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Comments
I'm not being pessimistic, it's just the facts.
Surgery with scopes has been around since the 70s, but has come a long way over the past 10 years. But there are plenty of orthapedic surgeons older than 35 years old who are excellent at arthroscopic surgery (and there are plenty of younger ones that just stink at it). Take your time finding the best one you can.
I agree with finding one who takes care of sports teams. They tend to be very good, although they can have big egos (and busy schedules).
Finding a great surgeon with a good pesonality is rare. If you had to compromise, what would you choose? Tough decision. Although Orthopedic surgeons tend to be an easy going bunch. The jocks in med school mostly became orthopedic surgeons. (it was fun, but not real elegant. More like carpentry.
Good luck
tom
I've heard and read that for ACL replacement surgery, depending on the type of graft, the resulting replacement can be stronger than the original ACL itself (ie. patellar graft). I've also heard that a not too uncommon problem after ACL reconstruction for very active atheletes is that they end up tearing their other good ACL since it's now relatively weaker!
But that's just the ligament itself. As with any surgery, I understand it will never be as "good" as the original uninjured knee. However, everything that I've read up on and heard first hand from doctors is that many people are able to return to the same level of activity post-op given that the patient follows the prescribed rehab. That's assuming that there aren't other issues like catilage tears and the like. That's a much better proposition than having limited activity or even getting arthritis!
And yes, I am sure there are many talented 35+ year old surgeons. I was simply providing general rules of thumb when you have absolutely no knowledge of the surgeon themselves. Hopefully everyone will do their due diligence and do their homework before taking on any major procedure.
BTW, sounds like you're in medicine! I hope I haven't offended with my novice understanding.
Ken
Don't get me wrong, you can still go out and be active after an ACL repair, but from what I've seen of my patient's (and friends) after the repair, things just aren't the same.
Offense? Nah. It's just we need to be careful of what we read and what doctors tell us (ironic, that I'm telling you this, can you believe me?) because medicine doesn't deal with absolute truths, but rather best guesses and probability. What's gospel today may be banned tomorrow. We just don't really know enough about the human body- it's far too intricate a machine for us to master- even something as simple as a joint.
ok, i'll step off my soapbox now. You won't have to hear from me for a week!
tom
Boy, Tom, no kidding. Part of my paramedic training back in the dark ages was hanging out in the OR observing procedures. I was amazed at how inelegant and almost brutal some ortho procedures were - hammers, drills, power screwdrivers - yikes!
Cheers!
Paul
Hey, is it raining or snowing there. It's pouring here now!
tom
Craig
Cheers!
Paul
Imaging toys! Forget this 'virtual' cross sectional stuff.... Come to my lab, and I will show you the real thing. Pump her leg down in my FIB, and with the ion beam we will physically slice her joint into a few thousand sections, then reconstruct the data for full 3D tomography imaging. Then we can send the data off to one of the universities and using a 3D model generators, we can make a full scale plastic reproduction of her knee and associated soft tissue! http://www.matscieng.sunysb.edu/rp/
J/K........ Steve
Craig
Cheers Pat.
We got our first surgery robot here, called DaVinci to help with complicated Prostate surgery. Pretty neat stuff.
tom
The answer is: All of the above!
(Unfortunately.)
Jim
-juice
Serge(give that student a detention!!!)
I bring that up because we went as far as sharing recipes for good hash browns in this thread a while back.
-juice
BTW, there are a TON of Straightline Detroit show blogs awaiting your thoughts.
Bob
I'm the first one here, last one out, and helping every transition inbetween. Retreats are just about my busiest time at work.
Oh well, at least dinner was good - lobster!
-juice
Bob
I won't be back in the office until Tuesday.
-juice
Bob
It's actually 3 days (Wed-Fri), but Monday is a holiday.
I'm free now because they're having break-out sessions, no audio/visual for me to set up.
It's a lot of work, though, I was the first one here and I'll be the last to leave, and we go well into the evening.
-juice
Cheers Pat.
Craig
Cheers Pat.
Bolger Center used to be a CONVENT! Of all things, our main conference room is a chapel, stained glass and all.
I'm not staying in the rooms (my house is 2 miles away) but those who are say the rooms are very modest, again because of the origins.
The event is called SLP (Sustainability Learning Program), which is also funny, because to me it means Street Legal Performance!
-juice
The stepson has been driving the DH's old 91 Mitsubishi Montero. A few days ago it died, and he left it parked on the street (no problem). DH went by the next morning and he couldn't get it to start, but didn't have time to do much with it then and it didn't have to be moved immediately. The next night the boy's mom (DH's ex) had the truck towed to a garage. (I'm assuming the kid was making lots of squawking about not having a vehicle to drive ... I'm not sure why she took it upon herself to have it towed ....) As of today, the message is that it was the timing belt that broke, and the probability is that pistons will have to be replaced. Does anyone know anything about this vehicle? or know somewhere that you might point us to get some info? (Of course, this will be a quite expensive repair if we decide to have it done!)
Thanks!
If on the other hand it has a "Non-interference" engine, there should not be a problem.
Here's the deal: On vehicles with either an OHC or DOHC engine, that uses a timing belt (or timing chain), when the belt or chain snaps—if it's an interference engine, the valves and pistons could collide (hence the name). That won't happen if it's a non-interference engine.
Here are some links:
http://autorepair.about.com/library/faqs/bl989h.htm
http://everything2.com/index.pl?node_id=1234675
http://www.leemyles.com/articles/interference-engines-and-timing-belts.html
According to this Google search, the '91 Montero does have an interference engine.
http://www.google.com/search?client=safari&rls=en&q=1991+Mitsubishi+interference- - +engines&ie=UTF-8&oe=UTF-8
It sounds expensive Brenda. Sorry...
Bob
I was a bit non-plussed when I went searching to discover just what Brenda meant by a Mitsubishi Montero. In our part of the world, it is sells as a Mitsubishi Pajero. That habit of naming the same car different things in different markets is usually intended to avoid causing offence in the local language.
One glorious mis-naming resulted in the imputation in local jargon of the car being “well equipped”. The car maker quickly amended the name when it was realised that this referred to very specifically male and definitely very personal equipment.
The Subaru Legacy is renamed the Subaru Liberty for the Australian market as Legacy is also the name of the Returned Soldiers aid society. They would find it a bit hard to accept a Japanese car bearing the Legacy name after the atrocities suffered by many returned soldiers in Japanese hands.
Harking back to the Montero, it is sold in Britain as the Mitsubishi Shogun (pronounced show-gun). To appreciate the balance of this story, one should understand the very wide range of pronunciation of similar words in the United Kingdom which often vary even between two villages. I once knew a Police Sargent who claimed to be able to place a Yorkshireman to within a mile across the three ridings (ancient subdivisions of Yorkshire).
My boss, Tom, was a combative owner of a holiday home at Bournemouth and a much loved Mitsubishi Shogun. Tom also owned a BMW M5 and a TVR Cerbera, so appreciated a few of the finer motoring luxuries. He was horrified to discover, on one trip to his holiday home that a neighbour had built a new garage, infringing on his land. It took some time to locate the neighbour’s phone number but a series of increasingly testy conversations ensued, culminating in a lengthy car phone conversation between them. Tom concluded that the only practical means of doing so was in a face to face meeting at the offending garage.
Thinking to politely warn his neighbour what sort of vehicle he would be driving, so he would be recognised, Tom concluded the call by saying, “I’ll be round at six with my Shogun!”
Tom received a considerable surprise when he arrived at the neighbour’s home. It was surrounded by Police, unusually for Britain, carrying firearms. His immediate thought was that he had wandered into some armed robbery response but he slowly realised the Police were interested in him, not the neighbour. A lengthy and complicated explanation eventually concluded when the Police realised that the report of Tom threatening his neighbour with “I’ll be around at six with my Shotgun!” was a mistake.
The neighbour removed the garage.
Cheers
Graham
Bob
Doug
Apparently, DH found some more online this morning ... we'll see ...
If the car has a timing chain (like the Subie H-6), this should not be a problem, as they don't normally require replacement. Of course that's assuming the engine has been properly maintained.
Bob
I would not repair the original engine; that would be lunacy. Source a (relatively) low mileage junkyard replacement and swap that in. Or just bin the whole thing and buy a replacement $1500 or less car-- might be best to go that route, honestly.
~Colin
Unless you are particularly attached to the Montero or need it's capabilities, there are plenty of pretty decent cars in the 1500-2000 dollar range.
90-94 LX Mazda Protege.
90-94 Honda Accord or Civic being top contenders in my book.
Cheers Pat.
he's not one to be particularly attached to vehicles, but he DOES like this one for the kid to drive because it's HEAVY !!
oh well .. we'll see ...
-juice
Cheers Pat.
Bob
Cheers Pat.
I sold my 92 Cherokee to a man who was getting it for his teenage son and was tempted to tell him what a poor choice of vehicle that was for his son. It's a fairly regular occurrence around here that a young driver will lose control of his/her SUV resulting in multiple fatalities from the ensuing rollover. Yet the student parking lots of local high schools are packed with SUVs.
-Frank
Bob