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Index »
Radio Paradise/General »
General Discussion »
Medical Questions
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Page: Previous 1, 2, 3 ... 10, 11, 12 ... 14, 15, 16 Next |
hippiechick
Location: topsy turvy land Gender:
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Posted:
Sep 26, 2010 - 5:21pm |
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rosedraws wrote:Yes, thanks for caring about the whole hubby . It's an ongoing issue, he did ask the doc about it last year. Just feeble nerves or something. Has he ever been tested for diabetes? It sounds like he has neuropathy, which can come from diabetes, among other things.
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BlueHeronDruid
Location: Заебани сме луѓе
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Posted:
Sep 26, 2010 - 5:21pm |
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dmax wrote: Let me refer you to my esteemed colleague, hippiechick.
Re: your earlier comment. I was always afraid of monsters as a kid. One night as he was tucking me into bed, my father said, "There's nothing in this house that will hurt you." That he put my unspoken fear into words made me absolutely terrified. No lie.
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rosedraws
Location: close to the edge Gender:
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Posted:
Sep 26, 2010 - 5:21pm |
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BlueHeronDruid wrote: I'll think thinblooded thoughts for you.
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hippiechick
Location: topsy turvy land Gender:
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Posted:
Sep 26, 2010 - 5:20pm |
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BlueHeronDruid wrote: If I worried about every bruise I got, I would spend my life worrying, because I am constantly bruising myself. His situation was very unusual, wasn't it?
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rosedraws
Location: close to the edge Gender:
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Posted:
Sep 26, 2010 - 5:20pm |
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buzz wrote: im not a dcotor, but i would be more concerned that he has numbness in his feet than i would be about a broken toe. Yes, thanks for caring about the whole hubby . It's an ongoing issue, he did ask the doc about it last year. Just feeble nerves or something.
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(former member)
Gender:
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Posted:
Sep 26, 2010 - 5:18pm |
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BlueHeronDruid wrote: Let me refer you to my esteemed colleague, hippiechick.
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BlueHeronDruid
Location: Заебани сме луѓе
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Posted:
Sep 26, 2010 - 5:17pm |
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dmax wrote: Blood that's leaked out into the skin simply stains it, and moves where gravity and pressure takes it, usually south.
A clot that forms inside the vein that's scary needs to be in the bigger veins (calf/knee/shoulder) and then the clot breaks off inside the vessel, using it like a subway to travel up to the heart/lungs. Blood that's simply staining the skin can't coalesce and travel north at all.
Great. Now I'm going to worry about that hard bruise on my thigh (walked into something). My brother had 2 pulmonary embolisms this summer.
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hippiechick
Location: topsy turvy land Gender:
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Posted:
Sep 26, 2010 - 5:16pm |
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dmax wrote: I think the other readers of the forum understood my post. Have a nice evening.
You must be right. Yessir!
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(former member)
Gender:
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Posted:
Sep 26, 2010 - 5:14pm |
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rosedraws wrote:Wow, this is great information. Just what I was looking for really. (I suppose I could have looked this up myself... but a lot of times peeps have really helpful personal stories...) And the clot note is especially helpful, it's one of the things I was worried about. Blood that's leaked out into the skin simply stains it, and moves where gravity and pressure takes it, usually south. A clot that forms inside the vein that's scary needs to be in the bigger veins (calf/knee/shoulder) and then the clot breaks off inside the vessel, using it like a subway to travel up to the heart/lungs. Blood that's simply staining the skin can't coalesce and travel north at all.
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hippiechick
Location: topsy turvy land Gender:
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Posted:
Sep 26, 2010 - 5:13pm |
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dmax wrote: Telling the child who's afraid of the monster in the closet that there is no monster does not make the child less afraid.
Is her husband a child? I have broken my little toe many times. I taped it to my other toe; it healed.I am sure it got no attention from my spouse.
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(former member)
Gender:
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Posted:
Sep 26, 2010 - 5:12pm |
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JrzyTmata wrote:I like that you're around to answer these things. hey doc! it hurts when I do this Take two of these and call me in the morning.
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rosedraws
Location: close to the edge Gender:
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Posted:
Sep 26, 2010 - 5:11pm |
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dmax wrote:If it's not angulated (it still looks aligned properly) then simply buddy tape it to the adjacent toe to splint it, and wear a solid-based shoe to minimize its movement when he walks. If it's not aligned then it might need realignment or it could be dislocated (run your finger over the joints to see if there's a big step up or down). That needs a visit. The bruising will spread back up the foot and into the adjacent toes, but it's nothing but discoloration - it cannot form a blood clot that travels and kills you. That would be something totally different in the upper calf/knee. If the skin's not broken, the likelihood of infection is very low, but that's the only real worry. Just make sure it's not getting redder or more tender over the next few days. Elevate so it doesn't throb, tylenol/advil to lessen the pain, ice on it to decrease the swelling and inflammation, and he can't help with the housework for six months. —- from a text online: Presentation The patient has stubbed, hyperflexed, hyperextended, hyperabducted, or dropped a weight upon a toe. He presents with pain swelling, ecchymosis, decreased range of motion and point tendeness, and there may or may not be any deformity. What to do: Examine the toe, particularly for lacerations which could become infected, prolanged capillary filling time in the injured or other toes which could indicate poor circulation, or decreased sensation in the injured or other toes which could indicate peripheral neuropathy, and may interfere with healing.
X rays are not essential but are often necessary to provide patient satisfaction. They have little effect on the initial treatment, but may help predict the duration of pain and disability (e.g., fractures entering the joint space).
Displaced or angulated phalangeal fractures must be reduced with linear traction after a digital block. Angulation can be further corrected by using your finger as a fulcrum to reverse the direction of the distal fragment. The broken toe should fall into its normal position when it is released after reduction.
Splint the broken toe by taping it to an adjacent non- affected toe, padding between toes with gauze or Webril, and using half-inch tape. Give the patient additional padding and tape, so he may revise the splinting, and (if there is a fracture) advise him that he will require such immobilization for approximately one week, by which time there should be good callus formation around the fracture and less pain with motion. Inform the patient that he must keep the padding dry between his toes while they are taped together or the skin will become mace rated and will break down.
Also treat with rest, ice, elevation, and anti-inflammatory medication. A cane, crutches, or hard-soled shoes which minimize toe flexion may all provide comfort. Let the patient know that in many cases a soft slipper or an old sneaker with the toe cut out may be more comfortable.
If the fracture is not of a phalanx, but of the metatarsal, buddy taping is not effective. Instead, construct a pad for the sole with space cut out under the fracture site and the distal metatarsal head, either taped to the foot, or, ideally inside a roomy cast shoe used for walking casts.
What not to do: Do not tape toes together without padding between them. Friction and wetness will macerate the skin between. Do not let the patient overdo ice, which should not be applied directly to skin, and should not be used for more than 10-20 minutes per hour. Do not overlook the possibility of acute gouty arthritis, which sometimes follows minor trauma after a delay of a few hours. Wow, this is great information. Just what I was looking for really. (I suppose I could have looked this up myself... but a lot of times peeps have really helpful personal stories...) And the clot note is especially helpful, it's one of the things I was worried about.
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JrzyTmata
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Posted:
Sep 26, 2010 - 5:10pm |
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dmax wrote: "often" numb is different. Here it's not the primary problem, but an additional thing to know about the amount of pain he notes.
Intermittent numb can be from compression on the nerve from a wallet or some other mechanical thing, as well as biochemical stuff. But if it's intermittent, that implies reversible, which is less frightening than consistent.
And I didn't get the sense that it was the primary issue. I thought she was asking about what to do with a broken toe.
I just learned a little lesson about visiting this forum and trying to help.
I like that you're around to answer these things. hey doc! it hurts when I do this
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(former member)
Gender:
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Posted:
Sep 26, 2010 - 5:04pm |
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buzz wrote: but what about his numb feet? "often" numb is different. Here it's not the primary problem, but an additional thing to know about the amount of pain he notes. Intermittent numb can be from compression on the nerve from a wallet or some other mechanical thing, as well as biochemical stuff. But if it's intermittent, that implies reversible, which is less frightening than consistent. And I didn't get the sense that it was the primary issue. I thought she was asking about what to do with a broken toe. I just learned a little lesson about visiting this forum and trying to help.
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(former member)
Gender:
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Posted:
Sep 26, 2010 - 5:02pm |
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hippiechick wrote: If it doesn't bother him, why should it bother her. I don't think that it's good to micromanage baby the spouse like that, but that's just my opinion.
Telling the child who's afraid of the monster in the closet that there is no monster does not make the child less afraid.
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buzz
Location: up the boohai
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Posted:
Sep 26, 2010 - 5:02pm |
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dmax wrote: but what about his numb feet?
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hippiechick
Location: topsy turvy land Gender:
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Posted:
Sep 26, 2010 - 5:01pm |
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dmax wrote: If it doesn't bother him, why should it bother her. I don't think that it's good to micromanage baby the spouse like that, but that's just my opinion.
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hippiechick
Location: topsy turvy land Gender:
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Posted:
Sep 26, 2010 - 4:58pm |
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dmax wrote: If it's not angulated (it still looks aligned properly) then simply buddy tape it to the adjacent toe to splint it, and wear a solid-based shoe to minimize its movement when he walks.
The bruising will spread back up the foot and into the adjacent toes, but it's nothing but discoloration - it cannot form a blood clot that travels and kills you. That's something totally different in the upper calf/knee.
If the skin's not broken, the likelihood of infection is very low, but that's the only real worry. Just make sure it's not getting redder or more tender over the next few days.
Elevate so it doesn't throb, tylenol/advil to lessen the pain, ice on it to decrease the swelling and inflammation, and he can't help with the housework for six months.
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(former member)
Gender:
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Posted:
Sep 26, 2010 - 4:57pm |
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rosedraws wrote:The hubby stubbed his toe yesterday (I resist the urge to call him The Stubby.) Baby toe. He's a tall man, and his feet are often numb. He says it hurt like a sonofabitch when it happened, but doesn't seem to hurt much now. That toe is black and blue and very swollen and WAY ugly.. My understanding is that there's no point blowing $200 we don't have on a doctor, 'cause it's a toe, they won't do anything for it anyway. But is there anything to look out for? Especially if he's a little numb, he might not notice if it's, I dunno, throbbing or something? I'll have to watch the toe steathily, because he hates me watching out for him like that (this from the guy that let a mole grow to stage 2 melanoma, despite his wife's nagging to get it looked at.) I also have to not tell him I'm getting advice from RP. If it's not angulated (it still looks aligned properly) then simply buddy tape it to the adjacent toe to splint it, and wear a solid-based shoe to minimize its movement when he walks. If it's not aligned then it might need realignment or it could be dislocated (run your finger over the joints to see if there's a big step up or down). That needs a visit. The bruising will spread back up the foot and into the adjacent toes, but it's nothing but discoloration - it cannot form a blood clot that travels and kills you. That would be something totally different in the upper calf/knee. If the skin's not broken, the likelihood of infection is very low, but that's the only real worry. Just make sure it's not getting redder or more tender over the next few days. Elevate so it doesn't throb, tylenol/advil to lessen the pain, ice on it to decrease the swelling and inflammation, and he can't help with the housework for six months. —- from a text online: Presentation The patient has stubbed, hyperflexed, hyperextended, hyperabducted, or dropped a weight upon a toe. He presents with pain swelling, ecchymosis, decreased range of motion and point tendeness, and there may or may not be any deformity. What to do: Examine the toe, particularly for lacerations which could become infected, prolanged capillary filling time in the injured or other toes which could indicate poor circulation, or decreased sensation in the injured or other toes which could indicate peripheral neuropathy, and may interfere with healing.
X rays are not essential but are often necessary to provide patient satisfaction. They have little effect on the initial treatment, but may help predict the duration of pain and disability (e.g., fractures entering the joint space).
Displaced or angulated phalangeal fractures must be reduced with linear traction after a digital block. Angulation can be further corrected by using your finger as a fulcrum to reverse the direction of the distal fragment. The broken toe should fall into its normal position when it is released after reduction.
Splint the broken toe by taping it to an adjacent non- affected toe, padding between toes with gauze or Webril, and using half-inch tape. Give the patient additional padding and tape, so he may revise the splinting, and (if there is a fracture) advise him that he will require such immobilization for approximately one week, by which time there should be good callus formation around the fracture and less pain with motion. Inform the patient that he must keep the padding dry between his toes while they are taped together or the skin will become mace rated and will break down.
Also treat with rest, ice, elevation, and anti-inflammatory medication. A cane, crutches, or hard-soled shoes which minimize toe flexion may all provide comfort. Let the patient know that in many cases a soft slipper or an old sneaker with the toe cut out may be more comfortable.
If the fracture is not of a phalanx, but of the metatarsal, buddy taping is not effective. Instead, construct a pad for the sole with space cut out under the fracture site and the distal metatarsal head, either taped to the foot, or, ideally inside a roomy cast shoe used for walking casts.
What not to do: Do not tape toes together without padding between them. Friction and wetness will macerate the skin between. Do not let the patient overdo ice, which should not be applied directly to skin, and should not be used for more than 10-20 minutes per hour. Do not overlook the possibility of acute gouty arthritis, which sometimes follows minor trauma after a delay of a few hours.
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buzz
Location: up the boohai
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Posted:
Sep 26, 2010 - 4:56pm |
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rosedraws wrote:The hubby stubbed his toe yesterday (I resist the urge to call him The Stubby.) Baby toe. He's a tall man, and his feet are often numb. He says it hurt like a sonofabitch when it happened, but doesn't seem to hurt much now. That toe is black and blue and very swollen and WAY ugly.. My understanding is that there's no point blowing $200 we don't have on a doctor, 'cause it's a toe, they won't do anything for it anyway. But is there anything to look out for? Especially if he's a little numb, he might not notice if it's, I dunno, throbbing or something? I'll have to watch the toe steathily, because he hates me watching out for him like that (this from the guy that let a mole grow to stage 2 melanoma, despite his wife's nagging to get it looked at.) I also have to not tell him I'm getting advice from RP. im not a dcotor, but i would be more concerned that he has numbness in his feet than i would be about a broken toe.
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