I only skimmed, but this seems like a question for Goliath.
I noticed there was thread about vasectomies already but I thought a more generalised thread might be useful as well for getting general experiences, questions and answers out of the way as well as a place for less common conditions that wouldn't really require a specific thread (little biased though as I have one of those to start this off).
As I mentioned on the morenetz sex thread I have been diagnosed with low testosterone likely related to a pituitary tumour that will have to be removed. We won't know until I can get to the specialist next year and get the MRI done but will likely need to have a craniotomy performed to get it all removed so I'm wondering what sort of questions I need to ask about, what I might need to be aware of for before and after the surgery, what sorts of issues might arise generally with being hospitalised, etc.
I realise that no-one here most likely has gone through the procedure but I do recall we have had some medical staff on the board before that might have answers and I'm sure others have at least spent time in hospital (only ever spent ~2 days in one in my life) that could give general advice on what to expect, what to take with you, etc.
I only skimmed, but this seems like a question for Goliath.
4 knee surgeries, 3 right shoulders surgeries and surgery on nose to fix deviated septum, but never have my skull opened. I was nervous for my fist surgery and now it is routine. In my experience hospitals and surgeons are REAL good at what they do, just do your part by following any directions they give and everything will work out. A little pain for a solution of the problem.
I injured my knee playing hockey 2 years ago pretty badly but never bothered going to a doctor since I had no insurance aside from what the rink offered: you pay to get fixed, we reimburse you. The pain for the first few months was 9/10 and ever since has been a constant 7/10. About a year ago I landed a job with great benefits and have been thinking about going to a doctor and seeing if surgery was the right path. Now January is when my work slows down and was when I wanted to get this done. However, I'm facing a furlough at the start of the year and my insurance runs out after 30 days of not working. Basically, should I even bother with doctor visits if I'll be shit out of luck after January? Yes I can take medical leave while I'm actively employed but it seriously cuts into my income.
It's not going to get any better. Years from now your knee will be far worse.
That's what a few people keep telling me, too. Anyone have an estimated recovery time on knee surgery?
I've only been in for one surgery but I felt better once I asked questions and understood more about my anesthesiologist. They are, to my knowledge, responsible for treating all the changes in vital functions, so if you want to get comfortable with the idea of surgery get to know your anesthesiologist.
I have has 4 knee surgeries. ACL on each knee and just come cleanup on each.
I first blew my Right ACL in 10th grade and because I did not want to miss a year of sports I would not have surgery, after was done playing competitive sports I had the surgery. So I walked around for 12 years with a torn ACL. If I had it to do over again I would have had the surgery right away mainly because of stability in the knee. The pain will go away but it will be MUCH easier to injure again, and it may involve additional ligaments and you will need surgery right away. At minimum I would have a ortho surgeon look at it and get a MRI. That way at least you will know what is wrong.
I will definitely get it checked out once my plan switches over at the start of the year.
* Are you board certified?
* How many of these procedures have you done, how long have you been a surgeon?
* What are the possible complications?
* What is your complication rate? (If the surgeon does not give a straight answer or claims to not know, run away. They most certainly do know the answer to this question and a reputable surgeon will have no problem answering this.)
* Do I as a patient have any specific or greater risks?
* What are the risks for having and not having it?
* Is this surgery a cure/how long will the benefits of the procedure last?
* How long is the surgery?
* How long will I be hospitalized?
* How long until I can resume normal activities?
* How invasive is the procedure? (Open, laproscopic, etc.)
If you like to read, I recommend reading "Confessions of a Surgeon" by Dr. Paul Ruggieri.
Last edited by Stosh; 12-13-2012 at 06:49 PM.
Had my shoulder rebuilt last year. Anesthesia was amazing. One minute the nurse is bullshitting with me in the OR, the next thing I know I am waking up in recovery. That shit was like flicking a light switch. Awake. Click. Asleep. Nerve blocks are pretty cool also.
Anaesthesia is awesome and disconcerting at the same time, or at least it was for me. One moment I'm counting down from 10 (I think I hit 8 before I went out), and the next memory I have is being mid-conversation with a nurse in recovery. Apparently I had been awake for about a half hour before that, talking like a loon to the nurses and anyone that wandered past my slot in the room. This was about 5 years ago and it still bothers me a little that I can't remember that half hour. I also still get the occasional pain in my abdomen where they cut me open, but it's gotten better over the years. It occurs most often these days when I turn too quickly without warming up or when the barometer drops rather quickly.
I've never before heard of this book, but it is now on my reading list.Originally Posted by Stosh
I had shoulder surgery two months ago for adhesive capsulitis (frozen shoulder), and I'm glad I did. It is something that might (usually does) go away in a couple of years, but the excruciating pain during that time would have been too much for me to handle. Not being able to raise your arm more than 45 degrees from straight down just doesn't cut it.
As far as the actual surgery, everyone I had was fantastic, and the last thing I remember was scooting from the bed they rolled me down the hall in to the one they were going to do surgery on. Don't remember the guy putting the mask on me, or counting backwards, or anything. I do, however, remember almost everything about waking up, and how fucking bad that hurt. The nurse kept giving me shots until I could handle it though, and I was still pretty loopy, so it wasn't as bad as it could have been. I was also freezing and shivering despite being covered in heated blankets, but I understand that is fairly common as well.
Overall it wasn't bad at all, and I'm glad I did it. It is significantly better than living with the condition I had previously (although I may not ever get full range of motion back despite physical therapy twice a week for the last two months).
I've never been able to understand how people get injured and they don't even find out what exactly they did, opting instead to just let it heal on its own; assuming insurance of course. Go find out what you did, then you can start contemplating surgery.
It could be something as simple as scar tissue. When the body is healing an injury it lays down fibrous tissue in a haphazardly fashion without taking anything into consideration like the motion or function of the tissue it's replacing. So optimally before the scar tissue is fully healed, you want to be stretching it on a regular basis along what would be its normal ROM. So instead of the healed tissue looking something like
_/|--|\///\-- with shit going all which way; it is stretched and formed to look like
----------------------- so you maintain full ROM post healing.
It is also possible that at this point you may have something as simple as a loose body floating around the joint space in your knee. Relatively simple surgery, go in clean it out and close shop; and that's IF the Doctor even thinks it warrants surgery. http://www.mdguidelines.com/loose-bodies-knee
It's possible you tore the inner portion of your meniscus. As amazing and resilient the human body is, there are some things it just can't do, such as healing the white portion of the meniscus.
So, you see the outer red portion? That gets an ample supply of blood and thus can repair most damage, but if you tear that inner white portion it is unable heal because it gets so little blood. So people injure their meniscus and think they can walk it off, but it never heals and they essentially have this flap of tissue interfering with the knees normal motion and function.
Anyway, it is impossible to know exactly what happened until you see the Doctor, just wanted to kind of give you an idea of the range of things that are possible and their severity. So hurry up and get an MRI before your insurance runs out. Then at that point, when you're actually diagnosed and given a recommendation, you can start thinking about surgery or not.
The thing about injuries too that not a lot of people consider, is as you age old injuries that you thought you had dealt with 20 - 30 years ago tend to start causing more issues. Whether it be just pain/stiffness or actual loss of mobility or function issues.
Last edited by The Noble Savage; 12-13-2012 at 11:49 PM.
They key thing is the surgery needs to not disrupt the function/balance of the other hormones. You mentioned that your sex hormones are lowered, which is fine because there is treatments to replace it. I'm just a third year pharmacy student, so just trying to help if no one has replied back so far.
I just had a bilateral fasciotomy on all four compartments. What Stosh suggested is the most accurate. Just an FYI, doctors generally have to be board certified to even practice. I don't think private practices would allow non-board certified doctors (especially surgeons...) practice without passing the boards.
For my anesthesia, they did both IV and used a mask initially (oxygen). The shivering is because they're injecting very cold fluids into your body and it's direct. If you were still shivering despite being covered by multiple heated blankets, that could cause for alarm. It might have been you were unconsciously anxious/nervous.
I've had four meniscus surgeries and my only regret is waiting so long on the first one that the knee significantly degraded, hurt like a motherfucker all the time, and gave me a lot of trouble day-to-day. As a result, the tear was big enough that they wanted to repair it rather than leave me with zero meniscus at 30. I pulled the trigger a lot earlier on the subsequent injuries and they were pieces of cake. I didn't even need to take pain meds.
tldr; Go see an orthopedist, dumbass.
So, the spoiler code is working. If you have a weak stomach, probably not a good idea to see it.
Bilateral, quadruple compartment fasciotiomy.
Last edited by Kuriin; 12-20-2012 at 05:12 PM.
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