Continuing from the previous post- #09- Detailing Diaries Could Limit Inaccurate PAIN Assessments– The bone injury assessments aren’t as easy for the doctors to see after time continues to pass. BUT let me demonstrate how the detailing could add value to visual assessments by medical professionals..
8-10-2000 Original Injury Sketch
This was from a car accident! The original accident was with the weight bearing bone of my left arm. According to medical information, “Often a fracture of the mid shaft of the ulna is not associated with an injury at the elbow or the wrist, [TRUE WITH ME]. It can be treated with a long arm cast, or with surgery. Plates and screws or intramedullary pins are both effective treatments.” With my car accident the picture is my memory of the injury.
“Bone fracture repair is used when a broken bone does not or would not heal properly with casting or splinting alone. Improper healing that requires ORIF surgery can occur in cases when the bone is sticking through the skin (compound fractures)…” This is consistent with the injury that I had.
The orthopedic specialist that did the surgery told me that the lack of inflammation and coloring was very abnormal. He also told me that my bone density was super high, a very good reason to expect that the screws would need to be taken away at a later time. The experimental straight plate material that was put in my arm & the external padded brace was wrapped around the bandage holding the staples and 4.5 inch scar in place.
Of course I can only share with you my visual memories, but the pain assessments can’t be accurate because I was drugged with the emergency ambulatory care. The visual memory is from being awoken by the doctor so that the hospital could get my desire for treatment.
In that situation my pinky toe on my left foot which was dislocated hurt worse than my arm, it distracted me from really feeling any problem with my arm. The localized pain killer had not been applied for surgery.
2000 Injury Scar & 2005 Scar after Screws were Removed
The information shared with the section about My Pain Tolerance is HIGH (A Self Assessment describes how the work in my arm resulted in minimal injury. As stated previously the INACCURATE ASSESSMENT of the PAIN & the CT results by the other hospital could have caused other major body problems, but I knew my body better and worked to get the proper care. The specialist did NOT base his estimates on my pain statements, BECAUSE before seeing me he had taken the time to do a proper visual survey of the evidence because I had made sure that he got the visuals so that the inaccurate technical reports of the other hospital weren’t his only evidence about the situation.
The day of the surgery after the screws were removed the surgeon who took care of the problem said that, “the screws holding the plate on my arm were removed with my fingers, they were barely in the bone.” This was after I asked why the scar bandage was so small in comparison to the whole plate scar that I had, it was less than 2 inches long while the original plate scar is over 4.5 inches long.
A visual reminder for you of my scar of 2005:
In general with a full plate removal, according to another medical document, from the Malaysian Orthopaedic Journal 2009 Vol 3 No 1 “…Refracture is the most common complication following removal of implant… The forearm should also be protected from heavy loads by splinting for  to  weeks…”
BUT FOR ME IN 2005, my screws were removed by hand & as more evidence that the PLATE WAS NOT removed I was told by the professional surgeon, “you can return to work like normal tomorrow, there are no restrictions.” So on my return to work, 4 days after the surgery, the next week because of the extra days I’d previously taken was abnormal for a plate removal.
The plate in my arm has aggravated the present pain situation and proper doctoral assessments, even though the doctors have not heard me because they have been misled by INACCURATE reports based on other inaccurate reports & BAD PAIN Assessments.
This visual addition along with my information from #03. Inaccurate PAIN Assessments with A HIGH PAIN Tolerance and other posts can assist others to see in some ways why the Summer 2014 injury care action taken by me did not result in the better care results from doctor’s.
Detailing Information Visually
Maybe the pain & injury diary can grow value in pain assessments as well as more accurate treatments. Like
- what if the doctors had a visual flip-book relating the pain as well as the injury progressing as I have suffered?
- what if the medical community had made assessments accurately for me instead of basing things on their own personal ratings of my pain estimates?…