Leg injury - A&E?
Discussion
Back from A&E, Doc reckoned I twisted ligaments or cartilage or maybe both which weakened the knee severely hence me collapsing twice and landing on the damaged knee. She reckoned that did a lot of damage, I weigh circa 100Kg and fell on a laminate floor.
Awaiting x-ray results now, got a pamphlet on soft tissue damage and that was me out.
Awaiting x-ray results now, got a pamphlet on soft tissue damage and that was me out.
weeboot said:
Always try to find a minor injuries unit first, unless it's really worth going to A&E.
The major and minor injuries units are in my A&E, the seating areas are right next to other.Ah, I think I see what you're saying now, separate unit from A&E - shorter waiting times?
Edited by Hilts on Wednesday 24th August 15:18
zeDuffMan said:
Hilts said:
Ah, I think I see what you're saying now, separate unit from A&E - shorter waiting times?
Sometimes, but really what you've done isn't an emergency.Edited by Hilts on Wednesday 24th August 15:18
Bertrum said:
Please....if you are not in immanent danger of dropping dead do not go to A&E.
If when you get to the minor injuries clinic you need to go to the hospital they will book you into the Emergency Assessment Unit to see a doctor and be treated.
Ta.
The MIU is in A&E.If when you get to the minor injuries clinic you need to go to the hospital they will book you into the Emergency Assessment Unit to see a doctor and be treated.
Ta.
I know because I worked at the hospital for a year on an IT contract and spent a fair bit of time in the reception at A&E and also walked through the ECC every day.
So, you seem to have a strong interest in this, do you work in A&E/NHS?
What do you suggest I should have done?
I actually knew the Doctor because I'd done some work for her.
Just an update, no word from the hospital about the x-rays so I assume that means nothing needs surgery. Collapsed twice on my knee since I came back from the hospital, trying to walk very carefully now as the pain is something else when I fall. Stuck some ibuprofen gel on there to see if that would help.
Knee joint very swollen outwards but overall I think the leg is down in size. Very bruised now, even spread to my foot.
No replies from Bertrum yet I see.
Knee joint very swollen outwards but overall I think the leg is down in size. Very bruised now, even spread to my foot.
No replies from Bertrum yet I see.
Rang my GP last Monday and told him all the above and he said to come in, I was in no fit state to walk more than a few steps without fear of another collapse so asked for a home visit. He said no, they can't do it for sports injuries.
Today with my leg getting worse I went in to see him, I've sort of learned to walk with my leg hyper-extended.
He seemed very knowledgeable and after examination thought I'd torn one of my tendons. He rang A&E and asked for an urgent referral, saw the knee specialist this afternoon, had some scans done and they think it's a quad tendon tear but possibly the patella, there's a lot of fluid there. Once they open they'll know for sure.
Anyway operation tomorrow at 0800!
Today with my leg getting worse I went in to see him, I've sort of learned to walk with my leg hyper-extended.
He seemed very knowledgeable and after examination thought I'd torn one of my tendons. He rang A&E and asked for an urgent referral, saw the knee specialist this afternoon, had some scans done and they think it's a quad tendon tear but possibly the patella, there's a lot of fluid there. Once they open they'll know for sure.
Anyway operation tomorrow at 0800!
joshleb said:
Was it just an arthoscopy you had, with further surgery needed to sort out the tendons or did they do it all then?
Sounds painful, remembering to walk again properly isn't always as easy as you expect!
Not sure what an arthoscopy is but I had a full scan, my squatting days are over. Should've have listened to my physio and did some more tendon training. Should've, could've etc Sounds painful, remembering to walk again properly isn't always as easy as you expect!
NHS did a great job overall apart from the A&E doctor who sent me home, that was a major f
k up IMO. Maybe I'm wrong.
Edited by Hilts on Thursday 1st December 23:12
FlyingMeeces said:
Arthroscopy is in my layman's understanding surgery to have a look in a joint, and if there's eg bits of crap floating around in there the surgeon will nab it, maybe flush things out a bit at the same time.
Wishing you swift mending - doesn't look like you could drive with that, can you borrow/rent an auto once you're off enough of the painkillers?
Cheers.Wishing you swift mending - doesn't look like you could drive with that, can you borrow/rent an auto once you're off enough of the painkillers?
That's my accelerator leg though, I think driving's off for 4 or 5 weeks.
wibblebrain said:
Good one Mr Doctor!
Actually a Miss or maybe Mrs, definitely on my bus though 
FlyingMeeces said:
Good catch, doc! Wishing you a swift recovery.
Flip Martian said:
Wow, that's a damn good spot, well done Doctor!
Yes, very good call, obviously came from my leg injury, when I saw my GP he thought I had DVT because of the substantial bruising in my lower leg and the factit had been about 10 days since my injury.
What I can't work out is my GP who is about late 20s knew what was wrong after a 5 minute diagnosis including a simple pick up and drop test yet the A&E doctor (late 40s) just sent me home after some advice to raise the leg with ice and how to walk properly. A&E was not busy at all, I was the only patient in the waiting area and virtually all of the beds in A&E were empty so it didn't appear she was under time/pressure.
I collapsed twice in 7 days after being sent home, whether this caused more damage I'll never know. I would like to know her reasoning for sending me back. Most of us make mistakes in our work occasionally (maybe!) but this seems a real schoolboy howler.
budgie smuggler said:
Hope the leg heals well OP
Edited by Hilts on Monday 12th September 21:21
campionissimo said:
what's the prognosis for strength and stability in the knee post op??
No-one's really talked to me about it, I didn't spend much time with the physios as I think I picked up what they were trying to get me to do pretty quickly. It was funny as on the way back to the recovery ward I said I wanted to go the toilet so the young blonde physio came in and was holding my hips while I was trying to pee, I wasn't desperate to go but couldn't go anyway because of her so just turned round and said to her I'll go later. lol The surgeon was happy with the operation, I think he said something like he put staples into the knee or maybe extra to make it stronger as I was a little bigger than normal. I'll keep positive for a good outcome, I crashed my motorbike and landed on the other one 14 years ago and it's never been right since so maybe I now have 2 shagged knees. Hopefully they'll have some six million dollar man s
t going on when I'm 70 or 80 Leg brace now at 30 degrees and the surgeon seems happy enough.
I've tested it through serendipity! was coming down the stairs using one crutch for my right leg and the bannister on my left. I wasn't paying enough attention and put the crutch too close to the front of the step and it slipped causing me to put all my weight on the injured leg. It was agony but 30 minutes later and 4 DHCs I was fine.
Have to self-inject Fragmin for 6 weeks for the blood clot, really think about that junior doctor a lot and not just because she was hot
I've tested it through serendipity! was coming down the stairs using one crutch for my right leg and the bannister on my left. I wasn't paying enough attention and put the crutch too close to the front of the step and it slipped causing me to put all my weight on the injured leg. It was agony but 30 minutes later and 4 DHCs I was fine.
Have to self-inject Fragmin for 6 weeks for the blood clot, really think about that junior doctor a lot and not just because she was hot
Just an update, thanks to WinstonWolf for his post on the 'loose stomach' thread!
Operation was a complete success, undergoing a weekly appointment with the physioterrorists but obviously doing my own stuff.
I used to squat rock bottom for 5 with 140Kg, those days are gone now. I crashed my Duke 15 years ago and and landed heavily on my left leg so I now have two busted knees.
There's some fluid around the knee, should I lance it or maybe it's there for a reason?
Operation was a complete success, undergoing a weekly appointment with the physioterrorists but obviously doing my own stuff.
I used to squat rock bottom for 5 with 140Kg, those days are gone now. I crashed my Duke 15 years ago and and landed heavily on my left leg so I now have two busted knees.
There's some fluid around the knee, should I lance it or maybe it's there for a reason?
Edited by Hilts on Thursday 1st December 23:42
FlyingMeeces said:
JESUS TAPDANCING CHRIST DON'T TRY TO LANCE IT.
If it needs 'lancing' (and I'd bet good money it's swelling not fluid, seems like it always is) then that needs to happen with a sterile blade under medical supervision only. If it is fluid, it'll probably be fluid in tissue rather than an abscess or other straightforward collection of drainable liquid. If you had an abscess that size you'd be really poorly normally.
However, if that's new, and wasn't there when you were discharged, then it definitely does need seeing by a medic again, whatever it is.
(Not a doctor, just a layman with really terrible genetic luck and a consequent higher-than-usual level of experience with dodgy joints.)
lol FMIf it needs 'lancing' (and I'd bet good money it's swelling not fluid, seems like it always is) then that needs to happen with a sterile blade under medical supervision only. If it is fluid, it'll probably be fluid in tissue rather than an abscess or other straightforward collection of drainable liquid. If you had an abscess that size you'd be really poorly normally.
However, if that's new, and wasn't there when you were discharged, then it definitely does need seeing by a medic again, whatever it is.
(Not a doctor, just a layman with really terrible genetic luck and a consequent higher-than-usual level of experience with dodgy joints.)
Maybe I've been watching too many youtube videos, it's just a patch of water/swelling under the knee. I'll check with the physio on Monday.
joshcowin said:
'Shall I lance it' - had me laughing!!
Glad your recovering well and keeping positive by the sounds of it!
Also you seem too harsh on yourself 100kg doesn't sound to bad!!
Glad your recovering well and keeping positive by the sounds of it!
Also you seem too harsh on yourself 100kg doesn't sound to bad!!
Thanks, yes bit of a daft idea in hindsight!One thing I've noticed though is my flexibility has improved a lot especially on my right leg, I could always touch my toes but now I can put my hands flat on the floor keeping my injured leg straight with just a slight bend on my left.
Bored a bit so I thought I'd update this thread.
I haven't had any issues with the repaired leg since the op and although not painful I can usually feel a little pressure on that knee most days like someone is gripping it lightly, not a big deal.
I can run OK, ride, not done too much lower body weights yet. It looks OK too so I think Mr.surgeon (sorry forgot your last name has done a good job, he was happy with the final consultation anyway.
The thing I wasn't expecting from all this was a full on opiate addiction, went from Morphine in the hospital to Di-HydroCodeine for my recovery, I spent way too long on the DHC, maybe a year or so and decided to quit cold turkey as tapers don't work with me if I have no-one to control it.
What an absolute nightmare, in bed for weeks, chronic sickness, diarrhea, stomach cramps, extreme sweats and feeling like death. I think I took about 3 weeks to recover. I didn't really click it was the DHC, I just thought I had a fever. The first 3 Sweeney seasons helped a good bit!
Still don't really know why I was sent home from A&E that night by the duty doc, the place was practically empty apart from staff, with no other advice than to rest, raise the leg and ice it, One week later after my foot turned purple I went to my GP, young guy 25ish, he diagnosed what was wrong in 1 minute(the leg looked just as swollen) and I had the op 12 hours later. I'm not trying to make this a NHS bashing post so I hope it doesn't come across like that. I might have a chat with one of our medical directors the next time I do some work for her, I think she was an orthopaedic surgeon.
Anyone on here take opiate meds?
Does FlyingMeeces still post here?
I haven't had any issues with the repaired leg since the op and although not painful I can usually feel a little pressure on that knee most days like someone is gripping it lightly, not a big deal.
I can run OK, ride, not done too much lower body weights yet. It looks OK too so I think Mr.surgeon (sorry forgot your last name
has done a good job, he was happy with the final consultation anyway.The thing I wasn't expecting from all this was a full on opiate addiction, went from Morphine in the hospital to Di-HydroCodeine for my recovery, I spent way too long on the DHC, maybe a year or so and decided to quit cold turkey as tapers don't work with me if I have no-one to control it.
What an absolute nightmare, in bed for weeks, chronic sickness, diarrhea, stomach cramps, extreme sweats and feeling like death. I think I took about 3 weeks to recover. I didn't really click it was the DHC, I just thought I had a fever. The first 3 Sweeney seasons helped a good bit!
Still don't really know why I was sent home from A&E that night by the duty doc, the place was practically empty apart from staff, with no other advice than to rest, raise the leg and ice it, One week later after my foot turned purple I went to my GP, young guy 25ish, he diagnosed what was wrong in 1 minute(the leg looked just as swollen) and I had the op 12 hours later. I'm not trying to make this a NHS bashing post so I hope it doesn't come across like that. I might have a chat with one of our medical directors the next time I do some work for her, I think she was an orthopaedic surgeon.
Anyone on here take opiate meds?
Does FlyingMeeces still post here?
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