First of all,i would like to thank TS to bringing up this thread which would be very usefull.Thumbs up!

Any ortho specialist or doctors here?

I am a T8-T9 burst fractured complete paraplegic for 10yrs.I've suffered alot with pressure ulcer/besores.Recently i went to see a doctor to verify what's wrong with my previous wound on buttock that've been silent awhile but started to produce discharge/puss again.After xray,he said i've got osteomyelitis because of some fractures on ischial bone,i begged for differ because i don't think it's osteomyelitis and the cause of it could be because i am fully wheelchair depended therefore might be i bumped too hard while sitting/transferring myself to bed,car etc.I am really worried to proceed with that doctor because he didn't even did a test on the discharge and simply saying it's osteomyelitis.Now the wound seems opened up more and there quite alot of discharge of puss,sometimes fever on and off/nausea.So here's my xrays,i hope someone could advise me.

2005 -Before
http://imageshack.us/photo/my-images/43/10534434.jpg/


2011 -Current
http://imageshack.us/photo/my-images/855/17774300.jpg/
http://imageshack.us/photo/my-images/836/40945227.jpg/

as i say.. i not really keen to post however.. i will try a few more stuff here.. from the description.. hmm.. you seems ok in childhood.. i cant say for sure.. i want to make sure you belong to which "body".. this is more holistic and bogus.. but i find that it does help in things others cant explain.. first.. you scared of hot more or you scared of cold more.. if you eat durian or those heaty food.. how your body reacts? what abt coconuts and the "cold" ones.. does it affect your body.. and your palm of the hand.. normal? usual hot or cold? my suspect is you belong to the heaty one.. or warm in this case.. to make sure.. if you eat a lot of keropok and durian and fried stuff.. you might feel body heating up and easily get sorethroat after that.. this is just a guess.. so like i say.. i would prefer an "interview" to dig info but i cant.. lol.. this part is useful to "tune" your body towards a more balance body and hence reduces stress level in your body.. and i think your condition is stressed related in a way.. ok.. time to put on my western medicine cap

first.. i would like you to have two diary.. if possible.. one is your food diary.. write down in brief what you ate.. amount.. i want a week minimum.. or if possible two or more weeks.. just write down and dont look back.. after the "end".. one week or two or whatever you decide.. then you open and look back and see.. see how balance or unbalance it is.. i am not gonna tell you how to see first as my experience tells me if i tell you what to look for.. your psychological brain will "adjust" your food to make it look perfect.. and the longer you do.. the better we can see if its ok or not..

second.. a sleep diary.. i want you to write down.. when you go to sleep... and when you wake up.. if you ever ever ever wake up and realise it.. write down.. if for example.. got to bed at 9pm.... then by 10 still awake.. you jot down as well.. and by 11 still not yet sleep.. jot down as well.. and so on.. like i say.. as long as possible.. naps included.. i want to know the "total" a day.. starting from say 9pm till 9am... and i want you to record how easy or hard to "fall asleep"... and if disturbed.. or not.. i know you tend not to remember.. this is when having a good gf to sleep with you is good but i guess not possible at this time in your case.. but.. if you do ever remember or wake up half way... jot down.. and if can ask friend to help.. try to sleep when they can sort of see you.. like in living room for a nap... a nap more than 2 hours is prefered and see if you indeed snore or not.. as usual.. just record.. dont look back..

the two above method is a suggestion you can start.. its just a suggestion.. not a must or anything.. and its just my opinion.. there is a few good doctors around.. they might differ in view.. but if i were to give advice.. this is the two things i want to see first.. hope the others can give input.. as for supplements.. i will hold myself from suggesting first.. until i establish your body type.. but if i cant.. i will go for a multivitamin plus ginseng.. pharmaton and proviton is in malaysian market.. its a good choice.. and cod liver oil if your lipid profile is ok.. its both to boost immune and reduces stress... minimum is i will focus on vitamin b complex.. namely vitamin b1, b2, b3... and of coz take in the day.. as early as possible.. erm.. what else.. i am only thinking with 10% capacity as i dint sleep much and really having a very stressful day so far.. so pls do add in some other comments... let me see.. oh ya... activity level.. when you do exercise.. i would put that together with your sleep diary.. i think so far that is it.. its gonna take some time to adjust.. esp when i cannot see you in person.. so.. this is my opinion.. and i believe most doc will raise their eyebrow with my suggestion as all these are more of an alternative than mainstream for them but i guess they might see the rationale i am doing it.. i dunno.. malaysian practice is kinda... well.. weird and i am even weirder but my style is usually weird in a lot of ppl's eye over and out..

Alright I will keep a diary. Ill write down what I ate, sleep as you mentioned and also my condition throughout the day)

BTW my bowels have not been good lately. Stool does not seem normal, should I go see a specialist?
Actually my stools have not been normal for almost half a year I just did not bother but its getting worse now small hard stool, sometimes even soft have to strain to pass lately. I think this could be the cause of my condition.

Hi..
im radiographer.
will i consider as health care

N1ck.. its all related.. that is possibly due to stress and lack of water.. if your body is indeed "heat" type.. then it is quite normal and therefore back to my bogus practice.. tune your body back a bit.. but as i say.. need more info.. add in water into your food diary.. interested to see your amount of water intake as well... if this is the case.. hard and tiny stools.. hmm.. so food diary will cover my "curiosity" oh.. one more thing.. colour of stool.. black like hair? got blood? or just normal dark brown colour.. what abt gastric problem? bloated tummy? coughing non stop? the last few qs is TRO GERD.. just in case some docs wonders why i ask.. i still think its stress related base on his age (second year uni.. no fun.. that is where all the stress and hardcore subjects kick in).. *hidez*.. btw.. where is all the docs.. i am interested to know their opinion on my "weird" style

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Added on April 2, 2012, 12:01 amtotally out of my area.. erm.. not really out but.. i have a habit of not looking at x-rays.. or i should just admit i dunt really know how to see them... just a suggestion.. you know there is something like.. erm... "pelampung".. those tough rubber type where you can put water in and sit down.. you can sorta try that.. dunno if its available or not.. air or filled with water.. no diff.. but not full... reason.. it can shift your weight around.. so the bed sores and so on.. and "bumping" or "impact" significantly reduced.. fever on and off indicates some sort of infection from time to time.. could be as you say.. due to bed sores? just get some antibiotic ointment (ointment as they penetrate deeper into your skin and prefered in this case to creams as creams tends to stay on skin surface only.. ) and apply it.. until its cleared and not so serious then switch to antibiotic creams.. and then to normal aloevera creams for normal healing.. it can makes your butt silky smooth (just a joke.. i am a joker so serious ppl dunt really like to work with me..) just a suggestion.. might worth trying and might reduce the.... stuff... lol.. *hides*

This post has been edited by Wolves: Apr 2 2012, 12:01 AM

X-rays are part of healthcare as a diagnostic tool. Almost everyone
has had an x-ray at some point in their lives.

This "tidakapa" young female radiographer, Jessica, in Tung Shin Hospital
last week was practically "screwed" left and right by me in front of the whole
department, when she didn't bother to listen to my request to lower
the power to the minimum dose possible, and just fired away.

I told her that she was playing around with my life, as even a single
exposure of gamma rays puts one at risk of lung cancer, and if I were to
contract small cell lung cancer, even suing her would be pointless since
that carries a prognosis of one month without treatment, or 10 months with
chemo.

The reason is I have to have a chest x-ray every two to three months
as part of the doctor's monitoring of my TB treatment, for a total of
6 exposures. That's a lot of radiation, at about 10 millirads an exposure.

I found out later from another more responsible radiographer there,
Mubarak, who had shot the last film for me two months ago, that she
had shot at 100 kv for 2 milliseconds. Isn't that high ?

I remember my father's chest x-ray done at the same hospital over a
decade ago was done at only 40 kv.

every two to three months one x-ray... wont die and yes.. she might have overshot but it also depends on certain stuff.. me no expert in x-rays.. as i admitted before.. but.. it wont cause lung cancer like that lar.. and (this is just a joke.. dunt take it seriously ah..) lung cancer has better prognosis now.. i remember having "heard" the monoclonal antibodies can prolong it by a lot.. definitely more than 1 year.. and just to clear some misconception out there.. usually when one is diagnosed with lung cancer.. they are usually stage 3 and above unless by accidental chance someone took an x-ray and found a small lump by stage 2.. if they do spot it by accidental chance.. and so.. the prognosis was bad... the reason is.. lung doesnt have any "pain" nerve or the lump doesnt press against any organ and its hard to "detect" abnormalities except coughing and tightness in chest.. which can be due to a lot lot lot lot lot lot lot of other problems.. including TB and COPD and lung infection.. and therefore tend to be overlook as they usually rule out others before suspecting lung cancer.. just for info.. and it can be caused by a lot of other factors besides the x-ray radiation.. so chances of the x-ray as the cause.. pretty small and like i said.. just one x-ray every two to three months shouldnt be a problem.. right or not mr (i think mrs should be more accurate.. or madam. or miss) queenc? mr tham gonna slap me left and right i gonna hide.. anyway.. i am really really really curious.. where are the other ppl? been paying more attention here but seems like none of them around

100kv 2mAs
is pretty good to me..
they are practicing high kV technique thus they can lower the time of exposure to the patient
if you work to any government xray department ; for normal exposure for chest xray , is around 64kVp 4mAs

1 more thing ,
normal xray examination will not / very very low posibilities to cause any harm.

For those not getting answers, you can try dr oz website.

N1ck, your diet comprising of "Rice + wholemeal bread + vegetables + fruits + chicken" is very far from being truly balanced.

Here, you can get an idea of what constitutes a balanced diet:
http://www.marksdailyapple.com/primal-blueprint-sample-menu
http://www.marksdailyapple.com/definitive-...al-eating-plan/

Although there may be criticisms or caveats to some of the ideas, but in general it is an excellent guide to healthy eating.

To get more leads, you can also post up a questions at sites like http://www.justanswer.com/medical/

This post has been edited by entryman: Apr 3 2012, 09:20 PM

I'm not a doctor but I agree with queenc.

I remember being told by my doctor that the higher the radiation dose, the clearer the x-ray image will be. Can't remember if I hear that correctly.

Correct me if I'm wrong, I remember reading somewhere that taking one chest x-ray is equivalent to being exposed to background radiation for one month. In fact, we are being exposed to radiation every single day. The more dangerous thing is the CT scan. Instead, the chest x-ray doesn't really pose any harm at all.

There was once I took a digital chest x-ray (that's the term that I was told, which contain a lower radiation dose) at a private hospital. As a result, my doctor was having some hard time reading and comparing the x-ray because it was not as clear as another earlier x-ray which I took at a government hospital which has a much clearer image.

This post has been edited by Blofeld: Apr 3 2012, 11:45 PM

I not sure if this the right place to ask. I've been having shoulder, neck & upper arm pain for 1 week and a half. I've seen doctor twice (2 differ doctor) and both give me Sinflex and pain killer.

My medication on sinflex and pain killer started last thursday (from the 1st doctor) and continues on monday (2nd doctor). The 2nd doctor did give me a jab. Today morning, my upper arms feel numb until my thumb and 2nd finger. As many people keep telling me pain killer is not good. I have stop taking it this afternoon and now my arms is really painful.

My colleagues says that i might have dislocated my joints. And i did see doctor again today informing the numbness and he advise to take X-ray.

Opinion wise, is it a possible nerve problem or dislocation of joints? (if pain persist tomorrow morning will go for X-ray) I need opinions cause I am scared.

but if you use Dr or Cr = digital radiography , the radiographer might use higher dose and long exposure because they can edit the pic (contrast and brightness ) like photoshop.

normal chest xray = 3day enviroment exposure.

ct-scan and fluoroscopy more dangerous

Thanks for the info. Might the newer or latest machines improve the picture
clarity with lower voltage/time levels, and thus reduced radiation exposures ?

Damai Service Hospital seems to have installed a new machine last month,
so I might be going there for my next chest x-ray.

By the way, which hospital are you working at ?

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Added on April 4, 2012, 2:34 amDepends on what type of lung cancer you have.

If you get SCLC (small cell lung cancer), the most aggressive,
your life is measured in weeks (usually one month) without treatment,
and about 10 months with standard chemo of cisplatin plus etoposide.

Add in the monoclonal antibody, bevacizumab (Avastin), perhaps one
and a half years. Horrendous side effects - bleeding in the brain, stomach.

SCLC tends to happen mostly in smokers, but the majority of those who
get SCLC here are Chinese.







This post has been edited by Tham: Apr 4 2012, 02:34 AM

Hi to all,

This is a most interesting thread. I am not qualified as a medical doctor in any particular field. I am just an 'ordinary' woman-on-the-street who has been practising natural healthcare for the past 10 years due to my own weakening health and stamina. I used to suffer from bad menses cramps, piles and constipation and gastric attacks since school days. Later on, in my late thirties, started to suffer from chronic fatigue. No matter how long I slept, I was always tired. If I try to sleep in the afternoon, most of the time, I woke up with a headache. I was tired the moment I got up from bed. Tried to exercise but it was so difficult to do so, I literally forced myself to the park in the morning. I also developed a chronic skin condition on both my hands that on the worst nights, the pain and itch from my fingers would wake me from my already poor sleep.

Due to this condition, I started praying and looking out for ways to improve. After getting to know a holistic practitioner, I was introduced to a whole new world of natural healthcare. This has been 10 years ago. I know a lot of ways and methods of alternative healthcare are dubbed as 'quack' by medical science, but I am open and believe that science is still uncovering new things each day. I mean, for example, many years ago, science did not believe in acupuncture but this has changed today. Even hospitals have started having a traditional medicine/complementary haelth section.

I have also personally spoken to a medical doctor who frankly told me if he did not prescribe antibiotics, his patients would not recover so speedily and his business would be affected (even though he knew certain conditions will heal itself, the body just need a bit of time). I started researching and educating myself on various aspects of natural health.

I have come to realise that we need more education first, not more medication, unless we are in an emergency. Too many of us are just to busy even to learn the very basics to health naturally and overly dependent on the doctors. By the way, I have absolutely NOTHING against doctors. I merely found out the ultimately, it is I that must try to take responsibility as much as possible first. Many problems can be resolved so easily and naturally that sometimes doctors, with all due respect, does not believe could be so simple.

Glad to say that most of my problems have greatly reduced. I rarely constipate or suffer gastric attacks now. If and when I do, I know why and know what to do, my sleep and energy and stamina has greatly improved and I feel so much better now than I have been for years.

I hope to just contribute a little to this forum by simply sharing what a lay person has learnt about natural health and would be glad if anyone can benefit from my experience and research.

From the X-ray films, your hip bones definitely look normal. However, the symptoms that you've mentioned do suggest that you are having some form of infection. Since you've mentioned that you had a T8-T9 fracture, I assume that mostly likely you would not be able to feel anything around your buttocks and that you have accidentally injured it without knowing it. I think it is best that you go over to a hospital and at least get a Full Blood Count done to look at your White Blood Cell (WBC) count. If the WBC count is raised, you are having an infection and thus requiring antibiotics to recover.

Hey there, from your xrays, it does look like there's some erosion on the ischial bones.
If you're fully wheelchair bound and have been coming in and out of pressure ulcers, then you really are MORE LIKELY to get an extension of the infection from the skin/fat/muscle into the bones.
To diagnose osteomyelitis, there really is no need to take a sample of your discharge to make a diagnosis.
Diagnosis is made mostly on xrays.
The only reason why we would take a sample of your discharge is to see what organisms will grow and what antibiotics will respond to it.

If you're having a lot of discharge, and you're already having fever with nausea. you really need to get it treated. Your bones doesnt look badly eroded now. Dont let it get worse. Get it treated asap.
After you're done with the treatment and and good skin coverage over your buttock area, you have to be really strict with your 2 hourly turning.

I would assume you've lost sensation from around your umbilicus all the way down to your toes. Therefore, you wouldn't know when your pain receptors are firing from all the damage caused by constant compression of your skin against your bones when you sit for prolonged hours. Even if there is no pain and you feel awesome and ready to take the world by storm, 2 hourly turning is really really important.
I've a granny who left the ward with grade 1 bed sores and came back 2 weeks later with grade 4 bed sore. that's just two weeks. turns out her daughter didnt follow the 2 hourly turning instruction.

hope this bit will help.

to be honest.. i don't see the point of u slamming that radiographer in front of the whole department.
you have already stated that sclc is most commonly seen in smokers? well do you smoke then?
and btw.. the survival rate of sclc is about 15 - 20 months. and mostly seen in elderly individuals above 55 and of course if they smoke, or have an occupational hazard.
and most patients will not qualify for bevacizumab, partly due to the high cost of the drug.
it increases the tendency of bleeding, because it inhibits angiogenesis, ur peripheral vascular system and coronary arteries will be affected first rather than your brain.
just laying out some facts.

SCLC more commonly occurs in smokers according to the literature,
but the majority of cases here are Chinese, while the Malays are the
far heavier smokers.

Thus as I have postulated and posted in the thread below some time
ago, there is very likely some genetic deletion or mutation which is the
major etiology behind SCLC.

Without treatment, you die in ONE MONTH from diagnosis with SCLC.
Median survival is typically 10 months with first line chemo with
cistplatin plus etoposide. The 15-20 month prognosis is more with
NSCLC, as in the case of this lady from one of our Ipoh offices
with adenocarcinoma in 1996.

In my friend's case in this thread, Bill O'Rights ("TheFirstImmortal),
who had SCLC over three years ago, we managed to take him to
nearly two years with heavy supplementation of the latest cutting
edge supplements, which included high-dose resveratrol.

This was his 3,000 post, 100-odd page thread. He passed away
on May 10, 2009.


http://www.longecity.org/forum/topic/23038.../page__st__2421



And wouldn't you slam that brainless woman too, if she acted as if
she was playing Star Wars with YOUR LIFE ? I lost my cool when
she reacted, right after shooting away gleefully without any regard
to my request " .... and how do you know that I didn't lower the
dosage ? "

Easy for you to say that " I don't see the point .... " . It's not YOUR LIFE.
Put your body in front of the beam then (or even just stand outside the door,
as I challenged). It's just Star Wars.

A couple of milliseconds of gamma rays, isn't it ?

This post has been edited by Tham: Apr 8 2012, 07:57 AM

ok.. i wasn't referring to non-small cell lung cancer. i was clearly referring to sclc. without treatment , even an extensive disease has a median survival rate of 2-5 months.
and with treatment u can get up to 2 years. it varies on a case by case basis. NSCLC generally have better prognosis depending on the TNM staging. stage 1 and stage 2 have favourable prognonsis with almost 50% 5 year survival rate. that also varies depending on the histopathological nature of the NSCLC, because it is operable. i'm sorry for your friend. but just think about it, ur slamming a "brainless" women for putting u at "risk" for lung cancer. i'm just gonna put it out there it takes at least 10-15 years of constant exposure for u to develop lung cancer.
the real people at risk here are the smokers, urban city dwellers due to the atmospheric pollution, people who work in the asbestos industry, and people with pre-existing nonmalignant diseases.
And challenge accepted. i occasionally stand outside the door, and stand in front of the beam whenever i have to for my own x-rays, and in addition to that. when posted to orthopedics i have to work with a c-arm as well. and i really don't see the relation to star wars here.