Rehab1´s accident(s)

[Rehab1]

31 minutes ago, Ethereal said:

@Rehab1 - I am so sorry to hear of your accident. i have always enjoyed reading all your EUC experiences from a physician’s point of view as i am also one. I am a pediatric anesthesiologist but also do adult anesthesia since i work in a regular community hospital. i wish you the best in your upcoming surgery. i highly recommend consenting to an interscalene block on top of course to the general endotracheal anesthesia that you will require. The interscalene block will provide intra-op and postop analgesia. You will require less narcotics under general anesthesia with the block and therefore less likely to have post- op nausea. You will also have less pain once the block wears off because of pre-emptive analgesia.  Make sure you tell your anesthesiologist to put some lidocaine in your propofol when he induces you to sleep as the propofol can be very painful when injected. 

Anyway, I sincerely do wish you the best during the next few days and beyond. Once all healed and Wifey comes down, please reconsider coming back to EUCing as it would not be the same  reading the forums without your insight. Take it easy, Bro!

Thank you for the kind upgrade in my medical status but I’m simply a pediatric rehab specialist that has the honor of working with a team of revered physicians and therapists.

I greatly appreciate your advice and concerns. Anesthesiology is definitely outside my purview. Based on your advice I will make some calls today as my surgery is still 2 days away. The trauma ortho surgeon is Dr. Jason Tank at Toledo Hospital. He came highly rated by my ortho friends. Hopefully he and the anesthesiologist are on same page and there are already established protocols to administer the interscalene block and lidocaine preop. I cannot imagine, given the way insurance companies control the reimbursement rates, that Dr. Tank wants me to have an extended hospital stay due to nausea. Thank you again.

 

[Ethereal]

You are welcome. The surgical department will notify the anesthesia department that a request for an inter-scalene nerve block has been made by you. The day before surgery, the Site Manager (anesthesiologist in charge of the operating room) will oblige your request since you made it at least 2 days ahead of time and assign you an anesthesiologist adept at inter-scalene nerve blocks. Inter-scalene nerve blocks are now done with ultrasound guidance unlike when I was in training in the late 90's when it was just by never stimulator technique. The big picture is that there is less chance of pneumothorax or punctured lung  now with ultrasound (US) guidance approach. I have never caused pneumothorax doing it the old fashioned way but you want the most skilled doc using US guidance to do your block so it is best to give the anesthesia department a heads up of your request. Regarding lidocaine mixed with propofol, not all anesthesiologists are as nice as me so since you will tell your anesthesiologist that you don't want pain on injection of propofol, he will make sure you do not have that experience. We like to have happy patients. 

Edited February 4, 2018 by Ethereal

[Rehab1]

3 hours ago, Ethereal said:

You are welcome. The surgical department will notify the anesthesia department that a request for an inter-scalene nerve block has been made by you. The day before surgery, the Site Manager (anesthesiologist in charge of the operating room) will oblige your request since you made it at least 2 days ahead of time and assign you an anesthesiologist adept at inter-scalene nerve blocks. Inter-scalene nerve blocks are now done with ultrasound guidance unlike when I was in training in the late 90's when it was just by never stimulator technique. The big picture is that there is less chance of pneumothorax or punctured lung  now with ultrasound (US) guidance approach. I have never caused pneumothorax doing it the old fashioned way but you want the most skilled doc using US guidance to do your block so it is best to give the anesthesia department a heads up of your request. Regarding lidocaine mixed with propofol, not all anesthesiologists are as nice as me so since you will tell your anesthesiologist that you don't want pain on injection of propofol, he will make sure you do not have that experience. We like to have happy patients. 

I have a 30 minute phone consult with anesthesiology tomorrow morning so I will discuss your professional advice. I’m all set up with specialized pillows and a motorized cryo machine. I thought about drilling a hole in the bedroom ceiling just above the bed to install an eye bolt for a trapeze handle but realized, given my wife’s current mental state, sleeping in the lazy boy was my best option. Thanks again.

Edited February 4, 2018 by Rehab1

[Ethereal]

Great that you will talk to Anesthesia in the morning. Assignments for the following day cases  are usually done in the early afternoon so there is plenty of time to get your request in. 

[Marty Backe]

6 hours ago, Ethereal said:

@Rehab1 - I am so sorry to hear of your accident. i have always enjoyed reading all your EUC experiences from a physician’s point of view as i am also one. I am a pediatric anesthesiologist but also do adult anesthesia since i work in a regular community hospital. i wish you the best in your upcoming surgery. i highly recommend consenting to an interscalene block on top of course to the general endotracheal anesthesia that you will require. The interscalene block will provide intra-op and postop analgesia. You will require less narcotics under general anesthesia with the block and therefore less likely to have post- op nausea. You will also have less pain once the block wears off because of pre-emptive analgesia.  Make sure you tell your anesthesiologist to put some lidocaine in your propofol when he induces you to sleep as the propofol can be very painful when injected. 

Anyway, I sincerely do wish you the best during the next few days and beyond. Once all healed and Wifey comes down, please reconsider coming back to EUCing as it would not be the same  reading the forums without your insight. Take it easy, Bro!

Could someone please translate this into English  

[Rehab1]

38 minutes ago, Marty Backe said:

Could someone please translate this into English  

Ok. Subject change. How about this.... I just painted my dinged up helmet . Not sure why. I’m sure when my wife returns home the strong paint odor will open up an investigation. 

 

[Ethereal]

27 minutes ago, Rehab1 said:

Could someone please translate this into English  

Ha Ha! Take the shoulder block along with the sleep and you will do fine. Sorry about my anesthesia talk. Let's get back to the EUC talk.....

Edited February 4, 2018 by Ethereal

[nute]

So sad to hear about your crash and the consequences @Rehab1, i hope the surgery goes well and you are back on the peddles when your recovery allows. 

These possibly life changing accidents can happen to anyone even in the most mundane circumstances. A good friend of mine cannot move his left hand because he tripped up a kerb and landed left hand first, apparently tearing some nerves, 18months on he has about 25% function. Ok, so hurtling around at 30kmh isn't going to lessen the risk but i hope you can get back to wheeling if you wish and make a full recovery. Keep us posted on how it goes and I'm sure lots of folks here will be remembering you in our prayers. 

[Ethereal]

41 minutes ago, Rehab1 said:

Ok. Subject change. How about this.... I just painted my dinged up helmet . Not sure why. I’m sure when my wife returns home the strong paint odor will open up an investigation. 

 

That is an awesome looking helmet! How's your peripheral view with that? At least your wife supported your passion with EUC prior to the accident. I get nothing but grief  that I will injure myself someday. Lol. 

Edited February 4, 2018 by Ethereal

[The Fat Unicyclist]

Wait, wait, wait... 

How can you people let that slide? Especially you @Hunka Hunka Burning Love...

3 hours ago, Rehab1 said:

I thought about drilling a hole in the bedroom ceiling just above the bed to install an eye bolt for a trapeze handle

Surely you should rehabilitate (pun intended) before "launching" into your new hobby of bedroom acrobatics! 

[WARPed1701D]

3 hours ago, Rehab1 said:

Ok. Subject change. How about this.... I just painted my dinged up helmet . Not sure why. I’m sure when my wife returns home the strong paint odor will open up an investigation. 

 

What kind of paint did you use? Any concerns with it reacting with the shell?

Also, I know your chin bar hit the ground. What was the actual damage to the helmet from that (and from the rest of the fall)?

[Hunka Hunka Burning Love]

8 hours ago, The Fat Unicyclist said:

Wait, wait, wait... 

How can you people let that slide? Especially you @Hunka Hunka Burning Love...

Surely you should rehabilitate (pun intended) before "launching" into your new hobby of bedroom acrobatics! 

I was confused .  Why not just use the pre-existing mount on the ceiling?    But since we're providing free medical advice, I'd say it's probably best not to divert blood away from the humeral head to other areas until healing is well on it's way.  

Hang in there Rehab1.  We're all rooting for you.

[Rehab1]

12 hours ago, WARPed1701D said:

What kind of paint did you use? Any concerns with it reacting with the shell?

Also, I know your chin bar hit the ground. What was the actual damage to the helmet from that (and from the rest of the fall)?

I used an acrylic lacquer paint. There were no issues of the paint sticking satisfactory to the shell and guard or any adverse chemical reactions to the helmet’s composition. The helmet just suffered a bunch of scrapes. No actual structural damage is evident. 

[Rehab1]

5 hours ago, Hunka Hunka Burning Love said:

Why not just use the pre-existing mount on the ceiling?  

You’ve been peeking again.   

[Scatcat]

16 hours ago, Ethereal said:

Ha Ha! Take the shoulder block along with the sleep and you will do fine. Sorry about my anesthesia talk. Let's get back to the EUC talk.....

I got what you said, and I'm neither a physician or have English as my first language. But then I have too many physicians as friends I suppose. Nerds will be nerds, whatever profession 

[Scatcat]

53 minutes ago, Rehab1 said:

You’ve been peeking again.   

The one used for a "swing"?

[WARPed1701D]

1 hour ago, Rehab1 said:

I used an acrylic lacquer paint. There were no issues of the paint sticking satisfactory to the shell and guard or any adverse chemical reactions to the helmet’s composition. The helmet just suffered a bunch of scrapes. No actual structural damage is evident. 

Cool. A number of people have wanted to spray their helmets before. I wasn't sure what paint would work. Good to know. 

[Rehab1]

45 minutes ago, WARPed1701D said:

Cool. A number of people have wanted to spray their helmets before. I wasn't sure what paint would work. Good to know. 

As for durability...who knows.  But you can keep touching it up again and again. I would clean the helment with a paint prep solvent or rubbing alcohol to remove any residue or oil left by your hands before spraying. 

[yourtoys7]

On 04/02/2018 at 4:17 PM, Rehab1 said:

Ok. Subject change. How about this.... I just painted my dinged up helmet . Not sure why. I’m sure when my wife returns home the strong paint odor will open up an investigation. 

 

I got exact same one after my last fall, interesting how accidents force us to get little more serious about our safety.

Absolutely love this helmet, air vets are fantastic, you're still able to hear everything. 

I did spray paint w black as well, lol

Edited February 5, 2018 by yourtoys7

[Smoother]

55 minutes ago, WARPed1701D said:

Cool. A number of people have wanted to spray their helmets before. I wasn't sure what paint would work. Good to know. 

I would be very cautious and do some research before painting any helmet.  Paint does not have to melt a helmet into a glob of plastic to do critical damage to it.  The helmet could very well stay in one piece but loose all, or a lot of its strength, and you wouldn't know until its put to the test.  I've been involved in various helmeted activities since the early 70' and I remember well, the warnings about painting or attaching stickers to helmets (the glue could weaken the shell)  I know most of you adults out there know this, but those young ones among us, or just searching the web for answers might get the idea it's cool to paint any helmet, and it isn't.

[Rehab1]

3 minutes ago, Smoother said:

I would be very cautious and do some research before painting any helmet.  Paint does not have to melt a helmet into a glob of plastic to do critical damage to it.  The helmet could very well stay in one piece but loose all, or a lot of its strength, and you wouldn't know until its put to the test.  I've been involved in various helmeted activities since the early 70' and I remember well, the warnings about painting or attaching stickers to helmets (the glue could weaken the shell)  I know most of you adults out there know this, but those young ones among us, or just searching the web for answers might get the idea it's cool to paint any helmet, and it isn't.

Yes that sounds like prudent advice especially if you lay down multiple layers of wet paint using epoxy resins. I just layed down 1 coat of paint that was misted from 8 “ away. 

[WARPed1701D]

13 minutes ago, Smoother said:

I would be very cautious and do some research before painting any helmet.  Paint does not have to melt a helmet into a glob of plastic to do critical damage to it.  The helmet could very well stay in one piece but loose all, or a lot of its strength, and you wouldn't know until its put to the test.  I've been involved in various helmeted activities since the early 70' and I remember well, the warnings about painting or attaching stickers to helmets (the glue could weaken the shell)  I know most of you adults out there know this, but those young ones among us, or just searching the web for answers might get the idea it's cool to paint any helmet, and it isn't.

This is what I have been worried about when I hear of people doing it but I'll admit I would have expected to see a physical change if there were a negative reaction. Also good to know. 

Personally I just wouldn't buy the helmet if I didn't like the style and if I fell hard enough to damage the finish I'd likely bin the helmet. 

[Marty Backe]

1 hour ago, WARPed1701D said:

Cool. A number of people have wanted to spray their helmets before. I wasn't sure what paint would work. Good to know. 

The "Gotway" text that is on my helmet was spray painted on. Adhesion is fantastic. There are zero signs of wear over a year of use, and my helmet is glossy black.

[Rehab1]

36 minutes ago, WARPed1701D said:

This is what I have been worried about when I hear of people doing it but I'll admit I would have expected to see a physical change if there were a negative reaction. Also good to know. 

Personally I just wouldn't buy the helmet if I didn't like the style and if I fell hard enough to damage the finish I'd likely bin the helmet. 

Yes @Smoother is correct that helmet manufacturers ( Bell in my case) do not recommend painting them. Anyone want a nice pristine black helmet? 

[LanghamP]

@Rehab1, not sure if you're keeping your helmet but might want to check for compressed styrofoam. My skateboard helmet has been compressed on one side even though I don't recall crashing there.