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Author Topic: Nick's FatPadTrim, Medial plica/Distal patella excision, AIR x2, LMR 3in1 Diary  (Read 299287 times)

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Offline Clarkey

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Re: Nick's Fat Pad Saga!
« Reply #360 on: March 28, 2009, 10:58:16 AM »
Hi All,

I found a way to get my anger and frustration out of my system with whats going on with my knee. I go on the cross trainer on the highest level for 20 minutes and this helps me let off my anger inside and feel a lot better after being on the cross trainer. I am going to get my GP to examine my knee show him the swelling and catching to prove to him its not in my head and need to see Mr Green ASAP as I know he will think the same way as me its not in my head.

Nevella I could be waiting up to 5 months to see Mr Hussain which is too long to wait so will see Mr Green instead as I need to know whats going on inside my right knee as its doing my head in. I am going to tell my mum to phone up the GP's surgery on Monday morning and change the appointment for myself just to be on the safe side to get the referral to see Mr Green.

Mary thanks for you kind words of support and its nice to have a another members view on my right knee problem. Agree its not right to put in my medical notes on knee websites alot and got nothing to do with my knee problems.

Milly I hope Mr Green can treat my on the NHS and cancel Mr Hussain as it may be some time before I see him.

Anje I just a little annoyed with Alexander but wont let him get me down as I know I have a knee problem and that all that matters. Good idea to print out diary of events with my knee but feel I dont need to do this as Mr Green will find the problem and will know its not in my head.

At least the weekend is here and can relax and enjoy myself.

Nick :) {2009} :)

RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming

Offline MartinsGirl

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Re: Nick's Fat Pad Saga!
« Reply #361 on: March 28, 2009, 01:55:38 PM »

Hi Nick,

I'm glad you have found a way to get out your anger and frustrations.  You seem sure that your knee isn't affected in a bad way by pushing so hard on cross trainer, which is great. Just be careful not to overdo it. If you are super angry it might be the testosterone getting you all pumped up and you might push too hard without noticing. So just be careful :)

Oh my! I didn't realize it would be a 5 MONTH wait to see Hussain! Ok that is most definitely ridiculous and there's no way you can wait that long, or should have to! I thought, for some reason, that your Hussain appt was in a week. That's unbelievable that your GP would want you to wait. Yes, make sure he examines you and maybe witnesses the catching. But I know from experience that it's sometimes hard to re create a knee symptom for the doctor. Or even to enable doctor to be able to feel what you feel. The problem I think you also have is that your GP, like mine, doesn't specialize in knees. So he might not fully comprehend your situation and so relies on Alexander's notes. But that's wrong. If you lived over here you could do what I did. I was able to ignore when my GP told me it was just a strain/sprain and would feel better in 6 weeks. I knew he was wrong. I had a popping/sliding feeling. But since basic healthcare is free over here, I was able to go online and find a local sports medicine clinic with a well known GP who specialized in knee injuries. I only had to wait a few days to see this doc. And as soon as he saw my knee and examined it he was SURE something was wrong. At that point he could only see major swelling but he LISTENED to my other symptom descriptions and believed me. I mean, why would I make it up? So he immediately pulled some strings and got me an appt with the OS affiliated with his sports clinic. I got in to see this top knee OS the very next week. He examined me and did an MRI and it didn't show anything. But he could see my frustration and believed me that something didn't feel right inside my knee. So he went in and DID find something. He removed the piece of broken off cartilage that was causing the popping/sliding of one of my ligaments or muscles. I know you said Alexander agreed there was some swelling, but there could be more that the MRI failed to detect.

So I'm telling you my story, because I hope you can realize and tell your GP that you really need to see a knee specialist ASAP. There's no way you can wait another 5 months. It is just horrible how over there you have to rely on a GPs referral to get to see a knee specialist. I guess I did too, but I was able to immediately phone up a GP who specializes in knees and HE immediately referred me to an OS. So I get so sad and frustrated and angry with what's happening to you because it's not fair. I know the feeling of not knowing what's wrong but knowing something IS wrong but having a GP tell you you're fine. But unfortunately I think your system over there doesn't give you the freedom to call up a knee specializing GP for a second opinion, free of charge and hardly any wait.  I'm so sorry you're suffering so much. Not just physically. The mental stresses are often worse than the physical for some. That's how it was for me since I had no real pain. But knowing something is wrong but not having a doc believe me really brought me down.

So I'm glad your mom will change the appointment to your name. Snd you will try to have him observe the catching. I pray he will believe you and give referral. But remember, chin up. You will still see Dr Green either way. Once he sees you, even for just a consultation, you'll get your answers. So, just remember that. You'll have answers soon :)

Ok, I typed this on my phone so my thumb hurts, lol.

I'm glad you say you'll have a good weekend. Yay!
-July '07-soccer injury
- microfracture of the tibial plateau
- arthroscopy in Oct. '07 (remove torn cartilage and repair microfracture)
-developed AF but beat it (avoided surgery)
[img width=200 height=136]http://dl6.glitter-graphics.net/pub/504/504056crsfyif

Offline Clarkey

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Re: Nick's Fat Pad Saga!
« Reply #362 on: March 28, 2009, 04:40:02 PM »
Hi Nevella,

Thanks for doing such a detailed posting back and good to hear about others like yourself being told that your knee fine when its was clearly not as you found out when the OS took a look inside the knee. My Mum and sisters say my knee must be ok if you can use the cross trainer on the highest level. I know 2 others at the gym who had LR done as they had tracking problems and could use the cross trainer at high levels but both ended up having a scope. So just because you physically active does not mean your knee ok. Well as active as I can get as you know cant run and walk fast an cant use the rowing machines and tred mills at the gym so limited in my activities. A cross trainer puts minimum impact on the knees and only feel a bit of pain inside the right knee at times at higest level.

My GP said he can refer me to Mr Green when I saw him on Thursday so wont have any problems getting him to send referral to Mr Green so things will be a lot better for me once I know I am on the way to see Mr Green. I just cant see him on the NHS so will see him private and worried my GP may say he cant treat me on the NHS if I see him private even though he also works for the NHS. As long as he finds a problem and writes out a report to show Alexander its not in my head then I will be satisfied.

Nick :) {2009} :)



RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming

Offline MartinsGirl

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Re: Nick's Fat Pad Saga!
« Reply #363 on: March 28, 2009, 06:57:01 PM »
Hey Nick,

Just a quick message. I'm glad that you seem in better spirits. Yes you can for sure still have a knee problem even if you can go on the highest cross trainer level. As you said, your catching and pain happens occasionally. But it doesn't have to happen 24/7 in order for something to be wrong.

I'm glad my replies helped you a bit :) Have a great weekend! ;)
-July '07-soccer injury
- microfracture of the tibial plateau
- arthroscopy in Oct. '07 (remove torn cartilage and repair microfracture)
-developed AF but beat it (avoided surgery)
[img width=200 height=136]http://dl6.glitter-graphics.net/pub/504/504056crsfyif

Offline lenorem9

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Re: Nick's Fat Pad Saga!
« Reply #364 on: March 30, 2009, 12:04:37 PM »
Hey Nick,

Sorry I've been MIA.  Just haven't had much to say lately. 

I'm so glad you are finally getting to see Dr. Green.  So how long do you think it will be?  Hope you get in very soon!
07/07  Injured @ Taekwondo
11/07  ACL allograft, Posterolateral corner recon
01/09  Scope for scar tissue, notchplasty
02/09  Diagnosed w/arthrofibrosis/IPCS
04/09  Scope for scar tissue, lateral/medial release
05/09  MUA
11/09  Scope for scar tissue, chondroplasty
Learning to "live with it"

Offline Clarkey

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Re: Nick's Fat Pad Saga!
« Reply #365 on: March 31, 2009, 07:28:20 PM »
Hi All,

I had to cancel my appointment this Friday as my Mum booked it in the morning when I am at work and as you know dont like to take time off work with such a fussy Boss that I had to change the appointment for a late afternoon appointment and have to wait till next Tuesday at 4pm to see my GP again but this time will make sure I see Mr Green and my Mum coming with me even though I am a adult she wants to make sure some action is taken as it coming up to 18 months and still not seen an OS which is so bad as the knee got worse during that time.

The pain not going away was at work and my allotment and felt pain at bottom and lateral side of the knee and not just normal pain its chronic pain deep inside the knee and think there something wrong inside the knee. My freind Jake came up with a good phrase if my knee ok then the Pope not Catholic so there must be something wrong with my knee and Alexander talking out of his ass, saying that my knee normal when its clearly not as its swollen and hurts inside and cannot run what more evidence does one need to convince people I do have a problem with my right knee.

I hope Mr Green does not fob me off as well saying its all in my head and dont have a knee problem as I convinced I do have a problem and hope he agree's with me as I paying to see him so need to be on my side. I am just worried that he wont be able to find anything as so far its not gone that well trying to diagnose whats wrong with my knee and not getting anywhere. I sure he will find a problem and wont tell me its in my head.

My sister again who just come from South Africa tells me dont have a scope it will make my knee even worse as it did with her Husband but think its his 2nd or 3rd surgery on his knee so bound to have a doggy knee after so many scopes. I told Jinny people are saying avoid a scope if Mr Green says I need one but told me do what he says otherwise no point seeing him and he will be annoyed if I turn it down as he there to help me. The patcents she see are younger or older then me who had a scope and they said its the best thing they had done as there knee back to normal again. Who knows might not need a scope at this stage and injection might do the trick but always feel a scope might be the next option as PT not helping resolve knee problem.

I tried to run again yesterday but if I force my knee it hurts on the lateral side where I feel the catching and does this sometimes while tryinhg to force myself to run. Now my Mum thinks Alexander was stupid to tell me to listen to music on a ipod/mp3 player while trying to run to get my mind off my knee pain and catching but clearly its not going to work for me.

My appointment is on Tuesday 7th April @4pm with my GP and not Mr Green yet but hope to see him not long after Easter. I hope when I see Mr Green he can treat me on the NHS and does not have to be private as IF I needed a scope rather have him doing it then Mr Hussain as he has a good reputation in my region.

Nick :) {2009} :)

RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming

Offline TwoBadKneesUSA

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Re: Nick's Fat Pad Saga!
« Reply #366 on: March 31, 2009, 08:43:35 PM »
Hi Nick,

Sounds like a plan.  It would be nice to go in sooner, but better to get the later appointment if your boss is being a pain about it.  Definately have someone with you, so you can get the referral.  With everything you've posted, I believe there is something going on.  You've done PT and I think it's done all it can for you.  It looks like all the conservative stuff has been done, time for a closer look.  I hope a simple injection will get you going, but you are right to be ready for a scope if one is needed.  I think you have been more patient than anyone in waiting.  Keep us posted on the appointment ok?

Milly
'83 lt knee scope
'88 lt knee LR
'89 rt knee LR (6 mos. after left)
'05 rt knee scope (clean up)
7/5/07 - scope, LR left, right clean
3/19/08 - LR failed, Supartz failed
http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=47974.0
8/21/08 - new OS apt
8/5/09 - TTT, LR, PFJR sched.

Offline Clarkey

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Re: Nick's Fat Pad Saga!
« Reply #367 on: April 02, 2009, 07:12:52 PM »
Hi All,

Less then a week till I see my GP for a possible referral to see Mr Green and dont want to see anyone else as yet again have heard positive things about Mr Green from a member on this board who I replied to who said his freind had a scope done by Mr Green and cant praise him more for what he has done. I just hope he can do the follow up consultation on the NHS and IF I needed a scope want him to do it as he one of the best OS's in the UK. I am willing to cancel Mr Hussain's appointment if I cant see Mr Green on the NHS and then go back to my GP for a referral to see Mr Green on the NHS but hope it does not come to this. I am sure he will be only too happy to treat me on the NHS after he hears how badly the Hospital has delt with my knee problem saying its in my head when its not.

I think my knee pain there most of the time but have got use to it, more like a dull pain inside the knee on lateral side where I feel the catching sensation. Its only a mild pain most of the time but the pain there so there is a problem with the right knee. Was sore today from strimming on steap banks so its affecting my job and hope Mr Green will do something to help me out as its gone on long enough now and got worse due to bad management by the NHS.

I am just worried something will crop up that I cant see Mr Green and get treated by him as I have had bad luck so far in trying to get my knee sorted so hope I have some good luck for a change.

Nick :) {2009} :)

RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming

Offline Clarkey

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Re: Nick's Fat Pad Saga!
« Reply #368 on: April 02, 2009, 07:34:42 PM »
Hi Again,

I have just this minute got a phone call from the NHS Hospital I have been going to and got an appointment with Mr Hussain on the 22nd April. I will get a letter to confirm the date it could be on the 21st but did not catch the date on the phone. I am now in 2 minds to cancel it or go and see him as well as Mr Green or could save money and see Mr Hussain but would feel better if I see Mr Green.

Sorry to confuse you all but confussed myself what to do now as I got a mobile call from the Hospital while I was typing on another Members thread in the Library.

Nick :-\ {2009}  ???

RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming

Offline UK Girl !

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Re: Nick's Fat Pad Saga!
« Reply #369 on: April 02, 2009, 09:03:48 PM »
Nick - here's the plan - go and see mr Hussein - really a very short time to wait  - then if you don't get answers - go and see Mr Green - you are very fortunate to get such a quick referral - my daughter has been told its 14 weeks before she sees her os ( and she def needs surgery for torn medial meniscus and MCL)

you could save your mum a packet here so worth a couple of weeks wait !

I think you have become a bit hooked on seeing Mr Green but the fact is that there are a LOT of good consultants out there - it doesn't make any difference whether they are listed here or not ! My os for one is a fantastic bloke to see but not listed here !

anje
1978 - ruptured acl and all cartalidge removed.
several debridements over years
TKR 10TH JULY 2006 http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=28257.0  Aug 07 patellar maltracking - more physio! Still pain - but so much better !
BIOMET AGC  TKR  (with 10 yr warranty !)

Offline TwoBadKneesUSA

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Re: Nick's Fat Pad Saga!
« Reply #370 on: April 02, 2009, 09:57:20 PM »
Hi Nick,

I agree with anje.  Go see Mr Hussain.  You can still talk to your GP about it and ask for another referral to Mr Green.  I don't see where they would give you a problem about wanting a second opinion after waiting so long.  I don't think it would hurt to have a couple of OS's have a look.  It may be that Alexander showed your MRI to Mr Hussain, but I am not so certian of that.  If it turns out that Mr Hussain cannot help, you still have the option of seeing someone else.

I can certainly appreciate the frusteration.  At least with the appt to Mr Hussain you have an OS consultant looking at it, not a PT or GP.  For either way you choose to go, write a list of symptoms and how often and how bad they are, write a list of questions as well.  Make sure you let the OS know it is now starting to effect your job and not just that you cannot run or walk fast.  They will take the interferrance with your job more seriously I think.

Talk to your sister (Jinny I think, the nurse) and ask her what she thinks is a good idea.

Let us know what you decide.

Milly
'83 lt knee scope
'88 lt knee LR
'89 rt knee LR (6 mos. after left)
'05 rt knee scope (clean up)
7/5/07 - scope, LR left, right clean
3/19/08 - LR failed, Supartz failed
http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=47974.0
8/21/08 - new OS apt
8/5/09 - TTT, LR, PFJR sched.

Offline Silkncardcrafts

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Re: Nick's Fat Pad Saga!
« Reply #371 on: April 02, 2009, 11:44:16 PM »
Hi Nick,

I have got a very different idea on what I would do in your situation.

Personally I wouldn't go and see Mr Hussain. You've heard a lot of good things about Mr Green, so I would be going to see him. Also the way Alexander has treated you is appauling and would have passed onto Mr Hussain about we he really thinks. I really think his opinion will be clouded before even seeing you.

One thing that I think they are missing is that MRIs don't show everything. Some things just don't show up on them. I think they should look at doing some other scans such as CT scans and plain x-rays.

My suggestion would be to go and see your GP and get the referral to Mr Green. I wouldn't mention to your GP about cancelling the appointment with Mr Hussain. As soon as you get the referral I would ring Mr Green's rooms and make the appointment. As soon as you get the appointment with Mr Green I would then cancel the appointment with Mr Hussain.

I do agree with Anje, there are a lot of good OS's out there and Mr Green isn't the only one.
11/1996 - RK LR
07/1997 - LK LR
11/1998 - LK MPFL Reco
12/2005 - RK LR Repair
07/2006 - LK MPFL Repair
11/2006 - LK LR Repair
22/05/08 - LK Trochleoplasty
11/02/10 - RK Trochleoplasty
07/03/11 - RK Chrondroplasty

Offline lenorem9

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Re: Nick's Fat Pad Saga!
« Reply #372 on: April 03, 2009, 01:55:32 PM »
I guess I fall somewhere in the middle.  I think seeing Dr. Hussain is a waste of time because Alexander already coached him there is nothing wrong with your knee but if NHS is paying for it and it's free what will it hurt to see him?   Just go into it knowing you may not get anywhere with him and try not to get really upset if he tells you once again nothing is wrong.

Dr. Green sounds like a good specialist that will give you an unbiased opinion and proper treatment.  Sounds like it's worth paying private for him if you have to. 

I guess I still don't understand the NHS system.  If NHS will pay for Dr. Hussain why won't they pay for Dr. Green?  Doesn't make any sense to me.

Either way I hope it all works out for you in the end Nick.
07/07  Injured @ Taekwondo
11/07  ACL allograft, Posterolateral corner recon
01/09  Scope for scar tissue, notchplasty
02/09  Diagnosed w/arthrofibrosis/IPCS
04/09  Scope for scar tissue, lateral/medial release
05/09  MUA
11/09  Scope for scar tissue, chondroplasty
Learning to "live with it"

Offline Clarkey

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Re: Nick's Fat Pad Saga!
« Reply #373 on: April 03, 2009, 04:18:17 PM »
Hi All,

Thanks for the advise and have decided what I am going to do and wont be seeing Mr Hussain and as soon as letter arrives in the post will cancel the appointment. I always wanted to see Mr Green and due to my AS once I have my mind set on a certain OS I dont want to see any other OS as I feel I need to see a well known OS that the Godfather of OS's in Birmingham and why should I miss out seeing such a good OS that's good at fixing and diagnosing knee problems. Take poor Lenore she saw so many OS's and they could not work out whats wrong so she saw Noyes one of the top Knee OS's in the USA and now on the way to be treated by him.

I am not allowed too much anxiety and seeing Mr Hussain may well increase it as he may well say my knee ok when its clearly not and rather not go through with it as I dont want to see an OS recommended by Alexander as he could well have made my knee condition worse by not refering me to an OS sooner. I agree with Kirsty on this one best not to even see Mr Hussain. Sorry Anje but money no object when it comes to ones health and my mum still happy to pay for consultation with Mr Green, I can pay her back as I just got a part time job as a gardender after work.

I dont mind if I have to wait a week or two lator to see Mr Green when I dont see Mr Hussain in April as a few weeks longer wating wont make my knee worse and poor Anje daughter has to wait 14 weeks to see an OS and she needs a scope. Its taken 6 weeks for referral date to come and if it takes 3 weeks longer to see Mr Green its worth waiting for. IF I needed a scope want Mr Green to do it and sure he can as he works for the NHS as well as private and get scope done on the NHS. If Mr Green wont do a scope on the NHS because I am seeing him for a private consultation will go back to my GP and get a referral to see him on the NHS but dont think he will do this and be happy to treat me on the NHS.

I was ment to see Mr Green on the NHS my GP reccommended it to Alexander but he ignored his letter of request to see Green. I could ask if the NHS could pay for consultation through orthopaedic choice as Kirsty suggested but got no chance when I cancel Mr Hussain appointment.

If my GP wont refer me to see Mr Green then my brother in laws PT he sees can do it for me and he does not even have to see me as I am a family member and known my brother in law for 22 years and he cant believe how the NHS has delt with my knee problem. The PT is a sports PT at my local profesional cricket club that on sky sports TV in the summer and sends cricket players to Mr Green if they have a knee problem and think an England cricketer has also seen Mr Green so he the best OS in my region for knee problems so he the guy I need to be seeing and wont see any other OS.

Jinny said see Mr Green and cancel Mr Hussain so will do that when letter arrives as I dont want to see an OS that Alexander has chatted to as he could be on Alexander side and may say my knee is fine. Would like Mr Green to see my MRI scan and see what he says about the fat pad problem.

Nick :) {2009} :)
RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming

Offline arkitect06

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Re: Nick's Fat Pad Saga!
« Reply #374 on: April 03, 2009, 10:52:34 PM »
Hi Nick, just wanted to let you know I was thinking about you.  Hadn't seen you post on Lenore's thread in a few days, so I figured I'd stop by.  I read a few of the last posts here, but don't understand what's going on.  Whatever it is, sounds like you have it covered.  So do what you need to do to get taken care of and taken seriously!  Good luck!

Farrah
11/16/10 Fulkerson TTT, chondroplasty, LR (Left Knee)
11/17/09 SCS re-implant
7/29/09 I&D
5/7/09 SCS removal b/c of MRSA
12/15/08 & 2/6/09 SCS Revision
10/30/08 Spinal Cord Stimulator Implantation
6/27/08 diagnosed with RSD
1/8/08 Fulkerson TTT, chondroplasty, LR (Right Knee)















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