Happy Friday, everybody! By the time you read this, I’ll be sitting in an Orthopedist’s office, masked up, waiting on my appointment to address my left knee.
This is the first time my body’s actively betrayed me while in the line of duty, so I’m not quite sure what to expect.
Everything with my knee really started about eight years ago when I was acting a fool with some friends at a local trampoline park. After attempting what some would refer to as a “suicide dive” from a springboard into a foam pit, I felt something move in my left knee.
That something was bursitis, according to my doctor. I’m not sure how it all works out but apparently a sac fluid had built up in my knee and was inflamed, causing me a good deal of pain.
It’s worth noting at this time all injuries in my medical history happen at the most innocuous times. I’ve never been injured zip lining or rock climbing, but I injured a knee climbing out of a pit full of foam blocks and broke an ankle once tripping on a coffee shop step.
My knee went from irritable to downright testy about two months ago. Conveniently, it started getting worse around the time my in-laws came to visit. There’s no better way to excuse yourself from an annoying argument or situation by saying “Excuse me, gotta go stretch the leg out.”
This in-law visit also marked me going to bed around 7-8:30, a rarity for me. It’s just easier to let the in-laws subject everyone to their godawful taste in Hallmark rom-coms by saying I need to stretch my leg in bed, head upstairs, and then turn on pro wrestling.
As the knee swelled to unbearable pain, I had difficulty moving or bending the knee. It was easy to tell something was inflamed and pushing on the tendons and ligaments surrounding the kneecap.
There was no getting around it. The creams and knee braces weren’t helping. It was time to go visit a doctor.
Since my primary care physician is about an hour away, I chose a local Urgent Care clinic to examine my knee. The doctor there confirmed the swelling in the knee, told me there was some kind of buildup behind my kneecap, and I needed to try rest and anti-inflammatories.
So with a supply of Meloxicam and a little hope in my heart, I began the time-honored tradition of Rest, Ice, Compression, and Elevation of my battered knee.
What bugged me most about this doctor’s visit were the admonitions to avoid heavy lifting and stairs. First, I’m the only person in the entire house capable of moving the gargantuan Amazon shipments that seem to arrive daily. Second, my bedroom’s up a flight of stairs.
I still gave it the old college try. My knee reminded me my undergrad days were far behind me for my efforts.
Twelve days later and without much progress in my knee, I called my actual doctor and scheduled an appointment on a Friday I had off.
“They’re going to look at the knee, refer you to an Ortho, and maybe suggest an MRI” my wife told me as I fretted over the eventual appointment. “That’s it.”
“We’ll see,” I responded, knowing she would, as usual, be right about everything. That gets annoying.
Modern medicine’s pitfalls meant I didn’t get to see my actual doctor that day. A Nurse Practitioner examined my knee, noted the swelling, ordered an X-Ray, and prescribed anti-inflammatories. Again.
When I pointed out the anti-inflammatory suggested had already been tried with little success, she suggested another one.
The NP tried to hornswoggle me by using the generic name for the medication. She was unaware Google allows common folks like me to find out what drugs we’re getting before we leave the office.
“You’re prescribing me Voltaren,” I told her. “The cream stuff you can get over the counter?”
“No, this is an oral medication, sir.”
“And will it help the pain in my knee so I don’t feel physically ill from it?”
“Hopefully. We don’t prescribe pain medication in this office, sir.” Apparently this was her attempt at a positive “bedside manner.”
“If this is the royal ‘we’ you’re using, could you please get a doctor who will prescribe something so I can eat and sleep without being in excruciating pain?”
This heretical request was met by my actual physician with a throwing of hands in defeat and a mealy-mouthed explanation of how pain had to be treated on a spectrum and this was the lowest possible pain intervention the practice could let him use.
“I’m already having difficulties eating and sleeping because of the pain in my knee, Doc. How much worse does it have to get?”
“It’s all I can do right now. Sorry brother.”
Few things come to mind that make a doctor’s apology more hollow than by calling the patient “brother.” You’re a doctor, not Hulk Hogan. Cut it out.
My next stop was the X-ray technician, who threw my legs into a painful position resembling a pretzel, and snapped photos away until I begged for help up.
“You’re a grown man,” the tech replied. “You got on the table yourself, and you can get off it yourself.”
Either this lady never heard of the Hippocratic Oath or it doesn’t apply to X-ray technicians. I’m still trying to suss that one out.
“We’ll call you in a day with the X-Ray results. Would you prefer an orthopedist in Knoxville?”
“Sure,” I said as I limped out of the office.
A day later I got a call from the orthopedist’s office. I started laughing uncontrollably when the poor lady taking down my information asked what problem prompted the referral.
“Was that information not conveyed by my doctor’s office?”
“Sir, all the referral says is ‘unspecified knee pain.’”
Just twenty-four hours ago I’d had my pants down in a doctor’s office with a supposed medical professional examining my knee, with pain I graphically described in admittedly colorful language, and the best they could manage was “unspecified knee pain.”
Such incidents cause a layperson like myself to wonder how often the medical system REALLY fucks shit up.
Anyway, here’s hoping you’re having a better start to your weekend than I am! If anything really good comes from this appointment I might try and update everyone next week.
For now, once I get this crap over with, I want a nap.
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I’ve had the same problem several times. In my case usually initiated by a gout flare-up. If all else fails, ask (or beg) your doctor for prednisone. It really works, although you’re not supposed to take it very often.
Interesting. My daughter has a chronic condition. When she went to her physician and saw a physicians assistant; the assistant suggested trying something that had ago been done- almost as if she didn’t bother to read the medical history. I’ve heard other similar tales. This doesn’t sound like the art of medicine
You asked about how often screw ups happen? Medical error is 2nd or 3rd leading cause of death in the U.S.
My suggestion to anyone is directly call a specialist if you know what is needed, dermatology, orthopedic, etc find out what a cash paying visit will cost to be seen by a doctor. This way one can skip all the primary provider referrals etc
This is excellent advice. Sadly, medicine can quickly become an adversarial relationship based only on what your primary care provider or insurer will “allow”. If you have a reasonable opinion on the specialist necessary to fix the problem pay for the cash visit. At the very least you will get a referral on to the correct specialist. In the long run you will save money on unnecessary co-pays and, more importantly, time.
I’m not a doctor, don’t play one on TV and have never stayed at a Holiday Inn Express, but my best friend is a now retired anesthesiologist and my son-in-law is an ortho surgeon, so I hear stories from their side, too.
Screw ups sure do happen. Thinking is hard, as I’ve read here many times over the years, and getting medical professionals (I am one as well) to think hard about each and every patient and their particulars, every single day on the job, when many of the patient-facing positions pay less than a part-time stint at McDonalds or trimming bud, is an uphill battle.
That said, the claim that medical errors are the second or third most common cause of death is stupid-making on par with the claim that one out of four women are sexually assaulted in college, and has been refuted just as thoroughly as SHG’s statistician colleague’s takedown of the latter.
Good luck, hope you’re feeling better soon.
And remember, Doobies can be effective pain relief {cough}.
Howl.
getya some good-n-sterile, PC ‘health care’, yippie!…ditto what H said.
All the best.. get well soon:)
CLS, I suspect x-ray techs and the Hippocratic Oath don’t mix. I had roughly the below conversation with one the night I shattered my wrist (it was 60 degees off from where it should have been at the time):
Tech: “Okay, I need you to rotate your wrist more.”
Me: “I can’t, that’s as far as it goes right now.”
Tech: “Nah, you can do this. Here, let me help you.” (twist)
Me: (inarticulate screaming)
On the bright side, I actually got her to apologize.
Well for those interested in an update, I got a Cortisone shot in my knee and an MRI scheduled for a few weeks from today.
Ideally, the shot will do the job (so far so good) and I’ll not have to get the MRI.
Always nice to see a doctor who wants to keep you off an operating table.
And thanks for the well wishes and tunes today, everyone. It made the morning a little more interesting.
Don’t you know we have an opioid crisis here in east TN, you doctor shopping junkie (two office visits to different MDs for the same problem! We know what you’re up to!)
Welcome to modern medicine, where knee pain so bad it induces nausea is met with indifference at best and outright hostility at worst, but a dentist will cheerfully write a scrip for sixty days of Vicodin at the suggestion of a toothache.
Or if you’re a suburban housewife with a sprained ankle the PA on call reaches for the Hydrocodone.
Much as I love the good ol’ USA, American health care really, really sucks, my dude. Feel better (assuming you aren’t faking it, you opioid-guzzling slut).
Opioid-guzzling slut?
I have access to nature’s pain medication–Rufus’s still–and you want to talk opiates?
It’s like the lovable giant I knew and loved got a Merkel-approved lobotomy.
Plus I’m married, David. I don’t put out like that anymore.
Get well soon. Vols open against Bowling green Sept. 2. Hope you can climb those steps.
I had something similar, 30 years ago, when I ran (literally) into a concrete curb, in Paris. A quick trip to an ER revealed fluid somewhere (I don’t really know the medical languarge for it) in the knee, and the physician inserted a god-awfully-large needle into the knee to drain it. A few more days of ice and some mild pain releif, and it has been fine ever since (so far).
Wow, the doctors in Mid Lick seem to be just as bad, if not worse, than the law enforcement personnel. Best of luck.