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Tag Archive | ER

Post Knee Surgery Knee Braces — My Experience & Recommendations.

by Anura Guruge


Click to ENLARGE.



First 4-weeks.


Yes, all-in-all I lucked out. I literally walked away from my quad-tendon reattachment surgery with no pain, no limp, no discomfort and no lack of flexibility.

I can basically do everything I could prior to surgery though I am not running as much as I used to. I do run but I do notice that it is not kind to my knees. So, instead I walk 4.2+ miles 5 to 6 times a week.

I am HUGE fan of knee braces. I used to wear them, off-and-on prior to my injury. IF I had been bearing one I might have saved myself the surgery.

As soon as I hurt myself I put a brace on my knee. It immediately took away much of the pain. At ER they gave me a full-length brace (see above). That was good. But, a few hours later I was fitted with a ‘DonJoy  X-Act ROM Hinged, Knee Brace‘. That was even better. I wore it 24×7 during the week prior to surgery. That week I went to Cape Cod on a mini-vacation. With that brace I could walk, in the snow, with no problem or pain!

I wore that brace for a month after surgery. It served me well though it was brutal on my thigh muscles. I found and switched to a smaller hinged brace with my surgeon’s blessing. Again, see above or check out this link.

I had told my surgeon, at one of my follow-up appointments, that I planned to wear a brace, on my, knee for life. He laughed, then realized that I was not joking. He then came around and said that it would do me no harm and that yes, it would even help.

I have been wearing an assortment of braces since. Not all the time. Definitely when I am walking, running, hiking or out-and-about. I found the simple ACE knee supports remarkably effective. Didn’t need anything else.

But, for my 4.2+ mile walks I decided I need more support. I was carrying 18 lbs of extra weight — in the form of a 12 lbs weighted vest and two 3 lbs wrist weights. I am going to give the 12 lbs vest a rest.

I got the NEENCA brace, shown above (twice), today. It is very comfortable and provides excellent support. Looking forward to walking with it tomorrow.

I definitely recommend it. About the same price as an ACE support. So, you can’t go wrong.

So, that is my story. Hope it helps.


I had my quadriceps tendon repair surgery,
at ‘
Frisbie Memorial Hospital‘ —
performed by Dr. Charles Blitzer
of ‘Seacoast Orthopedics
on Thursday, March 7, 2019.

There was no pain to talk about
— throughout, from surgery to now.


Related Posts:
Search ‘knee‘.


by Anura Guruge

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The ‘DonJoy’ X-Act ROM Hinged, Knee Brace Can Be Brutal On Your Thigh After A Month!

by Anura Guruge


Click to ENLARGE.


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Click to access Amazon product page.



I had been wearing the ‘DonJoy’ X-Act ROM Hinged, knee brace 24×7 (with at most a 30-minute break to take a shower and do my leg exercises) since I busted my quadricep tendon on Thursday, February 28, 2019.

I was only supposed to wear it post-surgery, i.e., as of March 7, 2019, but it was so comforting when they first put it on me for size that I sought permission to wear it even before the surgery.

It was a pain, but it did a good job in supporting my knee. As long as my knee was well supported I had no pain — even from the start. Hence, why I loved the DonJoy to begin with.

But, after 5-weeks the dynamics changed. I had no knee pain and as such the need for rigid support was not as much. But, now I started to notice the damage the DonJoy was doing to my thigh muscle. It was brutal.

So, I contacted my doctor and got permission to order the smaller, lighter and wrap-around ‘Neo-G’ lockable hinged brace — shown above. It was on backorder and I will not get it till Tuesday.

In the interim I went back to the original ‘CorFlex’ knee immobilizer that ER had given me to use prior to surgery. For now it is great. It doesn’t eat into my muscle. The soft wraparound material feels good, though it also contains five rigid metal bars. Why they want you to use the DonJoy is that they want to start increasing knee flex after 6-weeks. You need a proper hinged brace for that — like the ‘Neo-G’.

So, this is a heads up in case you need a knee brace. I did a ton of research before picking the ‘Neo-G’. That my doctor said it was ‘OK’ was reassuring.


I had my quadriceps tendon repair surgery,
at ‘
Frisbie Memorial Hospital‘ —
performed by Dr. Charles Blitzer
of ‘Seacoast Orthopedics
on Thursday, March 7, 2019.

There was no pain to talk about
— throughout, from surgery to now.


Related Posts:
Search ‘knee‘.


by Anura Guruge

Knee Surgery In 2019 — Near Miraculous!

by Anura Guruge


The Two Pumps.

The nerve block pump is in the black ball-shaped bag
— hanging down.


The inputs to the ice cooler around the knee.



The Nerve Block Pump.


Post Surgery Ice Cooler.


Click to access post.


I had my quadriceps tendon repair surgery, yesterday, at ‘Frisbie Memorial Hospital‘ — performed by Dr. Charles Blitzer of ‘Seacoast Orthopedics‘.

So, far, so good. Actually pretty blinking bloody amazing (though my use of ‘bloody’ is kind of ironic since there is just a minimum of blood that I can see)!

Nearly 24-hours later NO PAIN. Maybe a slight twinge, but no pain per se.

Have not taken taken any of the opioids they gave me as yet — and that is consistent with the v. precise instructions I got.

First Tylenol, then Aleve and if that doesn’t work opioids. I am cool with that.

But, I am well and truly bionic. I have two pumps attached to I as well as my trusty DonJoy X-Act ROM knee brace (which fully immobilizes the damaged knee).

One is a Nerve Block catheter attached high up on my left hip. I knew about that.

They kind of semi-knocked me out before inserting that. I had been told about that too. Did not expect them to be using an ultrasound unit to locate the vein. Pretty cool. The staff at Frisbie were pretty amazing and the anesthesiologist was very cool. I have been told that the Nerve Block should work for about 48-hours. Maybe longer. It is a ‘balloon’. When it is totally deflated I am supposed to pull out the catheter. That might be interesting.

What I was not expecting was the ice cooler pump for my knee. That is so COOL and that is not a pun.

Never knew they existed. As the ads for it say (when I went and checked them out yesterday night) they sure beat a bag of frozen peas or traditional ice packs.

Between the two pumps I am doing ‘OK’.

Can’t put any weight on the leg and it is weak.

We live in a 4-story house with 3-staircases. I have to go up & down the staircases on my bum. I had not realized how weak my shoulders were. I guess I don’t exercise them enough. But, they are sure getting a workout now and I am ASHAMED to admit that I have to take a break when climbing up the stairs with my shoulders. For someone who averaged 56 floors a day, climbing stairs was a pleasure. It is now embarrassing! When I am better I may split my floor climbing — some by foot, other by shoulders.


Dr. Charles Blitzer who performed the surgery is said to be outstanding. I met him fleetingly prior to surgery and when I was recovering. Both times I was under the influence. He seems very nice and had the air of quiet confidence. I had read about him and liked what I read.

This is what caught my eye: “Dr. Blitzer has been recognized for his humanitarian work as he regularly travels abroad to provide orthopedic services to the disadvantaged in the developing world”. Anybody who has that mentality and commitment has to be pretty decent. I liked that.

I will meet him properly next Tuesday. Looking forward to that.


So, far, 24-hours into this all I have taken is three 325mg Tylenol. And that was because I felt feverish.

That is my story for now.

Yes, it could all turn on a dime. I am not totally stupid as I repeatedly point out. Just partially stupid. I know I am not out of the woods. When the Nerve Block wears off I could be in significant pain.

I hope I didn’t bore you too much.


Related Posts:
Search ‘knee’ & ‘quadriceps‘.


by Anura Guruge

Unsolicited Validation Of ‘Brain Meditation’ By An ER Physician Assistant (Certified).

by Anura Guruge


Click IMAGE to ENLARGE and read here.

From page 61 of my 2016 “Quick Guide to Brain Meditation”. Click on image below for more details on book.


Click to access post.


As you may have read, here & here, I busted my knee, well & truly, last Thursday morning, when I fell awkwardly while shoveling snow. There was an almighty crack. Left knee was at a funny angle and there were things pointing out from it. I couldn’t get up. Finally hobbled into the house. Knee was in bad shape. Managed to pull on a knee brace onto it and that made a big difference. I could at least now drag the leg along.

Made it to the ER at ‘Frisbie Memorial Hospital’ in Rochester (NH) by noon — about 90-minutes after I had done the damage. I was in some pain, but I was doing OK. I hadn’t taken any pain medication and declined the first batch that was offered to I.

Once I was horizontal on the ER bed most of the pain, if not all of it, went away. I could just lie there with no pain to talk about. That is par for the course for I. {Sorry!}

They did a X-ray and a contrast CT Scan (which required the insertion of 2 IVs, the 1st apparently not large enough for the contrast dye they wanted to pump into I).

They diagnosed that I had completely ruptured (i.e., seperated) my Quadriceps Tendon.

I needed surgery, to reattach it, within 10-days. (Surgery is scheduled for tomorrow.)

They gave me some acetaminophen (Tylenol) about 2-hours into my stay and a shot of morphine before I left.


But, as I was being discharged the female Physician Assistant (Certified) (PA-C), from Maine, who had taken care of me throughout my 4.25 hour stay came to check up on me.

After going through all the formalities, she said: “So, what is your secret? Mind-over-matter? This is fairly serious injury and you coped with it like it was not too bad“.

BINGO!

I told her about my ‘Brain Meditation’.

If you look at the top picture I had spelled all of that out, as a ‘Reward’, 3-years earlier.

So, here was proof.

Ability to: module pain, coping with lifestyle change and continued serenity.

‘Brain Meditation’, as I spell it out here, has served me well over the first 6-days. I am basically pain-free. Just taking 2 Aleves a day — and that is mainly as a precaution.

The Physician Assistant’s was going to check out my book. As she said, it certainly seemed to be working.


Related posts:
Search on ‘brain’.


by Anura Guruge


Quadriceps Tendon Complete Tear — The First 5 Days.

by Anura Guruge


Click to ENLARGE.



The good news: it is not too bad!

The secret is total knee immobilization with a full adjustable brace. With my knee immobilized there is really no pain. I kid you not. Yes, there is a twinge or two when you move it. But, anytime your knee bends — e.g., lifting it up to get into bed — there is pain, though it is not that bad and goes away once the knee is straight again. There was, alas, one exception to this and that was a few hours ago (i.e., on my 5th day). Up until Monday I hadn’t given the swelling of my knee and calves much notice. But, today, per my post-ER instructions I decided to apply a compression bandage to the knee — a bit too tightly. That was not a good idea. So, took it off and as recompense laid in bed for an hour with my legs elevated above my chest. No pain.

Click to ENLARGE.

Consequently I did NOT end up taking the Vicodin-like narcotics that were prescribed to me by ER. They gave me a shot of morphine before I left (on Thursday evening). That was enough. After that I just started taking Aleve. Of all the pain medications out there I like Aleve, not that I take much pain medication. But, from what I can see it has the least ‘implications’ and it is supposed to last longer. Thursday into Friday I took the maximum 3 Aleve’s over a 24-hour period just to be on the safe side. Then I realized that that might be overkill given the absence of pain. So, I went to 2 every 24-hours.


Click to ENLARGE. Google if you want more info. It is available on Amazon.


A couple of tips.

I am able to use my good leg to lift the damaged left leg onto the bed. That helps. So, I can get in and out of bed on my own.

I can just about getting into my pants by laying them strategically on the floor. But, today I ordered a few ‘tools’ from Amazon to make life a tad easier — a long handle shoehorn among them. Having to cajole my 12-year old to help me with my shoes is no fun.


Truth be told we went on a 3-day long-weekend to Cape Cod the day after my accident! I had booked it over a month ago and there was no way I was going to miss it!

It was my left leg and I was able to drive, with no pain, discomfort or distraction for 6-7 hours a day. I was also able to walk (or at least hobble), in the snow, for reasonable distances to visit the sites.



So, those were what the first 5-days were — ALBEIT WITHOUT surgery. Surgery is Thursday and things will change. I will keep you updated.


Related Posts:
Search ‘running’ & ‘shovelling‘.


by Anura Guruge

I Had NO Idea That 325mg Aspirin Could Kill Me!

325mgasprin.Anura Guruge December 2014 thumbnail
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by Anura Guruge


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>> 2015 enrollment.
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>> ‘coveringnewhampshire.org’ …

++++ Search ‘healthcare’ & ‘Anthem’ for the many, many posts on this topic >>>>

Also Category ‘Health Care’ that should bring up ALL ‘Obamacare’posts >>>>


Wow. I had always thought of Aspirin as MY FRIEND. Something that was good for my heart. I was told, way back in 1987, to take an aspirin a day for my heart health. And I did, religiously — along with my glass (or two) of red wine, also, of course, just for my heart health.

I like Aspirin. It was, until last Wednesday, July 29, 2015, my favorite pain medication. I wasn’t into this new fangled Tylenol, Advil, Relieve etc. and I have stayed away from prescription pain medication EVEN when it has been prescribed to me. About 5 years ago, kicking and screaming, I was taken, by the wife, in collusion with my then cardiologist, to the ER because I was having chest pain, just above my heart — and my blood pressure was going up (because I had been in pain for some time). They checked me out. Did the blood test for the marker hormones. Nothing. Did the EKGs. Nothing. Then they sent me to have a chest X-ray and they put a little metal dot on my chest where the pain was. The X-ray was focused on that. While I am still standing there, chest to plate, in the X-ray room, the technician calls out over the Intercom: “you have a broken rib just where you are feeling the pain”.

81mg asprinWell, 3 weeks earlier, before Christmas, I had slipped and fallen — on my shovel handle — while I was shovelling snow. It hurt BUT it never occurred to me that I had broken anything. My record with broken bones is kind of notorious. Years ago, after a doctor, on a whim, had both my hands X-rayed, they found that I had broken my ALL my knuckles, multiple times. But I can’t even remember breaking them ONCE. The doctor just shook his head. That I once played rugby for 35 minutes with a broken bone in my hand and then forgot to go the hospital, as I had been instructed to do, for 4 hours is also part of my legacy.

Well, when I was wheeled back into ER the doctor and the male nurse both wanted to know WHY I didn’t realize I had a broken rib — for 3 weeks. I had no explanation. Then they asked me what I took for my pain. I said Aspirin. They looked at me strange — and people do that often. Aspirin? Yes. What strength? I don’t know. The stuff that is in a standard bottle. Hhmmm. How many? I don’t know. Maybe two every 4 to 5 hours. They gave me a bottle of Vicodin. I did NOT see the point in taking that 3 weeks in. So I kept it. Came in handy when I needed to sedate one of my goldens so it would not gnaw at a ‘hot spot’. One Vicodin and he was in ‘la-la’ land for hours. Did the trick. Best use of Vicodin ever.

Anywho …

I was taking two (2) 325mg Aspirins a day — most days. I thought it was good for me. If one was good, two has to be better … right? Sometimes I might take more. Two in the morning, two at night. 325mg Aspirin was also my preferred fever reducer.

Now my new doctor, another Indian, tells me that taking all that Aspirin was killing me!

I can’t win.

Told me to throw away my nearly full bottle of 325mg Aspirins. Killed me. They were my friends. I had to buy a bottle of 81mg Aspirin. Baby ones. Only one a day.

I don’t believe and trust all this medical mumbo-jumbo. Remember these were the same folks who SWORE that PSAs were 100% spot-on in detecting prostate cancer. All that did was make them money so that they could go shoot lions.


What Is Happening To & At Huggins Hospital, Wolfeboro, NH?

Anura Guruge, June 8, 2013.

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by
Anura Guruge


Related Posts:
>>
Huggins Fair 2013 — Aug. 5, 2013.
>> My FALSE PSA from Huggins — Aug. 1, 2012.
++++ Search ‘Huggins‘ for other related posts >>>>


Mamogram 20130002

Mamogram 20130001


Notice anything strange
about this flyer we got from Huggins Hospital
on Saturday?

It was actually very timely. Deanna had had a physical at Dartmouth-Hitchcock (Concord) on Thursday and had been told to get a mammogram. She was thinking about getting it done at Concord Hospital when this flyer came.

I have never forgiven Huggins Hospital for the grief it caused me through its FALSE PSA reporting.

But, Huggins is our nearest hospital and we use it when we have to.

Something is not right at Huggins — of late.

We were there, in the Emergency Room (ER), a few weeks ago, crack-of-dawn, i.e., 8:30 am, on a Monday. Over the weekend Teischan managed to fall off a stationary skateboard and hurt her foot. Though it was slightly swollen I was sure that there were no broken bones. That is one of the many advantages of having played rugby, in school, in Britain, in the early 1970s. IF you yourself didn’t break anything, you were still likely to see at least one broken bone injury a game. So you get fairly expert at spotting broken bones. I do have an enviable diagnostic record in this respect. But, despite my assurances Deanna was not convinced. So we took Teischan to Huggins ER on Monday.

The ER was deserted. No patients. Just one rather bemused volunteer and two frumpy receptionists pretending to be busy. Though we were the only ones there it took the receptionists 20 minutes to get around to calling us.

Yes, we had to get an X-ray. So we accompanied Teischan, through multiple automatic doors, to the X-ray room (to call it a department would be a joke). [I was right. Just a strain. Ace bandage, which I had already done.]

The hospital was deserted. Empty. I have seen more activity in Arizona ghosts towns than at Huggins, of late.

Eerily quiet. So there is now this pervasive air of morbidness though the place is SPOTLESSLY clean — probably because they have so few patients.

Yes, we all know that Huggins stopped delivering babies years ago. I can understand that.

But, I heard recently that Huggins no longer has full-time cardiologists! How is that possible?

Wolfeboro, NH, the Oldest Summer Resort in the U.S., outside of Florida, is the Old People’s Capital of the U.S.

And we are not talking just, hoi polloi old folks. We are talking Mittens Romney RICH, very rich old folks with Titanium health policies.

What gives.

The new building looks a million dollars — and I know it costs much, much more.

But, the place is empty.

And then this flyer. [I know. You thought I forgot.]

So did you spot the incongruity?

There is NO PHONE NUMBER.

Just the Web URL.

Yes, it tells you to call your primary care provider to schedule an appointment, BUT is Huggins that ashamed of itself, and I can understand if they were, after how they screwed up my PSA, that they are too embarrassed to give out their phone number?

There phone number is, in case you want it:
603-569-7500.

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