I love taking care of the tough people who live in beautiful Teton Valley. If you live here, you are “tough”. This is not a sit-and-play-checkers-as-the-sun-goes-down kind of place. Our valley is full of tough people. They ski on torn ACLs, they board with broken tailbones, they sled with ripped rotator cuffs, they drive tractors with broken wrists and they go on with their work and recreation for years with these injuries. Really, I have to marvel at the pain these people must endure and the inventions they create to keep on moving.
If you think I’m writing about you, then please read on.
I admire your high pain threshold and your unwillingness to give up any time for rehabilitation because you’re having too much fun or have too much work to do. Just know this: It’s better for you and your orthopedic surgeon to have something to work with when you decide to get “it” fixed, whatever “it” may be.
Just know this: It’s better for you and your orthopedic surgeon to have something to work with when you decide to get “it” fixed, whatever “it” may be.
Orthopedists see X-rays and MRIs that tell the whole story in a few simple images and sometimes, it isn’t pretty.
A good example of long-term damage being the end product of ignoring an injury is a meniscus tear in a knee joint. It’s very common for me to see patients with a “torn and ignored” meniscus. The meniscus is designed to be a protector of the knee joint. But when torn, it becomes a defector and can destroy the joint’s surface cartilage. I see too many patients that have put off treatment because some days it feels fine and they can live with the popping and occasional pain. It’s a bummer to see the joint surface severely damaged when we finally get around to fixing the problem. If I can offer treatment soon after the injury, there is much less damage to the joint surface resulting in a quicker, better recovery and much better long term outlook.
In modern sports medicine we are generally more aggressive when it comes to early rehab. ACL patients start rehab right away — a big change from casting (eek!) and a year in rehab in the early days of ACL reconstruction. However, recent data regarding ankle sprains has led to a step back in how those injuries are managed. Instead of pushing immediate movement, it’s clear that a period of casting or boot immobilization produces better outcomes.
Again, I see lots of patients who ignore a bad ankle sprain and keep on truckin’. They sprain their ankle over and over and ultimately require surgery to reattach or reconstruct the ligaments.
Now, I’m not throwing stones here. I’m just as guilty of delaying treatment. But take my advice: if you get hurt, have it checked out. If you wait too long, what could have been a little R & R with physical therapy or maybe a minor surgical repair can morph into a more complex procedure such as joint replacement.
If you get hurt, have it checked out.
Mo Brown and patient
It’s important to know what the consequences can be if you put off medical help for injuries. You may be mentally able to handle physical pain, but your body is sending that pain signal for a reason.
For all of you die-hards out there, let me put it this way: The toughest thing you can do in these situations is to stop your activities, see your doctor and get “it” fixed before it becomes a bigger problem.
Teton Valley Health Care recently received a bronze level award from The Aster Awards for its website, tvhcare.org.
The Aster Awards, one of the largest national competitions of its kind, is hosted by Marketing Healthcare Today Magazine and Creative Images, Inc. This elite program recognized outstanding healthcare professionals for excellence in their advertising/marketing efforts for the calendar year 2014.
The 2015 Aster Awards received nearly 3,000 entries from across the United States as well as several foreign countries. All entries are judged by industry experts and are scored on multiple criteria with a possibility of 100 total points. Participant’s entries competed against similar-sized organizations in their specific groups and categories.
Awards were issued for entries that received top marks from judges placing them in the top 16% of the nation for advertising excellence. Judging criteria included creativity, layout and design, functionality, message effectiveness, production quality and overall appeal.
“The creativity of this year’s participating healthcare marketing professionals exceeded our expectations. The 2015 Aster Awards program contained some of the best and most creative advertising in the world,” said Melinda Lucas, Aster Awards program coordinator.
Teton Valley Health Care competed in the “Hospitals with under 75 beds” group, and earned a third place recognition among the website category’s 32 submissions.
All winners are posted on the Aster Awards website as well as published in Marketing Healthcare Today.
My friend, who I’ll call Empress in this story because she really is an Empress, is marking her two-month anniversary of Diagnosis Day.
In my friend’s case, the diagnosis is rheumatoid arthritis. R.A. is incurable, painful, debilitating and potentially fatal. Treatment plans vary according to the individual and healthcare provider. The disease, like many autoimmune illnesses, flares and then quiets like the hesitation between Fourth of July fireworks, making you wonder if each display is another burst of sparks or the blazing finale.
Anyone who has had a medical diagnosis of a nasty disease knows that this particular day will stand out among other days. For many, D-Day can offer a strange relief. Finally, there’s a name for all of the unexplained pain, dizziness or whatever bewildering symptoms. On my D-Day, my first thought was “Hey, maybe I’m not crazy after all.”
On my D-Day, my first thought was
“Hey, maybe I’m not crazy after all.”
I’d had two years of odd rashes on my face, legs and arms. My fingernails warped and rippled. I was always tired. My joints felt like balls of fire. My ribs and heart were sore. I was depressed yet caring for a 7-month-old son while pregnant with my daughter. When my physician called me at home one evening with the results of my most recent round of blood tests and told me that I definitely had systemic lupus erythematosus, I was almost delighted. Finally, a name! Finally, a reason! Finally, a treatment plan!
Photo credit: Albumarium/Chiara Cremaschi
The odd euphoria of D-Day ebbed quite a bit when I realized that remission was not around the corner and that the coming years would require that I change my expectations about certain facets of my life that I thought were part and parcel of who I am. Or was. Or will be.
Still, if I were to place SLE in one hand and my old self in the other, I would hold on to the Me with SLE. I used to let little things get to me but having this disease has forced me to see life from a different perspective. I don’t get ruffled easily. I avoid drama. I appreciate more. Sure, I miss out on some things due to pain, fatigue or my sensitivity to sunlight, but what I do have I hold more closely to my heart than I think I would have pre-SLE.
Empress is moving from the shock of D-Day through the grief of losing a part of yourself without really knowing what the part will be. Yes, there’s a reason for today’s blinding pain and the mental fogginess. The question really is all about tomorrow and the days after that.
Of course, no one knows from one day to the next what will be gained or lost. I would argue that for the most part, most people can live with the belief that tomorrow will be much like today in terms of physical and mental capacity.
For the person with a “Diagnosis” it’s virtually a certainty that each day will be uncertain. Sometimes, I see myself as an adventurer going into each day and night with hope and curiosity. Other times I’m grumpy and tired. We all build our own way of adjusting. I don’t know what the Empress will build for herself as an outcome of D-Day, but I’m hoping it will be a crystalline outgrowth: reflective, illuminating and precious.
Do you have a story about your D-Day that you’d like to share? Let me know in the comments below.