Granny's gone and done it again

[BigBlueHen53]

Good morning. Sorry I flaked last night. My hubby and I have been sick. We tested positive for Covid.

Oh dear! Sorry to hear. Hope you recover quickly.

 

[BigBlueHen53]

Im sorry your sick, glad its mild for you

Both legs just different drs. feet are ok.

no, he doesnt have much feeling there

Im the one with the split lip. Cracked in the corner. Every time I open my mouth wide it reopens.

When my lip splits on the sides I prick a Vit E capsule with a clean needle (sterilize with alcohol on a cotton ball) and squeeze out a drop on the corner of my mouth several times a day. I also eat toast with nutritional yeast sprinkled on the butter on it a couple times a day. Nut. yeast is high in B vitamins but I'm not sure about B12 specifically.

 

[BigBlueHen53]

Subjective:
Patient is here for evaluation and management of new onset Bilateral hip pain. Patient reports lateral sided and groin hip pain for several months. Patient reports previous treatments with anti-inflammatories and activity modification. Patient reports pain with ambulation beyond 100 feet. Reports pain especially that is worsened after sitting for long periods of time. They report difficulty with twisting of the hip to put on shoes and socks. Also reports difficulty with ascending and descending stairs. They have tried anti-inflammatories and rest with no improvement. Referred by Dr. Roman Trimba for bilateral hip pain not back pain. Continuing to have severe and unrelenting pain. She is looking for any and all options. Has a history of previous injections

Objective:
General: Well-developed well-nourished no acute distress
Psychiatric: Pleasant affect alert and oriented to person place time and situation
Gait: Abnormal antalgic bilaterally shortened stance phase
Neuro: Sensation intact to light touch distally on all four extremities, reflexes intact
Skin: Skin demonstrates no rash no signs of infection
Cardiovascular: Regular rate via peripheral pulse examination
Respiratory: Easy work of breathing no use of accessory musculature no audible wheezing
Lymphatic: No evidence of lymphadenopathy in bilateral lower extremities

Musculoskeletal: Focused examination of bilateral hip shows exquisite tenderness to palpation over the greater trochanteric bursa. Positive Stinchfield. Pain with internal/external rotation at the extremes of motion. Slow and antalgic gait with a hip flexion contracture gait. Positive cross adduction sign

X-ray: X-ray examination of the hip and pelvis shows evidence of hip arthritis throughout the femoral head and acetabulum consistent with joint space narrowing, osteophyte formation, subchondral sclerosis, and subchondral cyst formation.

Assessment:
Hip pain
Primary hip osteoarthritis
Hip stiffness

Plan:
I had a long discussion with the patient about the different options for the hip pain present. Patient has tried other conservative treatment options including anti-inflammatories activity modification. We discussed all the different options including but not limited to surgical intervention injections prescription strength anti-inflammatories physical therapy and advanced imaging studies. Patient would like to proceed with more aggressive treatment options to help control the pain. Because of the patient's size and concerning issues with possible avascular necrosis versus femoral head collapse I would like to proceed with a CT scan of the pelvis for evaluation of the bone quality and possible surgical planning for total hip arthroplasty. Patient understands the plan the risk benefits and alternatives we will proceed

So, bottom line, you're goung ahead with the hip replacements!

 

[BigBlueHen53]

Out came the pen and wrote the right amount and the itsy bitty paycheck was gone without a discount !
I suck at rhyming.

You do pretty good. But it's not funny circumstances.

 

[Granny Hatchet]

So, bottom line, you're goung ahead with the hip replacements!

I need to have the CT scan first.

 

[BigBlueHen53]

So...lawdy help me.

Part of me is feeling sympathy for the mil, the other part of me is saying ughhhhh nope nope nope stay home.

So hubs has two half sisters - both younger than he is. I messaged the elder of the two, as she has a wee one, to see what I could get her wee one for a christmas present and to see if there was any kind of plan.

So they'll be with her hubs' family for christmas - not back until the 27th. The youngest sister won't be in town until the 26th. So yeah, MiL will be flying solo on Christmas unless we go see her. (long drive. six plus hrs).

BUT part of me is going dagnabbit, we'd have to LEAVE the 26th cause work...so we would miss EVERYONE. It's a long drive for what? One day?

Organize a Zoom Christmas for her. No cooking, no cleanup for her. Just half an hour of family time, yay! Maybe?

 

[Granny Hatchet]

Tomorrow is the vascular surgeon. Depending on what he tells me . I hope he will open me up and that will get rid of some of my pain.

 

[microchick]

'Open me up' never = a good time at the park IMHO.

Last time they 'opened me up' they jerked out my gall bladder.

I can sure sympathize with what you are going through, Granny. You are just to the point where you don't want to hurt any more, aren't you?

 

[BigBlueHen53]

She was 71 and had the most beautiful eyes. She played in cheers and look whos talking just to name a couple.

She did have beautiful eyes. And that smile/ smirk! Liked her voice, too. R.I.P., Kirstie.

 

[BigBlueHen53]

Only 71 just ain't old

Nope. Only two years older than me, and I'm just a spring chicken, I am! *cough, cough* Well some days I feels like it!