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Medical people: how long is a month?

 Poster: A snowHead
Poster: A snowHead
Sitter wrote:
Along the lines of the skinning up suggestion, go for a drive that takes you up to altitude (Kuhtai?). A lot easier to return should you feel anything amiss than on a chair/gondola with no escape until you're much higher.


Good idea.
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 Obviously A snowHead isn't a real person
Obviously A snowHead isn't a real person
Reference sneezing, I once read that pinching your upper lip (thumb inside mouth, finger outside) prevents a sneeze. Could be an old wives or could work, I’ve never tried it as I prefer just to sneeze. Trial by Snowheads required maybe.
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 Well, the person's real but it's just a made up name, see?
Well, the person's real but it's just a made up name, see?
Scarlet wrote:
Sounds a bit obvious, but bear with me Toofy Grin

I've just had facial reconstructive surgery (on Mon 27th) and there is nice fresh snow, which I am surviving by telling myself it's windblown and wet and I don't really want to go out in it Confused I'm allowed to do exercise after two weeks, so that's 10th Feb, but because of the pressure difference I'm not supposed to go up mountains for a month. January is a long month, and I'm more likely to find a buddy at the weekend, so assuming conditions are worth it (fresh) is 3 weeks 5 days close enough? Laughing wink

I'd normally think of a month in this context as four weeks, but I was just wondering if medical school teaches you to count differently?


When we give out post op advice such as don’t do this or that for a month we are basing that length of time on experience. In the past if we’ve given that advice and there doesn’t seem to have been problems we will stick with a month. If we see some problem we would in future suggest 6 weeks. Sometimes we are building a little leeway. I’ll do this especially in children and teenagers where I might say six weeks knowing they’ll probably get back to what they want to do at four. So when you’re told not to do something for a month it means don’t do it at all and when you go back to it realise that in week five you’re not fully recovered and perhaps still in recovery mode where you might ease back into things gently.
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A month / 4 weeks for this indication is extremely arbitrary. I honestly can't see how there could be problem after 2 weeks. To be safe use otrivine nasal spray 2 sprays each nostril just before you go out each morning. Try not to face plant and you'll be fine
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 Anyway, snowHeads is much more fun if you do.
Anyway, snowHeads is much more fun if you do.
@peanuthead, just for the avoidance of doubt, are you a medic?
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You'll need to Register first of course.
Yes
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 Then you can post your own questions or snow reports...
Then you can post your own questions or snow reports...
Actually probably most important thing is avoid blowing your nose for a month. The pressure that generates will be much greater than anything you'll experience skiing. Do gentle saline douches to get rid of crusts (netipot would be ideal). And also use otrivine before flight
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 After all it is free Go on u know u want to!
After all it is free Go on u know u want to!
peanuthead wrote:
Actually probably most important thing is avoid blowing your nose for a month. The pressure that generates will be much greater than anything you'll experience skiing. Do gentle saline douches to get rid of crusts (netipot would be ideal). And also use otrivine before flight

No flights planned till summer so that’s not an issue. Unfortunately, I seem to have picked up a mild cold from the hospital – horrible disease-riddled places – and my nose is running like a tap rolling eyes Hopefully it won’t last long, as I generally don’t have breathing problems here in the mountain air.
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You'll get to see more forums and be part of the best ski club on the net.
Quote:


@Scarlet, I'm not an ENT doctor.


That wouldn't help as these injuries are fixed by maxillofacial surgeons!

I've had a look at the scans - you only had a small fracture (in the UK we'd not have fixed it unless you had visual issues....). Key points are that there's not much fluid in the sinus and the fracture doesn't encroach on the meatus - where the sinus drains rubbish/air out - so the drainage system is probably working already. If you have no pain, then altitude shouldn't be a problem as long as you stay away from really high altitude. Falling more of an issue - but you'd have to be really unlucky as an orbital fracture is a very unusual ski injury - most people break their cheekbone as well...

....However, if you've got a cold I wouldn't risk it til it settles as the sinus lining is likely to be congested - which might reblock the sinus drainage tube...Sorry Sad

All with the usual proviso that this just an opinion and without actually seeing you you should ignore everything I said. rolling eyes
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 Ski the Net with snowHeads
Ski the Net with snowHeads
@k, s’ok, I’m gonna sit out the fortnight at least, though I’ll probably go for a walk tomorrow in the valley just so my body doesn’t totally seize up. By then the cold will be done, my bloodshot eye should be fixed and I can go and do a bit of climbing or cross-country skiing without going too high up (1200m I think).

Interesting that you’d not have fixed it, though the bit of bone in my cheek was a bit painful so I’m glad that’s gone. There was a problem with nose blowing/eye swelling before the surgery, but I haven’t had any swelling since, which they seemed quite surprised by. Not sure it’s that unusual though, it was a daily operation (2 others in my room with same, though they were collisions rather than falls) and they were very used to it.
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@k, I should say that I appreciate your efforts, and those of others above, to explain why. In my line of work, I often hit against arbitrary rules which exist only because no-one has thought to change them. I find that I am much better and heeding them if I understand why things must be this way.
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