Sunday, December 28, 2008

What I Got For Christmas - Broken, Again!

I had to share this tale of my recent misadventure.

Two weeks before Christmas and I'm out working late in a neighborhood whose street light had apparently gone out. While crossing the street, I knew there was a curb ahead, but couldn't quite figure out where. Slowing down and paying attention might have been a good idea at this point.

Just then... left foot meets curb, and a moment later... right knee meets cement pavement. Nice. Snap, crackle, pop.

I feel around it, all seems OK. I walk to, and into the front door of the home. I look at it indoors. No apparent swelling (yet), so back to work I go. By the time I got home though, my knee was swollen to something the size of a canteloupe. Great. Damage apparently done after all.

Let's keep in mind that last year, I sweetly crushed my entire left hand fingers in a broken, slatted garage door, resulting in some breaks. I thought, let's top that off this year with a new injury.

The next day, off to the Urgent Care I go. The first doc looks at my knee and simply "ooh's and aah's" for a few moments. He requests an X-ray. The X-ray tech woman, of East Indian descent (not necessarily a major issue of the story, other than a slightly cultural attitude towards me, and somewhat argumentive), takes between 6 to 8 different view shots. This strikes me odd, and makes me question her credentials. A knee X-ray for this type of injury usually is 2 shots. I should know, I've done this before plenty. She then proceeds to shoot X-rays of my other knee as well. I can tell you that this lady did not like to be second-guessed, nor her work commented upon.

I go back to the first doc. He calls in a consulting doc. They concur that I "must have" a fractured knee. BUT, "it may just be ghosting," although neither was too sure.

The consulting doc feels around both knees, pulls them apart, puts them together, stares, and asks me, "Which knee hurts the most?"
I answer, "Um... that would be the one that I injured."
He says, "Well, it appears that they are both broken."
I say, "Really? How interesting, since I only hit one of them. Are you suggesting that my other knee now has an immaculate 'sympathy' break?"

He stares blankly, and then sums up that I'm a smart-ass who knows nothing about medicine or procedures. I sum him up as a dumb-ass who doesn't know what a broken bone looks like, and so assumes that they are all broken. Stalemate we are in.

They put me in a leg immobilizer, along with crutches, to prevent me from bending the knee and "to not cause more damage." How interesting, since the immobilizer itself is now crushing down (with metal rods) on the very spot that is supposedly broken. How is that going to heal?

I wear it for three days as instructed. Upon the third day, my leg is totally black and blue, bruised. I stop wearing the immobilizer. My the next day, my leg swelling is considerably down, and no bruising. My knee pain has diminished greatly. The immobilizer itself apparently had caused more damage.


Follow up to the above story -

10 days later, I see an Orthopedic Specialist, who was scheduled for me by the original doc. I get a new set of X-rays - only 2 shots this time, correctly.

The OS doc looks at the X-ray and asks me, "Who told you your knee was broken?" I told him the referring physician. First, the OS doc has never heard of him. Second, he says, "The guy must be an idiot. There are no signs of any fracture ever having happened." No breaks. No fractures. No bone injuries at all. In fact, it was simply bursitis. Bruising. Made worse by metal rods being forced down on it for three days. The OS doc says, "Duh! You hit your knee. It swells. Simple medicine. That's how it happens. Then it gets better." We both agreed.

So this leaves me with a fear for other people who have to see an Urgent Care doc, and their late-night X-ray flunkies, who really don't know what they're looking at, but have to appear busy and informed. And that original X-ray tech - a few polite manners, and learning how to do her job properly would help.

So... now all is well. Just another adventure tale for me to pass on.