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Old 12-10-2013, 08:01 PM   #31
MT Wallet
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I'd say go ahead and do nothing. You have it all figured out. They're just trying to get in your wallet. No one is offering any value for their service. So go ahead and do nothing. Then when you can't twist the throttle without pain or depress the clutch you'll always know in your heart you outfoxed 'em. You'll be the first one on your block to know a storms coming!!!! Sarcasm intended!

Look, you've had a week since the fracture. The snow's done flying and you don't have any real excuse to NOT seek out a second opinion. Looks like you're in Minnesota, so get to one of several excellent medical centers, and you know where they are, to get this thing looked at. Ask your family doc for a referral and advice. If you live in the countryside it's always a slog to get anywhere. My closest orthopedist or other specialist is 90 miles away. If I broke my wrist you can bet your ass I'd be in the wind the 1st chance I had. In your original post you talked about "surgery" and then said "closed reduction". It's either or. Surgery opens you up and a closed reduction does not-that's the closed part. If it (closed) fails, sure they might need to open you and fix the problem with some hardware. As most of the posters mentioned, the choice to get a 2nd or 3rd or 4th opinion or have something done is yours. Just don't bitch if you do nothing and you have problems.
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Old 12-10-2013, 08:19 PM   #32
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Hey, it's your body, but a $1000 deductible is nothing. As for the dr "hotshot" with a shiny new office, would you rather have surgery in some shithole, with some cheap ass doctor?
You have a broken arm, that means broken bones - which if not set correctly either with pins or braces (if needed) can heal incorrectly and then have to be re-broken and fixed later, with more pain. I just had a collar bone fixed under surgery, and the bill to the insurance company was north of $30k
You're injured, and it's going to cost money to get it fixed. Deal with it. Stop being so stubborn, and cheap - and FFS get some medical attention. Orthopedic issues are no joke. If you don't get this fixed soon, your arm and your quality of life could be affected for a long time. Sorry for the harsh reality check.
Good luck to you.
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Old 12-11-2013, 04:14 AM   #33
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Doctors are a business, and while some are good, many are not and will take advantage of you in a vulnerable time.
Its important for the Op to weigh their options, and more than likely just immobilization will be all that is needed.
A second opinion of course is a great Idea.

The sad fact is doctors are performing unnecessary surgeries, be careful, and be informed which is why second and third opinions are great.
Im not sharing everyones view about OMG your going to be IMMOBILE!
Our grandparents made it just fine without all the surgeries, there is something to be said for nature, and when nature is incapable, then we should seek man.



Doctors perform thousands of unnecessary surgeries



http://www.usatoday.com/story/news/n...ation/2435009/
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Old 12-11-2013, 08:44 AM   #34
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Quote:
Originally Posted by GearHeadGrrrl View Post
Motorcycling's reasonably safe, but stay away from snow shoveling... Fell and busted by wrist wensday. Gave it the standard RICE treatment and some OTC pain meds and called my HMO's "nurse line" for advice. Of course they told me to get to ER right away, but that's 20 miles away, snow's still fallin', and the winds pickin' up= Imminent 0 visibility out here in the country. Not much better weather thursday, so friday I finally got to Urgent Care. They x-rayed and confirmed fracture and referred me across the street to the local hotshot orthopedic surgeon's lavish clinic/OR.

Red flags went up soon as I entered the place- Roof covered in solar cells but still snow and ice on the sidewalk leading in. Hotshot Dr. wants to "operate" monday and wants to do an EKG first, and wants someone to drive me there and and be with me for 24 hours afterward. And the "operation"- "Closed reduction"... So he wants to do (and bill for a full surgical prep and anestisia (in his own OR, of course) to set a fracture?! When I hesitate, he warns I'll get arthritis without the surgery... Well, I already got arthritis!

Got home and I researched more, he's a big schedule narcs prescribor and most of his business is medicare= 100% pay, 0 deductible. Find that the bill will likely be at least $10k, and I've still got a $1k deductible to kill this year and I have to pay 20% after that= $3k or more out of my pocket for a glorified fracture setting!

My temptation is to leave it go and see what happens... I can still upgrade to a better insurance plan for next year, and in a year and a half I'll be eligible for medicare. I'm in a rural area, so I don't have a whole lot of choices, and no way am I going to help this "hotshot" doc feather his nest!

Any advice?
My advice is to stop being an idiot. Medicare doesn't pay 100%. They pay about 30%.
It's entirely possible this Dr. knows what he is doing. So what if he has the anesthesiologist in his office? He is required by law and/or his insurance company to have someone drive you and to keep you there after the procedure.
You are cutting off your nose to spite your face. Stop being a moron. You may never ride again as the longer you wait to take care of this the worse your outcome will be.
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Old 12-11-2013, 08:49 AM   #35
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Well said.

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Originally Posted by concours View Post
Airplane pilots and Doctors... you want the BEST money can buy. Don't hate someone for being successful.
Well said.
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Old 12-11-2013, 08:52 AM   #36
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Are you a Dr.?

Quote:
Originally Posted by Canuman View Post
An EKG for a broken wrist? Not unless you have serious problems with your heart!

Get someone to drive you to the ER and have it set. If it was a real train-wreck, it would be the size of a volleyball, or have bones poking out.

I know people who have walked out of tough conditions with a damaged wrist. I went for a couple of weeks with a chipped bone before having it cast. Immobilize it as best you can and find someone who will give you sensible treatment!

No disrespect for those who advocate quality care, but this isn't a $20,000 injury.
If anesthesia is required so is an EKG. It's the law and it's responsible. If he didn't do one I would run away.
Have you seen the radiographs? How do you know what's needed? Are you an orthopedist?
Yeah. That's what I thought.
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Old 12-11-2013, 03:11 PM   #37
Hair
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I really hope that if this happens to me that I don't have to count my pennies before I seek out care.

Best of luck to you girl. And I bet that now your doc isn't the only one with an shoveled sidewalk.

I did not read all of the posts. And I am defiantly not a doctor. But I do know that the wrist is a low flow area when it comes to blood flow. Blood flow helps a fracture recover. I know one hell of a lot of people who have a horrible time trying to heal wrist injuries, and that is using all the resources available to them.
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Old 12-11-2013, 05:38 PM   #38
Canuman
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Twenty grand to set a closed wrist fracture is simply insane. As I said before, the OP has never had a reasonable explanation of why she needs the procedure.

Too many medical people are on the hunt for the almighty dollar. Look at the discussion between the surgeons and the internists -- there's only about 400 years of history.

Plaster (or now fiberglass) has a long and honorable history, and works in many cases. Drilling and screwing isn't always necessary.

You haven't seen the Roentgens either, boyo.

Now be polite.


Quote:
Originally Posted by gr8grins View Post
If anesthesia is required so is an EKG. It's the law and it's responsible. If he didn't do one I would run away.
Have you seen the radiographs? How do you know what's needed? Are you an orthopedist?
Yeah. That's what I thought.
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Old 12-11-2013, 05:44 PM   #39
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Quote:
Originally Posted by gr8grins View Post
Have you seen the radiographs? How do you know what's needed? Are you an orthopedist?
.
No, and neither have you. Apparently, the OP hasn't had them properly explained either.

Doctors put their pants on the same way we do. Marcus Welby is long dead, if he ever existed. A medical degree is not a license to godhood.

My field, among others, is ethics. Read this:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2254462/

Numquam ponenda est pluralitas sine necessitate.

To put that into plain English, the simplest answer is often the correct one.
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Old 12-11-2013, 06:53 PM   #40
RowBust
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I'll give you a little bit of first hand (pardon the pun) experience. I fractured my scaphoid riding motocross at 29, how did I know it was fractured? I heard it crack, I kept racing all day (stupid) in agony next day went to hospital emergency, result 16 weeks later after many casts it still hadn't healed cut the cast off and went racing again, fast forward 10 years of pain swinging a hammer, hit a log in an enduro, orthopedic doctor took the usual x rays and said there was no way he would touch it as the bone had completely dissolved and my whole wrist was stuffed, he sent me to the top surgeon in Australia, he assessed the damage and said I would need a complete wrist reconstruction and fortunately for me he had just developed a technique which made it possible. He said he would do it in a teaching hospital and would have 2 doctors fly over from the US to learn the procedure. total cost would be a bottle of whiskey. Op took about 5 hours and he said I might get 8 years out of it before they would have to lock it up completely. That was 26 years ago it still works pretty good but is full of arthritis and can be very painful, The point I'm trying to make is don't treat it lightly as you may regret it in the future get the medical help now and don't knock all doctors as some are really dedicated and are only trying to do what's right for you.
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Old 12-11-2013, 06:57 PM   #41
Canuman
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Please indicate brand of whiskey. I've got a bowel condition that I'd really like to have looked at, but the ticket is high.

Quote:
Originally Posted by RowBust View Post
I'll give you a little bit of first hand (pardon the pun) experience. I fractured my scaphoid riding motocross at 29, how did I know it was fractured? I heard it crack, I kept racing all day (stupid) in agony next day went to hospital emergency, result 16 weeks later after many casts it still hadn't healed cut the cast off and went racing again, fast forward 10 years of pain swinging a hammer, hit a log in an enduro, orthopedic doctor took the usual x rays and said there was no way he would touch it as the bone had completely dissolved and my whole wrist was stuffed, he sent me to the top surgeon in Australia, he assessed the damage and said I would need a complete wrist reconstruction and fortunately for me he had just developed a technique which made it possible. He said he would do it in a teaching hospital and would have 2 doctors fly over from the US to learn the procedure. total cost would be a bottle of whiskey. Op took about 5 hours and he said I might get 8 years out of it before they would have to lock it up completely. That was 26 years ago it still works pretty good but is full of arthritis and can be very painful, The point I'm trying to make is don't treat it lightly as you may regret it in the future get the medical help now and don't knock all doctors as some are really dedicated and are only trying to do what's right for you.
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Old 12-11-2013, 07:03 PM   #42
01001010 01000011
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Yep we need to see the images.
Ask the original dr. To burn a disk for
Your personal records or print you
A low res. Paper copy. The original
Images are not yours nor is the report
But most dr.s will give you a copy if you
Ask the dr. Who ordered the exam.
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Old 12-11-2013, 07:20 PM   #43
TheBlurr
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Quote:
Originally Posted by RowBust View Post
I'll give you a little bit of first hand (pardon the pun) experience. I fractured my scaphoid riding motocross at 29, how did I know it was fractured? I heard it crack, I kept racing all day (stupid) in agony next day went to hospital emergency, result 16 weeks later after many casts it still hadn't healed cut the cast off and went racing again, fast forward 10 years of pain swinging a hammer, hit a log in an enduro, orthopedic doctor took the usual x rays and said there was no way he would touch it as the bone had completely dissolved and my whole wrist was stuffed, he sent me to the top surgeon in Australia, he assessed the damage and said I would need a complete wrist reconstruction and fortunately for me he had just developed a technique which made it possible. He said he would do it in a teaching hospital and would have 2 doctors fly over from the US to learn the procedure. total cost would be a bottle of whiskey. Op took about 5 hours and he said I might get 8 years out of it before they would have to lock it up completely. That was 26 years ago it still works pretty good but is full of arthritis and can be very painful, The point I'm trying to make is don't treat it lightly as you may regret it in the future get the medical help now and don't knock all doctors as some are really dedicated and are only trying to do what's right for you.
the scaphoid is notoriously difficult to heal regardless of what happens.
A good motorocycle glove which has extra padding in that part of the palm is a must.
Even with pins and plates arthritis can set in, that is the nature of injury.

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Old 12-11-2013, 09:25 PM   #44
gr8grins
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You're right

Quote:
Originally Posted by Canuman View Post
Twenty grand to set a closed wrist fracture is simply insane. As I said before, the OP has never had a reasonable explanation of why she needs the procedure.

Too many medical people are on the hunt for the almighty dollar. Look at the discussion between the surgeons and the internists -- there's only about 400 years of history.

Plaster (or now fiberglass) has a long and honorable history, and works in many cases. Drilling and screwing isn't always necessary.

You haven't seen the Roentgens either, boyo.

Now be polite.
That's my point. No one has seen the RADIOGRAPHS (Roentgens can't be seen) so no one has any grounds from which to decide if the doc is hosing her or not. It's just as likely he is right as that he is wrong. And even with radiographs it's only part of the scenario, none of us did the exam either. None of us knows so why don't we stop throwing the doc under the bus?
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Old 12-11-2013, 09:33 PM   #45
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I agree.

Quote:
Originally Posted by Canuman View Post
No, and neither have you. Apparently, the OP hasn't had them properly explained either.

Doctors put their pants on the same way we do. Marcus Welby is long dead, if he ever existed. A medical degree is not a license to godhood.

My field, among others, is ethics. Read this:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2254462/

Numquam ponenda est pluralitas sine necessitate.

To put that into plain English, the simplest answer is often the correct one.
Occam's razor is quite appropriate. We weren't there, we don't know what was explained and what wasn't. Therefore we have no idea what the question truly is and without a question an answer means nothing.
A medical degree does not equate to god hood, I couldn't agree more. It does mean that person has knowledge that is not common and possibly should be considered. It is rude to presume the doc is being unethical without knowing any details. I dare say it is unethical to judge someone without understanding all the facts.
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