Knee: Good News

For the first time since the accident last year today was the first day that I was able to get up a flight of stairs without significant pain in my right knee.

I banged it pretty well from when I crashed.

I didn’t break it. Just kinda f-ed it up a bit. My knee was my first part to hit the deck before my hip hit and broke.

Finally, some more good news about the long-term recovery. It was cool walking up stairs without willing myself through pain.

For my last checkup in May I certainly hope that this will be 100% (Ok, 95% would be acceptable). The doc was saying that it needs some time to “remodel” itself.

Well… here’s to hoping at least.  Smile

The leg: Six months in

I’ve gotten used to going to hospitals this year. I’ve gone more times than I really care to remember since my unfortunate incident.

I went again on Friday on what will be (hopefully) my final visit of the year. This is a slightly tardy six-month exam of my pinned together fracture.

I took some pictures of the PC after the tech asked her questions and left but before the doctor showed up or the screen locked.

The resident came in and asked a slew of questions before my doctor walking in the door.

“This one’s a real son of a bitch,” he motioned to me while talking to the resident, “he finished a race with a broken hip!”

She looked at me with a look mixed with horror and something resembling ”whoa.”

“Any pain?” he asked.

“Not really. My knee still hurts a little but it’s getting better and I’m still numb around here [motioning around my thigh].”

“Well, you might never get that back… is it getting any better?”

“I have a little more feeling. I can feel someone touching my skin there…”

“Alright! You’ll have a full recovery!” the doctor said with a rueful laugh. “Well, you can do whatever you want. I want see see you again in another six months for one last time. I want you to know I haven’t ridden my bike since you came in.”

I gave him a strange look…

“No, it’s not because of you.”

I have the (mostly) all clear!

I went to the doctor today.

The first thing he asked was “how much have you been cheating [with the crutches]?”

I looked back and told him the truth. That things didn’t hurt and I felt less secure with the crutches than I did walking around without them.

He looked back at me and shook his head. “You’re so far ahead of anyone else I’ve seen.”

Smile

Now I have the clearance to freely walk without crutches and to start getting back on the bike! Woohoo!

That being said I still have to watch it. No falling or lifting super-heavy things. I can still play the gimp card pulling out the cooler of beer at X-Day. Razz

As awful has breaking my hip (I still don’t like the sound of that — it makes me sound old) is, I guess I have to take the wins where I can get them. I have to think that it’s that I’m young and in shape that’s helping me get better faster. That or the awesome yeti genes. Either way, I’ll take it.

The next appointment is another month out and I’m guessing that’ll be the last one.

 

Doctors are Real People

Ok. Duh. Doctors are people. What can be more obvious.

Yes. I know. Some people are doctors and you must be a person to be a doctor, therefore all people are doctors.

Stupid and tautalogical.

I ran into the doctor that aspirated my seroma at the Winking Lizard today. We were walking in and he was walking out in full hospital scrubs. I don’t know if he recognized me as the guy from the ER with the ginourmous seroma. He seemed to have a glimmer of recollection though. I don’t know. En and I realized who he was after the door closed behind him.

It feels strange in a way to be peers. Here’s the guy that saw me in the ER when I was dressed up in a gown. To have such a power imbalance at times, but be just normal people at other times.

I’m not a doctor, so I can only imagine… being a doctor you get to see people at their most vulnerable. You get to see people as only their spouse will at times. The level of trust is immense.

Seeing “Big Al,” the doctor, just walking out after a long day on the job brought him back down.

He’s just a person.

It just struck me though.

All of us are just going through our lives doing our best. All of us are people. All of us really are the same.

Is it deep. No not really. But it somehow hit me.

Medical Billing – WTF? (Plus: Bonus rant on insurance!)

First, take a look at this:

This is the insurance statement from the web site for my one night of the hospital stay and the pre-op tests (based on the first date). This doesn’t include the bill for the operation, the anesthesia or the radiology which are other line items.

The discrepancy between the billed amount and the amount paid by the plan is beyond absurd. The “Network Discount” is 89%.

Obviously the hospital is making due with the $2904 that they are being paid by my insurance. What’s the $25K that they are charging then?

You can argue that that’s the bill I would get from them if I didn’t have insurance — but that’s fake too. All I would have to do it walk into the administration or billing department and ask for that myself. I’ve heard first-hand stories about people doing exactly that (not to mention the million web sites that tell you exactly how).

So who what the hell is the giant number then?

My guess is that this is how people go bankrupt.

The top line number would go to a collections agency who buys the debt at (my guess) the amount the hospital needs to keep running — i.e. the “Paid by Plan” number, though probably a bit less.

So here’s the rant I promised. Let’s start with a few simple facts that can’t really be disputed:

  • People get sick. People have accidents. People need medical care.
  • Doctors, by oath, will (should?) treat a patient that comes to them.
  • Doctors typically have a high debt load themselves from many years of medical school.
  • Doctors, like everyone else, need to put food on the table. They are a highly skilled profession and should be treated as such.
  • Nurses and the rest of the staff, like the doctors, have bills to pay and food to buy and everything else. They, like the doctors, need to be treated just as fairly. It’s a hard job.
  • Hospitals are an expensive thing to run with lots of specialized gear. That doesn’t come for free.
  • Some people have insurance.

Let’s start with that list.

If someone sick comes to the hospital, they’ll generally get treated. Especially if it’s a life-threatening issue — think gun-shot wound or a heart attack — you treat first and ask about the money later.

If they can’t pay their bill the hospital/doctor will eventually write off the loss and sell the debt to the collection agency and keep running.

Going to the other points though, everyone still needs to get paid. Who pays it? Well, my insurance, and your insurance, and so forth.

The doctors still need to get paid. The nurses still need to get paid. The machines and building don’t pay for themselves.

And let’s not even begin on the whole non-life-threatening cases — the issues that can be put off for now, until they wind up in the emergency room and cost more than anything else.

If it sounds like I’m arguing for universal insurance, you’re right in a way. The underlying thing I’m trying to get at is I’m ranting against the funny-money billing that the medical industry does. What good does it do anyone? I’m insulated by my insurance company so it doesn’t really, directly affect me. But it does since the premiums I pay keep going up.

Leg/Hip Breakage – Update

Before anything else, I want you to know what my role model is on this:

Got back from the doc and I have good news! I seem to be healing so well that he’s never seen this before. It seems that I’m more than a few standard deviations out.

I guess I’m just an overachiever.  Grin

(said with a very, very gay lisp) (not that there’s anything wrong with that)

I am the honey badger. I just don’t give a shit. I just take what I want. What, I broke my hip? I just don’t give a shit care. I just heal it up and keep on going. With screws in my hip. I just don’t care.

Things haven’t moved around. I’m allowed to drive. I’m allowed to start putting weight on it using pain as guidance. In two weeks I go back to get my next appointment.

By the way: I’m not in pain. Using pain as guidance I walked up the steps! Just sayin’. I’m just channeling my inner honey badger.

The funny thing is when the doc asked if I was in any pain I noted that when I sit indian style it hurts a bit — you know — cross legged. He looked at me funny. I crossed my right leg over the left and he just about dropped his jaw to the ground.

“You can cross your legs? You aren’t supposed to be able to do that.”

Grin

My Seroma + Altoids tin (WTF?!)

First, just cause I’m a dick and this is going to stick in your head all day long:

Ooh my little lumpy one, lumpy one
I hope you gonna go away some time seroma
Ooh you really grow on me, grow on me.
Always seem to fillin’ up my seroma.

Right under the cut, gettin’ huge
Even after gettin’ drained, on my hip,
Really don’t want to go away.
My my my i yi woo
My my my my seroma.

(With many, many apologies The Knack and thanks to Cynthia!)

- = -

Now that I killed that sone for you I’ll continue on.

From yesterday’s post you know I had it drained and 28cc of fluid came out of it. It was all good and non lumpy. The doctor told me to keep it iced and put a weight on it.

I did. I kept it iced all day long and tried to apply pressure as well. Somehow whatever I was doing was insufficient and by the night it had regained most of it’s volume. Not good.

En brought over some therapy weights that she had before we went to sleep and I just put them on my hip letting gravity do it’s thing. There was perhaps six or seven pounds of weight bearing down on the lump. This of course only works while I’m on my back since it’s in an awkward spot on my hip. (It’s on the part of my hip above the crease on my thigh)

Upon waking up I realized the lump was smaller. This was the first time that it changed size in the direction I wanted it to.

But I didn’t want to lay on my back the entire time I’m waiting for this damn thing to go away.

This has turned from a medical problem into an engineering problem. I figure that the weights were applying some force to the seroma. I’m estimating around 30 newtons of force spread over perhaps 200cm^2. All I have to do is replicate that. The question is how.

Yesterday, in addition to the Aleve that the doctor recommended we also picked up some bandages. The problem was that there would be no way for me to wrap it in a way that it would apply pressure to the right spot.

That is until I saw the Altoids tin.

With the Altoids tin strapped under the bandages I was able to selectively apply pressure to exactly the lump. Ever since it’s been on the lump has been getting smaller and smaller!

As it turns out I independently re-invented a pressure dressing for myself. Smile I was careful to spread out the bandages to ensure low pressure everywhere but the Altoids tin. Under the tin itself I’m guessing the pressure level from the weights has been more-or-less replicated. Additionally the flat bottom of the tin and the radiused corners ensure that there are no points with exceedingly high pressure.

I’ve been wearing this all day and I’ve not had any problems at all and it’s not uncomfortable. I think engineering has prevailed!

Lump: Gone. Vindication!

The last post had me at the ER.

We waited from around 12:30 AM to around 3:30 until we were led back to room 6 and given a gown to get into.

The doctor there gave me a quick once over and called up one of the residents that works with Dr. Krahe, my orthopedic doctor. At around 4 AM we were told that he’d get there around 6.

My story of finishing the race third with a broken hip was recounted to the nurse and the doctor. Gotta build street cred. Wink

“Now you know not to go to an urgent care,” the doc said, “they don’t know how to deal with any trauma. Do you know if a radiologist even read the film while you were there?”

Aside: This goes completely against everything that the folks in every benefit meeting ever say. “Use the cheapest form of care.” But the doctors advise against it. Maybe my mother-in-law was right about this one. (If you’re reading this, there, I said it!  Razz )

Big Al, the resident came right around 6 and like everyone else poked at the massive lump on my thigh.

“I heard you were tough as nails.”

My reputation preceded me. He’d heard the story of the race already.

“Were you at the procedure?” I asked.

“I wasn’t there, but I’ve seen your films.

“Well, it’s most likely a hematoma or a seroma. I’ll stick a needle in it. If it’s a seroma I’ll be able to get out most of the fluid, if it’s a hematoma I probably won’t be able to do much since it would be clotted blood.”

He left to get the equipment to do the procedure. While he was away I poked Mr. Lump. He had some give.

“I think it’s a seroma, it’s squishy,” I told En.

He prepped the lump with some iodine swabs and a few isopropyl alcohol pads and stuck in a giant empty syringe. It went in with no pain at all. Pulling up on the plunger let loose a trickle of some straw-colored fluid.

“I guess it’s a seroma!”

I hadn’t heard sweeter words in a while! Grin  Rainbow

In all 28cc of the fluid was removed. I was off on my guess since I was taking into account he overlying dermal layer as well. But it’s still a frickin’ impressive amount of stuff!

“Put some ice on it and take some anti-inflammatories to try to keep down the swelling. Try to keep some weight on it too — the pressure really helps to make these not come back.”

The lump was gone. There was still some swelling, but I can no longer balance things on it. It’s just your normal everyday swelling now.

I’ll take that.

Walking out of the hospital I just felt on cloud 9. The lump was no more. I was right about the whole thing. I was on my way to getting really better.

- = -

So I was worried about going to the ER; that I was overstepping what I should do since I had seen a doctor 16 hours beforehand.

He hadn’t done anything.

I think he should have.

I think the 28cc of fluid settles that dispute.

- = -

As I was being discharged the nurses that were there had never heard of a seroma. In a nutshell it’s a collection of fluid caused by inflammation. It’s basically blood plasma. It’s different from a hematoma because the latter would contain the red blood cells as well.

Here’s some further reading:

Lump, redux – at the ER now

Like I said with the previous post I went to the doc in the morning for the hematoma (again, most likely, but not confirmed). He blew me off.

It’s grown larger. It’s spreading further. Now it hurts.

Now I’m at the ER.

The pain level went from around a 1 to a 4-5 in the past 2 hours. (I’m trying to normalize on the conventional pain scale here, I process pain seeming differently)

I wish the doc didn’t blow me off this morning.

I was getting in bed thinking I’ll call up the specialist in Twinsburg in the morning. Over the next hour or so my pain level spiked up. The plan was to call up Twinsburg in the morning and give them the option of going in there or going to the ER.

I recon that I wouldn’t be able to sleep through the night.

So now I’m in the ER right now in the waiting room with the motley crew that you would expect at 1 in the morning.

More updates as I know more.

I still have the damn lump

The doctor looked at it this morning. Nothing. Still likely a hematoma.

To recap I have a 4x7x2 cm (yes, I measured) lump on my hip that keeps getting bigger (yesterday was roughly 4x5x2 cm) that no one wants to do anything about.

I’m getting to the point where I’m not going to be able to wear pants since it’s right on my belt line. Not only that but I can’t even begin to try to sleep on my right side. I am really empathizing with pregnant women at this point since I can comfortable sleep in only one way.

Of anything on me now, the order of annoyance goes something like this:

  1. The damn lump on my hip
  2. My right knee
  3. My right hip

The irony of the situation is this all started with my right hip and now that’s the thing that giving me the least trouble.

I’m this close (holding fingers close together) to doing something about it myself. I figure an X-Acto blade strapped between a pair of wooden blocks for depth setting would get the job done. Go down maybe 1/2″ and treat it like the giant zit that it is.

I’m not going to do that but it’s getting way too tempting.

Happy birthday me. Yaaay.

Present Poop