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23 May 2013 @ 01:04 pm
More Medical Meandering  
Gah, so let's try to do a _short_ recap.

So i went to Orthopedist on tuesday. Orthopedist said "this doesn't look too bad, but we'll take an x-ray to make sure." X-ray gets taken. Orthopedist looks at new x-rays and says "okay, the radiologist is right, it looks like the crack went upwards and there's a shifted piece here." Apparently this means that if the shift is "large enough" that will result in moar arthritis later in life. I'm not sure if that means "earlier" or "worse" or both or what, but definitely the potential for moar. He gave me the option to preemptively say no to surgery if i was okay with moar arthritis, but i decided to go with his opinion (he is the doctor after all.) I did get to look at the most relevant x-ray, which was taken at a slightly different angle than the urgent care had done (in fact i think the nurse asked the doctor if they should do a "skater [something] image" or something like that.) It looked very much like a rectangular segment of bone, about half the width of the whole thing (which is the one towards your thumb? the radius or the ulna?) had been shifted down by... i dunno, a millimeter or two? Hard to judge sizes for something like that.

So they ordered a rush referral for a CT scan so they could get a more exact measurement, and apparently did a very good job at it, because an hour or so later i got a call saying i had an appointment at Long Beach Memorial at 8 wednesday morning and should try to show up about 7:45. So i asked "so that's at the place i usually go to?" To which she said "yes." Apparently we were both communicating poorly. Because i arrived at my usual place, Long Beach Memorial Family Medicine at 7:45, and found they weren't open. So i called the orthopedist back and thankfully they answered the phone, and they said oh no, you're supposed to be at Long Beach Memorial Imaging. So i rushed out to my car, drove the block or so to get there, spent a couple minutes finding parking, and got in at 8:05 or so. At which point the receptionist looked for me on the list, couldn't find me, checked the computer, and said "oh, you are scheduled for a CT scan today, but not here. You need to go to Long Beach Memorial Medical." This time i did not bother with moving my car, i just jogged down the block and around the corner (a quarter of a mile according to Google i guess?) and got there about 8:15 or 8:20.

Luckily they did not seem to care very much that i was late. I filled out some forms, though not too many and thankfully they'd automated the filling out of a lot of the other forms. Yay technology! And then went down to the x-ray area, waited... 10ish minutes i guess and then got scanned. I guess they don't have one of the economy model scanners because they had me lay down on one of the full sized ones and just stick my arm over my head. They spent a minute sliding my wrist (along with the rest of me) back and forth for a minute or two and then told me i was done. Quick and easy. So quick and easy that i could easily have gotten it done monday or tuesday if not for all the trouble with referrals =P

So now i've got an appointment for 3 this afternoon to go back to the orthopedist and see if the bit of bone is shifted a "small enough" amount that they can just dip me in plaster and call it done, or if they need to cut me up first.
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Beth Leonardbeth_leonard on May 23rd, 2013 08:46 pm (UTC)
Good luck!
--Beth
DonAithnendonaithnen on May 24th, 2013 07:54 pm (UTC)
Thanks :)
Steuardsteuard on May 23rd, 2013 11:43 pm (UTC)
These things are always a black art. Kim broke her ankle a few years ago and was in a somewhat similar position: right on the borderline between "would benefit from surgery" and "will heal fine on its own". We and the doctor decided on the latter and it's mostly turned out fine, but in the years since we've occasionally wondered how the other choice would have panned out.
Kimchalgaryn on May 24th, 2013 12:36 am (UTC)
My ankle is definitely more prone to swelling and aches than it was before the break. I think the surgery (which would have involved putting in a plate) would have helped that somewhat in exchange for more stiffness and decreased range of motion.
DonAithnendonaithnen on May 24th, 2013 07:54 pm (UTC)
Hmm, he didn't mention any potential downside from getting the surgery, only from not getting it. Hopefully that means that this is a simple thing to fix with no complications as long as they do it right? *crosses fingers*
Kimchalgaryn on May 25th, 2013 01:26 am (UTC)
I'm guessing that the location and type of break make a big difference. There's also the obvious ankle vs. wrist differences that have to be taken into account like weight-bearing vs. finer motor skills.
DonAithnendonaithnen on May 24th, 2013 07:56 pm (UTC)
we've occasionally wondered how the other choice would have panned out.

Hmm, i'm gonna guess either superpowers or demonic possession ;)
Laura Parkinson: Dollstormfeather on May 24th, 2013 12:31 am (UTC)
Good luck on no cutting!
DonAithnendonaithnen on May 24th, 2013 07:53 pm (UTC)
Thank you, but apparently the universe had different ideas :)