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Medical Forum / Diseases and Disorders / Arthritis / August 2007

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ok.  i got my xray stuff

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d'huit - 19 Aug 2007 23:49 GMT
i picked up my xray disk and the radiologist's report.  this fracture
extends across the fibular styloid, 10mm from it's distal tip.  it is well
aligned, and i can see that on the disk films.  looks like a clean break. so
it is a simple fracture.  maybe i'll get lucky and they can leave me in this
aircast.  yesssss?????  i hope.  especially since it is the fibula and not
the main support bone, tibia, for the lower leg.

interesting other stuff showed up in the xrays, though--"diffuse poor
mineralization"; "osteophytosis at the ankle joint" (not sure exactly what
that means, but sounds like bone spurs to me.  and hey, with the injuries
this leg sustained in '71, i'd be surprised if i didn't have bone spurs
everywhere.) ; "superimposed degenerative squelae" at the ankle (probably
evidence of my having had polio.  i'm guessing, but it makes sense to me.).
and the old healed fractures, of course.

i think i'm going to have to have a talk with my pcp about this diffuse poor
mineralization stuff and see if this is actionable (i'm thinking most of the
left side of my body must be like this, possibly because of injuries, and
maybe it is diffuse on both sides)--cuz my rd is not on top of this stuff.
she leaves me hanging--sometimes for months and months--after labs and even
when an mri shows something that is an issue, albeit not an emergency,
without telling me what's found.  if i didn't go and get reports myself, i
wouldn't know the results (until my next appmt. months away), cuz her nurse
won't/can't tell me (end of discussion) when i call about results.

kate
jofirey - 20 Aug 2007 01:18 GMT
>i picked up my xray disk and the radiologist's report.  this fracture
> extends across the fibular styloid, 10mm from it's distal tip.  it is well
[quoted text clipped - 29 lines]
>
> kate

Break doesn't sound awful.  I pray.

Bone density sounds like it might could be better.  Hope if so that is
doable.

Damn I wish I could share some of my doctors habits with yours.

I always get copies of lab and radiology reports in the mail.

Jo
d'huit - 20 Aug 2007 09:34 GMT
>i picked up my xray disk and the radiologist's report.  this fracture
> extends across the fibular styloid, 10mm from it's distal tip.  it is well
[quoted text clipped - 29 lines]
>
> kate

Break doesn't sound awful.  I pray.

Bone density sounds like it might could be better.  Hope if so that is
doable.

Damn I wish I could share some of my doctors habits with yours.

I always get copies of lab and radiology reports in the mail.

Jo

i think so, too.  so, i'm hopeful of a good ortho appmt. tomorrow.  i'm for
your doctor's habits being shared with my doctor.  hmmm . . . how can we
pull that off?

i've been thinking . . . since my leg fracture and my wrist pulverization
were the direct result of my left ankle doing wobbly things . . . and i'm
wondering if the sequelae at my ankle are remnants of my having had polio,
leading me to believe my left ankle is impared/weak (like maybe that ankle's
neurons have been trying to give up the ghost, as the result of polio in my
distant past.) . . .i'm thinking . . . maybe we can stop this bone breaking
stuff from continuing to happen, if i asked my orthopod to prescribe an
ankle brace after this leg heals.   y'think?  what do you think about that
idea, jo?  nobody's ever suggested it before, but i don't think anybody's
put 2 and 2 together, either, to come up with a reason i fall so much, which
breaks bones.  i'm trying to, anyway.<smile>

kate
Navy - 20 Aug 2007 14:43 GMT
It is certainly worth following up.  I just hate thinking of shortcuts after
I have a bunch of situations caused by the object I am going to shortcut.  I
hope you can follow that!  bg :-)

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Navy
Take out the FISH to email me.

>
>>i picked up my xray disk and the radiologist's report.  this fracture
[quoted text clipped - 69 lines]
>
> kate
jofirey - 20 Aug 2007 15:24 GMT
>>i picked up my xray disk and the radiologist's report.  this fracture
>> extends across the fibular styloid, 10mm from it's distal tip.  it is
[quoted text clipped - 68 lines]
>
> kate

I know that people who have had polio as children often begin to have
problems again as adults.  But I'm guessing you have already done the
research on that.

I've had doctors that oppose any long term bracing because it could further
weaken the already weak joint.

I'd be looking at physical therapy to strengthen some of those weak spots if
that is an option.  And some nerve conduction tests to make sure your left
foot is getting the messages it is sent.

Also if I were falling flat on my face more than twice (been there, done
that.  I'm well padded and fall well so no bone damage) I'd be considering a
cane.  I don't know if your right wrist is up to handling one though.

Then there is the good old, 'up with the good leg, down with the bad leg'
mantra.  Of course there are times it is hard to know which is which.

Jo
d'huit - 20 Aug 2007 16:40 GMT
> "d'huit" <threecedars1@comcast2.net> wrote in message
> news:saWdncLTJLiYVFXbnZ2dnUVZ_tqtnZ2d@comcast.com...
<snippers>
> Break doesn't sound awful.  I pray.
>
[quoted text clipped - 29 lines]
>
> kate

I know that people who have had polio as children often begin to have
problems again as adults.  But I'm guessing you have already done the
research on that.

***yes, i did.  years ago, when post polio syndrome was suggested as a
possibility, for something else that was happening, by one of my doctors who
really didn't know much about what he was suggesting.

the problems adults incur are the result of the overwork and burnout of
surviving neurons.  i mean, eventually, the neurons that survived the
initial polio attack die, because they were having to do the work of the
neurons that didn't survive polio and they're own work for so many years.
this is manifested in many ways--in my case, it was the sudden overwhelming
weakness in my legs and my "hitting the wall"/taking at least 3 days to
recover when i overdid physical things--started when i was between 18-22 (i
know i was working as a grocery clerk and physically collapsed in the
checkstand, legs wouldn't work/support me, were too weak.  started to clerk
at 18, but i can't remember exactly how old i was when that happened.  i
only weighed about 108 pounds back then, so it wasn't a weight issue, nor
past injury issue and for all practical purposes looked and seemed
physically fit to doctors.  never even broke a bone until my car wreck at
23.).  and it progressed until i learned what was occuring. i learned to
pace myself a little better and had to give up strenuous things like playing
tennis, volleyball (the way i played them--all out), long cycling trips and
ice skating, lifting more than 40 pounds, etc.  used to throw 50 pound
dogfood bags around at work and bags of water conditioner salt, which was
heavier.

I've had doctors that oppose any long term bracing because it could further
weaken the already weak joint.

***but isn't that assuming that the weakness can be strengthened and that
the neurons and muscles are somewhat normal otherwise?  you can't strengthen
blown out/dying neurons nor the muscles the blown out neurons support.
neurons make the muscles function.

I'd be looking at physical therapy to strengthen some of those weak spots if
that is an option.  And some nerve conduction tests to make sure your left
foot is getting the messages it is sent.

***studies have indicated that physical therapy and exercises, for dying
neurons, actually makes the waning  neurons wear out faster.  i have had
emg/ncv studies done on that particular foot, at least a decade ago, when i
noticed my foot was dropping and i kept tripping and falling (which used to
irritate butch, cuz he thought i wasn't looking down at my feet).  i'd
forgotten that until now.  that neurologist said there was definitely
evidence of moderate to severe neuron deterioration in that foot.  sheesh!
no wonder i'm falling and breaking bones!

Also if I were falling flat on my face more than twice (been there, done
that.  I'm well padded and fall well so no bone damage) I'd be considering a
cane.  I don't know if your right wrist is up to handling one though.

***i do use a cane, sweetie.  now, more than i ever used to.  but i have
used one, at least intermittantly, since my car wreck.

Then there is the good old, 'up with the good leg, down with the bad leg'
mantra.  Of course there are times it is hard to know which is which.

***that has been ingrained in me, since the '70s and my car wreck.  the
physical therapy training comes with broken legs.<smile>  thanks, sweetie.
you actually helped me the whole picture a little better.

kate

Jo
 
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