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The New Coffee Room

  1. TNCR
  2. General Discussion
  3. D4 Update?

D4 Update?

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  • J Jolly
    27 Jun 2024, 12:58

    Sounds like her back is really unstable. Is it just the lower part or does she have some issues higher up? Just spitballing, but would there be any benefit from the long Herrington rods like they do for scoliosis?

    Because this sounds like a honey of an operation coming up. Be nice if it could be one and done (hopefully).

    G Offline
    G Offline
    George K
    wrote on 27 Jun 2024, 13:06 last edited by
    #6

    @Jolly said in D4 Update?:

    would there be any benefit from the long Herrington rods like they do for scoliosis

    I hate, hate, hate, that operation.

    She has no upper back issues, yet. The problem with any stabilization is that it provokes adjacent areas to do unnatural work. There is something called "Adjacent-Level Degeneration."

    "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
    • M Offline
      M Offline
      Mik
      wrote on 27 Jun 2024, 15:05 last edited by
      #7

      Jeez. I'm so sorry it has come to this. She's much too young for these issues.

      “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
      • A Offline
        A Offline
        Aqua Letifer
        wrote on 27 Jun 2024, 15:33 last edited by
        #8

        I'm really sorry, George. 😞 Please keep us posted.

        Please love yourself.

        1 Reply Last reply
        • 8 Offline
          8 Offline
          89th
          wrote on 27 Jun 2024, 15:58 last edited by
          #9

          I'm curious does the doctor enjoy talking with you more than most parents because of your medical knowledge? I'd imagine it's a nice change for him/her/they/them.

          G 1 Reply Last reply 27 Jun 2024, 16:12
          • 8 89th
            27 Jun 2024, 15:58

            I'm curious does the doctor enjoy talking with you more than most parents because of your medical knowledge? I'd imagine it's a nice change for him/her/they/them.

            G Offline
            G Offline
            George K
            wrote on 27 Jun 2024, 16:12 last edited by
            #10

            @89th said in D4 Update?:

            I'm curious does the doctor enjoy talking with you more than most parents because of your medical knowledge? I'd imagine it's a nice change for him/her/they/them.

            I usually don't let them know. However, when I have questions, I end up using "the vocabulary."

            After that, the conversation goes, "Are in medicine? Ah, I see.

            What field? Oh, really,

            Where? You worked HERE?

            The good thing is that they don't have to go thru the preliminary explanations of shit. They can talk jargon and I can explain to D4.

            "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.

            J J 2 Replies Last reply 27 Jun 2024, 18:25
            • F Offline
              F Offline
              Friday
              wrote on 27 Jun 2024, 16:15 last edited by
              #11

              Damn. I come back after a year and this is the first thing I read.

              I'm very sorry to hear about D4, George. Hope everything goes well on Tuesday.

              1 Reply Last reply
              • J Offline
                J Offline
                jodi
                wrote on 27 Jun 2024, 17:23 last edited by
                #12

                Oh wow. I sure hope they can get her pain free. I can totally relate. 😟

                1 Reply Last reply
                • B Offline
                  B Offline
                  blondie
                  wrote on 27 Jun 2024, 17:38 last edited by
                  #13

                  Just a question George because I know nothing of these things, but are her surgeons orthopaedic surgeons or neurosurgeons?

                  G 1 Reply Last reply 27 Jun 2024, 17:47
                  • B blondie
                    27 Jun 2024, 17:38

                    Just a question George because I know nothing of these things, but are her surgeons orthopaedic surgeons or neurosurgeons?

                    G Offline
                    G Offline
                    George K
                    wrote on 27 Jun 2024, 17:47 last edited by
                    #14

                    @blondie said in D4 Update?:

                    Just a question George because I know nothing of these things, but are her surgeons orthopaedic surgeons or neurosurgeons?

                    Neuro.

                    "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.

                    J 1 Reply Last reply 27 Jun 2024, 18:22
                    • B Offline
                      B Offline
                      blondie
                      wrote on 27 Jun 2024, 17:53 last edited by
                      #15

                      I spent 27 days in bed in 2015 with back pain. I can’t imagine how much worse this could be, but she and you are living this. I’m so hoping this surgery can help her.

                      1 Reply Last reply
                      • G George K
                        27 Jun 2024, 17:47

                        @blondie said in D4 Update?:

                        Just a question George because I know nothing of these things, but are her surgeons orthopaedic surgeons or neurosurgeons?

                        Neuro.

                        J Offline
                        J Offline
                        Jolly
                        wrote on 27 Jun 2024, 18:22 last edited by
                        #16

                        @George-K said in D4 Update?:

                        @blondie said in D4 Update?:

                        Just a question George because I know nothing of these things, but are her surgeons orthopaedic surgeons or neurosurgeons?

                        Neuro.

                        Only way to go with a back. I detest orthos doing back work.

                        “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

                        G 1 Reply Last reply 27 Jun 2024, 18:27
                        • G George K
                          27 Jun 2024, 16:12

                          @89th said in D4 Update?:

                          I'm curious does the doctor enjoy talking with you more than most parents because of your medical knowledge? I'd imagine it's a nice change for him/her/they/them.

                          I usually don't let them know. However, when I have questions, I end up using "the vocabulary."

                          After that, the conversation goes, "Are in medicine? Ah, I see.

                          What field? Oh, really,

                          Where? You worked HERE?

                          The good thing is that they don't have to go thru the preliminary explanations of shit. They can talk jargon and I can explain to D4.

                          J Offline
                          J Offline
                          Jolly
                          wrote on 27 Jun 2024, 18:25 last edited by
                          #17

                          @George-K said in D4 Update?:

                          @89th said in D4 Update?:

                          I'm curious does the doctor enjoy talking with you more than most parents because of your medical knowledge? I'd imagine it's a nice change for him/her/they/them.

                          I usually don't let them know. However, when I have questions, I end up using "the vocabulary."

                          After that, the conversation goes, "Are in medicine? Ah, I see.

                          What field? Oh, really,

                          Where? You worked HERE?

                          The good thing is that they don't have to go thru the preliminary explanations of shit. They can talk jargon and I can explain to D4.

                          They know, usually by the second or third sentence. Then, they cut to the chase. At least you understand everything. Being a dumb labrat, it sometimes goes over my head.

                          I just nod and try to understand the biggest part.

                          “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
                          • J Jolly
                            27 Jun 2024, 18:22

                            @George-K said in D4 Update?:

                            @blondie said in D4 Update?:

                            Just a question George because I know nothing of these things, but are her surgeons orthopaedic surgeons or neurosurgeons?

                            Neuro.

                            Only way to go with a back. I detest orthos doing back work.

                            G Offline
                            G Offline
                            George K
                            wrote on 27 Jun 2024, 18:27 last edited by
                            #18

                            @Jolly said in D4 Update?:

                            Only way to go with a back. I detest orthos doing back work.

                            Gonna disagree with you, a bit.

                            A well-trained ortho is probably fine for the non-complicated stuff. Emphasis on well-trained. I've seen some ortho guys do outstanding work. Former chair of ortho at Northwestern did all the scoliosis surgery there. He was really good.

                            But, that said, it's rare, and I assume it's not a huge part of most residencies.

                            Given the choice, I agree, neuro > ortho. But there are some fine ortho spine surgeons out there.

                            D4's doc:

                            Screenshot 2024-06-27 at 1.26.34 PM.png

                            "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
                            • G Offline
                              G Offline
                              George K
                              wrote on 28 Jun 2024, 01:20 last edited by
                              #19

                              Staff bent the rules and let G2 and G3 visit (they are 6 and 2 years old).

                              IMG_9577.jpeg

                              I lived in this building in medical school.

                              IMG_9583.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.

                              1 Reply Last reply
                              • J Offline
                                J Offline
                                Jolly
                                wrote on 28 Jun 2024, 02:50 last edited by
                                #20

                                That's great!

                                “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
                                • G George K
                                  27 Jun 2024, 16:12

                                  @89th said in D4 Update?:

                                  I'm curious does the doctor enjoy talking with you more than most parents because of your medical knowledge? I'd imagine it's a nice change for him/her/they/them.

                                  I usually don't let them know. However, when I have questions, I end up using "the vocabulary."

                                  After that, the conversation goes, "Are in medicine? Ah, I see.

                                  What field? Oh, really,

                                  Where? You worked HERE?

                                  The good thing is that they don't have to go thru the preliminary explanations of shit. They can talk jargon and I can explain to D4.

                                  J Offline
                                  J Offline
                                  jon-nyc
                                  wrote on 28 Jun 2024, 04:01 last edited by
                                  #21

                                  @George-K said in D4 Update?:

                                  @89th said in D4 Update?:

                                  I'm curious does the doctor enjoy talking with you more than most parents because of your medical knowledge? I'd imagine it's a nice change for him/her/they/them.

                                  I usually don't let them know. However, when I have questions, I end up using "the vocabulary."

                                  That happens to me all the time. And obviously I’m not a physician. But I am immersed in that world and the vocabulary sticks to me. ‘Hepatocyte’ falls from my mouth easier than ‘liver cell’. So they ask if I’m a physician and I say ‘no, but I spend too much time with them’ and explain my job.

                                  "You never know what worse luck your bad luck has saved you from."
                                  -Cormac McCarthy

                                  G 1 Reply Last reply 28 Jun 2024, 11:33
                                  • J jon-nyc
                                    28 Jun 2024, 04:01

                                    @George-K said in D4 Update?:

                                    @89th said in D4 Update?:

                                    I'm curious does the doctor enjoy talking with you more than most parents because of your medical knowledge? I'd imagine it's a nice change for him/her/they/them.

                                    I usually don't let them know. However, when I have questions, I end up using "the vocabulary."

                                    That happens to me all the time. And obviously I’m not a physician. But I am immersed in that world and the vocabulary sticks to me. ‘Hepatocyte’ falls from my mouth easier than ‘liver cell’. So they ask if I’m a physician and I say ‘no, but I spend too much time with them’ and explain my job.

                                    G Offline
                                    G Offline
                                    George K
                                    wrote on 28 Jun 2024, 11:33 last edited by
                                    #22

                                    @jon-nyc said in D4 Update?:

                                    ‘Hepatocyte’ falls from my mouth easier than ‘liver cell’.

                                    Funny you should comment on that. When we last met, you were dropping all kinds of fancy-schmancy words that I haven't heard or used since medical school. I was surprised.

                                    You're obviously in a very different part of the world than I am was.

                                    "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
                                    • 8 Offline
                                      8 Offline
                                      89th
                                      wrote on 28 Jun 2024, 12:31 last edited by
                                      #23

                                      @George-K I'm sure the kid visits provided a nice emotional boost.

                                      1 Reply Last reply
                                      • G Offline
                                        G Offline
                                        George K
                                        wrote on 28 Jun 2024, 12:36 last edited by
                                        #24

                                        By the way, that out-the-window view? See that green patch of land. That's where the VA Hospital used to stand. It was torn down, and nothing ever was built there.

                                        Considering the area, that block of land is worth many, many millions. It's never been developed, and the only explanation I can come up with is that it's federal land and not for sale.

                                        Screenshot 2024-06-28 at 7.35.32 AM.png

                                        "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
                                        • 8 Offline
                                          8 Offline
                                          89th
                                          wrote on 28 Jun 2024, 12:46 last edited by
                                          #25

                                          Seems refreshing, honestly, to have a bit of green space (and a good chunk of it) in the middle of all that steel.

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