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suzidfloosey
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Re: Off to a Great Start
Actually I'm thinking monday might work better as he'll have a few days of pain (without the support of the cast) and will hopefully realise he needs it. What is an air cast by the way? haven't heard of that. It's great you have your mom around to help out like this - I would imagine by monday zak will be a more compliant young man 
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Anyone who lives within their means suffers from a lack of imagination.
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Sep/15/2007, 7:17 am
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1lost1
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Re: Off to a Great Start
If there is any justice he sure will be ~ she has mastered *****ery ~  But with my kids she eased back from when she was in her prime when me and my brothers we living with her. Although we did call for her to kick it up a notch we were horrible. So when she is around my kids and it sounds difficult to comprehend at this time ~ they really are no trouble so she never has had to rip into them. This stunt though by Zak has changed things a bit.
An air cast for lack of a proper description has two sides to it and they are "Puffy" very pliable. and each one of those sides are positioned on the inside of the leg and on the outside of the leg. They fit from base of foot and go about mid thigh. Where you ankle is that part becomes rigid (no puffiness is present there so that the ankle can be supported in a running shoe. There are velcro straps that hold this in place on the calf .
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Sep/15/2007, 11:02 am
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suzidfloosey
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Re: Off to a Great Start
Yes, that air cast doesn't sound like it offers enough support. Lets see how he is by monday - your mom will sort him out, i'm sure of it
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Anyone who lives within their means suffers from a lack of imagination.
Oscar Wilde
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Sep/15/2007, 11:18 am
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bnlred
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Re: Off to a Great Start
hey... sorry i didn't answer to any of this ut we were out of town in Michigan this weekend. wow! you have had uite an eventful time since i last checked- lol.
Boys will be boys, but it sounds like the doc also needs to scare the begesus (sp?) into him regarding healing, possible extended damage and pain, anything to get him to comply more. High schoolers think they are untouchable, but he could do real damage if this is an unstable fracture.
Talked to my hubbie and while he had heard of the casting material, he did say it isn't used very often anymore due to the fact the skin is still at risk. There are good products and so-so products. Also, he was wondering, if this is fracture, they should be able to see it at his age on xray and if it is unstable enough to require a cast, it may need to be surgically fixed. Of course, its hard without actually seeing the films etc, but if its only ligament damage, then a cast is a little excessive perhaps. They would want to wait a few (2-3)weeks for the swelling to go down if its a ligament issue in order to then have it repaired surgically, but either way, at his age a definitive diagnosis should be apparent- broken or otherwise. I hate to say it but although my husband is not the kind of doc to order unnecessary tests and do unnecessary things (like casting if its not really needed), some docs are unfortunately. Just something to keep in mind.
Also, if they are not responsive, a second opinion is never a bad idea, especially when it has to do with your child's ability to walk. There has to be a better way to get him more comfortable. Are you around or near Univ of Pitt? They have an excellent ortho dept with nationally recognized experts and resident/fellowship training programs. Dr. Freddy Fu is the head guy.
Also, the office nurse that was unable to dispense advice was probably not an RN but a medical asst, who sometimes refer to themselves as a nurse (sorry, thats a pet peeve of mine since I worked hard to become a licensed professional) and truly cannot dispense advice. Either that or they were just not very helpful.
Hope this helps and again, sorry we were out of touch :)
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Sep/17/2007, 8:52 am
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1lost1
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Re: Off to a Great Start
No need for sorries at all I hope you guys had a wonderful weekend.
Initially, had Zak been dedicated the doctor was willing to let him wear an aircast and then in a few weeks we were going to re- xray because the swelling was very severe and the injury was situated on the ankle itself. The doctor did witness ligament and tendon damage. Even with the swelling and not being able to say with all certainty it was a fracture the doctor said with that tendon and ligament damage and with Zak not being dedicated to wearing the aircast he felt the cast was the best solution to allow for healing hoping to avoid surgical repair (based on current injury and previous medical history with this ankle).
Mom is off today ~ Monday's are her day. He has an appointment scheduled as a walk in once he gets home from school ~ they might have to wait a bit to be seen but it was the best were able to do. I hope today at school he is a bit miserable ~ I have made arrangements with the nurse to allow him 5 minutes to get to where he needs to be without the halls being filled with other students. Regardless though I hope he has a buggar of a time... The doc will take a look and see if the cast needs to be put back on (Zak will be digging deep to cover the cost if that is the case ~ this is on him) or if a proper aircast can be fit to allow him a bit more comfort while this heals. There were no guarantees even once the cast was removed, he still might have needed a surgical repair.
I opted out of this trip, as Mom can honestly handle it ever bit as well as I can and she will relay everything discussed and get the nerd patched back up again. I explained to Mom a 17 year old who can cut the cast off in the middle of the night on the sly doesn't necessarily need Mom there with him. And I wasn't so sure I could keep my request for full body cast as well as wiring of the jaws to myself... I am still so ticked I could pinch his head off.
Will let you know what becomes of it, thanks so much for everything. And I am ticked, but obviously won't let his leg rot away ~ although Friday morning when this was sprung on me that seemed like a fine option  I have come back to my senses (almost) and we will get him through this. Now if he would cut the second one off I can't make any promises of that nature 
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Sep/17/2007, 10:41 am
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bnlred
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Re: Off to a Great Start
quote:
1lost1 wrote:
Initially, had Zak been dedicated the doctor was willing to let him wear an aircast and then in a few weeks we were going to re- xray because the swelling was very severe and the injury was situated on the ankle itself. The doctor did witness ligament and tendon damage. Even with the swelling and not being able to say with all certainty it was a fracture the doctor said with that tendon and ligament damage and with Zak not being dedicated to wearing the aircast he felt the cast was the best solution to allow for healing hoping to avoid surgical repair (based on current injury and previous medical history with this ankle).
Ahhh, I understand now. That makes sense. Men- doesn't matter the age, they always try to cause us grief in some form, eh? Keep us updated! 
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Sep/17/2007, 2:10 pm
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1lost1
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Re: Off to a Great Start
They are going with the air cast. The doctor said he would like to xray again in two weeks. For now Zak is to wear the aircast at school and trucking around the house. If he would like a bit of relief he is permitted to take it off if he props the leg and is at complete rest. He also wants him to wear it while he sleeps. If he rests the ankle enough and permits it to heal (no pressure on it at all) there is a very good chance he will not need it operated on, if he chooses not to follow doctor's orders he will need to repair damage. He is not making any promises. He has also told Zak that if he has to be operated on that will be extensive downtime. So I think Zak took the warning to heart. We shall see though.
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Sep/18/2007, 10:20 am
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suzidfloosey
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Re: Off to a Great Start
Great - sounds like a good plan and it's putting the onus on Zak to do what he needs to do. Fingers crossed it all goes ok
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Anyone who lives within their means suffers from a lack of imagination.
Oscar Wilde
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Sep/18/2007, 4:19 pm
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