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Coffee House => Coffee House Boards => CH / Science and Technology => Topic started by: X-ray on June 30, 2006, 10:33:14 AM

Title: Scaphoid Fractures
Post by: X-ray on June 30, 2006, 10:33:14 AM
I was going to reply in the other thread but it got a bit long so I reckon Karlos's wrist deserves its own thread :-)

@ Karlos

By the looks of that scaphoid (if it is your wrist in your avatar), you are heading for a non-union. At my last placement I worked with one of the top guys in the world for scaphoid fractures, a guy called Nicholas Goddard. He fixes scaphoid fractures with a small screw with opposing threads to draw the two poles together. In some cases he takes some bone from the pelvis and injects it into the drilled channel to encourage bone mineralisation across the fracture. Here is how they set it up. Note the chinese finger traps (who says you can't have some pranks in the operating room):

(http://i55.photobucket.com/albums/g154/Odd_Job/ScaphoidSetup1.jpg)

Basically that allows a 360 degree X-ray access around the wrist. If he wants to do full motion X-ray filming he can just twirl the hand at the top. I would burn him a video CD for each case so he could collaborate with some dudes in the US about the placement of the screw. Here you can see the setup with the X-ray unit. In the inset I have magnified the image from screen A. The white arrows point to the distal and proximal ends of the scaphoid. You can see the fracture in between. The red arrow is the screw and the yellow arrow is the screwdriver.

(http://i55.photobucket.com/albums/g154/Odd_Job/ScaphoidSetup2.jpg)

Usually when somebody has a suspected scaphoid fracture (and the fracture cannot be seen) they re-X-ray the guy after 10 days to see if it has displaced. Some centers do macro-radiography for this (I was down in Basingstoke a few weeks ago and they were using a precision skull radiography unit for this). If the thing is displaced then they've proved the fracture and they might take steps to manipulate it in plaster and see if it unites. If the displacement is marked initially or if it is unresolved after a while (a non-union), then surgery is the best bet in my humble opinion. The scaphoid bone has a bad blood supply. It enters at the distal pole of the scaphoid and travels proximally towards the proximal pole. A fracture through the waist of the scaphoid (like what I see in the avatar) can compromise that blood supply and if that remains compromised for some time, you can get an avascular condition in which the proximal pole is wasted or degenerates. That means osteoarthritis in the wrist and some loss of dexterity. Even in the left hand it is a problem.

So I would keep tabs on that if I was you.

Edit: for those of you who are thinking 'What the hell is a scaphoid bone?'...it is one of the bones in the wrist near the base of the thumb in an area called the anatomical snuff-box. See here (http://en.wikipedia.org/wiki/Anatomical_snuff_box) for a detailed description. In fact palpation of the snuff-box is one of the clinical tests they do to check for tenderness that can be as a result of a scaphoid fracture.
Title: Re: Scaphoid Fractures
Post by: Karlos on June 30, 2006, 12:30:13 PM
I used my phone's camera to get a shot of the first xray on the ligt panel whilst the doc was out of the office.

I edited this images contrast for clarity. This was before some brief but very eye-watering prodding and massaging which put the fragments much closer than they were to start with (a second x-ray showed the bones back in a much better position).

The possibility of non union was mentioned, as was avascular necrosis. I have another x-ray due on the 7th...
Title: Re: Scaphoid Fractures
Post by: X-ray on June 30, 2006, 02:01:38 PM
Good luck old bean, hopefully you won't have to be drilled.
Title: Re: Scaphoid Fractures
Post by: Karlos on June 30, 2006, 02:13:46 PM
Cheers. Drilling doesnae sound fun, at least in this context...
Title: Re: Scaphoid Fractures
Post by: Vincent on June 30, 2006, 03:47:57 PM
Whoa, what've I missed here?

What happened to your wrist?

Too much *cough*?  :-P
Title: Re: Scaphoid Fractures
Post by: Karlos on June 30, 2006, 03:53:23 PM
Wrong hand ;-)
Title: Re: Scaphoid Fractures
Post by: bloodline on June 30, 2006, 04:29:41 PM
Quote

Karlos wrote:
Wrong hand ;-)


Clearly... You should stick to using your regular hand if this is the trouble it causes...






:-D
Title: Re: Scaphoid Fractures
Post by: Karlos on June 30, 2006, 06:23:53 PM
Quote

bloodline wrote:
Quote

Karlos wrote:
Wrong hand ;-)


Clearly... You should stick to using your regular hand if this is the trouble it causes...






:-D


But I cannae afford yer new rates... :-P

*ducks*
Title: Re: Scaphoid Fractures
Post by: bloodline on June 30, 2006, 09:06:36 PM
Quote

Karlos wrote:
Quote

bloodline wrote:
Quote

Karlos wrote:
Wrong hand ;-)


Clearly... You should stick to using your regular hand if this is the trouble it causes...






:-D


But I cannae afford yer new rates... :-P

*ducks*


I offer a full range of credit options ;-)
Title: Re: Scaphoid Fractures
Post by: Karlos on June 30, 2006, 09:15:59 PM
Quote

bloodline wrote:

I offer a full range of credit options ;-)


kinky...
Title: Re: Scaphoid Fractures
Post by: Karlos on July 06, 2006, 02:20:54 PM
Quote

X-ray wrote:
Good luck old bean, hopefully you won't have to be drilled.


I had the followup (5th, not the 7th, almost missed it :lol:). Theres no improvement yet but no deteriation either.

I now have a stylish black resin based gauntlet cast that looks more like a chunk of exoskeleton than a cast. I have to wear it for 5 weeks before the next checkup :-(

Once it set, seeing the rock hard, black fabric I could only think of bloodline's sock :lol:

Title: Re: Scaphoid Fractures
Post by: X-ray on July 06, 2006, 07:07:47 PM
"...Once it set, seeing the rock hard, black fabric I could only think of bloodline's sock..."
------------------------------------------------------

  :roflmao:

Ja, jokes aside though you gotta keep tabs on that scaphoid. I guarantee you, if there is any messing about in the land of human bones, that scaphoid is the one that usually starts the ruckus. It is what you might call 'a well-lippy bone.' In fact it is the resident Chav in the human skeleton...

(http://i55.photobucket.com/albums/g154/Odd_Job/Scaphoid1.jpg)
Title: Re: Scaphoid Fractures
Post by: Karlos on July 06, 2006, 10:21:10 PM
Quote

....
(http://i55.photobucket.com/albums/g154/Odd_Job/Scaphoid1.jpg)


Aaaaaarrrgggghhhhh! Cut it out! Cut it out!

*attacks left hand with machete*
Title: Re: Scaphoid Fractures
Post by: Vincent on July 06, 2006, 10:44:42 PM
Quote
(http://i55.photobucket.com/albums/g154/Odd_Job/Scaphoid1.jpg)

:lol:

That's pure dead brilliant like :-D
Title: Re: Scaphoid Fractures
Post by: X-ray on July 06, 2006, 11:10:20 PM
@ Vincent

"...That's pure dead brilliant like..."
-------------------------------------------------------


But is he bovered, mate?
Look at his face, does he look bovered?
Are you disrespecting his family though?
He ain't bovered, yeah...I told ya, he ain't bovered! Does he look bovered?
Face, bovered, face...bovered. Does he look bovered mate?
Ask him if he is bovered. Go on, ask him, he'll tell ya!
He ain't bovered mate!!!
Title: Re: Scaphoid Fractures
Post by: Karlos on July 08, 2006, 02:56:22 PM
Well, taking cocodamol at work shut the mouthy litle bugger up. Unfortunately it also seems to severely degrade my attention span. Not at all good, given the amount of work I have to do there atm.

This brings me on to a wee rant. When I went for the followup appointment, there was a somewhat lardy woman there just ahead of me in the queue to check in. Her arm wasn't bandaged or plastered, but it turns out she had 7 weeks off work with her "broken scaphoid" so far.

She ended up in the examination room opposite mine later and I coudn't help overhearing the doc explaining that her x-rays showed no evidence of a break or fracture, despite her protests. She equally protested at having her arm plastered - on the grounds it was too itchy - or having a special splint put on. Of course he couln't force her to take his advice.

She claimed she needed both her hands in her job and was clearly milking the excuse to stay off for all it was worth just to get a new sick note. Her time wasting delayed my own appointment by an hour :-x

As a developer, I also need both my hands and aside from going to A&E and the followup appointment I had no time off at all - I have worked late almost every day since doing it and have to wear an "unbareably itchy" cast for the next 5 weeks.

I felt like tripping her up on the way out so she'd break it properly, the lazy fat witch :lol:
Title: Re: Scaphoid Fractures
Post by: X-ray on July 08, 2006, 03:51:20 PM
Ja. I understand how you feel about that. You can imagine how we have to bite our tongues here. We get these 'generously-proportioned' individuals here for X-rays, usually for lumbar spine and knees and they seem to be oblivious to the fact that their weight is a major contributing factor to their ailments. Some of them cannot be X-rayed on the table (table limits are around 150kg). And there is much rolling of eyes and sighing when we battle to get the pictures we need. It's no picnic, no sir.
And then you get the dude who reckons his problem is worse than everybody else's. We had one such guy who had minor injuries from an accident (he was walking) and he demanded to be seen by the doctor immediately. We told him that the doctors were busy in the resus bay because we had one gunshot chest and another patient who went through a windscreen in a high speed accident. They were both unconscious. Even so, this guy wanted the doctors to leave those patients and come and see to him right away.
 :roll:
Title: Re: Scaphoid Fractures
Post by: Karlos on July 08, 2006, 03:58:48 PM
Quote

X-ray wrote:
Even so, this guy wanted the doctors to leave those patients and come and see to him right away.
 :roll:


I more or less had to be told to go to A&E by my colleagues after 2 days of struggling to code and getting lances of pain from my wrist every time I pressed an awkward set of qualifier keys :lol:.

I was sure it was just a sprain and actually felt a fraud sitting there in A&E. After I found out I'd broken it clean in two I felt a bit embarrassed...
Title: Re: Scaphoid Fractures
Post by: Doobrey on July 08, 2006, 10:22:35 PM
Quote

Karlos wrote:
Well, taking cocodamol at work shut the mouthy litle bugger up. Unfortunately it also seems to severely degrade my attention span.


Doesn't cocodamol also 'block you up' so to speak ?
At least it did to me when I was on them for a slipped disc :oops:
I chucked them in the end cos they didn't do a damn thing.

So what happened, did you lose your rag with an X-Serve at work?

BTW, don't suppose you've tried fixing your scaphoid with Brocolli (http://www.amiga.org/forums/showthread.php?t=20218)   ;-)
Title: Re: Scaphoid Fractures
Post by: Karlos on July 09, 2006, 10:19:37 AM
Quote

Doobrey wrote:

Doesn't cocodamol also 'block you up' so to speak ?
At least it did to me when I was on them for a slipped disc :oops:
I chucked them in the end cos they didn't do a damn thing.


Hard to tell just now, the test conditions were skewed by a large dose of curry last night at least...

To be fair, I find they do the trick with the wrist, but on the downside they seem to be a bit harsh on the old higher order brain function. At work it seems I have the choice of an absence of distracting pain or an absence of wits :lol: Hence I am using them as sparingly as possible.

Quote
So what happened, did you lose your rag with an X-Serve at work?


Well, at least there are no macs at the new place :-D

It's a long story...

Basically, rush-hour-monday-morning-sans-breakfast happened. I got off the bus at piccadilly gardens, hungry ans having just missed a tram to where I work. I had about 5 mins until the next one, so I ran round the corner to get something for breakfast before the next tram.

Not quite sure how, but I tripped at at the end of a road crossing. Lucky it was there and not at the start, or they'd have been hosing what was left of me from under the wheel arch of a bus that I was actually running to avoid.

Anyway, it was one of those deeply embarrassing stumbling forward slow motion falls :lol:... Just as I was about to recover my balance, my shoulder bag swung round, laden with 2 heavy books and pitched me over. Despite my best effort to twist sideways and brace the shoulder, I managed to land on an outstretched hand, stopping my entire momentum dead on the bottom of my left palm (where it joins the wrist), embedding nice sharp bits of gravel, broken glass and general filth in there. No doubt to the amusement of countless onlookers ;-)

More embarrased than in pain at this point I fled the scene of the crime and continued my mission to get breakfast then the tram.
On the tram, I was holding the overhead grab bar with my injured hand thinking "hmm, bit of a twinge there..."

Got to work, cleaned out the cuts and grazes and got on with it. By monday afternoon my wrist was quite stiff and painful so went to see the seceratary's office where there was supposed to be all the first aid stuff. Amusingly, the first thing I was asked was if I'd filled in the accident report paperwork. I'd hate to go there with a life threatening injury :lol: I pointed out I just had a sprained wrist and was after a support bandage. Which I got, but everybody seemed to vanish when the sec asked who was qualified to put it on :roll:

Got back to the developer offices with my still-in-the-package bandage and one of my colleagues put it on. Worked the rest of the day, went home and it throbbed all night...

Tuesday morning and the tram was *absolutely* packed. I found myself stood behind a woman, now using my good hand to hold the bar ;-) The tram lurched forwards and she stumbled backwards, trapping my injured hand momentarily between her erse and the back corner of one of the chairs - right at the wrist. There was a short pulse of white hot pain and I involutarily exulted a lengthy string of expletives into her ear at near point blank range. Poor woman, it was hardly her fault...

No ordinary top-of-your-voice yell was this, it was amplified to a point I never knew the human voice could achieve. She just wilted before me in the backwash of anguished rage I must have emitted. Everybody else that was packed into the vicinity seemed to be trying to create a space too, alarm and fear on almost every face I saw as I glanced around wishing the ground would just swallow me at this point :-/

I then humbly apologised to her and showed her the bandaged wrist she'd just accidently squashed and assured her it wasn't her fault or anything.

Come 4:30pm, I was in a not insignificant amount of discomfort and heeded the advice of my colleagues to get it checked out.

Quote
BTW, don't suppose you've tried fixing your scaphoid with Brocolli (http://www.amiga.org/forums/showthread.php?t=20218)   ;-)


My local technogreengrosser was fresh out of the andean nanomeric cellular quick-knit variety. He's expecting more in next tuesday.
Title: Re: Scaphoid Fractures
Post by: Karlos on July 09, 2006, 10:23:09 AM
I got logged out twice in the time it took to write that :lol:
Title: Re: Scaphoid Fractures
Post by: Vincent on July 09, 2006, 02:10:57 PM
Quote

Karlos wrote:
It's a long story...

Short version:

It was one of those days...

:-P
Title: Re: Scaphoid Fractures
Post by: Karlos on July 09, 2006, 03:51:14 PM
@Vincent

One of those ... last six months?
Title: Re: Scaphoid Fractures
Post by: Hyperspeed on July 11, 2006, 03:34:13 AM
I wish doctors would use the MRI scanners more. I'm not totally at one with the idea of sitting in front of a machine whilst everyone else runs for cover behind leaded glass with bullet proof vests on.

:-D

Ionising radiation is not good in any dose in my opinion.

Quick thinking with the mobile phone picture though!

:laughing:

Just count yourself lucky they didn't stick those heart rate monitor suckers onto you. They glued mine on with super glue and I nearly tore a nipple!
Title: Re: Scaphoid Fractures
Post by: Doobrey on July 11, 2006, 12:28:11 PM
Quote

Karlos wrote:
I got logged out twice in the time it took to write that :lol:


Ouch, I guess in your line of work that voice recognition wouldn't be any use to you?. I haven't played with it for years so I got no idea how good it is thesedays.
 Actually, now I think about it, the last time I used it was on a friend PC about 6 years ago and I managed to set it up to open a gay porn site everytime he said "f*ck" :lol:

You can add me to the amiga.org injured list too, Just got back from the docs with a badly scratched eyeball.. got a lovely eyepatch to wear, just need a parrot and a wooden leg.(Warning to all other numbnuts like me, ALWAYS wear eye protection when using powertools  :madashell: )
Title: Re: Scaphoid Fractures
Post by: X-ray on July 11, 2006, 09:33:06 PM
@ Hyperspeed

"...I wish doctors would use the MRI scanners more. I'm not totally at one with the idea of sitting in front of a machine whilst everyone else runs for cover behind leaded glass with bullet proof vests on..."
----------------------------------------------------------

Due to the physics of MRI, bone cannot be visualised with enough detail to evaluate fractures and lesions. X-rays are king for that purpose. Ionising radiation is only used in the pursuit of a diagnosis when the benefits of the information that will be revealed outweigh the risks associated with that radiation dose. Radiographers are trained to justify the use of radiation in the form of X-rays to support or exclude a particular diagnostic question.
In addition to that, an MRI scan takes about half an hour minimum and you have to make safety arrangements beforehand to avoid putting a guy in the magnet with potentially ferrous items in his body.
X-rays are much quicker, more widely available and there are no special hazards other than the radiation dose itself. According to our consultant radiologist, an abdminal X-ray is equivalent in dose to a total of four months living in the UK (background radiation). The radiographic exposure of an abdominal X-ray is around 74kV and 40mAs (a beam produced from a potential difference of 74,000 volts and comprised of photons derived from electrons that were present in 40 milliamps over 1 second, or possibly 20 milliamps over 2 seconds.

Karlos's scaphoid X-rays were probably done at only 55kV and about 4mAs per shot. There are 4 standard scaphoid views and if he had them all, he still wouldn't get the dose from one abdominal X-ray. So the dose is minimal, innit?

And then you gotta talk about cost. An MR scan is BIG bucks and there is a waiting list of note. Karlos's scaphoid (although it means a lot to him) is small potatoes in the big picture. They will be scanning dudes with suspected herniated spinal discs long before they put his wrist anywhere near the magnet.

I suspect we are going to rely on X-rays for a very long time in diagnosing fractures.
Title: Re: Scaphoid Fractures
Post by: X-ray on July 11, 2006, 09:37:06 PM
@ Doobrey

"...Just got back from the docs with a badly scratched eyeball..."
--------------------------------------------------------

Hope you don't have any metal stuck in there, did you get a helping of radiation too? Gotta keep my pals in a job, you know   :lol:
Title: Re: Scaphoid Fractures
Post by: Doobrey on July 11, 2006, 09:58:45 PM
Just a visual inspection with dye and a slit lamp..my dentist is the one who loves xrays!
Luckily it was only a small chunk of softwood that shot out and got me right in the middle of my eye, saw the bugger heading at me and thought "Incomin..OUCH".
 I dread to think what state I'd be in if that was a piece of metal swarf..
Title: Re: Scaphoid Fractures
Post by: Hyperspeed on July 12, 2006, 01:32:23 AM
I was told that the magnet weighs 7 tonnes in an MRI scanner and that people have been killed by coins flying out of their pocket, attracted to the field.

I suppose if you had a pacemaker, artificial hip etc. you'd also be in trouble.

Do you remember in the X-Men film where Magneto escapes by sucking the iron out of the guard's blood to form bullet-like globules which shattered the glass on his prison cell?

Well under an MRI scanner, aren't the atoms/molecules of iron in some way attracted to a 7 tonne electromagnet?

And what about ultrasound and the unborn... I've heard from radiographers that it's completely safe, and yet there are dissenting voices in the scientific world that they could be very dangerous to the foetus!
Title: Re: Scaphoid Fractures
Post by: X-ray on July 12, 2006, 08:03:58 AM
The strength of the magnetic field ranges from 0.5 to 3 Tesla in MRI units used for medical diagnosis. That is a strong magnet!
I doubt that a few coins would kill somebody but there have been deaths associated with small oxygen bottles flying into the bore of the magnet while there was a patient on the table.
A few years ago I attended a course on Magnetic Resonance Imaging and we were shown several examples of MRI accidents such as floor buffer machines and office chairs pulled into the bore. There were a few oxygen bottles too. They showed us how they got one of the oxygen bottles out: by using a Land Rover! They had to attach a rope to the bottle and tow it out. When the bottle was free of the bore of the machine, it remained suspended in mid-air and the rope was fully taut.
Then last year I conducted a few experiments here in London to see whether certain bullets had ferrous properties and therefore could possibly pose a hazard if the patient went for an MR scan. I had to make a special perspex and wood enclosure for the bullets and I ended up crawling into the bore with the test tool and bullets, and my digital camera. I had to hold that camera with both hands because the battery is ferrous. The magnet was so strong that it operated the zoom of the camera without me touching anything. When I got into the mouth of the bore the image turned into a blue snow, it was compressed vertically, and then the camera shut down and could not be powered back on for ten minutes!
I'll see if I can find pics of that.
Stronger magnets of the order of 10 Tesla to 20 Tesla have been used to levitate organic materials. One of the things they have successfully levitated is a small frog. So you can imagine how powerful that magnet is! (But they are't approved for medical use and the bore is very small)

Here is where they levitated the live frog:

http://www.hfml.ru.nl/froglev.html
Title: Re: Scaphoid Fractures
Post by: bloodline on July 12, 2006, 08:46:43 AM
Yeah I've seen a frog (among other things) in a high tesla magnet while studying para and diamagnetics... The frog was tiny though, hardly bigger than your little finger nail.
Title: Re: Scaphoid Fractures
Post by: Karlos on July 12, 2006, 06:26:54 PM
Quote

Hyperspeed wrote:
Ionising radiation is not good in any dose in my opinion.


Natural daylight is capable of ionizing plenty of materials...
Title: Re: Scaphoid Fractures
Post by: Karlos on July 13, 2006, 09:07:54 PM
Quote

bloodline wrote:
Yeah I've seen a frog (among other things) in a high tesla magnet while studying para and diamagnetics... The frog was tiny though, hardly bigger than your little finger nail.


Liquid oxygen... Paramagnetic, (very) pale blue and great to throw on burning stuff :-D
Title: Re: Scaphoid Fractures
Post by: metalman on July 14, 2006, 05:47:15 AM
Quote

X-ray wrote:

 last year I conducted a few experiments here in London to see whether certain bullets had ferrous properties and therefore could possibly pose a hazard if the patient went for an MR scan.


Nontoxic shot regulations apply to waterfowl, (ducks, geese, and swans) and coots. Nontoxic shot is defined as any shot type that does not cause sickness and death when ingested by migratory birds.

The shot types that are approved as nontoxic for waterfowl hunting in the U.S. are the following.

Approved shot type :    Composition by weight
===================    ==========================
bismuth-tin:            97% bismuth and 3% tin
iron (steel):           iron and carbon
iron-tungsten:          tungsten with ≥1% iron
iron-tungsten-nickel:   ≥1% iron, with tungsten, up to 40% nickel:
tungsten-bronze:        51.1% tungsten, 44.4%%copper, 3.9% tin, & 0.6% iron
tungsten-iron-copper-nickel: 40-76% tungsten, 10-37% iron, 9-16% copper, & 5-7% nickel
tungsten-matrix:       95.9% tungsten and 4.1% polymer
tungsten-polymer:      95.5% tungsten and 4.5% Nylon 6 or 11
tungsten-tin-iron:     tungsten and tin and ≥1% iron
tungsten-tin-bismuth:  tungsten, tin, and bismuth
tungsten-tin-iron-nickel: 65% tungsten, 21.8% tin, 10.4% iron, & 2.8% nickel
   

* Coatings of copper, nickel, tin, zinc, zinc chloride, and zinc chrome on approved nontoxic shot types also are approved.
Title: Re: Scaphoid Fractures
Post by: X-ray on July 14, 2006, 07:54:22 AM
@ Metalman

That is great info, thanks! (Can I have a link or source too please). One of the things I intend to do with shotgun pellets is X-ray them to see if there is an appreciable density difference as seen radiologically, so we can exclude ferrous pellets. If you are a a shotgun owner or if you know someone who has samples of each of those pellet types (they would all have to be the same size) then let me know, because I would be interested in buying them. I would be willing to pay for the whole cartridge + your time + postage to UK. The only thing is you would have to slice the hull open and give me just the pellets because if there is any propellant together with the projectiles I am likely to have problems with customs.
Title: Re: Scaphoid Fractures
Post by: Karlos on July 16, 2006, 10:46:22 AM
Can anybody reccomend any (preferably legal :lol:) analgesics that actually eliminate the constant nagging background ache from this type of injury that don't leave you with a complete mentallic void?
Title: Re: Scaphoid Fractures
Post by: X-ray on July 16, 2006, 12:36:29 PM
@ Karlos

I don't think you can get that without a prescription, and even then you might take a hit in concentration.
Title: Re: Scaphoid Fractures
Post by: uncharted on July 16, 2006, 04:05:27 PM
I was told various MRI horror stories by my teacher when I took a Medical Physics module during A Levels.  About 6 months later I had an MRI myself, I was surpised when I was told it was safe to keep my belt on (one horror story was about a guy who had is spine snapped by the force of his belt)
Title: Re: Scaphoid Fractures
Post by: Cass on July 16, 2006, 08:59:12 PM
If you don`t have any liver-related problems, you may try an over-the counter product, Panadol. Else the doctor may prescribe you Xefo, for a short period of time.

Completely legal, and no mentallic void ;-)
Title: Re: Scaphoid Fractures
Post by: Floid on July 17, 2006, 06:10:20 PM
Quote

Karlos wrote:
Can anybody reccomend any (preferably legal :lol:) analgesics that actually eliminate the constant nagging background ache from this type of injury that don't leave you with a complete mentallic void?


Hmm, seems cocodamol is codeine plus Tylenol (paracetamol/acetaminophen).  That'll certainly give you a nice buzz, but have you tried plain Ibuprofen or something else (Ketoprofen, naproxen) in the NSAID category?  You could technically use that in combination...

I usually find Advil works better than Tylenol for actual pain, and here in the US I've seen it handed it out (in the equivalent of 4 'extra strength' OTC tablets) after minor procedures because they're loathe to prescribe opiates and it can improve clotting.  Dunno if it's counterindicated for fractures, though.
Title: Re: Scaphoid Fractures
Post by: Karlos on July 17, 2006, 08:48:04 PM
I got cocodamol because ibuprofen was doing absolutely nothing for the pain.
Title: Re: Scaphoid Fractures
Post by: Vincent on July 17, 2006, 11:14:44 PM
Quote

Karlos wrote:
I got cocodamol because ibuprofen was doing absolutely nothing for the pain.

I find that to be the case more often with me aswell.  Although aren't they meant mainly as an anti inflamatory (or whatever it is)?

I used to be on co-codamol but that stopped working so I've moved on up to co-dydramol.  I wonder how long it'll be before that stops working.  Mind you, I'm only on the 20/500 at the mo, so I've a whole other level before having to change tabs :-)

Mind you, it took 5 years for the coco's to stop working so the co-dydies should last me a while yet.

I find the co's do mess with the attention span though.  I forgot what the Union Jack was called yesterday!  But maybe that's old age :lol:
Title: Re: Scaphoid Fractures
Post by: Karlos on July 19, 2006, 08:48:00 PM
I've been avoiding taking anything unless it gets too painful.

However, having just accidentally tw*tted my bad arm getting out of the bath I've taken a good dose of coco and am waiting for what I call the "daytime tv" effect to kick in...
Title: Re: Scaphoid Fractures
Post by: Hyperspeed on July 25, 2006, 12:46:01 AM
Have you considered acupuncture?

From what I can gather it's the physical equivalent to a paracetamol!

Apparently after a few sessions the pain is short circuited so it might be worth considering - the continued use of Ibuprofen has recently been linked to unpleasantries and I'm not at all convinced by this aspirin wonder-drug craze.

Alternative medecine seems to have many mysteries, they even sell copper wrist bands in high street chemists and now elasticated supports with built in magnets.

To get really far out you might want to douse the place to see where the lay lines are. As I've mentioned on another thread, laylines can reduce the body's ability to heal and even submarine builders are clued up on this science.

A sports physiotherapist might be able to help if you're in agony.

Sometimes small doses of steroids can speed up recovery but I don't think they should be used in great quantities or for long periods of time.

Also worth considering (I'm not a doctor) but if muscle is damaged then nuts and soya might help, cartillage may be aided by omega oils and glucosamine and bone with calcium chews.

I wonder also in this hot weather if keeping the painful area cool might be beneficial - any ideas if cold is better than hot for healing?
Title: Re: Scaphoid Fractures
Post by: cecilia on July 27, 2006, 08:29:18 PM
Portable bone healing system (http://www.engadget.com/2006/07/25/portable-bone-healing-system-gets-fda-nod/)


if there is inflamation, some cold (ice) is useful for about 20 minutes.

then some heat to get the blood flowing and helping to heal.

I usually take a shower where I can change the temp of the water as needed. and ice when I'm sitting around. you don;t want to just freeze your flesh. stop when the skin gets red. it's just to reduce the inflamation.
Title: Re: Scaphoid Fractures
Post by: Karlos on July 27, 2006, 08:53:49 PM
Quote

cecilia wrote:
Portable bone healing system (http://www.engadget.com/2006/07/25/portable-bone-healing-system-gets-fda-nod/)


if there is inflamation, some cold (ice) is useful for about 20 minutes.

then some heat to get the blood flowing and helping to heal.

I usually take a shower where I can change the temp of the water as needed. and ice when I'm sitting around. you don;t want to just freeze your flesh. stop when the skin gets red. it's just to reduce the inflamation.


It's been in a cast since I got it checked, so I can't really get at it anyway.

So, I read in the other thread you've been poorly. Whats up?
Title: Re: Scaphoid Fractures
Post by: cecilia on July 27, 2006, 09:29:57 PM
I stupidly fell and at the very least pulled my groin. There are No words to describe that pain.

for about 3 weeks I couldn't get enough sleep and felt like I was walking through water. at least this last week I feel like I get enough rest. even if I wake up in the middle of the night to take a trip to the bathroom, I can get back to sleep ok for the most part.

I've been trying to do some simple exercising this week - esp today. My muscles are in a hurry to get moving but I want to make sure not to reinjure anything. At least at this point the affected areas are less painfull. More annoying than excruciating.

And I've had enough energy to get some work done. The worse is over, thank the gods.
Title: Re: Scaphoid Fractures
Post by: X-ray on July 27, 2006, 09:56:11 PM
@ Cece

I hope you got a pelvis X-ray: you might have a cheeky little inferior pubic ramus fracture. There are others too...don't take a chance.
Title: Re: Scaphoid Fractures
Post by: Karlos on July 27, 2006, 10:55:18 PM
Quote

X-ray wrote:
@ Cece

I hope you got a pelvis X-ray: you might have a cheeky little inferior pubic ramus fracture. There are others too...don't take a chance.


Even having no idea what that is, it sounds 'orrible :lol:
Title: Re: Scaphoid Fractures
Post by: Karlos on July 27, 2006, 11:03:19 PM
Quote


... and I'm not at all convinced by this aspirin wonder-drug craze.

Alternative medecine seems to have many mysteries, they even sell copper wrist bands in high street chemists and now elasticated supports with built in magnets.



Surely chomping on willow bark to get rid of headaches and various other pains was considered "alternative" (compared to good old tried and trusted leeches :lol:) until aspirin was first isolated...
Title: Re: Scaphoid Fractures
Post by: Karlos on July 27, 2006, 11:13:40 PM
Quote

cecilia wrote:
I stupidly fell and at the very least pulled my groin. There are No words to describe that pain.


No need to. The concept of an indescribable pain originating from the groin is well understood by any tree-climbing post-pubescent male that ever slipped and arrested his entire downward acceleration soley via his bollocks, upon a branch that was initally several foot below his feet... :wince:
Title: Re: Scaphoid Fractures
Post by: Hyperspeed on July 28, 2006, 04:26:47 AM
cheeky little inferior pubic ramus... wasn't he an Egyptian pharaoh?
Title: Re: Scaphoid Fractures
Post by: Karlos on July 28, 2006, 02:03:05 PM
Sounds more like a "sphinctoid fracture" to me ;-)
Title: Re: Scaphoid Fractures
Post by: on July 28, 2006, 02:05:47 PM
Quote

Karlos wrote:
Quote

cecilia wrote:
I stupidly fell and at the very least pulled my groin. There are No words to describe that pain.


No need to. The concept of an indescribable pain originating from the groin is well understood by any tree-climbing post-pubescent male that ever slipped and arrested his entire downward acceleration soley via his bollocks, upon a branch that was initally several foot below his feet... :wince:


Worse than labour pains I reckon. ;-)
Title: Re: Scaphoid Fractures
Post by: Hyperspeed on July 29, 2006, 04:15:29 AM
The only pain I associate with 'labour' is the pain in the arse that is the Labour government of Tony Bliar.

Hey I just had a weird thought... if the cocyx is a remnant of our primate past then would it be possible in the future for gene therapy to give humans a handy tail?
Title: Re: Scaphoid Fractures
Post by: Karlos on July 29, 2006, 03:06:54 PM
Quote

Hyperspeed wrote:
The only pain I associate with 'labour' is the pain in the arse that is the Labour government of Tony Bliar.

Hey I just had a weird thought... if the cocyx is a remnant of our primate past then would it be possible in the future for gene therapy to give humans a handy tail?


Doesn't that already happen occasionally, courtesy of a very rare birth defect?
Title: Re: Scaphoid Fractures
Post by: Hyperspeed on July 31, 2006, 01:05:38 AM
(http://users.drew.edu/rdrake/monkey_tail.sized.jpg)

How nice it would be to have a tail.
Title: Re: Scaphoid Fractures
Post by: Karlos on July 31, 2006, 10:36:19 AM
@Hyperspeed


So your'e a no-tail, ey?
Title: Re: Scaphoid Fractures
Post by: Hyperspeed on July 31, 2006, 11:41:42 PM
When I upgrade to AmigaOS 4 I want the installer to set up Prefs/Locale with the phrase "ARE YOU LOCAL!?"...

(http://www.bbc.co.uk/comedy/guide/images/220/log_1.jpg)
Title: Re: Scaphoid Fractures
Post by: Karlos on August 09, 2006, 01:47:40 PM
Yay! I had the horrible, irritating cast off today!

Only to have the glory snatched away again after the X-Rays and have a fresh one put on for another four weeks  :roll:

Have to say, six weeks build up of red hot summer induced dead skin and sweat is a sight not to behold. Upon glancing at my freshly uncovered arm, I wondered if I had contracted some form of flesh eating bug.

Whilst waiting to be X-Rayed, I made the fundamental mistake of trying to wash my arm and hand to clean it up a bit. There was no end to the strata of dead skin that kept coming away. Even after seeing the doc, waiting to be replastered I was frantically trying to get rid of the remainder.

Very grim.

If it doesn't sort it self out fully in this next month, it might need a screw :-(
Title: Re: Scaphoid Fractures
Post by: X-ray on August 09, 2006, 07:58:32 PM
Don't worry, it's nice hardware (http://images.google.co.uk/imgres?imgurl=http://www.rad.washington.edu/staticpix/mskbook/WristScaphoidDetail.jpg&imgrefurl=http://www.rad.washington.edu/mskbook/orthopedichardware.html&h=367&w=336&sz=41&hl=en&start=57&tbnid=Z_UCBiSuxKKG_M:&tbnh=122&tbnw=112&prev=/images%3Fq%3Dscaphoid%2Bscrew%26start%3D40%26ndsp%3D20%26svnum%3D10%26hl%3Den%26lr%3D%26safe%3Doff%26sa%3DN).

My nose tells me you are getting screwed, it's just a question of Herbert vs Acutrak
Title: Re: Scaphoid Fractures
Post by: cecilia on August 09, 2006, 08:00:38 PM
Quote
If it doesn't sort it self out fully in this next month, it might need a screw
well, then....screw YOU!  :-D


as to my situation I have graduated from a walker to crutches and have negotiated my way down and up stairs. Yesterday I did my laundry (basement = four stairs) and was up and down several time. God, what an exhusting process.

I've also procured protein drinks (from kelp) to pack my very tired mucsles with energy. I'm sore all over.
Title: Re: Scaphoid Fractures
Post by: blobrana on August 09, 2006, 08:10:39 PM
Hum,
perhaps you could get other people to run around for you?
Title: Re: Scaphoid Fractures
Post by: X-ray on August 09, 2006, 08:22:49 PM
Now Cece, I hope you listened to Uncle X-ray and got that pelvis X-rayed, cos I tell you frankly and sincerely that whenever a pelvis can pull a cheeky stunt it will.
Don't mess about, get yourself a dose of good old New York photons.
Title: Re: Scaphoid Fractures
Post by: Karlos on August 09, 2006, 09:27:38 PM
Quote

X-ray wrote:
Don't worry, it's nice hardware (http://images.google.co.uk/imgres?imgurl=http://www.rad.washington.edu/staticpix/mskbook/WristScaphoidDetail.jpg&imgrefurl=http://www.rad.washington.edu/mskbook/orthopedichardware.html&h=367&w=336&sz=41&hl=en&start=57&tbnid=Z_UCBiSuxKKG_M:&tbnh=122&tbnw=112&prev=/images%3Fq%3Dscaphoid%2Bscrew%26start%3D40%26ndsp%3D20%26svnum%3D10%26hl%3Den%26lr%3D%26safe%3Doff%26sa%3DN).

My nose tells me you are getting screwed, it's just a question of Herbert vs Acutrak


This is the NHS we're talking about. It'll probably be a one inch brass one from B&Q...
Title: Re: Scaphoid Fractures
Post by: Karlos on August 09, 2006, 09:28:24 PM
Quote

cecilia wrote:
Quote
If it doesn't sort it self out fully in this next month, it might need a screw
well, then....screw YOU!  :-D


as to my situation I have graduated from a walker to crutches and have negotiated my way down and up stairs. Yesterday I did my laundry (basement = four stairs) and was up and down several time. God, what an exhusting process.

I've also procured protein drinks (from kelp) to pack my very tired mucsles with energy. I'm sore all over.


I definately think you ought to get that looked at...
Title: Re: Scaphoid Fractures
Post by: X-ray on August 10, 2006, 01:18:14 AM
"...This is the NHS we're talking about. It'll probably be a one inch brass one from B&Q..."
----------------------------------------------------------

Hehe no it's not that bad in the NHS. All the scaphoid screws I have seen were at NHS hospitals. You can get a nice shiny screw for your scaphoid. The only thing I can't guarantee is whether you can get one with a Burberry pattern ;)
Title: Re: Scaphoid Fractures
Post by: Karlos on August 12, 2006, 05:22:15 PM
It's been painful enough without any type of screw, thanks very much...
Title: Re: Scaphoid Fractures
Post by: Hyperspeed on August 14, 2006, 12:47:16 AM
Pelvis has left the building!
Title: Re: Scaphoid Fractures
Post by: Karlos on September 06, 2006, 12:32:43 PM
Yay! The cast is off! The bone has eventually knitted back together and the doc is now satisfied that I don't need to wear a cast any longer. After 11 weeks in total wearing one, I'm pretty damn chuffed.

Unfortunately, my wrist is totally ceased up from the prolonged immobilisation. Just trying to move it hurts more than the bloody break did. The other side effect is that my forearm looks like it was a limb graft from a malnourished gorilla that had ben suffering from severe skin irritation. No way are those my body hairs :lol:
Title: Re: Scaphoid Fractures
Post by: Agafaster on September 06, 2006, 02:04:23 PM
well done!
and just be glad you didnt
a) get screwed
b) get MRSA
However, I feel for you getting a two tone arms thing going...
Title: Re: Scaphoid Fractures
Post by: Vincent on September 06, 2006, 02:14:19 PM
Ah, you'll be able to finally scratch your arm like buggery without that smelly thing getting in the way :-D
Title: Re: Scaphoid Fractures
Post by: Karlos on September 06, 2006, 02:40:00 PM
Quote

Agafaster wrote:
b) get MRSA


To be fair, you'd wonder looking at it. The skin is seems to be just one big, livid red sore. I'm told its natural and will sort itself out.

@Vincent

I would scratch it but as the skin seems to be irritated I'm avoiding it. But I did wash it many times and have been putting various creams on there to sort the rash out.

I still have to wear a detachable splint thing to support the wrist as I literally have no mobility in it just now. It'll take a few weeks of gentle exercise to get it moving again :-/
Title: Re: Scaphoid Fractures
Post by: cecilia on September 06, 2006, 04:50:28 PM
zinc is your skins' best friend.
Title: Re: Scaphoid Fractures
Post by: Karlos on September 06, 2006, 05:28:13 PM
Quote

cecilia wrote:
zinc is your skins' best friend.

Any recommended foodstuffs? Or should I just get a suppliment?
Title: Re: Scaphoid Fractures
Post by: cecilia on September 07, 2006, 12:00:07 AM
Quote

Karlos wrote:
Quote

cecilia wrote:
zinc is your skins' best friend.

Any recommended foodstuffs? Or should I just get a suppliment?


you can do both. however, as I don't know what drugs - if anything - your doc may be having you take, I'd check for side effects (http://www.medicinenet.com/zinc_sulfate-oral/article.htm) if you want to try a suppliment.

zinc in food is found in meat, liver, eggs and seafood (especially oysters). personally, i like the eggs and seafood, but that's me.

Taking more than 100 milligrams of zinc per day can be dangerous.

however, as your issue is with a particular area on your arm, maybe the best thig is a Zinc oxide cream rubbed right on the affected area. It's one of the things I do if I have a "wound" that needs healing. the creams are often used for diaper rash. and, no, i'm not implying anything.  :lol:
Title: Re: Scaphoid Fractures
Post by: Karlos on September 07, 2006, 08:35:52 PM
Eggs and seafood. Check :-)

I eat a lot of the latter anyway...
Title: Re: Scaphoid Fractures
Post by: Speelgoedmannetje on September 08, 2006, 12:51:57 AM
Quote

Karlos wrote:
Eggs and seafood. Check :-)

I eat a lot of the latter anyway...
Yeah, me too, I love raw herring  :-)
Title: Re: Scaphoid Fractures
Post by: Karlos on September 08, 2006, 02:41:51 PM
Raw?
Title: Re: Scaphoid Fractures
Post by: cecilia on September 08, 2006, 03:07:00 PM
Quote

Karlos wrote:
Raw?
mmm, sushi!
Title: Re: Scaphoid Fractures
Post by: Speelgoedmannetje on September 08, 2006, 05:39:30 PM
Quote

Karlos wrote:
Raw?
Yes, kind of (http://en.wikipedia.org/wiki/Herring)
It has a lovely soft taste,
and combined with onion
Yum!
Title: Re: Scaphoid Fractures
Post by: Speelgoedmannetje on September 08, 2006, 05:41:43 PM
Quote

cecilia wrote:
Quote

Karlos wrote:
Raw?
mmm, sushi!
Still got to try that :-)
Title: Re: Scaphoid Fractures
Post by: Karlos on September 08, 2006, 09:16:45 PM
I tend to grill mine, but each to their own :-D
Title: Re: Scaphoid Fractures
Post by: Agafaster on September 08, 2006, 10:09:34 PM
Quote
I still have to wear a detachable splint thing to support the wrist as I literally have no mobility in it just now.


a mate back home crashed out in the bath after downing 4 cans of 'Spesh' (this was many years ago) after work. he awoke to find he'd lost the use of his hand - had to have a big mechanism attached to his wrist with springs attached to the fingers to help him get the use back. note as drastic as that ?

Quote

 It'll take a few weeks of gentle exercise to get it moving again :-/

isnt it a bit early for the sock therapy ?! ;-)
Title: Re: Scaphoid Fractures
Post by: Karlos on September 08, 2006, 10:13:54 PM
No, not as bad as that :-D

The splint is just a sort of detachable cast in some ways. It is only there to support the wrist when it gets too tired or Im doing something that might stress it too much. The rest of the time, I leave the splint off and slowly get used to moving it around again. I can barely move it at all but it is getting better in small increments. 11 weeks is a long time to have your joint held absolutely motionless ;-)
Title: Re: Scaphoid Fractures
Post by: Speelgoedmannetje on September 09, 2006, 12:13:47 AM
Quote

Karlos wrote:
 but each to their own :-D
But how do you know what's your own if you won't try :-D
Title: Re: Scaphoid Fractures
Post by: Karlos on September 09, 2006, 12:39:31 AM
I had a bad experience with virtually raw fish once :afraid:
Title: Re: Scaphoid Fractures
Post by: Speelgoedmannetje on September 09, 2006, 12:44:14 AM
That was ofcourse not completely raw fish ;-P

(well, 'raw' herring is sterilized by being frozen first. So you won't get sick of it)
Title: Re: Scaphoid Fractures
Post by: cecilia on September 09, 2006, 01:17:08 AM
Quote

Speelgoedmannetje wrote:
That was ofcourse not completely raw fish ;-P

(well, 'raw' herring is sterilized by being frozen first. So you won't get sick of it)
I think you are trying to say "So you won't get sick FROM it"

meaning you won't become ill FROM a fish stewing in bacteria.

correct?

if you get sick of something it means you are tired of it.

----------------
in any case when one eats sushi one has to be very picky about the resturant. find one where asians eat at and you are more likely to have a place where they care about quality and treating the fish properly.
This is easy if you live in New York or Los Angeles where there is a resonably large asian/Japanese population.
Title: Re: Scaphoid Fractures
Post by: Speelgoedmannetje on September 09, 2006, 01:21:06 AM
Oops, yes I know it, Cecilia, forgive me, it's nearly half past 2 here and I should be in bed long ago :oops:
Title: Re: Scaphoid Fractures
Post by: cecilia on September 09, 2006, 02:15:55 AM
HAHA! no problem. sometimes I just hear my mother's (Teacher's) voice in my head and I'm Forced to be the "grammer police".

go to sleep, my fishy prince! :smack:
Title: Re: Scaphoid Fractures
Post by: Speelgoedmannetje on September 09, 2006, 10:03:04 AM
Quote

cecilia wrote:
HAHA! no problem. sometimes I just hear my mother's (Teacher's) voice in my head and I'm Forced to be the "grammer police".
Heh, my mum was also teacher (she got kinda a burnout 15 years ago). Recognisable :lol:

Btw. You won't tell Odin, will you? :nervous:

Quote

go to sleep, my fishy prince! :smack:
"prince" :oops:
Title: Re: Scaphoid Fractures
Post by: Agafaster on September 11, 2006, 01:30:55 PM
Quote

cecilia wrote:
HAHA! no problem. sometimes I just hear my mother's (Teacher's) voice in my head and I'm Forced to be the "grammer police".

go to sleep, my fishy prince! :smack:


how long have you waited for an opportunity such as this to use that emoticon!!
Title: Re: Scaphoid Fractures
Post by: cecilia on September 11, 2006, 04:45:38 PM
Quote

Agafaster wrote:
how long have you waited for an opportunity such as this to use that emoticon!!
i'm sure i've used it before. in fact, let me use it again!

ceciliia -->  :smack:   <-- Agafaster
Title: Re: Scaphoid Fractures
Post by: Hyperspeed on September 11, 2006, 10:11:39 PM
Zinc is also good for virility!

EDIT:
Quote
by Speelgoedmannetje:
That was ofcourse not completely raw fish ;-P

(well, 'raw' herring is sterilized by being frozen first. So you won't get sick of it)


I don't think you can sterilise something by freezing it. Bacteria have a nasty habit of re-animating unless boiled, burnt or smoked.

Liquid nitrogen maybe, but really it would be best to steam it and let it chill.

As for the arm healing, I wonder if a hydrocortisone could be prescribed or a titanium-dioxide mixed steroid cream such as mometasone furoate (Elocon)?
Title: Re: Scaphoid Fractures
Post by: Karlos on September 11, 2006, 10:16:32 PM
Quote

Hyperspeed wrote:
Zinc is also good for virility!


I thought that was wood....








*sorry*
Title: Re: Scaphoid Fractures
Post by: Hyperspeed on September 11, 2006, 10:31:07 PM
In that case you need Log.

(http://www.jeffpidgeon.com/uploaded_images/log-750545.jpg)

What rolls down stairs alone or in pairs
Rolls over your neighbor's dog?
What's great for a snack and fits on your back?
It's Log, Log, Log!
 
It's Log, Log, it's big, it's heavy, it's wood.
It's Log, Log, it's better than bad, it's good!
Everyone wants a log! You're gonna love it, Log!
Come on and get your log! Everyone needs a Log!
Title: Re: Scaphoid Fractures
Post by: Karlos on September 11, 2006, 10:33:48 PM
That'd bring tears to a few eyes, I expect.
Title: Re: Scaphoid Fractures
Post by: Karlos on September 11, 2006, 10:42:15 PM
Quote

Hyperspeed wrote:

As for the arm healing, I wonder if a hydrocortisone could be prescribed or a titanium-dioxide mixed steroid cream such as mometasone furoate (Elocon)?


The skin is healing at a very fast rate thanks to fresh air, a bit of sunlight and a decentish diet
Title: Re: Scaphoid Fractures
Post by: Hyperspeed on September 12, 2006, 12:21:27 AM
Steroid cream is only reccomended for small areas and not for open cuts. It will accelerate healing like some sort of mystical potion - often overnight. The side affect though usually involves horrendous nightmares and the resulting disorientation the next day.

Vitamin C (citrus fruit) might also be a good supplement as it was given to sailors who had scurvy! It also assists in the absorbtion of iron and, bizarrely, the effects of a hangover!

:-D
Title: Re: Scaphoid Fractures
Post by: Speelgoedmannetje on September 12, 2006, 04:59:57 PM
Quote

Karlos wrote:
Quote

Hyperspeed wrote:

As for the arm healing, I wonder if a hydrocortisone could be prescribed or a titanium-dioxide mixed steroid cream such as mometasone furoate (Elocon)?


The skin is healing at a very fast rate thanks to fresh air, a bit of sunlight and a decentish diet
Swimming in a (naturally clean) sea is also very good for the skin :-)
Title: Re: Scaphoid Fractures
Post by: Speelgoedmannetje on September 12, 2006, 05:04:27 PM
Quote

Hyperspeed wrote:
Zinc is also good for virility!

EDIT:
Quote
by Speelgoedmannetje:
That was ofcourse not completely raw fish ;-P

(well, 'raw' herring is sterilized by being frozen first. So you won't get sick of it)


I don't think you can sterilise something by freezing it. Bacteria have a nasty habit of re-animating unless boiled, burnt or smoked.
Dunno, but they just do it that way. But traditionally it's being eaten really raw, so I guess there can't be much wrong with it.
Weakened bacteria is good for building up resistance :-)
Title: Re: Scaphoid Fractures
Post by: cecilia on September 12, 2006, 07:17:47 PM
Quote
Swimming in a (naturally clean) sea is also very good for the skin
yes, sea salt is healing. good for the gums/teeth as well.

nature is good!  :angel:







(except when it gets mad and blows things up)  :-P
Title: Re: Scaphoid Fractures
Post by: Speelgoedmannetje on September 13, 2006, 01:44:22 AM
Quote

cecilia wrote:

(except when it gets mad and blows things up)  :-P
Or when it affects your sanity...
/me dances around with a skirt of leafs...