Subaru Crew - Meet The Members II

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  • tsytsy Member Posts: 1,551
    Ken, a lot of good advice. But, unfortunately, her knee will never be as good as it was prior to the injury. At least not until recombinant gene therapy becomes available and she is able to regrow her own ACL. Even if it's a partial tear, the ligament will be weaker. The only tissue in the human body that is not weakened after an injury is bone (it actually grows back stronger!)

    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. :D ) I prefer the minimally invasive stuff I do. ;)

    Good luck

    tom
  • kenskens Member Posts: 5,869
    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
  • tsytsy Member Posts: 1,551
    True true, Ken. Many people return to what they were doing (even professional athletes). But there ain't anything we have today as good as the OE stuff God gave us! ;)

    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
  • hammerheadhammerhead Member Posts: 907
    (it was fun, but not real elegant. More like carpentry.)

    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
  • tsytsy Member Posts: 1,551
    Yeah, Paul. They have stainless steel cordless drills and power saws and lots of stuff you'd see at home depot! It would make for a nice (and very expensive!) tool set though!

    Hey, is it raining or snowing there. It's pouring here now!

    tom
  • c_hunterc_hunter Member Posts: 4,487
    Thanks for the kind words and advice folks. We went for the MRI tonight, and will have to wait a couple days for the radiologist and ortho docs to give their judgement. We did get a CD with all the images before we left, and they are pretty cool. Now, as a mechanical engineer I am way out of my league here, but I think I identified the ACL and PCL in the images. The PCL looks normal, while the ACL clearly looks like a frayed rope. It will be interesting to see what the real diagnosis is! Anyway, I am real impressed with the MRI. I spend a lot of time slicing 3D data in my computational fluid dynamics simulation work, and it was real cool to get similar cross-sections from the MRI data. It would be really neat to have "baseline" images from Harmony's other good knee to do a direct comparison, but now I'm just getting carried away...

    Craig
  • hammerheadhammerhead Member Posts: 907
    It's been raining for days on end here, fortunately snow above about 3000 feet - ski areas are absolutely getting dumped on! Windy today, though - perhaps a change is in the works. A little colder would be OK.

    Cheers!
    Paul
  • fibber2fibber2 Member Posts: 3,786
    I spend a lot of time slicing 3D data in my computational fluid dynamics simulation work, and it was real cool to get similar cross-sections from the MRI data.

    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
  • c_hunterc_hunter Member Posts: 4,487
    All right, now you're just toying with me! That would be very cool.

    Craig
  • hondafriekhondafriek Member Posts: 2,984
    Craig here's hoping the damage to your wife's knee is nowhere near as bad as first thought.

    Cheers Pat.
  • tsytsy Member Posts: 1,551
    Actually, with computers and robotic assisted surgery, you are not very far off from the future of surgery! Surgery may be done via computers supervised by surgeons, potentially from thousands of miles away!

    We got our first surgery robot here, called DaVinci to help with complicated Prostate surgery. Pretty neat stuff.

    tom
  • c_hunterc_hunter Member Posts: 4,487
    Thanks Pat!
  • jeffmcjeffmc Member Posts: 1,742
    Wow - maybe it makes me a Luddite, but I'd be nervous about having prostate surgery performed by a robot. Imagine the consequences of corrupted code. At some point in the future lawyers will probably be arguing about who's to blame in a malpractice suit - the programmer, the tech, the manufacturer or the doctor.
  • jfljfl Member Posts: 1,399
    At some point in the future lawyers will probably be arguing about who's to blame in a malpractice suit - the programmer, the tech, the manufacturer or the doctor.

    The answer is: All of the above!

    (Unfortunately.)

    Jim
  • ateixeiraateixeira Member Posts: 72,587
    I think I have an acronym-induced head ache. :D

    -juice
  • ladywclassladywclass Member Posts: 1,713
    AHA - (Acronym-induced Head Ache) .. somehow that acronym doesn't match its meaning .. lol
  • ladywclassladywclass Member Posts: 1,713
    a few friends and I have kicked around the idea of opening a private reading clinic ... the DH suggested that we follow time-tested business models, including suggesting a name modeled after a successful 'chain' ... the International House Of Reading .... well .. the acronym got more than a few belly laughs ....
  • jfljfl Member Posts: 1,399
    Let's see...American House Of Reading would be an affirmative. In that case, at least International House Of Reading would only be an admission and therefore less offensive...right?
  • lilbluewgn02lilbluewgn02 Member Posts: 1,089
    I Can Read You Like an Open Book, LLC
  • lilbluewgn02lilbluewgn02 Member Posts: 1,089
    I've passed my Florida Certification exam in Reading K-12, and I'm now taking my reading endorsement classes online. Each is an 8-week course. I've completed Foundations of Reading and I'm starting next week with Reading Acroos the Content Areas and Advanced Reading. I hope to have my certification by May. Along with my certifiaction in Social Studies, I'm ready for the big time!

    Serge(give that student a detention!!!)
  • rob_mrob_m Member Posts: 820
    Brenda's University of Language and Literacy! Rob M.
  • ateixeiraateixeira Member Posts: 72,587
    So we're at a retreat, and they have has browns at breakfast....what a disappointment! They weren't even hot, and I had to keep adding salt. Something was missing.

    I bring that up because we went as far as sharing recipes for good hash browns in this thread a while back.

    -juice
  • rshollandrsholland Member Posts: 19,788
    Ah... I was wondering where you disappeared to, as the boards as the boards were definitely "juiceless" for several days...

    BTW, there are a TON of Straightline Detroit show blogs awaiting your thoughts. :)

    Bob
  • ateixeiraateixeira Member Posts: 72,587
    I know, but my breaks are limited.

    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
  • rshollandrsholland Member Posts: 19,788
    Are you still on the retreat?

    Bob
  • ateixeiraateixeira Member Posts: 72,587
    Yep, using a PC in their guest computer room right now...

    I won't be back in the office until Tuesday.

    -juice
  • rshollandrsholland Member Posts: 19,788
    Wow! Big retreat! Where is it?

    Bob
  • ateixeiraateixeira Member Posts: 72,587
    Funny enough, about 1 mile from my house. I could walk.

    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
  • hondafriekhondafriek Member Posts: 2,984
    Geez juice when I read you were at a retreat, I thought you were thinking of going into a seminary or something. Coming from Ireland you say you are at a retreat or going on retreat it is a religious experience you are talking about.

    Cheers Pat.
  • c_hunterc_hunter Member Posts: 4,487
    Growing up Catholic, that's how I always associated the word too, Pat, but nowadays it's a trendy way to describe off-site work meetings. My management is always talking about leadership retreats which make me gag. It wouldn't matter if they retreated to Hawaii or to visit the Pope, they'd still be living in incompetant Dilbert-land!

    Craig
  • hondafriekhondafriek Member Posts: 2,984
    From What I hear Craig, that about describes most upper level coporate management. Thank God I am retired.

    Cheers Pat.
  • ateixeiraateixeira Member Posts: 72,587
    Pat - that is a hilarious coincidence!

    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! :D

    -juice
  • lilbluewgn02lilbluewgn02 Member Posts: 1,089
    Reading this thread, it seems to me that hash browns are a religious experience for juice.
  • ladywclassladywclass Member Posts: 1,713
    I know this is the wrong place to ask this question ... however, I'm asking anyway !

    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!
  • rshollandrsholland Member Posts: 19,788
    If the Montero has an "interference" engine, then, yes it's a real possibility that the pistons (and maybe more, like valves, etc.) will have to be replaced.

    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
  • grahampetersgrahampeters Member Posts: 1,786
    G’day

    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
  • rshollandrsholland Member Posts: 19,788
    LOL! Great story Graham!

    Bob
  • dstew1dstew1 Member Posts: 275
    Enjoyed reading your story, Graham. Sounds like Mitsubishi needs to reconsider its decision to name it the Shogun in the UK!

    Doug
  • ladywclassladywclass Member Posts: 1,713
    for the reply, Bob ... I had done some looking last night, but wasn't able to find much information about them ..

    Apparently, DH found some more online this morning ... we'll see ...
  • rshollandrsholland Member Posts: 19,788
    Good luck Bren. My guess is this will be a costly engine repair. If it is the timing belt, here's living proof of why they need to be changed as per the manufacturer's recommendation. My guess, with the older Montero (and older Subarus), it's every 60K. On many newer cars (like recent Subie H-4s) it should be checked at 90K and replaced no later than 105K.

    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
  • locke2clocke2c Member Posts: 5,038
    A high school friend had a Montero of that vintage. It was a pushrod 3.0L v6 if I recall and quite anemic. I think it did have a timing belt, and given the overhead valve design... yes, that would be pretty destructive to the engine if the belt were to fail.

    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
  • hondafriekhondafriek Member Posts: 2,984
    I have to agree with Colin here, even sourcing and having a junkyard replacement installed is not gonna be cheap.

    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.
  • ladywclassladywclass Member Posts: 1,713
    I appreciate the advice .. but it's really up to the DH ..
    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 ...
  • ateixeiraateixeira Member Posts: 72,587
    I had a solution to propose but it involved hand grenades. :surprise:

    -juice
  • hondafriekhondafriek Member Posts: 2,984
    Boy the forums are unusally quiet this week.

    Cheers Pat.
  • rshollandrsholland Member Posts: 19,788
    Juice was away. :)

    Bob
  • hondafriekhondafriek Member Posts: 2,984
    LOL.

    Cheers Pat.
  • njswamplandsnjswamplands Member Posts: 1,760
    well i know BigElm is too busy dealing with the Nabisco OT Crew
  • p0926p0926 Member Posts: 4,423
    Why oh why do parents think that heavy is automatically better? Personally, I would think that a 91 Montero is one of the least safe vehicles for a young man to drive. They're top heavy and lack many of today's safety features.

    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
  • rshollandrsholland Member Posts: 19,788
    You're absolutely right Frank.

    Bob
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