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The New Coffee Room

  1. TNCR
  2. General Discussion
  3. Triggered

Triggered

Scheduled Pinned Locked Moved General Discussion
85 Posts 17 Posters 1.3k Views
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  • JollyJ Offline
    JollyJ Offline
    Jolly
    wrote on last edited by
    #14

    Is he a social finger surgical specialist?

    “Cry havoc and let slip the DOGE of war!”

    Those who cheered as J-6 American prisoners were locked in solitary for 18 months without trial, now suddenly fight tooth and nail for foreign terrorists’ "due process". — Buck Sexton

    1 Reply Last reply
    • George KG Offline
      George KG Offline
      George K
      wrote on last edited by
      #15

      IMG_1171 copy.JPG

      "Now look here, you Baltic gas passer... " - Mik, 6/14/08

      The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

      1 Reply Last reply
      • AxtremusA Offline
        AxtremusA Offline
        Axtremus
        wrote on last edited by
        #16

        Has your ability to flip the bird with that hand returned?

        George KG 1 Reply Last reply
        • AxtremusA Axtremus

          Has your ability to flip the bird with that hand returned?

          George KG Offline
          George KG Offline
          George K
          wrote on last edited by George K
          #17

          @axtremus

          IMG_1172 copy.jpeg

          "Now look here, you Baltic gas passer... " - Mik, 6/14/08

          The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

          taiwan_girlT MikM 2 Replies Last reply
          • brendaB Offline
            brendaB Offline
            brenda
            wrote on last edited by
            #18

            Glad you have good and needed finger useage again, George. LOL

            1 Reply Last reply
            • George KG George K

              @axtremus

              IMG_1172 copy.jpeg

              taiwan_girlT Offline
              taiwan_girlT Offline
              taiwan_girl
              wrote on last edited by
              #19

              @george-k 😂 😂 😂

              1 Reply Last reply
              • George KG George K

                @axtremus

                IMG_1172 copy.jpeg

                MikM Offline
                MikM Offline
                Mik
                wrote on last edited by
                #20

                @george-k said in Triggered:

                @axtremus

                IMG_1172 copy.jpeg

                V for victory!

                Oh, wait……

                “I am fond of pigs. Dogs look up to us. Cats look down on us. Pigs treat us as equals.” ~Winston S. Churchill

                1 Reply Last reply
                • jon-nycJ Online
                  jon-nycJ Online
                  jon-nyc
                  wrote on last edited by jon-nyc
                  #21

                  So success???

                  🤞

                  Only non-witches get due process.

                  • Cotton Mather, Salem Massachusetts, 1692
                  George KG 1 Reply Last reply
                  • jon-nycJ jon-nyc

                    So success???

                    🤞

                    George KG Offline
                    George KG Offline
                    George K
                    wrote on last edited by
                    #22

                    @jon-nyc said in Triggered:

                    So success???

                    🤞

                    Surgeon put in long-acting local. 5 hours later, index & middle with no sensation. Should get another 4-6 hours out of it.

                    Of course no pain, lol.

                    Transition to bandaid tomorrow and will know more.

                    "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                    The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                    1 Reply Last reply
                    • George KG Offline
                      George KG Offline
                      George K
                      wrote on last edited by
                      #23

                      Saturday was a painful day. Pain at rest which woke me at midnight Friday night after the block wore off. No incisional pain, however. It's a really small incision, about 1 cm long. Tendon is all banged up, and any kind of motion was painful as well. I did my best to do the exercises (flex and extend) the fingers, but it really hurt.

                      Yesterday, Sunday was remarkably better. No pain at rest, and by end of the day, motion was limited by stiffness and swelling rather than pain.

                      This AM, no pain at all again. Stiffness is better, and I'm able to type as though nothing had happened.

                      But, here's why I'm following up.

                      Years ago, we were approached by a drug salesman who was touting Ofirmev, a new formulation of acetaminophen, Tylenol. It was high-dose, a gram, and to be given intravenously for pain control, and as a supplement during anesthesia. Being the curious type, I was eager to try it, and I was amazed at how well it worked. I found myself giving much less narcotics during surgery, and patients seemed to require less in the recovery period as well. The dose was 1 gram, intravenously, every 6 hours.

                      The major drawbacks to it were twofold:

                      1. this formulation was expensive, and the hospital didn't want us using stuff that expensive (I think it was $25 a dose), when cheaper stuff (morphine) was available. Never mind that one of the advantages was less opiod use and fewer complications because of that.
                      2. It made your liver fall out. Well, if doses were too high, it caused hepatotoxicity, so you were limited to 4 doses per day.

                      And then something interesting happened. People started looking at the effectiveness of acetaminophen when given orally, but in large doses - again 1 gram every 6 hours. It works just about as well as the intravenous route, and is dirt cheap.

                      So, in preparation for my procedure, I loaded a gram about 3 hours beforehand, and then got on a 6,12,6,12 schedule. It worked like a charm. When it wore off at midnight Friday night, that's what woke me. I took a dose, and I was pain-free in an hour, and slept until 5:30, when I needed another dose. I continued it through Saturday and Sunday. Worked great.

                      Today, I have no need for it, so I'm done.

                      Amazing drug.

                      "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                      The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                      1 Reply Last reply
                      • JollyJ Offline
                        JollyJ Offline
                        Jolly
                        wrote on last edited by
                        #24

                        Glad to hear that. Less pain or pain free is good.

                        “Cry havoc and let slip the DOGE of war!”

                        Those who cheered as J-6 American prisoners were locked in solitary for 18 months without trial, now suddenly fight tooth and nail for foreign terrorists’ "due process". — Buck Sexton

                        1 Reply Last reply
                        • JollyJ Offline
                          JollyJ Offline
                          Jolly
                          wrote on last edited by
                          #25

                          On a related note...What about the 650mg extended release acetaminophen pills? Better, same or worse?

                          alt text

                          “Cry havoc and let slip the DOGE of war!”

                          Those who cheered as J-6 American prisoners were locked in solitary for 18 months without trial, now suddenly fight tooth and nail for foreign terrorists’ "due process". — Buck Sexton

                          George KG 1 Reply Last reply
                          • JollyJ Jolly

                            On a related note...What about the 650mg extended release acetaminophen pills? Better, same or worse?

                            alt text

                            George KG Offline
                            George KG Offline
                            George K
                            wrote on last edited by
                            #26

                            @jolly said in Triggered:

                            What about the 650mg extended release acetaminophen pills?

                            No idea. I didn't have any handy, so I just took a gram q6h.

                            Total dose not to exceed 4g in 24h.

                            I suppose one of those q4h would be about as effective, perhaps with no dip. But, it's q4, and that's a PITA.

                            "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                            The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                            1 Reply Last reply
                            • George KG Offline
                              George KG Offline
                              George K
                              wrote on last edited by
                              #27

                              Day 10 post-op.

                              Negligible pain, unless I fall asleep with my fingers flexed. Then, it takes some effort to flex them more and then extend them.

                              I'm somewhat disturbed by the fact that I still have some pain on the dorsal (back) of the affected finger, but function seems good, although I can't extend it as far as the other three fingers.

                              Wound looks good. No drainage, no pus. Minimal swelling. I have no dressing applied, and the sutures come out Thursday morning.

                              Screen Shot 2022-01-24 at 6.00.51 PM copy.jpg

                              "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                              The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                              1 Reply Last reply
                              • MikM Offline
                                MikM Offline
                                Mik
                                wrote on last edited by
                                #28

                                I use the extended release Tylenol now and then. Pretty good, much better with some ibuprofen. Luckily it’s only once every few months. My arthritis is very well controlled by meds.

                                “I am fond of pigs. Dogs look up to us. Cats look down on us. Pigs treat us as equals.” ~Winston S. Churchill

                                George KG 1 Reply Last reply
                                • MikM Mik

                                  I use the extended release Tylenol now and then. Pretty good, much better with some ibuprofen. Luckily it’s only once every few months. My arthritis is very well controlled by meds.

                                  George KG Offline
                                  George KG Offline
                                  George K
                                  wrote on last edited by
                                  #29

                                  @mik the high dose acetaminophen is amazing for acute pain. One gram every 6 hours. Mrs. George has had dental extractions and (!) a joint replacement using little more than that for analgesia.

                                  Don't exceed the dose, supplement with opioids and anti-inflammatories (which acetaminophen is not!) as needed.

                                  As I've said before, I was impressed with the intravenous route for this drug, and now, it seems that the oral is just as effective.

                                  If you can take it prophylactically, all the better.

                                  "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                                  The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                                  1 Reply Last reply
                                  • George KG George K referenced this topic on
                                  • George KG Offline
                                    George KG Offline
                                    George K
                                    wrote on last edited by
                                    #30

                                    So, about 8 months ago, I started having symptoms on the ring finger of my RIGHT hand. Pain and "catching." I had it injected in June, and got a good response.

                                    Then, about 3 months ago, it started catching again. Not bad enough to require intervention, but just annoying enough. 6 weeks ago, my right thumb started to trigger. This was accompanied by pain, and, in the last few weeks interfered with my trying to play piano.

                                    I saw the hand guy yesterday and he injected both fingers.

                                    "So, you've done the ring finger twice now. What happens when/if this recurs?"

                                    "Chop chop." (He actually said that)

                                    "Fuck (I actually said that). If you operate on the ring finger, and my thumb acts up again, as I expect it will, do you have to do a second injection, or can you do both fingers at once, just to save me the extra trip to the OR?"

                                    "Yeah, we can do both. See you in the fall. I'll have them wipe the blood and rust off the scalpels. I'll be waiting for you."

                                    "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                                    The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                                    1 Reply Last reply
                                    • taiwan_girlT Offline
                                      taiwan_girlT Offline
                                      taiwan_girl
                                      wrote on last edited by
                                      #31

                                      LOL Hope that the injections work for a long time!!

                                      1 Reply Last reply
                                      • CopperC Offline
                                        CopperC Offline
                                        Copper
                                        wrote on last edited by
                                        #32

                                        I have arthritis.
                                        Just over 6 months ago I got a cortisone shot in the left thumb metacarpal. It worked ok.
                                        Now the pain is coming back.
                                        They said I could get 3 shots separated by about 6 months. If it is still hurting, then they'll remove the Trapezium and toss it in the trash.
                                        Then they'll rebuild the lost support by rearranging some tendons.

                                        I haven't investigated exactly how this surgery works yet; I was hoping the cortisone would last longer.

                                        kluursK 1 Reply Last reply
                                        • 89th8 Offline
                                          89th8 Offline
                                          89th
                                          wrote on last edited by
                                          #33

                                          How does this impact your (cheap) scotch drinking motions?

                                          1 Reply Last reply
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