So I'm in Emerg...

and other failures by our esteemed colleague Malthus
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So I'm in Emerg...

Post #1 by MP » Sun Feb 01, 2015 9:39 pm

Yep, seems I may have torn my Achilles playing Dodgeball at halftime... Took me an hour so far to get through triage...
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Post #2 by MP » Sun Feb 01, 2015 9:51 pm

Lord Chezz wrote:Fucking ouch.


The pain isn't too bad so far, just have no pressure available in my toes, there's also a gap in my heel where my Achilles normally is...

And now there's this old man constantly moaning behind me.
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Post #3 by senate » Sun Feb 01, 2015 9:53 pm

Was it regular, bombardment, or germanball?
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Post #4 by MP » Sun Feb 01, 2015 9:59 pm

senate wrote:Was it regular, bombardment, or germanball?


Dunno, two teams about 10 balls placed on the centerline?
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Post #5 by MP » Sun Feb 01, 2015 10:03 pm

Seems it was a prisonball variant...
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Post #6 by Honus Joglund » Sun Feb 01, 2015 10:07 pm

This is karma for being an adult who plays dodgeball.
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Post #7 by MP » Sun Feb 01, 2015 10:14 pm

Honus Joglund wrote:This is karma for being an adult who plays dodgeball.


I wasn't even drinking... :why:
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Post #8 by MP » Sun Feb 01, 2015 10:18 pm

Seems that groaning and writhing in pain gets you seen quicker...still in waiting room. Should've taken them up on that wheelchair to make my plight look worse...
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Post #9 by MP » Sun Feb 01, 2015 10:27 pm

Thomas Malthus wrote:Sorry about your injury, buddy. Hope that the mend is simple (or even better than it's not as bad as you think).


The more I read online the more likely the case that I ruptured it.
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Post #10 by senate » Sun Feb 01, 2015 10:33 pm

Has your injury changed your opinion on the Iliad?
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Post #11 by MP » Sun Feb 01, 2015 10:45 pm

Lifer wrote:Crutches for a month and a walking boot for 6 weeks.


I could live with that, hopefully surgery isn't required...
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Post #12 by MP » Sun Feb 01, 2015 11:40 pm

How am I not higher priority then people with cuts on their thumbs?!
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Post #13 by MP » Sun Feb 01, 2015 11:41 pm

Been here 3 hours and counting....
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Post #14 by Shawnathan Horcoff » Sun Feb 01, 2015 11:48 pm

Be well, 'astér'. : )
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Post #15 by Ismellofhockey » Mon Feb 02, 2015 1:49 am

Maybe those thumb cuts were paper cuts. You can't mess with those in an area where hand sanitizers are everywhere, waiting.
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Post #16 by Sturminator » Mon Feb 02, 2015 4:46 am

MP wrote:I could live with that, hopefully surgery isn't required...


Only if you want to walk like a gimp for the rest of your life.

They gon cut you, boy.
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Post #17 by chicpea » Mon Feb 02, 2015 5:07 am

According to local lore, Christ didn't commit any miracles while residing in Japan, but instead was just an extremely pleasant fellow to be around.
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Post #18 by chicpea » Mon Feb 02, 2015 5:10 am

I hope your legs are okay, Master Pee. Sucks. But do you remember when Father Mulcahy performed a tracheotomy with a bic pen? That was fucking awesome and also brutal. So cool. Okay, good luck on your legs. Please don't hobble.
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Post #19 by Redden Punches Faces » Mon Feb 02, 2015 7:19 am

Lifer wrote:Ladies and gentlemen the Canadian healthcare system!


To be fair, fuck it its just a leg, folks. :voiceofreason:
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Post #20 by MP » Mon Feb 02, 2015 8:45 am

So as expecte, ruptured my Achilles tendon. In terms of wait, I got to the hospital at 8:40ish, triage took an hour, was called at 11:45, home with a cast at 12:50am.

Now waiting a call for an ultrasound and a visit to the orthopaedic surgeon.

Got the kids to school in a blizzard, and called in sick.
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Post #21 by BlackRedGold » Mon Feb 02, 2015 9:16 am

Left or right foot?
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Post #22 by BlackRedGold » Mon Feb 02, 2015 9:17 am

Lifer wrote:Ladies and gentlemen the Canadian healthcare system!


Yeah, but he's not going to get a massive bill when he leaves nor does he have to pick which hospital he's going to from a select list.
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Post #23 by MP » Mon Feb 02, 2015 9:22 am

BlackRedGold wrote:Left or right foot?


My left.
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Post #24 by BlackRedGold » Mon Feb 02, 2015 9:22 am

MP wrote:My left.


That's a positive. Harder to drive if it was your right.
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Post #25 by MP » Mon Feb 02, 2015 9:23 am

BlackRedGold wrote:That's a positive. Harder to drive if it was your right.


The doctor says I'm not supposed to drive at all. Apparently driving with a cast would void my insurance...
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Post #26 by AD » Mon Feb 02, 2015 9:26 am

Your achilles heel is your achilles tendon?
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Post #27 by MP » Mon Feb 02, 2015 9:30 am

The tendon.
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Post #28 by BlackRedGold » Mon Feb 02, 2015 9:34 am

MP wrote:The tendon.


Time to make some pho.
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Post #29 by PredsFan77 » Mon Feb 02, 2015 9:37 am

Wow good luck MP. That is one shitty rehab.
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Post #30 by CharlieGirl » Mon Feb 02, 2015 10:26 am

Yikes, that sounds painful, MP.

Hope it's better soon (but yes, driving with a cast can void your insurance if anything goes wrong).
[SIZE="1"]GO catch a shark or something eat a turtle. - Kaktus[/size]

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Post #31 by Murphy » Mon Feb 02, 2015 10:55 am

Thomas Malthus wrote:Damn, Super Dad.

Average emerg wait time for hospitals in Ottawa in hours (complex cases/non-complex cases):
Civic (7.1/2.8)
General (5.6/2.6)
Queensway Carleton (5.1/2.9)
Province (5.5/2.2)

Total time in emerg in hours (complex/non-complex):
Civic (16.4/4.4)
General (10.4/4.2)
Quuensway Carleton (9.5/5.4)
Province (10.3/4.1)

http://www.ontariowaittimes.com/er/en/Data.aspx?LHIN=0&city=Ottawa&pc=&dist=0&hosptID=0&str=&view=0&period=0&expand=0


No Montfort? FTFY
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Post #32 by PPJ » Mon Feb 02, 2015 11:01 am

MP wrote:The doctor says I'm not supposed to drive at all. Apparently driving with a cast would void my insurance...


So it's okay to drive wearing a burka, but not a cast /eb
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Post #33 by PPJ » Mon Feb 02, 2015 11:01 am

Good luck with that MP. Sounds like a crappy injury, not that any injuries are uncrappy.
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Post #34 by HS » Mon Feb 02, 2015 11:03 am

Damn. Good luck in rehab, MP. That's got to be rough.
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Post #35 by MP » Mon Feb 02, 2015 11:10 am

Psycho Papa Joe wrote:So it's okay to drive wearing a burka, but not a cast /eb


I understand right foot, or full leg, and arms, but left foot? Driving standard? Doesn't make much sense.
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Post #36 by MP » Mon Feb 02, 2015 11:16 am

I'm now watch the price is right...
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Post #37 by MP » Mon Feb 02, 2015 11:17 am

Guy just lost a car.
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Post #38 by MP » Mon Feb 02, 2015 11:22 am

mooseOAK wrote:By dodging, ducking, dipping, diving or dodging?


Injury to the Achilles tendon, the thickest and strongest tendon in the human body, is increasing in frequency. Acute rupture of the Achilles tendon, the most common acute injury, has been reported to affect about 18 persons per 100,000 each year.1 As the population ages and more persons remain active later in life, the rate of tendinous injuries is increasing and probably will continue to do so.

Typically, patients with Achilles tendon injury are 30- to 40-year-old men who present with a complaint of sudden ankle or calf pain that they experienced during recreational sports activity. Basketball, tennis, and football are the sports in which Achilles tendon injuries occur most frequently; 50% to 75% of acute injuries may be attributed to sports activity.

The typical mechanism of injury in acute Achilles tendon rupture is an eccentric load of the tendon. Essentially, the tendon is pulled in opposite directions: the contracting gastrocsoleus complex attempts to plantar flex the foot while external forces dorsiflex the foot (eg, when a basketball player tries to jump suddenly and forcefully while landing from a previous leap).

Arner and Lindholm5 reviewed the mechanism of injury for 92 acute ruptures and found 3 main causes. First, 53% of the ruptures occurred when the weight-bearing forefoot was pushing off while the knee was extending. This is common in sports that require rapid stops and starts, quick jumps, or sprint starts (eg, tennis, basketball, and football). A second mechanism (17% of the ruptures) was sudden, unexpected dorsiflexion of the ankle (eg, when a person falls off a ladder or steps into a hole). The third category, violent dorsiflexion of the foot (eg, when a person falls from a height), accounted for 10% of the acute ruptures.

The vast majority of persons with a ruptured Achilles tendon do not have antecedent pain in the tendon. However, histological studies have indicated that acute rupture is more probable in an otherwise abnormal tendon.6 Kannus and Jzsa7 found that 865 of 891 ruptured tendons (97%) showed signs of degeneration, compared with 149 of 445 control tendons (33%).

A 200-fold increase in risk of tearing of the contralateral tendon in persons who previously ruptured their Achilles tendon also lends evidence to the theory that certain characteristics predispose a tendon to injury. Several case reports describe a risk of tendon rupture associated with systemic use of fluoroquinolone antibiotics or local injection of corticosteroid into the tendon. The peak incidence of acute rupture, seen in middle-aged men who participate in recreational sports rather than in older men, suggests that there is also a mechanical cause of injury. Anecdotally, we are seeing more women in this same age category with acute Achilles ruptures, likely a result of women engaging in more high-demand activities than in previous years.
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Post #39 by MP » Mon Feb 02, 2015 11:26 am

Clinical presentation (exactly how it felt)
In the history, patients often describe having felt a “pop” in the area of the Achilles tendon. Other patients report the sensation of being hit or kicked in the back of the ankle, followed by weakness, pain, and apprehension with plantar flexion.

Typically, the patient cannot return to play. However, most patients retain the ability to walk with a slight limp and do not experience significant pain. As a result, many patients self-diagnose a “sprain” and wait to seek medical evaluation.

Up to 25% of acute Achilles ruptures are misdiagnosed on initial evaluation.2 Usually, injured patients are thought to have an ankle sprain. The differential diagnosis includes problems that may cause acute calf or ankle pain, such as partial Achilles tendon rupture, deep venous thrombosis, thrombophlebitis, ankle arthritis, and Achilles tendinitis. An awareness of the demographics of injury coupled with an accurate history should raise the index of suspicion for an acute rupture of the Achilles tendon and guide the clinician to a focused physical examination for confirmation of the diagnosis.
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Post #40 by mayoradamwest » Mon Feb 02, 2015 11:51 am

So would you say that your ankle is your weakest point?
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Post #41 by chicpea » Mon Feb 02, 2015 12:17 pm

Image

Image


Elephant in the room: Kyle Chipchura.
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Post #42 by MP » Mon Feb 02, 2015 12:23 pm

So to top off my day my eldest is puking and needs to be picked up...
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Post #43 by Murphy » Mon Feb 02, 2015 12:24 pm

mayoradamwest wrote:So would you say that your ankle is your weakest point?


I always pictured him as a weak knee and limp wrist type.
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Post #44 by MP » Mon Feb 02, 2015 12:28 pm

mayoradamwest wrote:So would you say that your ankle is your weakest point?


A pretty good depiction of me:

Image

Nipples hard as little rocks...

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