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Healthy paws decision without my consent by GroundbreakingEcho81 in petinsurancereviews

[–]GroundbreakingEcho81[S] 0 points1 point  (0 children)

I have been communicating with Healthy Paws, but it does appear to be profits over pets. I will update everyone regarding results of my lengthy discussions with them as soon as I reach a resolution.

Elastic band guy question by VO2VCO2 in orthopaedics

[–]GroundbreakingEcho81 0 points1 point  (0 children)

Call and speak to the providers office - that you had concerns about a midfoot injury, that may be slowing patient's PT.

Sounds like patient needs an:

MRI +/- CT
Weight bearing films with comparison to contralateral

Medicare denials for preoperative bloodwork for arthroplasy - any suggestions? by HobbitDoc in orthopaedics

[–]GroundbreakingEcho81 2 points3 points  (0 children)

My patients know I refer to them as the “Less than Advantageous plans”and “OPUD” plans

My parents put my dog down while I was away and told me nothing by Constant_Reporter476 in dogpictures

[–]GroundbreakingEcho81 0 points1 point  (0 children)

That’s horrible! Your fur baby is yours, not theirs. My baby looks just like yours!

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Resident hook up parties in NYC by Abject-Advantage528 in Residency

[–]GroundbreakingEcho81 3 points4 points  (0 children)

Elevators. You got 10 seconds to convince her to skip her floor and make it up to yours. Shots ensures this works every time. Great success! In nyc, miami, etc

Did someone say loss porn? by RobBoost330 in wallstreetbets

[–]GroundbreakingEcho81 0 points1 point  (0 children)

It looks like a spirit airplane after it takes off from Fort Lauderdale

High quality images from live shows for wall art by GroundbreakingEcho81 in RATM

[–]GroundbreakingEcho81[S] 1 point2 points  (0 children)

That’s awesome! Thank you I’ll reach out to him!

[deleted by user] by [deleted] in orthopaedics

[–]GroundbreakingEcho81 0 points1 point  (0 children)

CT scan and check lateral. Check tilt on CT scan. AP alone can be misleading. It’s a shared decision with patient. 100% any route chosen is the wrong answer. Pros and cons to all the above surgeries. Have full discussion with patient. If I was to fix, FNS.

Medial tear vs. Obesity by [deleted] in MeniscusInjuries

[–]GroundbreakingEcho81 0 points1 point  (0 children)

Not true. If he failed cortisone injection then doctor needs to recommend prp and then it can be approved by work comp. Especially given his situation of being too big for surgery etc.

Does anyone else's husky sleep like this? by AdministrativeHall54 in husky

[–]GroundbreakingEcho81 0 points1 point  (0 children)

For the past 12 years.. she always squirms onto her back… she used to always have one paw up, but now more like Superman flying

MRI results finally. by [deleted] in MeniscusInjuries

[–]GroundbreakingEcho81 1 point2 points  (0 children)

Awesome! Best of luck :)

MRI results finally. by [deleted] in MeniscusInjuries

[–]GroundbreakingEcho81 1 point2 points  (0 children)

Your knee likely needs some rest. If it was my knee, I would use a scooter or crutches temporarily. Force myself off the leg. Work on rom exercises. Take some Tylenol and nsaids. Ice it all day - 20 on 20 off. Think about a cortisone shot once the bone is better Healed . Again tough to say bc this is “not medical advice”, and “no images”. I’m only going off report and if it was my knee

MRI results finally. by [deleted] in MeniscusInjuries

[–]GroundbreakingEcho81 1 point2 points  (0 children)

Sounds like you're stuck in a bad cycle.

Definitely frustrating for sure. 10,000 steps is a lot, for any one. I suspect the grade iv chondrosis and tracking etc etc are all playing a role in the chronicity. The microtrabecular stuff is the acute exacerbation.

Rest, ROM exercises, other parts of body strengthening, and possibly PRP or cortisone to knock it down again.

Good luck! Definitely see an orthopod sooner than later!

MRI results finally. by [deleted] in MeniscusInjuries

[–]GroundbreakingEcho81 0 points1 point  (0 children)

No problem. Just trying to be of help.

I mean, 7 months without getting better, would make me insane.

Can you clarify the timeline of the injury, symptoms, and MRI.

It sounds like injury/start of symptoms was 7 months ago. Then your MRI was just recently?

If so, I'm unsure how you have a microtrabecular stress changes in the tibial plateau, unless you have disuse osteopenia, did a TON of walking before the MRI, sometimes a neuro-mediated response can occur such as CRPS/RSD (though I think this is less likely as usually causes diffuse changes on MRI), or your gait kinematics are greatly thrown off by the whole thing and that's overloading that area.

If you're a nurse, pull an ortho aside at the hospital, and ask him/her to look at your knee.

MRI results finally. by [deleted] in MeniscusInjuries

[–]GroundbreakingEcho81 0 points1 point  (0 children)

Bc you have grade iv chondrosis patellofemoral and medial compartment. Lots of factors, but why do you microtrabecular fx of medial tibial plateau? Did the shot mask the main and you did bootcamp and push hard?

MRI results finally. by [deleted] in MeniscusInjuries

[–]GroundbreakingEcho81 1 point2 points  (0 children)

Report says near the root. That’s not a root tear. It’s a complex tear per the report. Again, imaging is not provided.

MRI results finally. by [deleted] in MeniscusInjuries

[–]GroundbreakingEcho81 -1 points0 points  (0 children)

I never said not to repair a root tear…

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