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The New Coffee Room

  1. TNCR
  2. General Discussion
  3. Triggered

Triggered

Scheduled Pinned Locked Moved General Discussion
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  • 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
                                      • CopperC Offline
                                        CopperC Offline
                                        Copper
                                        wrote on last edited by
                                        #34

                                        You get a cast on one hand for a few weeks, but the other hand is ok to pour.

                                        If that is a problem, just drink straight from the bottle.

                                        1 Reply Last reply
                                        • CopperC Copper

                                          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 Offline
                                          kluursK Offline
                                          kluurs
                                          wrote on last edited by
                                          #35

                                          @Copper said in Triggered:

                                          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.

                                          I have arthriitis in the same joint (thumb). At one point, I thought I'd have to give up the piano completely. My ortho doc asked what I'd done to mess up the joint so badly - beyond the arthritis.

                                          I'm playing the piano as badly as ever but I'm playing - and it came from using a splint at night to completely restrict movement along with the liberal use of Arnicare on the joint just prior to putting on the splint. I've given the splint/arnicare combo to a few folks who have had a good measure of success. You might want to give it a try.

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