitely a blockage as I posted a few posts back.

Hope to hear back with the final DX.
 
#169
#169
I'll see his mama tomorrow and follow up. If she has heard anything I'll be sure and let you guys know. Thanks for all the responses. I'll show her the comments and she can ,at least, run some of these scenarios by his pedi. Thanks again!
 
#170
#170
I think I got bit by a spider.
It's on my arm and been swollen for a couple days.

Looks like two little punctures. I've scratched at them and made them look worse than they are.

It's probably 2"s around and a slight read color.

Think I'll put some Benadryl on it.

Any opinions or things I should look for?
 
#173
#173
Obsessed said:
I think I got bit by a spider.
It's on my arm and been swollen for a couple days.

Looks like two little punctures. I've scratched at them and made them look worse than they are.

It's probably 2"s around and a slight read color.

Think I'll put some Benadryl on it.

Any opinions or things I should look for?
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1. Don't use topical Benadryl. Steroids will help with itching.

2. If redness expands or begins to streak up your arm, or for a firm or fluid-filled center, see a doc.

3. Brown recluse bites may progress for a week or more and will ulcerate and turn dark/purple. There isn't really any treatment for them.
 
#174
#174
kentucky sucks said:
I'll see his mama tomorrow and follow up. If she has heard anything I'll be sure and let you guys know. Thanks for all the responses. I'll show her the comments and she can ,at least, run some of these scenarios by his pedi. Thanks again!
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Any news?
 
#175
#175
kiddiedoc said:
1. Don't use topical Benadryl. Steroids will help with itching.

2. If redness expands or begins to streak up your arm, or for a firm or fluid-filled center, see a doc.

3. Brown recluse bites may progress for a week or more and will ulcerate and turn dark/purple. There isn't really any treatment for them.
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Thank you.
 
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